Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use
Consultation for Internal Boils Medication Hello, I have anal fissures with bleeding during bowel movements. The doctor prescribed me hemorrhoid suppositories and Yizhi Kang ointment. Should I use one in the morning and one in the evening, or should I finish the suppositories bef...
Dr. Zhang Shuhao Reply:
Apply the ointment once in the morning and once in the evening, using a fingertip or cotton swab to apply it to the swollen and painful area around the anus. Use the suppository once a day, typically before bedtime, and it can be inserted after applying a small amount of ointment...[Read More] Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use
Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Anal fissure issues? Hello Dr. Chang, On July 7th, I experienced an anal fissure after a hard bowel movement. During this time, I took sitz baths for 10 minutes in the morning and evening. After more than a week, I was able to pass stool without pain. However, after a forceful b...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure is defined as a wound that persists for more than eight weeks, typically associated with increased anal sphincter tone and a deeper wound. Based on your description, it is still possible that it is an acute anal fissure. 2. Mixed hemorrhoid prolapse does...[Read More] Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Do Healed Wounds Eliminate Tetanus Risk? Expert Insights
Tetanus Issues Hello, doctor. I would like to ask if we no longer need to worry about the risk of tetanus once a wound has healed.
Dr. Ke Fangxu Reply:
Yes.[Read More] Do Healed Wounds Eliminate Tetanus Risk? Expert Insights
Understanding Rectal Pain During Urination: Causes and Next Steps
Anal pain during urination? I have been experiencing chronic prostatitis for about five years, and currently, I am in a state of coexistence with it. Earlier this year, I underwent surgery to remove a fistula, but now I often feel a pulling sensation deep in the anus and a slight...
Dr. Ke Fangxu Reply:
The so-called fistula refers to an anal fistula or other locations? Is it connected to the prostate? If it is a simple anal fistula, experiencing mild pulling pain after surgery due to scar contraction is considered a normal phenomenon and should gradually improve over time.[Read More] Understanding Rectal Pain During Urination: Causes and Next Steps
Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Anal issues Hello Doctor, 1. I would like to ask about the feeling I had the day before yesterday morning, where I constantly felt the urge to have a bowel movement. I sat in the bathroom for a long time but couldn't pass anything. By the afternoon, I finally had some sign...
Dr. Zhang Shuhao Reply:
1. Pain during bowel movements that feels like cutting, accompanied by bleeding, is a typical symptom of anal fissures. It is advisable to take warm sitz baths, avoid irritating the anal wound, and increase fluid intake to prevent constipation. If the pain is severe, it is recomm...[Read More] Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Post-Surgery Hemorrhoid Care: Should You Remove Hemostatic Cotton?
Postoperative hemostatic cotton for hemorrhoid surgery? The doctor said that the hemostatic cotton is in the anus and that bowel movements will occur. Will the hemostatic cotton clog the toilet or septic tank? Should it be removed?
Dr. Zhang Shuhao Reply:
Hemostatic cotton that promotes platelet function to aid in hemostasis is mostly made of absorbable hydrogel materials, which will not clog toilets or septic systems. However, regular gauze may not dissolve.[Read More] Post-Surgery Hemorrhoid Care: Should You Remove Hemostatic Cotton?
Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...
Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...[Read More] Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Concern About Tetanus After Minor Injury from Dog Waste
Tetanus Issues Hello, doctor. Yesterday, after feeding my dog, I didn't notice that my hands had traces of what appeared to be dog feces. I accidentally popped a pimple with my hand, causing a small amount of bleeding. I would like to know if there is a concern for tetanus i...
Dr. Chen Bingze Reply:
Personally, I believe that the chances of developing tetanus in this situation are low, but if you are really concerned, you can get a tetanus shot.[Read More] Concern About Tetanus After Minor Injury from Dog Waste
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Anal fistula I have occasionally experienced inflammation in my buttocks, resulting in a large lump that resembles a sebaceous cyst (which I am prone to developing). Each time the inflammation occurs, it is in a different location, and it usually resolves on its own without any i...
Dr. Zhang Shuhao Reply:
1. An anal fistula originates from the anal glands, creating a channel from the epidermal wound to the anus. A sebaceous cyst originates from the skin glands and, even if there are some subcutaneous spaces (feeling like there are holes when pressed), it will not connect to the an...[Read More] Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Post-hemorrhoid surgery Hello Dr. Ke, I underwent a mixed nevus and anal protrusion excision surgery on May 29th, and it has been about 50 days since then. I would like to ask the following questions: 1. During my follow-up appointment in the fourth week post-surgery, the docto...
Dr. Ke Fangxu Reply:
1. Digital examination is sufficient for diagnosis. 2. This phenomenon can occur even if it is not normal, especially during exertion. 3. It is normal. 4. Redness, swelling, heat, pain, along with purulent discharge or a wound that does not heal for a long time.[Read More] Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, I previously inquired about experiencing some incontinence after my anal fissure surgery. During my follow-up appointment, the doctor informed me that the sphincter muscle was not excised. Ins...
Dr. Ke Fangxu Reply:
1. All surgeries will leave scars, especially if the surgical area is extensive. Mild tingling is also normal. The scars around the anus will typically heal completely within 1-2 months. Due to the lack of aesthetic concerns, scar removal treatments are generally less common in t...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Skin abrasion from wiping? If you have been experiencing bleeding and pain after wiping too hard, it is possible that you have caused a tear in the anal tissue, commonly known as an anal fissure. This can lead to discomfort, moisture, and bleeding from the anus. It is important t...
Dr. Chen Ronghong Reply:
Hello, if there is a tear around the anus, you can temporarily switch to water washing or moist wipes, but be sure to use gentle pressure. At the same time, avoid consuming spicy foods to prevent irritating the wound. If the wound does not heal over time or keeps recurring, you s...[Read More] Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Understanding Painful Anal Growths: Causes and Treatment Options
Prolapse or protrusion at the anal opening? I have a protrusion about 1 cm outside my anus, measuring approximately 0.5 to 1 cm. It causes pain during bowel movements and also when touched. The pain is more intense after I finish a bowel movement and usually subsides gradually ov...
Dr. Zhang Shuhao Reply:
Based on the description, the protrusion may be related to an anal fistula. The fistula connects to the interior of the anus and can cause pain and purulent discharge when inflamed. It is not necessarily related to hemorrhoidectomy. It is recommended to visit a colorectal clinic ...[Read More] Understanding Painful Anal Growths: Causes and Treatment Options
Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Is it anal fissure, hemorrhoids, or another condition? I previously experienced severe itching near the anus, and after a digital rectal examination, the doctor diagnosed me with an anal fissure. I underwent treatment for two months and consulted multiple doctors, but my conditio...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a case of anal fissure combined with a small thrombosed hemorrhoid. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The comm...[Read More] Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links
It seems to be a sacral dimple? Hello, I would like to inquire about a depression I have on my buttocks. I initially thought it was something everyone had, but later realized it was different. After researching online, it seems to resemble a sacral dimple. The depression is locat...
Dr. Zhang Junwei Reply:
It doesn't sound like a significant issue; it's likely just a normal variation. However, if you're still concerned, it's advisable to schedule an appointment with a spine specialist for a thorough examination.[Read More] Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links
Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation
Swelling on the lateral side of the anus and tissue fluid exudation after sterilization surgery? Hello, I would like to inquire about the following issues regarding swelling and pain on one side of the anus, as well as a protruding internal hemorrhoid, for which I am undergoing t...
Dr. Ke Fangxu Reply:
1. The duration for the rubber band to fall off can vary; if the ligation is shallow, it may fall off the next day. 2. Swelling and pain may be due to the location being too lateral; if it does not improve after a week, a follow-up visit is necessary. 3. It is likely an unhealed ...[Read More] Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation
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
Understanding Cauliflower Warts: Causes and Treatment Options
Cauliflower ear concerns? Doctor, I have warts around my anus. I've been seeing a traditional Chinese medicine practitioner and have been taking oral medication and applying topical treatments. However, the topical treatment seems to irritate my skin and cause peeling, which...
Dr. Zhang Shuhao Reply:
The antiviral ointment for warts can be quite irritating, causing local peeling and a burning sensation, but this does not lead to the spread of the warts. An increase in size is usually due to a higher viral load from contact or larger, deeper lesions that result in poor efficac...[Read More] Understanding Cauliflower Warts: Causes and Treatment Options
Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?
Anal intercourse issues? After anal intercourse, if you are experiencing persistent swelling and warmth in the anus, along with a constant urge to have a bowel movement but only producing white mucous discharge, this could be indicative of either hemorrhoids or a tear. The discom...
Dr. Xu Kaixi Reply:
The normal function of the anal mucosa is to serve as the surface for the transportation and storage of feces in the colon. When substances other than feces come into contact with this mucosa, it may lead to mucosal damage, triggering an inflammatory response that results in swel...[Read More] Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?