Understanding Slow Recovery After Hemorrhoid Surgery: What to Expect
Two months after hemorrhoid surgery, there is still no recovery? Hello, doctor. I had hemorrhoid surgery two months ago. I had a follow-up appointment one month post-surgery, and the doctor mentioned that the internal anal muscles were quite firm and healing slowly. He recommende...
Dr. Ke Fangxu reply Surgery
Patients who have undergone surgery using a tissue adhesive may experience slower healing. If there is no significant bleeding or pain, it is recommended to maintain regular daily activities without special treatment for the wound, as it will gradually heal over time.[Read More] Understanding Slow Recovery After Hemorrhoid Surgery: What to Expect
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 after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
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 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 hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Hemorrhoids: Symptoms, Treatments, and Home Remedies
Hemorrhoid issues Hello, doctor. At the beginning of last month, I noticed a small lump near my anus, about the size of a soybean. It is not painful or itchy, but it feels strange. I consulted a doctor who prescribed an ointment and a few days' worth of hemorrhoid suppositor...
Dr. Ke Fangxu reply Surgery
The hard small lumps are likely unabsorbed blood clots. Continuing to apply the ointment should help them gradually decrease in size. Warm water sitz baths for 5-10 minutes each time are recommended, but the duration should not be too long and the water temperature should not be ...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and Home Remedies
Post-Surgery Recovery Tips for Fistula Surgery: Healing Insights and Advice
Post-fistula surgery Hello Doctor, I had a fistula excision surgery on November 15th. The surgical site is located just above the anal opening, around the 11 o'clock position. I took three weeks off and mostly rested at home, lying down except for meals and sitz baths. Durin...
Dr. Ke Fangxu reply Surgery
1. After returning to work, it's common to experience some pain from prolonged sitting; as long as there is no severe pain, it should not be a concern. 2. No. 3. Wound healing typically takes about one month; if there is no discharge and no pain, it indicates that healin...[Read More] Post-Surgery Recovery Tips for Fistula Surgery: Healing Insights and Advice
Understanding Blood in Stool: Causes and When to Seek Help
I have blood in my stool? Hello, doctor: Today I had three bowel movements, and one of them had dark red color. There was bright red blood when I wiped. The toilet water was light red.
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 the toilet. Spicy and irritating foods s...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Post-Hemorrhoid Surgery: Managing Anal Stenosis and Treatment Options
Postoperative care for hemorrhoids? Hello Dr. Ke: I underwent hemorrhoid surgery on June 30, and postoperatively developed anal stenosis due to scar tissue formation. I started self-dilation in early September, performing it twice daily for about five minutes each session. After ...
Dr. Ke Fangxu reply Surgery
1. If the issue of pain during defecation caused by anal stenosis is not resolved, then anal dilation should continue. 2. If possible, gradually increase the number of fingers inserted. 3. There is no option but to proceed slowly with the anal dilation treatment.[Read More] Post-Hemorrhoid Surgery: Managing Anal Stenosis and Treatment Options
Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements
Post-anal fistula surgery 1. Is it normal to have three bowel movements a day after two days post-hemorrhoid surgery while taking a stool softener? I noticed there was blood in the stool (a small amount). 2. I'm concerned that taking the stool softener might cause diarrhea...
Dr. Ke Fangxu reply Surgery
1. If taking stool softeners results in excessively soft stools, it is recommended to either discontinue or reduce the dosage of the stool softeners. 2. Fistula surgery generally does not require oral antibiotics; topical ointments can be purchased at the pharmacy. 3. Persona...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements
Understanding Blood-Streaked Mucus After Bowel Movements: What to Know
There is fresh blood in the mucus after a bowel movement? Hello, Doctor. Since giving birth to my first child in 2018, over the past six months to a year (my memory is quite vague), I've noticed that after having a bowel movement, when I go to urinate, I sometimes expel a sm...
Dr. Ke Fangxu reply Surgery
Internal hemorrhoids are common in adults, but the difference lies in whether symptoms are present. Bright red blood is mostly caused by internal hemorrhoids. If there is a family history, it is appropriate to undergo a colonoscopy. After the colonoscopy, we can determine the sub...[Read More] Understanding Blood-Streaked Mucus After Bowel Movements: What to Know
Post-Hemorrhoid Banding Care: When to Seek Medical Attention
Hemorrhoid ligation Hello, I would like to ask about my condition. It has been 14 days since my hemorrhoid ligation, and I am experiencing some bleeding. I also felt something like a rubber band inside my anus when I touched it. Should I return to the hospital to see a doctor? Th...
Dr. Ke Fangxu reply Surgery
The purpose of hemorrhoid ligation is to address bleeding that is unresponsive to medication. If there is an improvement in the bleeding, the goal is considered achieved. If there is no improvement, a repeat ligation or surgical intervention may be necessary. Whether the rubber b...[Read More] Post-Hemorrhoid Banding Care: When to Seek Medical Attention
Understanding Cauliflower Warts and Benign Tumors: What You Need to Know
Cauliflower and benign tumors? About a month ago, I had genital warts and underwent four sessions of chemical treatment at the hospital. The doctor told me that everything was fine and scheduled a follow-up appointment for a month later. However, when I checked again, I still fel...
Dr. Ke Fangxu reply Surgery
If you are unsure about what it is, you can monitor it for a while to see if it increases in size. If the area does not expand, you can continue to observe it.[Read More] Understanding Cauliflower Warts and Benign Tumors: What You Need to Know
Can Cauliflower Help Treat Hemorrhoids? Understanding Your Options
Can cauliflower still be used to treat hemorrhoids? I no longer see the cauliflower-like growth on the surface. The doctor said to return for a follow-up next month. However, today I went to see the doctor because I noticed a small lump appearing after using the restroom. I later...
Dr. Ke Fangxu reply Surgery
If it is a thrombosed hemorrhoid, you would wait 2-4 weeks to see if it completely resolves. If it is a stable external hemorrhoid, then surgery is the only option to make it completely disappear. It is recommended that you consult a physician for an evaluation before deciding on...[Read More] Can Cauliflower Help Treat Hemorrhoids? Understanding Your Options
Post-Surgery Wound Issues: Understanding Fistula and Complications
Post-operative wound issues after fistula surgery? Hello doctor, could you please tell me what the line above the swollen wound in the photo is? Is it a fistula?
Dr. Ke Fangxu reply Surgery
Due to the unclear photo and the lack of the correct age provided, it is not possible to determine whether the issue is a fistula, abscess, or tumor. Please seek medical attention as soon as possible to avoid any delay in treatment.[Read More] Post-Surgery Wound Issues: Understanding Fistula and Complications
Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
Postoperative wound expansion and difficulty healing after external hemorrhoid ultrasound knife surgery! Hello, Doctor! Thank you for taking the time to respond to my message! The situation is as follows: My husband, who is 48 years old, has diabetes and hyperlipidemia. Recently,...
Dr. Ke Fangxu reply Surgery
It may be caused by a rupture of the wound from the ultrasound knife. At this time, the only options are to enhance sitz baths and apply topical medications. If there is pain or inflammation, oral medications can also be added for treatment while waiting for the wound to heal. At...[Read More] Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
Understanding White Spots Around the Anus: Is It Genital Warts?
I'm not sure if it's cauliflower? Recently, I have developed a habit of using sex toys for anal masturbation and have noticed a ring of white spots around the anus. I would like to know if this could be genital warts. I have photos that I can provide if the doctor is wi...
Dr. Ke Fangxu reply Surgery
White spots around the anus could potentially be warts; however, without seeing a photo or conducting a physical examination, it is difficult to make a definitive assessment.[Read More] Understanding White Spots Around the Anus: Is It Genital Warts?
Understanding Post-Surgery Concerns: What Does That White Line Mean?
Post-fistula surgery Hello Doctor, I had an imaging done of my fistula before the surgery (https://imgur.com/a/cZpEq9t) and it seems that my fistula extends all the way to the scrotum. I completed the fistula surgery this Monday, November 15. After taking a sitz bath today, I too...
Dr. Ke Fangxu reply Surgery
Due to the low resolution of the second photo, it is difficult to accurately determine whether the white line is a result of suture decomposition or if it is the wound tissue becoming macerated after soaking. It is recommended that you consult with the surgeon for an examination ...[Read More] Understanding Post-Surgery Concerns: What Does That White Line Mean?
Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Thrombotic external hemorrhoids A few days ago, after having a bowel movement, I did not experience constipation, but in the evening, I started to feel some discomfort in my anus. The next day, I had a persistent tight pain in the anal area, which was noticeably painful when walk...
Dr. Ke Fangxu reply Surgery
Thrombotic external hemorrhoids and anal abscesses are two different conditions. If there is no pain after medication, it is not a concern. Thrombotic external hemorrhoids typically take 2 to 4 weeks to fully resolve if not surgically excised. As long as there is no pain or disco...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Understanding Stool Color Changes: Food Effects and Health Concerns
Bowel issues Hello Doctor, I previously inquired about orange-red or coffee-red water in my stool. Subsequently, I underwent a fecal occult blood test at the end of October (two types, one for gastrointestinal bleeding which cost an additional $250, and one for colorectal bleedin...
Dr. Ke Fangxu reply Surgery
Food coloring may affect the results of a stool occult blood test for more than one day. If there are no persistent color abnormalities, a colonoscopy may not be necessary.[Read More] Understanding Stool Color Changes: Food Effects and Health Concerns
Red Stains in Stool: Signs of Hemorrhoids or Something Else?
Stool turns red after sitting in water for a while? Hello, Dr. Ke. The consultation number for my previous question is <a href="https://adoctor.tw/article/175439">#175439</a>. The issue is as follows: I developed internal hemorrhoids about six months ago, an...
Dr. Ke Fangxu reply Surgery
1. There are no absolutes in medicine; one cannot determine if it is hemorrhoids using this method. 2. I have not heard of this claim. If you are truly unable to feel at ease, scheduling a colonoscopy is the best way to address your concerns.[Read More] Red Stains in Stool: Signs of Hemorrhoids or Something Else?
Understanding Rectal Bleeding: Causes and Concerns
Bleeding from the rectum: related issues? Dear Director, after using the restroom, I experience sharp pain and cracking in my buttocks. Following that, even when I'm not using the restroom, I notice blood when I wipe. After a few wipes, the bleeding stops. However, not long ...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a typical symptom of an anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The common causes are often constipation ...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Red Mucus in Diarrhea: When to Seek Medical Attention
Diarrhea with bright red mucus? Hello Doctor: I have irritable bowel syndrome and have frequently experienced diarrhea for a long time. Currently, I am five months postpartum. My bowel movements were relatively normal, occurring once every one to two days, with stools that were g...
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 major concern. It is recommended to avoid spicy and irritating foods during this period and to increase the intake of dietary fiber, which ca...[Read More] Understanding Red Mucus in Diarrhea: When to Seek Medical Attention