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
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
I would like to ask if this is hemorrhoids? Hello Doctor, a couple of days ago I woke up and suddenly noticed a slight pain during bowel movements. Upon examination, I found a soft lump. For the past few days, I've experienced pain when sitting down and straining. However, I...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids. If they do not occur frequently, taking warm sitz baths regularly, along with the use of ointments and anti-inflammatory medications, should suffice. Surgery is only necessary for hemorrhoids when they severely impact the quality of life.[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
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
Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
If you experience bleeding after wiping, it's important to ensure proper wiping technique to minimize irritation. Here are some guidelines for correct wiping: 1. **Wipe from front to back**: Always wipe from the front of the body towards the back to prevent the spread of ba...
Dr. Zhang Shuhao Reply:
1. Everyone has different cleaning habits; if your original method has not caused eczema, you can continue using it. 2. Clotrimazole ointment does not lead to drug resistance, but long-term use should be monitored for any skin allergies.[Read More] Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
Managing Anal Abscess: Tips for Proper Healing and Drainage
Anal abscess Hello, doctor. Last week, I was hospitalized for three days on antibiotics due to a ruptured anal abscess. The attending physician made the incision larger to facilitate drainage. However, during my follow-up visit this week, the doctor mentioned that the pus has not...
Dr. Zhang Shuhao Reply:
1. To prevent the wound from healing too quickly, it is necessary to enlarge the wound in the clinic. The direction of the wound can also help the pus drain more effectively when sitting, so taking warm sitz baths can be beneficial. 2. It is possible to manage without gauze, but ...[Read More] Managing Anal Abscess: Tips for Proper Healing and Drainage
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
Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Post-fistula surgery Hello Doctor, I underwent fistula removal surgery on January 11th, and during my follow-up appointment on the 15th, the doctor said there was no infection and advised me to continue with my recovery. Recently, I have been noticing a light yellow discharge, an...
Dr. Zhang Shuhao Reply:
The wound appearance is normal, with no signs of infection. During dressing changes, you can use a cotton swab to gently remove the old ointment and any yellow tissue. Continue to keep the wound clean with warm water sitz baths, and return for follow-up appointments as scheduled.[Read More] Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Postoperative issues related to hemorrhoid surgery? Hello Dr. Chang, I am a grade III internal hemorrhoid patient. I underwent minimally invasive hemorrhoid surgery at a large hospital, and it has been 56 days post-operation. Currently, I am experiencing some strange symptoms. I ...
Dr. Zhang Shuhao Reply:
The tissue around the surgical wound may have reduced elasticity, and sensation might be slightly affected. However, symptoms will improve once the scar tissue stabilizes. If examinations show no issues with anal stenosis, there is no cause for concern. You can continue with warm...[Read More] Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-hemorrhoidectomy Hello, doctor. It has been 43 days since my hemorrhoid surgery. I only had a follow-up appointment 7 days post-surgery, and currently, there are no significant issues with the wound. However, I have a question: since there has been no discharge from the woun...
Dr. Zhang Shuhao Reply:
If the wound has healed and is not painful, there is no need to use ointment. When the wound feels slightly itchy or uncomfortable due to contraction, a warm water sitz bath can be helpful. Hemorrhoid ointments can alleviate symptoms, but after surgery, it is advisable to choose ...[Read More] Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-Mini-Invasive Surgery: Understanding Lymphatic Swelling and Pain
Minimally invasive breast fibroma, constrictive band compression, slight swelling of the lymphatic vessels in the chest? Hello, I would like to ask, I had minimally invasive surgery for three fibromas on my right breast a week ago. There is no discharge or redness around the woun...
Dr. Li Zhonghuai Reply:
Hello! Could you loosen the restraint a bit? It has been a week since it was applied. Please check with your doctor if it can be removed. Take care! Changhua Hospital cares about you![Read More] Post-Mini-Invasive Surgery: Understanding Lymphatic Swelling and Pain
Understanding Pain After Rubber Band Ligation for Hemorrhoids
Rubber band ligation surgery I just underwent rubber band ligation for internal hemorrhoids, and the pain is extremely intense. It lasted for about an hour, and I was sweating from the pain. Is this normal, or does it indicate a failure? I read that it shouldn't be painful.....
Dr. Ke Fangxu Reply:
The rubber band ligation procedure for internal hemorrhoids is theoretically painless; however, if the ligation is too superficial, pain may occur. If oral medication can alleviate the pain, then pharmacological treatment should be used. If that is ineffective, the rubber band mu...[Read More] Understanding Pain After Rubber Band Ligation for Hemorrhoids
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
Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Questions about hemorrhoid suppositories? Hello, doctor. I have been using suppositories and medication (vasoconstrictors and antidiarrheals) for my mixed hemorrhoids. I have used the suppositories for two days (twice), but they are expelled by noon the following day, remaining i...
Dr. Zhang Shuhao Reply:
For the treatment of hemorrhoids, if there is no diarrhea, there is no need to take antidiarrheal medications. Suppositories are usually used before bedtime; after slight lubrication, they should be inserted deep enough to pass beyond the sphincter. Once inside the rectum, there ...[Read More] Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
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 Anesthesia Pain: Is It Normal or a Drug Allergy?
Anesthetic pain Hello Dr. Chen: I have had multiple experiences with surgical anesthesia, and each time after the medication is administered, I experience severe pain in my entire arm, which lasts for about three seconds before I fall asleep. It's not the kind of pain associ...
Dr. Chen Bingze Reply:
The tingling sensation when the anesthetic is administered is normal and is caused by the high concentration of the medication.[Read More] Understanding Anesthesia Pain: Is It Normal or a Drug Allergy?
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
Understanding Hemorrhoid Creams: Usage, Alternatives, and Treatment Options
Hemorrhoid ointment I usually have hemorrhoids that protrude, and after using the restroom, I need to push them back in. I feel like it's getting harder to push them back. Last week, when I pushed them back, I noticed blood on the toilet paper, which startled me. Later, I we...
Dr. Yu Mingchang Reply:
Surgery is a better solution; the ointment can continue to be used.[Read More] Understanding Hemorrhoid Creams: Usage, Alternatives, and Treatment Options
Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids? Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean. Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids. A minimally invasiv...
Dr. Ke Fangxu Reply:
We recommend that you schedule a follow-up consultation. Thank you.[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions
Pain in the upper back and rib area? Hello, my mother is 66 years old. She was first diagnosed with COVID-19 on December 9, 2022, and tested negative on December 19. During her infection, she experienced severe throat pain and loss of smell, which have not yet recovered. She has ...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that there may be a thoracolumbar compression fracture or other conditions. It is recommended to consult a spine specialist surgeon. An MRI evaluation is advised. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Spine Surgery, Changhua Hos...[Read More] Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions