Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Sudden onset of a lump? Hello doctor, yesterday while I was showering, I felt a lump between my left testicle and anus, closer to the testicle. It is hard and does not move. I am not sure what could be causing it, but recently I have been experiencing bleeding during bowel moveme...
Dr. Zhang Shuhao Reply:
If there is a hard lump in the perineum, first check if it is painful. If it is painful, it is more likely related to inflammation, which may include sebaceous gland inflammation, epididymitis, lymphadenitis, anal abscess, or fistula. If the symptoms are significant and there is ...[Read More] Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Possible anal abscess encountered during menstruation? A few days ago, I noticed something unusual with my buttocks, and within two days, the area on the left side near the anus became red, swollen, and painful, developing a bump. I looked it up online, and the symptoms seem to m...
Dr. Zhang Shuhao Reply:
If the affected area continues to swell, you may try using oral antibiotics and anti-inflammatory medications to manage the symptoms, but it is still recommended to use them under the guidance of a physician. You can also seek medical attention and explain your condition to the d...[Read More] Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Should I Seek Immediate Medical Attention for My Rectal Lump?
Am I suffering from thrombosed external hemorrhoids or varicose veins? A week ago, a lump the size of a five-dollar coin appeared on the left side outside the anus. Over the past three days, it has grown larger to the point of rubbing against my right buttock, causing significant...
Dr. Ke Fangxu Reply:
If the lump gradually increases in size, it may not be a hemorrhoid; the possibility of an anal abscess is higher. It is recommended that you seek medical attention promptly for a physician to examine you to prevent serious conditions such as sepsis or perineal abscess.[Read More] Should I Seek Immediate Medical Attention for My Rectal Lump?
Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Recurrence of anal abscess? Hello, doctor! I had an abscess surgery last week, and this is the third time in two years. I would like to ask if it is possible to have regular follow-up appointments every six months using imaging techniques like CT scans or ultrasounds to detect ea...
Dr. Ke Fangxu Reply:
The most accurate way to determine if a fistula has formed is through a digital rectal examination. It is recommended that you see a colorectal specialist for an examination when there is no swelling or pain in the anus. At this time, performing a digital rectal exam will be more...[Read More] Preventing Recurrence of Anal Abscess: Regular Check-Ups and Imaging
Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Postoperative care for anal abscess? I underwent my third anal surgery yesterday, which was for an anal abscess. The first surgery for an anal abscess was in 2020, followed by a fistula surgery seven months later (likely due to the first surgery). I thought I was completely heale...
Dr. Ke Fangxu Reply:
1. If the condition occurs in the same location, it should be considered a recurrence. 2. Approximately half of the patients with anal abscesses will develop into fistulas after healing. There is also a certain probability of recurrence in the same location after fistula surgery,...[Read More] Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Understanding Hemorrhoids and Anal Abscess: Key Questions Answered
Inquiry Consultation Dear Dr. Ke, Last Monday (July 18), I experienced diarrhea and poor sleep, and a semi-circular protrusion appeared near my anus, approximately 0.5 to 1 cm in size. It feels slightly hard, and pressing on it or sitting causes pain. I would like to ask you: Q...
Dr. Ke Fangxu Reply:
1. It is difficult to determine whether it is a thrombosed hemorrhoid or an anal abscess without a physician's personal examination. Generally, abscesses tend to have a larger area of involvement and are associated with heat and pain, whereas hemorrhoids do not. However, thi...[Read More] Understanding Hemorrhoids and Anal Abscess: Key Questions Answered
Understanding Anal Abscess: Symptoms, Treatment, and Recovery
Anal abscess Reason: On July 19, I experienced anal pain and went to the hospital to see a colorectal surgeon. After examination, the doctor diagnosed me with an anal abscess, approximately 1 cm in size. The doctor prescribed Curam 1000 mg and Acetaminophen to be taken for one we...
Dr. Zhang Shuhao Reply:
1. If the inflammation is mild or it is an early-stage abscess, antibiotics and anti-inflammatory medications can be used for treatment; however, most cases still require incision and drainage, especially when there is significant swelling and pain. 2. If the stool is formed, it ...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Recovery
Recurring Pimples in the Anal Area: Causes and Treatment Options
Pimples on the anal area? Between April and July, I repeatedly developed acne in the same area. At the end of April, I visited a large hospital where the doctor diagnosed it as a furuncle. Prior to the visit, I had accidentally bumped into it, causing it to rupture and scab over....
Dr. Ke Fangxu Reply:
This appears to be an anal fistula, but a digital examination is necessary for confirmation. It is advisable to consult a colorectal specialist for evaluation, and if needed, surgery should be performed as soon as possible.[Read More] Recurring Pimples in the Anal Area: Causes and Treatment Options
Understanding Anal Fistula: Symptoms, Treatment, and Recovery Timeline
Regarding anal fistula issues? Previously, I felt a hard lump near my anus, and when I pressed it slightly, it caused some soreness. I consulted a doctor at a large hospital, and he diagnosed it as an anal abscess. He prescribed antibiotics and mentioned that we would monitor for...
Dr. Chen Ronghong Reply:
If there is a hard lump upon palpation, and a tubular structure can be felt, it is possible that an anal fistula has formed. However, during acute inflammation, it is advisable to first control the condition with antibiotics and anti-inflammatory medications. Once the inflammatio...[Read More] Understanding Anal Fistula: Symptoms, Treatment, and Recovery Timeline
Post-Drainage Care for Anal Abscess: When to Clean and Apply Ointment
After drainage of an anal abscess After the drainage of an anal abscess on May 30, is it necessary to disinfect and apply ointment to the wound after sitz baths (with added Betadine), or should this only be done after bowel movements?
Dr. Ke Fangxu Reply:
After the drainage of an anal abscess, I personally do not recommend applying ointments as it may hinder the drainage of secretions or make it difficult to keep the wound clean. If ointment is to be applied, it can be done after a sitz bath; however, a sitz bath should also be do...[Read More] Post-Drainage Care for Anal Abscess: When to Clean and Apply Ointment
Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Time
Regarding anal fistula issues? Previously, I felt a hard lump near my anus, and when I pressed it slightly, it would cause some soreness. I consulted a doctor at a large hospital, and he diagnosed it as an anal abscess. I was prescribed antibiotics and advised to see if a fistula...
Dr. Chen Ronghong Reply:
If there is a hard lump that can even be felt as a tubular structure upon palpation, it is possible that an anal fistula has formed. However, during acute inflammation, it is advisable to first control the condition with antibiotics and anti-inflammatory medications. Once the inf...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Time
Managing Anal Abscess and Fistula Symptoms During Menstruation
Anal abscess, anal fistula, menstruation? I recently noticed swelling near my anus, and it hurts whenever pressure is applied (while sitting or walking). After researching online, I suspect it might be an anal abscess or anal fistula. I have already scheduled an appointment, but ...
Dr. Zhang Shuhao Reply:
An anal abscess or fistula can cause severe pain and swelling during inflammation, and it is important to perform incision and drainage promptly to prevent infection. Initial management can be done in an outpatient setting. During menstruation, it is advisable to avoid sitz baths...[Read More] Managing Anal Abscess and Fistula Symptoms During Menstruation
Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu Reply:
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Post-Surgery Concerns: Managing Discomfort and Discharge After Anal Fistula Repair
Postoperative care for anal fistula surgery? Last July, I underwent anal fistula surgery, and the day after the procedure, the wound suddenly healed, prompting a second surgery. Until February of this year, I experienced minimal issues aside from some swelling after using the res...
Dr. Zhang Shuhao Reply:
If there is recurrent purulent discharge and swelling at the original surgical site, it may indicate a recurrence of the fistula or the formation of a new anal abscess. Chronic fistulas can have multiple branches, and the internal glands and epithelial tissue must be thoroughly e...[Read More] Post-Surgery Concerns: Managing Discomfort and Discharge After Anal Fistula Repair
Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Post-anal fistula surgery Hello, doctor. I recently underwent anal fistula surgery, and the wound measures 2x2 cm. The doctor did not prescribe any antibiotics; is this normal? I also noticed that my wound is connected to my anus; is this also normal? The doctor advised against s...
Dr. Xu Kaixi Reply:
1. Anal fistulas are primarily treated surgically, and antibiotics are not required. 2. A fistula is an abnormal channel; after the drainage of an anal abscess, more than half of the cases will leave behind an inflammatory tract connecting the anal glands to the anal opening. 3. ...[Read More] Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Anal abscess Hello doctor, two days ago I underwent surgery for an anal abscess, with a wound measuring 3x7 cm and a depth of 2 cm. Yesterday, I returned to the clinic for wound debridement, where the doctor used a cotton swab to scrape inside the wound. The physician said it is ...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, it is necessary to ensure that the internal pus and inflamed tissue are adequately drained. If the drainage is insufficient, the wound may need to be packed with gauze or cleaned through debridement. Healing of the abscess does not neces...[Read More] Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Anal fistula? Anal abscess? The polyp is still present? Hello Doctor, regarding the consultation case you submitted <a href="https://adoctor.tw/article/180079">#180079</a>, there are two symptoms. I apologize for the lengthy description (I have already sough...
Dr. Chen Ronghong Reply:
The most likely diagnosis for this lesion is an anal fistula. If it is only incised and drained without excising the fistula, it is likely to recur easily. Whether a complete surgical excision is necessary depends on the frequency and severity of the symptoms. It is recommended t...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Post-Surgery Care for Anal Abscess: Key Questions Answered
Anal abscess Hello Doctor, I have a few questions for you: (1) After an abscess drainage surgery, should I take warm sitz baths more frequently? Does increasing the frequency improve the healing of the wound? (2) The doctor prescribed antibiotics for only three days and did not g...
Dr. Zhang Shuhao Reply:
1. Warm sitz baths can promote blood circulation around the wound, keep the wound clean, and accelerate healing. The position during the sitz bath can also help any accumulated fluid within the wound to drain naturally. About three to five times a day is sufficient. 2. If there...[Read More] Post-Surgery Care for Anal Abscess: Key Questions Answered
Understanding Anal Abscess: Symptoms, Treatment, and Recovery
Anal abscess Hello, doctor. This week, I developed a cyst the size of a ping pong ball near my anus. It was so painful that I went to the emergency room on Friday night. The inflammation markers were very high, and the cyst was large, so the emergency physician decided to perform...
Dr. Zhang Shuhao Reply:
If an anal abscess causes a significantly elevated inflammatory index, it indicates a systemic infection. If fever persists after returning home, it may suggest incomplete drainage or a severe infection, necessitating intravenous antibiotics. It is advisable to return for a follo...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Recovery
Post-Surgery Care for Anal Abscess: Key Questions Answered
Postoperative care for anal abscess? 1. Is it better to have warm water sitz baths more frequently? Would 6 to 8 times a day be excessive? 2. The surgical drainage wound is about 2 cm, and it has been approximately five days since the surgery. I still see slight pus when changi...
Dr. Zhang Shuhao Reply:
1. Most situations require three to five applications; exceeding this is acceptable, but be cautious as excessive wiping can cause skin irritation. 2. If there is purulent discharge during dressing changes, it is usually due to inadequate drainage. Continuing sitz baths and dress...[Read More] Post-Surgery Care for Anal Abscess: Key Questions Answered