Understanding Post-Digital Rectal Exam Discomfort and Concerns
Experiencing unusual sensations after a digital rectal examination? I apologize for the inconvenience, but I would like to ask a question. I have internal hemorrhoids, and after my first digital examination by the doctor, I noticed some pain and mild redness and swelling on the r...
Dr. Ke Fangxu reply Surgery
If the redness and swelling subside and there is no pain, then it can be monitored further. However, if there is a suspicion of an abscess or fistula, it is important to inform the physician and request a thorough examination of that area to rule out these possibilities.[Read More] Understanding Post-Digital Rectal Exam Discomfort and Concerns
Post-Surgery Concerns: Unabsorbed Sutures in the Anus
The sutures in the anal area have not absorbed post-surgery? Hello, Dr. Ke... I underwent surgery to remove internal and external hemorrhoids on April 8, 2021, and I have healed well with no significant issues since then. However, while applying the ointment to reduce swelling, I...
Dr. Ke Fangxu reply Surgery
Sutures will eventually come out. If you experience pulling pain or difficulty in cleaning, you may ask your physician to remove them during an outpatient visit. Please do not pull on them yourself to avoid causing excessive bleeding from the wound.[Read More] Post-Surgery Concerns: Unabsorbed Sutures in the Anus
Managing Recurring Anal Itching and Pain: Tips for Relief
Recurrent anal itching and pain? Hello, doctor. This year, I've been experiencing itching and minor abrasions around my anus whenever I have diarrhea or wipe a little too hard with toilet paper. This never happened before, but it has been recurring throughout this year, and ...
Dr. Ke Fangxu reply Surgery
Anal itching may be caused by excessive wiping. In addition to medication and topical treatments, there are three important considerations: 1. Do not scratch to avoid causing an infection in the wounds. 2. Temporarily avoid consuming spicy foods to prevent capsaicin from irritati...[Read More] Managing Recurring Anal Itching and Pain: Tips for Relief
Concerns About Rectal Symptoms During Pregnancy: Alternatives to Colonoscopy
Stool with a circular groove? Hello, recently I noticed a circular groove on one side of my stool from the beginning to the end, and there was blood after wiping. I underwent a digital rectal examination and a sigmoidoscopy, which revealed internal hemorrhoids but no tumors. I ha...
Dr. Ke Fangxu reply Surgery
Pregnancy does not necessarily preclude undergoing a colonoscopy; however, if there is no strong suspicion of colorectal cancer, it is advisable to avoid the procedure if possible. Based on your situation, it seems more likely that you are experiencing bleeding related to hemorrh...[Read More] Concerns About Rectal Symptoms During Pregnancy: Alternatives to Colonoscopy
Understanding Blood in Stool: When to Seek Medical Attention
Blood in the stool? Hello Doctor, during my workout this evening, I suddenly felt the urge to have a bowel movement. However, there were no restrooms nearby, so I walked home to use the bathroom. On the way, I felt the urge multiple times but held it in (the walk took about 10 mi...
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, shorten the time spent on the toilet, and increase the intake of dietary...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Hard Bumps Near the Anus: Is It Hemorrhoids?
There is a growth or lump at the anal opening? Hello, Dr. Ke: I have hemorrhoids, and after experiencing diarrhea 3 to 4 times due to food poisoning, I suddenly noticed a small lump at the anal opening, approximately 1 to 2 centimeters in size. It is round, somewhat firm, and mov...
Dr. Ke Fangxu reply Surgery
It is impossible to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. Based on your description, it seems more like a thrombosed hemorrhoid. If the symptoms do not wo...[Read More] Understanding Hard Bumps Near the Anus: Is It Hemorrhoids?
Understanding Blood in Stool: Causes, Symptoms, and When to See a Doctor
Rectal bleeding Hello doctor, I would like to ask about the issue of blood in my stool. For the past two to three days, I have noticed blood in my stool, sometimes accompanied by pain that lasts for a few seconds, but other times there is no pain. Two days ago, I had a significan...
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] Understanding Blood in Stool: Causes, Symptoms, and When to See a Doctor
Understanding Rubber Band Ligation for Hemorrhoids: Patient FAQs
Rubber band ligation for hemorrhoids? Hello Dr. Ke. I am following up on question #167564. I underwent rubber band ligation for hemorrhoids on April 20, and during my follow-up on April 27, the doctor confirmed that the ligated hemorrhoid had fallen off and the wound was healing ...
Dr. Ke Fangxu reply Surgery
1. The indication for rubber band ligation is bleeding that cannot be controlled by medication. If there is no bleeding, what is the purpose of the ligation? Personally, I would not recommend performing the ligation again. 2. It is normal for there to be multiple hemorrhoidal t...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: Patient FAQs
Can I Use Suppositories After Rubber Band Ligation for Hemorrhoids?
Can suppositories be used after rubber band ligation for internal hemorrhoids? Hello, doctor. I underwent a vasectomy on May 4th, and the doctor prescribed me suppositories for hemorrhoids, instructing me to use them twice a day. However, when I tried to insert the suppository, I...
Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, there may be slight swelling, which can cause a feeling of resistance when using suppositories. Regarding whether to continue using suppositories after the ligation, opinions among doctors vary. Some believe it is acceptable to continue, while others re...[Read More] Can I Use Suppositories After Rubber Band Ligation for Hemorrhoids?
Understanding Ruptured Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoid rupture? Hello Doctor: A few days ago, my hemorrhoid ruptured, and I consulted with a doctor about its severity. The day after it ruptured, I had a bowel movement and noticed a small amount of blood. When wiping, I found a small, elongated piece that looked like flesh ...
Dr. Ke Fangxu reply Surgery
What has fallen out and what is protruding cannot be determined without a personal examination. If it is a thrombosed external hemorrhoid, light bleeding within a week after it ruptures is considered normal. However, if the bleeding lasts more than a week, it is advisable to cons...[Read More] Understanding Ruptured Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Managing External Hemorrhoids: When to Seek Medical Attention
Thrombosed external hemorrhoid Hello Doctor: Four days ago, I discovered a lump at the anal opening that resembles a thrombosed external hemorrhoid. I did not seek medical attention and instead purchased hemorrhoid cream from the pharmacy. For the past three days, I experienced s...
Dr. Ke Fangxu reply Surgery
Once a thrombosed external hemorrhoid ruptures and blood flows out, the symptoms will significantly alleviate. After that, the wound will heal in 1-2 days. Continuing sitz baths and applying medication is also beneficial. If there is no discomfort, it may be left alone; however, ...[Read More] Managing External Hemorrhoids: When to Seek Medical Attention
Understanding Scar Tissue: Painful Bumps After Fistula Surgery
The scar from a fistula may appear as a bump similar to an acne lesion? Hello Doctor, I have undergone three fistula surgeries in total. The first was for abscess drainage, the second developed into a fistula, and after debridement, I needed to have multiple surgeries, so I had t...
Dr. Ke Fangxu reply Surgery
Scar hardening after multiple fistula surgeries is normal; typically, the scar tissue will soften within six months post-surgery.[Read More] Understanding Scar Tissue: Painful Bumps After Fistula Surgery
Post-Surgery Concerns: Abnormalities After Laser Removal of Anal Warts
Abnormal sensations upon touching the wound inside the anus after mole removal surgery? Hello, Dr. Ko. After undergoing laser surgery for the removal of internal and external moles, I discovered a series of swollen areas along the inner wall of the anus when I touched it with my ...
Dr. Ke Fangxu reply Surgery
The term "laser" can refer to various types of procedures such as circumferential excision, harmonic scalpel, green light laser, or low-power laser. If the instruments and surgical methods are not clearly specified, it may be difficult to provide a definitive answer. ...[Read More] Post-Surgery Concerns: Abnormalities After Laser Removal of Anal Warts
Post-Surgery Drainage Care: How to Clean and Manage Discharge
Post-operative discharge from a fistula? Hello, doctor. How should I clean the discharge? It tends to stick to the wound. Currently, I am using a cotton swab dipped in saline solution for cleaning. How often should I clean the discharge? Is using a cotton swab the correct method?...
Dr. Ke Fangxu reply Surgery
Rinsing with clean water or taking a sitz bath is sufficient; there is no need to specifically use a cotton swab for cleaning. If you need to coordinate with work hours, you can clean in the morning, after work, and before bedtime.[Read More] Post-Surgery Drainage Care: How to Clean and Manage Discharge
Post-Surgery Concerns: Abnormalities After Anal Mole Removal
Abnormal sensations upon touching the wound inside the anus after mole removal surgery? Hello Dr. Ke, I underwent laser surgery for the removal of internal and external moles. Within one week post-surgery, I noticed a series of swollen areas along the inner wall of the anus, exte...
Dr. Ke Fangxu reply Surgery
The term "laser" can refer to various types of procedures such as circumferential excision, harmonic scalpel, green light laser, or low-power laser. If the instruments and surgical methods are not clearly specified, it may be difficult to provide a definitive answer. ...[Read More] Post-Surgery Concerns: Abnormalities After Anal Mole Removal
Understanding Anal Abscess: Healing Process and Fistula Concerns
Anal abscess Hello, doctor. About a month ago, I experienced diarrhea, and after it resolved, I noticed a small bump near my anus that resembled a pimple (about 1 cm in size). It later ruptured and bled, but the amount was minimal, so I didn't think much of it. Recently, the...
Dr. Ke Fangxu reply Surgery
1. The lump may be a thrombosed hemorrhoid or an anal abscess, which typically resolves on its own after it ruptures and drains completely. Regular warm sitz baths are recommended. 2. If it is an anal abscess that has ruptured, there is indeed a possibility of it developing int...[Read More] Understanding Anal Abscess: Healing Process and Fistula Concerns
Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, my father has been on peritoneal dialysis for 15 years and has experienced several episodes of peritonitis, which were successfully treated. At the end of last year, he developed peritonitis again; the first treatmen...
Dr. Ke Fangxu reply Surgery
Peritonitis is the most troublesome complication of peritoneal dialysis due to its difficulty in treatment and high recurrence rate. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more sus...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, My father has been undergoing peritoneal dialysis for 15 years and has experienced several episodes of peritonitis during this time, which were successfully treated. At the end of last year, he developed peritoniti...
Dr. Ke Fangxu reply Surgery
Peritonitis is the most troublesome complication of peritoneal dialysis because it is difficult to treat and prone to recurrence. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more suscep...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Incomplete healing after anal fistula surgery? Hello Dr. Ke: I underwent anal fistula surgery at the end of January this year. After the surgery, I returned for follow-up appointments to check the wound, and my attending physician confirmed that the healing process was progressi...
Dr. Ke Fangxu reply Surgery
1. If the wound continues to reopen after such a long time post-surgery, it is advisable to have the surgeon check for the possibility of a fistula recurrence. 2. External hemorrhoids can indeed affect cleanliness; however, it is not possible to determine whether the issue is due...[Read More] Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Postoperative Issues After Hemorrhoid Laser Surgery Hello Dr. Ke: I had laser surgery for hemorrhoids at the clinic on the evening of April 23 (Friday) and was not hospitalized. One external hemorrhoid and one mixed hemorrhoid were removed. As of now, April 25 (Sunday), it is the...
Dr. Ke Fangxu reply Surgery
1. It may be difficult to make a judgment without a personal examination. 2. Generally, standard hemorrhoid surgeries require hospitalization to manage postoperative pain and swelling, which are common phenomena. Whether the wound will reopen depends on the surgical method used....[Read More] Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect