Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Fistula issues Hello, doctor! I underwent fistula surgery on February 27, and I have been recovering well since then. However, I am puzzled as to why I developed an anal fistula when my daily routine and bowel movements were normal before. Could it be due to "excessive use o...
Dr. Ke Fangxu reply Surgery
Anal fistulas are generally a consequence of bacterial infections and are not related to excessive soap use for cleaning the anus or to exercise. If there is anal swelling or pain, it is important to seek medical attention immediately to prevent the condition from worsening and l...[Read More] Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Suspected fistula? Hello doctor, I would like to ask if this is an anal fistula? If so, I would like to know about the urgency of surgery. Thank you.
Dr. Ke Fangxu reply Surgery
Based solely on photos, it is not possible to definitively diagnose an anal fistula. A necessary condition for diagnosis is the physical examination to feel for a hard fistula tract. It is advisable to consult a colorectal specialist for a thorough examination. While the urgency ...[Read More] Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Understanding Post-Surgery Recovery and Risks for Hemorrhoid Surgery
Post-hemorrhoidectomy I previously experienced severe bleeding due to hemorrhoids and later consulted a physician who recommended surgery. Subsequently, I may have developed anal stenosis, and most doctors have responded that I should not have undergone surgery in the first place...
Dr. Ke Fangxu reply Surgery
1. After hemorrhoid surgery, if anal stenosis occurs, it is recommended to wait for six months until the scar tissue stabilizes before considering flap surgery. During this period, the use of stool softeners along with regular anal dilation may help improve the stenosis. If there...[Read More] Understanding Post-Surgery Recovery and Risks for Hemorrhoid Surgery
Understanding Persistent Bleeding After Surgery: What You Need to Know
Persistent bleeding issues? Hello, Doctor. I am a patient with rheumatoid arthritis. I underwent a simple fistula incision surgery a month ago, but I am currently experiencing bleeding during bowel movements, even having blood in my stool. Is this normal? I had a ligation procedu...
Dr. Ke Fangxu reply Surgery
It is normal to experience slight bleeding and discharge within a month after fistula surgery. If you are concerned, you can ask the surgeon for a follow-up examination. Hemorrhoid ligation is not a curative procedure, and recurrence of symptoms is a common occurrence. If you had...[Read More] Understanding Persistent Bleeding After Surgery: What You Need to Know
Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Anal fissure, tight internal anal sphincter? Hello Dr. Ke, I have seen four colorectal surgeons, all of whom diagnosed me with chronic anal fissures. As the fissures have become more frequent, I have been experiencing significant pressure and a bloated feeling in my anus. However...
Dr. Ke Fangxu reply Surgery
1. Increased pressure in the internal anal sphincter is usually of unknown origin and should not be related to uterine fibroids, nor would incontinence be caused by anal fissure surgery or fibroid surgery. 2. The standard procedure for anal fissure surgery involves removing any p...[Read More] Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Understanding Hard Tissue Around the Anus: Causes and Treatment Options
There is a ring of hard tissue around the anus? Hello, Doctor. When my anal area relaxes, a small hard lump appears around the opening. I'm not sure if it's an external hemorrhoid, a skin tag, or a polyp, but it feels quite firm. Sometimes, right after using the restroo...
Dr. Ke Fangxu reply Surgery
The photo appears to show only mild swelling of the hemorrhoids. If there is no severe pain or significant bleeding, surgery may not be necessary. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Increasing dietary fiber inta...[Read More] Understanding Hard Tissue Around the Anus: Causes and Treatment Options
Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Postcoital bleeding I would like to ask the doctor: I have an internal hemorrhoid. Since mid-last year, after having anal intercourse with my partner (we always prepare with lubrication), I did not experience any anal fissures or bleeding. However, this year, I have been experien...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. Gonorrhea typically involves infection at the urethral location, and I have not heard of cases involving anal infections. An anoscopy can be arranged by a physician, and it should be covered by health ...[Read More] Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Postoperative care for anal fistula surgery #165766 Hello doctor, I have undergone three surgeries for anal fistula, and it has been 80 days post-operation, but the wound has not healed yet. There is still yellow exudate. Every time I wipe after a bowel movement, there is bright ...
Dr. Ke Fangxu reply Surgery
If you have already consulted with many specialists from major hospitals and they all believe that the fistula has healed, then I don't know how to reassure you. Moreover, I have not conducted any examinations, and online consultations have their limitations. It would be bes...[Read More] Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Recovery period after anal fistula surgery? Hello, Doctor. I had a fistula surgery about a month and a half ago. The wound appears to be filled from the outside. During my follow-up appointment one month post-surgery, the surgeon performed a digital examination and said everythin...
Dr. Ke Fangxu reply Surgery
1. The clear mucus may be rectal secretions or it could indicate that an internal wound has not fully healed; it is recommended to wait another month to observe. 2. Once there is no discharge from the wound, sitz baths will no longer be necessary. After the sitz bath, gently pa...[Read More] Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello doctor, I recently noticed blood on the toilet paper after using the restroom, and the toilet water is also red, bright red. My stool is normal, although sometimes it can be a bit soft, and I don't feel any pain. This usually happens in the afternoon wh...
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 Rectal Bleeding: Causes and When to Seek Help
Red Tissue in Stool: Should You Be Concerned?
Red tissue in stool? Hello doctor, over the past few years, I have occasionally noticed red shavings in my stool that resemble skin flakes. I'm not sure if it's blood or stool tissue. Sometimes when I wipe with toilet paper, there are red spots, but I had a colonoscopy ...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also contribute to this issue. It is advisable to temporarily avoid dark-colored foods. If the abnormality persists, a consultation ...[Read More] Red Tissue in Stool: Should You Be Concerned?
Struggling with Hemorrhoids: When Surgery Isn't an Option
Mixed nevus cannot be surgically excised? Hello doctor, I have been diagnosed with hemorrhoids. The doctor mentioned that they are too large for band ligation (stage two) and advised me to use hemorrhoidal suppositories to reduce their size before proceeding with the ligation sur...
Dr. Ke Fangxu reply Surgery
If hemorrhoids are too large to be banded, alternative treatment options should be considered instead of insisting on banding. Each treatment method has its own advantages and limitations. If hemorrhoids are significantly affecting your daily life, opting for surgical excision ma...[Read More] Struggling with Hemorrhoids: When Surgery Isn't an Option
Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissure and hemorrhoid excision on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have ...
Dr. Ke Fangxu reply Surgery
At the age of 36, it may not be necessary to undergo a colonoscopy so frequently. The persistent urge to defecate could also be caused by irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Taking warm s...[Read More] Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissures and hemorrhoids on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have been ex...
Dr. Ke Fangxu reply Surgery
At the age of 36, it may not be necessary to undergo colonoscopy so frequently. The persistent urge to defecate could also be due to irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Additionally, taki...[Read More] Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Understanding External Hemorrhoids: Causes, Symptoms, and Treatment Options
The external mole swells every day after a bowel movement? Hello, Doctor: I have had my external hemorrhoids for about five years now, both internal and external. They have not caused me any pain, bleeding, or itching during these years, and I have been managing well. However, re...
Dr. Ke Fangxu reply Surgery
It is essential to have a medical examination to determine whether it is simply hemorrhoids. If they resolve on their own, it may not be considered particularly serious. I cannot recommend any medications without a consultation, so please seek medical advice for appropriate presc...[Read More] Understanding External Hemorrhoids: Causes, Symptoms, and Treatment Options
Post-Surgery Recovery: When Is It Safe to Resume Masturbation?
Post-fistula surgery How many days after surgery should I wait before masturbating? Do I need to wait until the wound is fully healed before I can masturbate?
Dr. Ke Fangxu reply Surgery
As long as the wound is not painful, it's good to go.[Read More] Post-Surgery Recovery: When Is It Safe to Resume Masturbation?
Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months
Two months after anal fistula surgery, there is still discharge from the wound? Hello Doctor, it has been 2 months since my last anal fistula surgery, but my wound has not fully healed yet. Although there is no longer any discharge during normal activities, I notice a significant...
Dr. Ke Fangxu reply Surgery
The wound appears to be not fully healed and does not seem to indicate a recurrence. Larger surgical wounds indeed take longer to heal. If the wound continues to shrink, there is no need for concern; otherwise, it is advisable to consult a physician for further evaluation.[Read More] Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months
Post-Surgery Bleeding After Hemorrhoid Ligation: What to Expect
Post-banding bleeding after internal hemorrhoid ligation? Hello Doctor, I had a hemorrhoid surgery on March 8th because I wanted to avoid bleeding for a long time, so I decided to go for the surgery. For the first 12 days post-surgery, everything was normal and there was no bleed...
Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, there is a possibility of bleeding as a complication. However, if bleeding occurs after more than ten days, it may be due to the rubber band falling off. As long as the bleeding is not persistent, it is not a concern. If the bleeding does not improve, i...[Read More] Post-Surgery Bleeding After Hemorrhoid Ligation: What to Expect
Understanding External Anal Masses: Are They Hemorrhoids?
Perianal mass Yesterday, while taking a shower, I noticed a round, soft lump around the anal area. Today, during my shower, I found that the lump has increased in number and there are now many small ones located at the anal opening. Usually, there is no pain, but I feel a bit of ...
Dr. Ke Fangxu reply Surgery
Although your description seems more like a thrombosed external hemorrhoid, it is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities...[Read More] Understanding External Anal Masses: Are They Hemorrhoids?
Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns
Post-operative issues following fistula surgery? Dear Dr. Ke, 1. I underwent surgery to excise two anal fistulas in December 2019. About two months post-surgery, I no longer had any discharge, but I have been experiencing slight pain and itching at the anal area, especially afte...
Dr. Ke Fangxu reply Surgery
1. If the fistula surgery was performed more than a year ago, then this phenomenon could either be a recurrence or damage to the sphincter muscle. To determine the exact cause, a further examination by a physician is necessary. 2. It is possible, but it could also simply be fol...[Read More] Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns