Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-fistula surgery It has been about a month since the drainage tube surgery (September 19). I had a follow-up appointment last week (October 17), and the doctor checked the wound and found no major issues. I was prescribed antibiotics and ointment to continue using. Today, whi...
Dr. Ke Fangxu reply Surgery
Without a personal examination, it is impossible to determine whether it is a recurrence or a scar. If there is no redness, swelling, or pain, it is advisable to observe the situation first; otherwise, a follow-up examination and treatment by a physician are necessary.[Read More] Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
The first night after fistula surgery? Hello, I am scheduled for a fistula surgery, and the doctor advised me to avoid having a bowel movement on the first night after the procedure (I did not have a bowel prep the night before at the clinic). However, I tend to have a sensitive ...
Dr. Ke Fangxu reply Surgery
I don't understand the reason for not having a bowel movement the day before. Generally, bowel cleansing is required before undergoing anal surgery to reduce the risk of wound infection and to help clarify the surgical field. After the surgery, you will definitely need to us...[Read More] Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
Post-Hemorrhoid Surgery: Common Concerns and Pain Management
Postoperative Questions Regarding Hemorrhoid Surgery Hello, doctor. It has been four days since my external hemorrhoidectomy, and I am still experiencing unbearable pain. The area around the wound is swollen around half of the anus. I have been lying in bed and relying on painkil...
Dr. Ke Fangxu reply Surgery
Personally, I have not undergone outpatient hemorrhoidectomy because postoperative swelling and pain are inevitable. Mild bleeding and discharge are also considered normal. During this time, it is not recommended to apply ointments to avoid compromising wound cleanliness. Frequen...[Read More] Post-Hemorrhoid Surgery: Common Concerns and Pain Management
Understanding Fistula Treatment: Surgical Options and Electrocautery Explained
Electrocautery treatment for anal fistula? Hello Doctor: A year ago, I underwent surgery for a fistula, and now it has recurred. Is it still appropriate to perform a standard incision surgery for a cure? The doctor mentioned that this time the wound would be larger than before, w...
Dr. Ke Fangxu reply Surgery
The recurrence of fistulas does require reoperation, and it is inevitable that the surgical wound will be larger and more painful. Electrocautery treatment is generally used for simple fistulas. The iron rod electrocautery you mentioned likely refers to this type of procedure. Fo...[Read More] Understanding Fistula Treatment: Surgical Options and Electrocautery Explained
Managing Post-Surgical Bleeding After Hemorrhoid Banding: Tips for Recovery
Post-operative bleeding after hemorrhoid ligation? Hello doctor, I recently underwent a rubber band ligation for internal hemorrhoids, and the day after the procedure, the hemorrhoid fell off, resulting in significant bleeding. Upon returning for a follow-up, the doctor said ther...
Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, it is indeed possible to experience occasional bleeding. As long as there is no continuous heavy bleeding, it is not a concern. However, if the bleeding does not stop, it may require the addition of oral medication or further treatment.[Read More] Managing Post-Surgical Bleeding After Hemorrhoid Banding: Tips for Recovery
Understanding Anal Fistulas: Symptoms, Treatment, and Timing for Surgery
Anal fistula About two weeks ago, I discovered a raised lump near my anus. It is pink in color and painful when pressed, roughly a little smaller than a coin. At first, I didn't pay much attention to it, but after a few days, it started to ooze a little pus, so I went to see...
Dr. Ke Fangxu reply Surgery
Based on the image, it is indeed possible that it is an anal fistula; however, without a personal examination, it cannot be confirmed. If there is no redness, swelling, pain, or discharge, it is less concerning. You can start with oral medication for treatment and consider surger...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Timing for Surgery
Understanding Hemorrhoids: The Impact of Sitting and Standing on Symptoms
Hemorrhoids and the issue of warm water sitz baths? Hello, doctor. This year, I have undergone several treatments for internal hemorrhoid ligation, and there were no signs of recurrence initially. However, recently, due to my academic program, I have to stand for long periods. Af...
Dr. Ke Fangxu reply Surgery
If hemorrhoids do not involve significant bleeding or severe pain, there is generally no need for surgical treatment. Sitting posture is usually not related to the condition. Prolonged standing and Kegel exercises may not provide much benefit. It is advisable to avoid constipatio...[Read More] Understanding Hemorrhoids: The Impact of Sitting and Standing on Symptoms
Managing Cellulitis After Dog Bite and Rusty Cut: A Guide
I was cut by a rusty instrument while being bitten by a dog four days ago? I would like to ask the doctor, four days ago I was cut on my left forearm by a rusty object. Initially, there was no swelling, just a little bleeding. Then I was bitten by my neighbor's dog. That sam...
Dr. Ke Fangxu reply Surgery
The treatment for cellulitis relies on oral antibiotics, and the wound needs to be disinfected and cleaned daily, using povidone-iodine. Please consult a surgeon for examination and wound care; do not make judgments on your own. Proper treatment is essential to prevent a small wo...[Read More] Managing Cellulitis After Dog Bite and Rusty Cut: A Guide
Post-Hemorrhoid Surgery Concerns: Pain, Swelling, and Recovery Time
Postoperative issues related to hemorrhoid surgery? Hello, Dr. Ko. It's been a week since my hemorrhoid surgery, and I still have several lumps around my anus that feel like tumors, and they are very painful. Is it possible that the surgery didn't remove everything? It ...
Dr. Ke Fangxu reply Surgery
Swelling of the wound after hemorrhoid surgery is a normal phenomenon and will typically return to normal in about 2 to 4 weeks. Taking warm sitz baths can also be helpful.[Read More] Post-Hemorrhoid Surgery Concerns: Pain, Swelling, and Recovery Time
Understanding Bowel Issues: Variations in Stool Consistency and Causes
Bowel movement issues Doctor, I would like to ask about my bowel movements. Sometimes they are loose, sometimes they are narrow and elongated, and at other times they are thicker and more formed. I have noticed that my bowel patterns can change due to emotions and stress. Sometim...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like Irritable Bowel Syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber can also be beneficial. If symptoms pe...[Read More] Understanding Bowel Issues: Variations in Stool Consistency and Causes
Understanding Rectal Bleeding: Causes and When to Seek Help
Hello, doctor? Hello doctor, I notice blood on the toilet paper when I wipe after a bowel movement, but there are no blood stains in the toilet bowl and I don't experience any pain. The bleeding occurs intermittently. What could this condition be?
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 When to Seek Help
Understanding External Hemorrhoids and Safe Anal Sex Practices
External hemorrhoids and anal intercourse issues? Hello, Doctor. I have an issue with external hemorrhoids. I have seen a doctor who said that it is currently mild and does not require surgery, but if it becomes larger, surgery may be necessary. I am currently using a medication ...
Dr. Ke Fangxu reply Surgery
1. After hemorrhoid surgery, it takes about a month for the wound to fully heal. It is recommended to wait at least one month before engaging in anal intercourse. If there is no bleeding or pain from the hemorrhoids, it does not affect sexual activity. 2. No, although some topi...[Read More] Understanding External Hemorrhoids and Safe Anal Sex Practices
Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, three years ago I had a mole removed, and during the healing process, I experienced inflammation of the sutures. There is excess skin around the anal area, and within a year, I developed pain in the scar tissue that radiates to my left thigh, making...
Dr. Ke Fangxu reply Surgery
I have never heard of a case of anal keloids, nor have I seen anyone receive steroid injections in the anal area. I recommend that you visit a large hospital and consult a colorectal surgeon for a proper diagnosis before proceeding with any treatment. Personally, I am more inclin...[Read More] Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Can You Use Hemorrhoid Cream Daily for a Month? Expert Advice
Hemorrhoid ointment Hello, Director Ke: A few days ago, I noticed that my external hemorrhoid has become larger and swollen. Today, on October 6th, I visited a colorectal surgeon. The doctor advised me to pay attention to my diet and lifestyle habits, recommended warm water rinse...
Dr. Ke Fangxu reply Surgery
Since you are unsure about the medication prescribed by your doctor, it is difficult to determine if it can be used for a month. However, long-term use of over-the-counter hemorrhoid creams is generally considered safe. Additionally, taking warm sitz baths can also be beneficial.[Read More] Can You Use Hemorrhoid Cream Daily for a Month? Expert Advice
Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Chronic anal fissure Hello Doctor: I have a chronic anal fissure issue that had previously healed, but a few days ago it reopened due to constipation. Sometimes it bleeds, and I've been experiencing significant pain after using the restroom. I feel a friction sensation at th...
Dr. Ke Fangxu reply Surgery
1. Yes, it can shrink afterwards but will not completely disappear. The only way for sentinel polyps to disappear is through surgical removal. 2. If the pain and bleeding are only mild, you can initially apply medication and take warm sitz baths. If there is no improvement afte...[Read More] Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Post-Surgery Bleeding After Hemorrhoidectomy: When to Seek Help?
Postoperative bleeding after hemorrhoid surgery? I would like to consult a doctor. I underwent a mixed hemorrhoidectomy on September 30. Starting on October 5, I experienced bleeding and blood clots during bowel movements, to the extent that the entire toilet was stained red. Eac...
Dr. Ke Fangxu reply Surgery
Some physicians may perform vascular ligation during hemorrhoidectomy because a small number of patients may experience bleeding at the site of the hemorrhoidal artery resection. If the bleeding is persistent, it may require a return to the operating room for suturing and hemosta...[Read More] Post-Surgery Bleeding After Hemorrhoidectomy: When to Seek Help?
Post-Surgery Concerns: Understanding Pain and Bleeding After Anal Fistula Repair
Postoperative care related to anal fistula surgery? Hello Dr. Ke: My father underwent surgery for an anal fistula on July 31. He had three follow-up appointments until September 8. During this period, he experienced pain and bleeding from the wound. At the last appointment on Sep...
Dr. Ke Fangxu reply Surgery
Whether it is a recurrence of a fistula can only be determined by a physician's examination. It is also possible that it is caused by the contraction of the surgical scar. If there is no redness, swelling, or pus, the likelihood of recurrence is lower; however, a follow-up e...[Read More] Post-Surgery Concerns: Understanding Pain and Bleeding After Anal Fistula Repair
Understanding Black Spots in Stool: When to See a Doctor
Stool with a few black spots and black particles? Hello Doctor, I have recently noticed occasional small black spots or specks in my stool. I would like to know if it is necessary to see a doctor about this. I have been mindful of my diet, but sometimes it lasts for two or three ...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also contribute to this issue. It is advisable to temporarily avoid dark-colored foods. If the color does not improve, a physician m...[Read More] Understanding Black Spots in Stool: When to See a Doctor
Understanding Colonoscopy Results: Is Some Residual Fluid Normal?
Colonoscopy Hello Doctor: Previously, I experienced rectal bleeding, so I underwent a colonoscopy this week. The results showed internal hemorrhoids, and there were no polyps in the intestines. I did take a laxative before the examination. During the procedure, I observed my inte...
Dr. Ke Fangxu reply Surgery
It is not necessary to completely clear the intestines; having some residual liquid stool is normal. Additionally, the physician will address this and ensure a clear view, so there is no need for excessive concern.[Read More] Understanding Colonoscopy Results: Is Some Residual Fluid Normal?
Understanding Swollen and Painful Fingers: Possible Causes and Treatments
Finger issues Hello, doctor. My father suddenly experienced swelling and pain in his finger two days ago. He applied iodine to the area at that time. Over the next two days, the redness and swelling persisted, but today I noticed a distinct yellow area at the junction of the nail...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems to be paronychia. If there is pus accumulation, an incision and drainage may be necessary. It is recommended that he visit a surgical outpatient clinic to prevent the infection from spreading.[Read More] Understanding Swollen and Painful Fingers: Possible Causes and Treatments