Understanding Chronic Anal Fissures: Pain Management and Healing Options
Issues with anal fissures lasting over two months? For the past two months, I have experienced pain every time I use the restroom. I have tried soaking in warm water and using topical ointments and suppositories, and I have been mindful of my diet, with no issues of constipation....
Dr. Ke Fangxu reply Surgery
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel m...[Read More] Understanding Chronic Anal Fissures: Pain Management and Healing Options
Understanding Small Growths After Fistula Surgery: Causes and Care
Post-operative granulation tissue after fistula surgery? Hello doctor, it has been three weeks since the fistula surgery, and during the dressing change, I noticed a small flesh-colored bump about 3-4mm in diameter near the wound. It feels uncomfortable when touched and is close ...
Dr. Ke Fangxu reply Surgery
Without a personal examination, it is difficult to determine the condition; it could be granulation tissue from the wound healing process or it may indicate an infection. It is advisable to have the surgeon take a look for a better assessment.[Read More] Understanding Small Growths After Fistula Surgery: Causes and Care
Is It Normal to See White Material at a Stitched Lip Wound?
Sutured wound There are 3-4 stitches on the inside of the lower lip, and there is a white object at the suture site. Is this normal? I have applied the oral ointment prescribed by the hospital.
Dr. Ke Fangxu reply Surgery
It is normal for oral wounds to exhibit this phenomenon within a few days after suturing. However, if healing has not occurred after one week, it is advisable to consult a surgeon for evaluation.[Read More] Is It Normal to See White Material at a Stitched Lip Wound?
Recurring Pimples in the Anal Area: Causes and Treatment Options
Pimples on the anal area? Between April and July, I repeatedly developed acne in the same area. At the end of April, I visited a large hospital where the doctor diagnosed it as a furuncle. Prior to the visit, I had accidentally bumped into it, causing it to rupture and scab over....
Dr. Ke Fangxu reply Surgery
This appears to be an anal fistula, but a digital examination is necessary for confirmation. It is advisable to consult a colorectal specialist for evaluation, and if needed, surgery should be performed as soon as possible.[Read More] Recurring Pimples in the Anal Area: Causes and Treatment Options
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu reply Surgery
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Colonoscopy: Common Concerns and Questions Answered
Questions related to colonoscopy? Hello, doctor. I previously underwent an endoscopy due to loss of appetite, and my appetite has improved somewhat (although it is still not as good as before). A couple of days ago, after having a bowel movement, I noticed a small amount of blood...
Dr. Ke Fangxu reply Surgery
The probability of developing colorectal cancer at the age of 24 is not zero, but generally speaking, it is extremely low. If you want to know the exact figures, you can search for age-specific incidence rates. The incidence rate of colorectal cancer in this age group is less tha...[Read More] Understanding Colonoscopy: Common Concerns and Questions Answered
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu reply Surgery
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing
Understanding External Hemorrhoids: Symptoms, Treatment, and When to See a Doctor
Thrombosed external hemorrhoid Hello, doctor: It may be due to standing for long periods at work, but I've been experiencing some pain around the anal area for the past three days. I've noticed a round, pea-sized lump at the anal opening, which seems like a thrombosed h...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems to be a thrombosed hemorrhoid. It is acceptable to purchase over-the-counter hemorrhoid ointments for application. If the symptoms gradually improve, there is no need for concern. However, if the pain persists and the area expands, or if there ...[Read More] Understanding External Hemorrhoids: Symptoms, Treatment, and When to See a Doctor
Understanding Bloating After Fasting: Possible Causes and Solutions
Gastrointestinal bloating Hello Doctor, I am a patient from https://adoctor.tw/article/181332 &sat=1. I wonder if you remember me. I did not use any medication; I only practiced intermittent fasting, mostly drinking water or eating just one dragon fruit or one apple a day. To...
Dr. Ke Fangxu reply Surgery
At the age of 31, structural abdominal issues are relatively uncommon. A CT scan shows that the rectum requires further examination. I personally recommend undergoing a sigmoidoscopy. Engaging in extreme fasting followed by a return to a normal diet can lead to gastrointestinal f...[Read More] Understanding Bloating After Fasting: Possible Causes and Solutions
Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects
Post-operative issues following fistula surgery? Hello, I had a fistula surgery last September and have been living normally for a while. Recently, due to increased stress, I noticed that my stools have become thinner (I have been observing this for two days). I also feel a sense...
Dr. Ke Fangxu reply Surgery
It should not be the case, as it has been quite a while. The probability of developing colorectal cancer at the age of 25, while not zero, is generally very low. Based on your description, it seems more like hemorrhoidal swelling. I recommend starting with a light diet and mainta...[Read More] Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects
Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Is an ulcer the same as an anal fissure? I have irritable bowel syndrome with frequent diarrhea. Recently, for over a month, I've experienced some pain after using the restroom. I used a suppository for nearly a month, thinking it had improved, but then the pain became notic...
Dr. Ke Fangxu reply Surgery
Anal fissures can present with ulcerative lesions, but the presence of an ulcer does not necessarily indicate an anal fissure. Your condition is likely caused by a localized issue leading to anal trauma. You can apply ointment inside the affected area; it is acceptable to apply i...[Read More] Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Can People with Stomach Ulcers Drink Cold Beverages?
Can people with gastric ulcers drink cold beverages? Hello, doctor. 1. I would like to ask if it is safe to drink probiotics like Lactobacillus and Shupao with a stomach ulcer? 2. Is it okay to drink cold beverages? 3. Can I eat shaved ice or similar frozen treats?
Dr. Ke Fangxu reply Surgery
All is acceptable.[Read More] Can People with Stomach Ulcers Drink Cold Beverages?
Understanding Chronic Anal Fissures: When to Consider Surgery?
I would like to consult a doctor regarding a suspected case of chronic anal fissure? I have had both external and internal hemorrhoids for about four years, and after treatment, I have been managing my internal hemorrhoids over the past two years, with no external hemorrhoids rem...
Dr. Ke Fangxu reply Surgery
1. This needs to be examined; it cannot be determined solely based on a written description. 2. Surgery for anal fissures is generally only recommended if there is severe pain that affects daily activities; if there is no significant pain, surgery is not necessary. 3. Please ...[Read More] Understanding Chronic Anal Fissures: When to Consider Surgery?
Dietary Considerations After Completing Antibiotics: What to Eat?
Dietary Issues After Taking Antibiotics Hello, doctor. I am the one who previously asked question 182919. I apologize for coming back with more questions. Now that I have finished my course of antibiotics, are there any dietary considerations I should be aware of? During the anti...
Dr. Ke Fangxu reply Surgery
A normal diet is sufficient, but tobacco, alcohol, and stimulating foods should be avoided.[Read More] Dietary Considerations After Completing Antibiotics: What to Eat?
Do I Need Medical Treatment for Varicose Veins from Standing?
Varicose veins Hello, Doctor: Due to long periods of standing at work, I have developed purple streaks on my calves. After wearing compression stockings for two days, I noticed indentations. Should I see a doctor for treatment?
Dr. Ke Fangxu reply Surgery
This is a phenomenon of varicose veins. It is generally recommended to wear compression stockings; the appearance of marks is a normal occurrence. It is advisable to rest and elevate the legs, and the duration of wearing the stockings should not be excessive. Currently, there is ...[Read More] Do I Need Medical Treatment for Varicose Veins from Standing?
Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Loss of appetite after starting antibiotics for a gastric ulcer? Hello Doctor, I am the one who previously asked question #182881. Since last night, I have been feeling very bloated and nauseous. The feeling of nausea has decreased, but I still feel like vomiting and have complet...
Dr. Ke Fangxu reply Surgery
Oral antibiotics are used to treat Helicobacter pylori infections. While these antibiotics kill stomach bacteria, they can also cause gastrointestinal discomfort, and some patients may experience diarrhea. These are all temporary side effects. To completely eradicate Helicobacter...[Read More] Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Post-Surgery Concerns: Managing Knee Scar Tissue and Healing Process
Postoperative issues Hello Dr. Ke, I previously had hypertrophic scars on my knee and received scar injections. Due to some reasons, a wound developed on my knee, and because the wound was too large, the doctor performed suturing and also removed some scar tissue. I would like to...
Dr. Ke Fangxu reply Surgery
1. Can. 2. Avoiding friction and irritation can reduce the formation of hypertrophic scars. 3. Keloids and hypertrophic scars are different issues; although they may appear similar, they are not the same.[Read More] Post-Surgery Concerns: Managing Knee Scar Tissue and Healing Process
Understanding Mild Gastric Ulcers: When to Trust Your Doctor's Advice
The gastroscopy revealed a mild gastric ulcer, but the doctor assured that it is benign and does not require a biopsy? Hello, Doctor. I have been experiencing a loss of appetite for several weeks, and after undergoing an endoscopy, I was diagnosed with a mild gastric ulcer. I hav...
Dr. Ke Fangxu reply Surgery
Smaller and smoother ulcers are generally less likely to require a biopsy for gastric cancer diagnosis, and there is a rationale for this. Additionally, your young age is a factor that lowers the risk of cancer. Since you are taking antibiotics, it is likely that you have a Helic...[Read More] Understanding Mild Gastric Ulcers: When to Trust Your Doctor's Advice
Post-Drainage Care for Anal Abscess: When to Clean and Apply Ointment
After drainage of an anal abscess After the drainage of an anal abscess on May 30, is it necessary to disinfect and apply ointment to the wound after sitz baths (with added Betadine), or should this only be done after bowel movements?
Dr. Ke Fangxu reply Surgery
After the drainage of an anal abscess, I personally do not recommend applying ointments as it may hinder the drainage of secretions or make it difficult to keep the wound clean. If ointment is to be applied, it can be done after a sitz bath; however, a sitz bath should also be do...[Read More] Post-Drainage Care for Anal Abscess: When to Clean and Apply Ointment
Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns
Postoperative care for anal fistula surgery? Hello, doctor. I previously underwent anal fistula surgery on March 18, with the wound located in the perineal area, approximately 8 cm in length and about one finger's depth. After two months, the wound has healed, and I just sta...
Dr. Ke Fangxu reply Surgery
1. Larger wound management may result in a longer healing time, and mild pain caused by pressure or prolonged sitting is considered normal. 2. If the wound has completely healed, no special treatment is necessary, and applying ointment is not required. 3. If there is redness,...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns