Post-Drainage Care for Anal Abscess: What to Expect and Do
Issues After Drainage of Anal Abscess Hello, Doctor. I have pain and swelling above the anal opening. The doctor diagnosed me with an "anal abscess" and administered a painkiller and drained the pus. It has been over five hours, and I feel much better than before the dr...
Dr. Ke Fangxu reply Surgery
Since I cannot see your lesion, I cannot determine whether it is more severe. However, if hospitalization and surgery are not required, it is likely not too serious. After surgery, taking warm sitz baths can help with wound healing and abscess drainage. As for the formation of a ...[Read More] Post-Drainage Care for Anal Abscess: What to Expect and Do
Injury to the Big Toe: Bruising, Pain, and Treatment Options
Bruised and swollen toe? A few days ago, I accidentally stubbed my toe against a wall while practicing, and my shoes were also ill-fitting. As a result, my big toe is completely bruised, and there are bruises on the skin next to the nail. It hurts from time to time, and it even h...
Dr. Ke Fangxu reply Surgery
If there is subungual hematoma caused by trauma without pain or swelling, it is acceptable not to remove the toenail. If there is swelling but no infection, simple aspiration and drainage are sufficient. However, if there are signs of infection such as redness, swelling, and heat...[Read More] Injury to the Big Toe: Bruising, Pain, and Treatment Options
Could Your Recent Digestive Issues Indicate Colon Cancer?
Could it be colon cancer? I have been experiencing diarrhea recently. After eating, I suddenly get stomach pain and have to rush to the bathroom. When I'm not having diarrhea, my stools are very thin. This has been going on for two to three weeks, and I'm worried it mig...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 32 is not zero, it is generally considered to be 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. S...[Read More] Could Your Recent Digestive Issues Indicate Colon Cancer?
Understanding a 0.5 cm Anal Mucosal Lump: When to Seek Medical Advice
A mass approximately 0.5 centimeters in size located on the anal mucosa? Hello Doctor, about four days ago while taking a shower, I noticed a foreign sensation in my anus. Upon examination with my finger, I discovered a round mass approximately 0.5 centimeters in size. It is not ...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a small thrombosed hemorrhoid. A definitive diagnosis requires a physical examination. If there is no bleeding or pain, it may be advisable to monitor the situation. However, if there are any concerns, it is best to consult a physician for an ...[Read More] Understanding a 0.5 cm Anal Mucosal Lump: When to Seek Medical Advice
Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding Hello Dr. Ke, I am a worker who has been living a long-term night shift lifestyle. Recently, I have noticed that after bowel movements, the amount of blood when wiping with toilet paper has been increasing. About half a month ago, there was just a small amount of ...
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: When to Seek Medical Attention
Post-Hemorrhoid Surgery: Dealing with Granulation Tissue and Itching
Granulation tissue formation six months after hemorrhoid surgery? Hello Dr. Ke, I had surgery for anal fissures and hemorrhoids six months ago. Recently, I noticed a few small granulation tissue growths on the hemorrhoidal tags. I'm unsure if they require special treatment o...
Dr. Ke Fangxu reply Surgery
If the granulation tissue is not causing discomfort or bleeding, it can generally be ignored. Anal itching may be due to excessive wiping. There are three important things to pay attention to: 1. Do not scratch to avoid causing a wound infection. 2. Temporarily avoid consuming sp...[Read More] Post-Hemorrhoid Surgery: Dealing with Granulation Tissue and Itching
Understanding Internal Hemorrhoids: When to Seek Treatment
Internal mole ligation Hello, doctor. I have two internal hemorrhoids that often cause significant bleeding during bowel movements, which can last for several months at a time. After each bleeding episode, there is a period of no bleeding. I previously consulted a colorectal surg...
Dr. Ke Fangxu reply Surgery
Hemorrhoid ligation does not necessarily need to be performed during active bleeding; however, it is easier to observe the bleeding point and assess treatment efficacy when bleeding is present. If there is no bleeding, ligating the larger internal hemorrhoids can also be an effec...[Read More] Understanding Internal Hemorrhoids: When to Seek Treatment
Understanding Albumin Use and Fungal Infections in Elderly Patients
Medication Use / Fungal Infection 1. Under what circumstances is it necessary to administer human albumin? 2. My mother, who is 90 years old, was hospitalized due to a preliminary diagnosis of thrombosis in her left calf (with a temperature of 37.6 degrees Celsius). After being ...
Dr. Ke Fangxu reply Surgery
1. Albumin is typically used when a patient has low albumin levels. The indications covered by health insurance include burns, shock, pulmonary edema, renal failure, liver cirrhosis, and liver transplantation. Occasionally, surgeons may recommend its use for malnourished surgical...[Read More] Understanding Albumin Use and Fungal Infections in Elderly Patients
Should You Consider Surgery for Anal Fistula? Expert Insights
Should I undergo surgery for an anal fistula? Dr. Ke: Hello! The physician at the outpatient clinic told me I have an anal fistula. Initially, it resolved after a week of antibiotics, but after some time, it became swollen again. I went back to see the doctor, who said that surge...
Dr. Ke Fangxu reply Surgery
An anal fistula does not necessarily need to be surgically treated only during an acute infection; in fact, surgery may result in a quicker recovery when there is no infection present. If the previous diagnosis is confirmed to be accurate, surgery can be performed at this time.[Read More] Should You Consider Surgery for Anal Fistula? Expert Insights
Post-Hemorrhoid Surgery: Understanding Symptoms and Concerns
Symptoms after infrared surgery for hemorrhoids? I have undergone hemorrhoid surgery twice. 1. During sitz baths, I can feel three lumps (I'm not sure if they are hemorrhoids), as the doctor has been avoiding my questions. 2. After the treatment, there is a small flesh-like ...
Dr. Ke Fangxu reply Surgery
It could be postoperative skin tags or residual external hemorrhoids; if there is no pain or bleeding, they can be disregarded.[Read More] Post-Hemorrhoid Surgery: Understanding Symptoms and Concerns
Understanding Bowel Issues: Could They Indicate Colon Cancer?
Bowel issues Hello doctor, I am 25 years old and have been experiencing long-term issues with irregular bowel movements (about 1-2 times every 2-3 days). I previously noticed a growth near my anus that resembles a hemorrhoid, but it was not painful. Recently, another one has appe...
Dr. Ke Fangxu reply Surgery
The probability of developing colorectal cancer at the age of 25 is not zero, but generally speaking, it is very, very 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. Sp...[Read More] Understanding Bowel Issues: Could They Indicate Colon Cancer?
Understanding Rubber Band Ligation for Mixed Hemorrhoids: Pain Management and Care
Rubber band ligation for mixed hemorrhoids? I just had an examination at the hospital, and the doctor said I have a mixed hemorrhoid. He mentioned that it can be treated with a rubber band ligation. After the procedure, I didn't feel much, but once I got home, the pain incre...
Dr. Ke Fangxu reply Surgery
1. Yes, but it is generally recommended to ligate internal hemorrhoids rather than mixed hemorrhoids. 2. It is possible. 3. A water temperature of 42 degrees Celsius is too high; it is generally advised to keep it at 38 degrees. If the pain is unbearable, it is important to c...[Read More] Understanding Rubber Band Ligation for Mixed Hemorrhoids: Pain Management and Care
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure distress Hello, Doctor: I apologize for having so many questions, and I appreciate your help in answering them one by one. Thank you. I’ve read online that "constipation" leads to anal fissures, but I don’t have constipation! Just a few days ago, my bowel m...
Dr. Ke Fangxu reply Surgery
1. In addition to constipation, frequent loose stools can also be a cause of anal fissures. Furthermore, excessive contraction of the anal sphincter is another contributing factor. 2. It is important to have an adequate intake of dietary fiber; simply eating vegetables is not e...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Discovering a Hard Lump Near the Anus: Possible Causes and Concerns
Recently, I discovered a hard lump outside the anus while taking a shower? Recently, I discovered a small hard lump near my anus while taking a shower. It has a noticeable granular texture, feels hard to the touch, and is painful when touched. Could this possibly be a simple pimp...
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] Discovering a Hard Lump Near the Anus: Possible Causes and Concerns
Managing Internal Hemorrhoid Swelling: Creams vs. Suppositories
Internal hemorrhoid swelling Hello, Dr. Ke. I inquired about the swelling of internal hemorrhoids yesterday and would like to ask you another question. After seeing the doctor, I only received an ointment and was not provided with suppositories. However, based on your previous re...
Dr. Ke Fangxu reply Surgery
Both suppositories and ointments can be used. If the ointment is applied properly inside the anus, its effectiveness is similar to that of suppositories. If there are difficulties with the application of the ointment, using suppositories may be more convenient. The sensation of f...[Read More] Managing Internal Hemorrhoid Swelling: Creams vs. Suppositories
Understanding Nocturnal Fecal Incontinence: Causes and Solutions
Fecal incontinence Hello, Director. I would like to ask about a situation I've been experiencing for the past two years, where I have involuntary bowel movements during sleep, usually in the form of diarrhea. I don't experience abdominal pain, so I only realize I'v...
Dr. Ke Fangxu reply Surgery
At this age, such symptoms are usually caused by diarrhea. Increasing the intake of plant fiber and reducing dairy consumption should help. If there are issues with irritable bowel syndrome, using medication for a period of time may be more effective. If symptoms persist without ...[Read More] Understanding Nocturnal Fecal Incontinence: Causes and Solutions
Understanding Hemorrhoids: Managing Symptoms and Discomfort
Hemorrhoid issues Hello Doctor, thank you for taking the time to respond to my questions. Recently, I experienced slight bleeding during bowel movements and a persistent urge to use the restroom, so I consulted a doctor. The doctor diagnosed me with mild internal hemorrhoids and ...
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 major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritat...[Read More] Understanding Hemorrhoids: Managing Symptoms and Discomfort
Understanding Anal Fissures: Symptoms and Duration of Pain
Is it an anal fissure? Doctor, I have normal bowel movements every day, but two days ago I suddenly had to strain a lot to pass a stool. The next day, I began to feel a sharp, cutting pain in my anus, which has been persistently uncomfortable for two days now. Can an anal fissure...
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 pain usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Anal Fissures: Symptoms and Duration of Pain
Can Topical Creams Effectively Treat Mild Internal Hemorrhoid Swelling?
Internal hemorrhoid swelling Hello, Dr. Ke. I have been experiencing a persistent urge to have a bowel movement, so I consulted a doctor who diagnosed me with mild internal hemorrhoid swelling. The doctor mentioned that it is not severe and there is no bleeding, so they only pres...
Dr. Ke Fangxu reply Surgery
For mild internal hemorrhoids, using suppositories can be sufficient. However, to effectively address issues with bowel movements, it is recommended to improve bowel habits. During this period, it is advisable to avoid constipation and shorten the time spent on the toilet. Spicy ...[Read More] Can Topical Creams Effectively Treat Mild Internal Hemorrhoid Swelling?
Managing High-Complexity Fistulas: Challenges and Treatment Options
High-level complex fistula Hello Dr. Ke, I am a patient with a high complex fistula. I have undergone surgery at Chang Gung Memorial Hospital over a dozen times. A few days ago, an old wound became swollen and ruptured again, but there is no inflammation, just some fluid. The doc...
Dr. Ke Fangxu reply Surgery
High complex fistulas are challenging to manage due to their high recurrence rate and potential damage to the sphincter muscle. If the fistula is recurrent, the definitive treatment is to excise the fistula. For poorly healing wounds, there are many hydrogel products available th...[Read More] Managing High-Complexity Fistulas: Challenges and Treatment Options