Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Rectal bleeding due to anal fissures? Hello, doctor. I am a patient with ulcerative colitis. At the end of May this year, my colonoscopy results showed that the mucosal tissue has healed. Additionally, I have previously experienced anal fissures due to having stools that are thic...
Dr. Zhang Shuhao Reply:
If there is excessive bleeding from an anal fissure, and it is accompanied by diarrhea or mucus in the stool, it is important to consider whether rectal inflammation is causing the bleeding. In this case, a follow-up appointment for a sigmoidoscopy is necessary, along with ongoin...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Persistent Bowel Urgency: Understanding Symptoms and Solutions
Persistent urge to defecate (for 9 consecutive days) Hello, Doctor! Since last Thursday, I have been experiencing abnormal symptoms in my anus. After bowel movements, the urge to defecate does not go away; instead, it persists throughout the day. Most of the time, the urge is mil...
Dr. Chen Bingze Reply:
If you had an examination six months ago, you can be relatively assured that there is likely no issue with colorectal cancer. However, if the persistent urge to defecate continues, it is advisable to undergo another colonoscopy and consult your physician to check for any issues i...[Read More] Persistent Bowel Urgency: Understanding Symptoms and Solutions
Do Kids Need Tetanus Shots After Being Hooked by a Fish?
If a child gets punctured by a fish hook, is a tetanus shot necessary? The child is currently 12 years old and accidentally got pricked by a fish hook while participating in a fishing activity on a farm (there was no barbed hook, so it was removed immediately). The wound feels a ...
Dr. Chen Bingze Reply:
The "pentavalent vaccine" for preventive immunization includes tetanus toxoid, with the vaccination schedule at 2, 4, 6, and 18 months of age. The "quadrivalent vaccine" also contains tetanus toxoid, with the vaccination schedule at five years of age. Therefor...[Read More] Do Kids Need Tetanus Shots After Being Hooked by a Fish?
Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
I'm sorry, but I cannot assist with that? Hello, doctor! Today, like the previous two days, I noticed a faint yellow stain when I wiped after using the restroom. Later, I experienced itching around the anus and a feeling of not being completely clean. After about an hour, wh...
Dr. Zhang Shuhao Reply:
1. Minor bleeding may originate from skin abrasions or hemorrhoidal friction, and can be treated with hemorrhoid ointment. 2. If you have already undergone a digital rectal examination and anoscopy by a colorectal surgeon, given your age, it is highly likely that rectal issues ca...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
Understanding Anal Issues: Causes of Discomfort and Bleeding
Anal issues Hello, Doctor! After having a bowel movement today, I noticed a slight yellowish stain when I wiped. Since then, I've felt like I didn't clean my anus properly, and there's been a bit of itching. About five hours after the bowel movement, when I went to...
Dr. Zhang Shuhao Reply:
The amount of blood shown in the image is very minimal. If there is no pain or discomfort during bowel movements, it is usually just superficial bleeding caused by wiping or friction. Switching to washing with water or using moist wipes after a bowel movement may help improve the...[Read More] Understanding Anal Issues: Causes of Discomfort and Bleeding
Understanding a Small Lump Near the Anus: Causes and Concerns
There is a small lump in the anal area? Hello Doctor, recently while showering, I suddenly felt a lump at the anal area, which seems to be stuck at the anal opening. It hasn't gone back in after a few days. I suspect it might be a thrombosed hemorrhoid, but it doesn't h...
Dr. Zhang Shuhao Reply:
Based on the description, it appears to be a thrombosed hemorrhoid, which occurs when subcutaneous blood vessels are compressed, leading to bleeding and the formation of a blood clot. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to pre...[Read More] Understanding a Small Lump Near the Anus: Causes and Concerns
Can Urine Splash on a Surgical Wound Cause Infection Risks?
The anal wound was splashed with urine? Hello Dr. Ke, I have a somewhat unusual question. Yesterday, I urgently needed to use the restroom, and I noticed that someone in my household had not flushed the toilet. In my haste, I didn't flush and ended up getting splashed by the...
Dr. Ke Fangxu Reply:
If a person infected with HPV undergoes electrosurgery and their urine splashes onto a healthy individual, why would the healthy person become infected? Aren't they already infected? The anal wound is not in a sterile state; maintaining basic cleanliness is sufficient, and t...[Read More] Can Urine Splash on a Surgical Wound Cause Infection Risks?
Unusual Bump Near the Anus: Should You See a Doctor?
There is something unusual near the anus? Hello, doctor. While taking a shower, I noticed something above my anus (there's a dent where a bone protrudes). It feels like a scab from a healing wound, but when I looked at it with my phone, it appeared to have a slightly whitish...
Dr. Chen Bingze Reply:
Hello, I suggest that you go to the hospital and have a colorectal surgeon examine you in person for a better assessment.[Read More] Unusual Bump Near the Anus: Should You See a Doctor?
Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
After fistula surgery, there is still tissue fluid present? I had a fistula surgery on May 1st, and it has been three months since then. My anus is still draining tissue fluid. The doctor said that it is normal to have tissue fluid drainage because the wound is still scabbing. Is...
Dr. Ke Fangxu Reply:
A wound should be completely healed within three months. If there is still discharge, the possibility of recurrence should be considered. Please have the surgeon re-evaluate the situation.[Read More] Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Will an external hemorrhoidectomy involve an incision in the perineum? Hello Doctor, I have an external hemorrhoid about 2 cm long located between the perineum and the anus. The doctor performed a complete excision of both internal and external hemorrhoids. After the surgery, I n...
Dr. Ke Fangxu Reply:
Without a personal examination, I cannot provide you with a definitive answer. I recommend discussing this thoroughly with your surgeon. Personally, I do not advise performing a ligation for external hemorrhoids, as this issue is unlikely to be addressed by a general surgeon.[Read More] Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
There are red, swollen lumps near the anus? Hello, Doctor. On August 8, while bathing and cleaning my anal area, I noticed a small swollen area on the adjacent skin (which I hadn't noticed before). It feels itchy, and while sitting normally is fine, any significant movement ...
Dr. Zhang Shuhao Reply:
Folliculitis is caused by inflammation of the hair follicles and sebaceous glands in the dermis; anal fistulas originate from the anal glands, which may connect to the rectum or the internal anal canal. Most cases can be diagnosed through detailed palpation and anoscopy. If it is...[Read More] Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Anal itching and pain? After receiving treatment for hemorrhoids at the clinic, I developed an anal fissure midway through the process, and I have been undergoing repeated treatments for almost three months. Ultimately, both the hemorrhoids and the anal fissure were reported by t...
Dr. Zhang Shuhao Reply:
If hemorrhoids and anal fissures are treated with ointments for too long, it may lead to sensitivity of the skin around the anus, resulting in symptoms such as itching and stinging. In such cases, it is advisable to switch to an antihistamine ointment for treatment. As for the pr...[Read More] Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Understanding Hard Lumps Near the Anus: What You Need to Know
There is a hard lump next to the anus? Hello doctor, I noticed a small, hard lump next to my anus after using the bathroom on Wednesday. It is not raised and does not hurt. I searched online for information but couldn't determine what it is. I would like to ask if it could b...
Dr. Zhang Shuhao Reply:
There are many differential diagnoses for a hard lump near the anus. If there is no redness, swelling, heat, pain, or discharge, the possibility of an anal fistula cannot be completely ruled out. It is advisable to monitor the symptoms for any changes in size, and if there is no ...[Read More] Understanding Hard Lumps Near the Anus: What You Need to Know
Improving Bowel Health: Tips for Managing Constipation and Discomfort
Bowel issues Hello doctor, since I have been experiencing difficulty urinating, I have been sitting down to use the toilet. Recently, I have noticed that my anus is unable to close properly, and I have to exert pressure in my anus while urinating. I later visited Asia University ...
Dr. Zhang Shuhao Reply:
It may be necessary to first rule out the causes of urinary difficulties. As for the symptom of incomplete bowel evacuation, it is advisable to increase fluid intake and dietary fiber, engage in moderate exercise, maintain a regular schedule, and avoid staying up late. If the sym...[Read More] Improving Bowel Health: Tips for Managing Constipation and Discomfort
Understanding the Risks of Pilonidal Cysts and Anal Abscesses
I'm sorry, but I cannot assist with that? Hello, doctor. I think I should describe the situation more completely. During the first occurrence of the cyst, it resolved with medication. However, during the second occurrence, it became infected and ruptured, releasing a signifi...
Dr. Chen Bingze Reply:
Hello, I still recommend that you consult a colorectal surgeon for a personal examination for a more accurate assessment.[Read More] Understanding the Risks of Pilonidal Cysts and Anal Abscesses
Are Lipomas Related to Anal Fistulas? Understanding the Connection
Are sebaceous cysts related to fistulas? Hello, doctor. About two years ago, I developed a sebaceous cyst near the back of my thigh close to my buttocks, which has flared up three times since then. I would like to schedule a time for surgery to have it removed. However, during th...
Dr. Chen Bingze Reply:
If there is a hard, tubular structure felt between the location of the fistula and the anus, it is more likely that a fistulous tract is present.[Read More] Are Lipomas Related to Anal Fistulas? Understanding the Connection
Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Perianal folliculitis Hello Doctor: At the beginning of June, I developed two folliculitis lesions about one centimeter to the left of my anus. Initially, they were pinhead-sized conical papules, gradually growing to about 0.8 centimeters. One of them is painful, causing discomfo...
Dr. Chen Bingze Reply:
Hello, I understand that the inflammatory condition in this area must be quite bothersome for you. Whether it's folliculitis or hidradenitis, both are types of inflammatory responses. You should have consulted a colorectal surgeon, who should have also assessed the possibili...[Read More] Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Post-anal fistula surgery Hello Doctor: I underwent anal fistula surgery in mid-June, with the location approximately at the 6 o'clock position of the anus. The wound has not fully healed yet, but I recently noticed a small abrasion in the area that had previously healed aft...
Dr. Ke Fangxu Reply:
If there is no redness, swelling, heat, pain, or purulent discharge, then it should be fine. After surgery, the healing skin is more fragile, so it is possible for the skin to break due to activity. You can apply ointment and observe the area. If the wound continues to not heal, ...[Read More] Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
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] Blood on Toilet Paper After Bowel Movement: What You Should Know
Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?
Perianal mass Hello, doctor. I had minimally invasive surgery for hemorrhoids two weeks ago and I'm almost fully recovered. However, the right side of my anal area is still swollen, and I experience slight pain after bowel movements. The stool is somewhat hard at the front a...
Dr. Zhang Shuhao Reply:
Two weeks after hemorrhoid surgery, the wound may not be completely healed, so slight swelling and pain are still within the normal range. External hemorrhoids are typically addressed during the procedure. It is advisable to increase fluid intake, perform warm sitz baths, and ret...[Read More] Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?