Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Bowel issues Previously, my bowel movements were very smooth, and I felt the urge to go without straining. However, recently I've been experiencing some gastrointestinal issues with bloating, and I've been under a lot of stress, worrying about my health. I've been ...
Dr. Ke Fangxu reply Surgery
To improve bowel movement issues, it is important to increase dietary fiber intake, drink plenty of water, and maintain adequate physical activity. At this age, improving dietary habits and daily routines is usually sufficient; otherwise, the use of laxatives may become necessary...[Read More] Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
After fistula surgery, there is still tissue fluid present? I had a fistula surgery on May 1st, and it has been three months since then. My anus is still draining tissue fluid. The doctor said that it is normal to have tissue fluid drainage because the wound is still scabbing. Is...
Dr. Ke Fangxu reply Surgery
A wound should be completely healed within three months. If there is still discharge, the possibility of recurrence should be considered. Please have the surgeon re-evaluate the situation.[Read More] Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Will an external hemorrhoidectomy involve an incision in the perineum? Hello Doctor, I have an external hemorrhoid about 2 cm long located between the perineum and the anus. The doctor performed a complete excision of both internal and external hemorrhoids. After the surgery, I n...
Dr. Ke Fangxu reply Surgery
Without a personal examination, I cannot provide you with a definitive answer. I recommend discussing this thoroughly with your surgeon. Personally, I do not advise performing a ligation for external hemorrhoids, as this issue is unlikely to be addressed by a general surgeon.[Read More] Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
One month after undergoing traditional hemorrhoid surgery, I encountered some issues? Hello Dr. Ke, I would like to ask you a question. I have internal hemorrhoids and underwent traditional hemorrhoid surgery at a hospital on June 23rd, which was over a month ago. During my follo...
Dr. Ke Fangxu reply Surgery
It is possible that straining during bowel movements can cause bleeding from the surgical site. After surgery, it is important to avoid constipation. You can continue taking your usual medications as long as there is no significant bleeding or severe pain. After hemorrhoid surger...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Post-anal fistula surgery Hello Doctor: I underwent anal fistula surgery in mid-June, with the location approximately at the 6 o'clock position of the anus. The wound has not fully healed yet, but I recently noticed a small abrasion in the area that had previously healed aft...
Dr. Ke Fangxu reply Surgery
If there is no redness, swelling, heat, pain, or purulent discharge, then it should be fine. After surgery, the healing skin is more fragile, so it is possible for the skin to break due to activity. You can apply ointment and observe the area. If the wound continues to not heal, ...[Read More] Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Understanding Blood in Stool: Possible Causes and When to Seek Help
Blood in the stool? I was diagnosed with hemorrhoids over 10 years ago. This year, I have had three instances of blood in my stool, which appears to be bright red rather than dark. The occurrences are spaced over a month apart, and there is no blood the day after the bleeding. Cu...
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] Understanding Blood in Stool: Possible Causes and When to Seek Help
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
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 pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Anal pain during bowel movements? Current Condition: Since around the age of 20, I have experienced a slight stabbing pain during bowel movements, located at the 12 o'clock position, which has gradually worsened over the years. In recent years, the pain has become sharp, aki...
Dr. Ke Fangxu reply Surgery
1. Cannot be ruled out. 2. A personal examination is necessary to make a determination; online consultations may not be conclusive. 3. It is likely not primarily related to body size. 4. First, consider whether surgery can truly address your concerns; if the surgery exacerbates t...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Do Healed Wounds Eliminate Tetanus Risk? Expert Insights
Tetanus Issues Hello, doctor. I would like to ask if we no longer need to worry about the risk of tetanus once a wound has healed.
Dr. Ke Fangxu reply Surgery
Yes.[Read More] Do Healed Wounds Eliminate Tetanus Risk? Expert Insights
Understanding Rectal Pain During Urination: Causes and Next Steps
Anal pain during urination? I have been experiencing chronic prostatitis for about five years, and currently, I am in a state of coexistence with it. Earlier this year, I underwent surgery to remove a fistula, but now I often feel a pulling sensation deep in the anus and a slight...
Dr. Ke Fangxu reply Surgery
The so-called fistula refers to an anal fistula or other locations? Is it connected to the prostate? If it is a simple anal fistula, experiencing mild pulling pain after surgery due to scar contraction is considered a normal phenomenon and should gradually improve over time.[Read More] Understanding Rectal Pain During Urination: Causes and Next Steps
Is Over-Cleaning After Bowel Movements Causing Folliculitis?
Frequency of anal cleansing Hello Dr. Ke: I have a bowel movement every morning right after I wake up, and I rinse with clean water afterward. I would like to know if rinsing again during my evening shower could lead to over-cleaning issues. How long should the rinsing last for i...
Dr. Ke Fangxu reply Surgery
As long as there is no inflammation or damage to the skin, it does not count as over-cleansing, since everyone's skin sensitivity varies. Washing in the morning and evening should not be considered excessive; generally, 1-3 minutes is sufficient. However, if there are recurr...[Read More] Is Over-Cleaning After Bowel Movements Causing Folliculitis?
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu reply Surgery
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Post-hemorrhoid surgery Hello Dr. Ke, I underwent a mixed nevus and anal protrusion excision surgery on May 29th, and it has been about 50 days since then. I would like to ask the following questions: 1. During my follow-up appointment in the fourth week post-surgery, the docto...
Dr. Ke Fangxu reply Surgery
1. Digital examination is sufficient for diagnosis. 2. This phenomenon can occur even if it is not normal, especially during exertion. 3. It is normal. 4. Redness, swelling, heat, pain, along with purulent discharge or a wound that does not heal for a long time.[Read More] Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, I previously inquired about experiencing some incontinence after my anal fissure surgery. During my follow-up appointment, the doctor informed me that the sphincter muscle was not excised. Ins...
Dr. Ke Fangxu reply Surgery
1. All surgeries will leave scars, especially if the surgical area is extensive. Mild tingling is also normal. The scars around the anus will typically heal completely within 1-2 months. Due to the lack of aesthetic concerns, scar removal treatments are generally less common in t...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Is it anal fissure, hemorrhoids, or another condition? I previously experienced severe itching near the anus, and after a digital rectal examination, the doctor diagnosed me with an anal fissure. I underwent treatment for two months and consulted multiple doctors, but my conditio...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a case of anal fissure combined with a small thrombosed hemorrhoid. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The comm...[Read More] Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation
Swelling on the lateral side of the anus and tissue fluid exudation after sterilization surgery? Hello, I would like to inquire about the following issues regarding swelling and pain on one side of the anus, as well as a protruding internal hemorrhoid, for which I am undergoing t...
Dr. Ke Fangxu reply Surgery
1. The duration for the rubber band to fall off can vary; if the ligation is shallow, it may fall off the next day. 2. Swelling and pain may be due to the location being too lateral; if it does not improve after a week, a follow-up visit is necessary. 3. It is likely an unhealed ...[Read More] Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation
Persistent Wound in Groin After Surgery: Concerns and Next Steps
Wound in the groin that is not healing? Hello Doctor, I underwent a fistula surgery on January 3rd this year, and there is a small wound in the gluteal cleft, between the coccyx and the anal area, that has not healed. According to the surgeon, the wound is very small, similar to ...
Dr. Ke Fangxu reply Surgery
If the wound is located at the surgical site and has not healed after six months, it is important to consider the possibility of recurrence. However, erosion of the coccyx is unlikely to occur. It is advisable to have a colorectal surgeon reassess the situation.[Read More] Persistent Wound in Groin After Surgery: Concerns and Next Steps
Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Mild anal pain during bowel movements? Hello Dr. Ke: For over a month, I have occasionally experienced slight pain on the right side of my anus during bowel movements, without any bleeding. When the discomfort is more severe, I feel a mild burning sensation and a swollen foreign ...
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 pain usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. I have been experiencing abdominal pain recently, concentrated in the upper abdomen. 1. Last Monday, I went to the emergency room where I had an abdominal ultrasound and X-ray. The diagnosis was severe constipation causing a blockage in the inte...
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] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Rectal Symptoms: What Does a Small Red Spot Mean?
Regarding issues related to feces? Hello, doctor. I have a habit of observing my stool. A few days ago, my bowel movement was smooth, with normal thickness and a golden color. After finishing, there were no issues with the color when I wiped. However, about half an hour later, I ...
Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to check for bleedin...[Read More] Understanding Rectal Symptoms: What Does a Small Red Spot Mean?