Understanding Hypertrophic Papilla: Treatment Options and Growth Concerns
Hypertrophic anal papillae Thank you, doctor, for your patient answers. I am the questioner of #195718. Could you please tell me if there is any way to make the hypertrophic papilla (the polyp) disappear other than surgery? Will it grow larger in the future? Thank you again, doct...
Dr. Zhang Shuhao Reply:
Hypertrophic papillae of the anus typically do not undergo malignant transformation, and surgical excision is not necessary if there are no discomforting symptoms. Surgery should only be considered if there is significant pain, a sensation of a foreign body, or a noticeable incre...[Read More] Understanding Hypertrophic Papilla: Treatment Options and Growth Concerns
Understanding Recurrence Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery? Hello, doctor. During my follow-up appointment, the doctor said to just wait for the tissue to heal. However, when I asked if there is a possibility of recurrence, the doctor mentioned that it could happen because the anal glands can r...
Dr. Zhang Shuhao Reply:
The same location typically does not regenerate, so if the fistula incision site is cleaned out properly, it will not recur at the same site. However, there are generally 6 to 8 glands around the anus, and inflammation of other glands may still lead to the formation of a fistula.[Read More] Understanding Recurrence Risks After Anal Fistula Surgery
Understanding Anal Hygiene: Is It Possible to Over-Clean?
Some issues related to the anus? I previously read some articles shared by netizens about treating anal fistulas, where doctors mentioned that overly clean anal hygiene could lead to fistulas. I would like to ask what constitutes "overly clean" anal hygiene. For instanc...
Dr. Ke Fangxu Reply:
The cause of anal fistulas is often a complication following an infection. However, why can excessive cleaning be a contributing factor? The anal area is not a sterile environment, so there is no need to be overly concerned about cleanliness; general hygiene is sufficient. If the...[Read More] Understanding Anal Hygiene: Is It Possible to Over-Clean?
Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-anal fistula surgery Hello Dr. Chang, it has been 7 days since my anal fistula surgery, and I find myself unable to hold in gas, which is watery. When I pass this watery gas, there is also an involuntary discharge of a white (yellow) secretion that is sticky and somewhat res...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, the wound may pass through the external anal sphincter, with part of it located on the inner side of the anus. The discharge consists of wound exudate and some intestinal fluid. You can continue to take sitz baths and change dressings to maintain clean...[Read More] Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Fistula surgery Hello Doctor, during a previous examination, a mass was found at the 12 o'clock position of the anus, which was diagnosed as an anal fistula. The surgeon initially planned to perform the procedure under spinal anesthesia, but after one day of hospitalization,...
Dr. Zhang Shuhao Reply:
Anal fistula surgery can be performed under general or regional anesthesia, and simpler fistulas may even be treated with local anesthesia. It is advisable to discuss the most suitable anesthesia method with the surgeon or anesthesiologist. Patients typically do not experience di...[Read More] Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Understanding Tetanus Vaccine Effectiveness and Wound Care
Tetanus vaccine and wound issues? 1. I received a Tetanus vaccine on March 16. Is this considered a vaccine? I would like to know if it becomes effective the day after administration. How long does it take to become effective? About 5 or 6 years ago, I was injured after falling i...
Dr. Chen Ronghong Reply:
Hello, 1. You received a tetanus vaccine, and immunity typically develops about two to four weeks after administration, so your tetanus immunity is derived from your previous vaccination. 2. Symptoms of tetanus infection include abdominal stiffness and muscle spasms, and in more ...[Read More] Understanding Tetanus Vaccine Effectiveness and Wound Care
Understanding Lipomas: When to Consider Surgical Removal and Costs
Hello, I would like to inquire about lipomas? I apologize, but one day in high school while taking a shower, I felt a small, slightly soft lump on the right side of my buttocks, close to the anus. I didn't think much of it until I got to college, when I realized it seemed to...
Dr. Chen Bingze Reply:
Hello, may I ask if I have not already replied to you?[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs
Understanding Lipomas: When to Consider Surgical Removal and Costs
Hello, I would like to inquire about lipomas? I apologize, but one day in high school while showering, I noticed a slightly soft small lump on the right side of my buttocks near the anus. I didn't think much of it until I got to college, when I realized it seemed to be getti...
Dr. Chen Bingze Reply:
Hello, this location is quite special; it could be a lipoma, an epidermoid cyst, or something else. It needs to be excised and examined to determine what it is. Allowing it to grow larger could lead to more complications. Any surgery will leave a scar, but most of these procedure...[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs
Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Post-fistula surgery I would like to ask the doctor, I underwent a fistula incision surgery on February 7th, and as of today, March 25th, I am still experiencing significant pain in the anal area. The pain worsens after standing for a long time or after using the restroom. The ex...
Dr. Ke Fangxu Reply:
1. If both sides have undergone surgery, you may be classified as having a complex fistula, which could result in a longer healing time. 2. It is true that complex fistulas have a higher recurrence rate, but this is not inevitable. It is still too early to draw conclusions; we ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Tetanus vaccine and wound issues? 1. I received a Tetanus vaccine around March 16. I would like to know if the vaccine becomes effective the day after administration. How long does it take for the vaccine to provide protection? 2. Yesterday, on March 26, after picking at my nail...
Dr. Chen Jiaming Reply:
There is no risk of tetanus infection from a wound that has come into contact with human feces.[Read More] Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Understanding Lipomas: When to Consider Surgical Removal and Costs
Hello, I would like to inquire about lipomas? I apologize, but I discovered a small, slightly soft lump on the right side of my buttocks, near the anus, while showering in high school. I didn't think much of it until I got to college, when I realized it seemed to be getting ...
Dr. Chen Bingze Reply:
Hello, this location is quite special; it could be a lipoma, an epidermoid cyst, or something else. It needs to be excised and examined to determine what it is. Allowing it to grow could lead to more complications. Any surgery will leave a scar, but most of these procedures are c...[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs
Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Severe anal spasms and constipation after hemorrhoid surgery? Hello Doctor, I just had a hemorrhoidectomy on Thursday, and until today, Sunday, I have had no urge to have a bowel movement and cannot pass stool. I have been using sitz baths before attempting to have a bowel moveme...
Dr. Ke Fangxu Reply:
In theory, the use of a tissue coagulator should not result in such phenomena. It is advisable for you to consult the surgeon again without worrying about the appointment time and to seek medical attention promptly. Regardless of the type of surgery, it is essential to avoid cons...[Read More] Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Understanding Colonic Issues: Symptoms and When to Seek Help
Colonic issues? I occasionally feel the urge to defecate when urinating. About a month and a half ago, I experienced diarrhea, going to the bathroom 3 to 4 times a day. Recently, my bowel movements have been irregular (small amounts of soft stool daily), but I have to pass gas be...
Dr. Zhang Shuhao Reply:
Frequent flatulence and bowel movements can be symptoms of irritable bowel syndrome. If these symptoms are causing significant distress in daily life, you may consider visiting a clinic to obtain some medications for gut health. A feeling of rectal heaviness and difficulty cleani...[Read More] Understanding Colonic Issues: Symptoms and When to Seek Help
Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
It has been over a year since the hemorrhoid surgery, and I am experiencing difficulty with bowel movements and a lack of sensation during defecation? Hello Doctor, after my hemorrhoid surgery last year following the Lunar New Year (the doctor mentioned that a significant amount ...
Dr. Zhang Shuhao Reply:
Postoperative difficulty in bowel movements after hemorrhoid surgery may be due to sensory or structural abnormalities. Sensory abnormalities occur when nerve endings are damaged, leading to an inability to accurately perceive the urge to defecate, which typically improves gradua...[Read More] Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Black protruding soft tissue near the anus? Hello, I noticed a protruding soft tissue near my anus while showering. It is black in color, and I can push it inward with my hand, but it pops out again when I release it. It causes a sharp pain when sitting for a long time. I would l...
Dr. Zhang Shuhao Reply:
1. At the moment of pain, you can take a warm sitz bath, ensuring that the entire pelvic area is submerged, which can promote blood circulation and help reduce swelling more quickly. 2. If you need to go to the pharmacy for medication, you can purchase hemorrhoid ointment and ora...[Read More] Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Blood in the stool with a sensation of anal discomfort? Today at home, I felt the urge to have a bowel movement while watching a video. I decided to stand up and hold it in. About ten minutes later, I noticed blood running down my thigh. When I checked, my buttocks were covered i...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Anal abscess?? Anal fistula?? I found a lump near my anus after using the restroom. Later, the doctor said it was a fistula and that I needed surgery. However, after researching online, it seems like it could be an anal abscess, and I haven't developed any small openings (wh...
Dr. Ke Fangxu Reply:
The National Health Insurance Quick Access is not a doctor; it can only provide general information for reference. Accurate diagnosis still relies on a physician. I understand that you may not comprehend why the doctor diagnosed you with a fistula. I can appreciate your reluctanc...[Read More] Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu Reply:
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Perianal mass Hello, doctor. I have a hard lump about 4 cm outside the anus that has been present for about a year. Last month, it suddenly became a bit red and swollen, but after a week, it returned to being a smooth hard lump. I did not experience any symptoms of an abscess, so...
Dr. Zhang Shuhao Reply:
A sebaceous cyst originates from inflammation of the sebaceous glands and subcutaneous tissue, while an anal fistula arises from inflammation of the anal glands. Therefore, an anal fistula is connected to the rectum, and as long as the connecting passage is not excised, recurrenc...[Read More] Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes
Issues related to internal hemorrhoids? Since last week, I have been experiencing occasional sharp pain and a foreign body sensation in my anus. I visited a nearby clinic, where they performed an anoscopy and diagnosed me with internal hemorrhoids. I was prescribed oral medicatio...
Dr. Xu Kaixi Reply:
Hemorrhoids (including internal and external hemorrhoids) are varicosities of the veins around the anus, and theoretically, they cannot be cured but can only be managed to prevent worsening and inflammation. Dietary management includes reducing or avoiding excessive alcohol consu...[Read More] Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes