Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Understanding Anal Leakage: Causes and When to Seek Help
Anal discharge I have not been diagnosed with hemorrhoids, nor do I feel like I have them. Sometimes when I pass gas or accidentally, there is a watery discharge from my anus, but it has no odor. Recently, I've also experienced issues with incomplete bowel movements and a co...
Dr. Zhang Shuhao Reply:
Based on your description, it may be a functional gastrointestinal issue. You can start by increasing your fluid intake and dietary fiber, engaging in moderate exercise, and relaxing your mind. If symptoms persist, consider visiting a gastroenterologist or a family medicine clini...[Read More] Understanding Anal Leakage: Causes and When to Seek Help
Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-anal fistula surgery Hello, Director: I had surgery for an anal fistula over two months ago. However, the doctor I saw only instructed me to take warm sitz baths with Betadine daily, without specifying for how long. I have been doing this until the wound heals, which has bee...
Dr. Ke Fangxu Reply:
Whether it is a recurrence of a fistula can only be determined through a physical examination, as online consultations cannot provide a diagnosis. However, based on your description, it seems less likely to be a recurrence. I recommend that you consult your surgeon for a further ...[Read More] Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-operative bowel issues after anal electrosurgery? At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal. The area of skin burned around the anus was relatively la...
Dr. Zhang Shuhao Reply:
If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed. Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements. If the surgery did ...[Read More] Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Anal fistula Hello, Doctor. About a year ago, I noticed a hard lump near my anus. When it first appeared, I consulted a physician who said it was hemorrhoids, and I left it at that. Over the past year, the lump has been painless, itch-free, and without any discharge, and its size...
Dr. Ke Fangxu Reply:
The only definitive treatment for an anal fistula is surgery. If there is no infection, swelling, or discomfort, continuous observation is also an option. However, if there are recurrent infections, it is advisable to proceed with surgical treatment to prevent the development of ...[Read More] Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Understanding Perianal Lumps: When to Consider Surgery or Medication
Perianal mass Hello, Doctor. A year ago, I noticed a hard lump near my anus. The first doctor I saw said it was hemorrhoids. After taking medication, it remained there, but since it was neither painful nor itchy, I didn't pay much attention to it. Until last Monday, when it ...
Dr. Zhang Shuhao Reply:
Anal fistulas are likely to recur due to their connection with the anal glands. Since this is your first occurrence and you are currently asymptomatic, you can choose to observe. However, if there is a recurrence at the same site (such as redness, swelling, heat, pain, a mass, or...[Read More] Understanding Perianal Lumps: When to Consider Surgery or Medication
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao Reply:
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Excessive reliance on rectal ointments? Hello, doctor. I have been using hemorrhoid ointment for nearly 8 years without stopping, specifically Hiyu ointment. Whenever I stop using it, I feel very uncomfortable in my anus (burning sensation, almost like it's about to crack), ...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments can alleviate the symptoms of acute hemorrhoid flare-ups, but they do not improve the severity of hemorrhoids, so short-term use is recommended. These ointments often contain corticosteroids, and prolonged use can lead to skin sensitivity and anal itching. It...[Read More] Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Experiencing Discomfort Around the Anus: When to See a Doctor?
There is a sensation of a foreign body in the anal area? The main issues are pain during bowel movements, pain while sitting, and occasional dull abdominal pain, but there is no bleeding. Should I see a doctor, or is it okay to wait for now since the pain is not severe?
Dr. Chen Jiaming Reply:
It is recommended to visit the colorectal surgery outpatient clinic for further evaluation and treatment.[Read More] Experiencing Discomfort Around the Anus: When to See a Doctor?
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Is it possible to feel a hard lump inside the anus with hemorrhoids? I would like to ask the doctor if hemorrhoids can be very hard. Are there hemorrhoids that do not bleed? I read online that hemorrhoids are soft and do not obstruct bowel movements. I have felt a large hard lump...
Dr. Zhang Shuhao Reply:
If hemorrhoids develop a thrombosis, they may feel firmer than usual hemorrhoidal tissue, but they will not reach the hardness of a lump and will not obstruct bowel movements. A colonoscopy can usually rule out tumor-related lesions. It is recommended to first visit a colorectal ...[Read More] Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Understanding a Hard Lump Near the Anus: Is It a Fistula?
There is a hard lump outside the anus? This lump has been present for over a year, has not changed in size, and is not painful. This morning, I noticed that it may have been compressed, causing a small hole to bleed. I am very worried that it might be a fistula. I would like to a...
Dr. Zhang Shuhao Reply:
If it is a first-time occurrence, it could be an anal abscess. As for whether a fistula has formed, it can be checked after the inflammation subsides. It is recommended to seek medical treatment, prescribe anti-inflammatory medication and topical ointments, keep the wound clean, ...[Read More] Understanding a Hard Lump Near the Anus: Is It a Fistula?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Hard lump near the anus? Hello, doctor. I have a hard lump near my anus that has been present for over a year. Before this lump appeared, I had an experience with an anal abscess that was treated with antibiotics. About six months after the treatment, this lump developed. When I ...
Dr. Zhang Shuhao Reply:
If the affected area previously had an anal abscess that was treated and then recurs in the same location, it may indicate the presence of a fistula, which connects the affected area to the anal glands, making it prone to recurrent inflammation. If symptoms such as redness, swell...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu Reply:
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Understanding Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Procedure for Hemorrhoidal Plication (PPH) Hello, doctor. I underwent a circumferential hemorrhoidectomy (PPH) in mid-June, and I noticed some fecal leakage from the anus in the morning. I am very concerned about my recovery. Is this anal incontinence?
Dr. Zhang Shuhao Reply:
Since mid-June, it hasn't been too long since the PPH surgery. The muscles and tissues around the anus require time to recover, and there may be temporary issues with fecal urgency and incontinence. This is usually transient and will gradually improve over time. During this ...[Read More] Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Thrombosed Hemorrhoid Excision Surgery Hello, doctor. I had a surgical excision of a thrombosed external hemorrhoid on June 21. About five days post-operation, my bowel movements started to become less painful, and I felt that the wound was gradually improving. However, by the ei...
Dr. Zhang Shuhao Reply:
If a new protrusion appears on the opposite side of the wound, it may be a new thrombosed external hemorrhoid. Here are some recommendations: 1. Monitor symptoms: Continue to observe any changes in pain and the new protrusion, paying attention to any further swelling, discolorati...[Read More] Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery