Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Colonoscopy Dear Director Ke, After cleansing the intestines, is it possible to first arrange for a painless colonoscopy under anesthesia, and then proceed with a barium enema? (Due to right lower abdominal pain and a constant sensation of incomplete evacuation, the outpatient p...
Dr. Ke Fangxu reply Surgery
Since a colonoscopy has been performed, there is no point in doing a barium study. The reason the physician arranged for a barium study is likely because a colonoscopy was done two years ago. In fact, the accuracy of a colonoscopy is higher than that of a barium study, and patien...[Read More] Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Post-Surgery Concerns: Managing Wound Issues After Anal Fistula Surgery
Postoperative Wound Issues After Anal Fistula Surgery Hello Doctor, two days ago I underwent a fistulotomy. After resting at home for two days, I noticed some yellow discharge from the wound when I took a photo with my phone today. Is this a normal occurrence? Additionally, I hav...
Dr. Ke Fangxu reply Surgery
"The yellow substance in the wound" appears to be an unhealed area that is not red, swollen, hot, or painful, which can be considered normal. After a bowel movement, it is acceptable to rinse and then take a sitz bath. There is indeed a risk of recurrence with anal fist...[Read More] Post-Surgery Concerns: Managing Wound Issues After Anal Fistula Surgery
Immediate Release After Hemorrhoid Banding: Concerns and Care
The ligation of two internal hemorrhoids should be released immediately? Hello, two days ago I underwent rubber band ligation for internal hemorrhoids at the hospital. After the doctor completed the procedure on one hemorrhoid, he discovered another one near the anal opening. Aft...
Dr. Ke Fangxu reply Surgery
1. Severe pain after a vasectomy that does not resolve may indicate that the surgical site is too close to the anus, which may not affect the rectal tissue. 2. Taking pain relievers and using warm sitz baths.[Read More] Immediate Release After Hemorrhoid Banding: Concerns and Care
Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
Postoperative care for anal fistula surgery? Hello, I underwent anal fistula surgery last week, and the wound is quite large, approximately 4cm x 4cm x 1cm. I've changed the dressing at least five times a day and have been soaking it in antiseptic solution, but the dressing ...
Dr. Ke Fangxu reply Surgery
After anal fistula surgery, it is normal to have increased discharge and more noticeable pain, especially within the first two weeks post-operation. As long as there is no bleeding or accumulation of pus, there is no need for concern. However, if the wound becomes severely red, s...[Read More] Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
Understanding Pilonidal Sinus: Causes, Treatments, and Surgical Options
Pilonidal sinus (pilonidal cyst) 1. Is a pilonidal sinus congenital or acquired? 2. Is it possible for dirty water to enter the pilonidal sinus during swimming, or for viruses and bacteria to enter through the small opening? 3. Besides surgery, what other treatment options are av...
Dr. Ke Fangxu reply Surgery
1. Congenital 2. It is caused by hair follicle tissue being trapped beneath the epidermis during embryonic development. 3. Surgical treatment is the only option for a potential cure; without surgery, symptoms can only be managed with antibiotics. 4. Extensive surgical excis...[Read More] Understanding Pilonidal Sinus: Causes, Treatments, and Surgical Options
Understanding Rectal Bleeding: Causes and Solutions for Painful Bowel Movements
Issues related to rectal bleeding? I am experiencing sharp pain and friction in the anal area during bowel movements, with a few drops of blood in the toilet. There are several pieces of stool that appear to have fresh blood, and wiping the anal area results in a small amount of ...
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 Solutions for Painful Bowel Movements
Understanding Rectal Bleeding: Causes and Concerns for Your Health
Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues Hello doctor, I have been experiencing blood on the toilet paper after wiping for many years. The blood is bright red, but there is not much pa...
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 Concerns for Your Health
Post-Surgery Pain Relief: Managing Discomfort After Hemorrhoid Surgery
Experiencing severe pain after bowel movements post-surgery? My husband had hemorrhoid surgery 18 days ago, but he is still having bowel movements about three times a day. After each bowel movement and a 15-minute sitz bath, he continues to experience significant pain. Even with ...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, pain should significantly decrease after about two weeks. If you are still experiencing severe pain at that time, it is indeed unusual, and I recommend returning for a follow-up appointment with your physician for an examination. Sometimes, wound infecti...[Read More] Post-Surgery Pain Relief: Managing Discomfort After Hemorrhoid Surgery
Post-Hemorrhoid Surgery: Managing Hard Stools and Recovery Concerns
Post-hemorrhoid surgery Hello Doctor, I underwent a circumferential hemorrhoidectomy at the end of November last year, with the hemorrhoids classified as grade III. It has been over a month since the surgery, and during my follow-up visit, the doctor indicated that the wound is h...
Dr. Ke Fangxu reply Surgery
1. Theoretically, there should be an improvement, but the duration varies from person to person. You can consult your surgeon for more information. 2. If there is no narrowing, then there is no need for dilation. You can start by taking stool softeners for a period of time and th...[Read More] Post-Hemorrhoid Surgery: Managing Hard Stools and Recovery Concerns
Understanding Recurrence of Genital Warts and Safe Practices
Treatment for cauliflower (condylomata acuminata) If there is a cauliflower-like growth around the anus that was previously treated with electrocautery in July 2020, and a new growth has appeared in January, it is not uncommon for such lesions to recur. This can happen even after...
Dr. Ke Fangxu reply Surgery
Recurrence of cauliflower-like lesions is quite common, and it typically requires close monitoring for about six months to determine if there will be no further recurrence. Engaging in sexual activity is permissible, but it is essential to use condoms throughout. I am not familia...[Read More] Understanding Recurrence of Genital Warts and Safe Practices
Post-Surgery Itching Around Anus: Is It Normal After Fistula Surgery?
Itching around the anal area after anal fistula surgery? Hello, doctor. It has been about three days since my anal fistula surgery, and it has been almost a month since the procedure. During my follow-up appointment last week, the surgeon said I was recovering normally and that I...
Dr. Ke Fangxu reply Surgery
One month after surgery, the wound has mostly healed. It is common for the wound to experience slight itching at this time. Indeed, corticosteroid ointment can help alleviate the symptoms, and regular follow-up appointments are sufficient.[Read More] Post-Surgery Itching Around Anus: Is It Normal After Fistula Surgery?
Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Bowel issues, sensation of anal foreign body, gastrointestinal problems? Hello Doctor, about two weeks ago, I started experiencing diarrhea every morning for six consecutive days. On some days, I also had to go after meals, but there were no accompanying symptoms like fever or vo...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 18 can be considered negligible. 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 greasy foods shoul...[Read More] Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Post-Anal Abscess Surgery: Understanding Recovery and Concerns
Postoperative care for anal abscess? Hello doctor, I had an anal abscess surgery at the end of September. Now there are no wounds, and I usually take pictures with my phone before and after using the restroom. Occasionally, I notice a small amount of stool outside the anus, but i...
Dr. Ke Fangxu reply Surgery
This is not considered incontinence; many people experience this phenomenon. Performing Kegel exercises should be helpful. Pain at the surgical site should not be a concern, but some patients may develop anal fistulas as a complication after surgery. If there are subsequent sympt...[Read More] Post-Anal Abscess Surgery: Understanding Recovery and Concerns
Should You Seek Medical Attention for Tetanus After an Accident?
Tetanus infection Hello Dr. Ke, I accidentally hit something while riding my bike, and as a result, I have abrasions on my face, chin, shoulder, arms, and knees (approximately 4-5 cm). After cleaning and disinfecting the wounds, I noticed that my masseter muscle hurts when I bite...
Dr. Ke Fangxu reply Surgery
This should not be related to tetanus. In the case of a motorcycle accident, if there is an impact to the jaw, the temporomandibular joint (TMJ) may be injured, which can sometimes result in this condition. As long as there are no issues with occlusion, it should not be a concern...[Read More] Should You Seek Medical Attention for Tetanus After an Accident?
Risks and Considerations of Removing PPH Staplers After Surgery
Removal of PPH (Procedure for Prolapse and Hemorrhoids) stapler? Hello, Dr. Ke! A few days ago, I inquired about some areas of my wound that have been persistently experiencing a pinching and swelling sensation. Recently, the pinching and swelling have become more frequent, and s...
Dr. Ke Fangxu reply Surgery
This type of surgery is quite complicated and carries a risk of anal stenosis. It is rarely performed by physicians other than the original surgeon. You may want to consult the surgeon who performed the initial procedure.[Read More] Risks and Considerations of Removing PPH Staplers After Surgery
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding Hello Dr. Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps. The bowel preparation for the colonoscopy was rated as good. Recently, during a bowel movement, I noti...
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, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Choosing Between Traditional and Minimally Invasive Fistula Surgery
Options for Fistula Surgery Hello Doctor, I previously asked you about anal fistulas. Last Saturday, I visited the colorectal surgery department at the hospital, and the doctor offered me two surgical options: traditional electrosurgery and minimally invasive surgery. He mentione...
Dr. Ke Fangxu reply Surgery
Simply stating "minimally invasive" is too vague; it is necessary for the physician to explain what specific instruments or surgical techniques are used to achieve minimally invasive results. This information is essential for making an informed decision. Additionally, d...[Read More] Choosing Between Traditional and Minimally Invasive Fistula Surgery
Blood After Days of Constipation: Is It Hemorrhoids?
Bleeding after several days of constipation? Hello, Doctor. This week I have been experiencing constipation, having a bowel movement only once every three days with a small amount. Yesterday, I tried to use the toilet but was unable to pass anything; however, I noticed a small am...
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 the toilet. Increasing dietary fiber int...[Read More] Blood After Days of Constipation: Is It Hemorrhoids?
Understanding Fistula Surgery Recurrence: What You Need to Know
Does the fistula surgery have a recurrence? Hello, I have undergone two fistula surgeries this year, one in June and another in September. Currently, it has been 90 days since the second surgery, and the external wound has healed to a pink color. However, yesterday while having a...
Dr. Ke Fangxu reply Surgery
In general, the wound from a typical fistula surgery will heal within one month. For more complex fistulas, the healing time may be extended, but it rarely exceeds two months. If fresh blood is observed, it could indicate either a recurrence of the fistula or bleeding from hemorr...[Read More] Understanding Fistula Surgery Recurrence: What You Need to Know
Post-Surgery Anal Pain: Understanding Complications After PPH Procedure
Postoperative pain at the anal wound? Hello, doctor! Six months ago, I underwent PPH surgery for internal hemorrhoids at the hospital. A month after the surgery, I experienced a stabbing and cutting sensation at the surgical site, along with some swelling. When I returned to the ...
Dr. Ke Fangxu reply Surgery
After PPH surgery, some patients may experience this phenomenon, which is often related to the resection site being too close to the dentate line. If the wound is healing well and there is no bleeding, no special treatment is necessary. If the pain is severe and affects daily lif...[Read More] Post-Surgery Anal Pain: Understanding Complications After PPH Procedure