White Bumps Around the Anus: Causes and Concerns
There are small white bumps around the anus? During a shower, I noticed small white bumps around my anus that look somewhat like white pimples on my face when photographed with my phone. They cause a slight pain or a foreign body sensation, but it's not very noticeable. Coul...
Dr. Xu Kaixi Reply:
Based on your description, the white protrusion near the anus could be indicative of several conditions, including a sebaceous cyst, folliculitis, anal papillae, thrombosed hemorrhoids, or anal polyps, among others. Due to the limited information provided, it is recommended to vi...[Read More] White Bumps Around the Anus: Causes and Concerns
Understanding Pink Growths in the Perineal Area: Causes and Concerns
Perineal mass Dear Doctor, there is a pink protrusion in the perineal area, between the anus and the scrotum, that resembles a female clitoris. I am unsure what this could be. Thank you.
Dr. Zhang Shuhao Reply:
A perineal mass may be a subcutaneous lesion or a result of various causes leading to epidermal changes, including viral infections, dermatitis, cysts, skin lesions, and abscesses. It is recommended to seek medical evaluation for a physical examination to determine the correct di...[Read More] Understanding Pink Growths in the Perineal Area: Causes and Concerns
Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Anal fistula?? Epidermoid cyst Hello, doctor. I apologize for the lengthy message. Last February, while taking a shower, I noticed a lump near my anus. I consulted a doctor who diagnosed it as an anal fistula. Subsequently, I saw several doctors; some confirmed it as a fistula, w...
Dr. Ke Fangxu Reply:
Cysts and fistulas are two different conditions, so a cyst cannot turn into a fistula. If the cyst has been removed, the pathology report can clearly differentiate between the two types of tissues. Once the sutured wound is ready for suture removal, it is generally safe to expose...[Read More] Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Understanding a Soft Bump Near the Anus: Causes and Treatment Options
There is a round, soft protrusion next to the anus? Hello Doctor, I would like to ask you about a situation I have been experiencing. Three days ago, I suddenly felt discomfort around my anus. Upon touching the area, I discovered a round protrusion near the edge of the anus, wh...
Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a thrombosed hemorrhoid. If there is no pain or discomfort, it is generally fine to leave it alone, as it will gradually resolve on its own. Applying hemorrhoid ointment can help alleviate discomfort and speed up absorption. If the discomfort ...[Read More] Understanding a Soft Bump Near the Anus: Causes and Treatment Options
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Granulation tissue excision after hemorrhoid surgery? Hello, Doctor. During my follow-up appointment on January 9th, I underwent excision of granulation tissue after hemorrhoid surgery (there was bleeding at the time, and gauze was applied for hemostasis). It has been about 25 da...
Dr. Zhang Shuhao Reply:
Twenty-five days after hemorrhoid surgery, the wound has mostly healed and does not appear to be bleeding like a surgical wound. Granulation tissue removal may occasionally cause some bleeding, but since there are no major blood vessels internally, appropriate pressure for a day ...[Read More] Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Could there be an issue with a fistula? Hello Doctor: I would like to ask about the issue of fistulas/abscesses. On the morning of January 4th, I noticed a lump on the right side of my anus that was slightly painful. That evening, due to a company year-end party, I sat at work fo...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it seems like an anal abscess. During the acute phase, there will be swelling and pain, but once it ruptures and the pus drains out, the pain may alleviate. You can start with warm sitz baths, and if there is pus in the wound, you can gently e...[Read More] Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Can a person with cauliflower (or warts) undergo a colonoscopy? 1: I recently discovered that I have genital warts around my anus, and the next day I underwent minimally invasive laser surgery and received a vaccine. 2: At the same time, I received a call from the hospital regard...
Dr. Zhang Shuhao Reply:
1. If you have recently been diagnosed with condyloma acuminatum and have undergone surgery, you should discuss with your doctor when it is appropriate to undergo a colonoscopy. It is advisable to have the procedure done when there are no condyloma lesions present and no wounds a...[Read More] Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Anal issues Hello Doctor: There is a growth next to the anus (as shown in the picture), resembling a pimple. It is slightly painful when pressed, but there is no pus or blood. Could you please advise what this might be? Thank you.
Dr. Ke Fangxu Reply:
It is recommended to seek evaluation from a colorectal surgeon. Thank you.[Read More] Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Why Do Patients with Colostomy Still Feel Urgency at the Anus?
Why does a person with a colostomy still experience the urge to defecate from the original anus? Hello, doctor. I had surgery on December 1st to remove a tumor near my anus, but it was attached to a blood vessel, so it couldn't be removed. Instead, I had a colostomy (on the ...
Dr. Zhang Shuhao Reply:
It is normal to still experience the urge to defecate after undergoing ostomy surgery. This is because the effectiveness of the ostomy in diverting stool can vary depending on posture or the size of the stoma. Additionally, the remaining segment of the intestine continues to secr...[Read More] Why Do Patients with Colostomy Still Feel Urgency at the Anus?
Should You Worry About Tetanus After a Staple Injury?
Stapler pin punctured the index finger? While cleaning up utensils, a staple from takeout cut into the index finger, causing bleeding. The wound is approximately 2-3 mm deep, but after squeezing out the blood, it healed within a short time (2-3 minutes). Should I be concerned abo...
Dr. Chen Bingze Reply:
If you are concerned, it is recommended to visit a nearby medical facility to receive the tetanus vaccine.[Read More] Should You Worry About Tetanus After a Staple Injury?
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, 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 slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
The Recovery Journey After Hemorrhoid Surgery Hello, doctor. I had surgery at the end of October and was hospitalized for two days before returning home to recover. I have been very careful with my diet, eating low-residue foods and supplementing with probiotics. I have been usin...
Dr. Zhang Shuhao Reply:
After hemorrhoid surgery, it is sufficient to use ointment without the need for suppositories. In addition to increasing fluid intake, dietary fiber can also be gradually increased, as well-formed, bulky stools will not cause additional irritation to the wound. If there was no co...[Read More] Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Proper Care for Finger Cuts: Tetanus Status and Wound Management
Wound management for lacerations? The finger was cut by a metal plate. Tetanus vaccination was received two years ago. Should I ensure the wound heals properly and avoid prolonged exposure to water? The cut is approximately 3 cm in length and 0.3 cm in depth.
Dr. Ke Fangxu Reply:
Such a wound should ideally be cleaned and sutured. If the wound is not sutured promptly, the healing time will inevitably be prolonged. The wound should be kept dry and not exposed to water temporarily. If it does not heal after a considerable amount of time, it is advisable to ...[Read More] Proper Care for Finger Cuts: Tetanus Status and Wound Management
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu Reply:
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Two years after hemorrhoid surgery, experiencing fecal incontinence? Hello Doctor, it has been nearly two years since my hemorrhoid surgery, and even after cleaning thoroughly after bowel movements, I still experience leakage of fecal fluid and secretions. I have undergone anorec...
Dr. Zhang Shuhao Reply:
1. It is difficult to guarantee whether further improvement is possible without a clear understanding of the actual surgical condition, but if there is no significant damage to the sphincter, the chances of recovery are higher. 2. If there is a noticeable defect in appearance, ...[Read More] Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns