Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
What are the issues after outpatient surgery for thrombosed external hemorrhoids? Hello, doctor. I would like to ask: Yesterday, I visited a colorectal specialist at a certain hospital, and the doctor diagnosed me with a thrombosed external hemorrhoid, suggesting that it could be...
Dr. Zhang Shuhao Reply:
1. If a thrombosed external hemorrhoid is only incised to evacuate the clot, the hemorrhoidal tissue will still become inflamed and swollen. Gauze can be used to apply pressure to prevent further bleeding, but it does not help reduce swelling. Whether standing or sitting has litt...[Read More] Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
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
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao Reply:
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
Experiencing Discomfort Around the Anus: When to See a Doctor?
There is a sensation of a foreign body in the anal area? The main issues are pain during bowel movements, pain while sitting, and occasional dull abdominal pain, but there is no bleeding. Should I see a doctor, or is it okay to wait for now since the pain is not severe?
Dr. Chen Jiaming Reply:
It is recommended to visit the colorectal surgery outpatient clinic for further evaluation and treatment.[Read More] Experiencing Discomfort Around the Anus: When to See a Doctor?
Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Nocodazole film-coated tablets Hello Doctor, I suspected I had a fistula, so I went to see a colorectal specialist. My main complaints were anal itching and what seemed to be yellow discharge (there was no visible fistula opening). The doctor (referred to as Doctor A) performed a...
Dr. Zhang Shuhao Reply:
Curam is an antibiotic that targets common bacterial infections. If a doctor prescribes this medication, it indicates that, in addition to hemorrhoids, the possibility of other infectious lesions such as an anal abscess cannot be ruled out. Although Curam is typically recommended...[Read More] Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Is it possible to feel a hard lump inside the anus with hemorrhoids? I would like to ask the doctor if hemorrhoids can be very hard. Are there hemorrhoids that do not bleed? I read online that hemorrhoids are soft and do not obstruct bowel movements. I have felt a large hard lump...
Dr. Zhang Shuhao Reply:
If hemorrhoids develop a thrombosis, they may feel firmer than usual hemorrhoidal tissue, but they will not reach the hardness of a lump and will not obstruct bowel movements. A colonoscopy can usually rule out tumor-related lesions. It is recommended to first visit a colorectal ...[Read More] Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu Reply:
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Understanding Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscesses? Hello, Doctor. About 5-6 years ago, I had an experience with an anal abscess that required incision and drainage, but it did not result in an anal fistula. Recently, about 6 days ago, I started feeling mild discomfort deep in the anal area, w...
Dr. Ke Fangxu Reply:
An anal abscess is indeed more effectively treated with incision and drainage; however, if the abscess is too small or located at a greater depth, antibiotic treatment can also be a viable option. It is also possible that the physician you consulted is not a specialist in colorec...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Hemorrhoids: Pain Management and Recovery Insights
Internal and external hemorrhoids issues? Hello Doctor: I recently underwent a rubber band ligation for internal hemorrhoids (which were originally expected to be mixed hemorrhoids), but the rubber band fell off two days early, resulting in painful swelling of the external hemorr...
Dr. Yu Mingchang Reply:
External hemorrhoids cannot be treated with rubber band ligation for internal hemorrhoids. It is advisable to consult a colorectal specialist.[Read More] Understanding Hemorrhoids: Pain Management and Recovery Insights
Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Colorectal issues, Irritable Bowel Syndrome (IBS) In the past, I often experienced diarrhea due to exam-related anxiety during my school years. Later, in my early twenties, I underwent a colostomy due to rectal cancer, with the stoma located approximately between the ascending co...
Dr. Ke Fangxu Reply:
It is normal to experience frequent bowel movements as a postoperative complication after rectal cancer surgery. This is due to the shortening of the rectum, which reduces the capacity for stool storage. Besides taking medications to control the frequency of bowel movements, ther...[Read More] Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Understanding Painful Bumps Inside the Anus: Causes and Concerns
There are bump-like lesions on the inner wall of the anus? Hello Doctor, I apologize for bothering you. Yesterday, I discovered a raised, ball-like mass on the inner wall of my anus (about 1 centimeter deep). It is painful when pressed, but I don't notice it during my daily ...
Dr. Zhang Shuhao Reply:
The most common causes of protrusions and pain in the anal canal are hemorrhoids and fistulas, while less common causes include inflammation and infectious diseases. However, self-examination is usually difficult to assess. It is advisable to take warm sitz baths, increase fluid ...[Read More] Understanding Painful Bumps Inside the Anus: Causes and Concerns
Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Rectal bleeding I have been experiencing constipation issues for a long time, and in the past few months, I have felt a sharp pain when using the restroom. Although it doesn't happen every time, there are occasions when I notice fresh blood or blood streaks on the toilet pap...
Dr. Chen Jiaming Reply:
Due to your long-standing history of constipation, it is possible that the cause of your rectal bleeding is hemorrhoids. It is recommended that you see a colorectal surgeon for further evaluation to confirm the diagnosis and determine appropriate treatment.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time
Anal fistula surgery wound 1. How many openings are there in a single anal fistula incision in minimally invasive surgery? Approximately how large is the wound? How long does recovery take?
Dr. Xu Kaixi Reply:
Hello, due to limited information, the size, length, and location of the fistula will affect the shape and size of the wound. It is recommended that you visit the hospital's colorectal surgery outpatient clinic for a personal examination and evaluation.[Read More] Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time
Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Dyspepsia & flatulence & stool consistency Hello Doctor, I am currently experiencing symptoms of dyspepsia (persistent belching with a lingering food taste after meals, and occasionally increased gas in the evening, feeling gas moving in my intestines which requires passi...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 28 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irregular bowel motility. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, ir...[Read More] Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Soft Pink Bump Near Anus: Should You Be Concerned?
A small painless lump has developed outside the anus? Today, I felt a slight sharp pain in my anus and discovered a small pink soft lump on the outer edge of the anus when I looked in the mirror. It doesn't hurt and there is no bleeding. My bowel movements are generally smoo...
Dr. Zhang Shuhao Reply:
A sudden appearance of a pink small lump at the anal margin is most commonly associated with thrombosed hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, along with the use of hemorrhoid ointments to al...[Read More] Soft Pink Bump Near Anus: Should You Be Concerned?