Understanding Anal Bumps: Is It a Pimple or Something More Serious?
There is a foreign object in the anus? I have a bump located about 1.5 to 2 centimeters outside my anus. It's not too big or too small, and it hurts a bit when pressed, but it doesn't hurt if I leave it alone. It appeared and ruptured on the same day, releasing a small ...
Dr. Ke Fangxu Reply:
Answer: It is difficult to determine whether it is acne or an anal fistula without a physician's examination. However, at this age, the likelihood is more towards acne. If the symptoms do not recur, continue to monitor. If there is persistent pain and discharge, it is advisa...[Read More] Understanding Anal Bumps: Is It a Pimple or Something More Serious?
Understanding Perianal Pain and Swelling: Causes and Concerns
Perianal swelling and pain? Doctor, I would like to ask a few questions: 1. If a thrombosed external hemorrhoid is left untreated for a long time, can it cause swelling on one side of the buttock and discomfort while sitting or standing? 2. What conditions can cause a lump near t...
Dr. Ke Fangxu Reply:
1. The size of the thrombosed external hemorrhoid is a determining factor; if the thrombosis is extensive, it is indeed possible. 2. The nature of the blood should also be considered; a thrombus that has started to break down will produce dark-colored blood, but an anal abscess c...[Read More] Understanding Perianal Pain and Swelling: Causes and Concerns
Understanding Anal Fistulas and Abscesses: Symptoms and Alternatives
Anal fistula abscess Is it true that an anal fistula or abscess always has an external or internal opening? Does it always drain pus? (The information I found online states that if there is an opening, it will drain pus.) If there is no opening or pus drainage, what other conditi...
Dr. Ke Fangxu Reply:
The cause of an anal abscess is a bacterial infection that leads to the accumulation of pus, which often ruptures and forms an opening. If the opening does not heal properly, it can develop into a fistula. If the opening is on the skin side, it is a common type of fistula, but th...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Alternatives
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
External anal lump Hello Doctor, In March, I discovered a lump near my anus, which is painful to the touch, but I have not experienced any fever or discharge. After researching, I suspect it might be an anal fistula. I consulted a colorectal specialist who performed a digital e...
Dr. Yu Mingchang Reply:
Hello; when you have time, please take a look at the colorectal diagnosis from the Ministry of Health and Welfare Changhua Hospital. We care about you.[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Understanding Abscesses Near the Anus: Symptoms and Treatment
The buttocks have no lesions? Doctor, I recently noticed a pus-filled bump near my anus, and there seems to be some bright red blood on the surface of my stool. Is this hemorrhoids or could it be something more serious? I have regular bowel movements almost every day, so I would ...
Dr. Ke Fangxu Reply:
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. Warm sitz baths may hel...[Read More] Understanding Abscesses Near the Anus: Symptoms and Treatment
Do You Always Need Surgery for Anal Abscesses? Expert Insights
Is surgery always necessary for anal abscess? Hello Doctor, on March 16th, I had an abscess above my anus, and the doctor performed surgery to drain it. During a follow-up visit a few days ago, the doctor mentioned that it was not very clear whether there was a fistula upon exami...
Dr. Ke Fangxu Reply:
Based on your description, it seems that you have undergone incision and drainage for an anal abscess. If there is no pain, you can continue to observe. As for whether a fistula will form, it typically takes a longer time to determine, usually around three to six months. I recomm...[Read More] Do You Always Need Surgery for Anal Abscesses? Expert Insights
Post-Surgery Concerns: Managing Anal Abscess Drainage Issues
Issues After Drainage of Anal Abscess Hello Dr. Ko, I apologize for bothering you with some small questions. My brother had an anal abscess that was incised and drained three weeks ago. He has already had three follow-up visits, and the doctor advised him to return for another ...
Dr. Ke Fangxu Reply:
Although antibiotic treatment can control the inflammation of the fistula, long-term use cannot cure it and may lead to side effects. Based on your description, it seems that an anal fistula may have formed. It is advisable to consult a physician for an examination and to assess ...[Read More] Post-Surgery Concerns: Managing Anal Abscess Drainage Issues
Understanding External Anal Masses: Causes, Symptoms, and Treatment Options
Perianal mass Since around my senior year of high school, I have had an unexplained lump located right next to my anus. At first, it was small and painless, so I didn't pay much attention to it, thinking it would go away with topical medication. However, it soon swelled up a...
Dr. Ke Fangxu Reply:
Answer: Since I cannot examine you in person, I cannot provide a definitive diagnosis. Conditions such as hemorrhoids, genital warts, sebaceous cysts, anal abscesses, or fistulas are all possibilities, and the treatment options vary for each. I recommend that you consult a surgeo...[Read More] Understanding External Anal Masses: Causes, Symptoms, and Treatment Options
Hard Lump on Buttocks: What to Do After a Week of Pain?
A hard lump has developed on my buttocks and has persisted for a week? Three years ago, I had a boil on my buttocks that I managed to drain myself. The wound took about two months to heal, but now a hard lump has formed in the same area. It's quite large, about the size of a...
Dr. Ke Fangxu Reply:
Answer: Since I cannot provide a definitive diagnosis without a personal examination, conditions such as sebaceous cyst infection, folliculitis, anal abscess, or fistula are all possibilities, and the treatment options vary for each. I recommend that you consult a surgeon for an ...[Read More] Hard Lump on Buttocks: What to Do After a Week of Pain?
Do You Need Surgery for an Abscess Without Visible Wound?
If an anal abscess has drained without any external wound, is it still necessary to perform a fistula surgery? Hello, Doctor! I noticed something unusual around February 20th. I felt a small lump near my anus extending towards the groin, which was painful. By February 26th, the p...
Dr. Ke Fangxu Reply:
If an anal abscess has ruptured and there is no pain or signs of infection, oral antibiotics are sufficient. Whether a fistula will form in the future is uncertain, and performing surgery at this time is not meaningful. Even if surgery were to be done, the wound would not be sutu...[Read More] Do You Need Surgery for an Abscess Without Visible Wound?
Do You Really Need Surgery for Anal Fistulas? Expert Insights
Is surgery always necessary for anal fistulas? Hello Dr. Ke, Due to a busy lifestyle before the New Year, I developed an anal abscess during the holiday. After the New Year, a doctor used a syringe to drain the pus and prescribed antibiotics. It has been over two weeks (I am st...
Dr. Ke Fangxu Reply:
1. If an anal fistula is not surgically treated, it will not be cured, and symptoms will recur. 2. Yes. 3. Medication is used to control infection symptoms, and it is not related to the recurrence of surgery. The likelihood of recurrence is more closely related to the complexit...[Read More] Do You Really Need Surgery for Anal Fistulas? Expert Insights
Understanding Baby's Anal Abscess: Causes, Treatment, and Care
Anal abscess in infants? My baby is 1 year and 2 months old and recently developed an anal abscess. At first, there was pus, but later it was mostly a little blood-tinged fluid, and we couldn't express any pus, but it was very swollen, red, and warm. We took him to see a doc...
Dr. Xu Kaixi Reply:
Hello: If you have already consulted a specialist and received a preliminary diagnosis and treatment, please follow the recommendations and treatment plan, and return for regular follow-up appointments. Based on your description, the treatment provided by your physician is reason...[Read More] Understanding Baby's Anal Abscess: Causes, Treatment, and Care
Understanding Pain and Swelling Above the Anus: When to Seek Help
Pain and swelling above the anal opening? Hello, doctor. I have a question... Two days ago, I suddenly felt some pain around my anus (it just started hurting while standing, and I didn't bump into anything). I noticed that there is swelling above the anal opening, and it hur...
Dr. Xu Kaixi Reply:
Hello: The pain and swelling above the anus may be caused by several conditions, including perianal abscess or inflammation, folliculitis of the perianal skin, hemorrhoidal inflammation, or thrombosis. It is recommended that you visit a surgical or dermatology clinic for a thorou...[Read More] Understanding Pain and Swelling Above the Anus: When to Seek Help
Understanding Recovery from Anal Abscess: Key Questions and Tips
Post-drainage condition of anal abscess? Hello Dr. Ke, about a month ago I asked a question (here is the link to my previous inquiry: https://adoctor.tw/article/117954). Currently, I have been taking antibiotics for three weeks, and during this time, the abscess has gradually shr...
Dr. Ke Fangxu Reply:
1. The absence of symptoms such as swelling, pain, and discharge indicates that healing has occurred; any remaining hard lumps are remnants of scabbing. Recurrence would be characterized by the reappearance of swelling, pain, and discharge. 2. Intense physical activity can be r...[Read More] Understanding Recovery from Anal Abscess: Key Questions and Tips
Understanding Anal Abscess: Symptoms, Treatment, and Recovery Insights
Anal abscess Hello, last week I discovered a lump near my anus that only hurts when pressure is applied. Two days later (on January 11), I visited a colorectal surgeon who incised the lump by 0.5 cm and found pus instead of a blood clot. The doctor inserted a thin stick resemblin...
Dr. Ke Fangxu Reply:
1. A probe test is conducted to determine whether a fistula has formed. Based on your situation, it seems that observation for one month is necessary to see if the acute phase has passed and whether the fistula will fibrose and close on its own. 2. If there is no pus drainage a...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Recovery Insights
Understanding Anal Abscess and Fistula Formation: A Patient's Journey
Anal abscess and fistula formation? Hello Dr. Ko, I had an anal abscess surgery on December 11th (the doctor arranged for hospitalization on the same day). After the surgery, the doctor mentioned that the wound was not shallow and there was a possibility of a fistula forming. Fo...
Dr. Ke Fangxu Reply:
Anal fistulas are a complication resulting from incomplete healing of an abscess. Not all anal abscesses will develop into fistulas. At this stage, performing an MRI for diagnosis is relatively uncommon; most practitioners will wait for the wound to heal before observing for a pe...[Read More] Understanding Anal Abscess and Fistula Formation: A Patient's Journey
Understanding Rectal Health: Concerns for Gay Men and Safe Practices
I have been troubled by complex anal and rectal issues for a long time, and I hope the doctor can help clarify my concerns? Hello, doctor. I am a homosexual man, and I have engaged in anal intercourse. For hygiene reasons, I often clean myself before anal sex. My method involves ...
Dr. Ke Fangxu Reply:
First of all, it is important to note that directly using a faucet to irrigate the rectum is a very dangerous action. Excessive water pressure can cause rupture of the colon or rectum, and the faucet or water pipe may also cause external anal injuries, leading to infections. This...[Read More] Understanding Rectal Health: Concerns for Gay Men and Safe Practices
Understanding Anal Abscesses and Fistula Risks: A Patient's Guide
Anal abscess and fistula issues? Dear Dr. Ke, I discovered a small lump near my anus at the end of September this year (2016). At the beginning of October, it ruptured and discharged pus and blood. I was diagnosed with an anal abscess at a major hospital's colorectal depart...
Dr. Ke Fangxu Reply:
1. A diagnosis cannot be determined solely based on a textual description; a physical examination is necessary for proper assessment. If there is merely a lump without any discharge, it could potentially be a swollen hemorrhoid. 2. An anal fistula is typically a remnant of an a...[Read More] Understanding Anal Abscesses and Fistula Risks: A Patient's Guide
Post-Surgery Concerns: Understanding Complications After Incision and Drainage
Postoperative issues? Hello, I previously went to the hospital for an abscess examination near the left lower vulva, close to the vaginal opening. Initially, I thought it was a Bartholin's gland abscess, but later the doctor said it seemed to be in the wrong location and dia...
Dr. Li Zhonghuai Reply:
Hello! If the abscess is very close to the anus, it should be treated as an anal abscess, and during surgery, an anoscope will be used for examination. Without a photo, it's difficult to determine the exact location of your abscess. If you continue to experience discomfort, ...[Read More] Post-Surgery Concerns: Understanding Complications After Incision and Drainage
Can Colonoscopy Cause Anal Fistulas or Abscesses?
Anal fistulas and related issues? Hello, does undergoing a colonoscopy pose a risk of causing anal fistulas or anal abscesses? Thank you.
Dr. Ke Fangxu Reply:
The two diseases that will not be caused by the appeal are those caused by bacterial infections, which have no relation to colonoscopy.[Read More] Can Colonoscopy Cause Anal Fistulas or Abscesses?