Understanding Electrocautery for Anal Polyps: Recovery and Care
Electrocution issues On January 6th, during a follow-up appointment, the doctor informed me that I had a wound with a polyp that needed to be cauterized immediately. After the procedure near my anus, I noticed that the area around the polyp has turned black. Is it normal for both...
Dr. Ke Fangxu reply Surgery
The term "blackening" refers to a condition that is difficult to assess without direct observation. After electrocautery, it is normal for the tissue to become charred and appear black. If both sides are blackened, it may be due to excessive application of povidone-iodi...[Read More] Understanding Electrocautery for Anal Polyps: Recovery and Care
Understanding External Hemorrhoids: Symptoms, Duration, and Treatment Options
Hemorrhoid issues Hello, doctor. Can you help me determine if this external hemorrhoid is a thrombosed external hemorrhoid? It has been a month, and is there a possibility that it could shrink? I didn't have external hemorrhoids before; this started about a month ago after e...
Dr. Ke Fangxu reply Surgery
Based on the photo, it appears to be a small thrombosed external hemorrhoid, which is showing signs of gradual absorption. If there is not much discomfort, you can wait for it to shrink on its own. However, if it becomes very uncomfortable, you may consider consulting a physician...[Read More] Understanding External Hemorrhoids: Symptoms, Duration, and Treatment Options
Seeking Help for Hemorrhoids: How to Share Your Concerns Effectively
Hemorrhoids distress? Hello Dr. Ke, I would like to ask how I can show you photos of my hemorrhoids, as I have been unable to find a place to upload them. I'm quite frustrated because I don't know the current condition of my hemorrhoids, and I lack the courage to consid...
Dr. Ke Fangxu reply Surgery
Many patients use Google Drive to share images; you might want to consider whether surgery is necessary. I generally recommend surgical intervention in three specific situations: significant bleeding leading to anemia, acute episodes of severe pain, and hemorrhoidal prolapse that...[Read More] Seeking Help for Hemorrhoids: How to Share Your Concerns Effectively
Post-Surgery Concerns: Managing Complications After Hemorrhoidectomy
Postoperative Issues After Hemorrhoid Surgery Hello Dr. Ke, 1. I underwent excision surgery for internal and external hemorrhoids (Grade III) on February 20, and it has been two weeks since then. However, on March 1, after my follow-up appointment, I experienced a sudden onset o...
Dr. Ke Fangxu reply Surgery
If you are experiencing persistent bleeding and pain, it is advisable to return to the outpatient clinic for an examination by a surgeon. Visiting the emergency department may not be necessary at this time. However, since it has been two weeks post-surgery and such symptoms are u...[Read More] Post-Surgery Concerns: Managing Complications After Hemorrhoidectomy
Can You Get Genital Warts from Contaminated Exam Tables?
Cauliflower infection Hello, doctor. I have a problem with anal polyps and went to see a colorectal surgeon. However, during the examination, I noticed that there was fluid left by a previous patient on the examination table where there was no paper covering. The nurse also did n...
Dr. Ke Fangxu reply Surgery
It should be fine. First, the previous patient may not necessarily have had genital warts. Second, such brief contact is not likely to lead to transmission. Third, the fluid you observed may not necessarily be bodily fluid left by the previous patient, so there is no need to worr...[Read More] Can You Get Genital Warts from Contaminated Exam Tables?
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu reply Surgery
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Managing Anal Pain: Understanding Fissures and Hemorrhoids
Anal fissure Three months ago, I had an anal fissure (with blood when wiping after using the restroom). It finally improved a bit by mid-February (but there is still some sharp pain when using the restroom, no blood, just not in pain all day). However, recently, for some unknown ...
Dr. Ke Fangxu reply Surgery
If hemorrhoids are large enough that they need to be manually pushed back in, surgical treatment is generally recommended as it tends to yield better results. If there is no improvement with medication, it is best to consult a physician to discuss the necessity of surgery.[Read More] Managing Anal Pain: Understanding Fissures and Hemorrhoids
Understanding Hemorrhoids: When to Consider Surgery and Treatment Options
Hemorrhoid issues Hello, doctor. I previously inquired about hemorrhoids. Initially, I did not have an external hemorrhoid issue, but after experiencing diarrhea for two days, I felt that my existing internal hemorrhoid had swollen and has not reduced in size. It is about the siz...
Dr. Ke Fangxu reply Surgery
It is difficult to determine the exact issue without a personal examination; however, based on your description, it may be a thrombosed hemorrhoid. If it is located right at the anal opening, it can cause a sensation of a foreign body. Typically, it takes about a month for it to ...[Read More] Understanding Hemorrhoids: When to Consider Surgery and Treatment Options
Post-Surgery Care for Hemorrhoids: Managing Bleeding and Recovery Tips
Post-hemorrhoid surgery Hello Dr. Ke, I underwent a hemorrhoid cryotherapy procedure (internal hemorrhoids) on February 3rd of this year. During my last follow-up appointment on February 22nd, I mentioned that I sometimes experience minor bleeding during bowel movements, while at...
Dr. Ke Fangxu reply Surgery
1. It has only been a week since the surgery, and it is generally recommended to observe for 2-4 weeks before making any decisions. 2. It should not be the case; if there were an infection, symptoms such as redness, swelling, heat, and pain would typically occur, and sometimes ...[Read More] Post-Surgery Care for Hemorrhoids: Managing Bleeding and Recovery Tips
Understanding Fistula Issues: When to Observe or Consider Surgery?
Fistula issues, inquiry supplement 192905? Hello, doctor (the previous inquiry number is 192905). Today, a general surgical ultrasound was performed on the elongated mass extending from the area beside the anus to the thigh and perineal angle down to below the scrotum. The hard m...
Dr. Ke Fangxu reply Surgery
If it is not connected to any cavities, it may not be an anal fistula. If there is no pain, swelling, or inflammation, it can indeed be observed further. However, if you want to completely resolve this issue, surgical intervention may be necessary. If it is a fistula, it would re...[Read More] Understanding Fistula Issues: When to Observe or Consider Surgery?
Understanding Anal Fistulas: When to Seek Medical Attention
Fistula inquiry Hello, doctor. I found a case similar to mine on a Chinese medical website... I would like to consult with you. I also have an elongated hard mass, approximately 6mm in diameter and about 30mm in length. It can be felt extending from the area next to the anus, fro...
Dr. Ke Fangxu reply Surgery
Due to the hospital's IP restrictions, I cannot access the information you provided. However, each patient is unique, and whether your issue is a fistula can only be determined by a physician's examination. Based on your description, it does seem quite similar. I recomm...[Read More] Understanding Anal Fistulas: When to Seek Medical Attention
Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns
Thrombosed external hemorrhoid Hello, doctor. Thank you for your quick response. Today, I couldn't help but rush to the hospital thinking I could squeeze out the blood clot from my external hemorrhoid, as I was very worried it wouldn't go back in and would get stuck. Ho...
Dr. Ke Fangxu reply Surgery
Small thrombosed external hemorrhoids typically get absorbed and do not remain protruding. If the acute phase has passed, it is not suitable for thrombectomy, as some of the thrombus has likely already been absorbed. Therefore, surgical removal may not be necessary.[Read More] Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns
Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options
Thrombosed external hemorrhoid Hello, doctor. A week ago, I had diarrhea, and suddenly a lump the size of a peanut appeared at the anal area. It doesn't look red or swollen. It was painful for two to three days, but now I don't feel much discomfort, just a sensation of ...
Dr. Ke Fangxu reply Surgery
Thrombotic external hemorrhoids typically take 2 to 4 weeks to completely resolve. If there is no pain or discomfort, observation is sufficient. Applying hemorrhoid ointment can help alleviate uncomfortable symptoms, and taking warm sitz baths can also be beneficial.[Read More] Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options
Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Anal abscess Hello Dr. Ke, the cause of my issue is that after having a bowel movement, I wash with water (when at home) and noticed a soft, elongated bump near the anal line. It wasn't too large, so I immediately made an appointment with a doctor. The doctor prescribed anti...
Dr. Ke Fangxu reply Surgery
When an anal abscess is first identified, an incision and drainage procedure is typically performed, followed by monitoring for subsequent developments. If the abscess heals completely without forming a fistula, no further treatment is necessary. However, if it develops into an a...[Read More] Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Understanding Red Spots in Stool: Food or Hemorrhoids?
Bowel issues Hello Doctor, yesterday when I went to the bathroom, I noticed a small red spot on my stool (there's a picture in the link below). I'm not sure if it's due to food coloring or a blood clot. A couple of days ago, I ate some shredded carrots and mildly s...
Dr. Ke Fangxu reply Surgery
This situation is more likely caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is recommended to temporarily suspend the intake of dark-colored foods. If there is no improvement, a physician may perform a colonoscopy for fur...[Read More] Understanding Red Spots in Stool: Food or Hemorrhoids?
Understanding Changes in Stool Size and Shape: What You Need to Know
Decreased stool frequency and thinner, elongated stools? Hello Doctor: I underwent a colonoscopy in May 2021, and the physician mentioned that I have intestinal adhesions. Due to my difficulty with bowel movements, I take 3 capsules of MGO daily. Recently, I caught a cold and too...
Dr. Ke Fangxu reply Surgery
This situation is likely related to diet and cold medication. As long as there is no further bleeding, it should be fine. It is recommended to increase the intake of dietary fiber during this period and to shorten the time spent on bowel movements. If symptoms persist, it is advi...[Read More] Understanding Changes in Stool Size and Shape: What You Need to Know
Soft Swelling Near Anus During Bowel Movements: Causes and Solutions
Soft lumps on both sides of the anus during straining? Recently, I have been experiencing a feeling of constipation when using the restroom. When I looked in the mirror, I noticed that the areas around my anus appeared swollen and felt soft to the touch; they retract when I relax...
Dr. Ke Fangxu reply Surgery
This situation is likely due to hemorrhoidal swelling, which can be caused not only by constipation but also by diarrhea. It is recommended to avoid both constipation and diarrhea by increasing your intake of dietary fiber and shortening the time spent on the toilet. This can hel...[Read More] Soft Swelling Near Anus During Bowel Movements: Causes and Solutions
Do Minors Need Parental Consent for Hemorrhoid Surgery?
Doctor, do I need to sign a surgical consent form for hemorrhoid surgery? Hello, doctor. I know my question might seem a bit naive, but I hope you can help me. 😅😅 I think I have developed a hemorrhoid, and sometimes it hurts a lot. I also find it quite unsightly, so I want to hav...
Dr. Ke Fangxu reply Surgery
Surgical procedures for minors require a guardian's consent form. You can also wait until next year to have the surgery; once you turn 18, you will be able to sign the consent forms for surgery and anesthesia on your own.[Read More] Do Minors Need Parental Consent for Hemorrhoid Surgery?
Post-Surgery Recovery: Managing Pain and Bowel Issues After Hemorrhoid Treatment
Post-hemorrhoid surgery Hello Doctor, I underwent a tissue coagulation procedure for my internal and external moles on January 19, and today is the sixth day. The pain and swelling are gradually subsiding, but I am experiencing difficulty with bowel movements. Every time I feel t...
Dr. Ke Fangxu reply Surgery
It is acceptable to increase the dosage of stool softeners in this situation. In fact, having a bowel movement seven days post-surgery should not be a problem. You may be experiencing psychological factors that make you hesitant to exert yourself. If you are afraid of pain, you c...[Read More] Post-Surgery Recovery: Managing Pain and Bowel Issues After Hemorrhoid Treatment
Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Anal fistula issues? Hello Dr. Ke, my father has developed something resembling acne near his anus, which has repeatedly become infected and ruptured. The doctor diagnosed it as a fistula and he underwent fistula surgery a week ago. However, during the follow-up appointment one w...
Dr. Ke Fangxu reply Surgery
The National Health Insurance does not stipulate that an anal fistula surgery can only remove one site at a time. It is likely that another site was not detected during the initial surgery and therefore was not removed. A second surgery may be unavoidable. However, it may be bett...[Read More] Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns