Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Anal fistula?? Epidermoid cyst Hello, doctor. I apologize for the lengthy message. Last February, while taking a shower, I noticed a lump near my anus. I consulted a doctor who diagnosed it as an anal fistula. Subsequently, I saw several doctors; some confirmed it as a fistula, w...
Dr. Ke Fangxu reply Surgery
Cysts and fistulas are two different conditions, so a cyst cannot turn into a fistula. If the cyst has been removed, the pathology report can clearly differentiate between the two types of tissues. Once the sutured wound is ready for suture removal, it is generally safe to expose...[Read More] Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Understanding a Soft Bump Near the Anus: Causes and Treatment Options
There is a round, soft protrusion next to the anus? Hello Doctor, I would like to ask you about a situation I have been experiencing. Three days ago, I suddenly felt discomfort around my anus. Upon touching the area, I discovered a round protrusion near the edge of the anus, wh...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a thrombosed hemorrhoid. If there is no pain or discomfort, it is generally fine to leave it alone, as it will gradually resolve on its own. Applying hemorrhoid ointment can help alleviate discomfort and speed up absorption. If the discomfort ...[Read More] Understanding a Soft Bump Near the Anus: Causes and Treatment Options
Understanding Blood in Stool: Causes and When to Seek Help
The stool is all blood and water? Hello doctor, yesterday morning I experienced low blood sugar and discomfort in my stomach. When I went to the bathroom, my diarrhea was of normal color, but a few hours later it was just blood. Today, it is still bright red. However, I have a co...
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 diarrhea during this period and to shorten the time spent on bowel movements. Spicy and irritating foods ...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Pain After Rubber Band Ligation for Hemorrhoids
Rubber band ligation surgery I just underwent rubber band ligation for internal hemorrhoids, and the pain is extremely intense. It lasted for about an hour, and I was sweating from the pain. Is this normal, or does it indicate a failure? I read that it shouldn't be painful.....
Dr. Ke Fangxu reply Surgery
The rubber band ligation procedure for internal hemorrhoids is theoretically painless; however, if the ligation is too superficial, pain may occur. If oral medication can alleviate the pain, then pharmacological treatment should be used. If that is ineffective, the rubber band mu...[Read More] Understanding Pain After Rubber Band Ligation for Hemorrhoids
Understanding Anal Abscess: Treatment, Complications, and Recovery
Anal abscess Doctor, I apologize for the interruption, but I would like to ask a question. At that time, the physician diagnosed me with an anal abscess. Initially, the doctor said it was not mature yet and advised me to take antibiotics. However, it ruptured on its own in the mi...
Dr. Ke Fangxu reply Surgery
An anal abscess may indeed rupture on its own after antibiotic treatment. It is generally recommended to incise the abscess to prevent premature healing before the abscess is completely drained. Whether a fistula will form can only be determined after a period of observation, as ...[Read More] Understanding Anal Abscess: Treatment, Complications, and Recovery
Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort
Bowel issues? Hello Doctor, I am the one who previously asked about <a href="https://adoctor.tw/article/203598">#203598</a>. I am 20 years old, 186 cm tall, and weigh around 77-80 kg. Yesterday, my stool was normal in color at the front but darker and softer...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to check for bleedin...[Read More] Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort
Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Thrombosed external hemorrhoid Dear Doctor, after a thrombosed external hemorrhoid is absorbed, it leaves behind a fold or excess skin. Is this still considered a hemorrhoid? Should we assess the size after absorption? How can we differentiate between excess skin and a hemorrhoid...
Dr. Ke Fangxu reply Surgery
The residual tissue left after the absorption of a thrombosed external hemorrhoid can be referred to as either a skin tag or an external hemorrhoid; structurally, they are both composed of skin-covered connective tissue, differing only in size. If asymptomatic, they typically do ...[Read More] Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Understanding Complications After Hemorrhoid Ligation: What to Do?
Hemorrhoid ligation issues? Hello, Dr. Ke! I have a question regarding my hemorrhoid ligation issue. I have had external hemorrhoids for 20 years. Initially, they would only protrude after a bowel movement and I could push them back in with my hand. However, after undergoing liga...
Dr. Ke Fangxu reply Surgery
It is recommended to visit the colorectal surgery outpatient clinic for evaluation. Thank you.[Read More] Understanding Complications After Hemorrhoid Ligation: What to Do?
Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids? Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean. Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids. A minimally invasiv...
Dr. Ke Fangxu reply Surgery
We recommend that you schedule a follow-up consultation. Thank you.[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Anal issues Hello Doctor: There is a growth next to the anus (as shown in the picture), resembling a pimple. It is slightly painful when pressed, but there is no pus or blood. Could you please advise what this might be? Thank you.
Dr. Ke Fangxu reply Surgery
It is recommended to seek evaluation from a colorectal surgeon. Thank you.[Read More] Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Postoperative Issues After Minimally Invasive Hemorrhoid Surgery Hello, Doctor: In September, I consulted a physician and was confirmed to have a grade IV condition, and I underwent minimally invasive surgery. I understand that post-operative swelling is normal. After two follow-...
Dr. Ke Fangxu reply Surgery
Grade IV hemorrhoids indicate that the external hemorrhoids are larger, and minimally invasive surgery is generally not recommended because the external hemorrhoidal tissue may not be completely removed. Your situation seems to resemble this condition. If there is no pain or disc...[Read More] Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Proper Care for Finger Cuts: Tetanus Status and Wound Management
Wound management for lacerations? The finger was cut by a metal plate. Tetanus vaccination was received two years ago. Should I ensure the wound heals properly and avoid prolonged exposure to water? The cut is approximately 3 cm in length and 0.3 cm in depth.
Dr. Ke Fangxu reply Surgery
Such a wound should ideally be cleaned and sutured. If the wound is not sutured promptly, the healing time will inevitably be prolonged. The wound should be kept dry and not exposed to water temporarily. If it does not heal after a considerable amount of time, it is advisable to ...[Read More] Proper Care for Finger Cuts: Tetanus Status and Wound Management
Surgery During Menstruation: What You Need to Know
Surgery during menstruation? Hello Dr. Ke, I am the patient from question #203279 (sorry to ask another question). I was thinking about the surgery date, and it seems it will coincide with my menstrual period. After I left, I remembered this and went back to inform the nurse in t...
Dr. Ke Fangxu reply Surgery
Menstruation will not affect the surgery; however, if a warm water sitz bath is needed postoperatively, using tampons may be inconvenient. Tampons are the first recommendation. If you are unable to use them, you may consider rescheduling the surgery or taking medication to adjust...[Read More] Surgery During Menstruation: What You Need to Know
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu reply Surgery
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu reply Surgery
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues
Rectal bleeding Doctor: I often experience constipation. Today, I felt a bit of an urge to go, but it took me 3 to 4 minutes of straining to pass one or two hard stools. Afterward, I wasn't sure if my anus hurt or if I didn't fully evacuate. I went to the bathroom four ...
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 pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues
Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Postoperative massage after anal fistula surgery? Hello, doctor. It has been 4 weeks since my surgery. During my follow-up visit today, the doctor said that my wound is healing well and that I can start massaging it. However, the doctor directly inserted their finger into my anus...
Dr. Ke Fangxu reply Surgery
1. It is sufficient to take warm sitz baths without the need for massage; personally, I do not recommend massage for patients. 2. For simple fistulas, maintaining cleanliness and waiting for the wound to heal is adequate. If there is no pain or swelling, the application of oint...[Read More] Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...
Dr. Ke Fangxu reply Surgery
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello, Doctor. Since I am in a rural area with limited medical resources, I would like to consult online before deciding whether to go to the hospital. Here’s the situation: about five months ago, I noticed blood in my stool. It wasn't completely red but conc...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and...[Read More] Understanding Blood in Stool: When to Seek Medical Attention