Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Post-fistula surgery granulation tissue inflammation? Hello, doctor. It has been about a month since my fistula excision surgery (the doctor informed me that the wound healing requires at least 2 months). Recently, I noticed yellow spots that look like pus on the newly formed gra...
Dr. Ke Fangxu reply Surgery
If there is no redness, swelling, heat, or pain, you can continue to observe the healing process of the wound. The appearance of granulation tissue is a normal phenomenon. If there is not much discharge, it is not a concern. However, if there is brown or green purulent discharge,...[Read More] Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Stool mixed with blood? Hello, doctor. I usually experience constipation, having a bowel movement every 3-4 days, and the stools are typically hard and pellet-like. I have had internal hemorrhoids for a long time, and my bowel habits have not changed significantly. However, I rec...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 26 is not zero, but generally, it is 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, and grea...[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Understanding Anal Skin Tags: Concerns and Treatment Options
Issues related to anal masses? Hello, doctor. I currently have a visible lump at the anal opening. It is not painful and does not affect my daily life. It feels soft to the touch, and when I slightly stretch the anus, I can see that its base extends a bit further inside the anal ...
Dr. Ke Fangxu reply Surgery
1. Rubber band ligation is not recommended for external hemorrhoids due to potential pain and difficulty in wound care. 2. If there is no pain or discomfort, then there are no contraindications for anal intercourse; adverse effects should be minimal.[Read More] Understanding Anal Skin Tags: Concerns and Treatment Options
Scratched by Wire: Understanding Tetanus Risks from Minor Wounds
Scratched by a wire? I was scratched on my foot by a piece of wire left on the ground. There are two wounds: one is a superficial abrasion with slight bleeding, and the other is a small wound with internal bleeding. I'm concerned whether such an external minor wound with int...
Dr. Ke Fangxu reply Surgery
Superficial skin wounds do not pose a risk for tetanus infection; it is important to maintain cleanliness and prevent cellulitis.[Read More] Scratched by Wire: Understanding Tetanus Risks from Minor Wounds
Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Hemorrhoid issues Doctor, I’ve heard that everyone has hemorrhoids to varying degrees, and asymptomatic hemorrhoids are considered normal physiological tissue. I previously experienced constipation and anal fissures, but they were not severe enough to require treatment. A few day...
Dr. Ke Fangxu reply Surgery
If hemorrhoids are not accompanied by bleeding or pain, there is generally no reason for aggressive treatment. Swelling is often related to prolonged bowel movements. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Spicy and...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Understanding Thrombosed External Hemorrhoids: Treatment Options Explained
Thrombosed external hemorrhoid Hello, doctor. I would like to ask about your previous responses, which mostly mentioned that thrombosed external hemorrhoids can be treated with topical medications and warm sitz baths, and that they will resolve on their own. However, I have also ...
Dr. Ke Fangxu reply Surgery
Small thrombosed external hemorrhoids can be managed conservatively and may resolve on their own. However, larger thrombosed hemorrhoids may require surgical excision to prevent potential damage to the anal sphincter. The decision on whether to excise or manage conservatively sho...[Read More] Understanding Thrombosed External Hemorrhoids: Treatment Options Explained
Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Supplementary question: Depression of the perianal skin after healing? Hello Dr. Ke: I forgot to mention last time that after using hemorrhoid ointment for several months, I developed inflammation on the skin, resulting in a wound located in the triangular area near the perineal ...
Dr. Ke Fangxu reply Surgery
If skin inflammation is caused by the excessive use of an ointment, the hemorrhoid cream should no longer be used. The focus should be on treating the dermatitis, which may include both oral and topical medications. It is advisable to consult a physician for evaluation and prescr...[Read More] Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Depression of the perianal skin after healing? Previously, I had an anal fissure that led to prolonged sitz baths and the use of hemorrhoid ointments for several months, which resulted in severe dermatitis and skin breakdown. When I visited the hospital, they advised me to discon...
Dr. Ke Fangxu reply Surgery
In theory, once an anal fissure heals, there should be no pain unless it is due to pre-existing chronic fissures caused by excessive sphincter contraction. If the pain is intolerable and affects daily activities, one can try using rectal suppositories for a period of time. Otherw...[Read More] Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Post-Surgery Concerns: Managing Swelling and Pain After Hemorrhoid Surgery
More than a month after hemorrhoid surgery, there is slight swelling at the anal wound? Hello, Doctor. In mid-November last year, I underwent laser hemorrhoid surgery at Kaohsiung Hemorrhoid Clinic, where five internal and external hemorrhoids were removed. Currently, the wound i...
Dr. Ke Fangxu reply Surgery
1. There are various types of laser surgery instruments and power settings, and the recovery period can vary significantly. However, it generally should not last this long. To determine if your symptoms are normal, it is best to consult your surgeon. 2. It is not necessary to ex...[Read More] Post-Surgery Concerns: Managing Swelling and Pain After Hemorrhoid Surgery
Understanding Hemorrhoid Banding: When Symptoms Persist After Surgery
Sterilization Issues Hello Dr. Ke, I have been experiencing a feeling of incomplete bowel movements, and I notice that the hemorrhoids protrude but retract on their own, without any bleeding. After a clinic evaluation, I was diagnosed with grade II hemorrhoids and scheduled for r...
Dr. Ke Fangxu reply Surgery
If hemorrhoids are not accompanied by persistent bleeding or severe pain, surgical treatment is not necessary. If there is prolapse, surgery is generally more effective. If it does not affect daily life, surgical removal is also not required. Rubber band ligation can temporarily ...[Read More] Understanding Hemorrhoid Banding: When Symptoms Persist After Surgery
Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Hemorrhoid issues Hello, Director Ke. I would like to ask: 1. I currently have some tissue around the anal area that looks like hemorrhoids. There is no significant swelling, pain, prolapse, or bleeding, and the sensation of a foreign body is mild. I only experience occasional an...
Dr. Ke Fangxu reply Surgery
1. Surgery is not necessary for hemorrhoids if there is no persistent bleeding, severe pain, or significant prolapse; most cases can be improved through lifestyle modifications and changes in bowel habits. 2. Hemorrhoids do not progress to rectal prolapse or rectal prolapse. If...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Can I Surgically Remove a Boil on the Back of My Neck?
Can a boil on the back of the neck be excised? Hello, Doctor: I have been suffering from furuncles recently, having had multiple occurrences in the same location. The furuncles are located in the center of the back of my neck. They cause severe pain when I lie down to sleep, and ...
Dr. Ke Fangxu reply Surgery
If a benign skin tumor repeatedly becomes infected, surgical excision can be performed to eliminate the issue permanently. Alternatively, antibiotic treatment can be used first to reduce the size of the lesion before surgery. Therefore, the answers to both of your questions are a...[Read More] Can I Surgically Remove a Boil on the Back of My Neck?
Understanding Anal Itching and Discomfort: Causes and Solutions
Perianal itching and burning? Hello, doctor. I've been struggling with perianal itching for about two weeks. Initially, I thought it was due to exam stress leading to increased hygiene habits, so I started using a bidet and reduced the frequency of wiping and washing. Howeve...
Dr. Ke Fangxu reply Surgery
1. Winter is a common season for anal itching, similar to the occurrence of dry skin. 2. It is possible. 3. There may always be a small amount of fecal matter or secretions around the anal area, which can cause irritation or result from low anal pressure. Anal itching may also be...[Read More] Understanding Anal Itching and Discomfort: Causes and Solutions
Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Fistula scar Dear Dr. Fangfang, It has been five months since my fistula excision surgery, and I have two questions to ask you. 1. Is it normal for the scar tissue after surgery to feel firm and for the portion of the fistula to protrude? I can still feel the presence of the c...
Dr. Ke Fangxu reply Surgery
1. Generally, surgical scars take about 1-2 years to soften, and as long as there is no swelling or pain, there is no cause for concern. 2. The recurrence of fistulas is an unavoidable aspect of this condition. Whether recurrence occurs requires long-term observation. If there ...[Read More] Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Persistent Swelling and Pain After Wound Healing: What to Do?
The wound healing process is still accompanied by swelling and pain? At the beginning of November, a child fell and had a small wound on the knee. The wound has healed, but recently a hard lump has developed at the site along with a small pus-filled bump. Now, it even hurts when ...
Dr. Ke Fangxu reply Surgery
The lump after wound healing should be scar tissue, but if there is a pus-filled abscess, it may be more serious and could require incision and drainage along with antibiotic treatment. It is advisable to consult a surgical specialist for further evaluation.[Read More] Persistent Swelling and Pain After Wound Healing: What to Do?
Understanding Rubber Band Ligation for Internal Hemorrhoids: Effectiveness and Diagnosis
Hemorrhoid ligation surgery Hello Doctor, since the beginning of this year, I have undergone three rubber band ligation procedures for grade II hemorrhoids. Today, I still noticed blood streaks when wiping after a bowel movement and returned for a follow-up. I would like to ask: ...
Dr. Ke Fangxu reply Surgery
1. Rubber band ligation is not a curative procedure; its primary aim is to reduce significant bleeding. If the bleeding is reduced to a minor oozing, it can be considered an effective treatment. 2. After hemorrhoid ligation, it is possible for compensatory swelling to occur in ...[Read More] Understanding Rubber Band Ligation for Internal Hemorrhoids: Effectiveness and Diagnosis
Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Excessive cleaning of the anus can lead to itching? I have always had obsessive cleanliness habits, so I tend to wipe until there are no traces left after using the restroom (I know this isn't good, but I often can't help it). Recently, due to the stress of midterms, I ...
Dr. Ke Fangxu reply Surgery
Excessive cleaning that leads to anal itching is quite common. Aside from medication, the fundamental solution is simple: do not over-clean. Excessive washing and wiping can cause damage and inflammation to the anal skin. Hot water sitz baths can further exacerbate the dermatitis...[Read More] Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu reply Surgery
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Thrombosed external hemorrhoid Hello doctor, I visited a physician two weeks ago, and I was informed that there is a thrombosed hemorrhoid at my anus. The doctor prescribed medication for me to apply and advised me to take warm sitz baths. Following the doctor's instructions...
Dr. Ke Fangxu reply Surgery
If a thrombosed external hemorrhoid is not painful or bleeding, it can completely resolve on its own, typically within 2 to 4 weeks. However, if discomfort persists, a physician can perform a thrombectomy.[Read More] Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Could you please tell me if it is hemorrhoids? Hello, doctor: I would like to ask about my bowel habits, which are usually normal. I eat spicy food about once a week. Sometimes, to keep clean, I wipe my bottom and notice some blood on the toilet paper. One day, I had abdominal pa...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a small thrombosed external hemorrhoid. If it has gradually decreased in size, no special treatment is necessary. It is recommended to temporarily avoid spicy and irritating foods and to prevent constipation. Warm sitz baths can also ...[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options