Understanding Rectal Pressure During Exercise: Causes and Concerns
Feeling of anal heaviness or prolapse? Hello, doctor. Due to my exercise routine, I experience a sensation of anal heaviness while jumping rope, but I do not have this feeling when running or during daily activities. I have a history of anal fissures and hemorrhoids. Last Septemb...
Dr. Zhang Shuhao Reply:
A feeling of anal heaviness is a common symptom of anorectal disorders, as the area above the dentate line is innervated by visceral nerves, resulting in less pronounced pain but a sensation of heaviness below that line. Common causes include intestinal inflammation, internal hem...[Read More] Understanding Rectal Pressure During Exercise: Causes and Concerns
Post-Surgery Care and Concerns for Anal Abscess Drainage
Post-anal abscess surgery Hello, I was diagnosed with an anal abscess during an outpatient visit on January 31, 2024, and underwent incision and drainage of the abscess in the clinic. By the time of my follow-up on February 21, there was no significant swelling or pain (though th...
Dr. Zhang Shuhao Reply:
1. If there is proper drainage and no significant swelling or pain, this healing condition is normal. The tenderness in the area and any lumps near the wound should decrease over time. 2. Granulation tissue that forms during the healing process may easily bleed due to friction;...[Read More] Post-Surgery Care and Concerns for Anal Abscess Drainage
Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care
Buttock mass Hello, doctor. Two days ago, I noticed a bump on the right side of my buttocks around the anal area. It's about 1.5 centimeters in size, slightly red in color, feels hard to the touch, and is somewhat painful. The symptoms have not changed since then. I would li...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, this could be one of the common anal issues such as anal warts, anal abscess, or hemorrhoids. A medical examination is necessary to confirm the diagnosis, as these conditions may require professional treatment. While waiting to see a healthcare pr...[Read More] Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care
Post-Anal Abscess Surgery: Understanding Pain, Hard Lumps, and Recovery
Postoperative care for anal abscess? On February 6, an incision was made for an anal abscess, resulting in a one-centimeter wound. As of yesterday, February 11, there has been mild pain and a hard lump at the site. I have been continuously changing the dressing and applying bacit...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, mild pain and a lump at the wound site are common phenomena. The lump may be due to inflammation and swelling of the surrounding tissue or a hematoma, and it will gradually subside over time. It is advisable to take warm sitz baths frequ...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Hard Lumps, and Recovery
Post-Anal Abscess Surgery: Is a Hard Lump Normal After 6 Days?
Postoperative care for anal abscess? On February 6, an incision was made for an anal abscess, resulting in a one-centimeter wound. As of yesterday, February 11, there has been mild pain and a hard lump at the site. I have been continuously changing the dressing and applying genti...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, mild pain and a lump at the wound site are common phenomena. The lump may be due to inflammation and swelling of the surrounding tissue or a hematoma, which will gradually subside over time. It is advisable to take warm sitz baths freque...[Read More] Post-Anal Abscess Surgery: Is a Hard Lump Normal After 6 Days?
Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery
Postoperative care for anal abscess? 1. Symptoms: Today, I sought medical attention due to swelling and sharp pain at the six o'clock position of the anus. The doctor used a syringe to aspirate the contents, which contained some pus and blood (mostly blood), and diagnosed me...
Dr. Chen Jiaming Reply:
It is possible to recover from this infection; however, if it is caused by a fistula, there is a higher likelihood of recurrence. Therefore, if similar symptoms occur in the future, it is essential to seek treatment as soon as possible.[Read More] Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery
Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
If the surgical wound stitches have opened, should I return for re-suturing? A cyst has developed near the anal area. During the first episode of inflammation, the doctor performed a drainage procedure and diagnosed it as an anal abscess. However, it has recurred monthly (the doc...
Dr. Zhang Shuhao Reply:
1. If the surgical wound opens up, it is necessary to return to the doctor who performed the surgery for evaluation. Even if re-suturing is not required, a new treatment plan must be established, and instructions on how to care for the wound should be provided. Generally, wounds ...[Read More] Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
Managing Anal Abscess: Tips for Proper Healing and Drainage
Anal abscess Hello, doctor. Last week, I was hospitalized for three days on antibiotics due to a ruptured anal abscess. The attending physician made the incision larger to facilitate drainage. However, during my follow-up visit this week, the doctor mentioned that the pus has not...
Dr. Zhang Shuhao Reply:
1. To prevent the wound from healing too quickly, it is necessary to enlarge the wound in the clinic. The direction of the wound can also help the pus drain more effectively when sitting, so taking warm sitz baths can be beneficial. 2. It is possible to manage without gauze, but ...[Read More] Managing Anal Abscess: Tips for Proper Healing and Drainage
Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Could there be an issue with a fistula? Hello Doctor: I would like to ask about the issue of fistulas/abscesses. On the morning of January 4th, I noticed a lump on the right side of my anus that was slightly painful. That evening, due to a company year-end party, I sat at work fo...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it seems like an anal abscess. During the acute phase, there will be swelling and pain, but once it ruptures and the pus drains out, the pain may alleviate. You can start with warm sitz baths, and if there is pus in the wound, you can gently e...[Read More] Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Understanding Anal Abscess: Treatment, Complications, and Recovery
Anal abscess Doctor, I apologize for the interruption, but I would like to ask a question. At that time, the physician diagnosed me with an anal abscess. Initially, the doctor said it was not mature yet and advised me to take antibiotics. However, it ruptured on its own in the mi...
Dr. Ke Fangxu Reply:
An anal abscess may indeed rupture on its own after antibiotic treatment. It is generally recommended to incise the abscess to prevent premature healing before the abscess is completely drained. Whether a fistula will form can only be determined after a period of observation, as ...[Read More] Understanding Anal Abscess: Treatment, Complications, and Recovery
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Postoperative care for anal abscess? I was diagnosed with an abscess around mid-August, estimated to be 3-4 cm in size. When I went for a consultation, Doctor A used a needle to drain the pus and prescribed medication, saying that taking the medication and applying topical treatm...
Dr. Zhang Shuhao Reply:
1. Dr. B hopes to pack the wound with gauze to keep it cleaner, but excessive packing can prevent the drainage of tissue fluid and may cause the wound to expand, making Dr. C's suggestion more reasonable. 2. An anal abscess may lead to the formation of an anal fistula, whi...[Read More] Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Anal abscess Hello Doctor, I started experiencing pain around my anus on November 30th, which has affected my daily life. On December 1st, I visited my family doctor who suspected it was hemorrhoids and prescribed antibiotics and an ointment. However, on the evening of December 2...
Dr. Zhang Shuhao Reply:
The family medicine physician prescribed antibiotics and ointment, indicating that the doctor also suspects an anal abscess. If it ruptures on its own, it's fine; you can clean and disinfect the area and gently express the pus. Continue applying the ointment to the wound. Af...[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Post-Operative Care and Concerns After Anal Abscess Drainage Surgery
Postoperative care for anal abscess? Hello Doctor, I underwent anal drainage treatment three days ago (without anesthesia for the incision). Over the past few days, I have noticed fluid leaking out. I would like to ask three questions: 1. The affected area remains swollen by a fe...
Dr. Zhang Shuhao Reply:
1. After incision, pus may drain from the affected area, but the swollen tissue will not decrease in size quickly; noticeable improvement will only occur once the inflammation subsides. 2. The amount of draining pus will gradually decrease, eventually turning into clearer tissue ...[Read More] Post-Operative Care and Concerns After Anal Abscess Drainage Surgery
Understanding Painful Anal Bumps: Causes and Treatment Options
Perianal mass Hello, doctor. About five days ago, coinciding with my menstrual period, I noticed a round lump on the outer right side of my anus, approximately the size of a five-dollar coin. It is painful when I move, and the pain seems to be gradually increasing. I recall havin...
Dr. Zhang Shuhao Reply:
A sudden painful lump that is related to the menstrual cycle is most likely a thrombosed external hemorrhoid, though it could also be a sebaceous gland inflammation or an anal abscess in rare cases. It is recommended to take warm sitz baths, increase fluid intake to prevent const...[Read More] Understanding Painful Anal Bumps: Causes and Treatment Options
Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Why must a patient be discharged after surgery for an anal abscess or fistula as long as they are able to have bowel movements? I would like to ask the doctor why, after my anal abscess fistula recurrence surgery, the doctor said that as long as I had a bowel movement, regardless...
Dr. Zhang Shuhao Reply:
Whether it is for anal fistula or other surgeries, patients must be stable postoperatively, not requiring intravenous fluids, and able to perform daily activities before being discharged. There is no absolute correlation between the ability to have bowel movements and discharge r...[Read More] Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Anal abscess and fistula? My daughter had her first anal abscess discovered in April, which was treated with incision and drainage at a clinic. In October, it occurred again, and the doctor recommended going to the hospital for further evaluation, as there might be a fistula issu...
Dr. Zhang Shuhao Reply:
In the case of an initial diagnosis of an anal abscess, incision and drainage is typically performed without issues. If a recurrence occurs, it is important to determine whether it is in the same location. If there are multiple recurrences at the same site, a fistula may have for...[Read More] Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Post-Anal Abscess Drainage: Pain and Swelling Management After Surgery
Postoperative care following incision and drainage of an anal abscess? Hello, Doctor. 1. I had an abscess incision and drainage at the colorectal clinic on October 23rd. Today, on the 25th, which is the third day post-surgery, I experience a sharp pain during anal contractions....
Dr. Zhang Shuhao Reply:
It is normal to experience sharp pain at the anal wound on the third day post-surgery. You can take warm sitz baths to keep the wound clean, continue applying ointment and taking oral anti-inflammatory pain relievers, and return for your follow-up appointment as scheduled.[Read More] Post-Anal Abscess Drainage: Pain and Swelling Management After Surgery
Post-Surgery Concerns: Managing Long-Term Drainage After Anal Abscess
Postoperative care for anal abscess? Hello, doctor. I underwent drainage surgery for an anal abscess around mid-September and had a drainage tube placed. My attending physician informed me that due to the depth of my wound, the drainage tube might need to remain in place for 2-3 ...
Dr. Zhang Shuhao Reply:
If a drainage tube is needed, it indicates a higher-level abscess, possibly located behind the rectum, where an open wound alone cannot adequately drain the area. Therefore, the doctor's statement is valid. However, it is generally difficult for the drainage tube to remain i...[Read More] Post-Surgery Concerns: Managing Long-Term Drainage After Anal Abscess