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:
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
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
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:
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?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Hard lump near the anus? Hello, doctor. I have a hard lump near my anus that has been present for over a year. Before this lump appeared, I had an experience with an anal abscess that was treated with antibiotics. About six months after the treatment, this lump developed. When I ...
Dr. Zhang Shuhao Reply:
If the affected area previously had an anal abscess that was treated and then recurs in the same location, it may indicate the presence of a fistula, which connects the affected area to the anal glands, making it prone to recurrent inflammation. If symptoms such as redness, swell...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
More than a month after surgery for anal abscess? Hello! I had surgery for an anal abscess over a month ago, and I've been taking sitz baths and applying medication daily. However, currently, the affected area feels like there is a bag with a pressing sensation and a watery ...
Dr. Zhang Shuhao Reply:
Generally, the condition after an anal abscess drainage surgery stabilizes within four to six weeks. However, due to factors such as the size and depth of the abscess, the degree of soft tissue inflammation, and individual differences in immune response, healing may take longer. ...[Read More] Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscesses? Hello, Doctor. About 5-6 years ago, I had an experience with an anal abscess that required incision and drainage, but it did not result in an anal fistula. Recently, about 6 days ago, I started feeling mild discomfort deep in the anal area, w...
Dr. Ke Fangxu Reply:
An anal abscess is indeed more effectively treated with incision and drainage; however, if the abscess is too small or located at a greater depth, antibiotic treatment can also be a viable option. It is also possible that the physician you consulted is not a specialist in colorec...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscess? Hello Doctor, I have been experiencing pain near the anal area recently. The doctor I consulted initially diagnosed it as an anal abscess, approximately the size of a half peanut, with some signs of pus formation. I was prescribed oral antibiot...
Dr. Zhang Shuhao Reply:
If an abscess near the anus is only the size of a half peanut, it may not necessarily be connected to the anal glands. Initially, oral antibiotics can be prescribed for observation, as most cases can resolve on their own. However, if there is severe swelling and inflammation, inc...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Dealing with Painful Abscess Near the Anus: When to See a Doctor
There is a pus-filled abscess near the anus? Hello, doctor. Recently, I have developed a pus-filled bump near my anus. This has happened before, but it usually resolves itself in a few days. However, whenever I wipe forcefully, a pus-filled bump appears, and it is somewhat itchy ...
Dr. Zhang Shuhao Reply:
The formation of perianal abscesses can have multiple causes, including folliculitis, anal abscesses, or infectious lesions. These abscesses are more likely to occur and worsen after vigorous wiping or friction. If the abscess enlarges or symptoms such as fever, redness, swelling...[Read More] Dealing with Painful Abscess Near the Anus: When to See a Doctor
Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
If the anal abscess and fistula are no longer painful, is surgery still necessary? Hello Doctor: Recently, I developed an abscess near my anus, for which I visited a clinic, received antibiotics, and had the pus drained. Currently, I no longer feel any foreign body sensation or p...
Dr. Zhang Shuhao Reply:
If it is the first occurrence of an anal abscess and it is incised and drained, a fistula may not necessarily form. The clinic may discover this through palpation, or if there is recurrent swelling and pain, surgery may be recommended. If there is no pain, it indicates that the i...[Read More] Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
Understanding Painful Bumps Inside the Anus: Causes and Concerns
There are bump-like lesions on the inner wall of the anus? Hello Doctor, I apologize for bothering you. Yesterday, I discovered a raised, ball-like mass on the inner wall of my anus (about 1 centimeter deep). It is painful when pressed, but I don't notice it during my daily ...
Dr. Zhang Shuhao Reply:
The most common causes of protrusions and pain in the anal canal are hemorrhoids and fistulas, while less common causes include inflammation and infectious diseases. However, self-examination is usually difficult to assess. It is advisable to take warm sitz baths, increase fluid ...[Read More] Understanding Painful Bumps Inside the Anus: Causes and Concerns
Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Swimming issues Hello, Dr. Zhang. I would like to ask if having a small injury in the anal area, without being aware of it, and then going swimming could lead to the formation of an anal abscess and subsequently develop into an anal fistula? Additionally, I mostly have bowel move...
Dr. Zhang Shuhao Reply:
Anal abscesses or fistulas are caused by inflammation and infection of the glands located within the anal canal. Therefore, even if there are small external wounds, swimming will not lead to the development of anal fistulas. The skin around the anus is quite sensitive, so in addi...[Read More] Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Understanding Post-Drainage Wound Care for Anal Abscess
Wound after drainage of an anal abscess? Hello, Doctor. I was diagnosed with an anal abscess on April 1st, and a blade was used for drainage at that time. During my follow-up appointment on April 8th, the doctor examined the wound and confirmed that it was healing well, advising ...
Dr. Zhang Shuhao Reply:
If the anal abscess has been adequately drained and there are no secretions or signs of redness, swelling, or pain, it can be considered as not having recurred. The healing site may develop fibrotic scarring, but it typically does not cause significant discomfort. If there are an...[Read More] Understanding Post-Drainage Wound Care for Anal Abscess
Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
There is a pimple on the left side of the anus? Hello, doctor! On April 15th, while taking a shower, I felt a small hard lump on the left side of my anus. It only hurts when I touch it. Over the next few days, it slightly swelled up, about the size of a small green bean. It still...
Dr. Zhang Shuhao Reply:
If it is an anal abscess, it is usually located closer to the anal opening, and topical ointments are often ineffective. Once it ruptures, there will be purulent discharge. Your description is more similar to general folliculitis. If you are concerned, you can visit a colorectal ...[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
Can Anal Abscesses Heal on Their Own? Risks and Recovery Insights
Can an anal abscess resolve on its own? From February to now, it is already April. During this time, I consulted a colorectal surgeon regarding my symptoms, which include a hard lump located inside the left side of the anal area, approximately 1 to 2 centimeters in an oval shape....
Dr. Xu Kaixi Reply:
If the abscess is small and has already ruptured, it may heal with the use of oral medications. It is not advisable to attempt to drain it yourself, as this may require antibiotic treatment to prevent worsening of the infection. It is recommended to seek evaluation and treatment ...[Read More] Can Anal Abscesses Heal on Their Own? Risks and Recovery Insights
Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Anal abscess: Inquiry about diarrhea issues during the recovery period? Hello Doctor: I underwent incision and drainage of an anal abscess on April 1st, and during my follow-up visit on April 8th, it was confirmed that the incision site was healing. During this period, I was trea...
Dr. Zhang Shuhao Reply:
1: The glands in the surgical area will be removed along with the fistula, so recent diarrhea will not affect the outcome of the surgery. Additionally, while diarrhea is theoretically related to inflammation of the anal glands, there is no clear causal relationship between the tw...[Read More] Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Understanding Greenish Discharge from the Anus: Causes and Concerns
The sudden presence of light green discharge from the anus can be indicative of several conditions. It may suggest an infection, such as a sexually transmitted infection (STI) or a gastrointestinal issue, such as a parasitic infection or an inflammatory condition. It is important...
Dr. Zhang Shuhao Reply:
Based on your description, it could be an anal abscess or a fistula. During inflammation, there may be a localized pus-filled cavity, which, when ruptured, will discharge purulent material. Once it drains completely, the pain may alleviate. If there is persistent discharge, it is...[Read More] Understanding Greenish Discharge from the Anus: Causes and Concerns
Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Can Anal Abscess Coexist Without Surgery? Understanding the Risks
Can an anal abscess coexist with other conditions? In January, I discovered a hard lump and initially thought it was an inflamed abrasion. Later, I noticed it had grown larger and was painful when pressed, which prompted me to see a doctor. I was subsequently diagnosed with a sus...
Dr. Zhang Shuhao Reply:
Based on the description, it appears that there has been no pain or other discomfort for some time, indicating that the anal abscess may have resolved. Tissue inflammation or fibrosis can also present as a lump, so the doctor's suggestion to coexist with the mass is reasonab...[Read More] Can Anal Abscess Coexist Without Surgery? Understanding the Risks