Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Can internal hemorrhoids turn into external hemorrhoids after ligation? Hello Doctor, I am four days post-banding for internal hemorrhoids at the postal hospital, and it seems that a new hemorrhoid has developed at the anal area. It looks somewhat like a smaller chicken heart, an...
Dr. Ke Fangxu reply Surgery
This is likely due to swelling of the external hemorrhoid caused by the incision being more lateral after the vasectomy. Regular warm sitz baths along with the application of ointment should help reduce the swelling gradually. If there are symptoms of redness, swelling, heat, or ...[Read More] Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Addressing Cosmetic Concerns: Options for External Hemorrhoid Removal
Aesthetic concerns regarding hemorrhoids..? Hello, doctor. I have an external hemorrhoid that isn't serious and doesn't significantly affect my daily life, but I am concerned about its appearance and feel it's quite "ugly." 😅 I visited a large hospital ye...
Dr. Ke Fangxu reply Surgery
If the desire to address external hemorrhoids is purely for aesthetic reasons, the only option is surgical excision. Physicians may be reluctant to perform this procedure because, firstly, it is not medically necessary, and secondly, there may still be residual skin tags post-sur...[Read More] Addressing Cosmetic Concerns: Options for External Hemorrhoid Removal
Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment
It has been a week since the rubber band ligation for internal hemorrhoids, and there is still soreness and pain? Hello Dr. Ke, I have been experiencing bleeding from internal hemorrhoids. I underwent ligation twice at a large hospital over ten years ago. In the past three to fo...
Dr. Ke Fangxu reply Surgery
If the ligation of hemorrhoids is done at a shallower depth, it may lead to discomfort. Generally, the symptoms will subside as the wound heals. During this period, taking warm sitz baths and applying ointment can help. If the pain is severe, oral medications can also be used to ...[Read More] Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment
Understanding Recovery After Anal Fistula Surgery: What to Expect
Post-anal fistula surgery Hello, Doctor. I underwent anal fistula surgery in June, and it has been four months since then. I have been monitoring the healing progress of the wound, but currently, there is still a small opening visible when my anus is relaxed, although it is not v...
Dr. Ke Fangxu reply Surgery
If the surgery was performed four months ago, the wound should be fully healed by now. The small hole you described may just be a remnant of the surgical scar. However, if you still see an unhealed wound, it is best to consult the surgeon again to rule out the possibility of recu...[Read More] Understanding Recovery After Anal Fistula Surgery: What to Expect
Understanding Pink Blood During Bowel Movements: Causes and Concerns
Blood when wiping after a bowel movement? Hello: Recently, I noticed pink blood when wiping after a bowel movement, and there was no blood in the stool. I experienced some pain during bowel movements. What could be the possible causes?
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 major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritat...[Read More] Understanding Pink Blood During Bowel Movements: Causes and Concerns
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of discomfort in the anus, accompanied by a foul odor resembling that of feces? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that o...
Dr. Ke Fangxu reply Surgery
At this age, there are usually no significant issues, and sphincter function is generally normal. If there are any discomforting symptoms, topical ointments can be applied, and frequent warm sitz baths may also help alleviate the symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of heaviness in the anus, accompanied by a fecal odor? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that of feces. This happens alm...
Dr. Ke Fangxu reply Surgery
At this age, there are usually no significant issues, and sphincter function is generally normal. If discomfort occurs, topical ointments can be applied, and frequent warm sitz baths may also help alleviate symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Fistula surgery with hemorrhoids has recurred for the second time, only five months apart? After surgery, my blood sugar has been maintained between 300-500 for three days. I have been taking sitz baths after bowel movements. The doctor prescribed a lot of pain medication, but I ...
Dr. Ke Fangxu reply Surgery
Anal fistulas are inherently prone to recurrence. Poor blood sugar control can affect immune function and tissue repair, making healing more difficult and increasing the likelihood of recurrence. Postoperative wound drainage is a normal phenomenon; it is recommended to change the...[Read More] Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Understanding Recovery Risks After Bowel Perforation Surgery in Elderly Patients
Currently hospitalized in the intensive care unit following surgery for intestinal perforation with inflammation? Hello, I would like to inquire about a 70-year-old grandmother who has low blood pressure and was involved in a car accident on the 17th, resulting in a ruptured inte...
Dr. Ke Fangxu reply Surgery
The surgical risks for elderly patients with significant trauma are undoubtedly very high. Based on the description, it seems that the purpose of the emergency surgery for abdominal blunt trauma causing intestinal perforation is not only to control bleeding but also to repair the...[Read More] Understanding Recovery Risks After Bowel Perforation Surgery in Elderly Patients
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu reply Surgery
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Post-Surgical Discomfort After Hemorrhoid Ligation
Hemorrhoidal ligation pain and swelling? The doctor had a vasectomy last Friday night and has been feeling quite uncomfortable since returning home, with some swelling and pain, especially noticeable during bowel movements. Is this normal? There was some bleeding on Saturday, but...
Dr. Ke Fangxu reply Surgery
Mild swelling, pain, and a sensation of foreign body presence after hemorrhoid ligation are normal phenomena. If there is only slight bleeding, there is no need for concern. Pain medication is not mandatory; it can be taken based on the level of discomfort. Additionally, taking w...[Read More] Understanding Post-Surgical Discomfort After Hemorrhoid Ligation
Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper when wiping after a bowel movement, so I consulted a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently visited the doctor 2-3 more times. After performi...
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. Spicy and irritating fo...[Read More] Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Post-Operative Care and Recovery from Anal Abscess Surgery
Postoperative care for anal abscess? Hello Dr. Ke, on August 28, I developed a cyst near my anus that was swollen and painful. I went to the hospital and consulted with a colorectal surgeon, who diagnosed it as an anal abscess after a physical examination. On the same day, I unde...
Dr. Ke Fangxu reply Surgery
1. It's difficult to determine whether it will develop into a fistula; continuous observation is necessary to find out. 2. Generally, wound healing takes about 2-3 weeks. 3. If there is redness, swelling, heat, pain, or if the wound has purulent or bloody discharge, you ...[Read More] Post-Operative Care and Recovery from Anal Abscess Surgery
Understanding Pink Blood in Stool: Possible Causes and Concerns
Bowel issues? Hello doctor, this morning when I wiped after having a bowel movement, I noticed pink blood on the front of the toilet paper, but the stool itself was a normal golden color and there was no blood in the toilet. Later, when I wiped my vaginal area, I also found blood...
Dr. Ke Fangxu reply Surgery
It seems there isn't much difference from the last photo. If you're this concerned, it might be a good idea to schedule a colonoscopy.[Read More] Understanding Pink Blood in Stool: Possible Causes and Concerns
Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Bowel issues? Hello, doctor. I have noticed blood on the toilet paper after having a bowel movement in the past two weeks. Additionally, my bowel movements have been either diarrhea or thinner stools, and sometimes I experience abdominal pain but only pass a small amount. Could t...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 20 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritating, and ...[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Understanding Unusual Stool Color: Causes and Concerns
Bowel issues Hello doctor, this is my stool from this morning (attached images). I noticed a small amount of pink in one of the stools (https://ibb.co/fGK4Vbj https://ibb.co/Xb9Yd9G), while the others appear normal. Could this be related to the food I ate in the past two days, or...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Based on your description, it seems more likely to be food residue. It is advisable to temporarily avoid dark-colored foods. If there is no improvem...[Read More] Understanding Unusual Stool Color: Causes and Concerns
Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper while wiping after a bowel movement, so I visited a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently went back for 2-3 more visits, and after a digital...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, 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, an...[Read More] Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess Over the past few years, I have occasionally noticed a lump on my buttocks in different locations, more than five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and that it would resolve on its own since I couldn't feel it. Later, a...
Dr. Ke Fangxu reply Surgery
It is necessary to conduct a physical examination to differentiate between an anal abscess and a sebaceous cyst. Please consult a physician for an accurate diagnosis, as different conditions will require different recommendations and management strategies. Without a confirmed dia...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-hemorrhoid surgery, there may be leakage of mucus and fecal matter? Hello, doctor. I had hemorrhoid surgery on the ninth day postpartum, and it has been one year and eight months since then. Besides discomfort in the anal area, I have been experiencing leakage of intestinal ...
Dr. Ke Fangxu reply Surgery
If you have already visited so many medical centers and undergone all the examinations, then I may not be able to help much. 1. It could be scar tissue. 2. It may soften over time. 3. Leakage issues after hemorrhoid surgery typically only last for a month; once the wound has comp...[Read More] Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Can Urine Splash on a Surgical Wound Cause Infection Risks?
The anal wound was splashed with urine? Hello Dr. Ke, I have a somewhat unusual question. Yesterday, I urgently needed to use the restroom, and I noticed that someone in my household had not flushed the toilet. In my haste, I didn't flush and ended up getting splashed by the...
Dr. Ke Fangxu reply Surgery
If a person infected with HPV undergoes electrosurgery and their urine splashes onto a healthy individual, why would the healthy person become infected? Aren't they already infected? The anal wound is not in a sterile state; maintaining basic cleanliness is sufficient, and t...[Read More] Can Urine Splash on a Surgical Wound Cause Infection Risks?