Post-Surgery Pain Management: Understanding Complications and Next Steps
Postoperative wound pain Hello, Dr. Ke. I discovered a hard lump about the size of a fingertip at the anal opening in May-June. I don't feel it while walking, but there is an inflammatory pain when I press on it. It feels deep, has not developed pus, and has not opened up. I...
Dr. Ke Fangxu reply Surgery
If it is a fistula incision surgery, the wound will take about a month to heal. Based on your description, it seems that the wound is not sutured. If the wound is close to the anal area, it is recommended to take warm sitz baths and monitor the wound for a month to see if it heal...[Read More] Post-Surgery Pain Management: Understanding Complications and Next Steps
Understanding Constipation: Causes, Symptoms, and Solutions
Constipation Hello, doctor: I have a question. I often experience a lack of bowel movement and sometimes hold it in for 5 to 6 days before having a bowel movement. After I do go, I feel a sharp pain in my anus, but it usually subsides after a few hours. Last night around 9 PM, af...
Dr. Ke Fangxu reply Surgery
Holding in the urge to defecate for extended periods can lead to anal fissures due to the continuous contraction of the sphincter muscles. It is important for young children to develop good bowel habits. It is recommended to respond to the urge to defecate promptly and to consume...[Read More] Understanding Constipation: Causes, Symptoms, and Solutions
Understanding Anal Pain: Common Concerns and Care Tips
Anal issues Director Ke: I apologize for asking a second question. May I ask: 1. Is it normal to experience pain when straining during bowel movements? 2. How can I tell when the anal area has completely healed after a bowel movement? 3. Is it normal to feel a stinging pain when ...
Dr. Ke Fangxu reply Surgery
1. Yes. 2. If there is a wound, it is advisable to have a physician examine it to determine the condition; if there is no pain during bowel movements, it is generally considered that the wound has healed. 3. It could be an anal fissure. 4. It could be internal hemorrhoids. 5. It ...[Read More] Understanding Anal Pain: Common Concerns and Care Tips
Can I Get Vaccinated While Taking Antibiotics for a Fistula?
Can I receive a vaccine while taking antibiotics for the treatment of a fistula? Hello, Dr. Ke! I am currently taking antibiotics to treat an abscess related to a fistula. Is it safe for me to receive the COVID-19 vaccine?
Dr. Ke Fangxu reply Surgery
Sure.[Read More] Can I Get Vaccinated While Taking Antibiotics for a Fistula?
Understanding Recurrence of Thrombosed External Hemorrhoids
Recurrent thrombosed external hemorrhoids issue? Hello Doctor: I previously had a thrombosed hemorrhoid issue, which had healed. Recently, after using the restroom, I noticed two protrusions near the anus that seem to indicate a recurrence of the thrombosis, and they become more ...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a small thrombosed hemorrhoid. If there is no pain or discomfort, there is no need to be overly concerned; it will gradually resolve on its own over time.[Read More] Understanding Recurrence of Thrombosed External Hemorrhoids
Understanding Postoperative Pain After Minimally Invasive Hemorrhoid Surgery
Postoperative Care for Minimally Invasive Hemorrhoid Surgery Hello Dr. Ke, I am a patient with grade IV hemorrhoids with internal and mixed hemorrhoids (three locations). It has been 27 days since I underwent minimally invasive surgery. I have normal bowel movements twice a day w...
Dr. Ke Fangxu reply Surgery
There are various methods for minimally invasive hemorrhoid surgery available in the market. Without specific information about the instruments and techniques used, it is difficult to provide an answer. Traditional surgery typically results in pain subsiding after about two weeks...[Read More] Understanding Postoperative Pain After Minimally Invasive Hemorrhoid Surgery
Understanding Tetanus Risks and Wound Care After Injury
Questions about tetanus infection? Hello, Doctor. Last night, while returning home from my parents' house, I was hit on my hands and feet by the main entrance door (made of iron, unsure about the rust condition). It was quite dark at the time, so I didn't see the wounds...
Dr. Ke Fangxu reply Surgery
1. Yes 2. Yes 3. The incubation period is generally considered to be 3-21 days. 4. The antibacterial efficacy of hydrogen peroxide does decrease after its expiration date; however, your wound no longer requires special treatment. 5. Yes[Read More] Understanding Tetanus Risks and Wound Care After Injury
Understanding Umbilical Discharge: When to Seek Medical Attention
Suspected inflammation of the navel? Hello, Doctor. Recently, I have noticed that my navel often has serous fluid oozing out, which dries up to form yellow crystalline structures and has an unpleasant odor. Besides this, there is no pain or itching, and I have no other symptoms. ...
Dr. Ke Fangxu reply Surgery
1. Generally, there is more inflammation of the epidermis, although there are rare cases of urachus inflammation. However, a detailed examination is necessary for diagnosis. 2. If there is no redness, swelling, heat, pain, or rapid spread, then it is sufficient to maintain clea...[Read More] Understanding Umbilical Discharge: When to Seek Medical Attention
Post-Hemorrhoid Surgery: Managing Pain and Bleeding After 40 Days
Post-hemorrhoid surgery Hello Doctor, I have completed my hemorrhoid surgery 40 days ago. I have a bowel movement once a day. I have a few questions: 1. I am experiencing pain when I urgently need to have a bowel movement, and the pain persists during the process, to the point wh...
Dr. Ke Fangxu reply Surgery
1. Circular resection is theoretically painless; however, if the resection site is closer to the anal opening, there may be pain as a complication. 2. Some patients may experience bleeding after circular resection; it is recommended to consult a physician for medication. If the...[Read More] Post-Hemorrhoid Surgery: Managing Pain and Bleeding After 40 Days
20 Days Post-Anal Fistula Surgery: Concerns and Recovery Insights
20 days post anal fistula surgery? Hello doctor, I would like to ask about my anal fistula surgery which was 20 days ago. The wound near my anus hurts a bit after bowel movements, but taking a sitz bath immediately alleviates the pain. After the surgery, there is a 10 cm sutured ...
Dr. Ke Fangxu reply Surgery
Without a personal examination, it is difficult to make a judgment. If the surgeon feels the same way, then the likelihood of recurrence is quite high. If you are still concerned, you may consider seeking a second opinion from another physician.[Read More] 20 Days Post-Anal Fistula Surgery: Concerns and Recovery Insights
Orange Discoloration Around Stool: Is It a Sign of Blood?
The water surrounding the stool appears orange? Sometimes after bowel movements, there is a slight orange discoloration in the water surrounding the stool. I am unsure if this is a sign of superficial blood in the stool. Thank you, doctor.
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Taking vitamin B complex can also be a contributing factor. It is advisable to temporarily avoid dark-colored foods and monitor the situation.[Read More] Orange Discoloration Around Stool: Is It a Sign of Blood?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I previously had issues with blood in my stool and consulted a doctor, who performed a visual examination and found nothing wrong. After taking medication, the problem resolved. However, today I noticed blood again; the length and color of the stool are normal, bu...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 17 can be considered negligible. Based on your description, it seems more indicative of an anal fissure, which typically presents with pain during bowel movements accompanied by slight bleeding. The common causes are of...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Sudden Rectal Growths: Symptoms and Treatment Options
Anal foreign body Hello, three days ago, I suddenly developed a red protrusion near my anus (very noticeable), extending about one centimeter towards the penis. It does not affect my bowel movements, and I only feel pain when I touch it, which feels like a sore. Additionally, it ...
Dr. Ke Fangxu reply Surgery
What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you may have...[Read More] Understanding Sudden Rectal Growths: Symptoms and Treatment Options
Understanding Unusual Bowel Movements: What You Need to Know
Strange conditions I have a question for the doctor and hope to get some clarification. I'm not quite sure how likely it is for stool to pass without any sensation. This concern arose a few days ago when I went to the bathroom in the morning, wiped myself, and confirmed that...
Dr. Ke Fangxu reply Surgery
Indeed, this phenomenon can occasionally occur, particularly when the stool is softer. As long as there are no episodes of incontinence, it is not a concern. However, if such episodes do occur, it is advisable to consult a physician to examine whether there are any issues with an...[Read More] Understanding Unusual Bowel Movements: What You Need to Know
Understanding Painful Bowel Movements Without Bleeding: Causes and Solutions
Pain in the anus during bowel movements without bleeding? Hello, Dr. Ke. Recently, I've been experiencing pain in my anal area when having a bowel movement, which feels like a sharp pain. I believe it’s due to hard stools, but there has been no bleeding. My last bowel moveme...
Dr. Ke Fangxu reply Surgery
1. This condition is more akin to anal fissures. 2. The fundamental treatment is to improve bowel movement issues along with warm sitz baths. Warm sitz baths can help alleviate pain, maintain cleanliness, and promote blood circulation. Over-the-counter hemorrhoid suppositories ...[Read More] Understanding Painful Bowel Movements Without Bleeding: Causes and Solutions
Understanding Anal Fistula: Symptoms, Recovery, and Treatment Insights
Anal fistula case: 170627 Hello, doctor. I saw your response and would like to ask a few more questions. My wound looks like this: https://ibb.co/GcJhK59. Today, I did not experience pain during bowel movements; however, I felt a slight pain when the stool touched the area of the...
Dr. Ke Fangxu reply Surgery
1. A check-up is necessary to confirm, but there seems to be improvement. 2. Therefore, it is not necessarily a recurrence. 3. The fistula surgery inherently carries a risk of recurrence. 4. Yes. 5. Yes.[Read More] Understanding Anal Fistula: Symptoms, Recovery, and Treatment Insights
Can I Remove an External Hemorrhoid Under Local Anesthesia?
I would like to have an external mole excised? Hello Dr. Ke: I would like to ask about a thrombosed external hemorrhoid I had previously. The thrombosis has resolved, but now there is a residual external tag remaining after one month. Can Dr. Ke remove it under local anesthesia i...
Dr. Ke Fangxu reply Surgery
If the external hemorrhoid tissue left after the resolution of a thrombosed external hemorrhoid is generally small and rarely causes pain or bleeding, I personally do not recommend performing a surgical excision, as it may not be very meaningful. If one wishes to have it excised ...[Read More] Can I Remove an External Hemorrhoid Under Local Anesthesia?
Understanding and Managing Anal Fissures: A Comprehensive Guide
Anal fissure issues? Hello Doctor, I am <a href="https://adoctor.tw/article/170639">#170639</a>. I am attaching images of the abrasion here: https://ppt.cc/fv3Jyx https://ppt.cc/fgZesx.
Dr. Ke Fangxu reply Surgery
Not every case of anal skin breakdown indicates an anal fissure. It is important to check both sides for any other lesions. If there are no palpable masses or signs of redness, swelling, or pain, you can continue to observe the condition. Otherwise, it is advisable to consult a p...[Read More] Understanding and Managing Anal Fissures: A Comprehensive Guide
Managing Prolapsed Hemorrhoids: When to Push Back and Treatment Options
Should prolapsed internal hemorrhoids be pushed back in? Is it possible to reduce swelling through conservative treatment? Hello Dr. Ke, I have had constipation issues since I was young. About ten years ago, due to high stress, I developed hemorrhoids and have had grade III hemor...
Dr. Ke Fangxu reply Surgery
1. Personally, I do not recommend pushing acute hemorrhoids back in, as it can be more painful than leaving them out. Therefore, if the condition is not severe, medication treatment should be used. If it is indeed very severe, surgical intervention may be necessary. 2. Since I ...[Read More] Managing Prolapsed Hemorrhoids: When to Push Back and Treatment Options
Understanding Umbilical Discharge: When to Seek Medical Attention
Suspected umbilical inflammation? Hello, Doctor. Recently, I have noticed that there is often serous fluid oozing from my navel, which dries up to form yellow crystalline structures and has an unpleasant odor. Aside from this, there is no pain or itching, and I have no other symp...
Dr. Ke Fangxu reply Surgery
1. Generally, there are more cases of epidermal inflammation, although there are rare instances of urachal inflammation; however, a detailed examination is necessary for diagnosis. 2. If there is no redness, swelling, heat, pain, or rapid spreading, then it is sufficient to maint...[Read More] Understanding Umbilical Discharge: When to Seek Medical Attention