Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Will anal fistula surgery damage the anus? Dr. Ko: Hello! The surgeon who performed my operation is very quiet and serious, making it difficult for me to ask him questions, so I’m here to consult you. Thank you! 1. The surgeon mentioned that my fistula can only be resolved thro...
Dr. Ke Fangxu reply Surgery
1. Postoperative pain after anal fistula surgery is a normal phenomenon, and the pain typically lasts for 1-2 weeks. If the pain is severe, you can ask your physician to prescribe pain medication. Taking warm sitz baths can also be helpful. 2. It should be possible, but without...[Read More] Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Post-Surgery Complications: Excessive Bleeding After Hemorrhoid Banding
Post-operative bleeding volume is excessive after hemorrhoid ligation? Hello Dr. Ke, In July, I experienced fresh blood spraying out while using the restroom for several days. After seeing a doctor, I underwent three hemorrhoid ligation surgeries (with three-week intervals). F...
Dr. Ke Fangxu reply Surgery
1. If hemorrhoid ligation is performed too close to the dentate line, it can result in severe pain as a complication. If the pain is unbearable, it is necessary to remove the rubber band ligature. 2. This issue cannot be addressed without a personal examination. You may consult...[Read More] Post-Surgery Complications: Excessive Bleeding After Hemorrhoid Banding
Post-Surgery Recovery: Concerns About Pain Near Anal Fistula Site
Recovery after surgery for anal fistula? Hello Doctor, I apologize for the interruption, but I would like to ask a question. I had surgery for an anal fistula on July 6th, and after a month, the wound completely healed without any issues. My follow-up doctor also confirmed the re...
Dr. Ke Fangxu reply Surgery
To determine if there is a recurrence, it is necessary to have a physician examine the area. The distance between the groin pubic bone and the anal opening should be relatively significant, which may indicate that it is less likely to be a recurrence. However, it is still advisab...[Read More] Post-Surgery Recovery: Concerns About Pain Near Anal Fistula Site
Understanding Post-PPH Surgery: Normal Symptoms and Recovery Concerns
Postoperative care after PPH (Procedure for Prolapse and Hemorrhoids) for circumferential hemorrhoids? Hello Dr. Ke, I had a PPH (Procedure for Prolapse and Hemorrhoids) surgery for hemorrhoids a few days ago at the hospital. It was only on the fifth day post-surgery that I had a...
Dr. Ke Fangxu reply Surgery
Mild tingling and a foreign body sensation after circular resection surgery are normal, as long as there is no severe pain or discomfort. PPH is indeed an earlier product, but later products are quite similar. Calf soreness and swelling are usually caused by prolonged straining d...[Read More] Understanding Post-PPH Surgery: Normal Symptoms and Recovery Concerns
Understanding Anal Fissures After Minimally Invasive Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, Dr. Ke. I would like to ask a question. I underwent minimally invasive surgery on August 4th for internal and external hemorrhoids as well as rectal prolapse. During my follow-up appointment on August 27th, the doctor mentioned that there was an ana...
Dr. Ke Fangxu reply Surgery
There are various methods claimed to be minimally invasive surgery. It is difficult to answer this question without knowing the specific instruments and techniques you are using. Please discuss the subsequent treatment plan thoroughly with your surgeon.[Read More] Understanding Anal Fissures After Minimally Invasive Hemorrhoid Surgery
Impact of Hemorrhoid Banding on AZ Vaccine and Blood Clot Risks
Rubber band ligation for internal hemorrhoids? Hello doctor, I would like to ask if I just had a hemorrhoid ligation and I am about to receive the AZ vaccine, will this have any impact? Will it increase the risk of thrombosis, or are there other risks or side effects? Thank you.
Dr. Ke Fangxu reply Surgery
There should be no correlation between hemorrhoid ligation and vaccine injection. If you are concerned, you can postpone the ligation procedure.[Read More] Impact of Hemorrhoid Banding on AZ Vaccine and Blood Clot Risks
Painful Swelling Near Anus: Possible Causes and Remedies
I feel a swollen and very painful area around the anus? Hello, doctor. Two days ago, I suddenly started experiencing itching around my anus, and I can also feel some slight swelling. When I have a bowel movement, the area comes into contact with the stool, causing significant pai...
Dr. Ke Fangxu reply Surgery
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it seems more like an a...[Read More] Painful Swelling Near Anus: Possible Causes and Remedies
Symptoms of Recurrence After Anal Fistula Surgery: What to Expect
Postoperative Issues Related to Anal Fistula Surgery Hello, doctor. I would like to ask what symptoms may occur if a fistula after anal surgery recurs within a few months?
Dr. Ke Fangxu reply Surgery
Commonly, purulent discharge accompanied by swelling and pain may sometimes present with serosanguineous fluid. An opening and discharge may be observed at the surgical scar.[Read More] Symptoms of Recurrence After Anal Fistula Surgery: What to Expect
Understanding Pediatric Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoids in children Hello, Doctor Ko: My child is over 3 years old and after bowel movements, a piece of tissue protrudes from the anus but then retracts. The child has not complained of pain. Could this be a thrombosed hemorrhoid? Is this condition common in children? Does i...
Dr. Ke Fangxu reply Surgery
Acute thrombosed hemorrhoids are less common in children, and they often present as anal fissures. If bowel movements take a long time and require straining, there is indeed a possibility of developing this condition. Topical treatments may gradually improve the situation, typica...[Read More] Understanding Pediatric Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Hard Skin Around Surgical Wounds After Fistula Surgery
The wound after fistula surgery has surrounding skin that is very firm? Hello, Doctor. I had a fistula surgery a month ago, and I currently have four wounds, one of which has not healed yet. Is this normal? Additionally, I would like to ask about the surrounding skin of the wound...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a rather complex surgery, likely involving a complicated fistula procedure. Due to the extensive debridement required, the postoperative recovery may be slower. During the healing process, scar tissue will form, which is why it feels firm to t...[Read More] Understanding Hard Skin Around Surgical Wounds After Fistula Surgery
Understanding Recurrence of External Hemorrhoids After Surgery
Post-hemorrhoid surgery Hello Dr. Ke, I would like to ask you about my situation. Three days after undergoing an external hemorrhoid excision in the outpatient clinic, I developed a thrombosed external hemorrhoid at the same location. I have been taking sitz baths, avoiding strai...
Dr. Ke Fangxu reply Surgery
Outpatient thrombectomy does have a chance of recurrence because it is not a complete hemorrhoidectomy. If there are still post-operative bowel issues (such as constipation, diarrhea, or prolonged straining during bowel movements), the likelihood of recurrence increases. In such ...[Read More] Understanding Recurrence of External Hemorrhoids After Surgery
Understanding Rectal Bleeding: Insights for Patients with Cerebral Palsy
Regarding rectal bleeding? Due to my cerebral palsy and being wheelchair-bound, I am unable to exercise regularly. I mentioned previously that my bowel habits began to change when I was 13 years old, and I often experience blood in my stool along with mucus. I also find myself pa...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 24 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 potential...[Read More] Understanding Rectal Bleeding: Insights for Patients with Cerebral Palsy
Post-Fistula Surgery: Understanding Recurrence and Symptoms
Post-fistula surgery Hello, doctor. I had a fistula surgery six years ago, but recently while showering, I noticed a deeper, tubular structure beneath the scar of the fistula (which I hadn't noticed before). Could this indicate a recurrence? I usually don't experience p...
Dr. Ke Fangxu reply Surgery
If there is a recurrence, a physician should be consulted for evaluation, as it could also be scar tissue. If there is no redness, swelling, heat, or pain, it may be appropriate to continue observation; otherwise, a follow-up examination with a physician is necessary.[Read More] Post-Fistula Surgery: Understanding Recurrence and Symptoms
Post-Surgery Care Tips for Anal Fistula: Managing Discharge and Healing
Post-anal fistula surgery Hello Dr. Ke, this is my fourth anal fistula incision and drainage surgery. The previous three surgeries failed due to rapid healing, as the external wound was treated with medication, leading to false healing. This time, I will not apply any medication ...
Dr. Ke Fangxu reply Surgery
Complex fistulas are prone to recurrence. Whether this is a recurrence will need to be observed for a period of time. If complete healing occurs, there will be no more discharge. Therefore, it is generally recommended to take sitz baths until there is no discharge. Sitz baths wit...[Read More] Post-Surgery Care Tips for Anal Fistula: Managing Discharge and Healing
Orange-Red Water Near Stool: Is It a Sign of Bleeding?
There is orange-red liquid near the stool? Hello Doctor, I occasionally notice orange-red water next to my stool after using the bathroom. I would like to ask if this could be a sign of bleeding? This happened once today (I ate some carrot pieces last night), and a few weeks ago ...
Dr. Ke Fangxu reply Surgery
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 contributing factor. It is advisable to temporarily avoid dark-colored foods. If the issue persists, a consultation with a...[Read More] Orange-Red Water Near Stool: Is It a Sign of Bleeding?
Understanding Anal Polyps: Surgical Options and Concerns for Patients
Rectal polyps Hello Doctor: I often suffer from hemorrhoids, and when I visited the hospital, the doctor said that what I have is not hemorrhoids but anal polyps (currently, I experience sharp pain during bowel movements, accompanied by bleeding symptoms, which have recurred over...
Dr. Ke Fangxu reply Surgery
Anal pain accompanied by bleeding is more indicative of anal fissures. Anal fissures can be associated with polyps, while simple anal polyps are a separate issue and are not related to anal fissures. So, which type does your anal polyp belong to? If it is the former, then the ana...[Read More] Understanding Anal Polyps: Surgical Options and Concerns for Patients
Post-Surgery Concerns: Open Wound After Hemorrhoid Surgery
More than a week after hemorrhoid surgery, the stitches have come loose and the wound is open? Hello Doctor, I underwent surgery for internal and external hemorrhoids a little over a week ago. During my follow-up appointment yesterday, the doctor informed me that the wound was he...
Dr. Ke Fangxu reply Surgery
Hemorrhoid surgery is typically performed using absorbable sutures, so there is no need for suture removal. If the absorbable sutures dissolve and fall out, there is no need for concern as this is a normal occurrence. However, if the surgeon used non-absorbable sutures for specif...[Read More] Post-Surgery Concerns: Open Wound After Hemorrhoid Surgery
Understanding External Hemorrhoids: Symptoms, Causes, and Treatment
Thrombosed external hemorrhoid? Hello, doctor. Recently, I've been having bowel movements every day, but they are often not smooth. I frequently pass very hard stools, which require me to hold my breath and push forcefully to get them out. This has been going on for about fo...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a typical symptom of an anal fissure accompanied by a small skin tag, characterized by pain during bowel movements along with slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The common causes are often rel...[Read More] Understanding External Hemorrhoids: Symptoms, Causes, and Treatment
Understanding External Hemorrhoids: Symptoms, Causes, and Treatment Options
Thrombosed external hemorrhoid (with image) Hello, Dr. Ke! I apologize for asking again due to the image issue, and I appreciate your willingness to take the time to respond. Recently, I have been having daily bowel movements, but they are often not smooth. I frequently pass very...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a typical symptom of an anal fissure accompanied by a small tag of skin. The hallmark symptoms include pain during bowel movements and slight bleeding, with the pain often lasting several days or even more than a week. The common causes are us...[Read More] Understanding External Hemorrhoids: Symptoms, Causes, and Treatment Options
Understanding Anal Fissures: Symptoms, Treatment, and Recovery Tips
Anal fissure with painful bowel movements and blood? A month ago, I experienced several days of diarrhea. At first, it wasn't a big deal, but then I developed small tears around the anus, which became very itchy and affected my sleep. After the diarrhea stopped, I had normal...
Dr. Ke Fangxu reply Surgery
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often related to constipation or diarrhea. The fundamental treatment involves address...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Recovery Tips