Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao reply Surgery
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Understanding Anal Leakage: Causes and When to Seek Help
Anal discharge I have not been diagnosed with hemorrhoids, nor do I feel like I have them. Sometimes when I pass gas or accidentally, there is a watery discharge from my anus, but it has no odor. Recently, I've also experienced issues with incomplete bowel movements and a co...
Dr. Zhang Shuhao reply Surgery
Based on your description, it may be a functional gastrointestinal issue. You can start by increasing your fluid intake and dietary fiber, engaging in moderate exercise, and relaxing your mind. If symptoms persist, consider visiting a gastroenterologist or a family medicine clini...[Read More] Understanding Anal Leakage: Causes and When to Seek Help
Post-Anal Electrosurgery Skin Issues: Causes and Recovery Time
Skin issues after anal electrosurgery? I would like to ask the doctor, after electrosurgery, the skin has healed, but I still occasionally experience itching, sudden sharp pains, and numbness while sitting. What could be the reason for this? How long will it take for these sympto...
Dr. Zhang Shuhao reply Surgery
After electrosurgery, the skin may exhibit deeper thermal damage. Sometimes the epidermis has healed, but the deeper tissues have not fully recovered. Over time, the symptoms will gradually improve. It is recommended to have regular follow-up visits for assessment, and medication...[Read More] Post-Anal Electrosurgery Skin Issues: Causes and Recovery Time
Post-Surgery Bleeding on Day 8: Is It Normal?
Postoperative day 8, the wound is oozing blood? Hello, doctor. I underwent a vaginal rejuvenation surgery last Monday (not for cosmetic reasons, but because it was affecting my daily life). During the first week, I followed the doctor's advice and tried to stay in bed as muc...
Dr. Zhang Shuhao reply Surgery
1. It is possible for old blood to flow out through the incision, typically appearing darker, such as deep red or black. The amount may increase with movement or changes in position. If there are no other symptoms (such as redness, swelling, heat, pain at the wound site, purulent...[Read More] Post-Surgery Bleeding on Day 8: Is It Normal?
Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
What are the issues after outpatient surgery for thrombosed external hemorrhoids? Hello, doctor. I would like to ask: Yesterday, I visited a colorectal specialist at a certain hospital, and the doctor diagnosed me with a thrombosed external hemorrhoid, suggesting that it could be...
Dr. Zhang Shuhao reply Surgery
1. If a thrombosed external hemorrhoid is only incised to evacuate the clot, the hemorrhoidal tissue will still become inflamed and swollen. Gauze can be used to apply pressure to prevent further bleeding, but it does not help reduce swelling. Whether standing or sitting has litt...[Read More] Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-operative bowel issues after anal electrosurgery? At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal. The area of skin burned around the anus was relatively la...
Dr. Zhang Shuhao reply Surgery
If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed. Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements. If the surgery did ...[Read More] Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Two months after hemorrhoid surgery, there is still blood when wiping? Hello, I would like to ask if a patient has experienced bleeding during bowel movements two months after hemorrhoid surgery, could this indicate that internal hemorrhoids have reoccurred, or could there be ano...
Dr. Zhang Shuhao reply Surgery
If the wound from hemorrhoid surgery has not yet healed, there may be bleeding during bowel movements due to friction and straining, which will gradually improve as the wound heals. If hemorrhoids are surgically removed, they are unlikely to recur in a short period. If there are ...[Read More] Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I would like to consult with a doctor. I underwent anal fistula surgery at the end of February this year, but I experienced swelling in both May and July, with the May episode even resulting in pus formation. When I retu...
Dr. Zhang Shuhao reply Surgery
If the fistula has been completely excised, it is unlikely to recur at the same site. However, if there is swelling or purulent discharge, it is necessary to check for the formation of a new abscess or fistula. The surgical wound may exhibit itching or scar tissue formation depen...[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Understanding Blood in Stool: Symptoms and Causes Explained
Rectal bleeding Hello, doctor. On July 26 (Friday) afternoon, I experienced abdominal pain and went to the bathroom three times. Initially, my stools were normal, but eventually, it progressed to diarrhea. Towards the end, I noticed blood and mucus in my stool. I would like to as...
Dr. Zhang Shuhao reply Surgery
Severe diarrhea may be accompanied by mucus with blood, indicating that the intestines are in an inflammatory state. A light diet should be adopted, with an emphasis on hydration to allow the intestines to rest. In severe cases, it is advisable to visit a gastroenterology clinic ...[Read More] Understanding Blood in Stool: Symptoms and Causes Explained
Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao reply Surgery
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Understanding Perianal Lumps: When to Consider Surgery or Medication
Perianal mass Hello, Doctor. A year ago, I noticed a hard lump near my anus. The first doctor I saw said it was hemorrhoids. After taking medication, it remained there, but since it was neither painful nor itchy, I didn't pay much attention to it. Until last Monday, when it ...
Dr. Zhang Shuhao reply Surgery
Anal fistulas are likely to recur due to their connection with the anal glands. Since this is your first occurrence and you are currently asymptomatic, you can choose to observe. However, if there is a recurrence at the same site (such as redness, swelling, heat, pain, a mass, or...[Read More] Understanding Perianal Lumps: When to Consider Surgery or Medication
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao reply Surgery
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Blood in Stool: Causes and Concerns for Patients
Blood in stool issue? In the morning, the stool is drier and harder; the shape is sausage-like with a bumpy surface. It requires straining during bowel movements, resulting in blood streaks on the stool. Subsequent bowel movements are normal without blood. What could be the cause...
Dr. Zhang Shuhao reply Surgery
Since you had a colonoscopy last year, there is not much to worry about regarding intestinal tumors. If your stools are hard and dry, straining during bowel movements can lead to hemorrhoid irritation or anal fissures with bleeding. It is recommended to take warm sitz baths, incr...[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao reply Surgery
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Excessive reliance on rectal ointments? Hello, doctor. I have been using hemorrhoid ointment for nearly 8 years without stopping, specifically Hiyu ointment. Whenever I stop using it, I feel very uncomfortable in my anus (burning sensation, almost like it's about to crack), ...
Dr. Zhang Shuhao reply Surgery
Hemorrhoid ointments can alleviate the symptoms of acute hemorrhoid flare-ups, but they do not improve the severity of hemorrhoids, so short-term use is recommended. These ointments often contain corticosteroids, and prolonged use can lead to skin sensitivity and anal itching. It...[Read More] Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Post-hemorrhoid surgery Hello Dr. Chang, I underwent laser minimally invasive surgery for hemorrhoids under spinal anesthesia on July 10 at the Taoyuan General Hospital and was discharged on July 11. It has now been four days. I can only lie down or stay in bed. When lying down, ...
Dr. Zhang Shuhao reply Surgery
Laser minimally invasive hemorrhoid surgery generally refers to laser ablation surgery. The wound typically heals within three to five days post-operation, and while there may still be some localized swelling, it rarely affects gas or bowel movements. It is advisable to take warm...[Read More] Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Nocodazole film-coated tablets Hello Doctor, I suspected I had a fistula, so I went to see a colorectal specialist. My main complaints were anal itching and what seemed to be yellow discharge (there was no visible fistula opening). The doctor (referred to as Doctor A) performed a...
Dr. Zhang Shuhao reply Surgery
Curam is an antibiotic that targets common bacterial infections. If a doctor prescribes this medication, it indicates that, in addition to hemorrhoids, the possibility of other infectious lesions such as an anal abscess cannot be ruled out. Although Curam is typically recommended...[Read More] Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Is it possible to feel a hard lump inside the anus with hemorrhoids? I would like to ask the doctor if hemorrhoids can be very hard. Are there hemorrhoids that do not bleed? I read online that hemorrhoids are soft and do not obstruct bowel movements. I have felt a large hard lump...
Dr. Zhang Shuhao reply Surgery
If hemorrhoids develop a thrombosis, they may feel firmer than usual hemorrhoidal tissue, but they will not reach the hardness of a lump and will not obstruct bowel movements. A colonoscopy can usually rule out tumor-related lesions. It is recommended to first visit a colorectal ...[Read More] Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Ten days after hemorrhoid ligation, there is a significant amount of blood when wiping, but no pain or itching? For the past six months, I've been experiencing itching in my buttocks and a sharp pain during bowel movements. Ten days ago, I underwent surgery for internal hemo...
Dr. Zhang Shuhao reply Surgery
After the ligation of internal hemorrhoids, the hemorrhoidal tissue will undergo ischemia and eventually slough off, which may result in bleeding. If there are no other discomforts, it is advisable to monitor the situation. However, if there is persistent heavy bleeding or the fo...[Read More] Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Understanding a Hard Lump Near the Anus: Is It a Fistula?
There is a hard lump outside the anus? This lump has been present for over a year, has not changed in size, and is not painful. This morning, I noticed that it may have been compressed, causing a small hole to bleed. I am very worried that it might be a fistula. I would like to a...
Dr. Zhang Shuhao reply Surgery
If it is a first-time occurrence, it could be an anal abscess. As for whether a fistula has formed, it can be checked after the inflammation subsides. It is recommended to seek medical treatment, prescribe anti-inflammatory medication and topical ointments, keep the wound clean, ...[Read More] Understanding a Hard Lump Near the Anus: Is It a Fistula?