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
How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
For chronic anal fissures, it is generally recommended to take sitz baths several times a day, typically 2 to 3 times. Each sitz bath should last about 10 to 15 minutes. This practice can help alleviate discomfort and promote Currently, I have a chronic anal fissure. When I visit...
Dr. Ke Fangxu Reply:
Warm sitz baths can help relieve pain, maintain cleanliness, and promote blood circulation. It is generally recommended to take a sitz bath at least four times a day (morning, noon, evening, and before bed). If it is inconvenient during work hours, you can skip the midday bath. I...[Read More] How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
Understanding Chronic Anal Fissures: Pain Management and Healing Options
Issues with anal fissures lasting over two months? For the past two months, I have experienced pain every time I use the restroom. I have tried soaking in warm water and using topical ointments and suppositories, and I have been mindful of my diet, with no issues of constipation....
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel m...[Read More] Understanding Chronic Anal Fissures: Pain Management and Healing Options
Understanding Chronic Anal Fissures: When to Consider Surgery?
I would like to consult a doctor regarding a suspected case of chronic anal fissure? I have had both external and internal hemorrhoids for about four years, and after treatment, I have been managing my internal hemorrhoids over the past two years, with no external hemorrhoids rem...
Dr. Ke Fangxu Reply:
1. This needs to be examined; it cannot be determined solely based on a written description. 2. Surgery for anal fissures is generally only recommended if there is severe pain that affects daily activities; if there is no significant pain, surgery is not necessary. 3. Please ...[Read More] Understanding Chronic Anal Fissures: When to Consider Surgery?
Can Chronic Anal Fissures Heal with Proper Care?
Can chronic old anal fissures heal? I have had an anal fissure for five years. I feel like it's a small wound, but it keeps getting injured repeatedly. Now, having a bowel movement is painful, but there is no bleeding. I irrationally and unscientifically wonder if the wound ...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal on their own; however, if the same area is repeatedly injured, it can lead to a chronic ulcer that is difficult to heal spontaneously. In such cases, surgical intervention is required to excise the ulcer and slightly relax the anal sphincter, al...[Read More] Can Chronic Anal Fissures Heal with Proper Care?
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Understanding Anal Fissures: Causes, Treatments, and Relief Options
Anal fissures and anal problems? Hello, Doctor. I have been experiencing anal fissures since last year. I visited a doctor and received medication (at Mackay Memorial Hospital). It improved somewhat, but I have been having recurrent episodes. Later, I took Laxative, which helped....
Dr. Zhang Shuhao Reply:
Anal fissures are primarily caused by tight anal muscles combined with straining during bowel movements. Laxatives can help supplement dietary fiber, but it is essential to drink plenty of water to avoid adverse effects. It is recommended to consume more fruits and vegetables to ...[Read More] Understanding Anal Fissures: Causes, Treatments, and Relief Options
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello, doctor. Since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Managing New Anal Fissures After Chronic Fissure Surgery: What to Know
New anal fissure developed after chronic anal fissure surgery? Hello Doctor: I underwent surgery for chronic anal fissures and hemorrhoids three weeks ago. During my follow-up appointment one week post-surgery, the doctor noted slight swelling at the surgical site and a newly for...
Dr. Ke Fangxu Reply:
Proper treatment of a new anal fissure can prevent it from becoming a chronic condition. If you are hesitant to apply ointment inside the anus, you can use suppositories as an alternative. Soft stools can also contribute to anal fissures, so it is advisable to avoid spicy and irr...[Read More] Managing New Anal Fissures After Chronic Fissure Surgery: What to Know
Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Chronic anal fissure, anal polyp I would like to ask about experiencing bright red blood when using the restroom, but without pain. Sometimes it occurs with bowel movements, but after a short period, it doesn't happen again for two consecutive days. I consulted a doctor (who...
Dr. Xu Kaixi Reply:
As your physician mentioned, sometimes anal mucosal tears can occur due to constipation or other reasons. If there is no pain or signs of infection or inflammation, they generally heal on their own. Exercise is not directly related to this condition.[Read More] Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?
Is surgery necessary for chronic anal fissures and fistulas? I have internal and external hemorrhoids and recently underwent a colon resection. A month later, after receiving the AZ vaccine, I experienced abdominal pain and the urge to use the restroom every hour, but I couldn&#x...
Dr. Ke Fangxu Reply:
1. Taking laxatives can indeed lead to excessive bowel movements. If this occurs, it is advisable to stop the medication and see if the symptoms improve. Holding in bowel movements is not a good habit, as continuous anal contractions can worsen the symptoms of anal fissures. It i...[Read More] Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?
Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
There is blood in the stool, and there is bright red blood when wiping? Hello Doctor, I would like to ask about my recent bowel movements which have been accompanied by blood. When there is blood, I apply a topical ointment for anal fissures, but sometimes I notice red spots in m...
Dr. Ke Fangxu Reply:
If a colonoscopy has been performed and no malignant disease is found, the issue is likely related to anal fissures or hemorrhoids. The distinction lies in the presence of pain or wounds; however, the treatment is generally the same. As long as there is no ongoing bleeding, there...[Read More] Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
Understanding Fistula Healing: Duration, Treatment, and Dietary Impact
Fistula-in-ano issues? Hello, doctor. After the original anal fissure healed, I discovered a small hole at the anal opening. Upon examination, the doctor mentioned it could possibly be a fistula, but the wound is too shallow and there is no pus, so surgery is not necessary. I was...
Dr. Ke Fangxu Reply:
Chronic anal fissures can potentially evolve into a subcutaneous fistula, in which case they may not heal completely. If there is persistent swelling and pain, surgical intervention may be necessary. The swelling and pain could be due to infection or re-tearing of the anal fissur...[Read More] Understanding Fistula Healing: Duration, Treatment, and Dietary Impact
Understanding Rectal Discomfort and Bowel Health: Common Concerns
Bowel issues? Hello Doctor: 1. My diet is normal, and I have a bowel movement once a day. However, recently I often feel a sensation of something foreign near the anus, as if it is not completely clean. When I check during my shower, I cannot feel anything (I am sure I have tou...
Dr. Ke Fangxu Reply:
1. It is possible that prolonged bowel movements may lead to the swelling of hemorrhoids. 2. The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding, often caused by constipation or diarrhea. The fundamental treatment involves add...[Read More] Understanding Rectal Discomfort and Bowel Health: Common Concerns
Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Anal fissure, tight internal anal sphincter? Hello Dr. Ke, I have seen four colorectal surgeons, all of whom diagnosed me with chronic anal fissures. As the fissures have become more frequent, I have been experiencing significant pressure and a bloated feeling in my anus. However...
Dr. Ke Fangxu Reply:
1. Increased pressure in the internal anal sphincter is usually of unknown origin and should not be related to uterine fibroids, nor would incontinence be caused by anal fissure surgery or fibroid surgery. 2. The standard procedure for anal fissure surgery involves removing any p...[Read More] Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Understanding Chronic Anal Fissures: Causes and Symptoms Explained
Chronic anal fissure Anal fissures have recently caused constipation, and when I feel the urge to defecate, I go to the bathroom but have no urge, only passing a small amount. I also experience chest pain at night while sleeping. What could be the cause?
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the colorectal department to schedule a colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Chronic Anal Fissures: Causes and Symptoms Explained
Understanding Anal Skin Tags: Pain, Recovery, and Minimally Invasive Surgery
Excess skin surgery Hello, I visited the hospital for an outpatient consultation, and the doctor told me that I do not have hemorrhoids but rather anal tags. I would like to know if the surgery for anal tags is as painful as hemorrhoid surgery. Will I need a long recovery period ...
Dr. Yu Mingchang Reply:
Hello: There are not many minimally invasive surgeries for the anus. Eating more fruits and vegetables can help, and excess skin tags may not require surgery. However, if skin tags are caused by chronic anal fissures, surgery may be necessary. Changhua Hospital is here to support...[Read More] Understanding Anal Skin Tags: Pain, Recovery, and Minimally Invasive Surgery
Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Chronic anal fissure Hello Doctor: I have a chronic anal fissure issue that had previously healed, but a few days ago it reopened due to constipation. Sometimes it bleeds, and I've been experiencing significant pain after using the restroom. I feel a friction sensation at th...
Dr. Ke Fangxu Reply:
1. Yes, it can shrink afterwards but will not completely disappear. The only way for sentinel polyps to disappear is through surgical removal. 2. If the pain and bleeding are only mild, you can initially apply medication and take warm sitz baths. If there is no improvement afte...[Read More] Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps
Chronic anal fissure Hello Doctor: I have been suffering from chronic anal fissures due to frequent constipation for the past 2 to 3 years. Initially, after controlling my diet last December, I stopped bleeding, but in the past two months, I experienced hard stools again, which c...
Dr. Ke Fangxu Reply:
1. Chronic anal fissures typically do not have other complications aside from pain and bleeding. 2. The only definitive solution for chronic anal fissures is surgery, and even after the procedure, proper care is necessary to prevent recurrence. 3. These two medications have s...[Read More] Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps