Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
How can we prevent or check for the formation of a fistula in cases of chronic anal fissures lasting more than five years? I understand that chronic anal fissures, which can lead to the formation of fistulas, are considered a high-risk factor. However, before making the decision ...
Dr. Zhang Shuhao Reply:
If there is no swelling, pain, bleeding, or purulent discharge from the anus, there is no need for a special internal examination. It is advisable to increase fluid intake and dietary fiber to prevent constipation, reduce the time spent in the restroom, and if there is pain after...[Read More] Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Perianal mass Hello Dr. Chang, Recently, I noticed a small soft and elastic lump at the anal opening while taking a shower. It is asymptomatic, does not hurt when pressed, and is located only on one side of the anus. There has been no bleeding with bowel movements, and I have a ...
Dr. Zhang Shuhao Reply:
The image is not very clear, but it is likely hemorrhoids. You can start by taking warm sitz baths and maintaining smooth bowel movements. If the symptoms become bothersome, please visit a colorectal specialist.[Read More] Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Anal wound Hello, doctor. I have been experiencing anal pain after bowel movements for a long time, with slight bleeding (similar to a skin tear) after wiping. I tend to be constipated, and a doctor mentioned that this could be due to hard stools, so I didn't pay much attent...
Dr. Zhang Shuhao Reply:
1. Pain and bleeding from the anus after bowel movements may be symptoms of anal fissures. If anal fissures recur, they can lead to the formation of ulcers in the local area, which are less likely to heal on their own. It is necessary to check for the presence of abscesses or fis...[Read More] Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Post-Surgery Concerns: Numbness and Pain After Stitches and Delayed Removal
Two questions: the first is about suturing, and the second is about delayed suture removal? I would like to ask my first question: Is it normal to experience localized numbness and pain in the thumb after wound suturing, and even to feel similar numbness and pain when extending t...
Dr. Xu Kaixi Reply:
1. "The occurrence of localized numbness and pain in the thumb after wound suturing, as well as similar numbness and pain when extending the arm, lasting for 21 days, is not normal. It is recommended to return for a follow-up examination of the wound." 2. "For wo...[Read More] Post-Surgery Concerns: Numbness and Pain After Stitches and Delayed Removal
Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Anorectal foreign body sensation Hello, doctor. I would like to ask a question. Last Friday, after eating something spicy, I felt a slight burning sensation in my anus the next day during a bowel movement. Later, I also felt a sensation of something foreign in my anus. I then vis...
Dr. Zhang Shuhao Reply:
Irritating foods can easily cause swelling of hemorrhoids, leading to a sensation of foreign body in the anus. If a digital rectal examination reveals no other rectal issues, soaking in warm water and using hemorrhoid ointment can help reduce swelling and alleviate the sensation ...[Read More] Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Understanding and Relieving Skin Irritation Around the Anus
The skin around the anus is prickly? Hello, doctor. For the past two to three weeks, I've been experiencing a tingling sensation in the skin located about one centimeter to the left of my anus. There are no bumps or hard masses on the surface, and it doesn't hurt when I...
Dr. Ke Fangxu Reply:
This phenomenon may simply be skin inflammation. It is recommended to avoid scratching or vigorous rubbing, and to refrain from using soap or body wash for cleansing. If there is no improvement, it is advisable to consult a physician for further evaluation.[Read More] Understanding and Relieving Skin Irritation Around the Anus
Understanding Anal Itching and Fissures: Causes and Solutions
Anal itching and anal fissure? About 12 days ago, I experienced itching in the anal area almost every day (especially more frequently at night). Then, starting around May 2nd, I began to feel pain in the anus when having a bowel movement, which feels like an anal fissure. I looke...
Dr. Ke Fangxu Reply:
Excessive pressure in the anal sphincter can also be one of the causes of anal fissures; however, a medical examination is necessary to confirm this, as it may not be an issue related to anal fissures at all. It is advisable to start with warm sitz baths along with topical medica...[Read More] Understanding Anal Itching and Fissures: Causes and Solutions
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-anal fistula surgery Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site ...
Dr. Zhang Shuhao Reply:
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
How Long Can You Use Anal Fissure Cream? A Guide for Patients
Anal fissure ointment If there is bleeding at the end of a bowel movement and a doctor has diagnosed an anal fissure, they may prescribe a topical ointment. It is generally recommended to apply the ointment as directed by the physician, which can often be for up to one week. Howe...
Dr. Chen Bingze Reply:
If the stool is too hard, you can use a warm water sitz bath and take some stool softeners. You can continue using them until the wound improves.[Read More] How Long Can You Use Anal Fissure Cream? A Guide for Patients
Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Light pink blood on toilet paper after wiping? Hello, doctor. I've been experiencing hemorrhoid flare-ups lately, which are painful and swollen. I've applied a topical treatment called Yizhi Kang during this period. On two occasions, when wiping, I noticed a small amoun...
Dr. Zhang Shuhao Reply:
Hemorrhoids can cause swelling, pain, and bleeding during flare-ups. It is advisable to increase fluid intake, avoid alcohol, tobacco, and spicy foods, use hemorrhoid ointments, and take warm sitz baths. If symptoms gradually improve, there is generally no need for excessive conc...[Read More] Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Post-Surgery Concerns: Green Discharge After Fistula Surgery
Postoperative care after fistula surgery? Hello Doctor: I underwent fistula surgery on April 14, and it has now been 10 days. Over the past couple of days, after each sitz bath, I have noticed that the drainage is a greenish pus-like substance. On regular days, the drainage on th...
Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound after fistula surgery. However, green discharge is somewhat concerning. If there is no redness, swelling, heat, or pain, it can be monitored, as the anal area is not a sterile environment and mild bacterial growth is not unusual. If t...[Read More] Post-Surgery Concerns: Green Discharge After Fistula Surgery
Is It Normal to Have Pus After Anal Abscess Surgery?
Postoperative care for anal abscess? I would like to ask if it is normal to still have pus when changing the gauze after my surgery on the morning of April 18th.
Dr. Ke Fangxu Reply:
It is normal to experience a small amount of purulent discharge within a week after surgery. Please take frequent warm water sitz baths.[Read More] Is It Normal to Have Pus After Anal Abscess Surgery?
Understanding Anal Fissures and Polyps: Concerns and Care
Anal fissures and polyps that do not heal? A month ago, I noticed some blood after having a bowel movement. Although it was only a drop or two, I was very worried and decided to see a doctor. During the examination, the doctor said that there was nothing unusual on the exterior o...
Dr. Zhang Shuhao Reply:
Polyps can develop into cancer, specifically referring to adenomatous polyps that form in the colorectal mucosa, which is why they are typically removed upon detection. Recurrent anal fissures are often accompanied by sentinel piles on the lateral side of the anus and hypertrophi...[Read More] Understanding Anal Fissures and Polyps: Concerns and Care
How to Care for a Large Knee Abrasion After an Accident?
How should I care for a baseball-sized abrasion on my knee? Last Friday, I suffered a severe abrasion on my knee due to a car accident (self-fall), about the size of a baseball! Initially, I had it bandaged at a clinic (they used gauze), but it wasn't very effective, and it ...
Dr. Lü Mingchuan Reply:
You can visit the hospital for a consultation.[Read More] How to Care for a Large Knee Abrasion After an Accident?
Persistent Bruises: When to Seek Medical Attention for Unresolved Symptoms
The bruise has not disappeared for over four months? In December 2022, I sustained bruises on my arm and leg from paintballing. Initially, I thought the bruises would heal normally, but they have not disappeared to this day. Some of the bruises on my body have changed from blue-p...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a general surgeon and have an ultrasound to check for any residual blood clots forming a capsule. If there are none, it is likely just post-injury hyperpigmentation, and you may need to consult a medical aesthetician for whitening treatments. Take ...[Read More] Persistent Bruises: When to Seek Medical Attention for Unresolved Symptoms
Head Injury After a Fall: When to Seek Medical Attention?
Head trauma Yesterday, I was practicing a handstand at home, but instead of balancing on my hands, I ended up hitting my head on the floor because my arms gave out. It hurt a lot when I fell, and afterward, I experienced a headache and some dizziness. During class, I also felt a ...
Dr. Zhao Shaoqing Reply:
It is more reassuring to be able to see a doctor in an outpatient setting.[Read More] Head Injury After a Fall: When to Seek Medical Attention?
Post-Surgery Care for Anal Fistula: Key Questions Answered
Post-anal fistula surgery Hello, Dr. Chang. I had an anal fistula excision surgery, and I currently have a fairly large open wound. It is now the sixth day post-surgery, and I have a few questions for you: 1. After a warm water sitz bath, should I just dry the surface of the wo...
Dr. Zhang Shuhao Reply:
1. For larger wounds, after a warm water sitz bath, you can gently pat dry with gauze or tissue by pressing. It's fine if the inner side of the wound comes into contact, but if it causes irritation or discomfort, there's no need to specifically wipe it. 2. The ointmen...[Read More] Post-Surgery Care for Anal Fistula: Key Questions Answered
Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Post-fistula surgery Two months after surgery, the wound has opened up during bowel movements, bleeding, and there is a slight yellowish discharge. Could this be a recurrence of a fistula?
Dr. Zhang Shuhao Reply:
After the fistula surgery, if the wound has just healed, there is a possibility of bleeding due to friction or excessive pulling on the wound. However, it usually does not recur that quickly. It is recommended to take warm sitz baths and change the dressing with ointment. If ther...[Read More] Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Rectal bleeding and non-healing wounds after fistula surgery? Hello, Doctor. I would like to ask you a few questions. (1) On March 29, after wiping, I felt a swelling sensation in my buttocks. Although the swelling sensation disappeared the next day, as of today (March 31), I sti...
Dr. Zhang Shuhao Reply:
(1) You can apply hemorrhoid ointment and also take warm sitz baths to help reduce swelling; sitz baths will not affect wound healing. (2) If there is no swelling or pain, and no discharge that disrupts daily life, then it is not a concern. Hyperbaric oxygen therapy is more suita...[Read More] Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Managing Hematoma After Minimally Invasive Breast Surgery: What to Know
Hematoma issues in minimally invasive breast surgery? I would like to inquire about the findings of fibrocystic adenomas on both sides. The doctor on the right side mentioned that the shape is more irregular and recommended a biopsy. The biopsy results showed it to be benign, and...
Dr. Tang Yuxiong Reply:
Hello Ms. Chen, regarding the hematoma, generally those smaller than 3 centimeters will reabsorb on their own, typically within 2 to 3 months. It is recommended to apply warm compresses during this period and to have regular follow-up appointments. If there is persistent swelling...[Read More] Managing Hematoma After Minimally Invasive Breast Surgery: What to Know