Understanding Rectal and Gastrointestinal Issues: Symptoms and Insights
Issues related to the anus and gastrointestinal tract? Two weeks ago, I noticed a red, swollen ring around my anus that doesn't hurt when touched. Since that day, I've experienced occasional constipation and sometimes feel like I haven't fully emptied my bowels, wi...
Dr. Ke Fangxu reply Surgery
This situation is likely indicative of a higher possibility of irritable bowel syndrome (IBS). It is recommended to avoid spicy and irritating foods during this period. Temporarily increasing the intake of dietary fiber from plant sources may also be beneficial. Warm sitz baths s...[Read More] Understanding Rectal and Gastrointestinal Issues: Symptoms and Insights
Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Rectal bleeding I have been experiencing bleeding for the third day today. Recently, I have been passing gas frequently, and I notice blood after bowel movements, along with blood clots. The amount of blood in the toilet is quite significant, and my stool has a coffee-brown color...
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, Symptoms, and When to Seek Help
Understanding Painful White Bumps Near the Anus: When to Seek Help
External anal mass - painful small white growth? Hello Doctor, I have noticed a condition where there are small growths resembling polyps around my anal area for over a year. However, since there has been no blood in my stool and no pain, it has only been bothersome when I touch ...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The small white fleshy growth may be a polyp associated with the fissure. The pain often lasts several days, sometimes ...[Read More] Understanding Painful White Bumps Near the Anus: When to Seek Help
Understanding Anal Fissures and Mixed Hemorrhoids: Symptoms and Treatment Options
Anal fissure, mixed hemorrhoids? Hello Dr. Ke, I apologize for the disturbance. I have issues with internal hemorrhoids and mixed hemorrhoids. Previously, I had internal hemorrhoids that bled, so I underwent rubber band ligation treatment about 3-4 times. One of the hemorrhoids ...
Dr. Ke Fangxu reply Surgery
1. It is possible that the larger amount of bleeding is due to a combination of anal fissures and hemorrhoids. 2. According to health insurance regulations, a patient can only undergo ligation four times a year; if it exceeds four times, further procedures cannot be performed. A...[Read More] Understanding Anal Fissures and Mixed Hemorrhoids: Symptoms and Treatment Options
Fistula or Skin Issue? Understanding Recurring Abscesses
Is it an anal fistula or a skin issue? A year ago, I developed an abscess on the left side of my anus, which was drained and has not recurred at the same location. However, over the past year, I have been experiencing the emergence of harder small nodules from the right labia to ...
Dr. Ke Fangxu reply Surgery
Without a definitive diagnosis, it is certainly unwise to proceed with surgery. I recommend that you consult a physician for a thorough evaluation before making any decisions. In addition to anal abscess and fistula, it is also possible that it could be Bartholin's gland inf...[Read More] Fistula or Skin Issue? Understanding Recurring Abscesses
Do You Need Hospitalization for Anal Papilla Removal After Hemorrhoid Surgery?
Anal papillae Hello, doctor. I previously underwent hemorrhoidectomy, but due to poor healing, I developed anal papilla hyperplasia. I would like to know if hospitalization is required for anal papilla excision surgery, and whether dilation of the anus may be necessary as well.
Dr. Ke Fangxu reply Surgery
If only the anal papilla is excised, local anesthesia should suffice, and hospitalization is not necessary. If there is no anal stenosis, anal dilation should not be required.[Read More] Do You Need Hospitalization for Anal Papilla Removal After Hemorrhoid Surgery?
Post-Fistula Surgery: Managing Blood in Stool and Healing Tips
Post-fistula surgery After 60 days post-fistula surgery, it is possible to see some blood in the stool occasionally. This may be due to hard stools or the stool irritating the granulation tissue at the fistula site. Is it advisable to perform some Kegel exercises to promote wound...
Dr. Ke Fangxu reply Surgery
Kegel exercises do not enhance wound healing, but they are effective for strengthening the pelvic floor muscles.[Read More] Post-Fistula Surgery: Managing Blood in Stool and Healing Tips
Post-Hemorrhoid Surgery: Managing Anal Stenosis and Pain Relief
Post-hemorrhoid surgery Two and a half months after hemorrhoid surgery, the doctor diagnosed anal stenosis. There is a slight pain during bowel movements. Although there has been improvement with topical treatment for over a month, it seems unable to fully heal. Should I consider...
Dr. Ke Fangxu reply Surgery
If there is only slight pain during bowel movements, it is not definitive that anal stenosis is present; further evaluation by a physician is necessary. Self-dilation can be attempted by wearing gloves and applying petroleum jelly, starting with one finger and gradually increasin...[Read More] Post-Hemorrhoid Surgery: Managing Anal Stenosis and Pain Relief
Post-Surgery Care for External Hemorrhoids: What to Do About Swelling and Discharge
Postoperative care for external hemorrhoids? Three days ago, I underwent surgery for mixed hemorrhoids and a fistula. There are two lumps at the anal opening, one large and one small. Today, I rode my motorcycle to work; although it was painful, I managed to sit down. When I got ...
Dr. Ke Fangxu reply Surgery
After hemorrhoid and fistula surgery, the wound cannot be completely healed within three days; there will be discharge for up to a month. It is recommended to maintain local cleanliness and enhance sitz baths. If there is redness, swelling, heat, or pain, please consult a physici...[Read More] Post-Surgery Care for External Hemorrhoids: What to Do About Swelling and Discharge
Understanding Granulation Tissue After Fistula Surgery: What to Expect
A granulation tissue has developed next to the wound after the fistula surgery? Hello Dr. Ke, I previously asked about a complex fistula. After the surgery in mid-July, the skin around the wound has become firm. Recently, in the past two weeks, a growth resembling granulation tis...
Dr. Ke Fangxu reply Surgery
Based on the images, it appears to be a recurrence of the fistula. I recommend that you consult your surgeon for an evaluation, as it may be necessary to undergo another surgery.[Read More] Understanding Granulation Tissue After Fistula Surgery: What to Expect
How Long After Wart Treatment is Considered Healed?
How long after cauliflower (cervical) cancer has not recurred can it be considered cured? The cauliflower infection occurred five years ago and has been treated with electrosurgery and topical application of Aldara. My current partner is still concerned about the risk of infectio...
Dr. Ke Fangxu reply Surgery
Anal warts (commonly known as cauliflower) can generally be considered healed if there is no recurrence for six months. However, this is a lifelong viral infection, and there is a theoretical possibility of recurrence. To reduce the risk of infection, using condoms consistently c...[Read More] How Long After Wart Treatment is Considered Healed?
Post-Surgery Care for Anal Fistula: Managing Discharge and Healing
Post-anal fistula surgery Hello Dr. Ke, I had my anal fistula surgery two months ago. However, I still have yellowish-white discharge postoperatively. I went back to see the surgeon, and he said that I am healing well. I believe that since I have had multiple surgeries before, an...
Dr. Ke Fangxu reply Surgery
Post-operative sitz baths after anal fistula surgery are essential for maintaining cleanliness. I'm not sure about the condition of your granulation tissue, but it is not necessary to clean the granulation tissue after anal fistula surgery. If the wound heals too quickly, it...[Read More] Post-Surgery Care for Anal Fistula: Managing Discharge and Healing
Understanding Abdominal Masses: Causes and Treatment Options
Abdominal mass Hello, Doctor. I have two questions to ask: 1. Recently, while lying down, I noticed a hard lump on the left side of my navel. It is not painful or itchy, and I can feel it when I press down, but it doesn't hurt. I just discovered that there is also a hard l...
Dr. Ke Fangxu reply Surgery
1. Without a personal examination, it cannot be confirmed, and it may also be a lipoma. 2. Anal itching may be caused by excessive wiping. There are three important points to pay attention to: 1. Do not scratch to avoid causing a wound infection. 2. Temporarily avoid consuming sp...[Read More] Understanding Abdominal Masses: Causes and Treatment Options
Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
After hemorrhoid surgery, what is the string-like substance in the anal canal? Hello, Dr. Ke. Last weekend, I underwent fistula and hemorrhoid surgery at China Medical University. The nurse informed me that I need to insert my finger about one finger's breadth into the anus ...
Dr. Ke Fangxu reply Surgery
A fistula can indeed occur within the anus, so during surgery, the incision may extend into the anal canal. As for the so-called tubular structure you felt, I cannot determine what it is. If the surgeon indicates that it is scar tissue from the wound, then there should be no issu...[Read More] Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
Post-Surgery Urinary Changes After Minimally Invasive Hemorrhoid Surgery
Postoperative care after minimally invasive hemorrhoid surgery? It has been one week post-surgery, and I am unsure why my urination is not as good as it was before the procedure. It feels as though the urge to urinate has been diminished, almost as if I no longer have a bladder. ...
Dr. Ke Fangxu reply Surgery
Minimally invasive surgery involves various instruments and techniques, and without specific details, it is difficult to determine their relation to the surgical procedure. Additionally, there are different types of anesthesia, including local, regional, and general anesthesia, e...[Read More] Post-Surgery Urinary Changes After Minimally Invasive Hemorrhoid Surgery
Preventing Anal Fistulas in Wheelchair Users: Key Insights
Anal fistula in individuals with limited mobility? Dear Dr. Ke: I apologize for taking up your valuable time. I would like to ask if individuals with lower limb disabilities who spend all day in a wheelchair are more prone to developing anal fistulas. Are there any preventive mea...
Dr. Ke Fangxu reply Surgery
Anal fistula is a complication resulting from an anal abscess. Lower limb impairment is not a risk factor for its occurrence. It is important to maintain local hygiene, and individuals with diabetes should pay attention to blood sugar control.[Read More] Preventing Anal Fistulas in Wheelchair Users: Key Insights
Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Rubber band ligation for internal hemorrhoids? Dear Doctor: I underwent a hemorrhoid ligation on August 27, and I have been experiencing a feeling of fullness in the anal area ever since. My bowel movements are normal, and there has been no bleeding. Given that it has been about ...
Dr. Ke Fangxu reply Surgery
After rubber band ligation for internal hemorrhoids, do not worry about whether the rubber band has fallen off. As long as there is no severe pain or significant bleeding postoperatively, there is no cause for concern. A feeling of swelling in the anal area is normal. If you must...[Read More] Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Understanding External Hemorrhoids: Symptoms and Concerns
External hemorrhoids issue? Hello doctor, I have had constipation issues since childhood, and I have to exert a lot of effort to pass stool. Sometimes there is a small amount of fresh blood on the toilet paper. Recently, while showering, I noticed a round, soft lump at the anal o...
Dr. Ke Fangxu reply Surgery
Based on what you've said, it sounds more like hemorrhoids; however, a definitive diagnosis still requires a physician's examination. Information from the internet and self-examination cannot replace an actual medical consultation. Please seek medical attention promptly...[Read More] Understanding External Hemorrhoids: Symptoms and Concerns
Understanding Anal Pain: Causes and Connections to Digestive Issues
Anal pain Hello doctor, I have a history of gastrointestinal issues and often experience abdominal pain. Recently, I have been experiencing abdominal pain, possibly due to my diet and exposure to air conditioning. This time, the abdominal pain is accompanied by a dull ache around...
Dr. Ke Fangxu reply Surgery
Without imaging references and a personal examination, it is impossible to determine what the issue is. Additionally, since it has now resolved, it is even more difficult to ascertain the cause. Based on your description, it is more likely to be an acute episode of hemorrhoids; h...[Read More] Understanding Anal Pain: Causes and Connections to Digestive Issues
Post-PPH Surgery: Persistent Discomfort and Treatment Options Explained
Post-PPH (Procedure for Prolapse and Hemorrhoids) surgery? Hello Dr. Ke, I previously had grade III internal hemorrhoids, and I often experienced a feeling of heaviness in my anus. Shortly after using the restroom, I would feel the urge to go again, accompanied by a sensation of ...
Dr. Ke Fangxu reply Surgery
In the previous email response, it was mentioned that these symptoms could be related to PPH (Postpartum Hemorrhage). If surgery is scheduled for late August, it is advisable to observe for a while longer, as this is not an appropriate time for any interventional procedures. Ther...[Read More] Post-PPH Surgery: Persistent Discomfort and Treatment Options Explained