Understanding Pilonidal Cysts: Symptoms, Treatment, and Next Steps
Consultation for pilonidal sinus? Hello, I started experiencing coccyx pain and some mild swelling last week. I thought it was an injury to my coccyx, so I went to a rehabilitation clinic for a consultation. However, after two or three days, the pain increased and the swelling go...
Dr. Yu Mingchang Reply:
Hello: If you have time, please visit the General Surgery outpatient department at Changhua Hospital, Ministry of Health and Welfare, located in Puxin, Changhua. We care about you.[Read More] Understanding Pilonidal Cysts: Symptoms, Treatment, and Next Steps
Understanding Anal Abscess Recovery: Pain, Swelling, and Healing Concerns
Anal abscess I would like to ask about my visit to the outpatient clinic on Wednesday, February 12th. I had swelling and pain in my anal area, and the doctor diagnosed it as an "anal abscess." At that time, they performed drainage to expel the pus, using a needle rather...
Dr. Ke Fangxu Reply:
An anal abscess is generally treated by incision rather than aspiration with a needle, as creating a slightly larger opening is more beneficial for future drainage of pus. Otherwise, a small puncture may heal too quickly, potentially leading to incomplete drainage of the abscess....[Read More] Understanding Anal Abscess Recovery: Pain, Swelling, and Healing Concerns
Understanding the Difference: Anal Abscess vs. Folliculitis
Anal abscess or general folliculitis? Hello doctor, recently I developed a pimple just below the right side of my groin. It hurts when I press on it. Later, it shrank in size and became softer, and then yesterday it ruptured on its own, resulting in bleeding and yellow fluid. I a...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues. It is advisable to consult a physician for an examination ...[Read More] Understanding the Difference: Anal Abscess vs. Folliculitis
Understanding Persistent White Bumps Around the Anus: Causes and Care
Small white bumps protruding from the anus (continued) Hello Dr. Ke, I am the patient who inquired about anal pain with white spots a few days ago (<a href="https://adoctor.tw/article/151979">#151979</a>). You mentioned that you couldn't view the photo ...
Dr. Ke Fangxu Reply:
The photo does show some redness in the skin, but without a physical examination, it's difficult to determine the exact issue. Since the location is on the side, it is less likely to be an anal fissure; it could be more indicative of an anal abscess or a fistula. If the pain...[Read More] Understanding Persistent White Bumps Around the Anus: Causes and Care
Understanding Painful White Bumps Near the Anus: Causes and Solutions
Small white bumps protruding from the anus that are painful? Hello, doctor. My question is a bit long, and I appreciate your understanding. Regarding my history of anal diseases, I have internal hemorrhoids and have previously had external hemorrhoids. I have undergone several li...
Dr. Ke Fangxu Reply:
The link you provided could not be accessed due to verification requirements (safety concerns). The small white spots you mentioned are more likely to be caused by anal fissures due to diarrhea. While the possibility of a fistula or abscess is not zero, it is more likely if there...[Read More] Understanding Painful White Bumps Near the Anus: Causes and Solutions
Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Anal issues, chronic anal fissure? Hello Doctor: Two months ago, I underwent a hemorrhoid ligation procedure, and I have a history of chronic anal fissures. However, since my last visit to the doctor, I haven't experienced any bleeding for a while. Recently, I've been e...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. Chronic anal fissures can lead to the formation of a fistula due to repeated tearing and healing of the wound; however...[Read More] Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Understanding Anal Growths: Is It a Worrying Condition?
A polyp has developed at the anal opening? About two months ago, I experienced bleeding during bowel movements and severe pain in my rectal area. I visited a clinic for hemorrhoids, and the doctor diagnosed me with an anal fissure. I went home and applied ointment for two weeks b...
Dr. Ke Fangxu Reply:
Answer: Whether it is a cauliflower-like growth or not can only be determined by a physician's examination. However, if there has been a history of anal fissures and the location is at the front or back, it is likely that these are polyps associated with the anal fissures. I...[Read More] Understanding Anal Growths: Is It a Worrying Condition?
Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Please consult with your physician regarding post-operative issues related to drainage tube placement? I underwent surgery for an anal abscess and a mild fistula at China Medical University in Taichung on November 6th. Today is the fifth day post-operation, and I would like to as...
Dr. Ke Fangxu Reply:
1. Laxatives are prescribed to prevent postoperative constipation; if diarrhea occurs, the dosage should be reduced or the medication should be discontinued. 2. Based on this description alone, it is not possible to determine whether it is related to the surgery; a consultation...[Read More] Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Understanding Recovery Time After Anal Abscess or Fistula Surgery
Please ask questions regarding anal abscess or fistula surgery? Hello Dr. Ke: I underwent an excision of internal and external hemorrhoids in January of last year. At that time, two larger wounds were formed; one side healed well, but the other side has not healed properly and ha...
Dr. Ke Fangxu Reply:
If the anal fistula is not of the complex type, it can fully heal within a month after surgery. Pain typically alleviates significantly after about a week of rest. Taking about two weeks off work may be sufficient. However, if the fistula is longer or has multiple openings, the r...[Read More] Understanding Recovery Time After Anal Abscess or Fistula Surgery
Post-Abscess Surgery: Is Wound Discharge and Swelling Normal?
After abscess surgery, there may still be discharge from the wound? About two weeks ago, I underwent an outpatient procedure for an anal abscess. According to the doctor, the abscess cavity was about the depth of a pinky finger. However, two weeks have passed, and the wound still...
Dr. Ke Fangxu Reply:
The wound from an anal abscess typically takes about a month to heal completely. It is normal to experience a small amount of discharge and blood-tinged fluid during this time. As long as there is no redness, swelling, heat, pain, or significant pus, there is no cause for concern...[Read More] Post-Abscess Surgery: Is Wound Discharge and Swelling Normal?
Post-Anal Abscess Surgery Care: Tips for Sitz Bath Frequency and Temperature
Postoperative care for anal abscess? I just had an abscess surgery three days ago and would like to know how many times a day I should do warm sitz baths for optimal recovery. Currently, I do it after each bowel movement and once in the morning and once in the evening. What is th...
Dr. Ke Fangxu Reply:
Answer: Warm sitz baths are recommended at least four times a day, ideally once in the morning, once in the evening, and once before bed. The water temperature should not be too hot, generally recommended to be similar to that of a baby's bath (around 38 degrees Celsius). If...[Read More] Post-Anal Abscess Surgery Care: Tips for Sitz Bath Frequency and Temperature
Post-Surgery Care for Pediatric Anal Fistula: When to Seek Further Treatment?
Post-fistula surgery Hello, Dr. Ke. My child, who is currently one year and six months old, was suspected to have an anal abscess and fistula when he was six to seven months old. Initially, there was just a lump near the anus without any pus formation. Due to his young age, we op...
Dr. Ke Fangxu Reply:
It is likely a recurrence of a fistula. In young children, this phenomenon can occasionally occur because most cases are simple fistulas, resulting in a low recurrence rate after surgery. If there have been two surgeries in a short period and recurrence still occurs, it is advisa...[Read More] Post-Surgery Care for Pediatric Anal Fistula: When to Seek Further Treatment?
Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Postoperative Issues After Hemorrhoid Surgery Hello, Doctor. I underwent minimally invasive hemorrhoid surgery at a private clinic on April 9th, and afterward, I developed a hematoma. I had another surgery on April 17th to remove the hematoma. Since then, I have experienced persi...
Dr. Ke Fangxu Reply:
The so-called minimally invasive surgery for hemorrhoids actually involves various techniques and instruments. Please describe the specific method used clearly; otherwise, it will be difficult to identify the issue. Based on your description, it seems that a postoperative wound i...[Read More] Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Post-Surgery Care for Anal Abscess: Understanding Healing and Pain
Postoperative care for anal abscess? Hello, doctor! Two weeks ago, I underwent an anesthesia drainage surgery for an anal abscess at the Rectal Surgery Department of Nanmen Hospital. After changing the dressing three days later, the doctor said my recovery was normal and advised ...
Dr. Yu Mingchang Reply:
Hello: Please come in for a follow-up appointment to check if the swelling is just a simple injury. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Post-Surgery Care for Anal Abscess: Understanding Healing and Pain
Managing Concerns About Anal Abscess Treatment After Hemorrhoid Surgery
Concerns regarding the management of anal abscesses? Hello Dr. Ke, I underwent surgery for internal and external hemorrhoids on January 3, 2018, where two internal hemorrhoids were excised. The wound has generally divided into two sides; the right side is healing well, but the le...
Dr. Ke Fangxu Reply:
The surgical wound from an anal abscess drainage typically takes about a month to heal. If the surgery is performed on June 1st, it should be healed by July 15th, when you plan to travel abroad. If you wait to have the surgery until after you leave, there is a risk of complicatio...[Read More] Managing Concerns About Anal Abscess Treatment After Hemorrhoid Surgery
Concerns After Failed Fistula Imaging: What Should You Do Next?
After the outpatient visit, a suspected hernia was arranged for examination, but the wound could not be located for evaluation? On May 1st, I noticed a large abscess on my buttocks that was painful and also bled. The next day, I went to see a doctor who suspected it might be a fi...
Dr. Ke Fangxu Reply:
After incision and drainage of an anal abscess, there is a 50% chance of complete healing without the formation of a fistula. Personally, I do not recommend performing a fistulography at this stage, as the wound may not have healed or may still be unstable. If the fistula can be ...[Read More] Concerns After Failed Fistula Imaging: What Should You Do Next?
Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Anal issues Hello, Dr. Ko: Last month, I visited a doctor due to anal pain and rectal bleeding. At that time, the doctor diagnosed me with anal fissures and internal hemorrhoids. 1. I later noticed a long lump between my anus and perineum that feels soft and is not very painful w...
Dr. Ke Fangxu Reply:
1. If the anal fissure is located in the anterior region, it is indeed possible for inflammation to cause this phenomenon; however, anal fistulas are generally not the case, but a physician should be consulted for a definitive diagnosis. 2. The progression of chronic anal fissure...[Read More] Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Understanding Persistent Rectal Urgency: Causes and Solutions
Persistent urge to defecate? Hello Dr. Ke, I am the person who asked question #144665. Thank you for your previous response. Currently, what troubles me the most is the persistent urge to defecate for almost three weeks. It started with about 4-5 bowel movements a day for the fir...
Dr. Ke Fangxu Reply:
"Anal heaviness," also known as "tenesmus," refers to the persistent sensation of needing to have a bowel movement, which is usually caused by rectal lesions. Digital rectal examination and anoscopy can only assess up to approximately eight centimeters from th...[Read More] Understanding Persistent Rectal Urgency: Causes and Solutions
Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Post-operative issues related to fistula surgery? Hello, doctor. I have a lump near my anus that resembles an epidermoid cyst. After an examination by the first physician, there was a suspicion of an anal fistula (though it was not confirmed). However, after a second examination,...
Dr. Ke Fangxu Reply:
1. If a large amount of hydrogen peroxide was initially injected, it is reasonable that the wound healing would be slower due to the tissue reaction caused by hydrogen peroxide. 2. Generally, wounds can heal in 4 to 6 weeks.[Read More] Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery
Recurrent inflammation and suppuration of anal abscess? Hello Dr. Ke, About a month ago, I underwent drainage surgery for a high anal abscess, which was approximately 6 to 7 centimeters deep. I took oral antibiotics for the first 10 days after the drainage, but currently, the w...
Dr. Ke Fangxu Reply:
Patients with anal abscesses may develop fistulas. If the inflammation is still present, medication will be administered to assess whether surgery is necessary. If the infection remains uncontrolled, direct surgical drainage is also one of the treatment options. As for endoscopic...[Read More] Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery