Understanding Anal Fistula Recurrence: Causes and Prevention Tips
Anal fistula Hello, Director Ke! I had a fistula excision surgery four years ago, and today I went for a consultation and confirmed that it has recurred, at the same exit point. Last time it was at the 7 o'clock position relative to the anus, and this time it is at the 5 o&#...
Dr. Ke Fangxu reply Surgery
Regarding recurrence, it is advisable to consult your attending physician. After anal fistula surgery, sitz baths are essential, and maintaining cleanliness is crucial.[Read More] Understanding Anal Fistula Recurrence: Causes and Prevention Tips
Post-Surgery Pain and Swelling After Anal Polyp Removal: What to Expect
Severe pain and swelling after anal polyp surgery? I would like to ask Dr. Ke: I underwent a PPH (Procedure for Prolapse and Hemorrhoids) surgery in 2021, but I feel that my condition did not fully improve afterward. Less than a year later, I experienced pain and protrusion from ...
Dr. Ke Fangxu reply Surgery
Common issues associated with PPH (Procedure for Prolapse and Hemorrhoids) circular resection surgery include: first, the resection site being too low, resulting in persistent wound pain; second, suboptimal removal of hemorrhoidal tissue; and third, inadequate management of recta...[Read More] Post-Surgery Pain and Swelling After Anal Polyp Removal: What to Expect
Understanding Anal Fissures: Surgical Options and Management Tips
Please inquire about anal fissure surgery and bowel movement issues? Hello, Doctor. I have been experiencing anal fissures (located at the six o'clock position, towards the back) for about 1 to 2 years, with episodes of healing and recurrence. Typically, I feel discomfort du...
Dr. Ke Fangxu reply Surgery
1. No. 2. There is no need for sutures; postoperative pain during bowel movements is unavoidable but should be less severe than before the surgery. Wound care can be managed with sitz baths. 3. It is not necessary to remove them; they can heal on their own regardless of wheth...[Read More] Understanding Anal Fissures: Surgical Options and Management Tips
Does Antibiotic Cream for Hemorrhoids Affect Your Menstrual Cycle?
Does hemorrhoid cream containing antibiotics affect menstruation? Hello, doctor. I recently noticed a delay in my menstrual period and remembered that I used a hemorrhoid cream that contains antibiotics. I know that oral antibiotics can affect the menstrual cycle, but I'm no...
Dr. Ke Fangxu reply Surgery
Most hemorrhoid ointments do not contain antibiotics, and even if they do, the concentration is usually low enough that it should not affect the menstrual cycle.[Read More] Does Antibiotic Cream for Hemorrhoids Affect Your Menstrual Cycle?
Why Is My Stool Flat After Anal Fistula Surgery?
Post-operative changes in bowel movements resulting in flattened stools after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery in early December last year, during which the doctor completely excised the fistula. I have been recovering well for over two months...
Dr. Ke Fangxu reply Surgery
After anal fistula surgery, it is possible to experience changes in the shape of the anus. If there is no discomfort or difficulty with bowel movements, there is no need for concern.[Read More] Why Is My Stool Flat After Anal Fistula Surgery?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding On the first day, there was bleeding during bowel movements, but I'm not sure if it was due to not going to the bathroom immediately. There was fresh blood on the toilet paper. The next day, after using the bathroom, there was also bleeding on the toilet pape...
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 Rectal Bleeding: Causes and When to Seek Help
Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Hemorrhoid issues Hello Dr. Ke: Since September 2020, I have been experiencing anal pain, which has been diagnosed by several colorectal specialists as mild internal hemorrhoids and a small external hemorrhoid. I have undergone ligation surgery, a flexible sigmoidoscopy, and an M...
Dr. Ke Fangxu reply Surgery
If a colonoscopy has not been performed, it is advisable to schedule an examination of the entire colon to check for any issues. If the colon is found to be normal, at this age, it is also possible that the pain could be due to sacral nerve pain or pelvic pain syndrome. You may c...[Read More] Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Post-Surgery Concerns: Understanding Pain and Scarring After Fistula Removal
Post-fistula surgery Hello doctor, I had a fistula excision surgery in mid-November last year, located between the anus and perineum, approximately in the circled area (https://imgur.com/a/6ilEKrR). I had follow-up visits with my surgeon at the end of December and again yesterday...
Dr. Ke Fangxu reply Surgery
Due to the unclear focus of the three photos and the lack of a personal examination, I cannot provide a definitive answer. However, it does not appear to be a recurrence or folliculitis; it may simply be pain from scar tissue after surgery. If there is no redness, swelling, heat,...[Read More] Post-Surgery Concerns: Understanding Pain and Scarring After Fistula Removal
Three Days Without a Bowel Movement: Understanding Surgical Concerns
Haven't had a bowel movement for three days? Hello Doctor, last Sunday afternoon I had a stomachache and went to the bathroom, but I couldn't have a bowel movement. After that, I felt fine, but today I still haven't been able to go. I have a slight urge to go, but ...
Dr. Ke Fangxu reply Surgery
First, drink plenty of water and increase your intake of dietary fiber. If you still cannot have a bowel movement, you may take a stool softener. If you continue to experience abdominal bloating and are unable to pass stool, you should seek medical attention to investigate the ca...[Read More] Three Days Without a Bowel Movement: Understanding Surgical Concerns
Understanding Anal Fissures: Symptoms, Healing, and Odor Concerns
Anal fissure issues? Last week, I experienced a tearing sensation in my anus due to hard stools during bowel movements, which resulted in bleeding when I wiped with toilet paper. However, since the next day until today, there has been no bleeding during bowel movements, but I sti...
Dr. Ke Fangxu reply Surgery
If there is no further bleeding, observation can continue. General pain may last for several days, and if there is no constipation or diarrhea, it should improve in about a week. As for the statement about "there being a smell from the anus," I don't quite understa...[Read More] Understanding Anal Fissures: Symptoms, Healing, and Odor Concerns
Understanding Wound Infection Risks: Beyond Tetanus and Rabies
Wound infection issues I cut myself on a recyclable item (possibly a metal can) while taking out the trash. I was wearing gloves, but they got torn, and my finger bled a little, though it doesn't seem very deep. Are there any infection concerns besides tetanus (such as HIV o...
Dr. Ke Fangxu reply Surgery
If the cut is superficial and has already stopped bleeding, no special treatment is necessary. In the following days, the wound should be disinfected with povidone-iodine and kept dry. As long as there is no redness, swelling, heat, pain, or purulent discharge from the wound, the...[Read More] Understanding Wound Infection Risks: Beyond Tetanus and Rabies
Can Colonoscopy and Skin Lesion Removal Be Done Together?
Regarding colonoscopy examination? Can a colonoscopy and the treatment of moles be performed together at the same time?
Dr. Ke Fangxu reply Surgery
Hemorrhoidectomy cannot be performed without a colonoscopy.[Read More] Can Colonoscopy and Skin Lesion Removal Be Done Together?
Post-Surgery Care: Managing Discharge and Recovery After Fistula and Hemorrhoid Surgery
Post-fistula surgery I had a fistula surgery and hemorrhoidectomy 19 days ago. I have a few questions: 1. Is it normal to still have yellow-green discharge at this stage, and how long is it expected to last before it disappears? 2. I take warm sitz baths 3-4 times a day and ap...
Dr. Ke Fangxu reply Surgery
1. It typically takes about a month for complete healing. 2. Yes. 3. Yes. 4. No, it will not.[Read More] Post-Surgery Care: Managing Discharge and Recovery After Fistula and Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Pain and Healing After Fistula Removal
Post-fistula surgery Hello doctor, I had a fistula excision surgery in mid-November, located from the anal opening up to the perineum. The physician mentioned it was a superficial fistula. It has been over five weeks since the surgery, and there has been no discharge, but I occas...
Dr. Ke Fangxu reply Surgery
1. A slight tingling sensation is normal. 2. It should be scar tissue formed after the wound has healed. 3. Whether it develops into a high anal fistula is related to the position of the internal opening of the fistula and the pathway it follows; it does not necessarily evolv...[Read More] Post-Surgery Concerns: Understanding Pain and Healing After Fistula Removal
Feeling Incomplete After Bowel Movements: Could It Be IBS?
Feeling like the bowel movement is incomplete? Hello, doctor. In the past few days, I've been feeling like I can't completely empty my bowels, and I feel like there's something stuck near my anus. However, I am still able to have bowel movements, and the shape and ...
Dr. Ke Fangxu reply Surgery
The main symptoms of irritable bowel syndrome (IBS) are irregular bowel movements accompanied by abdominal pain. If these symptoms are absent, it may be more indicative of hemorrhoids, which can cause swelling due to prolonged straining during bowel movements.[Read More] Feeling Incomplete After Bowel Movements: Could It Be IBS?
Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Postoperative pain after hemorrhoid surgery? Hello, doctor. I would like to inquire about my condition. It has been about 10 days since I gave birth, and I underwent a mixed hemorrhoid surgery using a ligature technique. It has now been 16 days post-surgery, and I have been exper...
Dr. Ke Fangxu reply Surgery
Some patients may experience delayed healing after surgery with a tissue coagulation knife. In such cases, it is recommended to take warm sitz baths and use medication while waiting for the wound to heal. If there are signs of inflammation, antibiotics may need to be used. Please...[Read More] Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Post-Surgery Concerns: Understanding Discharge After Fistula Surgery
Post-fistula surgery Hello Doctor, I had anal fistula surgery on November 19th and my last follow-up appointment was on December 13th. The doctor said that the wound has healed about 90% and that I do not need to return for further visits. However, as of today, December 27th, I a...
Dr. Ke Fangxu reply Surgery
Typically, one must wait until the wound is completely healed to avoid any discharge. The time required for complete healing varies depending on the size of the surgical wound; larger wounds may take up to two months to heal. If there is still discharge after three months, it is ...[Read More] Post-Surgery Concerns: Understanding Discharge After Fistula Surgery
Understanding Post-Surgery Concerns for Anal Fistula Treatment
Post-anal fistula surgery Dr. Ke: Six months ago, I felt two fistulas, with only one internal opening and no external opening. There was a bulge, and when I touched it, I could feel pus, but it never ruptured. I could feel the internal opening with my finger when I inserted it in...
Dr. Ke Fangxu reply Surgery
1. You need to ask your attending physician for this information, as they cannot provide an answer without a personal examination. There is always a possibility of recurrence with an unexcised fistula. 2. Yes, it is possible. 3. High anal fistulas can be treated with endoscop...[Read More] Understanding Post-Surgery Concerns for Anal Fistula Treatment
Can Fistula Tracts Self-Heal or Be Absorbed by the Body?
Post-fistula surgery Is it possible for a fistula tract to harden on its own, or for it to be absorbed by the body? I only have one internal opening and no external opening. The fistula surgery only removed the main tract and addressed the internal opening; the doctor may have ha...
Dr. Ke Fangxu reply Surgery
If an anal fistula does not become inflamed for an extended period, it may undergo fibrosis and no longer become inflamed. It is advisable to observe it for a while.[Read More] Can Fistula Tracts Self-Heal or Be Absorbed by the Body?
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu reply Surgery
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications