Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...
Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Bowel movements after fistula surgery? Hello doctor, I had a fistula surgery on February 19, and I noticed that the wound is close to the anus. Every time I have a bowel movement, a lot of feces gets on it. I first wipe with toilet paper, then use wet wipes, and finally rinse wit...
Dr. Zhang Shuhao Reply:
The wound from a fistula surgery has irregular edges, making it difficult to clean thoroughly, and vigorous scrubbing is not recommended. It is generally advised to rinse with water and use moist wipes for assistance in cleaning. A small amount of residual stool is acceptable and...[Read More] Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...
Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Postoperative leakage after hemorrhoid surgery? Hello Doctor, I am #203132. Two years after my hemorrhoid surgery, I experience leakage of intestinal fluid and feces after bowel movements. I would like to ask you: 1. I underwent anorectal manometry, and the results showed lower...
Dr. Zhang Shuhao Reply:
1. Rectal pressure measurement should show a resting pressure lower than that of normal individuals. Ultrasound may reveal scarring of the external anal sphincter, but it is not completely torn. If digital examination does not indicate complete relaxation, most physicians would n...[Read More] Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of discomfort in the anus, accompanied by a foul odor resembling that of feces? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that o...
Dr. Ke Fangxu Reply:
At this age, there are usually no significant issues, and sphincter function is generally normal. If there are any discomforting symptoms, topical ointments can be applied, and frequent warm sitz baths may also help alleviate the symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of heaviness in the anus, accompanied by a fecal odor? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that of feces. This happens alm...
Dr. Ke Fangxu Reply:
At this age, there are usually no significant issues, and sphincter function is generally normal. If discomfort occurs, topical ointments can be applied, and frequent warm sitz baths may also help alleviate symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Postoperative ointment for hemorrhoids? Hello Dr. Chang, I visited you a few months ago, and you diagnosed me with grade III hemorrhoids, which were not severe enough to require surgery. However, after experiencing intermittent flare-ups, I decided to undergo traditional hemorrho...
Dr. Zhang Shuhao Reply:
In addition to pain-relieving ingredients like Lidocaine, hemorrhoid ointments often contain steroids, which can be detrimental to postoperative wound healing. Postoperative pain management for hemorrhoid surgery primarily involves warm sitz baths and oral anti-inflammatory pain ...[Read More] Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-hemorrhoid surgery, there may be leakage of mucus and fecal matter? Hello, doctor. I had hemorrhoid surgery on the ninth day postpartum, and it has been one year and eight months since then. Besides discomfort in the anal area, I have been experiencing leakage of intestinal ...
Dr. Ke Fangxu Reply:
If you have already visited so many medical centers and undergone all the examinations, then I may not be able to help much. 1. It could be scar tissue. 2. It may soften over time. 3. Leakage issues after hemorrhoid surgery typically only last for a month; once the wound has comp...[Read More] Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...
Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...[Read More] Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Concern About Tetanus After Minor Injury from Dog Waste
Tetanus Issues Hello, doctor. Yesterday, after feeding my dog, I didn't notice that my hands had traces of what appeared to be dog feces. I accidentally popped a pimple with my hand, causing a small amount of bleeding. I would like to know if there is a concern for tetanus i...
Dr. Chen Bingze Reply:
Personally, I believe that the chances of developing tetanus in this situation are low, but if you are really concerned, you can get a tetanus shot.[Read More] Concern About Tetanus After Minor Injury from Dog Waste
Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?
Anal intercourse issues? After anal intercourse, if you are experiencing persistent swelling and warmth in the anus, along with a constant urge to have a bowel movement but only producing white mucous discharge, this could be indicative of either hemorrhoids or a tear. The discom...
Dr. Xu Kaixi Reply:
The normal function of the anal mucosa is to serve as the surface for the transportation and storage of feces in the colon. When substances other than feces come into contact with this mucosa, it may lead to mucosal damage, triggering an inflammatory response that results in swel...[Read More] Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?
Understanding Tetanus and Bacterial Infections: Risks and Vaccination
Tetanus or bacterial infection Hello Doctor: I often have skin breaks near my fingernails, and sometimes I accidentally tear them off, leaving a small red mark that hurts. It also hurts when I apply alcohol to it. However, I frequently encounter this while doing housework. I read...
Dr. Li Zhonghuai Reply:
Hello! It exists in the "gastrointestinal tract of mammals" and "soil." Elderly individuals, diabetics, and drug addicts are more susceptible to infection, although cases are rare. Generally, infections are more likely to occur when there are injuries contamin...[Read More] Understanding Tetanus and Bacterial Infections: Risks and Vaccination
Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Tetanus vaccine and wound issues? 1. I received a Tetanus vaccine around March 16. I would like to know if the vaccine becomes effective the day after administration. How long does it take for the vaccine to provide protection? 2. Yesterday, on March 26, after picking at my nail...
Dr. Chen Jiaming Reply:
There is no risk of tetanus infection from a wound that has come into contact with human feces.[Read More] Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Rectal bleeding Thank you, doctor, for taking the time to respond. I am the person who asked question 194156. Regarding my third question, I meant to ask: when an internal hemorrhoid ruptures and bleeds, isn't there a wound? When feces pass through or in the case of bacteria...
Dr. Ke Fangxu Reply:
The anal area is not a sterile environment, and the presence of bacteria is normal. However, because healthy individuals have an immune system, bleeding from hemorrhoids typically does not lead to infection. Anal abscesses are mostly caused by deeper infections, and patients with...[Read More] Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Anal fistula Anal abscess was surgically drained at the clinic on May 30, 2022. Three weeks after the procedure, tissue began to grow back, but it did not fully fill in, leaving a 1 cm deep and 0.6 cm wide hole. This hole tends to trap debris (feces and yellow discharge) and deve...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to prevent r...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Can You Still Pass Gas After Colostomy Surgery?
After having a colostomy, can the anus still pass gas? The mother underwent surgery to remove fecal matter after being diagnosed with colon cancer, and now has a colostomy with a stoma bag to collect waste. During her recovery at home, she noticed that she still passes gas throug...
Dr. Zhang Shuhao Reply:
Colostomy for colorectal cancer is typically performed to divert feces, alleviating obstructive symptoms and preventing feces from passing through the tumor or the anastomosis site. As long as the majority of feces is drained through the stoma, the desired effect is achieved. It ...[Read More] Can You Still Pass Gas After Colostomy Surgery?
Understanding Hemorrhoids: Infection Risks and Management Tips
Hemorrhoid-related issues? Hello Doctor, I have been experiencing discomfort due to swelling and pain from hemorrhoids, and there is some skin breakdown, so I am paying more attention to cleanliness in that area. I am also concerned about the possibility of infection. I would lik...
Dr. Zhang Shuhao Reply:
1. The broken skin of hemorrhoids is not easily infected by direct contact with bacteria. It is understandable that feces contain bacteria, but even with broken skin or bleeding from hemorrhoids, there are typically no signs of infection following bowel movements. 2. Similarly,...[Read More] Understanding Hemorrhoids: Infection Risks and Management Tips
Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options
Chronic cerebral hemorrhage with hematoma compressing the brain? Hello Dr. Zhang, my father (born in 1943) had a severe head injury from a fall down the stairs at the end of August, resulting in significant bleeding that required emergency care. A CT scan at that time showed only...
Dr. Zhang Junwei Reply:
Without detailed CT scans and neurological examinations, it is not possible to determine an accurate treatment plan. It is recommended to bring the discharge summary and CT scans to an outpatient appointment for discussion with the physician.[Read More] Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options
Managing Perianal Skin Tears: Tips for Healing and Prevention
Perianal skin fissure? Last week, I inquired about a wound located on the left posterior near the groin, which was caused by allergic dermatitis due to medication irritation. The more I applied the ointment, the more it irritated the skin, and it did not improve until I stopped u...
Dr. Ke Fangxu Reply:
Visual observation of skin issues is crucial; it is difficult to make a judgment based solely on written descriptions. If symptoms persist for more than a week without improvement, please seek medical attention promptly to prevent the condition from worsening.[Read More] Managing Perianal Skin Tears: Tips for Healing and Prevention