Is It a Thrombosed External Hemorrhoid or Another Issue?
I'm not sure if it's a thrombosed external hemorrhoid? Hello, Doctor. Last month, I underwent rubber band ligation for internal hemorrhoids at the hospital, and they mentioned that I would have another procedure for a different internal hemorrhoid next month. A few days...
Dr. Ke Fangxu reply Surgery
1. Based on the photo, it is possible that it is a small thrombosed external hemorrhoid, which may occur after ligation. 2. Anal fissures are located inside the anal canal and cannot be seen with the naked eye from the outside; they require a digital rectal examination or anoscop...[Read More] Is It a Thrombosed External Hemorrhoid or Another Issue?
Should I Seek Immediate Medical Attention for My Rectal Lump?
Am I suffering from thrombosed external hemorrhoids or varicose veins? A week ago, a lump the size of a five-dollar coin appeared on the left side outside the anus. Over the past three days, it has grown larger to the point of rubbing against my right buttock, causing significant...
Dr. Ke Fangxu reply Surgery
If the lump gradually increases in size, it may not be a hemorrhoid; the possibility of an anal abscess is higher. It is recommended that you seek medical attention promptly for a physician to examine you to prevent serious conditions such as sepsis or perineal abscess.[Read More] Should I Seek Immediate Medical Attention for My Rectal Lump?
Understanding Recovery Time After Mole Removal Surgery
Recovery time after mole removal surgery? Hello, doctor. I have read that using an ultrasound knife may lead to slower wound healing. What is the reason for this? I underwent a self-paid ultrasound knife procedure to remove a pilonidal cyst on July 26. Since my first bowel moveme...
Dr. Ke Fangxu reply Surgery
Not all patients who undergo ultrasonic scalpel surgery experience delayed healing; in fact, the majority of patients typically heal normally. I am not sure why this is the case. However, if there is still discharge and pain one month after surgery, that is indeed unusual. I reco...[Read More] Understanding Recovery Time After Mole Removal Surgery
Understanding Bowel Issues: Causes and Concerns About Hemorrhoids
Bowel movement issues Hello doctor, a few months ago I was having bowel movements every 2 to 3 days, but this past week I've been having daily bowel movements. Each time, the stool comes out in small pieces but is not hard. Towards the end, I have to exert a lot of effort to...
Dr. Ke Fangxu reply Surgery
If bowel movements require excessive straining, it can lead to swelling of the hemorrhoidal tissue, which may create a sensation of incomplete evacuation. This feeling is not due to retained stool but rather an illusion caused by the swelling of the hemorrhoids. It is recommended...[Read More] Understanding Bowel Issues: Causes and Concerns About Hemorrhoids
Do You Need a Tetanus Shot After a Bike Accident?
Tetanus issues? Hello, doctor. I would like to ask if I need a tetanus shot for a wound from a bicycle accident. I found online that tetanus has a 10-year protection period, and I received a shot 6 years ago. I'm not sure if I need a booster.
Dr. Ke Fangxu reply Surgery
Tetanus is caused by an infection with Clostridium tetani. Since Clostridium tetani is an anaerobic bacterium, infection occurs only when the bacteria are introduced into a deep, complex wound that creates an oxygen-deprived environment. Superficial wounds do not lead to tetanus,...[Read More] Do You Need a Tetanus Shot After a Bike Accident?
Understanding Tetanus Infection Risks: Common Questions Answered
Questions related to tetanus infection? Hello Doctor: I apologize for asking about some questions related to tetanus. The day before yesterday, while I was on the balcony, I accidentally bumped my head against an air conditioning bracket, which had some slight rust on it. After m...
Dr. Ke Fangxu reply Surgery
1. Yes. 2. No. 3. Yes, tetanus is caused by an infection with Clostridium tetani. Since Clostridium tetani is an anaerobic bacterium, it can only cause infection when it enters a deep, complex wound that provides an oxygen-deprived environment. Superficial wounds do not lead to t...[Read More] Understanding Tetanus Infection Risks: Common Questions Answered
Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-operative concerns regarding tube drainage surgery in class? Hello Doctor: I had anal fistula surgery on August 8th, and today is the sixth day post-operation. I still experience pain during bowel movements, but I don't feel much pain while walking. I would like to ask ...
Dr. Ke Fangxu reply Surgery
The healing of the anal fistula surgical wound may take about a month. Currently, if walking does not cause pain, that is already quite excellent. Attending classes will not affect the healing process; however, it is best to get up and walk around after class. If sitting baths ar...[Read More] Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Understanding Symptoms: Anal Discomfort, Pain, and Numbness in Legs
Pain around the anus, soreness in the buttocks, and numbness in the legs? Hello, Dr. Ke. Recently, I have experienced blood in my stool twice over the course of a month. During this time, I noticed that the right side of my anus feels hard and uncomfortable, though not painful. A...
Dr. Ke Fangxu reply Surgery
This condition may not necessarily be colorectal cancer; it could also be caused by nerve pain from a herniated disc in the lower lumbar or sacral region. However, if you are over 50 years old and have not had a colonoscopy before, it is advisable to ask your physician to arrange...[Read More] Understanding Symptoms: Anal Discomfort, Pain, and Numbness in Legs
Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Anal fistula A few days ago, I visited the hospital, and after an examination, the doctor diagnosed me with an anal fistula. They scheduled a surgery for me and mentioned that hospitalization was not necessary. However, after researching online, I found that most people with simi...
Dr. Ke Fangxu reply Surgery
Surgery for anal fistula is regulated by the National Health Insurance Administration, which stipulates that hospitalization is required. If hospitalization is not necessary, it may indicate that the fistula is very minor and can be performed under local anesthesia. However, if t...[Read More] Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation
Post-hemorrhoid surgery Hello Doctor: I am on the seventh day after undergoing minimally invasive surgery for hemorrhoids. Prior to this, my bowel movements were very smooth. However, in the last two days, I have been feeling tightness and swelling at the surgical site, and the p...
Dr. Ke Fangxu reply Surgery
There are many types of minimally invasive surgeries for hemorrhoids, and without detailed information, it is difficult to determine which specific procedure was performed, making it hard to assess the issue. It is recommended that you consult your surgeon as soon as possible. Po...[Read More] Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation
Needle Stuck in Nail: Tetanus Shot and Wound Care Advice
Staple inserted into the nail fold? Hello Doctor, yesterday while removing a staple from a document, I accidentally punctured the skin between my middle finger's nail and the nail bed with the staple. The staple appears to be rust-free. There is a small wound, approximately ...
Dr. Ke Fangxu reply Surgery
For superficial puncture wounds, it is not necessary to administer a tetanus vaccine as long as the wound is properly cleaned to prevent infection. However, if the wound exhibits redness, swelling, heat, pain, or purulent discharge, it is important to seek medical evaluation and ...[Read More] Needle Stuck in Nail: Tetanus Shot and Wound Care Advice
Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent surgery for an anal fistula on March 18 of this year. The wound extends approximately 8 centimeters from the anus to the perineum and is about one finger's depth. It healed around the end of May, but later, sitting for too long ...
Dr. Ke Fangxu reply Surgery
1. If it is not a recurrence of the fistula, then it is likely just scar tissue that will gradually soften after about six months post-healing. 2. Fever may be caused by irritation of the scar tissue due to friction; as long as there is no redness, swelling, or pus, it should n...[Read More] Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
For chronic anal fissures, it is generally recommended to take sitz baths several times a day, typically 2 to 3 times. Each sitz bath should last about 10 to 15 minutes. This practice can help alleviate discomfort and promote Currently, I have a chronic anal fissure. When I visit...
Dr. Ke Fangxu reply Surgery
Warm sitz baths can help relieve pain, maintain cleanliness, and promote blood circulation. It is generally recommended to take a sitz bath at least four times a day (morning, noon, evening, and before bed). If it is inconvenient during work hours, you can skip the midday bath. I...[Read More] How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Recurrence of anal abscess? Hello, doctor! I had an abscess surgery last week, and this is the third time in two years. I would like to ask if it is possible to have regular follow-up appointments every six months using imaging techniques like CT scans or ultrasounds to detect ea...
Dr. Ke Fangxu reply Surgery
The most accurate way to determine if a fistula has formed is through a digital rectal examination. It is recommended that you see a colorectal specialist for an examination when there is no swelling or pain in the anus. At this time, performing a digital rectal exam will be more...[Read More] Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Is My Stool Test Accurate If I Didn't Collect a Full Sample?
Recent rectal bleeding has been observed. If the stool sample collected for screening did not include the entire stool, could this affect the accuracy of the screening? Hello, since only my mother passed away from colon cancer in our family, I recently went to the hospital for a ...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colon cancer at the age of 33 is not zero, but generally speaking, it is very low. Based on your description, it seems more like hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irritating, and gre...[Read More] Is My Stool Test Accurate If I Didn't Collect a Full Sample?
Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Postoperative care for anal abscess? I underwent my third anal surgery yesterday, which was for an anal abscess. The first surgery for an anal abscess was in 2020, followed by a fistula surgery seven months later (likely due to the first surgery). I thought I was completely heale...
Dr. Ke Fangxu reply Surgery
1. If the condition occurs in the same location, it should be considered a recurrence. 2. Approximately half of the patients with anal abscesses will develop into fistulas after healing. There is also a certain probability of recurrence in the same location after fistula surgery,...[Read More] Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Understanding Post-Surgery Concerns for Internal Hemorrhoid Ligation
Rubber band ligation for internal hemorrhoids? Hello Doctor, I have already undergone two hemorrhoid ligation surgeries, and my condition has indeed improved, but I still experience prolapse of the hemorrhoids. I would like to ask two questions: 1. After the ligation surgery, w...
Dr. Ke Fangxu reply Surgery
1. After hemorrhoid ligation, there is still a possibility of prolapse, which may be due to the protrusion of hemorrhoidal tissue that was not ligated or because the ligated hemorrhoids were too large to be completely ligated in one session. 2. The National Health Insurance cove...[Read More] Understanding Post-Surgery Concerns for Internal Hemorrhoid Ligation
Post-Surgery Concerns After Fistula Treatment: Common Questions Answered
Post-fistula surgery Hello Doctor, I underwent a fistula treatment surgery on June 27, and I have some questions that I hope you can take the time to answer. Thank you. 1. It has been a month since the surgery, and I still experience pain at the wound site (for example, when sit...
Dr. Ke Fangxu reply Surgery
1. Mild pain within one month post-surgery is normal, and a lump may be scar tissue from the healing process. To determine if it is a recurrence, please consult your surgeon; however, generally, it does not occur this quickly. 2. It does not affect the ability to rinse with a h...[Read More] Post-Surgery Concerns After Fistula Treatment: Common Questions Answered
Understanding Rubber Band Ligation for External Hemorrhoids: What to Expect
Rubber band ligation for external hemorrhoids Hello Doctor: I visited the clinic for help with my hemorrhoid issue, and the doctor suggested a ligation procedure, which is quick and doesn't require hospitalization! However, this time he mentioned using a rubber band to treat...
Dr. Ke Fangxu reply Surgery
Rubber band ligation is recommended for internal hemorrhoids because there is no cutaneous nerve distribution in that area, so it is not painful. In contrast, it is not advisable to perform rubber band ligation on external hemorrhoids. The rubber band typically falls off within 3...[Read More] Understanding Rubber Band Ligation for External Hemorrhoids: What to Expect
Understanding Hemorrhoids and Anal Abscess: Key Questions Answered
Inquiry Consultation Dear Dr. Ke, Last Monday (July 18), I experienced diarrhea and poor sleep, and a semi-circular protrusion appeared near my anus, approximately 0.5 to 1 cm in size. It feels slightly hard, and pressing on it or sitting causes pain. I would like to ask you: Q...
Dr. Ke Fangxu reply Surgery
1. It is difficult to determine whether it is a thrombosed hemorrhoid or an anal abscess without a physician's personal examination. Generally, abscesses tend to have a larger area of involvement and are associated with heat and pain, whereas hemorrhoids do not. However, thi...[Read More] Understanding Hemorrhoids and Anal Abscess: Key Questions Answered