Understanding Anal Abscesses and Fistulas: A Patient's Journey
Anal abscess? Anal fistula? Hello, Doctor! I apologize for the lengthy message. After using the restroom, I rinsed my buttocks and felt a soft lump near the anal area. I later researched online and it seemed like it could be an anal abscess or an anal fistula. I noticed something...
Dr. Ke Fangxu Reply:
If the infection symptoms are not severe, it can sometimes be difficult to diagnose anal fistulas or abscesses. An anal fistula must meet two essential criteria: the presence of a skin opening and a tubular structure. An abscess, on the other hand, requires the accumulation of pu...[Read More] Understanding Anal Abscesses and Fistulas: A Patient's Journey
Is It Normal to Have Pus After Anal Abscess Surgery?
Postoperative care for anal abscess? I would like to ask if it is normal to still have pus when changing the gauze after my surgery on the morning of April 18th.
Dr. Ke Fangxu Reply:
It is normal to experience a small amount of purulent discharge within a week after surgery. Please take frequent warm water sitz baths.[Read More] Is It Normal to Have Pus After Anal Abscess Surgery?
Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Issues Regarding Antibiotic Use During the Waiting Period for Surgery for Anal Abscess and Fistula Hello, doctor. Since January, I have been experiencing inflammation and swelling around the anal area. In late March, I was diagnosed with a fistula (although the external opening h...
Dr. Ke Fangxu Reply:
If an anal fistula has an acute bacterial infection, it may present with symptoms such as redness, swelling, heat, pain, or purulent discharge. If immediate surgical intervention is not planned, it is acceptable to start oral antibiotics to control the infection, typically for a ...[Read More] Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-fistula surgery Hello, doctor. I underwent drainage for an anal abscess in November 2022, where three drainage tubes were inserted. On March 24, 2023, I had two fistula tracts surgically removed. The physician mentioned that one of the tracts might be deeper. Currently, I am...
Dr. Zhang Shuhao Reply:
1. After a complex fistula surgery, there will be a larger open wound, which may cause pain due to friction at the wound site and contractions of the sphincter muscles. In addition to taking warm sitz baths, oral anti-inflammatory and analgesic medications can be used. It is impo...[Read More] Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Not everyone who develops an anal abscess will necessarily develop a fistula? According to medical literature, approximately half of patients with anal abscesses may develop anal fistulas within a few weeks after the abscess. If a patient had an anal abscess that resolved after i...
Dr. Ke Fangxu Reply:
If the anal abscess is relatively superficial, it may heal with incision and drainage along with antibiotic treatment, and it does not necessarily lead to the formation of a fistula. Further observation is required to determine whether a fistula develops. During the infection pha...[Read More] Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Rectal bleeding Thank you, doctor, for taking the time to respond. I am the person who asked question 194156. Regarding my third question, I meant to ask: when an internal hemorrhoid ruptures and bleeds, isn't there a wound? When feces pass through or in the case of bacteria...
Dr. Ke Fangxu Reply:
The anal area is not a sterile environment, and the presence of bacteria is normal. However, because healthy individuals have an immune system, bleeding from hemorrhoids typically does not lead to infection. Anal abscesses are mostly caused by deeper infections, and patients with...[Read More] Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Anal abscess?? Anal fistula?? I found a lump near my anus after using the restroom. Later, the doctor said it was a fistula and that I needed surgery. However, after researching online, it seems like it could be an anal abscess, and I haven't developed any small openings (wh...
Dr. Ke Fangxu Reply:
The National Health Insurance Quick Access is not a doctor; it can only provide general information for reference. Accurate diagnosis still relies on a physician. I understand that you may not comprehend why the doctor diagnosed you with a fistula. I can appreciate your reluctanc...[Read More] Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Anal abscess Hello doctor, I would like to ask about my condition. It has been almost two months since my anal abscess surgery. Initially, I experienced some bleeding and diarrhea with blood, but it seems that I haven't had any discharge for about two weeks. However, in the ...
Dr. Ke Fangxu Reply:
After undergoing incision and drainage surgery for an anal abscess, nearly half of the patients may develop an anal fistula. Based on your description, it seems quite similar to an anal fistula. I recommend that you consult a physician for an examination to confirm.[Read More] Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu Reply:
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Blood in the stool Hello, Doctor. Recently, I experienced blood in my stool and consulted a colorectal surgeon. Through a digital rectal exam and anoscopy, it was determined that I have mild internal hemorrhoid bleeding. I am currently using an ointment and suppositories, and I a...
Dr. Ke Fangxu Reply:
1. If there is no bleeding, it is not necessary to continue using it. 2. A small amount of bleeding can also be monitored; it does not necessarily require daily use. 3, 4. An anal fistula is a complication of an anal abscess and is not related to hemorrhoids.[Read More] Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu Reply:
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Anal abscess Hello Dr. Ke, the cause of my issue is that after having a bowel movement, I wash with water (when at home) and noticed a soft, elongated bump near the anal line. It wasn't too large, so I immediately made an appointment with a doctor. The doctor prescribed anti...
Dr. Ke Fangxu Reply:
When an anal abscess is first identified, an incision and drainage procedure is typically performed, followed by monitoring for subsequent developments. If the abscess heals completely without forming a fistula, no further treatment is necessary. However, if it develops into an a...[Read More] Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
An anal fistula is characterized by the continuous formation of abscesses either internally or externally? Hello Dr. Chen, I would like to ask about a situation. I had surgery for an anal abscess on May 28, 2022, where it was incised and drained. After the surgery, the wound has ...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and cause pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to pre...[Read More] Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Anal fistula Anal abscess was surgically drained at the clinic on May 30, 2022. Three weeks after the procedure, tissue began to grow back, but it did not fully fill in, leaving a 1 cm deep and 0.6 cm wide hole. This hole tends to trap debris (feces and yellow discharge) and deve...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to prevent r...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Understanding Anal Issues: Is It Hemorrhoids or a Fistula?
Hemorrhoids? Fistula? Hello doctor, this is a picture of my buttocks: https://ppt.cc/f18W9x. There is a growth on the skin that doesn't hurt, itch, or have any wounds; it's just an extra piece that has been there for a long time. Recently, I went to a dermatology clinic...
Dr. Zhang Shuhao Reply:
The image does not appear to show hemorrhoids or a fistula; if there is no swelling or pain, it does not resemble an anal abscess either. Fistulas typically present with a hard lump, and there may sometimes be swelling, pain, and discharge. It is recommended to visit an outpatien...[Read More] Understanding Anal Issues: Is It Hemorrhoids or a Fistula?
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:
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
Managing a Ruptured Anal Abscess: What to Do Next?
The anal abscess has ruptured on its own? Last Wednesday, I went to see a doctor for an abscess, and I was prescribed antibiotics and anti-inflammatory medication for three days. It ruptured on its own the following Thursday morning, and the lump has decreased in size. Now it loo...
Dr. Zhang Shuhao Reply:
It's okay if the abscess ruptures on its own. If it's relatively superficial, you can gently squeeze out some pus, disinfect the area, and then apply an antibiotic ointment. Take the oral medication as prescribed and return for a follow-up examination.[Read More] Managing a Ruptured Anal Abscess: What to Do Next?
Understanding Anal Abscess: Healing and Fistula Detection Tips
Anal abscess On Tuesday, I noticed a hard lump near my anus that looked like a pimple. I went to see a doctor yesterday, and I was diagnosed with an anal abscess, which was drained. I was prescribed antibiotics for three days. This morning, the abscess ruptured and discharged a w...
Dr. Zhang Shuhao Reply:
1. When the pus drains completely and the lump gradually softens and disappears, healing will occur slowly. 2. If a fistula forms, there may be an opening with discharge or a lump present. Once it flares up, it will be red, swollen, hot, and painful. Generally, a diagnosis can be...[Read More] Understanding Anal Abscess: Healing and Fistula Detection Tips
Post-Operative Care for Anal Abscess: When to Seek Medical Attention
Postoperative care for anal abscess? I had an anal abscess surgery at the end of April 2021, and now there is still a small hole in the wound that sometimes bleeds a little and occasionally has a bit of pus. If there is no pus, it’s just a small hole. Is this normal? Do I need to...
Dr. Zhang Shuhao Reply:
If there are still wounds and purulent discharge, there may be concerns about an inadequately drained abscess or the formation of an anal fistula. It is advisable to return to the original surgeon for a follow-up, explain the current situation, and assess whether medication or su...[Read More] Post-Operative Care for Anal Abscess: When to Seek Medical Attention
Understanding Discomfort Around the Anus: Causes and Solutions
There is a soreness in a specific area around the anus? Yesterday, after having a bowel movement, I didn't feel much. However, after sitting in my room, I started to feel a soreness around the area near my anus. When I pressed on it, I found a point that felt sore when press...
Dr. Zhang Shuhao Reply:
The cause of localized soreness may be due to injury or fatigue of the sphincter muscle. A small percentage may be attributed to deeper anal abscesses, which may not be visible externally but present as soreness. It is recommended to take warm sitz baths to help relax, avoid cons...[Read More] Understanding Discomfort Around the Anus: Causes and Solutions