Understanding Anal Abscess: Healing and Fistula Detection Tips
Anal abscess On Tuesday, I noticed a hard lump near my anus that looked like a pimple. I went to see a doctor yesterday, and I was diagnosed with an anal abscess, which was drained. I was prescribed antibiotics for three days. This morning, the abscess ruptured and discharged a w...
Dr. Zhang Shuhao Reply:
1. When the pus drains completely and the lump gradually softens and disappears, healing will occur slowly. 2. If a fistula forms, there may be an opening with discharge or a lump present. Once it flares up, it will be red, swollen, hot, and painful. Generally, a diagnosis can be...[Read More] Understanding Anal Abscess: Healing and Fistula Detection Tips
Understanding Anal Itching and Discomfort: Causes and Solutions
Perianal itching and burning? Hello, doctor. I've been struggling with perianal itching for about two weeks. Initially, I thought it was due to exam stress leading to increased hygiene habits, so I started using a bidet and reduced the frequency of wiping and washing. Howeve...
Dr. Ke Fangxu Reply:
1. Winter is a common season for anal itching, similar to the occurrence of dry skin. 2. It is possible. 3. There may always be a small amount of fecal matter or secretions around the anal area, which can cause irritation or result from low anal pressure. Anal itching may also be...[Read More] Understanding Anal Itching and Discomfort: Causes and Solutions
Understanding Wounds Near the Anus: Causes and Treatment Options
Wound near the anus? Hello Doctor, I have a wound in my groin area located towards the direction of my testicles from the anus, very close to the anal opening (but not in the anal folds). It has not healed for about two weeks, and I suspect it might be an anal fistula. I visited ...
Dr. Zhang Shuhao Reply:
The occurrence of anal fistula can present with symptoms such as redness, swelling, heat, and pain, resembling an open wound. It is recommended to rinse the area with clean water after using the restroom to reduce friction and irritation. Wear loose and breathable clothing, and a...[Read More] Understanding Wounds Near the Anus: Causes and Treatment Options
Post-Abscess Hard Lump Near Anus: Should You Worry?
After the abscess near the anus has been drained, it has turned into a painless, firm lump upon palpation? Hello, doctor. Around mid-November, I developed an abscess near my anus (toward the coccyx) that was about the size of a ten-dollar coin. It was extremely painful even when ...
Dr. Zhang Shuhao Reply:
If there are no symptoms, it may not be necessary to take immediate action; instead, observe whether the swelling and pain recur. A simple subcutaneous abscess may resolve on its own after the inflammation and infection are controlled. However, if the source of the abscess is fro...[Read More] Post-Abscess Hard Lump Near Anus: Should You Worry?
Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
The anal area resembles hemorrhoids? Hello doctor, there is a swollen tissue outside my anus, and I'm not sure if it's hemorrhoids. It protrudes when I relax, but it doesn't hurt and there is no bleeding. I also haven't experienced any bleeding after bowel mov...
Dr. Zhang Shuhao Reply:
The image shows a mixed hemorrhoid (with a milder external hemorrhoid, primarily consisting of internal hemorrhoids). After bowel movements, there may be slight prolapse. If there is no acute onset of swelling, pain, or bleeding, no special treatment is necessary. Regular care ca...[Read More] Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Feeling of fullness in the anus? Hello doctor, the academic exam is approaching, so I've been staying up late recently. I have a habit of using my phone while having a bowel movement. A few days ago, I suddenly started feeling a fullness in my anus and the urge to defecate, ...
Dr. Zhang Shuhao Reply:
Staying up late and spending excessive time in the bathroom can exacerbate hemorrhoid symptoms and should be avoided. It is advisable to take warm sitz baths, increase fluid intake, and consume more dietary fiber, while also changing the habit of prolonged bathroom use. If concer...[Read More] Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Blood When Wiping: Should You See a Doctor for Anal Pain?
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions In the morning, there was a strong urge to have a bowel movement. While using the toilet, I noticed a small amount of bright red bloo...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Blood When Wiping: Should You See a Doctor for Anal Pain?
Understanding Anal Pain: Could It Be Hemorrhoids?
Anal pain A few days ago, after doing squats, I initially thought it was just muscle soreness, but later I discovered that there is a painful spot near the anus that hurts when pressed. There doesn't seem to be any visible abnormalities, but it hurts a lot when I sneeze or d...
Dr. Zhang Shuhao Reply:
Pain around the anus may be caused by anal fissures, skin wounds, abscesses due to inflammatory infections, hemorrhoids, and other reasons. Squatting can obstruct pelvic venous return, potentially exacerbating hemorrhoid symptoms. Straining during bowel movements can cause sharp,...[Read More] Understanding Anal Pain: Could It Be Hemorrhoids?
Understanding Anal Hygiene and Stool Consistency Issues
Anal hygiene and stool consistency issues? Hello, doctor. I have been struggling with anxiety and obsessive cleanliness, particularly regarding anal hygiene. Recently, due to the stress of midterm exams, my obsessive-compulsive symptoms worsened, and I felt the need to clean exce...
Dr. Chen Bingze Reply:
Hello, for questions 1 and 2, I suggest using more water for cleansing, as it will be cleaner than just wiping. 3. This is indeed a more troublesome issue, but taking a sitz bath once a day for fifteen minutes should be manageable. 4. You can also consider using suppositories, as...[Read More] Understanding Anal Hygiene and Stool Consistency Issues
Understanding Anal Fissures: Causes, Treatment, and Dietary Tips
Management of Anal Fissures Hello, doctor. I apologize for bothering you again. I didn't get to ask a few questions yesterday: 1. What could be the possible reasons for having hard, bulky stools at the front but smooth at the back, and how can this be improved? 2. Under co...
Dr. Zhang Shuhao Reply:
1. There may be insufficient hydration and dietary fiber, leading to slower colonic motility or prolonged retention of stool in the rectum. Improving dietary habits, increasing physical activity, and establishing regular bowel habits can help. 2. Maintaining a regular schedule ...[Read More] Understanding Anal Fissures: Causes, Treatment, and Dietary Tips
Understanding Anal Fissures: Causes, Treatments, and Relief Tips
Anal fissure issues? Hello, doctor. I have had an anal fissure for the past few days and have several questions: 1. What could be the reason for developing an anal fissure even though my stool is not particularly hard or large? Could it be due to excessive sphincter muscle tens...
Dr. Chen Bingze Reply:
Hello, I understand this issue must be very troubling for you. 1. Typically, increased anal sphincter pressure is a concern. It is recommended to take a warm sitz bath for fifteen minutes daily. 2. If the stool is hard and bulky, it may be difficult to pass. Increasing your wa...[Read More] Understanding Anal Fissures: Causes, Treatments, and Relief Tips
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements, as well as pain when wiping, can indicate conditions such as anal fissures, hemorrhoids, or other anal disorders. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? I expe...
Dr. Zhang Shuhao Reply:
Pain in the anus that feels like being cut with a knife during and after bowel movements is a typical symptom of anal fissures. This condition is often caused by excessive straining during defecation, leading to tears in the anal canal. Taking warm sitz baths and applying topical...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Anal itching, timing for sitz baths? Hello, doctor. I am a university student and have been experiencing symptoms of anxiety and obsessive cleanliness, which become particularly severe during stressful times. Recently, due to midterm exams, my compulsive cleaning behaviors intens...
Dr. Zhang Shuhao Reply:
1. When the anus itches due to excessive cleaning, a sitz bath is not necessary; rinsing with cold water is sufficient. 2. The use of medication three to four years ago is less related to current symptoms; anal pruritus is more associated with allergies, environmental factors, ...[Read More] Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Concerns About Infection After Using Public Restrooms
Suspected infection Hello doctor, I dropped toilet paper on the floor of a public restroom and picked it up before washing my hands and then using the toilet. I have a small wound near my anus and I am currently on my menstrual period. I would like to know if there is a risk of i...
Dr. Zhang Shuhao Reply:
There is little concern for infection or transmission. It is important to keep the wound near the anus clean while it heals. If you are worried, you can visit an outpatient clinic for an examination and a prescription for ointment.[Read More] Concerns About Infection After Using Public Restrooms
White Spots Near the Anus: Causes and When to Seek Help
There are white spots near the anus? I have a history of hemorrhoids and sometimes experience severe symptoms, but I haven't had any issues for about six months. However, I now have some individual white spots in the area. I usually wash with water after using the restroom, ...
Dr. Xu Kaixi Reply:
The white spots near the anus could possibly be polyps or other tumors. It is recommended to visit an outpatient clinic for examination. Thank you for your inquiry.[Read More] White Spots Near the Anus: Causes and When to Seek Help
How to Prevent and Manage Anal Fissures and Related Symptoms
How to improve or prevent anal fissure bleeding? Hello, Doctor. (1) A few years ago, I had anal fissures and hemorrhoids and received treatment at the hospital, and I have since recovered. However, I have noticed that during anal intercourse with my partner, there is a high likel...
Dr. Zhang Shuhao Reply:
1. If you have previously experienced anal fissures, it is essential to use ample lubrication and gradually dilate the anus before anal intercourse. Insertion should only occur when the anal sphincter is completely relaxed. If you experience sharp pain during the process (the pai...[Read More] How to Prevent and Manage Anal Fissures and Related Symptoms
Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Excessive cleaning of the anus can lead to itching? I have always had obsessive cleanliness habits, so I tend to wipe until there are no traces left after using the restroom (I know this isn't good, but I often can't help it). Recently, due to the stress of midterms, I ...
Dr. Ke Fangxu Reply:
Excessive cleaning that leads to anal itching is quite common. Aside from medication, the fundamental solution is simple: do not over-clean. Excessive washing and wiping can cause damage and inflammation to the anal skin. Hot water sitz baths can further exacerbate the dermatitis...[Read More] Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...
Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...[Read More] Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu Reply:
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Thrombosed external hemorrhoid Hello doctor, I visited a physician two weeks ago, and I was informed that there is a thrombosed hemorrhoid at my anus. The doctor prescribed medication for me to apply and advised me to take warm sitz baths. Following the doctor's instructions...
Dr. Ke Fangxu Reply:
If a thrombosed external hemorrhoid is not painful or bleeding, it can completely resolve on its own, typically within 2 to 4 weeks. However, if discomfort persists, a physician can perform a thrombectomy.[Read More] Managing Thrombosed External Hemorrhoids: Treatment and Care Tips