Post-Surgery Recovery from Anal Fistula: What to Expect
Postoperative Recovery After Anal Fistula Surgery Hello, I had my first surgery for a fistula in June of this year, and it recurred, leading to a second surgery in mid-September. It has been 62 days since the surgery, and there is no blood in my stool, but the wound has not yet h...
Dr. Ke Fangxu reply Surgery
Theoretically, two months after surgery, the wound should be fully healed and there should be no more discharge. However, if there have been two surgeries or if the wound is larger, it is possible that the wound has healed but there is still rectal mucus leakage. This may be due ...[Read More] Post-Surgery Recovery from Anal Fistula: What to Expect
Which Specialist to Consult for Rising Thyroglobulin Levels?
Which outpatient clinic should I go to? This year, my thyroid antibody index for Thyroglobulin seems to be continuously rising. After receiving high-dose I-131 treatment, my immunoglobulin levels were stable at 1-2 for several years, but suddenly increased to 10 at the beginning ...
Dr. Ke Fangxu reply Surgery
Have you undergone a total thyroidectomy due to malignant thyroid tumors after receiving Iodine-131 treatment? Iodine-131 destroys all thyroid tissue, so future sources of thyroid hormones must come from oral supplementation. Rapid heartbeat may be due to elevated thyroid hormone...[Read More] Which Specialist to Consult for Rising Thyroglobulin Levels?
Understanding Post-Surgical Discomfort After Hemorrhoid Banding
Sterilization Issues Hello doctor, I went to the hospital today for a hemorrhoid ligation, which is not my first time. However, after the procedure today, I felt extremely uncomfortable. On my way home, I experienced pain that left me feeling weak all over, sweating profusely, an...
Dr. Ke Fangxu reply Surgery
If the ligation of internal hemorrhoids is too superficial, this phenomenon may occur, especially in patients who have undergone multiple ligation procedures, where the likelihood is even higher. If there is no significant bleeding or prolapse of the internal hemorrhoids, multipl...[Read More] Understanding Post-Surgical Discomfort After Hemorrhoid Banding
Post-Surgery Concerns: Understanding Bile Duct Stone Surgery Recovery
Bile duct stones Hello, doctor. After undergoing surgery for bile duct stones, it has been over three months, and the wound has mostly healed. However, I have noticed that the area of the incision (about an inch above the navel) feels swollen and seems to have air when pressed, b...
Dr. Ke Fangxu reply Surgery
It may be that the fat within the abdominal cavity is protruding through the fascial incision. If there is no pain or increase in size, it should not be a concern. Otherwise, it would be advisable to have the surgeon examine it to confirm the diagnosis.[Read More] Post-Surgery Concerns: Understanding Bile Duct Stone Surgery Recovery
Post-Surgery Probiotic Use for Constipation Relief in Seniors
Issues with taking probiotics after colon surgery? Hello Doctor, I would like to explain my grandfather's situation. He is 83 years old. In early July, he experienced difficulty with bowel movements. After seeing a doctor, he was diagnosed with "C187 malignant tumor of...
Dr. Ke Fangxu reply Surgery
1. Theoretically, probiotics and laxatives should not have an impact on each other, and adjustments can be made based on bowel movement status. 2. Products that contain chicory may even enhance the effects of intestinal probiotics. 3. 4. It should be possible.[Read More] Post-Surgery Probiotic Use for Constipation Relief in Seniors
Understanding Rectal Bleeding: Is It Just Hemorrhoids or Something More?
Rectal bleeding, leukemia? Hello doctor, I have been experiencing bleeding during bowel movements recently. There is no blood in my stool, but I notice fresh blood when I wipe. This has been happening for two weeks, and I have found a significant wound near my anus. Every time I ...
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. Sometimes, this may be associated with hemorrhoidal bleeding, which can increase the amount of blood. The common causes...[Read More] Understanding Rectal Bleeding: Is It Just Hemorrhoids or Something More?
Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Hemorrhoid ligation Hello, doctor. I had a hemorrhoid ligation surgery last Wednesday, which was my fourth time. The doctor said I don't need to return for a follow-up. However, the day after the ligation, I noticed that the rubber band seemed to be gone. Now, on the sixth d...
Dr. Ke Fangxu reply Surgery
The so-called hemorrhoid ligation is a treatment specifically for internal hemorrhoids. If you are referring to external hemorrhoids, the outcome may indeed depend on the initial purpose of the ligation. If the ligation was performed to stop bleeding, then the absence of further ...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Anal itching Hello doctor, I have been experiencing itching in my anus for 1-2 years. It usually gets worse before bedtime, during hot weather, or after having a bowel movement. There is also a painful sensation, similar to a raw feeling, and when I touch it, I can feel a soft, l...
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. Avoid scratching to prevent wound infection. 2. Temporarily refrain from consuming spicy foods to prevent capsaicin from irritating the s...[Read More] Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Understanding Hemorrhoid Color and Shape Changes: Signs of Healing?
The color and shape of hemorrhoids? Hello, Doctor: I am the patient of case #162025. The pain during bowel movements has almost disappeared, but the protrusion seems to have increased in size and its color has lightened. Could this be a sign of healing, or is there a possibility ...
Dr. Ke Fangxu reply Surgery
Due to cybersecurity issues, the imaging link cannot be accessed this time. However, the images from November 8 do not appear to resemble typical external hemorrhoids. It is advisable to consult a physician for a proper examination. If necessary, a biopsy can also be performed to...[Read More] Understanding Hemorrhoid Color and Shape Changes: Signs of Healing?
Understanding Anal Itching: Causes and Treatment Options
Anal itching Hello doctor, I have been experiencing itching in my anus for 1-2 years. I can feel a soft, fleshy lump below the external anal area. It tends to itch particularly at night or after a bowel movement. Sometimes, using hemorrhoid cream or antifungal cream provides reli...
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 causing an infection in the wounds. 2. Temporarily avoid spicy foods to prevent capsaicin from irritating the ski...[Read More] Understanding Anal Itching: Causes and Treatment Options
Understanding the Infectious Nature of Cauliflower Warts: Key Questions Answered
The infectiousness of cauliflower? I discovered I had genital warts in March of this year. After starting treatment with topical medication, there was no improvement, so I went to a large hospital where the doctor applied medication and prescribed antibiotics. After the lesions w...
Dr. Ke Fangxu reply Surgery
Theoretically, applying topical medication combined with taking antibiotics cannot cure genital warts unless the topical treatment is a specific antiviral cream for condyloma acuminatum; however, there is still a risk of recurrence. 1. If condoms are used consistently, theoretica...[Read More] Understanding the Infectious Nature of Cauliflower Warts: Key Questions Answered
Post-Surgery Bowel Control Issues: Solutions and Insights
Post-fistula surgery Hello, doctor: I have a question. After my surgery, I have been unable to control my bowel movements. I asked my surgeon about it, and he said it's normal. It's been six months now. Is there a solution for this?
Dr. Ke Fangxu reply Surgery
If the incision of the sphincter is too extensive in complex fistula cases, there is indeed a possibility of experiencing such sequelae. If conservative treatment is ineffective, an anal pressure test may be necessary. If a pressure deficiency in the sphincter is confirmed, sphin...[Read More] Post-Surgery Bowel Control Issues: Solutions and Insights
Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Should anticoagulants be discontinued after hemorrhoid ligation? My father underwent a colonoscopy and was found to have multiple large internal hemorrhoids. The gastroenterologist advised that no treatment was necessary, but due to severe pain, he consulted a colorectal speciali...
Dr. Ke Fangxu reply Surgery
In fact, for patients taking anticoagulants, we generally adopt a more conservative approach, avoiding ligation if possible. If ligation is absolutely necessary, we still recommend discontinuing the anticoagulants, as there is a very small risk of postoperative bleeding associate...[Read More] Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Coccygeal pain triggered by the urge to defecate? Hello, Dr. Ke! Last month, I underwent a colonoscopy at the hospital, which revealed an issue with internal hemorrhoids. However, since there was no pain and very little bleeding, the doctor said no special treatment was necessary...
Dr. Ke Fangxu reply Surgery
1. It should not be related to hemorrhoids. If there is no improvement after consulting a rehabilitation specialist, you may consider having a gynecologist examine for possible pelvic inflammatory disease. 2. If it is an anal or rectal abscess, these symptoms may indeed occur in...[Read More] Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Managing Painful Redness Around the Anus: Causes and Treatments
Perianal redness and swelling issue? Recently, I have been experiencing frequent diarrhea due to gastroenteritis and have noticed that the skin around my anus appears to be severely red and swollen, possibly due to frequent wiping with toilet paper or other unknown reasons (funga...
Dr. Ke Fangxu reply Surgery
If inflammation of the skin around the anus occurs due to frequent wiping from diarrhea, there are corresponding ointments that can be applied. However, it is essential to consult a physician for an accurate diagnosis before prescribing the appropriate medication. In the meantime...[Read More] Managing Painful Redness Around the Anus: Causes and Treatments
Post-Surgery Anal Swelling: Causes and Treatment Options Explained
Postoperative anal external mass? Hello Doctor, I appreciate your hard work. Last week, I underwent electrosurgical treatment for anal warts, and since then, I have been experiencing pain and swelling around the anal area (not in the area treated with electricity). As shown in th...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a small thrombosed external hemorrhoid, which is unrelated to the use of an anal speculum. Warm sitz baths combined with topical ointment should allow for absorption within 1-2 weeks. If it does not resolve after two weeks or if there is a gra...[Read More] Post-Surgery Anal Swelling: Causes and Treatment Options Explained
Understanding Anal Swelling: Causes and When to Seek Medical Advice
Anal swelling Hello Dr. Ke, thank you for your hard work. 1) Two months ago, I had a thrombosed external hemorrhoid, which gradually resolved. However, I noticed a long, fleshy growth at the site of the previous thrombosed external hemorrhoid (below the anus), as shown in posit...
Dr. Ke Fangxu reply Surgery
Due to the lack of a physical examination, it is difficult to assess the texture in detail. However, based on the photos, there does not appear to be any significant swelling. This condition seems more like an external hemorrhoid left after a thrombosed hemorrhoid. If there is no...[Read More] Understanding Anal Swelling: Causes and When to Seek Medical Advice
Comparing Electrocautery and Traditional Surgery for Anal Fistulas
The differences between electrocautery treatment for anal fistulas and traditional incision surgery? Hello Dr. Ke: I apologize for bothering you again. I previously asked about the issue of electrocautery for anal fistulas, and I would like to inquire about the differences, advan...
Dr. Ke Fangxu reply Surgery
Open surgery has a larger incision but a higher chance of a cure. I personally have not undergone electrosurgery, but I recall that the incision is smaller, although the recurrence rate is higher. However, it is best to consult a physician who performs this type of surgery to obt...[Read More] Comparing Electrocautery and Traditional Surgery for Anal Fistulas
Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
History of cauliflower and hemorrhoid treatment, with recent perianal pain? Dear Dr. Ke, I apologize for interrupting you during your busy schedule. To save your valuable time, I have organized the information in bullet points below. Thank you for your understanding. 1. A 30-ye...
Dr. Ke Fangxu reply Surgery
I also think it could be an anal polyp or a small external hemorrhoid, as it appears smooth in appearance. However, it is best to have a physician perform a physical examination for a more accurate assessment. If there is no continuous increase in size or number, it can be monito...[Read More] Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms
Postoperative care for anal fistula surgery [Continuation 159006, 159626] Hello, doctor. Since I underwent my third anal fistula surgery (I have a simple low anal fistula) at the beginning of August, it has been almost two and a half months. During my follow-up appointment in Sep...
Dr. Ke Fangxu reply Surgery
Because online consultations cannot provide a thorough examination, it is not possible to determine the issue or confirm if there is inflammation; this requires an in-person evaluation by a physician. I have previously addressed your concerns multiple times. If you are still expe...[Read More] Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms