Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Thrombosed external hemorrhoid Dear Doctor, after a thrombosed external hemorrhoid is absorbed, it leaves behind a fold or excess skin. Is this still considered a hemorrhoid? Should we assess the size after absorption? How can we differentiate between excess skin and a hemorrhoid...
Dr. Ke Fangxu Reply:
The residual tissue left after the absorption of a thrombosed external hemorrhoid can be referred to as either a skin tag or an external hemorrhoid; structurally, they are both composed of skin-covered connective tissue, differing only in size. If asymptomatic, they typically do ...[Read More] Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Understanding Complications After Hemorrhoid Ligation: What to Do?
Hemorrhoid ligation issues? Hello, Dr. Ke! I have a question regarding my hemorrhoid ligation issue. I have had external hemorrhoids for 20 years. Initially, they would only protrude after a bowel movement and I could push them back in with my hand. However, after undergoing liga...
Dr. Ke Fangxu Reply:
It is recommended to visit the colorectal surgery outpatient clinic for evaluation. Thank you.[Read More] Understanding Complications After Hemorrhoid Ligation: What to Do?
Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids? Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean. Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids. A minimally invasiv...
Dr. Ke Fangxu Reply:
We recommend that you schedule a follow-up consultation. Thank you.[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
Thrombotic external hemorrhoids Hello Doctor No. 202795, thank you for your response. The wound is currently healing! The thrombus has been absorbed! I now have some wrinkled skin, which is a remnant of the swelling. I would like to ask if this thickened wrinkled skin is an exter...
Dr. Zhang Shuhao Reply:
The difference between external hemorrhoids and simple skin tags lies in the presence of vascular plexus in external hemorrhoids, which can become engorged and swollen due to poor venous return or external irritation. In contrast, simple skin tags do not exhibit this phenomenon a...[Read More] Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
How to Differentiate Between External Hemorrhoids and Skin Folds
Anal issues Thank you, doctor, for your response! I am still very confused about whether my folds are external hemorrhoids. How can a doctor distinguish between external hemorrhoids and skin folds? My anxiety is affecting my sleep!
Dr. Zhang Shuhao Reply:
External hemorrhoids, in addition to containing vascular plexuses, are prone to congestion and swelling due to poor venous return. They are located closer to the anal opening, and the skin in this area is more sensitive, making it prone to pain when swollen. If symptoms are not s...[Read More] How to Differentiate Between External Hemorrhoids and Skin Folds
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?
Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Postoperative Issues After Minimally Invasive Hemorrhoid Surgery Hello, Doctor: In September, I consulted a physician and was confirmed to have a grade IV condition, and I underwent minimally invasive surgery. I understand that post-operative swelling is normal. After two follow-...
Dr. Ke Fangxu Reply:
Grade IV hemorrhoids indicate that the external hemorrhoids are larger, and minimally invasive surgery is generally not recommended because the external hemorrhoidal tissue may not be completely removed. Your situation seems to resemble this condition. If there is no pain or disc...[Read More] Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Can anal intercourse be performed after hemorrhoid surgery? Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with t...
Dr. Zhang Shuhao Reply:
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Suspected thrombosed external hemorrhoid? Hello Doctor, about one or two weeks ago, I noticed some blood when wiping after a bowel movement, which was not mixed with stool or in the toilet. Yesterday, while showering, I felt a soft protrusion located right at the center of the an...
Dr. Zhang Shuhao Reply:
Based on your description, it does sound like a thrombosed hemorrhoid, commonly referred to as an exacerbation of hemorrhoids, which occurs due to the formation of a blood clot from subcutaneous bleeding. When located near the outer side of the anus, the swelling and pain can be ...[Read More] Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Can internal hemorrhoids turn into external hemorrhoids after ligation? Hello Doctor, I am four days post-banding for internal hemorrhoids at the postal hospital, and it seems that a new hemorrhoid has developed at the anal area. It looks somewhat like a smaller chicken heart, an...
Dr. Ke Fangxu Reply:
This is likely due to swelling of the external hemorrhoid caused by the incision being more lateral after the vasectomy. Regular warm sitz baths along with the application of ointment should help reduce the swelling gradually. If there are symptoms of redness, swelling, heat, or ...[Read More] Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Is It External Hemorrhoids? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid? Hello Doctor: Recently, I discovered 2-3 small soft lumps near my anus, surrounding the anal area. They feel soft to the touch, do not hurt when pressed, and I do not experience any pain or itching during bowel movements, nor is there any bleeding. I...
Dr. Zhang Shuhao Reply:
Based on your description, it is indeed likely an external hemorrhoid. If there are no symptoms, no special treatment is necessary. It is advisable to stay well-hydrated and maintain regular bowel movements. If there is swelling or pain, you can take a warm sitz bath, which may h...[Read More] Is It External Hemorrhoids? Understanding Symptoms and Treatment Options
Addressing Cosmetic Concerns: Options for External Hemorrhoid Removal
Aesthetic concerns regarding hemorrhoids..? Hello, doctor. I have an external hemorrhoid that isn't serious and doesn't significantly affect my daily life, but I am concerned about its appearance and feel it's quite "ugly." 😅 I visited a large hospital ye...
Dr. Ke Fangxu Reply:
If the desire to address external hemorrhoids is purely for aesthetic reasons, the only option is surgical excision. Physicians may be reluctant to perform this procedure because, firstly, it is not medically necessary, and secondly, there may still be residual skin tags post-sur...[Read More] Addressing Cosmetic Concerns: Options for External Hemorrhoid Removal
Managing External Hemorrhoids: Aesthetic Concerns and Treatment Options
External hemorrhoids issue? Hello doctor, I visited the hospital yesterday for a consultation regarding an external hemorrhoid. It is not serious, as it was diagnosed as grade II, but I am concerned about the aesthetic appearance of my anus. The external hemorrhoid makes it look ...
Dr. Zhang Shuhao Reply:
If an external mole appears as a spherical shape and develops suddenly, it may be due to an internal blood clot, which could reduce in size once the clot is absorbed. However, if it is a case of hemorrhoidal soft tissue hyperplasia, surgical excision would be necessary for improv...[Read More] Managing External Hemorrhoids: Aesthetic Concerns and Treatment Options
How Long Does It Take to Recover from Thrombosed External Hemorrhoids?
How long does it take for a thrombosed external hemorrhoid to heal? Hello Doctor, I would like to ask about my external hemorrhoid. It is currently skin-colored, but it tends to swell again if I stand for long periods or walk a lot. When I visited the clinic, the doctor mentioned...
Dr. Xu Kaixi Reply:
Based on your description, you already have good dietary and lifestyle habits, and you are using medication. Theoretically, this should make it less likely for hemorrhoids to become inflamed or swollen. However, if you have thrombosed hemorrhoids with persistent symptoms that hav...[Read More] How Long Does It Take to Recover from Thrombosed External Hemorrhoids?
Managing External Hemorrhoids: Treatment Options and Recovery Tips
External hemorrhoid swelling issues? I recently visited a clinic for external hemorrhoids, and the doctor indicated that surgery is not necessary; medication and topical treatments should suffice. I have also tried traditional Chinese medicine and have been under Western medical ...
Dr. Xu Kaixi Reply:
Hemorrhoids are varicose veins located beneath the mucous membrane of the anal canal. Poor circulation in the anal area can lead to swelling and inflammation of these veins, resulting in symptoms such as pain and swelling around the anus. Therefore, taking anti-inflammatory and a...[Read More] Managing External Hemorrhoids: Treatment Options and Recovery Tips
Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Will an external hemorrhoidectomy involve an incision in the perineum? Hello Doctor, I have an external hemorrhoid about 2 cm long located between the perineum and the anus. The doctor performed a complete excision of both internal and external hemorrhoids. After the surgery, I n...
Dr. Ke Fangxu Reply:
Without a personal examination, I cannot provide you with a definitive answer. I recommend discussing this thoroughly with your surgeon. Personally, I do not advise performing a ligation for external hemorrhoids, as this issue is unlikely to be addressed by a general surgeon.[Read More] Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?
Perianal mass Hello, doctor. I had minimally invasive surgery for hemorrhoids two weeks ago and I'm almost fully recovered. However, the right side of my anal area is still swollen, and I experience slight pain after bowel movements. The stool is somewhat hard at the front a...
Dr. Zhang Shuhao Reply:
Two weeks after hemorrhoid surgery, the wound may not be completely healed, so slight swelling and pain are still within the normal range. External hemorrhoids are typically addressed during the procedure. It is advisable to increase fluid intake, perform warm sitz baths, and ret...[Read More] Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?
Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy
Post-operative fecal leakage after minimally invasive surgery? Hello Doctor, I underwent a minimally invasive hemorrhoidectomy using Thunderbeat on July 3rd, primarily removing external hemorrhoids at the 12 o'clock and 6 o'clock positions. I had inquired about this bef...
Dr. Zhang Shuhao Reply:
If the wound has not fully healed four weeks post-surgery, there may still be serous drainage. If diarrhea occurs, there may also be a small amount of fecal leakage, but it typically is not enough to cause significant incontinence. Maintaining cleanliness and avoiding diarrhea ca...[Read More] Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy