Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...
Dr. Ke Fangxu reply Surgery
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Understanding Rectal Hard Lumps: Causes and Concerns Explained
Hard mass in the anal canal? Hello, Doctor. Two months ago, I visited the clinic due to an anal fissure. Today, I returned to the clinic because of a recurrence. Following the doctor's instructions, I applied the ointment for treatment. However, while applying the ointment i...
Dr. Ke Fangxu reply Surgery
1. It could be thrombosed hemorrhoids. If there is no bleeding or pain, it can be monitored. If the physician has performed a digital rectal exam, the likelihood of a tumor is less probable. 2. Yes, prolonged straining during bowel movements can lead to increased swelling of he...[Read More] Understanding Rectal Hard Lumps: Causes and Concerns Explained
Understanding Post-Anal Intercourse Bleeding: Symptoms and Concerns
Symptoms and bleeding after anal intercourse inquiry? Medical History: Frequent gastroesophageal reflux, underwent gastroscopy one year ago revealing a gastric ulcer. Recently undergoing treatment for syphilis (reported). Inquiring about rectal bleeding after anal intercourse; fo...
Dr. Ke Fangxu reply Surgery
This phenomenon is more akin to mild hemorrhoidal bleeding. It is unlikely that the internal structure of the colon and rectum is damaged, especially since it has been three months since the last anal intercourse. I recommend that you avoid inserting your fingers into the anus to...[Read More] Understanding Post-Anal Intercourse Bleeding: Symptoms and Concerns
Post-Surgery Concerns: Green Discharge After Fistula Surgery
Postoperative care after fistula surgery? Hello Doctor: I underwent fistula surgery on April 14, and it has now been 10 days. Over the past couple of days, after each sitz bath, I have noticed that the drainage is a greenish pus-like substance. On regular days, the drainage on th...
Dr. Ke Fangxu reply Surgery
It is normal to have discharge from the wound after fistula surgery. However, green discharge is somewhat concerning. If there is no redness, swelling, heat, or pain, it can be monitored, as the anal area is not a sterile environment and mild bacterial growth is not unusual. If t...[Read More] Post-Surgery Concerns: Green Discharge After Fistula Surgery
Understanding Anal Abscesses and Fistulas: A Patient's Journey
Anal abscess? Anal fistula? Hello, Doctor! I apologize for the lengthy message. After using the restroom, I rinsed my buttocks and felt a soft lump near the anal area. I later researched online and it seemed like it could be an anal abscess or an anal fistula. I noticed something...
Dr. Ke Fangxu reply Surgery
If the infection symptoms are not severe, it can sometimes be difficult to diagnose anal fistulas or abscesses. An anal fistula must meet two essential criteria: the presence of a skin opening and a tubular structure. An abscess, on the other hand, requires the accumulation of pu...[Read More] Understanding Anal Abscesses and Fistulas: A Patient's Journey
Is It Normal to Have Pus After Anal Abscess Surgery?
Postoperative care for anal abscess? I would like to ask if it is normal to still have pus when changing the gauze after my surgery on the morning of April 18th.
Dr. Ke Fangxu reply Surgery
It is normal to experience a small amount of purulent discharge within a week after surgery. Please take frequent warm water sitz baths.[Read More] Is It Normal to Have Pus After Anal Abscess Surgery?
Understanding Anal Hygiene: Is It Possible to Over-Clean?
Some issues related to the anus? I previously read some articles shared by netizens about treating anal fistulas, where doctors mentioned that overly clean anal hygiene could lead to fistulas. I would like to ask what constitutes "overly clean" anal hygiene. For instanc...
Dr. Ke Fangxu reply Surgery
The cause of anal fistulas is often a complication following an infection. However, why can excessive cleaning be a contributing factor? The anal area is not a sterile environment, so there is no need to be overly concerned about cleanliness; general hygiene is sufficient. If the...[Read More] Understanding Anal Hygiene: Is It Possible to Over-Clean?
Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Issues Regarding Antibiotic Use During the Waiting Period for Surgery for Anal Abscess and Fistula Hello, doctor. Since January, I have been experiencing inflammation and swelling around the anal area. In late March, I was diagnosed with a fistula (although the external opening h...
Dr. Ke Fangxu reply Surgery
If an anal fistula has an acute bacterial infection, it may present with symptoms such as redness, swelling, heat, pain, or purulent discharge. If immediate surgical intervention is not planned, it is acceptable to start oral antibiotics to control the infection, typically for a ...[Read More] Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Anal fissure surgery issues? Some time ago, I developed an anal fissure due to gastrointestinal issues. Although my gastrointestinal problems have been resolved and the fissure has healed, I still experience recurrent pain after several days of soft stools. Medical examinations c...
Dr. Ke Fangxu reply Surgery
Anal fissures can be classified into two types based on the pressure of the sphincter muscle. If the sphincter pressure is excessively high, surgical intervention tends to yield better outcomes. Conversely, if the sphincter pressure is insufficient, the results of surgery may be ...[Read More] Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Post-fistula surgery I would like to ask the doctor, I underwent a fistula incision surgery on February 7th, and as of today, March 25th, I am still experiencing significant pain in the anal area. The pain worsens after standing for a long time or after using the restroom. The ex...
Dr. Ke Fangxu reply Surgery
1. If both sides have undergone surgery, you may be classified as having a complex fistula, which could result in a longer healing time. 2. It is true that complex fistulas have a higher recurrence rate, but this is not inevitable. It is still too early to draw conclusions; we ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Blood in Stool After Hemorrhoid Surgery: Causes and Remedies
Blood in the stool? Hello, doctor. I recently underwent a hemorrhoid ligation surgery (three hemorrhoids), but in the past few days, I've noticed bright red blood on the toilet paper after straining during bowel movements. I went to see the doctor who performed the ligation ...
Dr. Ke Fangxu reply Surgery
If there is mild bleeding, it is usually not a concern as long as a colonoscopy has been performed to rule out the possibility of tumors. High-fiber foods can be consumed, but spicy and irritating foods should be avoided. Additionally, it is important to shorten the duration of b...[Read More] Blood in Stool After Hemorrhoid Surgery: Causes and Remedies
Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Severe anal spasms and constipation after hemorrhoid surgery? Hello Doctor, I just had a hemorrhoidectomy on Thursday, and until today, Sunday, I have had no urge to have a bowel movement and cannot pass stool. I have been using sitz baths before attempting to have a bowel moveme...
Dr. Ke Fangxu reply Surgery
In theory, the use of a tissue coagulator should not result in such phenomena. It is advisable for you to consult the surgeon again without worrying about the appointment time and to seek medical attention promptly. Regardless of the type of surgery, it is essential to avoid cons...[Read More] Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Not everyone who develops an anal abscess will necessarily develop a fistula? According to medical literature, approximately half of patients with anal abscesses may develop anal fistulas within a few weeks after the abscess. If a patient had an anal abscess that resolved after i...
Dr. Ke Fangxu reply Surgery
If the anal abscess is relatively superficial, it may heal with incision and drainage along with antibiotic treatment, and it does not necessarily lead to the formation of a fistula. Further observation is required to determine whether a fistula develops. During the infection pha...[Read More] Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Blood in the stool with a sensation of anal discomfort? Today at home, I felt the urge to have a bowel movement while watching a video. I decided to stand up and hold it in. About ten minutes later, I noticed blood running down my thigh. When I checked, my buttocks were covered i...
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] Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Rectal bleeding Thank you, doctor, for taking the time to respond. I am the person who asked question 194156. Regarding my third question, I meant to ask: when an internal hemorrhoid ruptures and bleeds, isn't there a wound? When feces pass through or in the case of bacteria...
Dr. Ke Fangxu reply Surgery
The anal area is not a sterile environment, and the presence of bacteria is normal. However, because healthy individuals have an immune system, bleeding from hemorrhoids typically does not lead to infection. Anal abscesses are mostly caused by deeper infections, and patients with...[Read More] Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Understanding Thrombosed External Hemorrhoids: What to Expect
Hemorrhoid issues Doctor, will a thrombosed external hemorrhoid definitely go away? I've had my thrombosed external hemorrhoid for a month and a half. Although it is not painful and is about the size of a peanut, it hasn't gotten any bigger, but it also hasn't shru...
Dr. Ke Fangxu reply Surgery
If there is no reduction in size at all, it is advisable to consult a physician to determine whether it is indeed a thrombosed external hemorrhoid. If there is no discomfort, it may not require attention; otherwise, you can consider asking the physician to perform a thrombectomy.[Read More] Understanding Thrombosed External Hemorrhoids: What to Expect
Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Anal abscess?? Anal fistula?? I found a lump near my anus after using the restroom. Later, the doctor said it was a fistula and that I needed surgery. However, after researching online, it seems like it could be an anal abscess, and I haven't developed any small openings (wh...
Dr. Ke Fangxu reply Surgery
The National Health Insurance Quick Access is not a doctor; it can only provide general information for reference. Accurate diagnosis still relies on a physician. I understand that you may not comprehend why the doctor diagnosed you with a fistula. I can appreciate your reluctanc...[Read More] Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Anal abscess Hello doctor, I would like to ask about my condition. It has been almost two months since my anal abscess surgery. Initially, I experienced some bleeding and diarrhea with blood, but it seems that I haven't had any discharge for about two weeks. However, in the ...
Dr. Ke Fangxu reply Surgery
After undergoing incision and drainage surgery for an anal abscess, nearly half of the patients may develop an anal fistula. Based on your description, it seems quite similar to an anal fistula. I recommend that you consult a physician for an examination to confirm.[Read More] Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu reply Surgery
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Blood in the stool Hello, Doctor. Recently, I experienced blood in my stool and consulted a colorectal surgeon. Through a digital rectal exam and anoscopy, it was determined that I have mild internal hemorrhoid bleeding. I am currently using an ointment and suppositories, and I a...
Dr. Ke Fangxu reply Surgery
1. If there is no bleeding, it is not necessary to continue using it. 2. A small amount of bleeding can also be monitored; it does not necessarily require daily use. 3, 4. An anal fistula is a complication of an anal abscess and is not related to hemorrhoids.[Read More] Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids