Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Dyspepsia & flatulence & stool consistency Hello Doctor, I am currently experiencing symptoms of dyspepsia (persistent belching with a lingering food taste after meals, and occasionally increased gas in the evening, feeling gas moving in my intestines which requires passi...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 28 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irregular bowel motility. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, ir...[Read More] Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Understanding the Causes of Unusual Stool Color: Is It Serious?
The stool is flesh-colored? Today, during bowel movement, the stool had a normal color and a slight meat color (just a little bit). I ate lamb yesterday, and my stomach feels fine, but I didn't have a bowel movement yesterday. Could this be a sign of colorectal bleeding, or ...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, pumpkin, and chili peppers. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to ch...[Read More] Understanding the Causes of Unusual Stool Color: Is It Serious?
Effective Solutions for Anal Itching: Tips for Relief and Care
Anal itching About a month ago, after excessive cleaning of the anal area, I started experiencing anal itching. I consulted a proctologist who performed a digital examination and found no signs of hemorrhoids or any wounds. However, when I go out and experience prolonged friction...
Dr. Ke Fangxu reply Surgery
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 spicy foods to prevent capsaicin from irritating the skin. 3. Avoid using soap or body wash t...[Read More] Effective Solutions for Anal Itching: Tips for Relief and Care
Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids? Hello Dr. Ke, I have some questions to ask you. Yesterday, I underwent hemorrhoid ligation. 1. Is it normal for the internal hemorrhoid to be more painful because it is located closer to the outside (not an external hemorrhoid)? 2. T...
Dr. Ke Fangxu reply Surgery
1. Theoretically, internal hemorrhoid ligation should not be painful because the area below the dentate line lacks somatic nerve distribution; however, if the ligation is too close to the outer side, it may cause pain. 2. It is possible. 3. The ligation site may differ from the p...[Read More] Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids
Understanding Anal Constriction Pain: Causes and Solutions
Anal sphincter pain Hello doctor, for the past two days, I have been experiencing a cramping pain around the anal area, which feels like it is tightening and causing a blockage pain.
Dr. Ke Fangxu reply Surgery
Anal pain is often due to anal fissures or thrombosed hemorrhoids. If constipation is present, it should be addressed. If symptoms persist without improvement, it is important to consult a physician for a proper diagnosis.[Read More] Understanding Anal Constriction Pain: Causes and Solutions
Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Postoperative discomfort after hemorrhoid surgery? Hello Dr. Ke, I would like to ask about my situation. Three years ago, I underwent a circular excision hemorrhoid surgery at a certain hospital. Last year, due to a recurrence, I went to a gynecology clinic for another hemorrhoid...
Dr. Ke Fangxu reply Surgery
If the tingling sensation has disappeared, what other issues need to be addressed? It is possible that the staples from the first surgery are causing concerns, and it may depend on how the second surgery was performed or what instruments or materials were used. It is also possibl...[Read More] Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu reply Surgery
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Understanding Internal Hemorrhoids: When to Consider Surgery?
Questions about surgery for hemorrhoidal swelling? Hello, doctor. I would like to ask about my condition. Initially, when I was experiencing severe pain from hemorrhoids, a digital examination diagnosed me with grade I internal hemorrhoids. I have since found some relief with med...
Dr. Ke Fangxu reply Surgery
First-degree internal hemorrhoids are not typically recommended for surgical intervention because the postoperative pain may exceed the original discomfort. Additionally, if the hemorrhoids are not severe, surgery may not result in significant improvement. If medication treatment...[Read More] Understanding Internal Hemorrhoids: When to Consider Surgery?
Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...
Dr. Ke Fangxu reply Surgery
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...[Read More] Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Understanding Circular Red Rashes and Pus on Thighs: Causes and Treatments
Red rash and pus on the thigh skin? Hello, doctor: I have developed over ten red rashes on both sides of my thighs. They are round in shape, varying in size, and the colors range from deep red to pink. The larger circular lesions have deep red edges, with a noticeable purulent ar...
Dr. Ke Fangxu reply Surgery
What issues require a personal examination to determine if there is a possibility of pus formation that may necessitate incision and drainage? It is advisable to visit a surgical outpatient clinic for evaluation, as it may not necessarily be a bacterial infection. Prolonged self-...[Read More] Understanding Circular Red Rashes and Pus on Thighs: Causes and Treatments
Understanding a Painful Lump on Your Thigh: When to Seek Help
A lump on the thigh? I have a hard lump on the back of my thigh that feels painful, similar to a bruise. After a few days, its color changed to resemble a bruise. I'm a bit worried. Which specialist should I see?
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a hematoma, which could be due to a ruptured vascular malformation or a subcutaneous bruise from a trauma. It shouldn't be a serious issue, but you may want to have it examined by a dermatologist or a general surgeon.[Read More] Understanding a Painful Lump on Your Thigh: When to Seek Help
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu reply Surgery
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu reply Surgery
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu reply Surgery
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions
Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Assessment of post-fistula surgery condition? I underwent a fistula surgery, which I believe was superficial. The clinic performed the surgery immediately on the same day. Now, three days have passed, and during my follow-up appointment on the second day, the doctor removed a pie...
Dr. Ke Fangxu reply Surgery
1. Fistula incision surgery involves cutting the internal opening to the external opening, effectively creating a single opening, thus eliminating both the internal and external openings. 2. Normal. 3. Will. 4. Will not.[Read More] Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu reply Surgery
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Concerns About Incomplete Suture Removal After Cyst Surgery
Cyst suture removal Hello Doctor, I am the questioner 204748. I would like to ask what happens if the stitches are not completely removed. I had a follow-up appointment on the 22nd, and the doctor said he was hesitant to remove them too early (the doctor mentioned removing the st...
Dr. Ke Fangxu reply Surgery
Whether the sutures can be removed successfully depends on your physician. An online consultation cannot provide you with an answer regarding the nature of the excised tissue. You should ask the surgeon during your follow-up appointment, as they will have access to the pathology ...[Read More] Concerns About Incomplete Suture Removal After Cyst Surgery
Understanding Surgical Stitch Healing: When to Worry and Care Tips
It seems that the surgical stitches are almost merging with the skin? Hello Doctor, I had surgery on the 10th (for a sebaceous cyst) near my anus, with one incision on the left side and one on the right. I just used the restroom and while cleaning and applying medication, I notic...
Dr. Ke Fangxu reply Surgery
I just saw the letter today (the 23rd), and the sutures should have already been removed. Generally, surgical sutures are mostly non-absorbable, meaning they need to be removed. The timing for suture removal depends on the location and length of the incision, typically ranging fr...[Read More] Understanding Surgical Stitch Healing: When to Worry and Care Tips
Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
The incision for the removal of a sebaceous cyst is located very close to the anus? Hello Doctor, I am the questioner #204580. I would like to ask if, after having a sebaceous cyst removed near the anus, poor wound care could lead to the formation of an anal fistula? I have a wou...
Dr. Ke Fangxu reply Surgery
Wounds around the anal area typically heal more slowly, and it is normal for discharge to occur before the epidermis is fully healed. Cleaning the wound with tap water is sufficient, as this area is not a sterile environment. After cleaning, it is important to keep the area as dr...[Read More] Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...
Dr. Ke Fangxu reply Surgery
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery