Understanding External Hemorrhoids and Potential Concerns: A Patient's Guide
About external hemorrhoids? Hello doctor, recently my external hemorrhoids suddenly started to hurt, but there was no bleeding during bowel movements. Today I visited a clinic, and the doctor said I need surgical removal. The issue is that I previously had genital warts (I am not...
Dr. Ke Fangxu reply Surgery
"Hemorrhoids often present with protrusions around the anus, which can resemble cauliflower, commonly caused by anal intercourse. To definitively determine if it is indeed cauliflower-like lesions, a biopsy is necessary. Whether minimally invasive techniques can be applied d...[Read More] Understanding External Hemorrhoids and Potential Concerns: A Patient's Guide
Post-Surgery Concerns: Is My Hemorrhoid Swelling Normal?
Post-hemorrhoid surgery Hello Doctor: I underwent traditional excision of internal and external hemorrhoids on September 29. Now, fifteen days post-surgery, my wound has generally healed well. However, after the surgery, there is a lump at the anal opening that resembles an exter...
Dr. Ke Fangxu reply Surgery
Sometimes, during hemorrhoidectomy, a portion of skin may be left to prevent anal stenosis, which could result in excess skin after the surgery. If there is no pain or bleeding, it can be ignored. If treatment is desired, an outpatient surgical excision can be performed depending...[Read More] Post-Surgery Concerns: Is My Hemorrhoid Swelling Normal?
Understanding Changes in Stool Color: When to Worry About Colon Health
Bowel issues Hello Doctor, today after using the restroom, I noticed that my stool had a reddish-brown color resembling coffee in the toilet water. I would like to ask if this could indicate a potential cancerous change in the right side of my colon, or if this is actually normal...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 21 is not zero, it is generally very low. Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also be a contribut...[Read More] Understanding Changes in Stool Color: When to Worry About Colon Health
Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Fecal occult blood issue? Hello, Director. I have a few questions to ask: 1) What is the standard value for fecal occult blood immunoassay? It seems that different institutions have varying criteria. 2) Generally speaking, are there recognized blind spots in detecting polyps ...
Dr. Ke Fangxu reply Surgery
1. Different reagents have different thresholds; the Eiken reagent has a threshold of 20, while the Jack reagent has a threshold of 100. 2. Fecal occult blood testing detects bleeding, not polyps. Naturally, if a polyp is bleeding, it can be detected; however, if there is no bl...[Read More] Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Understanding the Differences: Eczema vs. Warts in Anal Health
Cauliflower problem Hello Dr. Ke, I have a question I would like to ask you. I usually have a habit of cleaning my anal area while showering. Recently, when I was cleaning, I felt some irregular bumps and upon inspection, I noticed small white dots. They are not painful or itchy....
Dr. Ke Fangxu reply Surgery
The photo is out of focus and difficult to assess, but it doesn't seem quite right. If you are unable to determine, you may consider consulting a proctologist for an examination.[Read More] Understanding the Differences: Eczema vs. Warts in Anal Health
Understanding Anal Fistula Treatment: When Surgery Isn't Necessary
Treatment of Anal Fistulas Hello, Dr. Ke! Last year, I experienced pain near the anus along with the presence of pus, and after seeing a doctor, I was diagnosed with an anal fistula and underwent surgery. However, recently I have been feeling some pain again near the anus. Althou...
Dr. Ke Fangxu reply Surgery
An anal fistula is a complication of an anal abscess, essentially a channel that connects to the inside of the anus. If it is not surgically excised, it will not resolve on its own. However, if there are no recurrent infections, it can be monitored. While applying ointment will n...[Read More] Understanding Anal Fistula Treatment: When Surgery Isn't Necessary
Understanding Anal Abscess Pain: What to Expect After Drainage
Anal abscess Hello, doctor. Today I am experiencing unbearable pain in my anus. This morning, I visited a general surgery outpatient clinic, and the doctor diagnosed me with an anal abscess. They subsequently incised and drained the abscess. After taking a shower in the evening, ...
Dr. Ke Fangxu reply Surgery
It is inevitable to experience pain after an incision and drainage procedure. As the pus drains completely and the wound gradually heals, the discomfort will improve. The key is to perform regular cleaning to prevent poor wound healing.[Read More] Understanding Anal Abscess Pain: What to Expect After Drainage
Understanding Fixed Indentations in Stool: Causes and Concerns
The presence of fixed indentations in the stool? Since last year, I have been experiencing occasional urges to defecate. In December 2020, I underwent a colonoscopy in the gastroenterology department, and the results were normal. However, recently I have noticed that the front pa...
Dr. Ke Fangxu reply Surgery
It could be caused by pressure from hemorrhoids. If the colonoscopy shows no issues, then there's no need to worry.[Read More] Understanding Fixed Indentations in Stool: Causes and Concerns
Post-Surgery Care for Hemorrhoid Removal: Pain Management and Healing Tips
Post-hemorrhoid surgery Hello Doctor: I underwent traditional hemorrhoidectomy on September 29, which included the removal of internal and external hemorrhoids as well as polyps. The biopsy results for the polyps were benign. The doctor advised that post-operative wound care requ...
Dr. Ke Fangxu reply Surgery
I personally do not recommend applying medication inside the anus due to excessive pain and uncertain effectiveness. Taking warm sitz baths should be sufficient for anti-inflammatory, anti-swelling, and pain relief purposes. The medications for these effects vary. The pineapple e...[Read More] Post-Surgery Care for Hemorrhoid Removal: Pain Management and Healing Tips
Post-Surgery Concerns After Hemorrhoid Surgery: Pain and Treatment Options
Postoperative issues related to hemorrhoid surgery? Hello, doctor. I recently had hemorrhoid surgery two weeks ago, but I have the following questions: 1. What is a laser surgical knife? Is this considered traditional surgery? The doctor only mentioned that it would be less pai...
Dr. Ke Fangxu reply Surgery
1. It is the patient's responsibility to ask for clarification if the doctor does not provide detailed information; if the product name is not mentioned, I would not know what it is. 2. Whether it is anal stenosis or postoperative pain can only be determined through a digit...[Read More] Post-Surgery Concerns After Hemorrhoid Surgery: Pain and Treatment Options
Understanding Rectal Hard Lumps: Possible Causes and Concerns
Issue of a hard mass in the anus? Hello, Doctor. A few days ago while showering, I discovered a hard lump inside my anus (about one finger joint deep) on the side closer to the front of my body. It is slightly larger than a red bean, with a rough surface. It doesn't resemble...
Dr. Ke Fangxu reply Surgery
The exact issue can only be determined through examination; most likely it is thrombosed hemorrhoids, but anal polyps and malignant tumors are also possible, although the latter is less likely.[Read More] Understanding Rectal Hard Lumps: Possible Causes and Concerns
Pain Near the Anus: Should You See a Doctor?
Pain upon palpation of the perianal area? Unlike the previous abscess that had a noticeable lump, this time I accidentally discovered a mass about two fingerbreadths away from the anus while wiping. There is pain only when I press on it, but upon examination, there are no externa...
Dr. Ke Fangxu reply Surgery
After the healing of an anal abscess, there is a possibility of developing an anal fistula. It is advisable to have a physician examine the area to avoid any delays in treatment.[Read More] Pain Near the Anus: Should You See a Doctor?
Understanding External Anal Masses: When to Seek Medical Advice
Perianal mass Hello Doctor: In the past, I would use a bidet to clean myself after using the toilet, and then wipe dry with toilet paper, which was never an issue. However, recently I have been unable to use the bidet for cleaning and have been directly wiping with toilet paper a...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irritating, and gr...[Read More] Understanding External Anal Masses: When to Seek Medical Advice
Understanding Rectal Dysfunction: Causes of Involuntary Bowel Leakage
Stimulating the anus can lead to the expulsion of feces? Hello Doctor: My mother-in-law is currently 67 years old and has been experiencing difficulty with bowel movements recently, requiring the use of a glycerin suppository to assist with defecation. I also noticed that after s...
Dr. Ke Fangxu reply Surgery
Elderly individuals may indeed experience this phenomenon, which could be due to insufficient sphincter muscle strength leading to rectal mucus leakage. However, at 67 years old, this is not considered particularly advanced age unless accompanied by other significant health issue...[Read More] Understanding Rectal Dysfunction: Causes of Involuntary Bowel Leakage
Post-Surgery Care: Managing Discharge and Wound Healing After Fistula Surgery
Post-fistula surgery Hello, doctor. I had surgery on the 14th of last month, but there is still some discharge from the wound. During my follow-up appointment on the 16th, the doctor applied medication, which seemed to involve inserting a thin metal tube into my wound. In the pas...
Dr. Ke Fangxu reply Surgery
1. Since the names of the ointment ingredients are unknown, it is difficult to determine if it is normal; however, if there is no redness, swelling, heat, or pain, it can be monitored further. 2. Yes, it is generally recommended to soak the area until the wound has healed comple...[Read More] Post-Surgery Care: Managing Discharge and Wound Healing After Fistula Surgery
Should You See a Specialist for Eczema from Hemorrhoid Cream?
If hemorrhoid ointment causes eczema or dermatitis, you should consult a dermatologist? Hello, doctor. Two weeks ago, I experienced an outbreak of external hemorrhoids. After examination, the doctor diagnosed it as mixed internal and external hemorrhoids and prescribed topical me...
Dr. Ke Fangxu reply Surgery
If the ingredient name of the medication is unknown, it is difficult to determine whether the ointment is causing the skin inflammation. It is recommended to temporarily discontinue the use of the topical ointment, wash the area with clean water for a few days, and then observe f...[Read More] Should You See a Specialist for Eczema from Hemorrhoid Cream?
Understanding Hemorrhoid Treatment: Is There a Risk of Cell Changes?
Endoscopic Hemostasis for Hemorrhoids I went to the doctor due to swelling and a foreign body sensation in the anus. The doctor said it was hemorrhoids and administered three injections. I'm very worried about the possibility of cellular changes.
Dr. Ke Fangxu reply Surgery
It's unclear what the main point of your question is. If you are concerned about malignant tumors, typically a biopsy is performed rather than an injection.[Read More] Understanding Hemorrhoid Treatment: Is There a Risk of Cell Changes?
Understanding Frequent Bowel Movements: Could It Be Colon Cancer?
Bowel-related issues? Hello Doctor, I would like to ask about my recent condition. I have been having bowel movements two to three times a day, often feeling discomfort in my abdomen after meals, which prompts me to use the restroom. My stools are mostly loose or thin, about the ...
Dr. Ke Fangxu reply Surgery
At the age of 41, the likelihood of developing colorectal cancer is relatively low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods should...[Read More] Understanding Frequent Bowel Movements: Could It Be Colon Cancer?
Can I Use Hemorrhoid Medication with Wart Treatment?
Can hemorrhoid medication be used together with wart removal gel? Hello doctor, I have both genital warts and hemorrhoids in the anal area. I have seen different hospitals for treatment, and they have prescribed me medication for hemorrhoids, including Le Yu hemorrhoid cream and ...
Dr. Ke Fangxu reply Surgery
It is not a problem to use suppositories and topical ointments simultaneously, as they act on different areas. However, using hemorrhoid ointment together with wart removal gel may dilute the concentration of the wart removal medication, leading to suboptimal treatment outcomes. ...[Read More] Can I Use Hemorrhoid Medication with Wart Treatment?
Managing Hemorrhoids and Genital Warts: Treatment Questions Answered
Hemorrhoids and cauliflower issue? Hello, doctor. I have been using Imiquimod 5% for over 16 weeks to treat genital warts, which seem to have shrunk but have not fallen off. During the treatment period, I have also been using hemorrhoid cream. 1. I would like to ask if the simu...
Dr. Ke Fangxu reply Surgery
1. It should not be a problem. 2. Without seeing the size of the lesion, I cannot provide you with advice; please consult your physician to evaluate whether to continue treatment. 3. If you have already been infected with HPV, theoretically, receiving the vaccine is no longer mea...[Read More] Managing Hemorrhoids and Genital Warts: Treatment Questions Answered