Anal fissure, Surgery FAQ - Page 6

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Managing Anal Fissures: Treatment Duration and Recovery Tips

Anal fissure ointment Bleeding from the end of the stool prompted a visit to the doctor, who diagnosed it as an anal fissure and prescribed an ointment. After four days of treatment, there was initial improvement, but the next day, there was bleeding again and discomfort returned...


Dr. Chen Bingze Reply:
It may take some time for a complete recovery. Please continue taking stool softeners and using ointments for a while, as well as taking sitz baths. Even after you feel better, if your stools are too hard, you might experience anal fissures again. It is recommended to drink plent...

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How Long Can You Use Anal Fissure Cream? A Guide for Patients

Anal fissure ointment If there is bleeding at the end of a bowel movement and a doctor has diagnosed an anal fissure, they may prescribe a topical ointment. It is generally recommended to apply the ointment as directed by the physician, which can often be for up to one week. Howe...


Dr. Chen Bingze Reply:
If the stool is too hard, you can use a warm water sitz bath and take some stool softeners. You can continue using them until the wound improves.

[Read More] How Long Can You Use Anal Fissure Cream? A Guide for Patients


Best Times to Apply Ointment for Anal Fissures: A Guide

Anal fissure ointment I experienced rectal bleeding at the end of my bowel movements for several months. I consulted a doctor who prescribed an ointment. What is the best time to apply it?


Dr. Chen Ronghong Reply:
Hello, it can be used after bowel movements, after bathing, or before bedtime.

[Read More] Best Times to Apply Ointment for Anal Fissures: A Guide


Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options

Anal fissure issues (continued) Hello Dr. Ke: Thank you for taking the time to respond on May 1st. After visiting another clinic, I realized that the wound on the right posterior side is about one centimeter inside the anal area, which is not a large wound. Therefore, after using...


Dr. Ke Fangxu Reply:
1. Symptoms that persist for more than one month are considered chronic. 2. Sitz baths are recommended 3-4 times a day for 15 minutes each time, with water temperature not exceeding 36-38 degrees Celsius. If discomfort occurs after the bath, a topical ointment can be applied. ...

[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options


Understanding Anal Fissures: Treatment and Care Tips

Anal issues In recent months, I have been experiencing rectal bleeding at the end of my bowel movements. I visited a doctor who diagnosed me with an anal fissure and prescribed medication along with a plastic tube. Should I insert that tube or is it sufficient to just place it in...


Dr. Chen Ronghong Reply:
Hello, the location of an anal fissure is usually not very deep, so applying medication with a finger is sufficient. If you prefer to use a plastic tube to apply the medication, there is no need to insert the entire tube deeply.

[Read More] Understanding Anal Fissures: Treatment and Care Tips


Post-Surgery Care for Anal Flap Reconstruction and Hemorrhoidectomy

Anal flap reconstruction and hemorrhoidectomy? Hello Doctor: I had a hemorrhoid surgery two years ago, which resulted in a narrowed anal fissure. A month ago, I underwent an anal flap reconstruction and hemorrhoidectomy at Tzu Chi Hospital in Taipei. Since then, I have been exper...


Dr. Zhang Shuhao Reply:
1. If the degree of narrowing is severe and the area for flap reconstruction is extensive, complete healing may take several months. The team led by Dr. Hsiao at Tzu Chi Hospital in Taipei has extensive experience in performing this surgery, so you can feel assured. 2. If you e...

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Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options

Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...


Dr. Ke Fangxu Reply:
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...

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Understanding Rectal Hard Lumps: Causes and Concerns Explained

Hard mass in the anal canal? Hello, Doctor. Two months ago, I visited the clinic due to an anal fissure. Today, I returned to the clinic because of a recurrence. Following the doctor's instructions, I applied the ointment for treatment. However, while applying the ointment i...


Dr. Ke Fangxu Reply:
1. It could be thrombosed hemorrhoids. If there is no bleeding or pain, it can be monitored. If the physician has performed a digital rectal exam, the likelihood of a tumor is less probable. 2. Yes, prolonged straining during bowel movements can lead to increased swelling of he...

[Read More] Understanding Rectal Hard Lumps: Causes and Concerns Explained


Understanding Anal Fissures and Small Polyps: Will They Heal?

Anal fissures and small polyps, will the small polyps resolve on their own? A week ago, I noticed a small amount of blood after having a bowel movement, so I went to see a doctor. After a digital examination, the doctor diagnosed me with a grade one internal hemorrhoid. Externall...


Dr. Xu Kaixi Reply:
Gastrointestinal polyps are benign tumors that may grow larger over time and have the potential for dysplasia. Therefore, surgical removal is recommended.

[Read More] Understanding Anal Fissures and Small Polyps: Will They Heal?


Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?

It has been about six months since the anal fistula surgery, and there is still bleeding? Hello, I underwent anal and fistula surgery around the end of October last year. I have been recovering since then, and most of the wounds have healed. However, I have a wound inside the anu...


Dr. Zhang Shuhao Reply:
Typically, the wound from a fistula surgery should have healed after six months. However, if the anal area is tight or if there is straining during bowel movements, the initially healed wound may easily reopen or become irritated, leading to symptoms similar to anal fissures. It ...

[Read More] Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?


Understanding Anal Fissures and Polyps: Concerns and Care

Anal fissures and polyps that do not heal? A month ago, I noticed some blood after having a bowel movement. Although it was only a drop or two, I was very worried and decided to see a doctor. During the examination, the doctor said that there was nothing unusual on the exterior o...


Dr. Zhang Shuhao Reply:
Polyps can develop into cancer, specifically referring to adenomatous polyps that form in the colorectal mucosa, which is why they are typically removed upon detection. Recurrent anal fissures are often accompanied by sentinel piles on the lateral side of the anus and hypertrophi...

[Read More] Understanding Anal Fissures and Polyps: Concerns and Care


Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns

Anal fissure surgery issues? Some time ago, I developed an anal fissure due to gastrointestinal issues. Although my gastrointestinal problems have been resolved and the fissure has healed, I still experience recurrent pain after several days of soft stools. Medical examinations c...


Dr. Ke Fangxu Reply:
Anal fissures can be classified into two types based on the pressure of the sphincter muscle. If the sphincter pressure is excessively high, surgical intervention tends to yield better outcomes. Conversely, if the sphincter pressure is insufficient, the results of surgery may be ...

[Read More] Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns


Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?

Is rectal bleeding due to hemorrhoids or colon cancer? Recently, I have noticed some changes in my bowel habits; sometimes I have a bowel movement, and sometimes I don't (possibly due to not eating vegetables?). I do not have a regular schedule for bowel movements, but I als...


Dr. Zhang Shuhao Reply:
Rectal bleeding in young individuals is often due to hemorrhoids or anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal clinic for evaluation. A digital rectal e...

[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?


Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?

Is rectal bleeding from hemorrhoids or colorectal cancer? Recently, my bowel habits have changed; sometimes I have a bowel movement and sometimes I don't (possibly due to not eating vegetables?). I don't have a regular bowel schedule, but I don't experience the urg...


Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young individuals is often due to anal conditions such as hemorrhoids and anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal ...

[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?


Understanding Changes in Stool Shape: Causes and Concerns

Concerns about having a narrow and short stool? Hello Doctor: I had a colonoscopy in 2021, which diagnosed me with intestinal adhesions. I also have a history of internal hemorrhoids and anal fissures. Recently, I noticed that the end of my stool is narrower while the front is th...


Dr. Zhang Shuhao Reply:
Internal hemorrhoids themselves do not affect the shape of bowel movements, but discomfort from hemorrhoids may influence straining, which can further alter the shape of stool. Intestinal adhesions, if they do not cause bowel obstruction, will not affect the shape of stool. If a ...

[Read More] Understanding Changes in Stool Shape: Causes and Concerns


Blood After Wiping: Understanding Causes and Precautions

There is blood when wiping after using the toilet? Hello Doctor: I have undergone hemorrhoid surgery three times and often experience anal fissures, but I haven't had an episode for a while. However, after using the restroom these past two days, I wiped twice without any blo...


Dr. Zhang Shuhao Reply:
Bleeding during a rotational wipe may be due to friction against the surface of hemorrhoids, causing minor bleeding, or it could be that the rotation is more likely to irritate internal hemorrhoids, leading to bleeding. If there are no other discomforts, it should be fine; you ca...

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Can Chronic Anal Fissures Lead to Ulcers or Fistulas?

Can chronic anal fissures lead to the formation of ulcers or fistulas? I have had an anal fissure for five years, and it has never been excruciating. Recently, I visited a major hospital and noticed the issue of a fistula. 1. I would like to know if a chronic anal fissure can lea...


Dr. Xu Kaixi Reply:
1. Chronic anal fissures and fistulas do not have a direct causal relationship. 2. The management of anal fissures primarily involves maintaining a regular lifestyle, adopting good dietary habits to prevent constipation, and using warm sitz baths. If there is no improvement over ...

[Read More] Can Chronic Anal Fissures Lead to Ulcers or Fistulas?


Managing Anal Pain: Understanding Fissures and Hemorrhoids

Anal fissure Three months ago, I had an anal fissure (with blood when wiping after using the restroom). It finally improved a bit by mid-February (but there is still some sharp pain when using the restroom, no blood, just not in pain all day). However, recently, for some unknown ...


Dr. Ke Fangxu Reply:
If hemorrhoids are large enough that they need to be manually pushed back in, surgical treatment is generally recommended as it tends to yield better results. If there is no improvement with medication, it is best to consult a physician to discuss the necessity of surgery.

[Read More] Managing Anal Pain: Understanding Fissures and Hemorrhoids


Unexplained Anal Pain: Causes and Solutions for Discomfort

It doesn't seem like an anal fissure, hemorrhoids, or an anal fistula, but it hurts a lot? Hello Doctor, recently I've been experiencing a sharp pain near my anus while walking for more than half an hour. It feels like a friction burn, and there have been two or three i...


Dr. Li Zhonghuai Reply:
Hello! It is recommended to wear loose-fitting pants and pure cotton underwear, and to change them frequently. Generally speaking, the blood circulation in the perineal area is good, and small wounds heal quickly, usually just requiring the application of antibiotic ointment. If ...

[Read More] Unexplained Anal Pain: Causes and Solutions for Discomfort


Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options

Hemorrhoid issues Hello Dr. Chang, I consulted you yesterday regarding the sharp pain and itching after bowel movements, along with a discharge of slightly yellow fluid. Today, I visited the outpatient clinic, and the doctor performed a digital examination, stating that it does n...


Dr. Zhang Shuhao Reply:
If you had a colonoscopy last year, there is no need to repeat it this year. You can start with the medications prescribed by your doctor, and also perform warm sitz baths, reduce the use of irritating bathing products, and increase your intake of fluids and dietary fiber. Genera...

[Read More] Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options


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