Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Chronic Anal Fissures: Treatment Options and Concerns
Inquiry about anal fissure issues? Hello, doctor. A few months ago, I visited a clinic due to an anal fissure, and after the physician prescribed me a suppository, I recovered quite well. However, a few weeks ago, I experienced another anal fissure, possibly due to constipation. ...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissures are generally defined as symptoms persisting for more than eight weeks and are difficult to relieve with conservative treatment. 2. Improving constipation symptoms can be achieved by increasing fluid and dietary fiber intake, reducing time spent on the to...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Concerns
Understanding Botox Treatment for Anal Fissures: What to Expect
Botulinum toxin treatment for anal fissures I would like to ask the doctor if you have heard of this treatment method? How is it typically performed? Is the injection administered from the outside or inside of the anus? What is the level of pain during the injection? Can a bowel ...
Dr. Zhang Shuhao Reply:
Chronic anal fissures can sometimes be caused by excessive tension in the anal sphincter. In such cases, botulinum toxin can be injected near the sphincter to relax the muscle and facilitate the healing of the fissure. The injection can be administered directly from the lateral s...[Read More] Understanding Botox Treatment for Anal Fissures: What to Expect
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Diarrhea with anal pain? Hello, Doctor: I have hemorrhoids and recently gave birth. My obstetrician helped to reduce them. During this time, I had no issues with normal bowel movements and experienced no pain. However, in the past few days, I have suddenly developed diarrhea, and...
Dr. Zhang Shuhao Reply:
Hemorrhoids typically cause pain due to thrombosis or when a prolapsed hemorrhoid becomes trapped, leading to impaired blood circulation. Based on your description, it seems more like anal fissures causing pain during bowel movements. In addition to warm sitz baths, topical ointm...[Read More] Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Anal fissure issues? Hello Dr. Chang, On July 7th, I experienced an anal fissure after a hard bowel movement. During this time, I took sitz baths for 10 minutes in the morning and evening. After more than a week, I was able to pass stool without pain. However, after a forceful b...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure is defined as a wound that persists for more than eight weeks, typically associated with increased anal sphincter tone and a deeper wound. Based on your description, it is still possible that it is an acute anal fissure. 2. Mixed hemorrhoid prolapse does...[Read More] Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Incontinence after anal fissure surgery? Hello Dr. Ke, I have undergone sentinel tag and anal sphincter relaxation surgery due to chronic anal fissures. It has been about a month and a half since the procedure, and I am still experiencing discomfort and episodes of incontinence....
Dr. Ke Fangxu Reply:
1. Generally, healing can take about a month; if pain persists, it is advisable to consult the surgeon to check for any abnormalities. 2. Postoperatively, mild incontinence may occur due to incomplete healing of the wound, which is caused by sensitivity and irritation of the in...[Read More] Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
Chronic anal fissure-related issues? Hello Dr. Ke: A month ago, I inquired and returned for a follow-up with the doctor. The situation is that I have applied two different ointments. The first one is Yizhi Kang, which causes itching when applied to the anal area, so I had to stop...
Dr. Ke Fangxu Reply:
1. It is personally not recommended to apply irritating ointments, as I have not heard of any evidence suggesting that irritating a wound can aid in healing. 2. If only a sphincterotomy is performed, then the skin will not be excised. 3. A sphincterotomy involves making a small...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Surgical Insights
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 Anal Fissures: Symptoms, Treatment, and Surgical Options
Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...
Dr. Ke Fangxu Reply:
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Anal fissure surgery issues? Some time ago, I developed an anal fissure due to gastrointestinal issues. Although my gastrointestinal problems have been resolved and the fissure has healed, I still experience recurrent pain after several days of soft stools. Medical examinations c...
Dr. Ke Fangxu Reply:
Anal fissures can be classified into two types based on the pressure of the sphincter muscle. If the sphincter pressure is excessively high, surgical intervention tends to yield better outcomes. Conversely, if the sphincter pressure is insufficient, the results of surgery may be ...[Read More] Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Can chronic anal fissures lead to the formation of ulcers or fistulas? I have had an anal fissure for five years, and it has never been excruciating. Recently, I visited a major hospital and noticed the issue of a fistula. 1. I would like to know if a chronic anal fissure can lea...
Dr. Xu Kaixi Reply:
1. Chronic anal fissures and fistulas do not have a direct causal relationship. 2. The management of anal fissures primarily involves maintaining a regular lifestyle, adopting good dietary habits to prevent constipation, and using warm sitz baths. If there is no improvement over ...[Read More] Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Understanding Painful Bowel Movements: Causes and Treatments
Recurrent sharp pain and bleeding during bowel movements? I had been taking weight loss pills for 2-3 years, which led to constipation. Recently, when I had a bowel movement, my stool seemed very hard, and the moment I exerted myself, it felt like I was being cut with a knife, ca...
Dr. Yu Mingchang Reply:
There is a higher possibility of anal fissures, so it is advisable to consult a colorectal specialist.[Read More] Understanding Painful Bowel Movements: Causes and Treatments
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