Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Postoperative Issues After Hemorrhoid Laser Surgery Hello Dr. Ke: I had laser surgery for hemorrhoids at the clinic on the evening of April 23 (Friday) and was not hospitalized. One external hemorrhoid and one mixed hemorrhoid were removed. As of now, April 25 (Sunday), it is the...
Dr. Ke Fangxu Reply:
1. It may be difficult to make a judgment without a personal examination. 2. Generally, standard hemorrhoid surgeries require hospitalization to manage postoperative pain and swelling, which are common phenomena. Whether the wound will reopen depends on the surgical method used....[Read More] Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Postcoital bleeding I would like to ask the doctor: I have an internal hemorrhoid. Since mid-last year, after having anal intercourse with my partner (we always prepare with lubrication), I did not experience any anal fissures or bleeding. However, this year, I have been experien...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. Gonorrhea typically involves infection at the urethral location, and I have not heard of cases involving anal infections. An anoscopy can be arranged by a physician, and it should be covered by health ...[Read More] Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Post-Surgery Care for Fistula: Essential Tips and Concerns
Post-fistula surgery Hello Doctor, I had surgery for internal and external hemorrhoids a month ago, and due to a wound infection, an abscess formed. After the abscess ruptured on its own, a fistula developed. I just underwent fistula surgery the day before yesterday. The fistula ...
Dr. Ke Fangxu Reply:
1. It is not necessary to clean the wound thoroughly before applying povidone-iodine and saline; the key point is to ensure proper cleaning. 2. Using a bidet is not harmful; it is similar to rinsing with a handheld shower after bowel movements. It is impossible to completely cl...[Read More] Post-Surgery Care for Fistula: Essential Tips and Concerns
Managing Anal Fissures: Alternatives to Steroid Creams for Relief
Anal fissure Hello, doctor. I often experience discomfort during bowel movements, and occasionally I have anal fissures that cause pain, so I apply anal ointment almost every day to facilitate smoother bowel movements. If I stop using the ointment, the burning pain becomes increa...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with warm sitz baths. Warm sitz baths can help alleviate pai...[Read More] Managing Anal Fissures: Alternatives to Steroid Creams for Relief
Managing Scars After Severe Burns: Treatment Options and Next Steps
Scars after burns I'm sorry to hear about your burn injury. I was burned by hot oil in mid-October last year. At that time, I rinsed the area with water for 30 minutes and then went to the emergency room. The next day, when I had my dressing changed, the skin had already tur...
Dr. Lu Daokuan Reply:
The recovery from the burn is as expected, and the scar should be evaluated by a plastic surgeon.[Read More] Managing Scars After Severe Burns: Treatment Options and Next Steps
Understanding Itchy Belly Button and Clear Discharge: Causes and Treatments
Itching around the navel with suspected clear discharge? Hello Dr. Chen, my symptoms started with an itching sensation around my navel for about 3 to 4 days. After that, I began to notice what seems to be discharge inside my navel, which dries up and forms a thin layer of secreti...
Dr. Chen Jiaming Reply:
Based solely on your description, it is not possible to confirm the presence of a wound or signs of infection. If there is a wound, it is important to avoid contact with unclean water and to provide appropriate cleaning and disinfection (using antiseptics like Betadine, etc.). If...[Read More] Understanding Itchy Belly Button and Clear Discharge: Causes and Treatments
Numbness in Left Pinky Toe: Possible Nerve Damage After Long Walk?
The sensation on the outer side of the left little toe has diminished? Previously, I walked for an extended period in one day, and at that time, I only experienced foot pain and soreness. Starting the next day, I noticed that the outer side of my left little toe seemed to have so...
Dr. Lai Zhaokang Reply:
Hello, it is suspected to be peripheral fasciitis or neuritis. It is recommended to apply heat or soak in warm water (be careful not to burn yourself) for one week. If there is no improvement, please consult a neurologist or neurosurgeon. Best wishes. // Neurosurgeon Dr. Lai Chao...[Read More] Numbness in Left Pinky Toe: Possible Nerve Damage After Long Walk?
Understanding Anal Discomfort: Is It Hemorrhoids or Skin Inflammation?
Prolonged sitting can lead to a sensation of moisture in the anal area? I would like to consult a doctor. I have been experiencing a burning sensation in my anus and the inner thighs, which is especially noticeable at night. I visited a proctologist who diagnosed me with internal...
Dr. Ke Fangxu Reply:
This condition is often a localized skin inflammation that can be evaluated by either a dermatologist or a proctologist. A low-dose corticosteroid cream applied for about a week may lead to healing. If the current physician's treatment is not effective, it may be beneficial ...[Read More] Understanding Anal Discomfort: Is It Hemorrhoids or Skin Inflammation?
Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Elder brother has been suffering from chronic stomach pain? Hello Dr. Chen, my brother is 32 years old. He has a smoking habit and an unhealthy diet (he enjoys fried foods and late-night snacks). For the past two years, he has been experiencing "stomach pain (severe enough t...
Dr. Chen Jiaming Reply:
Based solely on your description, it seems that you often experience pain while "sleeping." If the pain symptoms resemble gastroesophageal reflux (such as chest discomfort, nausea, and burning sensations), you might consider trying antacids or acid reducers to see if th...[Read More] Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
History of cauliflower and hemorrhoid treatment, with recent perianal pain? Dear Dr. Ke, I apologize for interrupting you during your busy schedule. To save your valuable time, I have organized the information in bullet points below. Thank you for your understanding. 1. A 30-ye...
Dr. Ke Fangxu Reply:
I also think it could be an anal polyp or a small external hemorrhoid, as it appears smooth in appearance. However, it is best to have a physician perform a physical examination for a more accurate assessment. If there is no continuous increase in size or number, it can be monito...[Read More] Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
Understanding Perianal Skin Irritation and Burning After Bowel Movements
Perianal skin irritation and burning sensation? Dear Dr. Ke, Thank you for your previous response. Regarding case #157413, initially after the fistulotomy, the recovery was not very good, and there was excessive granulation tissue growth. I underwent cryotherapy and applied a st...
Dr. Ke Fangxu Reply:
The use of steroid ointments is not recommended for long-term application around the anal area due to the thinner skin in that region, which may lead to potential side effects with prolonged use. It is advisable to stop using the steroid ointment. Warm sitz baths can continue, bu...[Read More] Understanding Perianal Skin Irritation and Burning After Bowel Movements
Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
One hour after defecation, there is a noticeable leakage of stool from the anal area? Hello Dr. Ke: I had a fistula and hemorrhoid surgery at the end of last year, and so far the wound healing has been quite good (the fistula wound has formed a fibrous scar). However, after using...
Dr. Ke Fangxu Reply:
In patients who have undergone fistula surgery, a small number may experience anal deformity due to sphincterotomy, and some may have decreased anal sphincter tone. However, your symptoms may not necessarily be caused by the surgery, as individuals without prior surgery can also ...[Read More] Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
Should You See a Doctor for Minor Burn Wounds?
Burn wound Due to work-related reasons, I accidentally burned two small wounds. They seemed to be healing well, so I didn't pay much attention to them. Yesterday, a small piece of dead skin fell off, and a small amount of clear fluid, resembling tissue fluid, emerged. Today,...
Dr. Li Zhonghuai Reply:
Hello! Please avoid touching the wound with tap water for now. It is advisable to seek treatment at a general surgery outpatient clinic. Take care! Changhua Hospital cares about you![Read More] Should You See a Doctor for Minor Burn Wounds?
Understanding Temporary Finger Pain: Possible Causes and Concerns
Transient finger pain Two weeks ago, I was tested for Sjögren's syndrome and also checked for some other complications, and all the results came back normal. However, during those days, I was pressing on the tissues of my fingers quite a bit (as I was worried about rheumatoi...
Dr. Lai Zhaokang Reply:
Hello: 1. First, stop the repetitive pressure on your fingers. 2. Soak your hands and feet in warm water daily (at a temperature that won't cause burns). 3. If there is no improvement after 2 weeks, it is advisable to consult a physician. Best wishes. // Neurosurgery Dr. Lai...[Read More] Understanding Temporary Finger Pain: Possible Causes and Concerns
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Rectal bleeding This Wednesday, I experienced diarrhea and noticed a stool that had a jelly-like blood resembling strawberry jam. There was a bit of blood on the toilet paper, and I felt a burning sensation after bowel movements. On Thursday, my stool was soft, and I did not noti...
Dr. Ke Fangxu Reply:
This situation is likely indicative of a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dieta...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
What should I do if I have itching, mild pain, and a feeling of heaviness due to hemorrhoids? Hello Doctor: Thank you for your response last time (on April 7). I later experienced significant discomfort and mustered the courage to see a doctor. The doctor diagnosed me with thromb...
Dr. Ke Fangxu Reply:
1. If there is currently no pain or bleeding, continue with the current treatment or take warm sitz baths, but avoid constipation and shorten the time spent on bowel movements; this should help alleviate the feeling of bloating. 2. Indeed, some patients may experience worsening h...[Read More] Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
Understanding Post-Surgery Pain After Hemorrhoid Ligature: What to Expect
Hello, doctor? I had a hemorrhoid ligation for a prolapsed internal hemorrhoid on April 27th. After experiencing pain for four days, it improved, but today is the ninth day, and after having a bowel movement this morning, the pain has returned. It feels like a burning, stinging s...
Dr. Ke Fangxu Reply:
After hemorrhoid ligation, there should be minimal pain; if there is any discomfort, it should gradually decrease. It is recommended that you consult the physician who performed the ligation to check for any signs of infection at the ligation site. If there are indications of inf...[Read More] Understanding Post-Surgery Pain After Hemorrhoid Ligature: What to Expect
Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Post-fistula surgery Hello, Director Ke: I underwent a fistula surgery on April 8, 2020. However, while taking a shower, I touched the area around the wound and noticed a small lump that resembles an external hemorrhoid, approximately the size of a small fingertip. The doctor exa...
Dr. Ke Fangxu Reply:
This is a common phenomenon, and as long as there is no bleeding or pain, it should be fine. Since your doctor has examined you and believes it is a blood clot, I think their opinion is more accurate than mine, as I have not personally examined you. Swelling and pain after surger...[Read More] Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Post-Surgery Pain and Complications After Minimally Invasive Melanocytic Nevus Removal
Minimally invasive treatment for mixed nevi? I underwent a self-funded minimally invasive excision of a mixed nevus at Tzu Chi Hospital in Hualien on March 30, 2019, costing around NT$32,000. I was discharged on the 31st and did not have a bowel movement until April 2. However, t...
Dr. Li Qinglong Reply:
Hello, Miss: Regarding the issue you raised, it is recommended that you visit an outpatient clinic for medical attention. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Post-Surgery Pain and Complications After Minimally Invasive Melanocytic Nevus Removal
Understanding External Hemorrhoids: Symptoms, Treatments, and When to Seek Help
External hemorrhoids issue? Hello, Doctor: I previously underwent a colonoscopy, during which the physician informed me that I have external hemorrhoids. At that time, I didn't feel particularly uncomfortable, so I didn't pay much attention to it. However, in the past f...
Dr. Ke Fangxu Reply:
If hemorrhoids do not involve significant bleeding or severe pain, surgical treatment is not necessary. External hemorrhoid ligation can cause intense pain, so it is generally not recommended. Only internal hemorrhoids can be ligated since they lack somatic nerve supply. There ar...[Read More] Understanding External Hemorrhoids: Symptoms, Treatments, and When to Seek Help