Persistent Pain from Anal Fissure: When to Seek Medical Attention?
I have had an anal fissure for 5 days, but there has been no improvement? Hello Doctor, five days ago I experienced a slight tear in my anus due to harder stools. I bought some ointment to apply and have been doing warm sitz baths. Based on my previous experiences with anal fissu...
Dr. Zhang Shuhao Reply:
It is recommended to visit a colorectal clinic for examination. When anal fissure wounds do not heal easily, it may be associated with excessive sphincter tension or local ulcers, which may require surgical treatment. During the waiting period for medical attention, it is importa...[Read More] Persistent Pain from Anal Fissure: When to Seek Medical Attention?
Understanding Rectal Pressure During Exercise: Causes and Concerns
Feeling of anal heaviness or prolapse? Hello, doctor. Due to my exercise routine, I experience a sensation of anal heaviness while jumping rope, but I do not have this feeling when running or during daily activities. I have a history of anal fissures and hemorrhoids. Last Septemb...
Dr. Zhang Shuhao Reply:
A feeling of anal heaviness is a common symptom of anorectal disorders, as the area above the dentate line is innervated by visceral nerves, resulting in less pronounced pain but a sensation of heaviness below that line. Common causes include intestinal inflammation, internal hem...[Read More] Understanding Rectal Pressure During Exercise: Causes and Concerns
Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...
Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
Rectal bleeding Hello, doctor. In January, I had a positive fecal occult blood test and went to the hospital for a colonoscopy. I recently reviewed the report, which indicates rectal bleeding (the biopsy report showed no issues). I need to undergo another sigmoidoscopy in a month...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding include rectal polyps, anal conditions (such as hemorrhoids or anal fissures), rectal inflammation (such as ulcerative colitis or ischemic colitis), and rectal cancer. The doctor has prescribed laxatives and stool softeners, likely to alleviate yo...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Three months post-surgery? Hello Doctor, I am the one who previously left a message regarding #204738. It has been three months since my anal fissure and hemorrhoid surgery, and the wound still shows no signs of healing. I am still taking stool softeners daily and using supposito...
Dr. Zhang Shuhao Reply:
If the wound continues to exude a white fluid, it can be monitored if it is tissue fluid. However, if there is swelling, pain, and purulent discharge, a medical evaluation and treatment are necessary. When using suppositories frequently, it is important to pay attention to the in...[Read More] Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Understanding Blood in Stool: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, I am 21 years old. In the past few months, I have often felt that my stool is hard during bowel movements, and there is significant pain when passing it. Sometimes, there is also bleeding, and after bowel movements, I feel like there are minor tears ...
Dr. Zhang Shuhao Reply:
Based on the described situation, it is more likely to be a case of constipation and anal fissures. An anal fissure is a small tear around the anus, usually caused by hard stools, which can result in pain and bleeding during bowel movements. The presence of bright red blood in th...[Read More] Understanding Blood in Stool: Causes and Concerns for Young Adults
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I'm sorry to bother you! This afternoon, I experienced pain in my lower left abdomen. After waiting for a while until I felt the urge, I went to the bathroom and noticed some blood at the end of my stool. The shape and consistency were the same as usual, appe...
Dr. Chen Bingze Reply:
Hello, it is actually recommended to have a colorectal surgeon examine the situation to determine whether it is an issue of internal hemorrhoids, external hemorrhoids, or anal fissures.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Managing External Anal Wounds: Bathing Tips for Faster Healing
Anal wound Hello, Dr. Chang. I would like to ask about warm sitz baths for anal fissures, which promote blood circulation and aid in wound healing. However, if the wound is outside the anus and becomes wet and macerated after bathing, wouldn't that make it harder to heal? I ...
Dr. Zhang Shuhao Reply:
After soaking in a bath for anal fissures, it is important to gently pat the area dry before applying ointment. This can help reduce the frequency of sitz baths and medication application, as well as minimize time spent in the restroom. It is also advisable to increase fluid inta...[Read More] Managing External Anal Wounds: Bathing Tips for Faster Healing
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Anal pain Doctor, about seven days ago in the evening, I suddenly felt pain in my anus. At that time, the pain occurred during contractions, and I was experiencing diarrhea. Later, it progressed to a point where I felt bloated and painful regardless of what I was doing, and the c...
Dr. Zhang Shuhao Reply:
It may be a symptom of anal fissure. It is recommended to take warm sitz baths and to take oral anti-inflammatory pain relief medication. Consult a colorectal specialist to examine the anal and rectal lesions. Maintain a light diet and increase fluid intake; in most cases, conser...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...
Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...[Read More] Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues
Rectal bleeding Doctor: I often experience constipation. Today, I felt a bit of an urge to go, but it took me 3 to 4 minutes of straining to pass one or two hard stools. Afterward, I wasn't sure if my anus hurt or if I didn't fully evacuate. I went to the bathroom four ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues