Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscesses? Hello, Doctor. About 5-6 years ago, I had an experience with an anal abscess that required incision and drainage, but it did not result in an anal fistula. Recently, about 6 days ago, I started feeling mild discomfort deep in the anal area, w...
Dr. Ke Fangxu Reply:
An anal abscess is indeed more effectively treated with incision and drainage; however, if the abscess is too small or located at a greater depth, antibiotic treatment can also be a viable option. It is also possible that the physician you consulted is not a specialist in colorec...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscess? Hello Doctor, I have been experiencing pain near the anal area recently. The doctor I consulted initially diagnosed it as an anal abscess, approximately the size of a half peanut, with some signs of pus formation. I was prescribed oral antibiot...
Dr. Zhang Shuhao Reply:
If an abscess near the anus is only the size of a half peanut, it may not necessarily be connected to the anal glands. Initially, oral antibiotics can be prescribed for observation, as most cases can resolve on their own. However, if there is severe swelling and inflammation, inc...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Dealing with Painful Abscess Near the Anus: When to See a Doctor
There is a pus-filled abscess near the anus? Hello, doctor. Recently, I have developed a pus-filled bump near my anus. This has happened before, but it usually resolves itself in a few days. However, whenever I wipe forcefully, a pus-filled bump appears, and it is somewhat itchy ...
Dr. Zhang Shuhao Reply:
The formation of perianal abscesses can have multiple causes, including folliculitis, anal abscesses, or infectious lesions. These abscesses are more likely to occur and worsen after vigorous wiping or friction. If the abscess enlarges or symptoms such as fever, redness, swelling...[Read More] Dealing with Painful Abscess Near the Anus: When to See a Doctor
Can Hemorrhoids Recur After Surgery? Insights 3 Months Post-Procedure
Three months after hemorrhoid surgery? Hello doctor, I had hemorrhoid surgery (using ultrasound knife) to remove mixed hemorrhoids three months ago. However, in the past few days, while cleaning my anus, I felt what seems to be protruding tissue that resembles hemorrhoids. I'...
Dr. Zhang Shuhao Reply:
Regardless of the type of hemorrhoid surgery performed, recurrence is unlikely within three months. It is advisable to take warm sitz baths to help reduce swelling. If symptoms persist, it is recommended to return to the surgeon for a follow-up appointment to examine the surgical...[Read More] Can Hemorrhoids Recur After Surgery? Insights 3 Months Post-Procedure
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
If the anal abscess and fistula are no longer painful, is surgery still necessary? Hello Doctor: Recently, I developed an abscess near my anus, for which I visited a clinic, received antibiotics, and had the pus drained. Currently, I no longer feel any foreign body sensation or p...
Dr. Zhang Shuhao Reply:
If it is the first occurrence of an anal abscess and it is incised and drained, a fistula may not necessarily form. The clinic may discover this through palpation, or if there is recurrent swelling and pain, surgery may be recommended. If there is no pain, it indicates that the i...[Read More] Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
Is It Normal for a Dog Bite to Swell and Feel Numb After a Week?
Dog bite injury If a man was bitten on the back of the hand by a pet dog and has seen a doctor for a tetanus shot and is taking antibiotics, but after a week the hand is still swollen and there is some hardness around the wound along with tingling sensations, is this normal?
Dr. Li Zhonghuai Reply:
Hello! The wound from a dog's bite is deeper than it appears, and bacteria have penetrated deeply. It is necessary to use the finest cotton swab from ENT to thoroughly clean the wound, followed by the application of antibiotic ointment. However, this procedure is quite painf...[Read More] Is It Normal for a Dog Bite to Swell and Feel Numb After a Week?
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Anal Fistulas: Treatment Options and Recovery Insights
Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...
Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights
Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns
Postoperative Wound Care for Hemorrhoid Surgery Hello Doctor: I apologize for bothering you again. I have two additional questions regarding the issue I previously inquired about (#208283). 1. The open wound has not healed for almost three months. I have been continuously apply...
Dr. Zhang Shuhao Reply:
1. It is relatively uncommon for a surgical wound to remain unhealed for three months; a follow-up appointment is necessary to check for any abnormal inflammation or infection, or other factors that may be causing delayed healing. Granulation tissue that forms during the healing ...[Read More] Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns
Understanding Painful Bumps Inside the Anus: Causes and Concerns
There are bump-like lesions on the inner wall of the anus? Hello Doctor, I apologize for bothering you. Yesterday, I discovered a raised, ball-like mass on the inner wall of my anus (about 1 centimeter deep). It is painful when pressed, but I don't notice it during my daily ...
Dr. Zhang Shuhao Reply:
The most common causes of protrusions and pain in the anal canal are hemorrhoids and fistulas, while less common causes include inflammation and infectious diseases. However, self-examination is usually difficult to assess. It is advisable to take warm sitz baths, increase fluid ...[Read More] Understanding Painful Bumps Inside the Anus: Causes and Concerns
Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids
Postoperative care after rubber band ligation for hemorrhoids? Hello Doctor: I underwent rubber band ligation for internal hemorrhoids on May 24. After it prematurely loosened on May 26, an external hemorrhoid appeared near the anus. During my follow-up visit on May 27, the docto...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, there may be yellow discharge while the wound is still healing, but severe pain is uncommon. It is recommended to continue warm sitz baths, and doctors usually prescribe medication to relieve symptoms. If there is fever or severe swelli...[Read More] Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids
Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective
Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I eat some vegetables, I don't consume the...
Dr. Zhang Shuhao Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/208806">#208806</a>.[Read More] Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective
Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I eat some vegetables, I don't consume the...
Dr. Zhang Shuhao Reply:
Pain deep in the upper buttocks is commonly caused by piriformis syndrome and gluteal myofascial pain, often related to prolonged sitting and poor posture. Physical therapy from a rehabilitation specialist can help improve these conditions. Medications that promote intestinal mot...[Read More] Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I do eat some vegetables, my intake is not high...
Dr. Zhang Shuhao Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/208806">#208806</a>.[Read More] Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Postoperative wounds from hemorrhoid surgery? Hello Doctor: Almost three months ago, I underwent laser surgery for hemorrhoids, as the hemorrhoids had prolapsed outside the anus, and the doctor also excised the prolapsed portion. However, I feel that the wound has not fully heale...
Dr. Zhang Shuhao Reply:
If there is a fan-shaped wound, it indicates that the anally internal mucosal sutures have not healed and are in an open state. This is a common postoperative condition; as long as the wound is kept clean and not overly stimulated, it will gradually heal over time. The symptoms y...[Read More] Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Swimming issues Hello, Dr. Zhang. I would like to ask if having a small injury in the anal area, without being aware of it, and then going swimming could lead to the formation of an anal abscess and subsequently develop into an anal fistula? Additionally, I mostly have bowel move...
Dr. Zhang Shuhao Reply:
Anal abscesses or fistulas are caused by inflammation and infection of the glands located within the anal canal. Therefore, even if there are small external wounds, swimming will not lead to the development of anal fistulas. The skin around the anus is quite sensitive, so in addi...[Read More] Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Thrombosed external hemorrhoid Two weeks ago, I went to the hospital to treat an internal hemorrhoid (which was very painful this time). As a result, a week later, I noticed a fleshy lump outside the anus, skin-colored and about the size of a peanut, which is swollen and extremel...
Dr. Ke Fangxu Reply:
If the ligation of internal hemorrhoids is performed too superficially, it can lead to complications such as pain and swelling due to the proximity of the wound to external hemorrhoids. Currently, the best approach is to take warm sitz baths and wait for the wound to heal. If the...[Read More] Understanding and Managing Thrombosed External Hemorrhoids After Surgery