Preventing Fistula Formation After Abscess Drainage Surgery
Anal abscess Hello Doctor, I just had an abscess drainage surgery. What efforts or adjustments can I make to prevent the abscess from turning into a fistula? I found online that there is a 50% chance of an abscess developing into a fistula, so I am quite worried. I would apprecia...
Dr. Zhang Shuhao Reply:
An anal abscess originates from inflammation of the anal glands. The abscess creates a space that can extend anteriorly and posteriorly, forming a fistula. The likelihood of fistula formation is related to the severity and extent of the initial inflammation, as well as the distan...[Read More] Preventing Fistula Formation After Abscess Drainage Surgery
Post-Surgery Recovery of Anal Abscess: What to Expect
Postoperative condition after anal abscess surgery? Hello Dr. Ke: I apologize for bothering you again. I had an anal abscess surgery 15 days ago (on March 2), and now on March 17, the wound is quite small, about 1.5 cm in length. The internal wound is approximately the size of a ...
Dr. Ke Fangxu Reply:
It is normal for there to be some discharge from the wound after an incision and drainage of an anal abscess, as long as the discharge is clear and minimal. However, if this discharge persists after one month, there is a higher likelihood that a fistula may have formed. At that p...[Read More] Post-Surgery Recovery of Anal Abscess: What to Expect
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Post-Surgery Care for Anal Abscess: What to Expect and Monitor
Postoperative condition after anal abscess surgery? Hello Dr. Ke: Last week on March 2nd, I underwent surgical drainage for an anal abscess at Haixian Hospital. The incision for drainage is quite small, about the size of a fingertip, approximately 1.5 cm. The incision is located ...
Dr. Ke Fangxu Reply:
1. It is likely that the infection has not completely healed; further observation is needed for a period of time, and it is currently uncertain whether it will develop into a fistula. 2. 2-4 weeks. 3. There are cases where a wound does not heal and directly develops into a fi...[Read More] Post-Surgery Care for Anal Abscess: What to Expect and Monitor
Understanding Anal Fistula Surgery: Symptoms and Treatment Options
Fistula surgery, anal issues? Hello Dr. Chang: I started experiencing some pain during anal contractions from February 9th, which continued until February 12th and 13th when I began having severe pain during bowel movements. I also have a persistent sensation of wanting to have a...
Dr. Zhang Shuhao Reply:
The most common cause of severe pain during bowel movements is anal fissure, but lesions around the anus such as thrombosed hemorrhoids, perianal abscesses, and even anal fistulas can also cause varying degrees of pain when inflamed. When a doctor recommends surgery in an outpati...[Read More] Understanding Anal Fistula Surgery: Symptoms and Treatment Options
Understanding Cellulitis and Anal Abscess: Surgical Insights
Cellulitis & Anal Abscess Several years ago, I experienced bleeding in the early stages of pregnancy and consulted an obstetrician-gynecologist. At that time, I was given an injection of oil-based progesterone and was advised to massage the area to prevent the formation of a ...
Dr. Zhang Shuhao Reply:
Cellulitis is a bacterial infection of the skin and subcutaneous tissue. An anal abscess, on the other hand, originates from an infection of the anal glands, and the two are completely different conditions. Based on the described location, it appears to be cellulitis of the butto...[Read More] Understanding Cellulitis and Anal Abscess: Surgical Insights
Understanding Small Holes Near the Anus: When to Seek Medical Advice
There is a small hole near the anus? Hello, doctor. A month ago, I noticed a lump at the anal opening, and after visiting a clinic, I was diagnosed with an external hemorrhoid. After applying the medication, the swelling has subsided and there is no pain. However, during the trea...
Dr. Zhang Shuhao Reply:
An anal abscess can potentially lead to subsequent fistula issues, meaning that a small hole in the skin may be connected to the rectum. However, external hemorrhoids generally have no direct relationship with fistulas. If there is no swelling or pain and no purulent discharge up...[Read More] Understanding Small Holes Near the Anus: When to Seek Medical Advice
Understanding Symptoms of a Hard Lump Near the Anus: Causes and Concerns
Anal mass There is a noticeable feeling of a hard lump internally near the posterior side of the anus (close to the coccyx). It hurts when walking, sitting, squatting, and during bowel movements, but there is no blood in the stool. What could this symptom indicate?
Dr. Zhang Shuhao Reply:
The most common causes of a painful hard lump on the posterior side of the anus are anal abscess or fistula. Sometimes, if the abscess is deeper, there may not be any visible skin changes, and in more severe cases, it can lead to fever. It is recommended to visit a colorectal cli...[Read More] Understanding Symptoms of a Hard Lump Near the Anus: Causes and Concerns
Post-Drainage Care for Anal Abscess: Preventing Fistula Formation
Anal abscess After an anal abscess incision and drainage, how should care be managed to prevent the development of a fistula?
Dr. Zhang Shuhao Reply:
The formation of a fistula after an abscess is related to the initial size of the abscess, the complexity of its course through the sphincter, the distance of the drainage incision from the anus, and the quality of wound healing. Postoperatively, it is important to avoid smoking,...[Read More] Post-Drainage Care for Anal Abscess: Preventing Fistula Formation
Understanding Why Your Doctor May Not Drain an Anal Abscess
Abscess of the anus not drained? Hello, a few days ago I experienced swelling and pain near my anus, and I went to see a doctor the next day. The diagnosis at that time was an infection. I found that in most cases, drainage is usually performed first, but my doctor only prescribe...
Dr. Zhang Shuhao Reply:
If diagnosed with an anal abscess, incision and drainage is the standard treatment method, which can immediately relieve swelling and lead to a quicker improvement in local inflammation and infection. If drainage is not performed initially, it may be due to the abscess being deep...[Read More] Understanding Why Your Doctor May Not Drain an Anal Abscess
Understanding Anal Abscesses and Fistulas: Symptoms and Treatment Options
Anal abscess or anal fistula? Two weeks ago, after my menstrual period ended, I developed a lump near my anus that resembled a boil. I suspect it might be an anal abscess. A few days later, after applying medication, it healed within a day. I have a history of constipation, so my...
Dr. Zhang Shuhao Reply:
There is approximately a 40% chance that an anal abscess may develop into an anal fistula. Deeper anal abscesses may sometimes present with subtle surface symptoms, but they can still cause fever. To confirm the diagnosis, an examination in an outpatient setting is necessary. If ...[Read More] Understanding Anal Abscesses and Fistulas: Symptoms and Treatment Options
Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Postoperative Issues Following Anal Abscess Surgery A 15-year-old boy has been experiencing diarrhea for the past six months. Two months ago, he underwent an endoscopy that revealed inflammation in the small intestine, suspected to be Crohn's disease. He was then referred to...
Dr. Zhang Shuhao Reply:
After incision and drainage of an anal abscess, some cases may still develop into an anal fistula. Diarrhea can also exacerbate the symptoms of the fistula. Additionally, Crohn's disease is more likely to lead to fistula formation, and this condition requires long-term medic...[Read More] Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Understanding Anal Abscess: Treatment Options and Risks
Anal abscess Recently, I have been experiencing recurrent fevers. I later visited a colorectal surgeon who diagnosed me with an abscess in the anal area. However, the doctor did not address it immediately and only prescribed antibiotics. I was initially going to ask the doctor if...
Dr. Zhang Shuhao Reply:
An anal abscess causing fever usually requires incision and drainage, as oral antibiotics are often ineffective at this stage. If the abscess cannot be controlled, it may lead to more complicated fistulas later on. However, the severity of the condition can vary among individuals...[Read More] Understanding Anal Abscess: Treatment Options and Risks
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that feels a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small, round, soft yet firm marble. I took a picture and noticed that the outer area is a bit red, bu...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness with a lump are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment or even abscess drainage. For thrombosed hemorrhoids, warm si...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that felt a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small, round, soft yet firm marble. I took a picture and noticed that the outer area is a bit red, but...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness with swelling are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment or even abscess drainage. For thrombosed hemorrhoids, warm ...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that felt a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small round, soft, and firm marble. I took a picture and noticed that the outer area is a bit red, but...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness and swelling are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment and possibly abscess drainage. For thrombosed hemorrhoids, w...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Thrombotic external hemorrhoids A few days ago, after having a bowel movement, I did not experience constipation, but in the evening, I started to feel some discomfort in my anus. The next day, I had a persistent tight pain in the anal area, which was noticeably painful when walk...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids and anal abscesses are two different conditions. If there is no pain after medication, it is not a concern. Thrombotic external hemorrhoids typically take 2 to 4 weeks to fully resolve if not surgically excised. As long as there is no pain or disco...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Understanding Perineal Swelling: When to See a Gastroenterologist
Perineal mass I am a junior in college, and about two weeks ago, due to irregular eating and sleeping patterns along with high stress, my bowel movements changed from once every three days to two to three times a day. I often experience bloating, and my stools have become thinner...
Dr. Chen Ronghong Reply:
Hello, if the swollen area is at the anal opening, the likelihood of hemorrhoids is higher. Typically, increasing water intake and fiber consumption, while avoiding constipation and spicy foods, can alleviate symptoms. If the lump is not at the anal opening, it may be an anal abs...[Read More] Understanding Perineal Swelling: When to See a Gastroenterologist
Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Cauliflower and fistula? Hello Doctor, I have developed genital warts and have been actively applying medication for treatment. I also received the HPV vaccine immediately to prevent reinfection. However, I may not have applied the medication properly, which led to significant sk...
Dr. Ke Fangxu Reply:
Based on the photo, it appears that excessive application of the ointment has caused skin ulceration. I recommend temporarily discontinuing the use of Lede Mei and applying an antibiotic ointment instead. If the perineum is very painful, you should consult a physician to determin...[Read More] Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Understanding Anal Fistula Treatment: When Surgery Isn't Necessary
Treatment of Anal Fistulas Hello, Dr. Ke! Last year, I experienced pain near the anus along with the presence of pus, and after seeing a doctor, I was diagnosed with an anal fistula and underwent surgery. However, recently I have been feeling some pain again near the anus. Althou...
Dr. Ke Fangxu Reply:
An anal fistula is a complication of an anal abscess, essentially a channel that connects to the inside of the anus. If it is not surgically excised, it will not resolve on its own. However, if there are no recurrent infections, it can be monitored. While applying ointment will n...[Read More] Understanding Anal Fistula Treatment: When Surgery Isn't Necessary