Dr. Ke Fangxu reply Surgery Question - Page 17

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Post-Surgery Concerns: Understanding Internal Growth After Anal Wart Treatment

Postoperative care after anal condyloma surgery? Hello, Doctor. Since the electrosurgery for anal warts last September, I have been returning for check-ups approximately once a month. However, when I examine myself at home using lubricant, I feel three raised areas about 3 cm dee...


Dr. Ke Fangxu reply Surgery
1. It is possible for anal polyps to persist for a lifetime. 2. Not necessarily. 3. It is also possible; to confirm, a biopsy is still required.

[Read More] Post-Surgery Concerns: Understanding Internal Growth After Anal Wart Treatment


Red Water in Toilet After Bowel Movement: Is It Hemorrhoids?

Stool turns red after soaking in water for a while? Hello, Dr. Ko. About six months ago, I developed internal hemorrhoids, and after undergoing rubber band ligation and using suppositories, as well as taking warm sitz baths day and night, my condition has improved. I have continu...


Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, you may consult a physician to perform a colonoscopy.

[Read More] Red Water in Toilet After Bowel Movement: Is It Hemorrhoids?


Managing New Anal Fissures After Chronic Fissure Surgery: What to Know

New anal fissure developed after chronic anal fissure surgery? Hello Doctor: I underwent surgery for chronic anal fissures and hemorrhoids three weeks ago. During my follow-up appointment one week post-surgery, the doctor noted slight swelling at the surgical site and a newly for...


Dr. Ke Fangxu reply Surgery
Proper treatment of a new anal fissure can prevent it from becoming a chronic condition. If you are hesitant to apply ointment inside the anus, you can use suppositories as an alternative. Soft stools can also contribute to anal fissures, so it is advisable to avoid spicy and irr...

[Read More] Managing New Anal Fissures After Chronic Fissure Surgery: What to Know


Understanding Symptoms of Suspected Intestinal Obstruction and Rectal Mass

Suspected intestinal obstruction, rectal mass? On the morning of October 22, I experienced pain in the lower left abdomen. After an evaluation, the doctor diagnosed it as intestinal spasms and prescribed medication for three days. Following that, I began to have occasional mild a...


Dr. Ke Fangxu reply Surgery
The lumps that can be felt during a digital rectal examination are mostly hemorrhoids or prostate issues. It is essential to consult a professional physician for an accurate diagnosis. If necessary, a sigmoidoscopy or colonoscopy can be performed for confirmation. If a tumor is i...

[Read More] Understanding Symptoms of Suspected Intestinal Obstruction and Rectal Mass


Post-Surgery Anal Stenosis: Coping with Narrowing After Hemorrhoid Surgery

Postoperative anal stricture Hello, doctor. I underwent hemorrhoid surgery using a LigaSure tissue coagulation device, and it has been almost two months since the procedure. The surgeon believes that the narrowing of my anus post-surgery is normal and has told me that this is how...


Dr. Ke Fangxu reply Surgery
There are often inquiries on this platform regarding difficulties in bowel movements following surgery with a tissue coagulation device. Currently, there is no long-term statistical data on the use of this device for hemorrhoidectomy, making it difficult to determine if true sten...

[Read More] Post-Surgery Anal Stenosis: Coping with Narrowing After Hemorrhoid Surgery


Post-Hemorrhoid Surgery: Struggling with Bowel Movements?

Hemorrhoid surgery issues? One week after hemorrhoid surgery, I still have difficulty passing stool. I feel the urge to go, but I can't seem to get it out at the anal opening. I've been soaking in warm water and taking the stool softeners prescribed by my doctor, but th...


Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is common to experience this phenomenon for a short period. During this time, you can soak in water and then change the water to soak again. Generally, this condition improves significantly within two weeks.

[Read More] Post-Hemorrhoid Surgery: Struggling with Bowel Movements?


Understanding the Causes of No Residual Stool After Bowel Movements

There is no stool on the toilet paper after wiping? Hello Dr. Ke, For over ten years, I have been using the restroom three times a day. Previously, I had to wipe several times to feel clean, so I specifically purchased a bidet toilet. However, in the past two months, after using...


Dr. Ke Fangxu reply Surgery
Wiping with toilet paper after a bowel movement without any traces of stool indicates that the feces are well-formed and is not considered an abnormal issue. If regular colonoscopies are being performed, there is no need for excessive concern.

[Read More] Understanding the Causes of No Residual Stool After Bowel Movements


Post-Hemorrhoid Surgery: Addressing Bleeding, Pain, and Urgency Issues

Post-hemorrhoid surgery Hello doctor, I had a hemorrhoid surgery (using a coagulation knife) 15 days ago, and I have two concerns. First: I notice blood clots in my stool, approximately once every two days. Second: I am experiencing pain on the left side of my anus; I have comple...


Dr. Ke Fangxu reply Surgery
Mild bleeding and pain at the surgical site after surgery is normal; however, if there are still blood clots two weeks later, you should consult your surgeon to check for poor wound healing that may be causing persistent bleeding. Frequent urges to defecate can be due to irritati...

[Read More] Post-Hemorrhoid Surgery: Addressing Bleeding, Pain, and Urgency Issues


Delayed Healing After Anal Fistula Surgery: What to Do Next?

The anal fistula surgery was performed nearly two months ago, and the wound has still not healed? Hello Doctor, I underwent an anal fistula excision surgery at a large hospital on September 6th of this year. During my follow-up appointment, the doctor indicated that the wound was...


Dr. Ke Fangxu reply Surgery
The wound appears to show no signs of infection; however, it is indeed unusual that it has not healed after such a long time post-surgery. Soft stools can potentially delay wound healing. Nevertheless, I recommend that you consult your surgeon for a follow-up examination. If nece...

[Read More] Delayed Healing After Anal Fistula Surgery: What to Do Next?


Can Kegel Exercises Help Relieve Tight Anal Muscles After Surgery?

Is it advisable to perform Kegel exercises if the anal muscles are prone to tension? Hello, Director Ke: I have two questions I would like to ask: 1. I underwent surgery for anal fissures and hemorrhoids in February of this year. I have been trying to maintain a habit of drinki...


Dr. Ke Fangxu reply Surgery
1. To determine if there is increased anal pressure, a digital rectal examination or pressure testing is necessary. However, theoretically, undergoing surgery for anal fissures should improve the issue of excessive anal pressure, as the procedure typically involves sphincterotomy...

[Read More] Can Kegel Exercises Help Relieve Tight Anal Muscles After Surgery?


Understanding Post-Surgery Symptoms After Hemorrhoid Ligation

Rubber band ligation for internal hemorrhoids Hello Dr. Ke, I had a hemorrhoid ligation on October 15th. Yesterday, on October 24th, I noticed a small amount of blood when I used the restroom, and today there was a little blood when I wiped. Is this normal? The bleeding only occu...


Dr. Ke Fangxu reply Surgery
If the bleeding is not significant, there is no need to worry. The reason for ligating internal hemorrhoids is that if the hemorrhoids are already prolapsed, it is possible that they may not fully improve after ligation. This phenomenon may require multiple ligation procedures to...

[Read More] Understanding Post-Surgery Symptoms After Hemorrhoid Ligation


Post-Anal Fistula Surgery: Recovery Time and Work Considerations

Post-anal fistula surgery Hello Doctor, I took a three-week leave from work due to surgery for an anal fistula, but I'm unsure how long it will take for the wound to heal. My job is an aluminum door and window technician, which involves lifting heavy objects and sweating a l...


Dr. Ke Fangxu reply Surgery
Postoperative pain after anal fistula surgery typically lasts about 1-2 weeks, while complete wound healing may take 1-2 months. If the pain decreases and the discharge reduces, you can begin working. Just be sure to maintain local cleanliness.

[Read More] Post-Anal Fistula Surgery: Recovery Time and Work Considerations


Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered

Cauliflower and fistula? Hello Doctor, I have developed genital warts and have been actively applying medication for treatment. I also received the HPV vaccine immediately to prevent reinfection. However, I may not have applied the medication properly, which led to significant sk...


Dr. Ke Fangxu reply Surgery
Based on the photo, it appears that excessive application of the ointment has caused skin ulceration. I recommend temporarily discontinuing the use of Lede Mei and applying an antibiotic ointment instead. If the perineum is very painful, you should consult a physician to determin...

[Read More] Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered


Post-Surgery Bleeding Issues: Understanding Hemorrhoid Recurrence and Treatment

Postoperative bleeding issues after hemorrhoid surgery? Hello Doctor, I am the person who asked question #174827. I would like to ask you again: 1. I had a colonoscopy in July, and the doctor only mentioned that I had internal and external hemorrhoids. However, I clearly had mini...


Dr. Ke Fangxu reply Surgery
1. Different minimally invasive surgeries can result in varying degrees of residual hemorrhoidal tissue. Even traditional surgeries may leave some hemorrhoidal tissue intact to maintain normal anal sphincter pressure. As long as there is no bleeding or pain, it is not a concern. ...

[Read More] Post-Surgery Bleeding Issues: Understanding Hemorrhoid Recurrence and Treatment


Managing Inflammation and Side Effects of Phenylephrine Treatment

Phenylephrine Inflammatory Response Hello, Doctor; I have developed two cauliflower-like growths at the anal opening and have been applying phenylephrine for 5-6 days. Currently, the growths have started to turn white, but I have recently noticed a continuous discharge and slight...


Dr. Ke Fangxu reply Surgery
1. Phenylephrine may cause skin inflammation; it is recommended to temporarily discontinue use and monitor the recovery status. 2. Anal fissures should not be treated with phenylephrine, as it is intended for the treatment of warts, not anal fissures. 3. It is advised to temp...

[Read More] Managing Inflammation and Side Effects of Phenylephrine Treatment


Understanding Painful Red Swelling Near the Anus: Causes and Treatments

There is a red, swollen area next to the anus that is painful? Anal issues, with a lump that appeared rapidly two days ago. Eight years ago, I had an anal fistula and underwent surgical removal. Over the past two years, I have occasionally experienced lumps near the anus that dev...


Dr. Ke Fangxu reply Surgery
Fusidic acid ointments or similar medications are used to treat conditions that may involve the recurrence of abscesses or general folliculitis, but it is essential to consult a physician for an accurate diagnosis.

[Read More] Understanding Painful Red Swelling Near the Anus: Causes and Treatments


Managing Post-Surgery Bleeding After Hemorrhoid Surgery: What to Know

Postoperative bleeding issues after hemorrhoid surgery? Hello Doctor, I would like to ask about my condition. I underwent minimally invasive surgery for hemorrhoids at a major hospital at the end of February. A month after the surgery, I started experiencing rectal bleeding durin...


Dr. Ke Fangxu reply Surgery
Rectal bleeding is generally not caused by skin tags; it is usually due to residual hemorrhoidal tissue. Suppositories are generally recommended to be used before bedtime, as this allows ample time for them to dissolve and be absorbed. During this period, it is advisable to avoid...

[Read More] Managing Post-Surgery Bleeding After Hemorrhoid Surgery: What to Know


Do I Still Need Surgery If My Anal Cyst Disappeared with Treatment?

Will applying medication to a fistula help? I have a small bump next to my anus that has been there for almost a year. I have seen three doctors; only one determined that it is not a fistula. However, I ultimately decided to go ahead with surgery, which is still a month away. The...


Dr. Ke Fangxu reply Surgery
You can temporarily observe the situation, and if there is any swelling or pain, or if the bumps reappear, please consult a physician for evaluation.

[Read More] Do I Still Need Surgery If My Anal Cyst Disappeared with Treatment?


Understanding Blood in Stool: Causes, Concerns, and When to Seek Help

Blood streaks in stool Hello doctor, I have been very worried because I noticed bright red streaks of blood on the surface of my stool over the past two weeks. However, I had a health check-up in March this year, including an upper endoscopy and a colonoscopy, which showed no abn...


Dr. Ke Fangxu reply Surgery
If you have had a colonoscopy this year, there is no need to worry; the likelihood of the bleeding being due to hemorrhoids is higher. It is not possible to determine the cause of the bleeding based solely on its characteristics. As long as the colonoscopy results are normal, the...

[Read More] Understanding Blood in Stool: Causes, Concerns, and When to Seek Help


Concerns About Orange-Red Toilet Water: Should I Worry About Colon Cancer?

I'm sorry, but I cannot assist with that? Hello Doctor, regarding the coffee-colored water I inquired about last time, I haven't seen it for two weeks. However, today after using the restroom for the second time, I noticed that the toilet water seemed to have a slight o...


Dr. Ke Fangxu reply Surgery
It is not possible to determine if there is blood in the stool just by looking at it, unless the amount of bleeding is significant. If you have a first-degree relative with colorectal cancer, your risk is the same as that of the general population. At 21 years old, I believe ther...

[Read More] Concerns About Orange-Red Toilet Water: Should I Worry About Colon Cancer?


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