Managing Post-Laser Hemorrhoid Surgery: Dealing with Blood Clots and Pain
Thrombosis after laser hemorrhoid surgery? I had laser hemorrhoid ablation surgery on July 12, and as a result, I didn't have a bowel movement for four days. After taking half a dose of a laxative for two days, I ended up having over ten bowel movements in one day for two co...
Dr. Yu Mingchang Reply:
Hello, you may have hemorrhoids. Please consult a colorectal specialist at the Changhua Hospital, Ministry of Health and Welfare for further evaluation.[Read More] Managing Post-Laser Hemorrhoid Surgery: Dealing with Blood Clots and Pain
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 Rectal Pain: Symptoms, Treatments, and When to Seek Help
Follow-up Inquiry #184284 Dear Dr. Chang, Thank you very much for your response to my inquiry in "<a href='https://adoctor.tw/article/184284'>#184284 Inquiry Consultation</a>". I would like to ask you further questions. This past Monday (July 18),...
Dr. Zhang Shuhao Reply:
1. If there is diarrhea and staying up late, it is most likely an exacerbation of hemorrhoids, specifically the formation of a subcutaneous thrombus due to internal bleeding from the hemorrhoids. 2. It is not advisable to wash directly; instead, a warm sitz bath can be used, su...[Read More] Understanding Rectal Pain: Symptoms, Treatments, and When to Seek Help
Will Hemorrhoid Cream Affect My Health Check-Up Results?
Inquiry Consultation Hello Dr. Chang, Today I am experiencing hemorrhoid swelling and pain due to diarrhea (the pain is sharp when sitting). I would like to use an over-the-counter ointment (Hiyu Zhi) to reduce the swelling and alleviate the pain, but I have a health check-up pl...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments primarily contain anti-inflammatory and analgesic ingredients, and some may contain trace amounts of corticosteroids. However, topical application is unlikely to affect health check-up results, so you can rest assured.[Read More] Will Hemorrhoid Cream Affect My Health Check-Up Results?
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Liposarcoma-related issues? I previously discovered that I have lipomas. After asking my family, my father mentioned that he also has them, suggesting a hereditary factor. At that time, I found four lipomas: one in the lower right abdomen, one on my back near the spine, and two o...
Dr. Chen Bingze Reply:
Hello, it sounds like there is a high likelihood of a lipoma. Lipomas are generally benign and rarely become malignant. You can monitor it for any changes in size, and if it increases, you may consider surgical removal. Additionally, the lipoma is not related to your loose stools...[Read More] Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Recurrent fever after surgery for ampullary cancer? Hello Dr. Chen, my mother is 75 years old. She was diagnosed with ampullary cancer at the end of May and underwent laparoscopic pancreaticoduodenectomy on June 9, during which the tumor was removed. The pathology report indicate...
Dr. Chen Ronghong Reply:
Hello, Ms. Lin. After pancreatic surgery, fever is most commonly associated with anastomotic leakage, as well as pneumonia, urinary tract infections, and bloodstream infections. I believe your mother's doctor has considered these possibilities, especially since you mentioned...[Read More] Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Is an ulcer the same as an anal fissure? I have irritable bowel syndrome with frequent diarrhea. Recently, for over a month, I've experienced some pain after using the restroom. I used a suppository for nearly a month, thinking it had improved, but then the pain became notic...
Dr. Ke Fangxu Reply:
Anal fissures can present with ulcerative lesions, but the presence of an ulcer does not necessarily indicate an anal fissure. Your condition is likely caused by a localized issue leading to anal trauma. You can apply ointment inside the affected area; it is acceptable to apply i...[Read More] Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Understanding Painful Red Bumps Near the Anus: Causes and Concerns
A red swollen mass near the anus? Hello, Doctor: About a week ago, after experiencing diarrhea, I felt discomfort in my buttocks the following afternoon. Upon examination, I discovered a red, swollen bump near my anus. There was a sharp pain when I strained, squatted, or touched ...
Dr. Yu Mingchang Reply:
Hello: The anal fissure has ruptured, and it has now turned into an anal fistula. Changhua Hospital is concerned about your well-being.[Read More] Understanding Painful Red Bumps Near the Anus: Causes and Concerns
Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Loss of appetite after starting antibiotics for a gastric ulcer? Hello Doctor, I am the one who previously asked question #182881. Since last night, I have been feeling very bloated and nauseous. The feeling of nausea has decreased, but I still feel like vomiting and have complet...
Dr. Ke Fangxu Reply:
Oral antibiotics are used to treat Helicobacter pylori infections. While these antibiotics kill stomach bacteria, they can also cause gastrointestinal discomfort, and some patients may experience diarrhea. These are all temporary side effects. To completely eradicate Helicobacter...[Read More] Loss of Appetite After Starting Antibiotics for Stomach Ulcers
Is It Ulcerative Colitis? Understanding Acute Colitis Symptoms and Diagnosis
Ulcerative Colitis Doctor, I started experiencing abdominal pain, diarrhea with blood and mucus symptoms (4-5 times a day) in early May. After seeking medical attention, I underwent a colonoscopy and biopsy. The colonoscopy revealed multiple diffuse ulcerations in the colon, but ...
Dr. Zhang Shuhao Reply:
During inflammation of the intestinal mucosa, it is difficult to differentiate between acute and chronic conditions based on clinical symptoms and colonoscopy findings. Therefore, confirming a diagnosis of Ulcerative Colitis relies on the pathology report, which in this case does...[Read More] Is It Ulcerative Colitis? Understanding Acute Colitis Symptoms and Diagnosis
Is Brownish Stool with Blood a Sign of Colon Cancer?
Is yellow-brown stool with a bit of blood a sign of colon cancer? Previously, I experienced a sharp pain in the anus during bowel movements, accompanied by a small amount of bright red blood upon wiping. I thought it was just due to hard stools causing anal fissures. However, aft...
Dr. Zhang Shuhao Reply:
If there is sharp pain accompanied by a small amount of bleeding during bowel movements, it is consistent with the symptoms of anal fissure. It is recommended to take warm sitz baths and use anti-inflammatory ointments, as well as to increase fluid intake to avoid constipation. I...[Read More] Is Brownish Stool with Blood a Sign of Colon Cancer?
Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Postoperative bowel issues after hemorrhoid surgery? I would like to explain my situation again. I had traditional surgery for both internal and external hemorrhoids on May 10. I am taking stool softeners regularly, but I might not be drinking enough water. Throughout the process...
Dr. Zhang Shuhao Reply:
If there was no constipation prior to surgery, the use of castor oil and laxatives may lead to diarrhea. Additionally, with an anal wound, the sensations of urgency and the need to hold bowel movements can be affected. If fecal impaction is cleared and diarrhea begins, the dosage...[Read More] Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Postoperative Pain Issues After Hemorrhoid Surgery I had a hemorrhoidectomy with a tissue coagulation device five days ago. The doctor mentioned that the pain would subside after three days, but it is still very painful after five days. Is this normal? Also, I would like to know ...
Dr. Zhang Shuhao Reply:
Tissue adhesive devices can reduce surgical time and the use of sutures, thereby alleviating postoperative pain. However, the primary impact is still on the size of the external hemorrhoid wound and the tension of the sutures, with some patients experiencing pain for more than tw...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Post-anal fistula surgery Hello, doctor. I recently underwent anal fistula surgery, and the wound measures 2x2 cm. The doctor did not prescribe any antibiotics; is this normal? I also noticed that my wound is connected to my anus; is this also normal? The doctor advised against s...
Dr. Xu Kaixi Reply:
1. Anal fistulas are primarily treated surgically, and antibiotics are not required. 2. A fistula is an abnormal channel; after the drainage of an anal abscess, more than half of the cases will leave behind an inflammatory tract connecting the anal glands to the anal opening. 3. ...[Read More] Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Anorectal foreign body sensation Hello Dr. Ke: About a week ago, after experiencing diarrhea for two consecutive days, I began to feel a noticeable sensation of a foreign body in my anus (which I have never felt before). At the same time, I experienced a burning sensation after b...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal swelling. The photo appears to show only mild external hemorrhoids. If there is no severe pain or bleeding, specific treatment is not necessary. It is advisable to avoid constipation during this period and short...[Read More] Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Dealing with Unusual Gas and Bowel Issues: When to Seek Help
Flatulence issues? About half a month ago, I had diarrhea, and now my bowel movements have been irregular (small amounts, mushy consistency) every day. However, every time I need to pass gas, I feel a wetness (sticky) around the anus. When I go to the bathroom to wipe, I end up w...
Dr. Zhang Shuhao Reply:
Feeling of incomplete bowel movements or difficulty cleaning after wiping can sometimes be caused by hemorrhoidal prolapse. Diarrhea may also exacerbate the symptoms of hemorrhoids. It is recommended to consult a colorectal specialist for an examination.[Read More] Dealing with Unusual Gas and Bowel Issues: When to Seek Help
Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Anal abscess Hello doctor, two days ago I underwent surgery for an anal abscess, with a wound measuring 3x7 cm and a depth of 2 cm. Yesterday, I returned to the clinic for wound debridement, where the doctor used a cotton swab to scrape inside the wound. The physician said it is ...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, it is necessary to ensure that the internal pus and inflamed tissue are adequately drained. If the drainage is insufficient, the wound may need to be packed with gauze or cleaned through debridement. Healing of the abscess does not neces...[Read More] Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Anal fistula Hello, Doctor. 1. I had anal fistula surgery on March 16, and the wound size is approximately 2x21 cm. It's been almost a week, but there is still fecal matter coming out of the wound. Is this normal? 2. The doctor prescribed a stool softener, but I have bee...
Dr. Ke Fangxu Reply:
1. If the wound is larger, it is indeed possible for this phenomenon to occur; if the amount is not significant, it is not a concern. 2. If the stool is too soft, the dosage should be reduced or the medication should be stopped, as this may also be a cause of issue one. 3. No...[Read More] Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Preventing Fistula Formation After Abscess Drainage Surgery
Anal abscess Hello Doctor, I just had an abscess drainage surgery. What efforts or adjustments can I make to prevent the abscess from turning into a fistula? I found online that there is a 50% chance of an abscess developing into a fistula, so I am quite worried. I would apprecia...
Dr. Zhang Shuhao Reply:
An anal abscess originates from inflammation of the anal glands. The abscess creates a space that can extend anteriorly and posteriorly, forming a fistula. The likelihood of fistula formation is related to the severity and extent of the initial inflammation, as well as the distan...[Read More] Preventing Fistula Formation After Abscess Drainage Surgery