Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Folliculitis & Prevention of Anal Abscess and Fistula Hello, Doctor Ko. I often develop what looks like acne around my anus, which I believe is folliculitis. Typically, these bumps heal within 2 to 3 weeks. However, I tend to worry excessively, especially since I come from a ...
Dr. Ke Fangxu Reply:
1. Folliculitis and anal abscess are different conditions with no correlation, so there is no possibility of one worsening the other. 2. It is impossible to make an accurate diagnosis without a physician's direct examination; conditions such as anal fissures, hemorrhoids, f...[Read More] Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Postoperative care for hemorrhoids and anal fissures? Hello, I underwent traditional hemorrhoid and anal fissure surgery on February 24th, and it has been over forty days since the procedure. However, I still have a hematoma near the anus that is slightly larger than a thumbnail....
Dr. Ke Fangxu Reply:
1. Anorectal surgery typically results in complete wound healing within about a month post-operation; your situation is indeed somewhat unusual. 2. It is not entirely normal. 3. Using a combination of an antifungal ointment and an antibiotic ointment should not pose any issues....[Read More] Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Unable to distinguish between acne and an anal abscess (has sought medical attention)? Hello, Dr. Ke. Last week, perhaps due to prolonged sitting, I developed a bump near my anus that resembles a pimple. The location is not very close to the anus, but it is also not far, approxim...
Dr. Ke Fangxu Reply:
1. If so many professional physicians believe it is not a fistula, I cannot simply overturn their diagnosis based on a unclear photograph. The key elements for diagnosing a fistula, aside from the external opening, include palpating a firm tract, which cannot be achieved through ...[Read More] Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Understanding and Treating External Anal Masses: A Comprehensive Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming Reply:
Based on your description, it could possibly be a skin sebaceous cyst or an anal abscess. It is recommended to visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate treatment recommendations.[Read More] Understanding and Treating External Anal Masses: A Comprehensive Guide
Understanding and Treating External Anal Masses: A Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming Reply:
Based on your description, it could be a skin sebaceous cyst or an anal abscess. It is recommended that you visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate management.[Read More] Understanding and Treating External Anal Masses: A Guide
Understanding Anal Abscess Surgery: Healing and Potential Complications
Perianal abscess I underwent an abscess surgery today at the hospital. I would like to know if an anal abscess will heal completely, or if there will be any long-term effects?
Dr. Yu Mingchang Reply:
Hello: After the surgery, you need to change the dressing. Please return to Changhua Hospital of the Ministry of Health and Welfare for a follow-up visit. We care about your well-being.[Read More] Understanding Anal Abscess Surgery: Healing and Potential Complications
Furunculosis or Anal Abscess: Understanding Your Symptoms
Folliculitis or perianal abscess? Hello Doctor, I noticed a bump near my anus that resembles a pimple while showering on the evening of January 20th. It only hurts when pressed. I visited a dermatology clinic on January 21st, where it was diagnosed as folliculitis, and I underwen...
Dr. Ke Fangxu Reply:
Although an accurate diagnosis cannot be made solely based on photos, it appears to be a simple case of folliculitis. However, a definitive diagnosis should be made by a physician through examination. For now, it may be advisable to continue monitoring the situation.[Read More] Furunculosis or Anal Abscess: Understanding Your Symptoms
Post-Anal Abscess Surgery: Understanding Recovery and Concerns
Postoperative care for anal abscess? Hello doctor, I had an anal abscess surgery at the end of September. Now there are no wounds, and I usually take pictures with my phone before and after using the restroom. Occasionally, I notice a small amount of stool outside the anus, but i...
Dr. Ke Fangxu Reply:
This is not considered incontinence; many people experience this phenomenon. Performing Kegel exercises should be helpful. Pain at the surgical site should not be a concern, but some patients may develop anal fistulas as a complication after surgery. If there are subsequent sympt...[Read More] Post-Anal Abscess Surgery: Understanding Recovery and Concerns
Understanding Hemorrhoids: Symptoms, Types, and Treatment Options
Hemorrhoid issues At first, I didn't feel too uncomfortable, and my bowel movements were quite normal. I only experienced a slight itch around the anus and occasionally noticed some blood when wiping. However, starting yesterday, I began to feel a swollen lump near the anus,...
Dr. Ke Fangxu Reply:
It is not possible to make an accurate diagnosis based solely on a photo, but it appears to resemble either an anal abscess or a thrombosed external hemorrhoid. If it is an external hemorrhoid, it may resolve on its own in about 1-2 weeks. However, if it is an anal abscess, it co...[Read More] Understanding Hemorrhoids: Symptoms, Types, and Treatment Options
Understanding Chronic Anal Fissures and Potential Abscesses
Anal issues Hello Doctor: I have a chronic anal fissure issue. On September 2nd, I noticed a red swelling near the vaginal opening, so I went to see a doctor. The doctor performed a digital rectal examination and said it was just a pimple, and that the anal issue is related to my...
Dr. Ke Fangxu Reply:
It could be an anal abscess or a skin infection, and a physician should examine it in person for a proper diagnosis. You can apply an antibiotic ointment to see if the symptoms improve; if they do not, you should consult a doctor. Be cautious with acne medication, as it often con...[Read More] Understanding Chronic Anal Fissures and Potential Abscesses
Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Post-operative issues after hemorrhoid ligation? Hello Doctor: On August 5th, I visited a colorectal surgeon due to some pain in my anus, and the diagnosis was internal hemorrhoids. I underwent a hemorrhoid ligation procedure, and for the following week, I used suppositories. Aft...
Dr. Ke Fangxu Reply:
1. Mild pain after bowel movements is usually not a serious issue; sometimes it can occur with either hard or loose stools. A warm water sitz bath should help alleviate the discomfort. If symptoms do not improve or if there is severe pain, it is important to consult a physician f...[Read More] Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Anal abscess A week ago, I started experiencing mostly watery stools, with no formed shapes. I used hemorrhoid cream, and when I inserted my finger into the anus, I felt about two lumps (one on the left side and one on the right side). In the past two days, I've been experie...
Dr. Ke Fangxu Reply:
Answer: A diagnosis of an anal abscess requires a physician's examination. Although your description seems more indicative of internal hemorrhoids, it is still necessary to have a doctor evaluate it to confirm.[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Fistula assessment Hello, after taking antibiotics for a week, I experienced a rupture of a perianal abscess, which then stopped. There is a hard ring around the affected area, and after another week, it ruptured again, releasing a clear fluid with a slight pinkish blood that the...
Dr. Ke Fangxu Reply:
1. High. 2. Generally, observation is conducted for one month before reassessment. 3. Fistula surgery is typically not urgent; however, if there are long-term recurrent infections, it may evolve into a complex fistula, which would increase the difficulty and pain associated with ...[Read More] Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Postoperative care for anal fistula surgery? Hello, I discovered a perianal abscess and fistula in early April this year. I underwent the first surgery in early April to drain the abscess and remove the fistula. After that, for a month, I soaked the area in medicated water daily,...
Dr. Ke Fangxu Reply:
To completely eradicate an anal abscess and fistula, surgery is the only option. If surgery cannot be performed temporarily, oral antibiotics can be tried to control the infection and inflammation symptoms; however, there is still a possibility of recurrence in the future. As for...[Read More] Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Understanding Anal Abscess: Symptoms, Treatment, and Dietary Advice
After the spontaneous rupture of an anal abscess, a hard lump may develop in the skin? Hello, I have been taking antibiotics (CEPHALEXIN 500mg every 6 hours and METRONIDAZOLE 250mg with meals) for a week. On the sixth day, I experienced diarrhea after drinking papaya milk. On the...
Dr. Ke Fangxu Reply:
1. If an anal abscess is not surgically treated, some patients may develop an anal fistula, which may result in bloody purulent discharge. 2. If a wound is slow to heal and is accompanied by swelling, pain, and purulent blood, it is likely that a fistula has formed. 3. It is ...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Dietary Advice
Understanding Anal Abscess Treatment: Medication and Concerns
Medication Consultation for Anal Abscess I visited the proctology clinic today and found a subcutaneous swelling about 1 cm in size approximately 1 cm from the anus. This has been present for over a month, and in recent days, it has started to feel slightly painful when touched. ...
Dr. Ke Fangxu Reply:
If it is indeed a small anal abscess, with proper treatment, it is generally unlikely to develop into a fistula. The treatment for anal abscess involves oral antibiotics, and each physician may have different preferences for medication; however, this approach is not incorrect.[Read More] Understanding Anal Abscess Treatment: Medication and Concerns
Post-Surgery Care for Anal Abscess: What to Do If Drain Tube Falls Out
Post-anal abscess surgery Hello Dr. Ke, on July 13th, I visited a colorectal surgeon due to swelling and pain around my anus. The doctor diagnosed it as a perianal abscess and performed an incision and drainage procedure in the outpatient clinic. After the drainage, a drain tube ...
Dr. Ke Fangxu Reply:
The premature removal of the drainage tube is not a concern as long as the wound is kept clean. If there is no swelling or pain at the wound site, there is no need for worry. Otherwise, you should return for an earlier follow-up to check for the possibility of an abscess formatio...[Read More] Post-Surgery Care for Anal Abscess: What to Do If Drain Tube Falls Out
Managing Painful Bowel Movements Without Bleeding: A Guide
Experiencing frequent pain during bowel movements without any bleeding? I previously had issues with anal abscesses and fistulas. The doctor always advised me to not clean too thoroughly and to allow some dirtiness. After making significant efforts to improve, I haven't expe...
Dr. Xu Kaixi Reply:
If there is pain, it may indicate inflammation of the anal mucosa. If there is also bleeding, it could suggest a concurrent mucosal abrasion or tear. It is recommended to consider the use of topical ointments or to combine them with anti-inflammatory and analgesic oral medication...[Read More] Managing Painful Bowel Movements Without Bleeding: A Guide
Post-Surgery Discomfort: Understanding Hardness Near Anal Abscess Site
There is a hard lump after the anal abscess surgery? I underwent an anal abscess drainage surgery on June 8th. On June 14th, I experienced sharp pain and bleeding during bowel movements, which I suspect was due to an anal fissure. However, after a week, it improved. I have been d...
Dr. Ke Fangxu Reply:
If the area of tenderness is the same as the surgical site, it is more likely that the abscess has not completely resolved. If the tenderness is in a different location from the surgical incision, then anal fissure should be considered. In the former case, it is advisable to have...[Read More] Post-Surgery Discomfort: Understanding Hardness Near Anal Abscess Site
Post-Surgery Discomfort: Understanding Hardness Near Anal Abscess Site
There is a hard lump after the anal abscess surgery? I underwent an anal abscess drainage surgery on June 8. On June 14, I experienced sharp pain and bleeding during bowel movements, which I believe was due to an anal fissure. After a week, it improved. I have been diligently fol...
Dr. Ke Fangxu Reply:
If the area of tenderness is the same as the surgical site, it is more likely that the abscess has not completely resolved. If the tenderness is in a different location from the incision, then anal fissure should be considered. In the former case, it is advisable to have the surg...[Read More] Post-Surgery Discomfort: Understanding Hardness Near Anal Abscess Site