Should an 88-Year-Old Undergo Surgery for Bowel Perforation?
Should an 88-year-old elderly patient undergo abdominal surgery and what are the consequences? Hello Doctor, my grandmother is 88 years old. Recently, she suddenly said that sitting is very difficult for her, and she can't sit for more than ten minutes. Yesterday morning, sh...
Dr. Ke Fangxu Reply:
The issue of intestinal perforation in elderly patients is indeed a serious one. As the physician mentioned, the risks of surgery are high and complications are numerous, making it difficult to make a decision. If the patient is still conscious, I suggest allowing them to make th...[Read More] Should an 88-Year-Old Undergo Surgery for Bowel Perforation?
Managing Hemorrhoids: Suppositories, Steroids, and Anal Fissures
Hemorrhoidal suppositories & corticosteroids & wounds (fissures) Hello, doctor! I'm sorry to bother you again... At the beginning of the month, I had a hemorrhoid banding procedure for an internal hemorrhoid. However, during the second week, I experienced diarrhea wh...
Dr. Ke Fangxu Reply:
1. If the thrombosed external hemorrhoid is not large, it can be surgically excised under local anesthesia in an outpatient setting without damaging the sphincter muscle. 2. There are specific medications for irritable bowel syndrome, and it is recommended that you consult a gast...[Read More] Managing Hemorrhoids: Suppositories, Steroids, and Anal Fissures
Understanding Anal Fistulas: Treatment Challenges and Long-Term Care
Please inquire about anal fistula issues? Dear Dr. Ke, I developed an anal fistula at the age of 15, with abscesses on both sides that ruptured. At that time, I did not receive aggressive treatment, which led to a long-standing hidden condition that feels like a concealed fistul...
Dr. Ke Fangxu Reply:
1. Cure is possible, but complex anal fistulas can be quite troublesome to open up, with a longer recovery time and a higher likelihood of recurrence. Some cases may require multiple surgeries to achieve eradication. 2. Indeed, some major hospitals perform fistulography; you can ...[Read More] Understanding Anal Fistulas: Treatment Challenges and Long-Term Care
Understanding Discomfort After Colostomy Closure: Causes and Solutions
Ostomy closure Hello, two years ago I had a car accident, and due to my injuries, I needed to have a stoma created. It has been over a year since the stoma was closed, but recently, in the past three to four months, I occasionally feel discomfort and a stabbing pain. I would like...
Dr. Ke Fangxu Reply:
After abdominal surgery, varying degrees of adhesions are common, with typical symptoms including abdominal distension and pain. As long as there is no significant abdominal bloating or inability to pass gas, there is no need for special medical attention. However, if the symptom...[Read More] Understanding Discomfort After Colostomy Closure: Causes and Solutions
Understanding Blood in Stool: Causes and When to Seek Help
Bleeding during bowel movements? Hello doctor, I have recently been experiencing blood in my stool. The frequency of my bowel movements has increased, but the amount is less, and the blood is dark red. After I finish, the toilet bowl is filled with red, and the toilet paper gets ...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the likelihood of hemorrhoidal bleeding is higher and may not necessarily be related to your fistula surgery. It is advisable to avoid constipation and shorten the time spent during bowel movements. You may also consider using a rectal sup...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Is It Normal to See Blood Clots After Fistula Surgery?
After surgery for a fistula..? Hello Dr. Hsu, I would like to ask if it's normal for my father to have blood clots in his stool one week after having a colostomy. I'm very worried because my father is severely disabled due to a stroke and cannot speak to express himself...
Dr. Xu Kaixi Reply:
After anal canal surgery, wound healing typically takes at least 2-3 weeks if there is no infection or complications. During this period, it is normal to experience slight bleeding during bowel movements; however, if there is significant bleeding or other accompanying symptoms, i...[Read More] Is It Normal to See Blood Clots After Fistula Surgery?
Preventing Prolapse of the Stoma After Colorectal Surgery
How to prevent the intestines from protruding further? Dr. Hsu: Hello, I had surgery for rectal cancer in June of last year, and I have had a colostomy on my left abdomen for one year and three months. In the first few months after the surgery, the stoma was very flat, but in rec...
Dr. Xu Kaixi Reply:
The height between the stoma and the abdominal wall surface varies from person to person; some protrusions are not necessarily abnormal. If you have concerns, it is recommended that you visit a surgical outpatient clinic for an examination.[Read More] Preventing Prolapse of the Stoma After Colorectal Surgery
Post-Surgery Anal Pain: Understanding Recovery After Rectal Surgery
Postoperative anal pain after rectal surgery? Hello Doctor, my mother is 71 years old. She was diagnosed with rectal cancer in February of this year. In early June, she underwent surgery to remove the rectal tumor and had a colostomy created. In September, she completed the surge...
Dr. Ke Fangxu Reply:
After surgery for low rectal cancer, if a temporary colostomy was performed, there may be a period of symptoms upon reconnection. The lower the tumor's location, the more pronounced the symptoms may be. If radiation therapy was also administered, similar symptoms can occur d...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Rectal Surgery
Challenges After Deep Anal Abscess Drainage: Healing and Complications
After the drainage of a deep anal abscess, issues that may arise following wound healing include: Hello Dr. Ke, First of all, thank you for taking the time to address my questions. Last September, I underwent surgery at Linkou Chang Gung Memorial Hospital for a large deep peria...
Dr. Ke Fangxu Reply:
1. The so-called fistulography involves injecting a contrast agent into the fistula and then taking images. If the pressure within the fistula is too high or if the rectal outlet is too narrow, it may indeed lead to a failure in imaging. 2. Based on your description, it is unfo...[Read More] Challenges After Deep Anal Abscess Drainage: Healing and Complications
Post-Surgery Weight Loss After Rectal Cancer Treatment: Causes and Solutions
Significant weight loss after rectal cancer surgery? Hello, doctor. My family member was diagnosed with rectal cancer in May of this year and subsequently underwent surgery for resection. After the surgery, they received radiation therapy and chemotherapy, with radiation therapy ...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Surgical Department at Tainan Hospital, Ministry of Health and Welfare: The surgical and chemotherapy or radiotherapy processes for colorectal cancer can lead to significant physical and nutritional depletion. Additionally, treatment side effects, inc...[Read More] Post-Surgery Weight Loss After Rectal Cancer Treatment: Causes and Solutions
Understanding Rare Anal Tumors: Surgical Options and Risks
Anal tumors? Hello, doctor! My father was recently diagnosed with a tumor approximately 5 centimeters in size located in the anal canal. The doctor mentioned that it is not rectal cancer, but I forgot the name; I only know that it is difficult to examine. The tumor itself is not ...
Dr. Ke Fangxu Reply:
Low rectal tumors present a challenging surgical scenario, primarily hinging on the need for radical surgery. If the pathological examination indicates a malignant tumor, radical surgery is necessary, along with adjuvant radiation therapy, to ensure complete removal and prevent f...[Read More] Understanding Rare Anal Tumors: Surgical Options and Risks
Understanding Anal Fistulas: Treatment Options and Long-Term Risks
Anus and rectum Hello, doctor. At the end of last year, I experienced redness and swelling around my anus, along with a small hard lump. After consulting a physician, I was diagnosed with an anal fistula and was advised to undergo surgical treatment. After the surgery, the doctor...
Dr. Ke Fangxu Reply:
Hello, in response to your question: Anal fistulas are a troublesome condition that, while not life-threatening, involve complex surgical procedures and a lengthy recovery period. Patients often view surgery as daunting after the explanation. However, without surgical interventio...[Read More] Understanding Anal Fistulas: Treatment Options and Long-Term Risks
Managing Radiation-Induced Colitis: Painful Abscess and Treatment Options
Radiation therapy-induced colitis with painful hard lumps in the buttocks? Mr. Zhou, an 82-year-old patient, has been cured of rectal cancer for 10 years and has a colostomy. He developed colitis due to radiation therapy, resulting in rectal bleeding of several tens of cc per day...
Dr. Shen Mingyin Reply:
Hello: Your question did not specify the reason for undergoing radiation therapy, making it difficult to speculate on the cause of the fistula formation. Whether another surgery is necessary will depend on the actual examination of Mr. Xiong's wound condition, his overall ph...[Read More] Managing Radiation-Induced Colitis: Painful Abscess and Treatment Options
Managing Anal Fistula: Dietary Tips and Treatment Concerns
Issues related to anal fistulas? Hello Dr. Ke, I would like to ask what else should be avoided for anal fistulas besides spicy and fried foods. Yesterday, I ate food cooked with sesame oil, and this morning it became a bit swollen. I'm not sure if the sesame oil caused it....
Dr. Ke Fangxu Reply:
Hello: There is no effective method to prevent anal fistulas. In fact, there is no medical evidence supporting that sesame oil and fried foods cause anal symptoms; it is mostly the physicians who tend to agree with patients' claims. Spicy foods are discouraged because capsai...[Read More] Managing Anal Fistula: Dietary Tips and Treatment Concerns
Do All Colorectal Cancer Surgeries Require a Colostomy?
Questions about colorectal surgery? Hello, doctor: In general, does surgery for colorectal cancer require the creation of a colostomy? If a colostomy is not performed, will the patient be able to have normal bowel movements? Thank you.
Dr. Ke Fangxu Reply:
Hello: Generally, colorectal cancer surgery may require a colostomy, which is typically needed for low rectal cancer surgeries. Low rectal cancer refers to tumors located within 20 centimeters of the anal opening. Such surgeries may result in a temporary colostomy, which can be r...[Read More] Do All Colorectal Cancer Surgeries Require a Colostomy?
Concerns About Surgery for Colon Cancer: Risks and Complications
Could you please provide more details about your questions regarding surgical issues? 1. If a patient undergoes surgery for colorectal cancer and does not have a colostomy during the first operation, and then experiences a leak requiring a second surgery, is there a possibility t...
Dr. Hou Yongji Reply:
According to your description, it pertains to surgical-related details. Unless the surgical physician is present in the situation, it is not possible to make hypothetical assumptions. Therefore, please discuss this in detail with the attending surgeon. Thank you, Dr. Hou Yong-ji.[Read More] Concerns About Surgery for Colon Cancer: Risks and Complications
Understanding Surgical Decisions in Stage III Colon Cancer Treatment
Could you please clarify your question, doctor? Dear Director, my father was diagnosed with stage III colon cancer. After the first surgery, six days later, there was a leakage at the surgical site, which necessitated a second surgery to create a colostomy. After the first surger...
Dr. He Zhenming Reply:
Because the first surgery involved creating a colostomy, a second surgery for bowel reconstruction was necessary. The doctor may have considered that the potential leakage might not be severe or that there was a chance for healing, which is why a colostomy was not performed direc...[Read More] Understanding Surgical Decisions in Stage III Colon Cancer Treatment
Understanding Surgical Decisions in Stage III Colon Cancer Treatment
I'm sorry, but I need specific content to translate. Please provide the text you would Dear Doctor, my father was diagnosed with stage III colon cancer. After the first surgery, six days later, there was a leak at the surgical site, which necessitated a second surgery to cre...
Dr. Shen Mingyin Reply:
Hello: There is always a certain risk of leakage associated with colon resection and anastomosis surgery. If you still have concerns about the procedure, it is advisable to discuss them further with your surgeon. Thank you.[Read More] Understanding Surgical Decisions in Stage III Colon Cancer Treatment
Can a Permanent Colostomy Be Reversed to a Normal Anus?
Is it possible to surgically convert a permanent colostomy back into a normal anus? Dear Dr. Hou, My mother is your patient. She underwent surgery for rectal cancer in July of last year. At that time, I made the decision to proceed with a colostomy without informing her of the s...
Dr. Hou Yongji Reply:
Based on your description, it is difficult to understand the exact condition. However, in general, if a colostomy resulting from rectal cancer surgery is permanent, it means that the original normal anus has been removed. Therefore, if a new anus were to be created, it would not ...[Read More] Can a Permanent Colostomy Be Reversed to a Normal Anus?
Seeking Alternatives to Surgery for My Father's Health Concerns
Thank you, Dr. Ko, for your response? Dear Dr. Ko, Thank you for taking the time to respond to this letter. Recently, my father’s attending physician at Kaohsiung Medical University Hospital informed us that he needs to undergo another surgery. The explanation provided by the ph...
Dr. Ke Fangxu Reply:
Hello: In response to your question, I'm not sure which hospital your father had his surgery at. Generally speaking, if it's a follow-up issue after the first surgery, it's advisable to return to the original hospital for consultation, as all the records and the at...[Read More] Seeking Alternatives to Surgery for My Father's Health Concerns