Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could p...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with changing lifestyle hab...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Pre and Post-Operative Care for Pilonidal Sinus Surgery
Preoperative and postoperative care for pilonidal sinus surgery? Recently, I need to undergo surgery for a pilonidal sinus located in the groin area. I would like to inquire whether preoperative bowel preparation, such as an enema, is necessary, and if there are any other prepara...
Dr. Ke Fangxu Reply:
Pilonidal sinus is not a serious condition, but it can be quite troublesome. Due to the high tension at the surgical site, the rate of poor wound healing is relatively high, and the likelihood of recurrence is also significant. After surgery, it is advisable to avoid deep squatti...[Read More] Pre and Post-Operative Care for Pilonidal Sinus Surgery
Impact of Fecal Residue on Anal Health After Applying Ointment
When applying medication to the anus with a finger, some residual feces may be present? Hello, doctor. I visited a clinic due to hemorrhoid issues, and the physician prescribed me an ointment to apply. After bowel movements, I sometimes notice some traces of stool on my fingers. ...
Dr. Zhang Shuhao Reply:
Hello: There will be no impact. After wiping, there may be residual feces and stool texture related to hemorrhoidal prolapse and the natural folds of the anus. Everyone will have some degree of residue. To improve this, you can increase your dietary fiber intake to help form the ...[Read More] Impact of Fecal Residue on Anal Health After Applying Ointment
Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Can anal intercourse be performed after anal fissure surgery? Dear Doctor, I hope this message finds you well. As a gay man, I often experience issues such as constipation and anal intercourse, which have led to anal fissures. During a previous examination, my doctor mentioned t...
Dr. Zhang Shuhao Reply:
Hello: If it is a simple acute anal fissure, it can be managed with topical ointments, warm sitz baths, and plenty of rest to allow the wound to heal completely. Afterward, before engaging in anal intercourse, it is important to gradually dilate the anus and ensure adequate lubri...[Read More] Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Is There a Risk of Tetanus Infection from Rusty Objects?
Is there a risk of contracting tetanus? Thank you, doctor, for taking the time to respond. Today, I discovered a rusty screwdriver under the soap while washing my hands, but I have already removed it and washed my hands. A couple of days ago, I was scratched by my cat, and the sk...
Dr. Chen Bingze Reply:
Hello, if you tend to get nervous easily, we encourage you to come in for a tetanus vaccination. This way, you can feel more at ease and safe.[Read More] Is There a Risk of Tetanus Infection from Rusty Objects?
Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Postoperative bowel issues after hemorrhoid surgery? I would like to explain my situation again. I had traditional surgery for both internal and external hemorrhoids on May 10. I am taking stool softeners regularly, but I might not be drinking enough water. Throughout the process...
Dr. Zhang Shuhao Reply:
If there was no constipation prior to surgery, the use of castor oil and laxatives may lead to diarrhea. Additionally, with an anal wound, the sensations of urgency and the need to hold bowel movements can be affected. If fecal impaction is cleared and diarrhea begins, the dosage...[Read More] Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
Anal polyps Hello Doctor, I always end up with skin irritation and bleeding when I have a bowel movement outside, as I feel clean only after that. At home, I wash after using the toilet. Recently, I have noticed some polyps near my anus. I don't experience pain or bleeding d...
Dr. Zhang Shuhao Reply:
The soft mass you feel could be hemorrhoids or a skin growth. You can start by taking warm sitz baths, increasing your physical activity to promote blood circulation, and drinking plenty of water to prevent constipation. If you are concerned, you may also consult a colorectal spe...[Read More] Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu Reply:
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Understanding the Risks of Using Steroid Creams for Hemorrhoids
Hemorrhoid ointment I have developed a skin tear around my anus due to using the restroom, which is painful. After visiting a colorectal surgeon, the doctor prescribed "Luo Yu Zhi" ointment and advised me to apply it twice daily. After researching the ointment online, I...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments primarily serve to relieve pain and reduce inflammation. The dosage of steroids is generally not very high, and even with a month of use, significant side effects are unlikely. It is advisable to apply the ointment only to the swollen areas of the hemorrhoids...[Read More] Understanding the Risks of Using Steroid Creams for Hemorrhoids
Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Blood in the stool? Previously, I had an episode of acute gastritis, and after it resolved, I experienced a week of bowel movements that were accompanied by a significant amount of fresh blood. My bowel movement schedule is every three days, and during the times I had blood, my b...
Dr. Zhang Shuhao Reply:
Based on your age, the likelihood of bleeding related to colorectal cancer is relatively low. It is more probable that the bleeding is caused by hemorrhoids triggered by irritation from gastroenteritis. Enlarged hemorrhoidal tissue can easily bleed due to friction, and if deeper ...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Understanding Rectal Pressure and Foreign Body Sensation: Causes and Treatments
Feeling of anal heaviness, sensation of anal foreign body? Hello doctor, recently whenever I stand for 1-2 hours or exercise, such as cycling for an hour or running for an hour, I feel a sensation of something protruding from my anus or experience pain when I contract. After appl...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoids. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber intake can be b...[Read More] Understanding Rectal Pressure and Foreign Body Sensation: Causes and Treatments
Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Is it a symptom of anal fissure? How can it be prevented? Hello, I have an adequate water intake in my daily life, and my bowel movements are smooth with no hard stools. However, I notice a very small amount of blood (less than a normal drop) almost every time I wipe after a bowe...
Dr. Chen Ronghong Reply:
Hello KB, given your age, the presence of blood in your stool is more likely related to anal fissures or hemorrhoids. You mentioned that there is usually no pain, and bleeding and pain only occur after wiping post-defecation, which strongly suggests the possibility of an anal fis...[Read More] Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Post-anal fistula surgery Hello, doctor. I recently underwent anal fistula surgery, and the wound measures 2x2 cm. The doctor did not prescribe any antibiotics; is this normal? I also noticed that my wound is connected to my anus; is this also normal? The doctor advised against s...
Dr. Xu Kaixi Reply:
1. Anal fistulas are primarily treated surgically, and antibiotics are not required. 2. A fistula is an abnormal channel; after the drainage of an anal abscess, more than half of the cases will leave behind an inflammatory tract connecting the anal glands to the anal opening. 3. ...[Read More] Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Anorectal foreign body sensation Hello Dr. Ke: About a week ago, after experiencing diarrhea for two consecutive days, I began to feel a noticeable sensation of a foreign body in my anus (which I have never felt before). At the same time, I experienced a burning sensation after b...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal swelling. The photo appears to show only mild external hemorrhoids. If there is no severe pain or bleeding, specific treatment is not necessary. It is advisable to avoid constipation during this period and short...[Read More] Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Understanding Anal Pain While Walking: Causes and Solutions
Anal pain while walking? Hello doctor, in November 2021, I sought medical attention due to blood in my stool and severe pain in my anus. The doctor diagnosed me with an anal fissure after performing a rectal examination, stating that it would heal on its own and did not prescribe...
Dr. Xu Kaixi Reply:
It is possible that the pain is due to nerve pain from scar tissue after the healing of an anal fissure. Theoretically, this should improve over time, so it would be advisable to monitor the situation for a while longer.[Read More] Understanding Anal Pain While Walking: Causes and Solutions
Understanding Anal Fissures and Skin Tags: Causes and Treatments
Anal fissure, a small piece of tissue between the perineum and the anus? Hello Doctor, I have recently experienced a tearing sensation in the perineal area after bowel movements, particularly around the anus (it hurts when it comes into contact with water or urine). However, ther...
Dr. Zhang Shuhao Reply:
The tearing pain sensation is mostly caused by anal fissures. If anal fissures recur, they can lead to the formation of a skin tag (sentinel tag) on the outer side of the wound, which is a benign skin growth. Typically, it does not cause discomfort unless it leads to pain or conc...[Read More] Understanding Anal Fissures and Skin Tags: Causes and Treatments
Understanding Anal Fistulas: Symptoms, Treatment, and Healing Process
Anal fistula Hello Doctor: Last Sunday, I noticed a swollen and slightly painful area on the right side of my anus while using the restroom. At the time, I didn't think much of it. However, when I checked again on Tuesday morning, I saw some thin pus draining from it, but th...
Dr. Yu Mingchang Reply:
Hello: Please return for a follow-up appointment when you have time. If it is a fistula, there may be a recurrence. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Healing Process
Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Difficulty in bowel movements and bleeding four months after hemorrhoid surgery? I underwent a self-funded minimally invasive ligature surgery at the beginning of January this year, and I am still experiencing difficulties with bowel movements and bleeding. I feel weakness in the...
Dr. Chen Ronghong Reply:
Hello Becky, some patients experience postoperative anal stenosis, which can lead to difficulty in bowel movements. However, since you mentioned using your fingers to dig out stool, if your fingers can enter the anus, it is less likely to be anal stenosis. Hard and dry stools can...[Read More] Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Do You Need a Tetanus Shot After a Car Accident Injury?
Traffic accident abrasion I had a car accident today and scraped my knee. I think I received a tetanus shot in the emergency room about 3 to 4 years ago. Doctor, do I still need to get another shot if I had one within the last 5 years? Thank you, doctor.
Dr. Chen Bingze Reply:
Hello, yes, if you have been vaccinated within the last five years, you do not need to get vaccinated again.[Read More] Do You Need a Tetanus Shot After a Car Accident Injury?
Can I Just Remove a Thrombosed Hemorrhoid Without Surgery?
Can a thrombosed hemorrhoid be simply excised? I have a large hemorrhoid located near the vaginal opening on the left side of my anus, and there is a small thrombosis on top of this large hemorrhoid (it has been there for over a month and does not hurt much when pressed). Initial...
Dr. Ke Fangxu Reply:
Small thrombosed hemorrhoids can be excised under local anesthesia in an outpatient setting; however, whether your condition is suitable for this procedure should be evaluated by a physician. It is recommended that you schedule an appointment with a colorectal surgeon for further...[Read More] Can I Just Remove a Thrombosed Hemorrhoid Without Surgery?