Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Postoperative care for anal abscess? Hello, doctor. I underwent extensive drainage surgery for an anal abscess on August 13 of last year, which involved the entire left side of my buttocks. I continued to have follow-up appointments until November 19, when the surgeon said everyt...
Dr. Ke Fangxu reply Surgery
1. Is the discharge coming from the anus, an abscess, or the original surgical site? Each of these locations represents different implications, such as a skin infection or a possible anal fistula. 2. Has this been the case all along? Did it start after the surgery, or is it rel...[Read More] Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Is It an Anal Abscess? Symptoms and Treatment Explained
I would like to ask if it is an anal abscess? I would like to ask the doctor, about three days ago I started feeling swelling in my anus. At first, I thought it was hemorrhoids, and it hurts when I move or strain. Then, two days later, I noticed some yellow discharge. Could this ...
Dr. Ke Fangxu reply Surgery
What issues can lead to a correct diagnosis of anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts only through a personal examination by a physician? It is advisable to consult a doctor to avoid delays in treatment that could worsen the condition.[Read More] Is It an Anal Abscess? Symptoms and Treatment Explained
Post-Surgery Care for Anal Fistula: Medication Application Tips
Post-operative care for fistula includes applying medication? Hello, doctor. I had an anal fistula surgery at the clinic a week ago. During my follow-up visit today, the surgeon demonstrated how to apply the ointment evenly with my fingertip, inserting it about two fingers deep, ...
Dr. Ke Fangxu reply Surgery
Indeed, after fistula surgery, if the wound heals too quickly, there is a higher risk of recurrence. However, I personally did not apply pressure to the wound because it was too painful. Additionally, a wound that does not heal properly is also a concern. I recommend taking warm ...[Read More] Post-Surgery Care for Anal Fistula: Medication Application Tips
Understanding Hemorrhoids: Symptoms, Treatment, and When to See a Doctor
Hemorrhoid issues Hello, Doctor Ke: A few weeks ago, I felt something unusual with my anus while taking a shower and discovered a small lump connected to the skin outside. I suspected it might be an external hemorrhoid. After researching online, I tried warm sitz baths (using a h...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like an external hemorrhoid. A definitive diagnosis should be made by a physician. If there is no pain, bleeding, or continuous growth, it is currently advisable to observe the situation. Whether you are straining too much during bowel mov...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to See a Doctor
Understanding Bladder and Bowel Issues: When to Seek Further Evaluation
Colorectal issues Hello, doctor. I've been experiencing urinary issues for a long time, and a urologist diagnosed me with overactive bladder. My bladder doesn't feel very full, yet I can urinate about 300 cc. I've undergone tests, including a cystoscopy, and my pro...
Dr. Ke Fangxu reply Surgery
If you had a colonoscopy last November, then visiting a colorectal specialist now may not be very helpful. Colonic diverticula can be diagnosed with a colonoscopy, and if the doctor did not see any, then it means there are none. It's also less common to have this issue at yo...[Read More] Understanding Bladder and Bowel Issues: When to Seek Further Evaluation
Managing Hemorrhoids and Warts: Effective Treatment Strategies
Hemorrhoids and cauliflower issues? Recently, I visited a proctology clinic and was diagnosed with a grade III external hemorrhoid and genital warts. The doctor prescribed me to apply wart cream, while for the hemorrhoid issue, I was given suppositories and pain relief capsules. ...
Dr. Ke Fangxu reply Surgery
The area below the testicles is likely the location of the prostate, and an anal abscess could also be a possibility, as well as swollen internal hemorrhoids. It is essential to consult a physician for a definitive diagnosis. The application sites for imiquimod cream and topical ...[Read More] Managing Hemorrhoids and Warts: Effective Treatment Strategies
Understanding Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Recurrence of anal fistula? Hello doctor, I had anal fistula surgery in October 2016. After healing for a year, I started to feel a hard lump during my menstrual periods. When I returned to the doctor, he said to just take antibiotics. Then, last year, I felt a hard lump again al...
Dr. Ke Fangxu reply Surgery
If the symptoms have persisted for such a long time without improvement, then antibiotic treatment may only address the symptoms rather than the underlying issue. If the symptoms are not severe, it may be advisable to wait until the pandemic subsides before seeking medical attent...[Read More] Understanding Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Understanding Rubber Band Ligation Complications and Recovery Time
Rubber band ligation method: rubber band detachment? I underwent rubber band ligation treatment for hemorrhoids on the morning of May 27 at 9 AM. That night at 9 PM, I noticed that the rubber band had fallen off, but I am unsure if it was one or two bands. Since then, I have been...
Dr. Ke Fangxu reply Surgery
After completing the rubber band ligation, do not get caught up in concerns about whether it will fall off. The key point is that if there is pain or bleeding, you should seek medical attention again. Whether another ligation is necessary should be assessed by a physician. If the...[Read More] Understanding Rubber Band Ligation Complications and Recovery Time
Blood Streaks in Stool: When to Seek Medical Attention?
There are streaks of blood on the surface of the stool? Hello Doctor, I am 20 years old. A week ago, I experienced some constipation and noticed a bit of blood streaks on my stool after straining. I thought I would observe it for a while, but it has been a week now. I have a bowe...
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. Increasing dietary fibe...[Read More] Blood Streaks in Stool: When to Seek Medical Attention?
Managing Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Postoperative bleeding after hemorrhoid surgery? Hello, Doctor. I would like to ask: I underwent a minimally invasive surgery for mixed hemorrhoids at the end of February (the surgical note mentioned minimally invasive + biological tissue adhesive?). Since then, I have been follo...
Dr. Ke Fangxu reply Surgery
There are many types of minimally invasive surgeries for hemorrhoids, and without specific information about the instruments and methods used, it is difficult to make a judgment. If there is a phenomenon of wound dehiscence, it is generally managed with oral medications while wai...[Read More] Managing Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Post-Hemorrhoid Surgery: Itchy Rectum and Discharge Concerns
One year after hemorrhoid surgery, there is itching in the rectum along with discharge? Hello, I had hemorrhoidectomy surgery at the end of June last year. It wasn't until January to February of this year that I stopped experiencing bleeding during bowel movements. However, ...
Dr. Ke Fangxu reply Surgery
The Strongly Applied Beauty Ointment contains salicylic acid and should not be used on the anal or rectal area. It is recommended that you stop using it and observe whether your symptoms improve. Anal itching may be caused by excessive wiping. There are three important points to ...[Read More] Post-Hemorrhoid Surgery: Itchy Rectum and Discharge Concerns
Post-Surgery Care for Anal Abscess and Fistula: Pain Management Tips
Post-fistula surgery Hello Dr. Ke, I just had surgery for an anal abscess and fistula on May 19, 2021. After the surgery, I have been experiencing significant pain while applying medication. I have been doing sitz baths and using nine cotton swabs, five of which are soaked in Bet...
Dr. Ke Fangxu reply Surgery
1. As long as you avoid inserting cotton swabs or gauze, it shouldn't be as painful. It's recommended to take warm sitz baths, and there's no need for special cleaning of the wound internally; rinsing with a handheld showerhead is also acceptable. 2. The first we...[Read More] Post-Surgery Care for Anal Abscess and Fistula: Pain Management Tips
Understanding Post-Surgery Complications: Pus Formation Near the Anus
Using a cotton swab to squeeze pus from the area around the anus? Hello Doctor, I underwent fistula surgery at the end of last month. On the 17th, I noticed a small white bump resembling an abscess at the original anal wound site, which later ruptured on its own. I consulted the ...
Dr. Ke Fangxu reply Surgery
1. If the location of the pus is at the original surgical site, it is more likely to be a reinfection of the surgical wound, and antibiotic treatment is recommended. 2. If oral antibiotic treatment is ineffective, a repeat surgical intervention may indeed be necessary. 3. Gen...[Read More] Understanding Post-Surgery Complications: Pus Formation Near the Anus
Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Persistent bleeding after fistula surgery? Hello Doctor, I underwent a fistula incision surgery three months ago, but I am still experiencing oozing blood. I have also noticed a red and swollen area at the anal opening (as shown in the linked photo) https://img.onl/YnRMTb. After ...
Dr. Ke Fangxu reply Surgery
If the surgery was performed three months ago, it is possible that there is a recurrence of the fistula. If there is a history of diabetes, this could indeed lead to delayed wound healing. It is recommended to observe for another six months; if the wound has not healed by then, a...[Read More] Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Post-Drainage Care for Anal Abscess: What to Expect and When to Seek Help
After drainage of an anal abscess Hello, about 4-5 days ago, I noticed a small lump near my anus that was painful when sitting or standing, so I went to the emergency room. The doctor diagnosed it as an anal abscess and performed a procedure with local anesthesia and drainage. Th...
Dr. Ke Fangxu reply Surgery
A lump is the site of infection, and as long as the infection is under control, it will gradually soften over time. If the redness, swelling, heat, and pain are slowly alleviating, there is no need to rush for a follow-up appointment; you can adhere to the follow-up schedule prov...[Read More] Post-Drainage Care for Anal Abscess: What to Expect and When to Seek Help
Understanding the Black Line Between Anus and Scrotum: Causes and Concerns
The black line between the anus and the scrotum? Hello Doctor, recently I have been experiencing harder stools, and sometimes when I wipe after a bowel movement, there is a little bit of blood. When I touch the area around the anus, I can feel a black line between the anus and th...
Dr. Ke Fangxu reply Surgery
It is not possible to determine the issue based solely on a written description. I recommend that you see a specialist for a personal examination to obtain an accurate diagnosis. It could potentially be hemorrhoids, but it may also be an anal abscess. Please seek medical attentio...[Read More] Understanding the Black Line Between Anus and Scrotum: Causes and Concerns
Can Anal Examination Spread HPV from External Warts Inside?
Will the use of an anoscope to examine the anal canal introduce the external HPV (human papillomavirus) into the anal cavity? If there are one or two cauliflower-like growths around the anus, will using an anal speculum to examine the inside potentially introduce the wart virus i...
Dr. Ke Fangxu reply Surgery
In theory, it is possible, but the actual probability is extremely low. According to this reasoning, could anal digital examination also introduce the virus? If an individual is already infected, the virus would have already entered. If there is no infection, then there is even l...[Read More] Can Anal Examination Spread HPV from External Warts Inside?
Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Postoperative care after anal fistula surgery? Hello Doctor, I had a fistula surgery on April 24th of this year, and I would like to ask the following questions: 1. The wound from the anal fistula has been painful and I have been experiencing significant itching in the anal are...
Dr. Ke Fangxu reply Surgery
1. The poor wound healing may be due to diarrhea; at this time, constipation or diarrhea should be avoided. If the physician has prescribed laxatives, they should be discontinued. 2. It is possible that at this age, it is primarily caused by irritable bowel syndrome; you can co...[Read More] Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Suspected recurrence after anal fistula surgery? Hello Doctor, I underwent anal fistula surgery on April 24th last month. I returned to the hospital for a follow-up appointment on the morning of the 17th, and the doctor said the wound looked normal. However, after returning home ...
Dr. Ke Fangxu reply Surgery
Generally, a recurrence would not happen so quickly; it is more likely due to poor wound healing. It is recommended to take warm sitz baths and observe for a while to determine if medication is needed. Please consult a physician for evaluation. If the wound is healing gradually, ...[Read More] Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Understanding Gastrointestinal Issues: Symptoms, Tests, and Concerns
Gastrointestinal issues Hello doctor, I have been experiencing frequent stomach growling and a sensation of hunger that can become painful, even though I am eating regular meals. I have noticed a weight loss of 3-4 kilograms over the past few days. A few days ago, I had a single ...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 21 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to maintain a light diet and a good lifestyle routine. Spicy, irritating, and gr...[Read More] Understanding Gastrointestinal Issues: Symptoms, Tests, and Concerns