Anus, Surgery FAQ - Page 5

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Understanding Blood in Stool: Causes and Concerns for Young Adults

Rectal bleeding Hello Doctor, I am 21 years old. In the past few months, I have often felt that my stool is hard during bowel movements, and there is significant pain when passing it. Sometimes, there is also bleeding, and after bowel movements, I feel like there are minor tears ...


Dr. Zhang Shuhao Reply:
Based on the described situation, it is more likely to be a case of constipation and anal fissures. An anal fissure is a small tear around the anus, usually caused by hard stools, which can result in pain and bleeding during bowel movements. The presence of bright red blood in th...

[Read More] Understanding Blood in Stool: Causes and Concerns for Young Adults


Understanding Painless Anal Growths: Possible Causes and Concerns

Anal protrusion Hello doctor, I would like to inquire about a gray, hard, raised lesion that has developed around the anal area. It has been approximately 15-20 days since I first noticed it, and the lesion is not painful at all.


Dr. Zhang Shuhao Reply:
The gray, hard, elongated protrusions around the anus may be anal warts or anal polyps. Anal warts are skin lesions caused by the human papillomavirus (HPV) and are usually painless, while anal polyps are tissue growths resulting from local inflammation or irritation. However, it...

[Read More] Understanding Painless Anal Growths: Possible Causes and Concerns


Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?

Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...


Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...

[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?


Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery

Postoperative care for anal abscess? 1. Symptoms: Today, I sought medical attention due to swelling and sharp pain at the six o'clock position of the anus. The doctor used a syringe to aspirate the contents, which contained some pus and blood (mostly blood), and diagnosed me...


Dr. Chen Jiaming Reply:
It is possible to recover from this infection; however, if it is caused by a fistula, there is a higher likelihood of recurrence. Therefore, if similar symptoms occur in the future, it is essential to seek treatment as soon as possible.

[Read More] Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery


Managing External Anal Wounds: Bathing Tips for Faster Healing

Anal wound Hello, Dr. Chang. I would like to ask about warm sitz baths for anal fissures, which promote blood circulation and aid in wound healing. However, if the wound is outside the anus and becomes wet and macerated after bathing, wouldn't that make it harder to heal? I ...


Dr. Zhang Shuhao Reply:
After soaking in a bath for anal fissures, it is important to gently pat the area dry before applying ointment. This can help reduce the frequency of sitz baths and medication application, as well as minimize time spent in the restroom. It is also advisable to increase fluid inta...

[Read More] Managing External Anal Wounds: Bathing Tips for Faster Healing


Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice

Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...


Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...

[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice


Understanding Blood in Stool: Causes, Concerns, and What to Do Next

Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...


Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...

[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next


Struggling with Constipation and Hemorrhoids: Causes and Solutions

Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...


Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...

[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions


Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons

Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...


Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...

[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons


Understanding Anal Pain: Causes, Symptoms, and Treatment Options

Anal pain Doctor, about seven days ago in the evening, I suddenly felt pain in my anus. At that time, the pain occurred during contractions, and I was experiencing diarrhea. Later, it progressed to a point where I felt bloated and painful regardless of what I was doing, and the c...


Dr. Zhang Shuhao Reply:
It may be a symptom of anal fissure. It is recommended to take warm sitz baths and to take oral anti-inflammatory pain relief medication. Consult a colorectal specialist to examine the anal and rectal lesions. Maintain a light diet and increase fluid intake; in most cases, conser...

[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options


Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips

If the surgical wound stitches have opened, should I return for re-suturing? A cyst has developed near the anal area. During the first episode of inflammation, the doctor performed a drainage procedure and diagnosed it as an anal abscess. However, it has recurred monthly (the doc...


Dr. Zhang Shuhao Reply:
1. If the surgical wound opens up, it is necessary to return to the doctor who performed the surgery for evaluation. Even if re-suturing is not required, a new treatment plan must be established, and instructions on how to care for the wound should be provided. Generally, wounds ...

[Read More] Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips


Understanding Painful Anal Masses: Symptoms and Concerns

The external anal mass may have a foul odor and appears whitish in color? In the past three days, after eating spicy food, I experienced diarrhea, and afterward, I suddenly felt a lot of pain in my anus. I discovered a long, white, and somewhat flesh-colored lump that I had not n...


Dr. Zhang Shuhao Reply:
Based on your description, there is a suspicion of an anal fistula, which is associated with inflammatory lesions related to the anal glands. It is recommended to consult a colorectal specialist for a comprehensive examination and appropriate treatment, while also ruling out any ...

[Read More] Understanding Painful Anal Masses: Symptoms and Concerns


Understanding Hypertrophic Scars: Post-Surgery Care and Concerns

Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...


Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...

[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns


Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options

Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...


Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...

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Understanding Internal Hemorrhoids: Treatment Options and Recommendations

Internal hemorrhoids issue Hello doctor, I have a friend who went to the hospital for an examination, and the doctor said he has internal hemorrhoids that have prolapsed outside the anus. The doctor prescribed potassium permanganate disinfectant tablets and advised him to take si...


Dr. Zhang Shuhao Reply:
When internal hemorrhoids protrude outside the anus, it is referred to as hemorrhoidal prolapse. Warm sitz baths without added medication are recommended, with the water temperature around 40 degrees Celsius, ideally submerging the entire pelvis. In cases of swelling, pain, or bl...

[Read More] Understanding Internal Hemorrhoids: Treatment Options and Recommendations


Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips

The anal wound has not healed? Hello Doctor, since my hemorrhoid surgery on December 27, 2023, I have been using moist wipes to clean myself after bowel movements, followed by washing with warm water and taking sitz baths. I'm not sure if I have been rubbing too hard, but I ...


Dr. Zhang Shuhao Reply:
After surgery, try to minimize irritation to the anus. If the wound is not swollen, you may temporarily stop sitz baths. Povidone-iodine ointment is an antibiotic ointment that can be used. If symptoms do not improve, it is advisable to return for a follow-up examination of the w...

[Read More] Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips


Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns

Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...


Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...

[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns


Understanding Surgical Stitch Healing: When to Worry and Care Tips

It seems that the surgical stitches are almost merging with the skin? Hello Doctor, I had surgery on the 10th (for a sebaceous cyst) near my anus, with one incision on the left side and one on the right. I just used the restroom and while cleaning and applying medication, I notic...


Dr. Ke Fangxu Reply:
I just saw the letter today (the 23rd), and the sutures should have already been removed. Generally, surgical sutures are mostly non-absorbable, meaning they need to be removed. The timing for suture removal depends on the location and length of the incision, typically ranging fr...

[Read More] Understanding Surgical Stitch Healing: When to Worry and Care Tips


Post-Surgery Care: Risks of Anal Fistula After Cyst Removal

The incision for the removal of a sebaceous cyst is located very close to the anus? Hello Doctor, I am the questioner #204580. I would like to ask if, after having a sebaceous cyst removed near the anus, poor wound care could lead to the formation of an anal fistula? I have a wou...


Dr. Ke Fangxu Reply:
Wounds around the anal area typically heal more slowly, and it is normal for discharge to occur before the epidermis is fully healed. Cleaning the wound with tap water is sufficient, as this area is not a sterile environment. After cleaning, it is important to keep the area as dr...

[Read More] Post-Surgery Care: Risks of Anal Fistula After Cyst Removal


Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery

Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...


Dr. Ke Fangxu Reply:
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...

[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery


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