Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Cauliflower infection It has been over a year since engaging in sexual activity, but I have developed warts around the anus. Why could I have been infected, and can it extend to the genital area? Will the doctor treat it as well?
Dr. Zhang Shuhao Reply:
Warts, commonly known as cauliflower warts, are viral lesions caused by human papillomavirus (HPV) infection of the skin and mucous membranes. They may not manifest immediately upon contact and can remain dormant for a period of time, often reactivating when the immune system is ...[Read More] Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
The surgical wound from an anal fistula has become dehiscent? Hello Doctor, I had anal fistula surgery at the beginning of the year, and recently I accidentally caused a small abrasion around the anus while wiping. The wound is located near the surgical site. After a consultation...
Dr. Zhang Shuhao Reply:
The source of a fistula is the anal glands, so simple skin breaks will not lead to the recurrence of a fistula. Over-the-counter antibiotic ointments can be applied, but it is important to note that prolonged use may increase the risk of skin allergies.[Read More] Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
Understanding Perianal Folliculitis: Symptoms, Treatment, and Care
Perianal folliculitis Hello Doctor: Recently, I developed a bump about 0.7 cm in size around 1.5 cm from my anus. It is not painful when pressed or touched, but there is redness, swelling, and pus. I visited a colorectal surgeon on Monday, who confirmed that it is just a bump. On...
Dr. Zhang Shuhao Reply:
Keep the wound clean, apply topical erythromycin or tetracycline ointment, take oral anti-inflammatory medication, avoid smoking and irritating foods, and increase fluid intake, all of which can promote swelling reduction and healing of the wound.[Read More] Understanding Perianal Folliculitis: Symptoms, Treatment, and Care
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
Understanding Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding Tetanus Risks After Rusty Object Injuries
Concern about tetanus? Hello, doctor. Three days ago, I was scratched by a rusty object (the wound is near a blood vessel). I cleaned the wound about an hour later. I would like to know if there is a risk of tetanus infection in this situation. Also, is my eyelid twitching relate...
Dr. Ke Fangxu Reply:
Clostridium tetani, the bacterium that causes tetanus, is an anaerobic organism that typically cannot grow unless there is a deep wound. Superficial scratches are unlikely to cause tetanus. Additionally, eyelid twitching is not related to tetanus.[Read More] Understanding Tetanus Risks After Rusty Object Injuries
Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Postpartum hemorrhoids Hello, doctor. I would like to ask about hemorrhoids. I gave birth on May 1st, and afterward, I noticed two small polyps around my anus. They don't hurt when I touch them, but I do see a little blood when I go to the bathroom. I suspect I have develope...
Dr. Zhang Shuhao Reply:
If there are no specific symptoms during pregnancy and hemorrhoids occur only after delivery, surgery may not be necessary. It is advisable to start with warm sitz baths, use hemorrhoid ointments, and increase fluid and dietary fiber intake to prevent constipation, as these measu...[Read More] Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Post-Surgery Concerns After Traditional Hemorrhoid Removal: What to Expect
Traditional surgery for internal and external hemorrhoids, postoperative issues? Hello, Doctor. My condition is that after bowel movements, a lump comes out that I can push back in; it seems to be a small piece of tissue related to an external hemorrhoid. It's not very large...
Dr. Ke Fangxu Reply:
First, traditional excision of external hemorrhoids and electrosurgery are different surgical methods, so without knowing your exact surgical procedure, it may not be possible to fully answer your question. 1. It is possible. 2. If the wound is very painful and cannot be pushed b...[Read More] Post-Surgery Concerns After Traditional Hemorrhoid Removal: What to Expect
Tetanus Risk After Rusty Object Injury: What You Need to Know
Concern about tetanus? Hello, doctor. Three days ago, I was scratched by a rusty object, and I cleaned the wound about an hour later. My lower right eyelid has been twitching for several days. I would like to know if there is a risk of tetanus infection in this situation.
Dr. Chen Bingze Reply:
Actually, the concern is to quickly get to a medical facility to receive a booster shot for the tetanus vaccine, which would provide more peace of mind.[Read More] Tetanus Risk After Rusty Object Injury: What You Need to Know
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Pain around the anal area? Hello, doctor. Recently, I visited a clinic due to a feeling of heaviness in my anus. The doctor diagnosed me with symptoms of internal and external hemorrhoids and advised me to pay more attention to improving my lifestyle. However, I have recently exp...
Dr. Ke Fangxu Reply:
1. What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis. Online consultations cannot replace actual medical evaluations. It may be related to hemorrhoids, but other conditions canno...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
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
Essential Care Tips for Treating Cuts and Scrapes at Home
Wound care for lacerations? Hello Dr. Chen, today I stepped on a nearly broken plastic chair, which broke, and my left calf was cut by the chair fragments, resulting in abrasions and bleeding. I immediately washed the area with saline solution, applied Betadine, and covered it wi...
Dr. Chen Bingze Reply:
1. If you're concerned, it's advisable to get a tetanus shot at a medical facility, even though the risk of infection is really low. 2. This is normal. 3. You can avoid touching that area for now, and later use clean scissors to carefully trim it away. 4. You shou...[Read More] Essential Care Tips for Treating Cuts and Scrapes at Home
Persistent Arm Swelling and Pain After Tetanus Vaccine: What to Do?
Four days after receiving the tetanus vaccine, the arm is still swollen and painful? Hello, doctor. Last Friday, June 9th, I received a tetanus vaccine due to a deep laceration. The injection site on my arm was sore for two days, and I expected it to improve within 2 to 3 days. H...
Dr. Chen Bingze Reply:
You can start with a warm compress and observe; it should gradually improve over time.[Read More] Persistent Arm Swelling and Pain After Tetanus Vaccine: What to Do?
Understanding Folliculitis Near the Anus: Symptoms and Treatment
Suspected folliculitis near the anus? Hello: In the past two days, I have developed two bumps near the anal area, approximately 1.5 cm in size (at the 5 o'clock and 11 o'clock positions). One is about 1 x 0.5 cm, while the other appears to be a raised area resembling fo...
Dr. Zhang Shuhao Reply:
An anal abscess or fistula is caused by inflammation of the anal glands, while folliculitis originates from inflammation of the dermis. Your condition is more consistent with folliculitis caused by friction and heat. A colorectal surgeon can differentiate this through physical ex...[Read More] Understanding Folliculitis Near the Anus: Symptoms and Treatment
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 Fistula Symptoms and Management: Your Questions Answered
Inquire whether it is related to fistula issues? Recently, I have been experiencing a painful sensation near the anus that feels like a skin tear (it's not very painful, but it affects my mood). When I rinse with hot water, it feels like there is a painful wound similar to a...
Dr. Ke Fangxu Reply:
1. Is it necessary to personally examine the fistula to confirm that it generally needs to meet the three conditions of an internal opening, external opening, and the tract? However, it is not always guaranteed that all three can be identified. 2. Maintain cleanliness and avoid...[Read More] Understanding Anal Fistula Symptoms and Management: Your Questions Answered
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
Understanding Rectal Hard Lumps: Causes, Concerns, and Care
Hard mass in the anal canal? Hello, Doctor. At the end of April, I discovered a hard lump about two fingerbreadths deep inside my anus. The surface is uneven. I visited a clinic where the physician performed a digital examination and told me it was just a ruptured hemorrhoid and ...
Dr. Xu Kaixi Reply:
1. If you have already visited the clinic for an examination, along with your description, there is no need to worry about other serious conditions. If you are still concerned, you can return for follow-up examinations periodically. 2. Hemorrhoids are varicosities of the anal m...[Read More] Understanding Rectal Hard Lumps: Causes, Concerns, and Care
Understanding Tetanus and Bacterial Infections: Risks and Vaccination
Tetanus or bacterial infection Hello Doctor: I often have skin breaks near my fingernails, and sometimes I accidentally tear them off, leaving a small red mark that hurts. It also hurts when I apply alcohol to it. However, I frequently encounter this while doing housework. I read...
Dr. Li Zhonghuai Reply:
Hello! It exists in the "gastrointestinal tract of mammals" and "soil." Elderly individuals, diabetics, and drug addicts are more susceptible to infection, although cases are rare. Generally, infections are more likely to occur when there are injuries contamin...[Read More] Understanding Tetanus and Bacterial Infections: Risks and Vaccination