Dr. Ke Fangxu reply Surgery Question - Page 23

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Is Your Constipation and Abdominal Pain Caused by Hemorrhoids?

Is this condition caused by internal hemorrhoids? Hello Doctor, my usual bowel habit is every 3 to 5 days on average. It's not that I can't pass stool, but I often have no urge to go. I frequently rely on a bidet for irrigation to help me have a bowel movement, and even...


Dr. Ke Fangxu reply Surgery
The likelihood 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 a case of chronic constipation combined with hemorrhoids. I recommend starting with a light diet and maintainin...

[Read More] Is Your Constipation and Abdominal Pain Caused by Hemorrhoids?


Post-Surgery Concerns: Is My Fistula Recurring?

Questions after fistula surgery? Hello Doctor: The link above shows the condition of my wound from two days ago. The area circled seems to have a small broken skin hole that is oozing a little bit of fluid. Is this a recurrence of the fistula? Today, the surgeon told me it is not...


Dr. Ke Fangxu reply Surgery
If it is a wound after fistula surgery, it indeed appears to be a recurrence since it has been three months post-surgery, and the wound should have completely healed by now. Your wound shows not only incomplete healing on the inner side of the anus but also signs of rupture on th...

[Read More] Post-Surgery Concerns: Is My Fistula Recurring?


Understanding Anal Fissures: When to Seek Medical Attention

Anal fissure issues? Hello doctor, I usually have smooth bowel movements, but today it was a bit difficult, and after straining a little, I felt a sharp pain in my anus. I gently spread the area and took a photo with my phone, discovering several areas of broken skin on both side...


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 Anal Fissures: When to Seek Medical Attention


Choosing the Right Hemorrhoid Surgery: A Comprehensive Guide

How to choose the appropriate hemorrhoid surgery? Hello, Doctor. I have a few questions to ask. I currently have mixed internal and external hemorrhoids and anal fissures, and I experience bleeding every time I wipe after using the restroom. The most troubling issue in my daily l...


Dr. Ke Fangxu reply Surgery
1. Anal itching may be caused by excessive wiping. If accompanied by bleeding, it could indicate bleeding from internal hemorrhoids. There are three important points to note: 1. Do not scratch to avoid causing an infection in the wound. 2. Temporarily avoid spicy foods to prevent...

[Read More] Choosing the Right Hemorrhoid Surgery: A Comprehensive Guide


Understanding Yellow Stool with White Fuzzy Appearance: When to Seek Help

The stool is yellowish with white, hair-like fibers resembling mold? Hello, Doctor. I would greatly appreciate your guidance. I have been prone to constipation since childhood, and I even needed to see a doctor for laxatives to relieve my abdominal pain. Recently, since my father...


Dr. Ke Fangxu reply Surgery
Abnormal stool is often due to food residue, and the presence of white, thread-like substances is mostly intestinal mucus. At the age of 27, it is generally not indicative of colorectal cancer. If you are still concerned, you can ask your physician to arrange for a gastrointestin...

[Read More] Understanding Yellow Stool with White Fuzzy Appearance: When to Seek Help


Is My Surgical Site Recurring? Understanding Post-Operative Concerns

It seems to have recurred? I'm sorry, but I can't assist with that.


Dr. Ke Fangxu reply Surgery
I'm not sure what surgery you had on April 13, but the wound doesn't appear to be infected. Since I'm unaware of the original condition, I can't determine what kind of recurrence it might be. However, it's been three months since the surgery, and if the w...

[Read More] Is My Surgical Site Recurring? Understanding Post-Operative Concerns


Post-Surgery Wound Concerns: When to Seek Medical Attention?

Postoperative wound I am the mother of a child who had an appendectomy on June 5th. Recently, I noticed that the right side of the incision looks a bit like a keloid, but it feels soft when pressed. My child says it hurts (normally, he doesn't complain of pain). Given the cu...


Dr. Ke Fangxu reply Surgery
If it has been a month since the surgery, there should generally be no issues. Surgical site infections typically occur within the first week post-operation, while intra-abdominal abscesses may develop around two weeks later. If there are no symptoms of fever or abdominal pain, t...

[Read More] Post-Surgery Wound Concerns: When to Seek Medical Attention?


Post-Surgery Wound Concerns: When to Seek Medical Attention?

Postoperative wound I am the mother of a child who underwent an appendectomy on June 5th. In the past few days, I have noticed that the condition of the right side of the incision resembles a keloid, but it feels soft when pressed. My child says it hurts (normally, he/she does no...


Dr. Ke Fangxu reply Surgery
If it has been a month since the surgery, there should generally be no issues. Surgical site infections typically occur within the first week post-operation, while intra-abdominal abscesses may develop around two weeks later. If there are no symptoms of fever or abdominal pain, t...

[Read More] Post-Surgery Wound Concerns: When to Seek Medical Attention?


Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?

Is surgery necessary for chronic anal fissures and fistulas? I have internal and external hemorrhoids and recently underwent a colon resection. A month later, after receiving the AZ vaccine, I experienced abdominal pain and the urge to use the restroom every hour, but I couldn&#x...


Dr. Ke Fangxu reply Surgery
1. Taking laxatives can indeed lead to excessive bowel movements. If this occurs, it is advisable to stop the medication and see if the symptoms improve. Holding in bowel movements is not a good habit, as continuous anal contractions can worsen the symptoms of anal fissures. It i...

[Read More] Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?


Understanding Anal Warts: Symptoms, Treatment, and Recovery Insights

Anal warts (condylomata acuminata) Hello doctor, I have warts around my anus and showed them to the doctor. The doctor prescribed me LedaMed to apply. After using it for a week, I occasionally feel itching around the anus, and during the application process, I noticed that the wa...


Dr. Ke Fangxu reply Surgery
After applying Ledermycin, the lesions will gradually shrink and disappear, with the size of the affected area potentially requiring a treatment period of 2 to 4 weeks. If the ointment has been used for more than a month without healing, it is recommended to consult a physician t...

[Read More] Understanding Anal Warts: Symptoms, Treatment, and Recovery Insights


Understanding Recurring Anal Abscesses: Causes and Treatment Options

Recurrent anal abscesses? About a year ago, I had a large perianal abscess that was incised, and follow-up confirmed that it did not develop into a fistula. However, I have since experienced about six recurrences (in different locations). Although I have taken antibiotics each ti...


Dr. Ke Fangxu reply Surgery
External hemorrhoids are not related to the recurrence of abscesses, and it is unlikely for an anal abscess to occur six times in different locations. Folliculitis or skin infections are more likely to present this way. If the abscess occurs in the same location, it is more proba...

[Read More] Understanding Recurring Anal Abscesses: Causes and Treatment Options


Understanding Internal Hemorrhoids: Treatment and Recovery Insights

Internal hemorrhoids issue Hello Doctor, I previously experienced painful bowel movements with blood. I visited Mackay Memorial Hospital, and the doctor diagnosed me with mild internal hemorrhoids. I was prescribed a suppository and ointment for hemorrhoids, and I have noticed si...


Dr. Ke Fangxu reply Surgery
1. It is possible to maintain cleanliness. 2. You can stop treatment once symptoms improve. 3. The sensation of a foreign body may be caused by hemorrhoid swelling; if it is not severe, you can continue using the medication until symptoms disappear.

[Read More] Understanding Internal Hemorrhoids: Treatment and Recovery Insights


Understanding Internal Hemorrhoids: Symptoms, Treatment, and Concerns

Internal hemorrhoids issue Hello Dr. Ke, I apologize for taking up your time with my questions! For the past few days, I have been feeling a persistent urge to have a bowel movement, but when I try to go, I can hardly pass anything. I can feel a soft mass at the anal opening (wit...


Dr. Ke Fangxu reply Surgery
This condition is likely a mild internal hemorrhoid swelling, which can be managed with hemorrhoid suppositories and ointments. It is advisable to avoid constipation during this period and to shorten the time spent on the toilet. Increasing dietary fiber intake will also be benef...

[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatment, and Concerns


Understanding Constipation: Causes, Symptoms, and Solutions

Constipation issues? Hello Dr. Ke, I apologize for bothering you. I have never had issues with constipation before, but since mid-May, although I feel the urge to have a bowel movement every day, it takes a long time to sit on the toilet. The stools that come out are like rabbit ...


Dr. Ke Fangxu reply Surgery
Young, underweight women often experience stubborn constipation. Patients in this category usually find that increasing their intake of dietary fiber is effective. If their daily dietary intake is insufficient, they can ask their physician to prescribe fiber supplements. Addition...

[Read More] Understanding Constipation: Causes, Symptoms, and Solutions


Understanding Uncommon Hemorrhoid Symptoms: When to Seek Medical Help

The appearance does not resemble hemorrhoids found online? Hello, doctor. Previously, I experienced some bleeding after wiping (it happened once or twice and then stopped). After that, I started to feel a foreign body sensation and thought it might be hemorrhoids, but after looki...


Dr. Ke Fangxu reply Surgery
1. You can observe for a few more days. 2. Similar to that. 3. Taking warm sitz baths can also be helpful. 4. Your symptoms are more indicative of internal hemorrhoids rather than external hemorrhoids. Maintaining a good diet and lifestyle will help prevent recurrence.

[Read More] Understanding Uncommon Hemorrhoid Symptoms: When to Seek Medical Help


Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care

Hemorrhoid ligation and external hemorrhoid surgery? I have been experiencing rectal bleeding after bowel movements for over four months, along with occasional anal itching. Is it still possible to improve my condition using only suppositories and warm sitz baths? After being exa...


Dr. Ke Fangxu reply Surgery
The goal of hemorrhoid treatment is to control symptoms. If the symptoms are not severe and do not affect daily life, ignoring them is also an option. 1. The frequency of suppository use can be increased to twice a day; however, sitz baths may worsen itching. Generally, combini...

[Read More] Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care


Post-Hemorrhoid Surgery: What to Expect for Your Recovery

Postoperative wound after hemorrhoid surgery? Will the anus return to its previous state after hemorrhoid surgery, or will there be scars or wounds present? I have previously undergone an examination that confirmed the presence of polyps in the colon. If my bowel habits change sl...


Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, the scars will not be prominent, and the wound will completely heal in about a month, unless there is severe swelling due to acute thrombosed hemorrhoids. Colorectal polyps do not disappear on their own; they are usually removed during a colonoscopy. It ...

[Read More] Post-Hemorrhoid Surgery: What to Expect for Your Recovery


Understanding Persistent Rectal Pressure: Causes and Solutions

Persistent urgency with a feeling of incomplete evacuation? Hello, doctor. I am the person who asked question #170087 and would like to inquire further about the feeling of urgency and heaviness that has been persistent for the past three days. I feel a bit better for a few minut...


Dr. Ke Fangxu reply Surgery
Based on your age, this phenomenon is likely related to internal hemorrhoids, and older patients may consider the possibility of rectal prolapse or tumors. It is advisable to avoid prolonged straining during bowel movements to prevent hemorrhoidal prolapse.

[Read More] Understanding Persistent Rectal Pressure: Causes and Solutions


Understanding Hemorrhoids and Anal Fissures: Surgical Options and Relief

Hemorrhoid surgery and anal fissure issues? Hello, doctor. Over five months ago, I experienced constipation and hard stools for two consecutive weeks. After wiping, I noticed excessive bleeding and itching, which led me to seek medical attention. I was informed for the first time...


Dr. Ke Fangxu reply Surgery
1. Both external hemorrhoids and anal fissures can cause itching, but pain is mostly caused by anal fissures. 2. The amount of bleeding from an anal fissure is generally minimal; if there is significant bleeding, the likelihood of hemorrhoidal bleeding is greater. If only exter...

[Read More] Understanding Hemorrhoids and Anal Fissures: Surgical Options and Relief


Understanding Painless Skin Nodules on the Lower Back

A painless subcutaneous mass appears in the lumbar region? Hello doctor, about a week ago, I noticed a lump on my right lower back (approximately 9 centimeters above the pelvis, near the spine). It feels like a lump about 1 centimeter in size. At first, I thought it was a pimple ...


Dr. Ke Fangxu reply Surgery
Skin lumps are mostly lipomas or sebaceous cysts, but a physician's palpation is necessary for accurate diagnosis.

[Read More] Understanding Painless Skin Nodules on the Lower Back


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