Post-Surgery Anal Itching: Managing Discomfort After Hemorrhoid Surgery
Anal itching After hemorrhoid surgery, there may be itching, swelling, and pain during bowel movements, and passing gas can also cause discomfort.
Dr. Ke Fangxu reply Surgery
It is normal to experience discomfort during the healing process after hemorrhoid surgery. It is recommended to use pain relief medications and to take warm sitz baths. If symptoms persist without improvement or if there is redness, swelling, heat, or pain, you should consult you...[Read More] Post-Surgery Anal Itching: Managing Discomfort After Hemorrhoid Surgery
Understanding Post-Banding Pain and Bleeding After Hemorrhoid Surgery
Hemorrhoid ligation: soreness for 4-5 hours after bowel movement? Hello Dr. Ke, I underwent rubber band ligation for internal hemorrhoids on February 1st in the U.S. (as a student). Starting from February 10th, I have noticed a small amount of blood during bowel movements, along...
Dr. Ke Fangxu reply Surgery
If the location of the internal hemorrhoid ligation is too close to the anal opening, it can indeed cause a sensation of discomfort and pain. It is generally recommended to take analgesics and to perform warm sitz baths. If the pain is severe, it is necessary to consult a physici...[Read More] Understanding Post-Banding Pain and Bleeding After Hemorrhoid Surgery
Managing Anal Fissures: Dietary Tips for Post-Surgery Care
Anal itching, anal fissure? How to care for anal fissures after surgery. I had minimally invasive surgery for internal and external hemorrhoids over four months ago, and I have been experiencing itching and pain after bowel movements for the past four months without improvement. ...
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: Dietary Tips for Post-Surgery Care
Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Post-hemorrhoidectomy perineal swelling? I underwent traditional surgery for mixed hemorrhoids on November 24th last year, and it has been approximately 2.5 months since then. I would like to ask the following questions: 1. After the surgery, I experienced swelling in the perine...
Dr. Ke Fangxu reply Surgery
1. It is necessary to conduct a physical examination to determine the exact issue. Generally, swelling after surgery improves within 2 to 4 weeks. If it persists for three months post-surgery, it is advisable to have the surgeon conduct a follow-up evaluation. 2. Similarly, an ...[Read More] Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Understanding Post-Thrombectomy Purple Bumps: Causes and Concerns
Purplish-red protrusions after thrombectomy? Hello, I would like to ask about my outpatient surgery for thrombectomy performed on January 5th. Preoperatively, besides the particularly large protruding area (the thrombus that was later removed), there were also small purplish-red ...
Dr. Ke Fangxu reply Surgery
Due to the access restrictions on the link you provided, I am unable to view it. Based on your description, it is possible that the issue is residual skin after thrombectomy. As long as there is no continuous growth, pain, or bleeding, it should not be a concern. Activities such ...[Read More] Understanding Post-Thrombectomy Purple Bumps: Causes and Concerns
Post-Surgery Concerns: Managing Pain and Discomfort After Fistula Repair
It has been almost six months since the fistula surgery? Hello, Dr. Ke. I would like to ask you about my situation. Last year, I underwent two fistula surgeries. The first one was in July, and after continuous follow-ups, my attending physician informed me that there was still on...
Dr. Ke Fangxu reply Surgery
Whether it is a recurrence can only be confirmed through a personal examination by a physician. If there is an increase in pain or any bleeding, it is important to seek medical evaluation and treatment.[Read More] Post-Surgery Concerns: Managing Pain and Discomfort After Fistula Repair
Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
After undergoing surgery for a fistula and hemorrhoids, there is a small amount of blood on the toilet paper after bowel movements? Hello Doctor: I underwent fistula and hemorrhoid surgery on December 25, 2020. After a follow-up visit on January 19, the doctor confirmed that the ...
Dr. Ke Fangxu reply Surgery
If the incision from the fistula surgery is relatively large, a small amount of bleeding postoperatively is considered normal. However, if constipation occurs, it may affect wound healing. It is recommended to take warm sitz baths and avoid hard stools. If the bleeding does not i...[Read More] Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
Post-Surgery Anal Issues: Understanding and Managing Persistent Problems
Two questions one year after anal surgery? Dear Doctor, I had constipation issues when I was younger and underwent surgery for hemorrhoids/fissures two years ago. Six months later, I experienced pus discharge from my anus and was diagnosed with my first anal fistula. When I ask...
Dr. Ke Fangxu reply Surgery
These two issues seem to be related, possibly due to having undergone multiple anal surgeries in a short period, which may have resulted in decreased anal sphincter pressure. To confirm this phenomenon, an anal manometry test would be necessary. However, it appears that there are...[Read More] Post-Surgery Anal Issues: Understanding and Managing Persistent Problems
Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Postoperative wound issues after anal fistula surgery? 1. I'm sorry, doctor. I feel that I may not have expressed my concerns clearly during my last visit. I am providing a photo of my discharge for your reference: https://drive.google.com/file/d/1npjn2MuEsOAoZh3qwvAvKpzP8S1...
Dr. Ke Fangxu reply Surgery
1. It's difficult to assess just by looking at the photo, but if the wound appears as shown in your picture, it should just be normal exudate. 2. The redness indicates that granulation tissue is beginning to form, which is a normal part of the wound healing process. 3. Diffe...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Understanding Blood-Like Substances in Stool: Causes and Concerns
Stool with blood-like substances attached? Hello, Dr. Ke. I apologize for bothering you, but I would like to ask for your advice. I am currently taking Biyikui and two weeks ago I sought medical attention due to diarrhea lasting nearly a week, during which I noticed blood streaks...
Dr. Ke Fangxu reply Surgery
Red-colored stool does not necessarily indicate the presence of blood in the stool. Fecal occult blood testing should be evaluated based on whether it is a chemical method or an immunological method. If it is a chemical method, an immunological test targeting red blood cells can ...[Read More] Understanding Blood-Like Substances in Stool: Causes and Concerns
Post-Surgery Care for External Hemorrhoids: Common Concerns and Tips
Postoperative wound after hemorrhoid surgery? Hello, doctor. I recently underwent surgery for external hemorrhoids over two weeks ago, but I am still experiencing some bleeding and pain. I have the following questions regarding wound care: 1. Is it acceptable to use saline solu...
Dr. Ke Fangxu reply Surgery
1. Yes. 2. If the discharge is minimal, using panty liners is acceptable. 3. As long as the temperature is not too high, it should be fine. 4. If there is no pain or bleeding, it is not necessary. 5. It could be granulation tissue or simply that the wound has not fully healed; ty...[Read More] Post-Surgery Care for External Hemorrhoids: Common Concerns and Tips
Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Is a colonoscopy necessary for constipation? I have had constipation issues since childhood, sometimes going up to a week without a bowel movement, and at best, every three days. Therefore, I occasionally use enemas, as I easily experience bloating. Recently, I noticed a small da...
Dr. Ke Fangxu reply Surgery
The black spots on the lower lip associated with polyps are indicative of Peutz–Jeghers syndrome, which is a rare autosomal dominant genetic disorder. Generally, it is not more prevalent. If the intestinal motility is already slow and there are no significant changes, a colonosco...[Read More] Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Blood on Toilet Paper: Understanding Pain and Possible Causes
After a bowel movement, there is blood on the toilet paper? Sometimes when I have a bowel movement, it hurts when the stool is about to come out; sometimes it's very painful, and other times it's not as bad. However, when I wipe, there is blood on the toilet paper. The ...
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] Blood on Toilet Paper: Understanding Pain and Possible Causes
Understanding Yellow Discharge After Fistula Surgery: Is It Normal?
Post-fistula surgery Hello Dr. Ke, I have just completed my third anal fistula surgery 25 days ago. About 15 days post-surgery, I noticed yellow discharge. What does the yellow discharge indicate? Is it normal? I also experienced this discharge after the second surgery, and I am ...
Dr. Ke Fangxu reply Surgery
The wound healing after anal fistula surgery is slower, and there will be discharge until complete healing occurs. As long as there is no redness, swelling, heat, or pain, it is not a concern. During this time, it is important to take frequent sitz baths and maintain cleanliness....[Read More] Understanding Yellow Discharge After Fistula Surgery: Is It Normal?
Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Postoperative Wound Care for Fistula Surgery Dear Dr. Ke, The patient underwent anal fistula surgery on January 26. The wound is located next to the anus and can be seen with a mirror. The attending physician did not examine the wound before discharge. Since returning home on Ja...
Dr. Ke Fangxu reply Surgery
1. If sitting baths are not possible, a handheld showerhead can be used as an alternative. If there are concerns about residual fecal matter, multiple rinses can be performed. 2. Postoperative wound discharge is a normal phenomenon; as long as there is no redness, swelling, hea...[Read More] Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Post-Surgery Recovery of Anal Fistula Wound: Signs of Infection?
Postoperative wound healing status after anal fistula surgery? Hello Doctor, I previously asked you about the healing condition of my anal fissure. However, when I took a photo of my wound today, I noticed a bright red area and yellow-green discharge. Is that pus? Does it mean th...
Dr. Ke Fangxu reply Surgery
It doesn't look like pus, but whether it is necrotic or infected can only be determined through a physical examination. If there is no pain and the discharge has decreased, it should not be a major issue. Online consultations cannot replace in-person examinations. If there a...[Read More] Post-Surgery Recovery of Anal Fistula Wound: Signs of Infection?
Understanding Anal Fistulas in Infants: When to Consider Surgery
Anal fistula in infants Dear Doctor, my son is currently almost 4 months old and has an anal fistula located at the 1 o'clock and 11 o'clock positions. The pediatric surgeons we have consulted have advised against surgery for now, but the locations of the fistula are no...
Dr. Ke Fangxu reply Surgery
1. If an abscess is not drained, the infection site may expand and eventually rupture on its own; therefore, early drainage is the correct approach. 2. It is impossible to completely express the pus from an infection in the soft tissues around the anus; adults can utilize muscl...[Read More] Understanding Anal Fistulas in Infants: When to Consider Surgery
Furunculosis or Anal Abscess: Understanding Your Symptoms
Folliculitis or perianal abscess? Hello Doctor, I noticed a bump near my anus that resembles a pimple while showering on the evening of January 20th. It only hurts when pressed. I visited a dermatology clinic on January 21st, where it was diagnosed as folliculitis, and I underwen...
Dr. Ke Fangxu reply Surgery
Although an accurate diagnosis cannot be made solely based on photos, it appears to be a simple case of folliculitis. However, a definitive diagnosis should be made by a physician through examination. For now, it may be advisable to continue monitoring the situation.[Read More] Furunculosis or Anal Abscess: Understanding Your Symptoms
Understanding Recurrence of Anal Fistulas: What to Expect After Surgery
Recurrence of the disease? Hello Doctor, I asked you about the anal fistula issue the day before yesterday, but today while taking photos with my phone, I noticed two strange things near the anus. First, there is an unknown small black dot very close to the original fistula openi...
Dr. Ke Fangxu reply Surgery
Since your previous photos have been removed, there is no way to compare. However, according to your markings, wound one is located at the posterior, supposedly near the original opening, while wound two is at the anterior, claimed to be the surgical incision. This seems somewhat...[Read More] Understanding Recurrence of Anal Fistulas: What to Expect After Surgery
Post-Operative Care Tips to Avoid Anal Stenosis After PPH Surgery
Postoperative care after PPH (Procedure for Prolapse and Hemorrhoids) stapler removal? Hello, Dr. Ke! A few days ago, I underwent a titanium screw removal surgery at the hospital. The surgeon made an incision from 2 PM to 6 PM, removed three titanium screws, and then sutured the ...
Dr. Ke Fangxu reply Surgery
If the incision is not a complete circle, the risk of stenosis is relatively low. The physician should only remove the titanium screws that are positioned lower. The patient cannot actively reduce the risk of stenosis; currently, they just need to take good care of the wound.[Read More] Post-Operative Care Tips to Avoid Anal Stenosis After PPH Surgery