Understanding Rectal Discomfort and Bowel Health: Common Concerns
Bowel issues? Hello Doctor: 1. My diet is normal, and I have a bowel movement once a day. However, recently I often feel a sensation of something foreign near the anus, as if it is not completely clean. When I check during my shower, I cannot feel anything (I am sure I have tou...
Dr. Ke Fangxu reply Surgery
1. It is possible that prolonged bowel movements may lead to the swelling of hemorrhoids. 2. The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding, often caused by constipation or diarrhea. The fundamental treatment involves add...[Read More] Understanding Rectal Discomfort and Bowel Health: Common Concerns
Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Left abdominal cramping with diarrhea containing mucus and blood? Hello Doctor, after dinner yesterday, I suddenly experienced cramping pain in my left abdomen (I usually feel some discomfort to the left of my navel). I immediately went to the bathroom and had diarrhea, with my s...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber int...[Read More] Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Folliculitis & Prevention of Anal Abscess and Fistula Hello, Doctor Ko. I often develop what looks like acne around my anus, which I believe is folliculitis. Typically, these bumps heal within 2 to 3 weeks. However, I tend to worry excessively, especially since I come from a ...
Dr. Ke Fangxu reply Surgery
1. Folliculitis and anal abscess are different conditions with no correlation, so there is no possibility of one worsening the other. 2. It is impossible to make an accurate diagnosis without a physician's direct examination; conditions such as anal fissures, hemorrhoids, f...[Read More] Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Anal fistula or anal fissure? Hello Dr. Ke, I have undergone three surgeries for anal fistula, and it has been four months, but I still have yellow discharge. It is particularly noticeable after bowel movements, but it gradually decreases in the afternoon and evening. The doctor ...
Dr. Ke Fangxu reply Surgery
If there are no healing wounds or swelling, the likelihood of fistula recurrence is relatively low. However, if you have undergone multiple fistula surgeries, the scarring caused by the surgeries may lead to deformation of the anus, which can result in the appearance of secretion...[Read More] Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Anal fistula or anal fissure? Hello Dr. Ke, I have undergone three surgeries for anal fistula, and it has been four months, but I still have yellow discharge. It is particularly noticeable after bowel movements, but it gradually decreases in the afternoon and evening. The doctor ...
Dr. Ke Fangxu reply Surgery
If there are no healing wounds or swelling, the likelihood of fistula recurrence is relatively low. However, if you have undergone multiple fistula surgeries, the scarring caused by the surgeries may lead to deformity of the anus, which can result in the presence of discharge. It...[Read More] Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Understanding Rubber Band Ligation for Hemorrhoids: Post-Procedure Concerns
Rubber band ligation for hemorrhoids? Hello, Dr. Ke. I underwent rubber band ligation for hemorrhoids around 6:30 PM on April 20. I have a few questions: 1. I did not have a bowel movement on April 21, but on April 22 around 12:30 PM, I had a bowel movement. There was no bright...
Dr. Ke Fangxu reply Surgery
1. It should be normal. 2. Whether it falls off normally is not important; as long as there is no bleeding, it should be fine. 3. Yes. 4. You can continue using the suppository. Rubber band ligation, like suppositories, is not a curative method; as long as there is no ongoi...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: Post-Procedure Concerns
Post-Surgery Recovery: Addressing Inner Thigh Tear Complications
Inner thigh tear, issues after suture removal? Hello doctor, I had a car accident at the end of last month that resulted in a 4 cm laceration on the inner thigh near the joint. Due to concerns about the wound reopening, I kept my leg slightly bent after the stitches were placed. ...
Dr. Ke Fangxu reply Surgery
This is due to joint stiffness caused by a long-term fear of bending after an injury. It is recommended to gradually increase the range of motion and apply heat therapy. If necessary, a physician may prescribe muscle relaxants. If joint mobility does not improve, it is important ...[Read More] Post-Surgery Recovery: Addressing Inner Thigh Tear Complications
Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns
More than four months after hemorrhoid surgery? I underwent traditional mixed hemorrhoidectomy on November 24 of last year. During my follow-up appointment on December 22, granulation tissue was removed. On December 25, I experienced sudden severe pain from a swelling that had pe...
Dr. Ke Fangxu reply Surgery
It is impossible to determine the formation of a fistula without a personal examination. After hemorrhoid surgery, there will always be residual hemorrhoidal tissue, and if bowel habits are poor, bleeding may still occur. It is recommended to shorten the time spent on bowel movem...[Read More] Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns
Post-Surgery Pain Management After Mole Removal: What to Do?
Postoperative pain after mole removal? Hello Dr. Ke: I previously asked you about pain after my mole removal surgery. I returned to the hospital for a follow-up, and the doctor said my wound is healing well and there are no issues. However, I mentioned that I still experience pai...
Dr. Ke Fangxu reply Surgery
In traditional hemorrhoidectomy, pain typically resolves completely within one month post-surgery. If pain persists, it is important to consider the possibility of infection or the development of a fistula. In the case of a hemorrhoidal circular resection, continuous pain may be ...[Read More] Post-Surgery Pain Management After Mole Removal: What to Do?
Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissure?
Blood in the stool? Hello, about a year ago in October, I had a bowel movement that was somewhat hard, and there was blood on the toilet paper afterward. Since then, when I have a bowel movement, it tends to be urgent, but not always very hard (the stool comes out quickly), and t...
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 causes are often related to constipation or diarrhea, and mild hemorrhoidal bleeding can also present similarly. Th...[Read More] Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissure?
Understanding Levator Ani Syndrome: Symptoms and Concerns Explained
Pubococcygeus muscle strain? Doctor, I have been experiencing significant pain in my anal area. After a digital examination, there was localized tenderness, and the doctor mentioned it might be related to levator ani syndrome. I would like to ask: 1. My levator ani muscle has bee...
Dr. Ke Fangxu reply Surgery
1. It may be due to excessive pressure in the sphincter. If the pain and discomfort affect daily life, a sphincterotomy can be considered to relieve the pressure. Previously, there were treatments involving botulinum toxin injections, but it seems to be less commonly heard of rec...[Read More] Understanding Levator Ani Syndrome: Symptoms and Concerns Explained
Bleeding One Month After Hemorrhoid Ligation: What to Know
Bleeding one month after hemorrhoid ligation? Bleeding from the site of a vasectomy during bowel movements.
Dr. Ke Fangxu reply Surgery
Rubber band ligation for internal hemorrhoids is not a definitive cure. Bleeding that occurs after one month of the procedure is mostly due to bleeding from hemorrhoids in other areas.[Read More] Bleeding One Month After Hemorrhoid Ligation: What to Know
Understanding IBS and Hemorrhoids: Managing Rectal Pressure and Discomfort
Regarding irritable bowel syndrome and the sensation of anal heaviness associated with hemorrhoids? Hello Dr. Ke: I have been experiencing a sensation of incomplete evacuation after bowel movements for four consecutive years, along with irritable bowel syndrome. Every time I fini...
Dr. Ke Fangxu reply Surgery
If the bloating sensation is caused by irritable bowel syndrome, then undergoing circumcision may not lead to significant improvement. It is advisable to have a thorough discussion with your surgeon or to consider treating the irritable bowel syndrome first, as this may potential...[Read More] Understanding IBS and Hemorrhoids: Managing Rectal Pressure and Discomfort
Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Postoperative care for hemorrhoids and anal fissures? Hello, I underwent traditional hemorrhoid and anal fissure surgery on February 24th, and it has been over forty days since the procedure. However, I still have a hematoma near the anus that is slightly larger than a thumbnail....
Dr. Ke Fangxu reply Surgery
1. Anorectal surgery typically results in complete wound healing within about a month post-operation; your situation is indeed somewhat unusual. 2. It is not entirely normal. 3. Using a combination of an antifungal ointment and an antibiotic ointment should not pose any issues....[Read More] Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Understanding IBS and Hemorrhoids: Managing Rectal Discomfort and Surgery Concerns
Regarding irritable bowel syndrome and the sensation of anal heaviness associated with hemorrhoids? Hello Dr. Ke: I have been experiencing a sensation of incomplete evacuation after bowel movements for four consecutive years, along with irritable bowel syndrome. Every time I fini...
Dr. Ke Fangxu reply Surgery
If the bloating sensation is caused by irritable bowel syndrome, then undergoing circumcision may not lead to significant improvement. It is advisable to discuss this thoroughly with your surgeon, or consider treating the irritable bowel syndrome first, as it may alleviate the bl...[Read More] Understanding IBS and Hemorrhoids: Managing Rectal Discomfort and Surgery Concerns
Understanding Anal Fissures: Symptoms, Diagnosis, and Treatment
Anal fissure and digital rectal examination? Hello, doctor. Last month, I experienced severe constipation that caused intense pain during bowel movements. Whenever I felt like I was getting better, the pain would return (I have taken stool softeners, applied ointment, and soaked ...
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 causes are often related to constipation or diarrhea. A digital rectal examination should not cause a fissure, as t...[Read More] Understanding Anal Fissures: Symptoms, Diagnosis, and Treatment
Persistent Anal Tightness and Discomfort After Surgery: What to Do?
Feeling of tightness and fullness in the anus? Hello Doctor: I had traditional excision surgery for internal and external hemorrhoids on March 9, and it has been 24 days since the surgery. Before the operation, I felt a slight tightness in my anus, which did not go away after the...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, mild discomfort may persist for a period of time, but generally, recovery occurs within one month post-surgery. If you experience any unusual symptoms that do not improve, it is advisable to consult your surgeon to check for any issues with wound healing...[Read More] Persistent Anal Tightness and Discomfort After Surgery: What to Do?
Understanding Post-Surgery Anal Pain: When to See a Specialist
Anal issues Hello Doctor, I underwent electrosurgery for a papilloma near the anus on February 8, which included excision. Two weeks post-surgery, I experienced hard stools that felt like they were cutting me. I returned to my gynecologist, who prescribed an ointment and advised ...
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 common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Post-Surgery Anal Pain: When to See a Specialist
Managing Finger Injuries: When to Seek Medical Help and Care Tips
A piece of flesh from the little finger and nail has been removed? On March 28, I went to the emergency room due to continuous bleeding. The doctor used electrocautery to stop the bleeding and prescribed a medication ointment (gentian violet ointment). During my follow-up visit, ...
Dr. Ke Fangxu reply Surgery
If bleeding from a wound can be stopped by applying pressure, there is no need to return to the hospital for a dressing change. It is recommended to first soak the area with sterile saline before gently removing the gauze to minimize the risk of bleeding. Either cotton or non-wov...[Read More] Managing Finger Injuries: When to Seek Medical Help and Care Tips
Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Unable to distinguish between acne and an anal abscess (has sought medical attention)? Hello, Dr. Ke. Last week, perhaps due to prolonged sitting, I developed a bump near my anus that resembles a pimple. The location is not very close to the anus, but it is also not far, approxim...
Dr. Ke Fangxu reply Surgery
1. If so many professional physicians believe it is not a fistula, I cannot simply overturn their diagnosis based on a unclear photograph. The key elements for diagnosing a fistula, aside from the external opening, include palpating a firm tract, which cannot be achieved through ...[Read More] Understanding Anal Skin Issues: Pimples vs. Abscesses Explained