Persistent Pain from Anal Fissure: When to Seek Medical Attention?
I have had an anal fissure for 5 days, but there has been no improvement? Hello Doctor, five days ago I experienced a slight tear in my anus due to harder stools. I bought some ointment to apply and have been doing warm sitz baths. Based on my previous experiences with anal fissu...
Dr. Zhang Shuhao Reply:
It is recommended to visit a colorectal clinic for examination. When anal fissure wounds do not heal easily, it may be associated with excessive sphincter tension or local ulcers, which may require surgical treatment. During the waiting period for medical attention, it is importa...[Read More] Persistent Pain from Anal Fissure: When to Seek Medical Attention?
Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
Soft tissue of the anal region Hello Doctor: While showering, I clean the anal area. Previously, everything felt normal, but in the past two days, I noticed a small, soft lump on the right side of the anal opening, smaller than a marble. I looked in the mirror and gently pulled a...
Dr. Yu Mingchang Reply:
Hello: You can schedule an outpatient appointment.[Read More] Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
Can Laser Hair Removal Be Used for Hair Around the Anus?
Laser hair removal Laser hair removal is not suitable for the penis and scrotum, but it can be performed on the hair around the anus. As you age, you may find that wiping after a bowel movement can pull on the hair, causing discomfort, especially if you are very thin. Currently, ...
Dr. Lü Mingchuan Reply:
You can visit the outpatient clinic for evaluation.[Read More] Can Laser Hair Removal Be Used for Hair Around the Anus?
Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoid issues Hello Dr. Li, I discovered I had hemorrhoids since high school. At that time, due to long periods of sitting on those wooden school chairs, I would sometimes develop a sizable hemorrhoid that would be painful. However, there was one occasion when I went to the b...
Dr. Li Qinglong Reply:
Hello: It is not possible to determine whether it is hemorrhoids based on photos alone. Please consult a surgeon for a physical examination and assessment. Ointments can only relieve symptoms of redness, swelling, and heat. If the hemorrhoids are not severe, you may use the ointm...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Unexplained itching sensation? Hello Doctor, in the past few days, I have been experiencing a sudden and frequent sensation of unexplained swelling or itching deep in my intestines, rectum, or pelvic area. It feels like there is a spasm, and I constantly feel the urge to tighten ...
Dr. Zhang Shuhao Reply:
This sensation may originate from the gastrointestinal tract, pelvic floor muscles, or gynecological issues. It is advisable to consult a colorectal specialist and a gynecologist for a physical examination and ultrasound to rule out any organ-related problems. If the organs are f...[Read More] Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Understanding Soft Bumps Near the Anus: Causes and Concerns
Soft growths around the anal area? Doctor, I noticed a small soft bump at the anal opening while taking a shower. It feels slightly painful when touched. What could this be?
Dr. Zhang Shuhao Reply:
Common conditions include thrombosed hemorrhoids, external hemorrhoids, anal skin tags, and localized skin infections. It is recommended to consult a dermatologist or a colorectal specialist for a professional diagnosis and advice to determine the nature of the protrusion and rec...[Read More] Understanding Soft Bumps Near the Anus: Causes and Concerns
Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Understanding HPV Warts: Concerns After Treatment and Recovery
Cauliflower, anal warts, hemorrhoids? Hello, Doctor. I underwent electrosurgical treatment for genital warts on February 17, which affected the labia, vaginal opening, and anal area. During my visit to the obstetrics and gynecology department, the doctor mentioned that warts migh...
Dr. Zhang Shuhao Reply:
1. The growth rate of warts varies from person to person, typically depending on the individual's immune system status and the viral load and activity of the virus. Each person's response to HPV is different, so it is uncertain whether warts will enlarge or worsen while...[Read More] Understanding HPV Warts: Concerns After Treatment and Recovery
Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...
Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Moisture Around the Anus: Causes and When to Seek Help
The area around the anus often feels moist and sticky? Hello, doctor. Recently, I have noticed that the area around my anus is often moist and sticky, which is bothersome, but it does not itch. When I wipe with toilet paper, there is an odor. I initially thought it was due to swe...
Dr. Zhang Shuhao Reply:
The area around the anus can often feel moist and sticky, but without itching, pain, or redness of the skin, this is usually related to ventilation and the material and cleanliness of close-fitting clothing. Switching to new cotton underwear may help improve the situation. A smel...[Read More] Understanding Moisture Around the Anus: Causes and When to Seek Help
Understanding External Anal Masses: Causes and When to Seek Help
Perianal mass I have hemorrhoids, but after using the restroom, I can push them back in and feel fine. However, one day after using the restroom, I noticed a protrusion between the anus and the vaginal opening that cannot be pushed back in like my hemorrhoids. It looks normal on ...
Dr. Xu Kaixi Reply:
Based on your description, the possible conditions for this lump include lipoma, sebaceous cyst, external hemorrhoid, or other soft tissue tumors. It is recommended that you visit a surgical outpatient clinic for an examination.[Read More] Understanding External Anal Masses: Causes and When to Seek Help
Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Bowel movements after fistula surgery? Hello doctor, I had a fistula surgery on February 19, and I noticed that the wound is close to the anus. Every time I have a bowel movement, a lot of feces gets on it. I first wipe with toilet paper, then use wet wipes, and finally rinse wit...
Dr. Zhang Shuhao Reply:
The wound from a fistula surgery has irregular edges, making it difficult to clean thoroughly, and vigorous scrubbing is not recommended. It is generally advised to rinse with water and use moist wipes for assistance in cleaning. A small amount of residual stool is acceptable and...[Read More] Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
There is a lump near the line of the scrotum close to the anus that hurts when pressed? Hello, Dr. Chang. There is a small lump near the line on my scrotum close to the anus. It hurts when I press on it, and I occasionally feel pain when I walk or if it gets rubbed. It feels like...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, there may be issues with the skin or soft tissues in the perineal area, commonly including inflammation, abscesses, infections, and allergies, and sometimes even trauma. Typically, treatment may involve medications or topical ointments. It is advi...[Read More] Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...
Dr. Ke Fangxu Reply:
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...[Read More] Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
Endoscopic submucosal dissection for tumor removal and rectal bleeding? On January 30th of this year, I underwent endoscopic submucosal dissection (ESD) for a rectal submucosal lesion, and the pathology report indicated a grade 1 neuroendocrine tumor measuring 0.7 cm, which was b...
Dr. Zhang Shuhao Reply:
1. Rectal wounds, unless very close to the anus, typically do not affect the shape of stools. If examinations show no strictures and there is no recurrence of tumors, the absence of persistent urgency or tenesmus is not a concern. 2. Postoperative bowel movements may result in ...[Read More] Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
Dog Scratch Injury: Do You Need Tetanus or Rabies Vaccines?
Dog scratch? Hello, doctor. I accidentally got scratched by my dog while playing today. There was no bleeding, just a red mark. However, my dog is not vaccinated. Should I get a tetanus shot or a rabies vaccine in this case?
Dr. Peng Xianwen Reply:
Hello Ms. Mina: It is more necessary to receive the tetanus vaccine, while the necessity of the rabies vaccine can be discussed with your attending physician. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Dog Scratch Injury: Do You Need Tetanus or Rabies Vaccines?
Managing Cuts and Wound Care for Diabetics: Key Considerations
Laceration wound Hello doctor, a few days ago I cut myself on the edge of a can, about two centimeters deep. Since I have diabetes (my HbA1c is usually between 6.1 and 6.5), I went to see a doctor the same day for the wound, and I mentioned that I needed a tetanus shot, medicatio...
Dr. Zhang Shuhao Reply:
If the injury is properly disinfected at the time of occurrence, there are no foreign bodies in the wound, and the blood circulation to the flap is adequate, the wound still has the potential to heal. With proper dressing changes, the risk of infection is low. However, if the wou...[Read More] Managing Cuts and Wound Care for Diabetics: Key Considerations