Managing Chronic Anal Fissures: Effective Solutions and Concerns
Recurrent anal fissures? I have been experiencing recurrent anal fissures for almost two years now. Each time they occur, they heal within a few days, averaging about once a month. They usually happen when my stools are relatively large and hard, and seeing them makes me feel ver...
Dr. Zhang Shuhao Reply:
1. The best way to improve the situation is to avoid constipation, allowing the wound to heal completely. Increasing fluid and dietary fiber intake, taking warm sitz baths, and avoiding excessive straining during bowel movements can help. 2. If the wound has not healed after eigh...[Read More] Managing Chronic Anal Fissures: Effective Solutions and Concerns
Post-Surgery Consultation: Questions About Fistula Removal Recovery
Post-operative consultation for fistula surgery? Hello Dr. Chang, I underwent a fistula tube removal surgery on November 7th, and the current condition of my wound is as follows: https://imgur.com/a/d5Zh6dH. As of today, the pain in the wound has gradually decreased, with only sl...
Dr. Zhang Shuhao Reply:
1. The wound healing process is normal. 2. Normal. 3. Can do. 4. Can do. 5. There is no need to apply too deeply; just a small amount around the wound is sufficient.[Read More] Post-Surgery Consultation: Questions About Fistula Removal Recovery
Understanding Minimally Invasive Surgery for Disc Herniation: Key Insights and FAQs
Hello Director Lai: I would like to ask you for educational information regarding my herniated disc? Hello Director Lai, thank you for taking the time to respond. Considering economic factors and my limited understanding of medical terminology, I am reaching out to you online for...
Dr. Lai Zhaokang Reply:
Hello: A. I see that you are seriously researching this topic, but you might be overwhelmed by the vast amount of information available online, leading to confusion. Many young internet users face similar challenges, getting misled by technical jargon and certain medical advertis...[Read More] Understanding Minimally Invasive Surgery for Disc Herniation: Key Insights and FAQs
Understanding Hemorrhoids: When to Seek Surgical Intervention
Hemorrhoid issues Hello Dr. Chang: I have had hemorrhoids since childhood due to constipation, but I only feel discomfort during times of staying up late or when I have a lot of heat in my body. It usually resolves itself within a day or two. Occasionally, I experience bleeding d...
Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can provide relief. It is important to maintain good lifestyle habits to prevent recurre...[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention
Understanding Hemorrhoids: When to Seek Surgical Intervention
Hemorrhoid issues Hello Dr. Chang, I have had hemorrhoids since childhood due to chronic constipation, but I only feel discomfort during times of staying up late or experiencing stress, which usually resolves on its own within a day or two. Occasionally, I experience rectal blee...
Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can help alleviate the symptoms. It is important to maintain good lifestyle habits to pr...[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention
Understanding Complications After Minimally Invasive Surgery: A Case Study
Failed laparoscopic tubal ligation surgery? On September 29, 2022, surgery was performed (the doctor mentioned that the drain was very thick and hard). I was discharged home on September 30 but had a low fever. On October 1, I noticed a large amount of pus draining (the fever sub...
Dr. Zhang Shuhao Reply:
The minimally invasive fistulotomy procedure referred to is the LIFT (Ligation of the Intersphincteric Fistula Tract) surgery. This technique is suitable for cases where the fistula is intact and the internal and external openings are clearly defined. In cases of severe inflammat...[Read More] Understanding Complications After Minimally Invasive Surgery: A Case Study
Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Thrombosed external hemorrhoid Hello doctor, I visited a physician two weeks ago, and I was informed that there is a thrombosed hemorrhoid at my anus. The doctor prescribed medication for me to apply and advised me to take warm sitz baths. Following the doctor's instructions...
Dr. Ke Fangxu Reply:
If a thrombosed external hemorrhoid is not painful or bleeding, it can completely resolve on its own, typically within 2 to 4 weeks. However, if discomfort persists, a physician can perform a thrombectomy.[Read More] Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Could you please tell me if it is hemorrhoids? Hello, doctor: I would like to ask about my bowel habits, which are usually normal. I eat spicy food about once a week. Sometimes, to keep clean, I wipe my bottom and notice some blood on the toilet paper. One day, I had abdominal pa...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a small thrombosed external hemorrhoid. If it has gradually decreased in size, no special treatment is necessary. It is recommended to temporarily avoid spicy and irritating foods and to prevent constipation. Warm sitz baths can also ...[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Understanding Discomfort Around the Anus: Causes and Solutions
There is a soreness in a specific area around the anus? Yesterday, after having a bowel movement, I didn't feel much. However, after sitting in my room, I started to feel a soreness around the area near my anus. When I pressed on it, I found a point that felt sore when press...
Dr. Zhang Shuhao Reply:
The cause of localized soreness may be due to injury or fatigue of the sphincter muscle. A small percentage may be attributed to deeper anal abscesses, which may not be visible externally but present as soreness. It is recommended to take warm sitz baths to help relax, avoid cons...[Read More] Understanding Discomfort Around the Anus: Causes and Solutions
Chronic Anal Fissures: Impact on Bowel Health and Healing
Anal fissure. Bowel habits? 1. Based on your description, it sounds like you may be experiencing chronic anal fissures. Chronic anal fissures are defined as fissures that persist for more than eight weeks and can cause recurring pain and discomfort. 2. If the fissures have not h...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal within about a week if the wound is allowed to rest properly. However, if the affected area is repeatedly injured and symptoms persist for more than six weeks, it is classified as a chronic anal fissure. This may be due to tight anal sphincter m...[Read More] Chronic Anal Fissures: Impact on Bowel Health and Healing
Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
External hemorrhoid thrombosis has ruptured on its own? Doctor, you mentioned that I visited a proctologist yesterday who diagnosed me with acute thrombosed external hemorrhoids that had slightly ruptured. He said I just needed to apply medication and be mindful of my routine. Ho...
Dr. Xu Kaixi Reply:
Thrombosed external hemorrhoids are classified as venous bleeding. In theory, applying pressure for a few minutes should stop the bleeding on its own. If the bleeding does not stop, it is recommended to seek medical attention at a hospital for evaluation.[Read More] Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
Understanding Left Rib Pain: Possible Causes and Solutions
Left rib pain? Hello doctor, for the past three months, whenever I feel very cold (the kind that gives me goosebumps), I experience sharp pain in the left side of my rib cage, very close to the heart. Everything feels tense, and I'm unsure if it's heart pain, but the pa...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that you have poor blood circulation. When the temperature drops, it can lead to further deterioration of blood circulation, causing your left rib area and chest to feel cold and exhibit symptoms. 2. It is recommended that you first consult a cardiologis...[Read More] Understanding Left Rib Pain: Possible Causes and Solutions
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I noticed a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant pai...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be done, but there is no need to add ...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Managing Perianal Skin Irritation: Tips for Healing and Care
Perianal skin fissures? Previously, due to internal hemorrhoids and anal fissures, I consulted doctors who advised me to take sitz baths without any restrictions on frequency. I diligently followed this advice and applied medication, but after more than a month, I noticed skin ir...
Dr. Ke Fangxu Reply:
The anal area is naturally a moist and warm environment, and intentionally maintaining excessive dryness may not be beneficial. If there are no abnormal secretions, there is no need to be overly concerned. Applying petroleum jelly is acceptable as it contains no medicinal ingredi...[Read More] Managing Perianal Skin Irritation: Tips for Healing and Care
Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Follow-up Inquiry #187406 Dear Dr. Chang, Thank you very much for your response to my inquiry in “#187406 Consultation.” I have generally understood your explanations. I would like to ask Dr. Chang the following questions: Q1. Recently, I have been treating my hemorrhoid with w...
Dr. Zhang Shuhao Reply:
1. It should be internal hemorrhoids. 2. If there are no symptoms, no treatment is necessary. 3. It will not change to malignant. 4. It is possible.[Read More] Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I discovered a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant ...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be beneficial, but there is no need t...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Understanding Recurring Thrombosed Hemorrhoids: Expert Insights and Management
Inquiry Consultation Dear Dr. Chang, A few months ago, I asked you about a thrombosed hemorrhoid located on the right side of my anus (approximately 0.5-1 cm). The situation later changed as the thrombosed hemorrhoid ruptured and bled due to friction during bowel movements, whic...
Dr. Zhang Shuhao Reply:
1. Recurrence. 2. Thrombosed hemorrhoids can be absorbed, but the prolapsed soft tissue will not disappear. It can be reduced with medication and sitz baths, but to completely remove it, surgical excision is the only option. 3. The same conservative treatment can be used, such as...[Read More] Understanding Recurring Thrombosed Hemorrhoids: Expert Insights and Management
Understanding Rectal Bleeding: Is It Anal Fissure?
Blood in the stool? Hello, Doctor: I have previously experienced pain and bleeding from the anus due to hard stools. However, in the past few days, even when my stools are soft or loose, I still feel a sharp pain in the anus, and there is bright red blood on the toilet paper afte...
Dr. Zhang Shuhao Reply:
The sharp pain during and after bowel movements, accompanied by bleeding, is a typical symptom of anal fissure. It is advisable to take warm sitz baths, use topical ointments, and adjust your diet to prevent constipation. If you are concerned, you can seek medical attention for a...[Read More] Understanding Rectal Bleeding: Is It Anal Fissure?
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel issues Doctor, here are my symptoms: Since the summer vacation, I have been experiencing frequent diarrhea that has lasted a long time. Even as school was about to start, my diarrhea changed to constipation. Although the frequency of my bowel movements hasn't changed, ...
Dr. Chen Bingze Reply:
Hello, I understand that this may make you very anxious. The likelihood of developing colorectal cancer at your age is indeed very low. Experiencing both constipation and diarrhea is more indicative of irritable bowel syndrome. The presence of blood after a bowel movement may be ...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Post-Operative Care Tips for Gynecomastia Surgery in Men
Postoperative care for gynecomastia in males? Hello, Doctor. I had surgery for gynecomastia at the Veterans General Hospital on September 5th. My attending physician advised me to wear a compression garment for a full month. Now, it is the fifth day post-surgery, and I would like...
Dr. Lu Daokuan Reply:
The surgical methods vary among different attending physicians, so it is best to consult with the original attending physician.[Read More] Post-Operative Care Tips for Gynecomastia Surgery in Men