Can Rubber Band Ligation Help Treat Prolapsed Hemorrhoids?
Can hemorrhoidal prolapse be improved by rubber band ligation? Hello Doctor: Recently, I have been experiencing a significant sensation of a foreign body in my left anal area, which seems to be due to a prolapsed hemorrhoid. I often have to manually push a mass of tissue back in,...
Dr. Ke Fangxu reply Surgery
1. If hemorrhoids are large enough to protrude while walking, conservative treatment options may have limited effectiveness. 2. You can give it a try, but the results cannot be guaranteed. 3. Yes.[Read More] Can Rubber Band Ligation Help Treat Prolapsed Hemorrhoids?
Understanding Calcified Masses in the Calf: What You Need to Know
Subcutaneous tissue of the calf? Hello, Dr. Ke... There is a lump about 0.2 cm under my calf skin. I went to a medical center for an ultrasound, and the doctor said it has calcified and is benign, advising me to return if it gets larger. What could that lump generally be? I asked...
Dr. Ke Fangxu reply Surgery
Ultrasound diagnosis of calcification indicates the presence of high echogenic lesions, which may represent fat necrosis or post-traumatic changes. These are typically benign subcutaneous masses and do not require special attention.[Read More] Understanding Calcified Masses in the Calf: What You Need to Know
Post-Surgery Recovery of Anal Abscess: What to Expect
Postoperative condition after anal abscess surgery? Hello Dr. Ke: I apologize for bothering you again. I had an anal abscess surgery 15 days ago (on March 2), and now on March 17, the wound is quite small, about 1.5 cm in length. The internal wound is approximately the size of a ...
Dr. Ke Fangxu reply Surgery
It is normal for there to be some discharge from the wound after an incision and drainage of an anal abscess, as long as the discharge is clear and minimal. However, if this discharge persists after one month, there is a higher likelihood that a fistula may have formed. At that p...[Read More] Post-Surgery Recovery of Anal Abscess: What to Expect
Understanding White Spots Around the Anus: Causes and When to Seek Help
Anal white spots issue? Hello doctor, I have recently been feeling a persistent wet and itchy sensation around my anal area. I was wondering if there might be a skin issue, so out of curiosity, I took a few pictures to observe. To my surprise, I noticed a white spot on the anus (...
Dr. Ke Fangxu reply Surgery
1. The white spots in the photo are likely just follicular elevations and are not related to anal itching. 2. Upon initial examination, there does not appear to be any significant issues. Anal itching may be caused by excessive wiping. There are three important points to pay spec...[Read More] Understanding White Spots Around the Anus: Causes and When to Seek Help
Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Post-anal fistula surgery Hello Doctor, I have undergone four fistula surgeries, and the fourth one was finally successful. Now, nine months post-operation, the wound has healed, but I still occasionally notice a small amount of yellow discharge from my anus daily, which resemble...
Dr. Ke Fangxu reply Surgery
If an anal fistula has undergone four surgeries, some degree of sphincter damage is inevitable. Mild bleeding is not a concern and may be caused by internal hemorrhoids. If there is yellow discharge, it could possibly be rectal mucus or fecal matter. If the amount is small, it ca...[Read More] Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Rubber band ligation for hemorrhoids? Hello Dr. Ke, I underwent rubber band ligation for hemorrhoids (stage II hemorrhoids) on March 15. On March 19, I noticed that the rubber band had fallen off while using the restroom. Q1: Will this render the procedure ineffective? Q2: Af...
Dr. Ke Fangxu reply Surgery
1. The detachment of the rubber band is inevitable and does not require excessive concern. 2. If the ligation of hemorrhoids is too superficial, it may cause pain; however, if oral pain relievers can alleviate it, then it is not a problem. It is recommended to take warm sitz bath...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Post-Surgery Constipation Concerns After Hemorrhoidectomy: Seeking Solutions
Hello Dr. Ke, I would like to ask about post-operative issues related to hemorrhoid surgery? Hello Dr. Ke, I would like to ask you about my situation. I underwent an excision surgery for internal and external hemorrhoids on February 11. Since the surgery, I have been relying on s...
Dr. Ke Fangxu reply Surgery
It is normal to experience abnormal sensations around the anus shortly after hemorrhoid surgery. If there are difficulties with bowel movements, it is recommended to consume an adequate amount of dietary fiber and fluids. If difficulties persist, a stool softener may be added. Du...[Read More] Post-Surgery Constipation Concerns After Hemorrhoidectomy: Seeking Solutions
Can Xiliao Yu Be Used to Treat Hemorrhoids Effectively?
Can Xie Liao Yu be used for hemorrhoids? Hello, Doctor. Recently, for the past week, I have had a hemorrhoid about the size of a soybean at the anal area. Initially, it was painful, but now it does not bleed or hurt. When I examine the area, I can see a "dark blue" swol...
Dr. Ke Fangxu reply Surgery
Based on your description, it is likely that you are experiencing acute thrombosed hemorrhoids. This type of hemorrhoid can cause swelling and pain for 1-2 weeks, and complete resolution may take anywhere from 4 to 6 weeks, depending on the size of the thrombus. Applying topical ...[Read More] Can Xiliao Yu Be Used to Treat Hemorrhoids Effectively?
Persistent Recurrence of Anal Warts: Seeking Solutions and Insights
recurrent relapse Hello Doctor, Last year, I was diagnosed with an anal warts infection, but since I have not engaged in unprotected sexual activities, I am unclear about how I contracted it. I have undergone electrosurgery five times, yet the warts have recurred six times with...
Dr. Ke Fangxu reply Surgery
If anal warts are not completely removed through electrosurgery, there is a high possibility of recurrence, especially for lesions located inside the anus or in the lower rectum, which are difficult to excise under local anesthesia. In such cases, it is advisable to be hospitaliz...[Read More] Persistent Recurrence of Anal Warts: Seeking Solutions and Insights
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu reply Surgery
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Managing Internal Hemorrhoids: Understanding Symptoms and Treatment Options
Rubber band ligation for internal hemorrhoids? Hello Dr. Ke: I have a question. I had internal hemorrhoids before becoming pregnant, and they became worse after giving birth. I have had one treatment already. Recently, during bowel movements, I have had to push a lump back in, bu...
Dr. Ke Fangxu reply Surgery
Hemorrhoid ligation can sometimes cause pain due to variations in depth and size. It is often necessary to conduct a physical examination to determine the severity of a thrombosed external hemorrhoid, as well as to assess the impact on daily activities. If the hemorrhoids do not ...[Read More] Managing Internal Hemorrhoids: Understanding Symptoms and Treatment Options
Understanding Moisture Sensation Around the Anus: Causes and Concerns
Questions about anal moisture sensation? Hello Doctor, I have been feeling a moist and slippery sensation around my anal area for the past few days. It is not painful or itchy, but it feels strange when I walk. A few times when I wiped with toilet paper, it was sometimes colorles...
Dr. Ke Fangxu reply Surgery
1. Increased rectal secretions may indicate this phenomenon, and internal hemorrhoids are also a possibility. 2. If you want to be certain, you should consult a doctor for an examination. 3. For now, it may not be necessary to seek medical attention, as this phenomenon can al...[Read More] Understanding Moisture Sensation Around the Anus: Causes and Concerns
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure issues? Hello Doctor, I have a few questions to ask you: I have been experiencing anal fissures for about a month now. At first, during bowel movements, the initial part of the stool was hard and required some effort to pass. The front part resembled small, dark, pel...
Dr. Ke Fangxu reply Surgery
1. If you want to avoid relying on stool softeners, it's important to increase your intake of dietary fiber and fluids. 2. The typical symptoms of anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometime...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Post-Surgery Care for Anal Abscess: What to Expect and Monitor
Postoperative condition after anal abscess surgery? Hello Dr. Ke: Last week on March 2nd, I underwent surgical drainage for an anal abscess at Haixian Hospital. The incision for drainage is quite small, about the size of a fingertip, approximately 1.5 cm. The incision is located ...
Dr. Ke Fangxu reply Surgery
1. It is likely that the infection has not completely healed; further observation is needed for a period of time, and it is currently uncertain whether it will develop into a fistula. 2. 2-4 weeks. 3. There are cases where a wound does not heal and directly develops into a fi...[Read More] Post-Surgery Care for Anal Abscess: What to Expect and Monitor
Understanding Bleeding After Wiping: Insights on Hemorrhoids and Care
Blood on toilet paper after wiping? Hello Doctor, after having a bowel movement today, I wiped with toilet paper and there was no blood, and the stool was normal. However, I have a slight flare-up of hemorrhoids, which are mildly swollen and painful. I kept worrying that I might ...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Understanding Bleeding After Wiping: Insights on Hemorrhoids and Care
Understanding Post-Surgery Symptoms: Internal vs. External Hemorrhoids
Post-banding of internal hemorrhoids Doctor, after I have a bowel movement, I notice a hemorrhoid bulging around my anus, which subsides in about five minutes. Could this swelling be due to external hemorrhoids being compressed during the bowel movement, or is it actually interna...
Dr. Ke Fangxu reply Surgery
The swelling of hemorrhoids is caused by prolonged bowel movements and poor blood circulation. If a rubber band ligation was performed only on one site, it is possible that other areas may be prolapsing, or the internal hemorrhoid may be too large, resulting in suboptimal treatme...[Read More] Understanding Post-Surgery Symptoms: Internal vs. External Hemorrhoids
Understanding Colorectal Polyps: Risks and Follow-Up Care
Colorectal polyps Doctor: Hello! A colonoscopy was performed on May 2019, revealing one 0.2 cm adenomatous polyp, which was removed. The initial medical advice was to follow up with another colonoscopy in 4-5 years. A fecal occult blood test was also conducted in May 2020, which ...
Dr. Ke Fangxu reply Surgery
The possibility of malignancy can never be completely ruled out; however, if a colonoscopy was performed two years ago, even if it is malignant, it is most likely in the early stages. This is the purpose of regular colonoscopy screenings.[Read More] Understanding Colorectal Polyps: Risks and Follow-Up Care
Challenges in Healing Anal Fistula Post-Surgery: A Patient's Journey
Postoperative non-healing of anal fistula? Hello, Doctor! Here is the background: My mother was diagnosed with rectal cancer around 2019 (very close to the anus). The first physician mentioned that the tumor was too close to the anal sphincter, which would necessitate a permanent...
Dr. Ke Fangxu reply Surgery
1. Low rectal cancer, after radiation therapy and surgery, has a high probability of developing a rectovaginal fistula. Once formed, it is difficult to heal because radiation therapy can affect local blood circulation, making the fistula less likely to close. 2. The discharge m...[Read More] Challenges in Healing Anal Fistula Post-Surgery: A Patient's Journey
Post-Surgery Pain and Swelling After Anal Polyp Removal: Expert Insights
Postoperative severe pain and swelling after anal polyp surgery? Hello Dr. Ke: Continuing from yesterday's discussion regarding the severe pain and swelling after my anal polyp surgery (#178457), I underwent PPH surgery on March 22, 2021, and the recent anal polyp surgery wa...
Dr. Ke Fangxu reply Surgery
It is necessary to conduct a personal examination to determine whether it is swelling or a blood clot. However, regardless of which condition it is, surgery is not recommended in the short term. Therefore, taking warm sitz baths and applying ointment is a safer approach. Using co...[Read More] Post-Surgery Pain and Swelling After Anal Polyp Removal: Expert Insights
Understanding Blood in Stool: When to Consider a Colonoscopy
Blood in the stool? Hello Doctor, I have been experiencing constipation issues, having bowel movements every 3 to 5 days. During college, I had some bleeding during bowel movements and consulted a doctor who diagnosed me with anal fissures. I also had a history of internal hemorr...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 29 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like bleeding from an anal fissure. I recommend starting with a light diet and maintaining a good lifestyle. You sho...[Read More] Understanding Blood in Stool: When to Consider a Colonoscopy