Managing Chronic Anal Fissures: Treatment Options and Safety Concerns
Chronic anal fissure Hello, doctor. I have been a long-term chronic anal fissure patient and have visited several small hospitals (with internal examinations). The doctors said that adjusting my lifestyle and dietary habits along with sitz baths would help improve my condition. H...
Dr. Lin Zhiguang Reply:
Hello, you are using hemorrhoid ointment, which is not something I usually prescribe. However, applying it for a few weeks generally does not have a significant impact on the body, as it is for local use and the absorption into the body is minimal. Vaseline may not be very effect...[Read More] Managing Chronic Anal Fissures: Treatment Options and Safety Concerns
Chronic Anal Fissures: Surgical Options, Recovery, and Long-Term Relief
Chronic anal fissure Dear Dr. Hou, I have chronic anal fissures. Whenever my stool is a bit hard, I experience bleeding. I apply ointment for a while and it gets better. I also regularly soak in warm water and consume a high-fiber diet, avoiding spicy foods, but bleeding still o...
Dr. Hou Yongji Reply:
Chronic fissure surgery requires a 3-day hospital stay. The purpose of the surgery is to accelerate wound healing, but attention should still be paid to daily dietary habits and anal care. Please consult a colorectal specialist for diagnosis and discussion of your condition. Dr. ...[Read More] Chronic Anal Fissures: Surgical Options, Recovery, and Long-Term Relief
Understanding Chronic Anal Fissures: Symptoms, Causes, and Treatment Options
Chronic anal fissure Hello Doctor, I am 18 years old. About a year ago, I experienced anal fissures that lasted for almost a month before I went to see a doctor (initially, I didn't feel much). The doctor prescribed me stool softeners and ointment (along with warm sitz baths...
Dr. Ke Fangxu Reply:
Hello, Lemon: Based on your description, the excess tissue you mentioned is likely a satellite polyp formed around a chronic anal fissure. The reason for its formation is the repeated tearing and healing of the fissure, which leads to the proliferation of excess tissue in the sur...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Treatment Options
Understanding Painful Bowel Movements: Is It Hemorrhoids?
Experiencing pain in the buttocks during bowel movements is common? It seems that this condition has been present for a long time, but I just didn't pay attention to it before! Today, while having a bowel movement, I experienced significant pain in my rectum from straining. ...
Dr. Hou Yongji Reply:
Based on your description, it may be a chronic anal fissure. Please seek treatment from a nearby colorectal surgeon as soon as possible. Here is a list of colorectal surgeons: D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm Dr. Hou Yong-ji.[Read More] Understanding Painful Bowel Movements: Is It Hemorrhoids?
Understanding Chronic Anal Fissures: Do They Always Require Surgery?
Regarding the issue of chronic anal fissures? Hello Doctor, I am 16 years old, and for the past month, I have been experiencing anal fissures when using the restroom. I noticed that the area of the fissure has started to appear white or light flesh-colored (not sure if this is fi...
Dr. Hou Yongji Reply:
Based on your description, it is possible that granulation tissue or fibrosis is forming during the wound healing process. Please consult a colorectal surgeon for diagnosis and treatment. Thank you. (Attached is the list of specialists) D:\2F\Taiwan Society of Colon and Rectal Su...[Read More] Understanding Chronic Anal Fissures: Do They Always Require Surgery?
Chronic Anal Fissures: Risks of Untreated Conditions and Alternatives
excuse me? If chronic anal fissures are left untreated, they can lead to several complications. Although you may only experience mild pain during bowel movements and it doesn't significantly affect your daily life, the fissure can become more severe over time. This may resul...
Dr. Wang Qichao Reply:
Hello: Chronic anal fissures typically present with a triad of symptoms, which includes (1) ulceration, (2) anal tags, and (3) anal papillae. The chances of healing are usually low, and surgical intervention is often required. It is recommended that you first visit a colorectal s...[Read More] Chronic Anal Fissures: Risks of Untreated Conditions and Alternatives
Understanding the Differences Between Hemorrhoids and Anal Fissures
What is the difference between hemorrhoids and anal fissures? Dr. Lin, I would like to ask you about the differences between hemorrhoids and anal fissures. For the past six months, I have been experiencing pain in the anal area during bowel movements, and occasionally I notice so...
Dr. Lin Hongmao Reply:
Hello, Xiao Xiao: Anal fissures occur when hard stools tear the anal mucosa, leading to pain during bowel movements. The pain associated with bowel movements makes patients more reluctant to use the restroom, worsening constipation and creating a vicious cycle. If external hemorr...[Read More] Understanding the Differences Between Hemorrhoids and Anal Fissures
Understanding Chronic Anal Fissures: Symptoms, Treatment, and Care
"Emergency" I am 17 years old. During the summer vacation, I experienced hard stools and strained, which resulted in a small amount of blood on the toilet paper and pain. I initially thought it was nothing serious, but since then, every bowel movement has been painful, ...
Dr. Wang Qichao Reply:
Hello: The causes of anal pain generally include the following five points: 1. Thrombosed hemorrhoids, 2. Infections near the anus, 3. Anal fissures, 4. Tumors, 5. Pain of unknown origin. Based on your description, it seems more like an anal fissure, as the characteristics of an ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Treatment, and Care
Understanding Hemorrhoid Surgery: What to Expect Before Your Procedure
Regarding hemorrhoid surgery? Hello, doctor. I would like to ask you about a concern. I usually experience irregular bowel movements, such as diarrhea or constipation, and as a result, I have noticed a ring of small growths around my anus, which can be painful. During a conversat...
Dr. Wang Qichao Reply:
Hello: Based on your symptom description and age, an anal fissure seems to be a reasonable diagnosis. However, it is best to confirm the diagnosis through a physician's examination. If it is a chronic anal fissure, surgical treatment may be considered. If it is an acute anal...[Read More] Understanding Hemorrhoid Surgery: What to Expect Before Your Procedure
Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Anal itching Hello, Doctor: I would like to ask you about occasional itching around my anus (sometimes occurring after my menstrual period). Before having my daughter, I had issues with constipation (often experiencing difficulty in bowel movements, feeling the urge but unable to...
Dr. Hou Yongji Reply:
Hello: Based on your description, it appears to be a chronic anal fissure (caused by constipation). Please seek a consultation with a colorectal surgeon for diagnosis and treatment as soon as possible. You may refer to our hospital's educational website for information on co...[Read More] Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Understanding Hemorrhoids: Symptoms, Treatment Options, and When to See a Doctor
Hemorrhoids In the past six months, I have experienced significant pain in the anal area when sitting down, and it also hurts when I stand up, but there is no pain while standing or walking. Pressing on the anal area does not cause pain. I have noticed a small protrusion of tissu...
Dr. Ke Fangxu Reply:
Hello: In response to your question, a common cause of anal pain is anal fissure, which typically presents with pain during bowel movements and mild rectal bleeding. Chronic anal fissures may develop small tags of tissue on the anterior or posterior sides of the anus, known as se...[Read More] Understanding Hemorrhoids: Symptoms, Treatment Options, and When to See a Doctor
Understanding Anal Pain: Causes and Solutions for Tailors
What should I do about anal pain? Doctor, I am a tailor and I am wondering if my long hours of sitting have caused some issues. Recently, I have been experiencing what feels like fissures around my anus, and there is pain, especially during bowel movements. What could be the caus...
Dr. Hou Yongji Reply:
1. Anal pain is a complex condition with many potential causes, so it is recommended to seek medical attention for a thorough examination. 2. If there is an anal fissure, it can certainly cause pain, primarily due to tears caused by hard stools, while a smaller portion of individ...[Read More] Understanding Anal Pain: Causes and Solutions for Tailors
Managing Hemorrhoids While Preparing for Pregnancy: Key Considerations
Hemorrhoid issues I have been experiencing pain during bowel movements for the past two to three weeks, often accompanied by bleeding. I also have a small hemorrhoid that I cannot fully push back in. I really want to see a doctor about this, but I am currently actively preparing ...
Dr. Wang Qichao Reply:
Hello! Based on your description, I suspect that the likelihood of an anal fissure (commonly referred to as "fissure in ano") is quite high. The typical symptoms of an anal fissure include pain and bleeding, especially noticeable during bowel movements. Acute anal fissu...[Read More] Managing Hemorrhoids While Preparing for Pregnancy: Key Considerations
Understanding Painful Bumps Near the Anus: Is It Hemorrhoids?
Perianal mass Since the late stages of my pregnancy, I have been experiencing constipation issues. Most of the time, I have difficulty with bowel movements, and whenever I am constipated or have prolonged straining during bowel movements for a couple of days, I feel some pain aro...
Dr. Wang Qichao Reply:
Pain around the anus can have several common causes: 1. Hemorrhoidal thrombosis. 2. Anal fissures or skin tears. 3. Inflammatory conditions such as fistulas, abscesses, or hidradenitis. 4. Tumors. Typically, a physical examination and endoscopic evaluation can help in differentia...[Read More] Understanding Painful Bumps Near the Anus: Is It Hemorrhoids?
Should I See a Doctor for My Long-Standing Anal Growth?
Should I make an appointment for a consultation? I have a small piece of tissue outside my anus (for about ten years now) that has been neither painful nor itchy. I haven't paid much attention to it until recently when I went for a Pap smear. The gynecologist noticed it and ...
Dr. Wang Qichao Reply:
Your condition may be a fibrous polyp, which is typically caused by the remnants left from recurrent external hemorrhoids or by skin tags resulting from chronic anal fissures. If it is caused by the former, no special treatment is usually required. However, if it is due to the la...[Read More] Should I See a Doctor for My Long-Standing Anal Growth?