Chronic Anal Fissure Surgery: When Relief Turns into a Nightmare
Surgical intervention for anal fissures? Hello Doctor, I have been suffering from chronic anal fissures for 2 years, and I finally underwent surgery for the fissures 3 months ago, hoping to resolve the issue once and for all. However, the nightmare has just begun. I had follow-up...
Dr. Ke Fangxu Reply:
Anal fissures are a troublesome issue, with typical symptoms including 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. Surgical trea...[Read More] Chronic Anal Fissure Surgery: When Relief Turns into a Nightmare
Chronic Anal Fissure: Seeking Solutions for Persistent Pain and Discomfort
The anal fissure has persisted for over a month without improvement? Hello Doctor, I experienced a mild anal fissure due to bowel movements in early August. After a few days, thinking I had recovered, I engaged in anal intercourse. Since then, my fissure has not healed. Initially...
Dr. Ke Fangxu Reply:
The inflammation of the anal mucosa is not related to washing the buttocks with water unless water is being forced into the rectum, which is a very dangerous practice and should never be done. If there are anal fissures, it is essential to avoid constipation and diarrhea, as well...[Read More] Chronic Anal Fissure: Seeking Solutions for Persistent Pain and Discomfort
Managing Chronic Anal Fissures: Effective Treatments Beyond Surgery
Blood at the end of the stool due to anal fissure? Hello Dr. Ke, About two months ago, I experienced rectal bleeding during a bowel movement (there was blood on the stool and also on the toilet paper). After that, for about a week, the surface of the stool was stained with blood...
Dr. Ke Fangxu Reply:
Chronic anal fissure is a troublesome condition that, while not severe, often does not respond well to conservative treatment. The only relatively effective option is surgery. If you prefer to avoid surgery, your current approach is sufficient, and you can additionally use topica...[Read More] Managing Chronic Anal Fissures: Effective Treatments Beyond Surgery
Understanding Pain from Prolonged Sitting: Anal Issues Explained
Pain in the anus due to prolonged sitting? Hello Doctor, I previously had an anal fissure on the right side and after healing, I noticed some discomfort in the anal area after prolonged sitting. I consulted another doctor who mentioned that there is slight swelling in the anal re...
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. If there are poor bowel habits, symptom...[Read More] Understanding Pain from Prolonged Sitting: Anal Issues Explained
Understanding Anal Fissures: Surgery Risks and Childbirth Concerns
Anal fissure Hello, Director Ke. I have been experiencing recurrent anal fissures for nearly a year that have not healed, and it seems there is an issue with anal stenosis. I am considering surgery, but I have heard that there is a possibility of fecal incontinence after having c...
Dr. Ke Fangxu Reply:
Chronic anal fissures can indeed lead to anal stenosis, and the only treatment option is surgical intervention. The surgery does not cause anal incontinence and is not affected by childbirth. In fact, if not addressed promptly, it may become more difficult to manage during future...[Read More] Understanding Anal Fissures: Surgery Risks and Childbirth Concerns
Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Postoperative discharge after anal fissure surgery? Dear Dr. Ko, I underwent surgery for an acute thrombosis on October 31. Less than ten days later, I developed a granulation tissue that was larger than the thrombosis itself, and it was very painful during those days. During m...
Dr. Ke Fangxu Reply:
There are two different surgical methods for thrombosed hemorrhoids: incision and excision. It is unclear which one you underwent, but generally, only excision surgery can lead to the complication of granuloma. Postoperative pain may be due to anal stenosis caused by surgical sut...[Read More] Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Anal issues Hello, first of all, thank you, doctor, for clarifying my concerns regarding case number 130869. I truly appreciate it! I visited regional hospitals and clinics to confirm my condition, including a colorectal specialist (who performed a digital rectal examination), a ...
Dr. Ke Fangxu Reply:
1. Excessive sphincter muscle tension can lead to chronic anal fissures, which is a condition that has historically troubled colorectal surgeons. Conservative treatments often yield poor results, yet the situation may not be severe enough to warrant surgical intervention. Warm si...[Read More] Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Understanding Anal Pain: Is It a Fissure or Hemorrhoids?
Anal pain Hello Doctor: I have chronic anal fissures and hemorrhoids. The hemorrhoids were treated earlier this year, and I haven't had a recurrence of the fissures for a long time. Recently, I have been experiencing pain in the anal area when having a bowel movement, partic...
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; however, acute thrombosed hemorrhoids may also present with similar symptoms. Fortunately, the treatment approaches are ...[Read More] Understanding Anal Pain: Is It a Fissure or Hemorrhoids?
Understanding Chronic Anal Fissures: Healing Time and Pain Management
Chronic anal fissure I have had an anal fissure for 8 months. How much longer will it take to heal? My symptoms include pain but no bleeding. I have been worried about this every day. Thank you, doctor.
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. Over-the-counter hemorrhoid suppositor...[Read More] Understanding Chronic Anal Fissures: Healing Time and Pain Management
Signs of Healing from Anal Fissures: What to Expect and When to Worry
What are the symptoms of a healing anal fissure? This is the second time I have experienced an anal fissure. Each time I have a bowel movement, the front part of the stool feels very hard, but it becomes soft afterward. Sometimes, the amount of stool is very small, only one or tw...
Dr. Xu Kaixi Reply:
Hello: Bowel habits can be influenced by factors such as diet and lifestyle. If irregularities persist for a long time, it is advisable to seek further medical evaluation. If the anal fissure is causing less pain and symptoms are decreasing, it indicates improvement and may heal ...[Read More] Signs of Healing from Anal Fissures: What to Expect and When to Worry
Surgical Solutions for Anal Stenosis and Excess Skin Issues
Narrowing of the anal canal and excess skin? Regarding anal stenosis, there are several surgical options available, including anal dilation, sphincterotomy, or a more extensive procedure like anal reconstruction, depending on the severity of the condition. Hospitalization may be ...
Dr. Ke Fangxu Reply:
If the anal stenosis is not caused by anal surgery, it is usually due to chronic anal fissures. If surgery is required, the first choice is an internal sphincterotomy. As for the excess skin outside the anus, it is mostly associated with external hemorrhoids; sometimes, polyps ca...[Read More] Surgical Solutions for Anal Stenosis and Excess Skin Issues
Managing Chronic Anal Fissures: Addressing Persistent Bleeding After Surgery
Chronic anal fissure Hello Dr. Ke, I had surgery for chronic anal fissure last November. After the surgery, I no longer experience pain during bowel movements, but I still have bleeding. During my follow-up visit, the doctor mentioned that the wound needs further repair, so I und...
Dr. Ke Fangxu Reply:
After anal fissure surgery, if there is no pain, it generally indicates that the surgical objectives have been achieved. However, if there is still bleeding, it may be due to the surgical wound not being fully healed. It is recommended to enhance sitz baths and topical medication...[Read More] Managing Chronic Anal Fissures: Addressing Persistent Bleeding After Surgery
Understanding Chronic Anal Fissures: Treatment Options and Home Remedies
Chronic anal fissure that has not healed? I would like to ask the doctor about my anal fissure, which has persisted for six months. I previously consulted a doctor who prescribed medication for topical application and oral use, but I am almost out of the medication and it hasn&#x...
Dr. Ke Fangxu Reply:
Supplementing with fiber aims to make stools softer and easier to pass, while yogurt helps improve constipation by regulating gut bacteria. These functions are quite different. Both can be purchased over the counter at a pharmacy without a prescription. If the goal is simply to r...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Home Remedies
Understanding Chronic Anal Fissures: Symptoms, Treatment, and Surgery Options
Anal fissure issues? Hello, doctor. I have been experiencing symptoms of anal fissures for a while. Occasionally, when I have a bowel movement, it hurts a bit, and there is bleeding. The amount of blood varies; sometimes it's just a little, and other times it's more. Us...
Dr. Ke Fangxu Reply:
If anal fissures persist for more than three months without improvement, they can be classified as chronic anal fissures. If symptoms can be alleviated through dietary changes and improved bowel habits, surgery may not be necessary. However, if symptoms continue to be bothersome ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Treatment, and Surgery Options
Chronic Anal Fissure: When to Seek Medical Attention?
Chronic anal fissure? Hello Doctor, three months ago I experienced pain during bowel movements and was diagnosed with an acute anal fissure. I have had occasional rectal bleeding in the past, which I thought was due to hemorrhoids, but it would resolve after a while and then recu...
Dr. Ke Fangxu Reply:
The troublesome aspect of anal fissures is that they are difficult to heal. The symptoms may not be severe, but complete recovery is often elusive. It is not necessarily related to your occupation. If the condition significantly impacts your daily life, surgical treatment may be ...[Read More] Chronic Anal Fissure: When to Seek Medical Attention?
Managing Chronic Anal Fissures: Dietary Tips and Treatment Options
Chronic anal fissure Hello Doctor, I have been suffering from anal fissures for five years. I have visited several hospitals, and they usually prescribe medication for me to apply at home, but my condition keeps recurring due to hard stools. Recently, over the past three to four ...
Dr. Ke Fangxu Reply:
If there is currently no pain or bleeding, the anal fissure can be considered healed. The removal of sentinel polyps is not important unless there is a need for cosmetic improvement; otherwise, there is no clinical necessity to excise sentinel polyps.[Read More] Managing Chronic Anal Fissures: Dietary Tips and Treatment Options
Chronic Anal Fissure: When to Seek Surgery and What to Expect
Anal fissure treatment issues? Hello, Doctor. I would like to ask about my issue with anal pain during bowel movements. I have been diagnosed with chronic anal fissure. It has been four days since the examination, and I have a habit of using the restroom in the morning and evenin...
Dr. Ke Fangxu Reply:
Treatment for anal fissures can be quite troublesome, as the healing process is slow, yet it may not be severe enough to warrant surgery. However, if the pain is intense or significantly affects daily life, surgery may be necessary to resolve the issue. Personally, I have not hea...[Read More] Chronic Anal Fissure: When to Seek Surgery and What to Expect
Do I Really Need Surgery for My Anal Fissure?
Is surgery absolutely necessary? Hello, Dr. Ke. I discovered around last September that I would experience pain in a specific area during bowel movements (the pain lasted for a while, but I didn't notice it due to constipation, and there was no growth at the anal opening at ...
Dr. Ke Fangxu Reply:
1. Chronic anal fissure is characterized by persistent pain and bleeding symptoms that do not improve. Polyps at the anal opening are remnants of the fissure, and as long as there is no discomfort, they do not require attention. 2. No need. 3. Narrow stools are often caused by pr...[Read More] Do I Really Need Surgery for My Anal Fissure?
Understanding Chronic Anal Fissures: Healing, Treatment, and Pain Management
Chronic anal fissure Hello! I had surgery for anal fissures five years ago, but now I have been experiencing anal fissures again for the past three months. The doctor suggested trying medication first and not to undergo surgery (there are wounds on both sides). I would like to kn...
Dr. Ke Fangxu Reply:
Chronic anal fissures can indeed be a troublesome issue. If surgery has been performed previously and the fissure has recurred, further surgery is generally not recommended. The primary cause of anal fissures is often hard stools; however, diarrhea, frequent bowel movements, or p...[Read More] Understanding Chronic Anal Fissures: Healing, Treatment, and Pain Management
Is Long-Term Use of Hemorrhoid Cream Safe for Anal Fissures?
Usage of Anal Fissure Ointment Hello, doctor. I have a problem with anal fissures that comes and goes. It may improve for a while, but after some time, if I have larger stools, I experience anal fissures again. I have made dietary adjustments and take warm sitz baths twice a day,...
Dr. Ke Fangxu Reply:
Long-term use of ointments will not worsen anal fissures, as these medications are designed to alleviate the symptoms of anal fissures. The narrowing of the anal opening is primarily caused by chronic anal fissures that do not heal over time, which is often due to hard and bulky ...[Read More] Is Long-Term Use of Hemorrhoid Cream Safe for Anal Fissures?