Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Mild anal pain during bowel movements? Hello Dr. Ke: For over a month, I have occasionally experienced slight pain on the right side of my anus during bowel movements, without any bleeding. When the discomfort is more severe, I feel a mild burning sensation and a swollen foreign ...
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 usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Incontinence after anal fissure surgery? Hello Dr. Ke, I have undergone sentinel tag and anal sphincter relaxation surgery due to chronic anal fissures. It has been about a month and a half since the procedure, and I am still experiencing discomfort and episodes of incontinence....
Dr. Ke Fangxu Reply:
1. Generally, healing can take about a month; if pain persists, it is advisable to consult the surgeon to check for any abnormalities. 2. Postoperatively, mild incontinence may occur due to incomplete healing of the wound, which is caused by sensitivity and irritation of the in...[Read More] Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Managing Gut Health: Addressing Constipation and Digestive Issues
Some gastrointestinal issues? I have been on a high-protein diet for a long time, going to the gym regularly 4 to 6 days a week. I consume about 170 to 180 grams of protein daily (considering only protein as a nutrient). Recently, my sleep has been very irregular; sometimes I sle...
Dr. Zhang Shuhao Reply:
1. Constipation is primarily due to insufficient dietary fiber; even a high-protein diet should include adequate fiber intake. Increased bowel movement and mucus in the stool are manifestations of enteritis. Fermented foods like kimchi can easily irritate the gastrointestinal tra...[Read More] Managing Gut Health: Addressing Constipation and Digestive Issues
Understanding Anal Fissures: Symptoms, Causes, and Treatment Options
Anal fissure issues? Hello Doctor: Two days ago, I experienced a tearing sensation on the right side of my anus while having a bowel movement, possibly due to hard stool. It wasn't very painful, but there was a noticeable feeling of a tear. Afterward, there seemed to be bloo...
Dr. Ke Fangxu Reply:
1. Based on your description, it seems somewhat similar, but a physical examination is necessary to confirm whether it is an anal fissure. 2. The absence of infection two days ago does not rule out the possibility of an infection now, so this cannot be dismissed. 3. According...[Read More] Understanding Anal Fissures: Symptoms, Causes, and Treatment Options
Understanding Blood and Mucus in Stool: Causes and Concerns
Blood clots and mucus in stool? Hello, doctor. Two nights ago, I noticed blood clots and blood in my stool (the amount was similar to menstrual bleeding). Since then, I have had diarrhea and bleeding during two bowel movements, but not as much as the first time. I'm wonderin...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritat...[Read More] Understanding Blood and Mucus in Stool: Causes and Concerns
Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Chronic anal fissure-related issues? Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop...
Dr. Ke Fangxu Reply:
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Understanding the Persistent Foreign Body Sensation from Anal Fissures
Anal fissure with a sensation of foreign body in the rectum? Hello Dr. Chang, can anal fissures cause a persistent feeling of foreign body sensation in the anus? For the past two weeks, I have experienced pain during and after bowel movements. A few days ago, during a clinic visi...
Dr. Zhang Shuhao Reply:
The anus may feel foreign when there are wounds or swelling from hemorrhoids, but this sensation will improve once healing and reduction of swelling occur.[Read More] Understanding the Persistent Foreign Body Sensation from Anal Fissures
Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu Reply:
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Post-Hemorrhoid Surgery: Addressing Complications and Treatment Options
Post-hemorrhoid surgery My father is 60 years old and underwent traditional hemorrhoid surgery over 20 years ago. He was too busy to have the stitches removed after the surgery. He mentioned having a problem with anal stenosis. Could this issue be caused by not having the stitche...
Dr. Chen Ronghong Reply:
Hello, if the physician used absorbable sutures, there is actually no need to remove them. Even with non-absorbable sutures, they generally tend to loosen and fall out gradually as tension increases. Regardless of the type, if anal stenosis causes symptoms such as frequent anal f...[Read More] Post-Hemorrhoid Surgery: Addressing Complications and Treatment Options
Understanding Anal Fissures and Hemorrhoids: Symptoms and Recovery
Anal fissure Hemorrhoids Hello Doctor: My symptoms started on Wednesday after eating mochi and having salad for several consecutive days. By Thursday noon, I suddenly had diarrhea (with muddy stools) and noticed blood in my stool since then (the amount was quite significant). I e...
Dr. Zhang Shuhao Reply:
1. Anal fissures and hemorrhoids typically do not cause fever or chills; other underlying causes should be considered. 2. Mild hemorrhoids and anal fissures can benefit from warm sitz baths and increased fluid intake to maintain smooth bowel movements; symptoms may improve within...[Read More] Understanding Anal Fissures and Hemorrhoids: Symptoms and Recovery
Understanding Blood After Bowel Movements: Causes and Concerns
Blood on toilet paper after wiping can indicate several potential issues, including hemorrhoids, anal fissures, or other gastrointestinal conditions? Recently, after having a bowel movement, I noticed that sometimes there are small red specks in my stool. I think it might be remn...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger...[Read More] Understanding Blood After Bowel Movements: Causes and Concerns
Understanding Small Bumps Below the Anus: Causes and Concerns
There are small bumps on the skin below the anal folds? Hello Doctor: I have mild external hemorrhoids, and recently I sought medical attention due to slight abrasion and inflammation of the hemorrhoids. Over the past few days, while applying hemorrhoid cream, I noticed a few sma...
Dr. Zhang Shuhao Reply:
After an anal fissure, skin tags may sometimes develop on the outer edge of the wound. If there are no discomforting symptoms, no special treatment is necessary. However, it is important to differentiate them from infectious lesions. If there is any uncertainty, it is advisable t...[Read More] Understanding Small Bumps Below the Anus: Causes and Concerns
Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
How can we prevent or check for the formation of a fistula in cases of chronic anal fissures lasting more than five years? I understand that chronic anal fissures, which can lead to the formation of fistulas, are considered a high-risk factor. However, before making the decision ...
Dr. Zhang Shuhao Reply:
If there is no swelling, pain, bleeding, or purulent discharge from the anus, there is no need for a special internal examination. It is advisable to increase fluid intake and dietary fiber to prevent constipation, reduce the time spent in the restroom, and if there is pain after...[Read More] Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Anal wound Hello, doctor. I have been experiencing anal pain after bowel movements for a long time, with slight bleeding (similar to a skin tear) after wiping. I tend to be constipated, and a doctor mentioned that this could be due to hard stools, so I didn't pay much attent...
Dr. Zhang Shuhao Reply:
1. Pain and bleeding from the anus after bowel movements may be symptoms of anal fissures. If anal fissures recur, they can lead to the formation of ulcers in the local area, which are less likely to heal on their own. It is necessary to check for the presence of abscesses or fis...[Read More] Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Understanding Anal Fissure Cream: Healing Progress and Usage Duration
Anal fissure ointment I have been using the anal fissure ointment for a week. The wound is not as uncomfortable as before; it is less painful and itchy. Even though my stools are soft, there is still some bleeding, but it is not as much as before. Does this mean it is improving? ...
Dr. Chen Bingze Reply:
It would be better to have the physician who initially examined you take a look to see if there has been any improvement.[Read More] Understanding Anal Fissure Cream: Healing Progress and Usage Duration
Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Post-operative nursing issues for a patient after surgery? Hello doctor, I underwent surgery for a hemorrhoidectomy and polypectomy on April 10. After a month of recovery, I have noticed symptoms of anal fissure. Currently, I experience bleeding after walking for a while, and whe...
Dr. Xu Kaixi Reply:
It has been about a month since the fistula and polyp surgery on April 10th. Theoretically, the wound should have healed by now. If there are still secretions and symptoms, it indicates that the wound has not yet healed or there may be an infection. It is recommended to return to...[Read More] Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Understanding White Bumps Around the Anus: Causes and Treatments
White spots around the anal area? Hello Dr. Chang, It seems like I have keratosis pilaris; the surface of the skin appears red and resembles papules. When I squeeze it, a white, elongated substance comes out, which does not look like pus but more like comedones. There are many ...
Dr. Zhang Shuhao Reply:
Based on your description, it seems more like folliculitis around the anus, which originates from the subcutaneous glands rather than the anal glands. It is recommended to maintain local cleanliness and ventilation, supplemented with oral medication and antibiotic ointment. It is...[Read More] Understanding White Bumps Around the Anus: Causes and Treatments
Understanding Anal Itching and Fissures: Causes and Solutions
Anal itching and anal fissure? About 12 days ago, I experienced itching in the anal area almost every day (especially more frequently at night). Then, starting around May 2nd, I began to feel pain in the anus when having a bowel movement, which feels like an anal fissure. I looke...
Dr. Ke Fangxu Reply:
Excessive pressure in the anal sphincter can also be one of the causes of anal fissures; however, a medical examination is necessary to confirm this, as it may not be an issue related to anal fissures at all. It is advisable to start with warm sitz baths along with topical medica...[Read More] Understanding Anal Itching and Fissures: Causes and Solutions
Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
The issues of anal fissures and hemorrhoids and their relationship with candidiasis infection? 1. I have been experiencing constipation since I was about 9 years old, and it continues to this day. I usually have a bowel movement every 3 to 5 days, with occasional soft stools or d...
Dr. Zhang Shuhao Reply:
1. If the area around the anus is swollen and resembles symptoms of hemorrhoids, chronic constipation and straining can lead to the enlargement and prolapse of hemorrhoidal tissue. Anal fissures typically do not extend to the perineum, but recurrent anal fissures may result in de...[Read More] Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
Managing Anal Fissures: When to Continue or Stop Cream Treatment
Anal fissure ointment I have been applying ointment for my anal fissure for almost a week now. There is less bleeding during bowel movements, and the pain has decreased compared to the beginning. It now feels a bit itchy. Should I continue applying the ointment, or can I stop?
Dr. Chen Bingze Reply:
The focus should be on making the stool softer.[Read More] Managing Anal Fissures: When to Continue or Stop Cream Treatment