Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Post-banding bleeding after hemorrhoid banding? Hello, Doctor. I had a hemorrhoid ligation on October 11, and since then, I have not had a bowel movement until today, October 13. However, during today's bowel movement, there was some bleeding. Unlike the previous bleeding fr...
Dr. Ke Fangxu Reply:
After hemorrhoid ligation, it is indeed possible to experience slight bleeding. As long as there is no significant or continuous bleeding, it should not be a concern. If the stool is too hard after the procedure, this may exacerbate the issue. A follow-up visit is generally not n...[Read More] Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Do I Need a Tetanus Shot After a Dog Bite Injury?
Do I need a tetanus shot? Hello, Doctor. Today while playing with my dog, we accidentally bumped into each other, and its teeth hit my mouth, causing my gums to tear and bleed. I immediately rinsed my mouth, but I'm unsure if I need a tetanus shot since it was an injury from...
Dr. Chen Bingze Reply:
Hello, the tetanus bacteria are found in soil and animal feces, and they can invade the human body through broken skin surfaces (such as cuts, puncture wounds, or even very minor injuries). Tetanus can also be contracted after burns or animal bites, but the tetanus bacteria are n...[Read More] Do I Need a Tetanus Shot After a Dog Bite Injury?
Concerns About Finding a Hard Lump During Self-Examination
During a self-examination, a lump or nodular mass was felt? Hello Doctor, recently during a self-examination, I felt a small, approximately 1-2 millimeter, granular object on the inner wall of my rectum. The texture of the object is hard and not smooth, and it does not cause pain...
Dr. Chen Ronghong Reply:
Hello, the simplest way is to wait until your next bowel movement and touch it again. If it still exists, it is unlikely to be feces. The normal intestinal wall has folds, but there should not be any hard lumps or rough surfaces. Therefore, if the small hard lump you mentioned pe...[Read More] Concerns About Finding a Hard Lump During Self-Examination
Impact of Fecal Residue on Anal Health After Applying Ointment
When applying medication to the anus with a finger, some residual feces may be present? Hello, doctor. I visited a clinic due to hemorrhoid issues, and the physician prescribed me an ointment to apply. After bowel movements, I sometimes notice some traces of stool on my fingers. ...
Dr. Zhang Shuhao Reply:
Hello: There will be no impact. After wiping, there may be residual feces and stool texture related to hemorrhoidal prolapse and the natural folds of the anus. Everyone will have some degree of residue. To improve this, you can increase your dietary fiber intake to help form the ...[Read More] Impact of Fecal Residue on Anal Health After Applying Ointment
Understanding Anal Fistulas: Symptoms and Post-Surgery Concerns
Anal fistula Hello Doctor, I have a few questions to ask you: 1. I had an abscess drainage procedure last Wednesday, and the wound is about 2 cm in size, located approximately 2 cm behind the anus. However, during my last two bowel movements, even though I made sure the area was ...
Dr. Zhang Shuhao Reply:
During the formation of an abscess, there is often already an internal opening (an opening leading to the rectum), but at this stage, inflammation and infection are still present. During the healing process, there is an opportunity for reshaping, and it may not necessarily remain...[Read More] Understanding Anal Fistulas: Symptoms and Post-Surgery Concerns
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
Post-Surgery Care for Anal Abscess: Key Questions Answered
Postoperative care for anal abscess? 1. Is it better to have warm water sitz baths more frequently? Would 6 to 8 times a day be excessive? 2. The surgical drainage wound is about 2 cm, and it has been approximately five days since the surgery. I still see slight pus when changi...
Dr. Zhang Shuhao Reply:
1. Most situations require three to five applications; exceeding this is acceptable, but be cautious as excessive wiping can cause skin irritation. 2. If there is purulent discharge during dressing changes, it is usually due to inadequate drainage. Continuing sitz baths and dress...[Read More] Post-Surgery Care for Anal Abscess: Key Questions Answered
Do You Need Tetanus Shots for Minor Scrapes? Infection Risks Explained
Regarding the issue of abrasions? A few days ago, I had a minor accident on the road. At the time, I didn't pay much attention to it, but when I got home that night, I noticed a small superficial abrasion, which has mostly healed now. I would like to ask the doctor if this t...
Dr. Chen Bingze Reply:
Hello, the tetanus bacteria are usually transmitted through puncture wounds contaminated by soil, dust, or animal and human feces. It can also enter through lacerations, burns, and general wounds. It sounds like your wound is healing. Generally, the incubation period for tetanus ...[Read More] Do You Need Tetanus Shots for Minor Scrapes? Infection Risks Explained
Understanding Anal Fissures: Surgical Options and Management Tips
Please inquire about anal fissure surgery and bowel movement issues? Hello, Doctor. I have been experiencing anal fissures (located at the six o'clock position, towards the back) for about 1 to 2 years, with episodes of healing and recurrence. Typically, I feel discomfort du...
Dr. Ke Fangxu Reply:
1. No. 2. There is no need for sutures; postoperative pain during bowel movements is unavoidable but should be less severe than before the surgery. Wound care can be managed with sitz baths. 3. It is not necessary to remove them; they can heal on their own regardless of wheth...[Read More] Understanding Anal Fissures: Surgical Options and Management Tips
Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Postoperative pain after hemorrhoid surgery? Hello, doctor. I would like to inquire about my condition. It has been about 10 days since I gave birth, and I underwent a mixed hemorrhoid surgery using a ligature technique. It has now been 16 days post-surgery, and I have been exper...
Dr. Ke Fangxu Reply:
Some patients may experience delayed healing after surgery with a tissue coagulation knife. In such cases, it is recommended to take warm sitz baths and use medication while waiting for the wound to heal. If there are signs of inflammation, antibiotics may need to be used. Please...[Read More] Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Post-Surgery Complications: Understanding Changes in Fistula Wound Healing
Abnormalities in the wound after fistula surgery? In August, I underwent a LIFT surgery for anal fistula, and on November 1, it recurred (pus formed at the previously healed wound site), requiring another surgery. Currently, it has been 11 days since the operation. I've noti...
Dr. Zhang Shuhao Reply:
The image shows an open wound following a repeat fistula surgery, with granulation tissue beginning to form at the base of the wound, which is a normal postoperative condition. The hole beneath the wound is a cavity formed by the original fistula extending subcutaneously (conside...[Read More] Post-Surgery Complications: Understanding Changes in Fistula Wound Healing
Understanding the Causes of No Residual Stool After Bowel Movements
There is no stool on the toilet paper after wiping? Hello Dr. Ke, For over ten years, I have been using the restroom three times a day. Previously, I had to wipe several times to feel clean, so I specifically purchased a bidet toilet. However, in the past two months, after using...
Dr. Ke Fangxu Reply:
Wiping with toilet paper after a bowel movement without any traces of stool indicates that the feces are well-formed and is not considered an abnormal issue. If regular colonoscopies are being performed, there is no need for excessive concern.[Read More] Understanding the Causes of No Residual Stool After Bowel Movements
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements? Hello Doctor, a few days ago I experienced pain while having a bowel movement, specifically discomfort at the anal opening, but the discomfort goes away after I finish in the restroom. Today, I checked my stool and there was n...
Dr. Xu Kaixi Reply:
Based on your description, hard stools can indeed be classified as a form of constipation. Hard feces can potentially cause tears in the anal mucosa, known as anal fissures. If the fissures are mild, they may heal on their own. It is recommended that you start by addressing the c...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Abdominal Masses: Causes and Treatment Options
Abdominal mass Hello, Doctor. I have two questions to ask: 1. Recently, while lying down, I noticed a hard lump on the left side of my navel. It is not painful or itchy, and I can feel it when I press down, but it doesn't hurt. I just discovered that there is also a hard l...
Dr. Ke Fangxu Reply:
1. Without a personal examination, it cannot be confirmed, and it may also be a lipoma. 2. Anal itching may be caused by excessive wiping. There are three important points to pay attention to: 1. Do not scratch to avoid causing a wound infection. 2. Temporarily avoid consuming sp...[Read More] Understanding Abdominal Masses: Causes and Treatment Options
Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Bowel issues Hello, Doctor. I underwent surgery for an anal abscess at the end of September last year, with the incision located at the posterior aspect of the anus. Although the wound has completely healed, I continue to observe that the anal area is usually normal, but occasion...
Dr. Ke Fangxu Reply:
This issue requires an examination by a colorectal specialist to determine if it may have developed into an anal fistula post-surgery, or if surgical trauma has caused deformation of the anal sphincter. If increasing dietary fiber can improve the condition, then it can be monitor...[Read More] Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March. During my follow-up appointment, the doctor mentioned that my wound care was going well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Since ...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is a region where feces pass through, granulation tissue may recur. As long as there is no infection, it should theoretically improve and heal over time...[Read More] Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March, and during my follow-up visit, the doctor mentioned that my wound care was progressing well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Co...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is where feces pass through, granulation tissue may recur. As long as there is no infection, it is theoretically expected to improve and heal over time.[Read More] Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Postoperative Wound Care for Fistula Surgery Dear Dr. Ke, The patient underwent anal fistula surgery on January 26. The wound is located next to the anus and can be seen with a mirror. The attending physician did not examine the wound before discharge. Since returning home on Ja...
Dr. Ke Fangxu Reply:
1. If sitting baths are not possible, a handheld showerhead can be used as an alternative. If there are concerns about residual fecal matter, multiple rinses can be performed. 2. Postoperative wound discharge is a normal phenomenon; as long as there is no redness, swelling, hea...[Read More] Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?
Postoperative Issues After Anal Fistula Surgery Hello Dr. Ke, I recently had anal fistula surgery, and three days post-operation, I noticed some fecal matter appearing from the surgical opening while having a bowel movement. Is this a normal situation or an abnormal one? Should...
Dr. Ke Fangxu Reply:
The incision from the anal fistula surgery is left open and not sutured, so it is normal for a small amount of feces to be present in the wound. This is why warm sitz baths are recommended after the surgery. As long as there is no incontinence or significant bleeding, there is no...[Read More] Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?