Understanding Anal Fissures and Hemorrhoids: Symptoms and Recovery
Anal fissure Hemorrhoids Hello Doctor: My symptoms started on Wednesday after eating mochi and having salad for several consecutive days. By Thursday noon, I suddenly had diarrhea (with muddy stools) and noticed blood in my stool since then (the amount was quite significant). I e...
Dr. Zhang Shuhao Reply:
1. Anal fissures and hemorrhoids typically do not cause fever or chills; other underlying causes should be considered. 2. Mild hemorrhoids and anal fissures can benefit from warm sitz baths and increased fluid intake to maintain smooth bowel movements; symptoms may improve within...[Read More] Understanding Anal Fissures and Hemorrhoids: Symptoms and Recovery
Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Fecal incontinence after fistula surgery? Hello, doctor. Today is the 9th day since I had my fistula surgery. Since the surgery, whenever I sit for a longer period, I feel something coming out from my anus. Each time I remove the dressing to check, I notice that not only is there...
Dr. Zhang Shuhao Reply:
After the fistula surgery, pain and swelling at the surgical site may affect the sensation of bowel movements. If the stool is relatively loose at this time, there may be a feeling of incontinence. If the patient does not typically experience constipation, there is no need for st...[Read More] Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Understanding Small Bumps Below the Anus: Causes and Concerns
There are small bumps on the skin below the anal folds? Hello Doctor: I have mild external hemorrhoids, and recently I sought medical attention due to slight abrasion and inflammation of the hemorrhoids. Over the past few days, while applying hemorrhoid cream, I noticed a few sma...
Dr. Zhang Shuhao Reply:
After an anal fissure, skin tags may sometimes develop on the outer edge of the wound. If there are no discomforting symptoms, no special treatment is necessary. However, it is important to differentiate them from infectious lesions. If there is any uncertainty, it is advisable t...[Read More] Understanding Small Bumps Below the Anus: Causes and Concerns
Understanding Perianal Cellulitis: Causes, Symptoms, and Treatment
Excessive wiping of the buttocks leading to bleeding has subsequently caused cellulitis on one side of the anus... TAT? Hello, Doctor. Today I visited a large hospital to see a gynecologist. My initial concern was that I had developed a Bartholin's gland cyst because I accid...
Dr. Xu Kaixi Reply:
If a physician diagnoses cellulitis, it is theoretically expected to improve with antibiotic treatment. The typical course of oral antibiotics lasts about 1 to 2 weeks. If there is no improvement, it is recommended to follow up with a hospital for further evaluation.[Read More] Understanding Perianal Cellulitis: Causes, Symptoms, and Treatment
Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
How can we prevent or check for the formation of a fistula in cases of chronic anal fissures lasting more than five years? I understand that chronic anal fissures, which can lead to the formation of fistulas, are considered a high-risk factor. However, before making the decision ...
Dr. Zhang Shuhao Reply:
If there is no swelling, pain, bleeding, or purulent discharge from the anus, there is no need for a special internal examination. It is advisable to increase fluid intake and dietary fiber to prevent constipation, reduce the time spent in the restroom, and if there is pain after...[Read More] Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Perianal mass Hello Dr. Chang, Recently, I noticed a small soft and elastic lump at the anal opening while taking a shower. It is asymptomatic, does not hurt when pressed, and is located only on one side of the anus. There has been no bleeding with bowel movements, and I have a ...
Dr. Zhang Shuhao Reply:
The image is not very clear, but it is likely hemorrhoids. You can start by taking warm sitz baths and maintaining smooth bowel movements. If the symptoms become bothersome, please visit a colorectal specialist.[Read More] Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Anal wound Hello, doctor. I have been experiencing anal pain after bowel movements for a long time, with slight bleeding (similar to a skin tear) after wiping. I tend to be constipated, and a doctor mentioned that this could be due to hard stools, so I didn't pay much attent...
Dr. Zhang Shuhao Reply:
1. Pain and bleeding from the anus after bowel movements may be symptoms of anal fissures. If anal fissures recur, they can lead to the formation of ulcers in the local area, which are less likely to heal on their own. It is necessary to check for the presence of abscesses or fis...[Read More] Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Do You Need Rabies and Tetanus Shots After a Kitten Scratch?
Scratched by a newly adopted kitten? If a kitten that you have had for two months scratches you and there are no visible wounds or bleeding, it is generally not necessary to administer rabies or tetanus vaccinations. However, if you have concerns about the scratch or if you devel...
Dr. Chen Bingze Reply:
If there are no obvious wounds, it should be fine and there may not be a need for vaccination.[Read More] Do You Need Rabies and Tetanus Shots After a Kitten Scratch?
Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Anorectal foreign body sensation Hello, doctor. I would like to ask a question. Last Friday, after eating something spicy, I felt a slight burning sensation in my anus the next day during a bowel movement. Later, I also felt a sensation of something foreign in my anus. I then vis...
Dr. Zhang Shuhao Reply:
Irritating foods can easily cause swelling of hemorrhoids, leading to a sensation of foreign body in the anus. If a digital rectal examination reveals no other rectal issues, soaking in warm water and using hemorrhoid ointment can help reduce swelling and alleviate the sensation ...[Read More] Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Understanding and Relieving Skin Irritation Around the Anus
The skin around the anus is prickly? Hello, doctor. For the past two to three weeks, I've been experiencing a tingling sensation in the skin located about one centimeter to the left of my anus. There are no bumps or hard masses on the surface, and it doesn't hurt when I...
Dr. Ke Fangxu Reply:
This phenomenon may simply be skin inflammation. It is recommended to avoid scratching or vigorous rubbing, and to refrain from using soap or body wash for cleansing. If there is no improvement, it is advisable to consult a physician for further evaluation.[Read More] Understanding and Relieving Skin Irritation Around the Anus
Understanding White Bumps Around the Anus: Causes and Treatments
White spots around the anal area? Hello Dr. Chang, It seems like I have keratosis pilaris; the surface of the skin appears red and resembles papules. When I squeeze it, a white, elongated substance comes out, which does not look like pus but more like comedones. There are many ...
Dr. Zhang Shuhao Reply:
Based on your description, it seems more like folliculitis around the anus, which originates from the subcutaneous glands rather than the anal glands. It is recommended to maintain local cleanliness and ventilation, supplemented with oral medication and antibiotic ointment. It is...[Read More] Understanding White Bumps Around the Anus: Causes and Treatments
Understanding Anal Itching and Fissures: Causes and Solutions
Anal itching and anal fissure? About 12 days ago, I experienced itching in the anal area almost every day (especially more frequently at night). Then, starting around May 2nd, I began to feel pain in the anus when having a bowel movement, which feels like an anal fissure. I looke...
Dr. Ke Fangxu Reply:
Excessive pressure in the anal sphincter can also be one of the causes of anal fissures; however, a medical examination is necessary to confirm this, as it may not be an issue related to anal fissures at all. It is advisable to start with warm sitz baths along with topical medica...[Read More] Understanding Anal Itching and Fissures: Causes and Solutions
Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
The issues of anal fissures and hemorrhoids and their relationship with candidiasis infection? 1. I have been experiencing constipation since I was about 9 years old, and it continues to this day. I usually have a bowel movement every 3 to 5 days, with occasional soft stools or d...
Dr. Zhang Shuhao Reply:
1. If the area around the anus is swollen and resembles symptoms of hemorrhoids, chronic constipation and straining can lead to the enlargement and prolapse of hemorrhoidal tissue. Anal fissures typically do not extend to the perineum, but recurrent anal fissures may result in de...[Read More] Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
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 Heaviness: Causes, Symptoms, and Treatment Options
Anal heaviness sensation Hello, Doctor. I previously visited a colorectal clinic due to a lump and a feeling of heaviness in my anus. After an examination, the doctor indicated that it was hemorrhoids and advised me not to worry. The feeling of heaviness was attributed to mild he...
Dr. Ke Fangxu Reply:
1. It will absorb on its own. 2. Ointments or suppositories can help alleviate symptoms, and some anti-inflammatory medications may also be beneficial. The key point is to avoid prolonged straining during bowel movements to prevent poor blood circulation, which can lead to hemorr...[Read More] Understanding Anal Heaviness: Causes, Symptoms, and Treatment Options
Understanding Post-Anal Intercourse Bleeding: Symptoms and Concerns
Symptoms and bleeding after anal intercourse inquiry? Medical History: Frequent gastroesophageal reflux, underwent gastroscopy one year ago revealing a gastric ulcer. Recently undergoing treatment for syphilis (reported). Inquiring about rectal bleeding after anal intercourse; fo...
Dr. Ke Fangxu Reply:
This phenomenon is more akin to mild hemorrhoidal bleeding. It is unlikely that the internal structure of the colon and rectum is damaged, especially since it has been three months since the last anal intercourse. I recommend that you avoid inserting your fingers into the anus to...[Read More] Understanding Post-Anal Intercourse Bleeding: Symptoms and Concerns
Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
In the past two weeks, there have been orange speckled particles in the stool? Since being diagnosed last December, I have experienced frequent gastrointestinal motility and flatulence. I have been taking traditional Chinese medicine for adjustment, and in March, I underwent a fe...
Dr. Xu Kaixi Reply:
It is possible that the medication has not been fully digested, or that components of traditional Chinese medicine are adhering to the fiber in the stool, so there is no need to worry too much. If the situation persists and does not improve, it is advisable to visit a hospital fo...[Read More] Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
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 Abscesses and Fistulas: A Patient's Journey
Anal abscess? Anal fistula? Hello, Doctor! I apologize for the lengthy message. After using the restroom, I rinsed my buttocks and felt a soft lump near the anal area. I later researched online and it seemed like it could be an anal abscess or an anal fistula. I noticed something...
Dr. Ke Fangxu Reply:
If the infection symptoms are not severe, it can sometimes be difficult to diagnose anal fistulas or abscesses. An anal fistula must meet two essential criteria: the presence of a skin opening and a tubular structure. An abscess, on the other hand, requires the accumulation of pu...[Read More] Understanding Anal Abscesses and Fistulas: A Patient's Journey
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