Understanding Rectal Discomfort and Minor Blood in Stool: A Guide
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 wiping. However, about half an hour later, I felt like 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 Discomfort and Minor Blood in Stool: A Guide
Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Incontinence after anal fissure surgery? Hello Dr. Ke, I have undergone sentinel tag and anal sphincter relaxation surgery due to chronic anal fissures. It has been about a month and a half since the procedure, and I am still experiencing discomfort and episodes of incontinence....
Dr. Ke Fangxu reply Surgery
1. Generally, healing can take about a month; if pain persists, it is advisable to consult the surgeon to check for any abnormalities. 2. Postoperatively, mild incontinence may occur due to incomplete healing of the wound, which is caused by sensitivity and irritation of the in...[Read More] Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Understanding Tetanus Risks After Rusty Object Injuries
Concern about tetanus? Hello, doctor. Three days ago, I was scratched by a rusty object (the wound is near a blood vessel). I cleaned the wound about an hour later. I would like to know if there is a risk of tetanus infection in this situation. Also, is my eyelid twitching relate...
Dr. Ke Fangxu reply Surgery
Clostridium tetani, the bacterium that causes tetanus, is an anaerobic organism that typically cannot grow unless there is a deep wound. Superficial scratches are unlikely to cause tetanus. Additionally, eyelid twitching is not related to tetanus.[Read More] Understanding Tetanus Risks After Rusty Object Injuries
Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
Is there a "hidden fistula"? Is it true that a fistula must first have an abscess or injury to form? Is there always a specific color of discharge associated with it? I experienced pain for a long time while using the restroom, without any external wounds, abscesses, or...
Dr. Ke Fangxu reply Surgery
A fistula is a sequela of an infection that has not completely healed; it does not occur without reason. The discharge is typically yellowish-white, and some individuals may experience bleeding. Regarding anal fistulas, I personally recommend consulting a colorectal surgeon for e...[Read More] Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
Post-Surgery Concerns After Traditional Hemorrhoid Removal: What to Expect
Traditional surgery for internal and external hemorrhoids, postoperative issues? Hello, Doctor. My condition is that after bowel movements, a lump comes out that I can push back in; it seems to be a small piece of tissue related to an external hemorrhoid. It's not very large...
Dr. Ke Fangxu reply Surgery
First, traditional excision of external hemorrhoids and electrosurgery are different surgical methods, so without knowing your exact surgical procedure, it may not be possible to fully answer your question. 1. It is possible. 2. If the wound is very painful and cannot be pushed b...[Read More] Post-Surgery Concerns After Traditional Hemorrhoid Removal: What to Expect
Post-Surgery Care for Hemorrhoids and Rectal Polyps: Key Insights
Post-hemorrhoid surgery Hello Dr. Ke: I underwent surgery for rectal polyps and mixed nevi on May 29, and I would like to ask you a few questions: 1. Both the polyp and nevus wounds are internal; how can I determine if the wounds are healing properly? 2. It has been 26 days post-...
Dr. Ke Fangxu reply Surgery
1. No pain and no discharge means it has healed. 2. After so many days, it will not reopen. 3. Sutures generally fall out 1 to 4 weeks after surgery, depending on the type of suture used. The loss of sutures does not necessarily indicate that the wound has healed; absorbable sutu...[Read More] Post-Surgery Care for Hemorrhoids and Rectal Polyps: Key Insights
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Pain around the anal area? Hello, doctor. Recently, I visited a clinic due to a feeling of heaviness in my anus. The doctor diagnosed me with symptoms of internal and external hemorrhoids and advised me to pay more attention to improving my lifestyle. However, I have recently exp...
Dr. Ke Fangxu reply Surgery
1. What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis. Online consultations cannot replace actual medical evaluations. It may be related to hemorrhoids, but other conditions canno...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Understanding Anal Fissures: Symptoms, Causes, and Treatment Options
Anal fissure issues? Hello Doctor: Two days ago, I experienced a tearing sensation on the right side of my anus while having a bowel movement, possibly due to hard stool. It wasn't very painful, but there was a noticeable feeling of a tear. Afterward, there seemed to be bloo...
Dr. Ke Fangxu reply Surgery
1. Based on your description, it seems somewhat similar, but a physical examination is necessary to confirm whether it is an anal fissure. 2. The absence of infection two days ago does not rule out the possibility of an infection now, so this cannot be dismissed. 3. According...[Read More] Understanding Anal Fissures: Symptoms, Causes, and Treatment Options
Understanding Blood and Mucus in Stool: Causes and Concerns
Blood clots and mucus in stool? Hello, doctor. Two nights ago, I noticed blood clots and blood in my stool (the amount was similar to menstrual bleeding). Since then, I have had diarrhea and bleeding during two bowel movements, but not as much as the first time. I'm wonderin...
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 Blood and Mucus in Stool: Causes and Concerns
Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Chronic anal fissure-related issues? Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop...
Dr. Ke Fangxu reply Surgery
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Inquire whether it is related to fistula issues? Recently, I have been experiencing a painful sensation near the anus that feels like a skin tear (it's not very painful, but it affects my mood). When I rinse with hot water, it feels like there is a painful wound similar to a...
Dr. Ke Fangxu reply Surgery
1. Is it necessary to personally examine the fistula to confirm that it generally needs to meet the three conditions of an internal opening, external opening, and the tract? However, it is not always guaranteed that all three can be identified. 2. Maintain cleanliness and avoid...[Read More] Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu reply Surgery
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Red Spots in Stool: Food or Serious Health Concern?
Stool with red spots? Hello doctor, I just went to the bathroom and noticed some red spots in my stool, along with a small red dot. The toilet water was not stained red and the rest of the stool appeared normal in color. I'm not sure if this is due to food residue or blood. ...
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] Red Spots in Stool: Food or Serious Health Concern?
Managing Persistent Wound Issues: Tips for Healing and Care
Wound issues The skin has been subjected to prolonged friction from pants, resulting in subcutaneous hematoma and acne. There is a specific area that has not healed; the epidermis appears intact, but there is a sensation of a foreign body. When squeezed, acne emerges along with b...
Dr. Ke Fangxu reply Surgery
It is difficult to assess wound issues based solely on a textual description, as the specific location is unknown. If there is sand present, it is unclear whether it is due to a previous injury. The color and texture of the acne also need to be confirmed. It is advisable to have ...[Read More] Managing Persistent Wound Issues: Tips for Healing and Care
Understanding Anal Masses: Hemorrhoids, Thrombosis, and Healing Tips
Anal mass Hello, doctor. Two weeks ago, I felt a hard lump in my rectum while applying medication and visited the clinic. The doctor said it was a ruptured hemorrhoid, while others mentioned it could be a thrombosed hemorrhoid. Today, when I applied the medication, I noticed that...
Dr. Ke Fangxu reply Surgery
1. The duration generally depends on the size and typically takes 2 to 4 weeks. 2. If a rapid resolution is desired, thrombectomy should be performed; otherwise, relying on the body's absorption will take this long.[Read More] Understanding Anal Masses: Hemorrhoids, Thrombosis, and Healing Tips
Understanding and Relieving Skin Irritation Around the Anus
The skin around the anus is prickly? Hello, doctor. For the past two to three weeks, I've been experiencing a tingling sensation in the skin located about one centimeter to the left of my anus. There are no bumps or hard masses on the surface, and it doesn't hurt when I...
Dr. Ke Fangxu reply Surgery
This phenomenon may simply be skin inflammation. It is recommended to avoid scratching or vigorous rubbing, and to refrain from using soap or body wash for cleansing. If there is no improvement, it is advisable to consult a physician for further evaluation.[Read More] Understanding and Relieving Skin Irritation Around the Anus
Understanding Anal Itching and Fissures: Causes and Solutions
Anal itching and anal fissure? About 12 days ago, I experienced itching in the anal area almost every day (especially more frequently at night). Then, starting around May 2nd, I began to feel pain in the anus when having a bowel movement, which feels like an anal fissure. I looke...
Dr. Ke Fangxu reply Surgery
Excessive pressure in the anal sphincter can also be one of the causes of anal fissures; however, a medical examination is necessary to confirm this, as it may not be an issue related to anal fissures at all. It is advisable to start with warm sitz baths along with topical medica...[Read More] Understanding Anal Itching and Fissures: Causes and Solutions
Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Anal fissure issues (continued) Hello Dr. Ke: Thank you for taking the time to respond on May 1st. After visiting another clinic, I realized that the wound on the right posterior side is about one centimeter inside the anal area, which is not a large wound. Therefore, after using...
Dr. Ke Fangxu reply Surgery
1. Symptoms that persist for more than one month are considered chronic. 2. Sitz baths are recommended 3-4 times a day for 15 minutes each time, with water temperature not exceeding 36-38 degrees Celsius. If discomfort occurs after the bath, a topical ointment can be applied. ...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Understanding Anal Heaviness: Causes, Symptoms, and Treatment Options
Anal heaviness sensation Hello, Doctor. I previously visited a colorectal clinic due to a lump and a feeling of heaviness in my anus. After an examination, the doctor indicated that it was hemorrhoids and advised me not to worry. The feeling of heaviness was attributed to mild he...
Dr. Ke Fangxu reply Surgery
1. It will absorb on its own. 2. Ointments or suppositories can help alleviate symptoms, and some anti-inflammatory medications may also be beneficial. The key point is to avoid prolonged straining during bowel movements to prevent poor blood circulation, which can lead to hemorr...[Read More] Understanding Anal Heaviness: Causes, Symptoms, and Treatment Options
Understanding Changes in Bowel Habits: Symptoms and Causes
Changes in bowel habits Doctor, I sometimes experience abdominal pain that alleviates after using the restroom. Sometimes I have diarrhea, while other times my bowel movements are normal. Occasionally, my stools are narrower and there is some mucus present. What could these sympt...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colon cancer at the age of 20 can be considered negligible. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and a good lifestyle routine. Spicy, irritating, and greasy foods shou...[Read More] Understanding Changes in Bowel Habits: Symptoms and Causes