Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Postoperative Wound Care for Fistula Surgery Hello, doctor. I am 20 days post-operative from a fistula incision. A few days ago, during my follow-up appointment, the doctor said that the wound is healing well and that I do not need to return for further visits. However, I am curr...
Dr. Ke Fangxu reply Surgery
The wound from anal fistula surgery typically takes about 4-6 weeks to heal completely. If it is a complex fistula, the healing time may extend up to two months. During this period, slight bleeding and discharge from the wound are normal. Antibiotic ointments are not necessary, a...[Read More] Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Persistent Anal Itching: When to Seek Medical Advice
Anal itching Hello, doctor. For the past two years, I have been experiencing recurring itching in my anus after using the restroom. I previously consulted a doctor who mentioned that it might be due to irritation from toilet paper. I would like to know if I should see a doctor ag...
Dr. Ke Fangxu reply Surgery
Anal itching may be caused by excessive wiping. In addition to medication and topical treatments, it is important to pay attention to three things: 1. Do not scratch to avoid causing a wound infection. 2. Temporarily avoid consuming spicy foods to prevent capsaicin from irritatin...[Read More] Persistent Anal Itching: When to Seek Medical Advice
Post-Fistula Surgery: Understanding Anal Sensitivity and Sexual Activity
Anal intercourse after anal fistula? Hello, doctor! Before my fistula surgery, I engaged in normal and safe anal intercourse, using lubrication and taking necessary precautions. However, after the fistula surgery, I had a recovery period of six months during which I did not engag...
Dr. Ke Fangxu reply Surgery
After fistula surgery, a scar tissue may form across the anal opening. Since scar tissue lacks elasticity, discomfort may occur during anal intercourse due to the repeated stretching. Theoretically, the wound should be fully healed six months post-surgery; however, discomfort may...[Read More] Post-Fistula Surgery: Understanding Anal Sensitivity and Sexual Activity
Understanding Post-Surgical Symptoms After Rubber Band Ligation
Symptoms after rubber band ligation? Dear Doctor: I had a rubber band ligation four weeks ago, and I have been experiencing a dull pain at the ligation site both before and after passing gas, as well as a feeling of fullness and urgency. Is this normal? Could this be a sign of a ...
Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, mild discomfort may occur. As long as there is no severe pain or significant bleeding, it is generally not a concern. You can use topical ointments or suppositories to alleviate discomfort. If symptoms do not improve, you should consult the physician wh...[Read More] Understanding Post-Surgical Symptoms After Rubber Band Ligation
Understanding Hemorrhoid Banding: Recovery Timeline and Concerns
Sterilization Issue #165964 Follow-up Hello, regarding the previous question, this is my last internal hemorrhoid. It was banded on February 4th, and the doctor scheduled a follow-up appointment for February 8th. The examination indicated that it has not yet fallen off (both the ...
Dr. Ke Fangxu reply Surgery
The timing of when a rubber band ligation for internal hemorrhoids falls off is not the focus of treatment. The key point is whether the purpose of the ligation (such as controlling bleeding or preventing prolapse) was achieved at the time of the procedure. If the treatment goals...[Read More] Understanding Hemorrhoid Banding: Recovery Timeline and Concerns
Managing Pain and Itching After Hemorrhoid Banding Surgery
Itching and pain after hemorrhoid ligation? Hello Doctor: I visited the clinic due to gastrointestinal discomfort and underwent a colonoscopy, which revealed grade II internal hemorrhoids. The physician recommended a hemorrhoid ligation procedure. Before the procedure, I was info...
Dr. Ke Fangxu reply Surgery
If the rubber band ligation for internal hemorrhoids is too close to the anal opening, it may lead to painful complications. If there is currently only a small amount of bleeding and no pain, it is generally not a concern. However, if the pain is severe, the only option is to inc...[Read More] Managing Pain and Itching After Hemorrhoid Banding Surgery
Understanding the Healing Process After Rubber Band Ligation for Hemorrhoids
Sterilization Issues Dear Doctor: Regarding the rubber band ligated internal hemorrhoid, if the rubber band has already fallen off but the doctor has checked and confirmed that the hemorrhoid has not yet fallen off, will it eventually fall off on its own? The last ligation was do...
Dr. Ke Fangxu reply Surgery
If the rubber band used for ligation falls off too early, the blood supply may resume prematurely, preventing the hemorrhoid from necrosing. If the hemorrhoid has not fallen off three weeks after the ligation, the likelihood of it continuing to persist is higher.[Read More] Understanding the Healing Process After Rubber Band Ligation for Hemorrhoids
Understanding Changes in Stool Color: When to Seek Medical Advice
Feces In the past six months, my stool has sometimes been black, and at other times it appears to be a clay color with flecks of bright red. I'm not sure if the red is blood. Sometimes my stool looks normal, but I have experienced abdominal pain. However, I don't feel d...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 20, while not zero, is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to maintain a light diet and good lifestyle habits, avoiding spicy, irritating, and greas...[Read More] Understanding Changes in Stool Color: When to Seek Medical Advice
Post-Surgery Care for Fistula: Essential Tips and Concerns
Post-fistula surgery Hello Doctor, I had surgery for internal and external hemorrhoids a month ago, and due to a wound infection, an abscess formed. After the abscess ruptured on its own, a fistula developed. I just underwent fistula surgery the day before yesterday. The fistula ...
Dr. Ke Fangxu reply Surgery
1. It is not necessary to clean the wound thoroughly before applying povidone-iodine and saline; the key point is to ensure proper cleaning. 2. Using a bidet is not harmful; it is similar to rinsing with a handheld shower after bowel movements. It is impossible to completely cl...[Read More] Post-Surgery Care for Fistula: Essential Tips and Concerns
Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Pain after hemorrhoid banding? Hello Doctor: I underwent rubber band ligation for internal hemorrhoids 21 days ago. Seven days post-procedure, I started experiencing significant pain at the ligation site during bowel movements. During my follow-up visit, a rectal examination with...
Dr. Ke Fangxu reply Surgery
If anal pain is caused by a vasectomy, it would occur immediately after the procedure. If this sensation arises after seven days, it is likely not related to the vasectomy. You can try warm sitz baths, and hemorrhoid suppositories may also provide relief. If the symptoms persist ...[Read More] Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Concerns About Increased Discharge After Using Suppositories
Follow-up after the placement of a drainage tube? Hello Doctor, thank you for your advice. However, I have noticed that after using the suppository every night, the discharge in the morning becomes more abundant and thicker. Could this be due to the suppository? After bowel movem...
Dr. Ke Fangxu reply Surgery
Morning secretions are typically more abundant due to accumulation overnight. I wouldn't hastily advise against using suppositories without a personal examination. However, the continued use of suppositories may require consultation with the prescribing physician for conside...[Read More] Concerns About Increased Discharge After Using Suppositories
Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Pain after hemorrhoid ligation? Hello Doctor: I underwent rubber band ligation for internal hemorrhoids 21 days ago. Seven days post-procedure, I started experiencing significant pain at the ligation site during bowel movements. During my follow-up visit, a digital rectal examina...
Dr. Ke Fangxu reply Surgery
If anal pain is caused by a vasectomy, it would occur immediately after the procedure. If this symptom appears seven days later, it is likely not related to the vasectomy. You can try warm sitz baths and hemorrhoid suppositories, which should help alleviate the discomfort. If the...[Read More] Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Managing Anal Fissures: Alternatives to Steroid Creams for Relief
Anal fissure Hello, doctor. I often experience discomfort during bowel movements, and occasionally I have anal fissures that cause pain, so I apply anal ointment almost every day to facilitate smoother bowel movements. If I stop using the ointment, the burning pain becomes increa...
Dr. Ke Fangxu reply Surgery
The typical symptoms of anal fissures 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 warm sitz baths. Warm sitz baths can help alleviate pai...[Read More] Managing Anal Fissures: Alternatives to Steroid Creams for Relief
Post-Surgery Care for Anal Fistula: Understanding Discharge and Healing Time
Post-anal fistula surgery Hello Doctor, I have undergone fistula surgery three times, and it has been 47 days since my third surgery. The external wound has turned white, but there is still yellow discharge, as shown in the picture. Sometimes there is no discharge, other times th...
Dr. Ke Fangxu reply Surgery
Although I haven't examined it in person, it appears from the photos that it has mostly healed. The presence of discharge indicates that the wound has not fully healed yet, but it should recover in about a month. If there is still discharge at that time, it would be advisabl...[Read More] Post-Surgery Care for Anal Fistula: Understanding Discharge and Healing Time
Understanding Anal Itching: Causes and Recovery After Surgery
Anal itching Anal fissures can cause itching and sharp pain. It has been over four months since I underwent minimally invasive surgery for internal and external hemorrhoids. Why is the recovery taking so long?
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 the risk of wound infection. 2. Temporarily avoid spicy foods to prevent capsaicin from irritating the skin. 3. A...[Read More] Understanding Anal Itching: Causes and Recovery After Surgery
Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
Postoperative wound issues following anal fistula surgery? Hello Doctor, I had a follow-up appointment last week, and the doctor said that my wound is healing well and advised me to monitor it for another two weeks. If there are any issues, I should return for another visit. Howe...
Dr. Ke Fangxu reply Surgery
The wound shown in the photo is clean with no signs of recurrence. The postoperative discharge is a normal phenomenon. If there are no specific discomforts, a follow-up visit may not be necessary.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Dear Doctor, About a year ago, I suffered a skull fracture after falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon explained that it was caused by the s...
Dr. Ke Fangxu reply Surgery
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon for repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
Understanding Transparent Hard Bumps on Toes: When to Seek Treatment
A semi-transparent hard lump on the toe? About a year ago, I noticed some itching and pain in my toe, and upon inspection, I found a semi-transparent hard lump. It didn't hurt after that, so I ignored it. Recently, I've started to feel it again, and pressing on it cause...
Dr. Ke Fangxu reply Surgery
This could be a corn or a viral wart; a definitive diagnosis cannot be made without a physical examination. I recommend that you first consult a dermatologist for evaluation. If surgical intervention is necessary, the dermatologist can provide a referral.[Read More] Understanding Transparent Hard Bumps on Toes: When to Seek Treatment
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Doctor, about a year ago, I suffered a skull fracture from falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon mentioned that it was caused by the space bet...
Dr. Ke Fangxu reply Surgery
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon to consider repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
Understanding Second-Degree Mixed Hemorrhoids: Treatment and Concerns
Second-degree mixed hemorrhoids I was diagnosed with grade II mixed hemorrhoids in November 2020 at the hospital. The physician prescribed High-Xylmol ointment for me to apply once daily, and I have been using it for almost three months now. I have a few questions: 1. Will long-t...
Dr. Ke Fangxu reply Surgery
1. No. 2. What is the definition of healing? Normal individuals can have hemorrhoidal tissue, which functions to assist in the closure of liquids and gases. If there is no bleeding, pain, or prolapse, there is no need for treatment.[Read More] Understanding Second-Degree Mixed Hemorrhoids: Treatment and Concerns