Post-Surgery Wound Concerns: Is It Normal to See Stool?
Wound issues I just had surgery three days ago, and when I have a bowel movement, it seems like some stool is coming out from the surgical site. Is this normal or abnormal? Should I return for a follow-up appointment, or should I just continue to observe the wound and keep it cle...
Dr. Ke Fangxu Reply:
Since I don't know what type of surgery you had, I cannot determine whether it's normal for feces to come out of the surgical site. It's common to feel sensitivity in the anal area shortly after anal surgery. If you have any concerns, it's best to have your do...[Read More] Post-Surgery Wound Concerns: Is It Normal to See Stool?
Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Anal fissure Hello, in February, I noticed some red spots in my stool on two occasions. In April and May, there was one instance each month as well. However, I may have consumed some red foods like tomatoes or strawberries before that. The fecal occult blood test was negative. Af...
Dr. Ke Fangxu Reply:
It is impossible for a finger examination to cause an anal fissure because feces are several times thicker than a finger. The typical causes are often constipation or diarrhea. The classic symptoms include pain during bowel movements accompanied by slight bleeding. The fundamenta...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
One hour after defecation, there is a noticeable leakage of stool from the anal area? Hello Dr. Ke: I had a fistula and hemorrhoid surgery at the end of last year, and so far the wound healing has been quite good (the fistula wound has formed a fibrous scar). However, after using...
Dr. Ke Fangxu Reply:
In patients who have undergone fistula surgery, a small number may experience anal deformity due to sphincterotomy, and some may have decreased anal sphincter tone. However, your symptoms may not necessarily be caused by the surgery, as individuals without prior surgery can also ...[Read More] Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery
After surgery for a fistula and hemorrhoids, it feels like hemorrhoids are protruding from the anus, and it is very painful! Hello, Dr. Ke. I had surgery for a fistula and also had an external hemorrhoid removed. It is now the fourth day post-surgery, and I was discharged the day...
Dr. Ke Fangxu Reply:
After fistula surgery, if diarrhea occurs, it may lead to wound pain and bleeding. It is recommended to increase the frequency of sitz baths. If the pain does not improve, you should consult your physician for an examination and medication.[Read More] Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery
Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Colonoscopy issues? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion in my stomach (but not to the level of an ulcer) and mild inflammation in the duodenum. The doctor prescribed Omeprazole (20 mg), Magnesium Ox...
Dr. Ke Fangxu Reply:
1. Gastroesophageal reflux is not related to the intestines; it may be influenced by magnesium oxide. If diarrhea occurs, magnesium oxide can be discontinued. 2. If a polypectomy was performed this time, a follow-up colonoscopy should be done in 1-2 years to check for new polyps...[Read More] Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Pre-Surgery Care for Anal Fistula: Safe Cleaning Practices
Preoperative Care for Fistula Surgery Hello, Dr. Ke. My husband has an anal fistula and has already undergone drainage, with surgery planned for early February. However, he has recently experienced some swelling and pain. A friend of my mother-in-law, who practices homeopathy, su...
Dr. Ke Fangxu Reply:
It is not personally recommended to do this as it poses a risk of damaging the sphincter and mucous membranes. Those suggesting this are often not specialists in proctology. If there are issues with constipation, increasing fiber intake and drinking more water is advisable. If ne...[Read More] Pre-Surgery Care for Anal Fistula: Safe Cleaning Practices
Understanding Anal Discomfort: Causes and Solutions for Young Adults
Anal issues Hello Doctor, I am 21 years old. Since middle school, I have experienced frequent diarrhea and abdominal pain. Therefore, in September of this year, I underwent a colonoscopy at a large hospital. The doctor said my colon was clean, with only a small hemorrhoid, and si...
Dr. Ke Fangxu Reply:
This is damage to the mucosa and skin caused by excessive cleaning of the anus, similar to how obsessive-compulsive disorder can lead to "dishpan hands" from over-washing. Although your cleaning frequency may not be high, the skin and mucosa around the anus are quite de...[Read More] Understanding Anal Discomfort: Causes and Solutions for Young Adults
Understanding Recovery After Anal Fistula Surgery: What to Expect
What is the recovery process like after anal fistula surgery? I underwent anal fistula surgery on September 26, 2019. After the surgery, I had three follow-up appointments, and the same doctor said the wound looked normal and advised me to continue rinsing with water at home. I h...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery is generally prolonged, and it is indeed concerning if the wound has not fully healed after two months. I am not quite sure what you mean by "another opening." Shouldn't there only be one opening at the site of the fistula ...[Read More] Understanding Recovery After Anal Fistula Surgery: What to Expect
Understanding Incomplete Bowel Hygiene: Is It Normal?
Recently, I have been having difficulty cleaning myself properly after bowel movements? I recently noticed that after I have a bowel movement in the morning and clean myself thoroughly, I still find traces of feces when I wipe again in the evening after taking a shower. Additiona...
Dr. Ke Fangxu Reply:
It is common for there to be a small amount of discharge from the anal area, which is often due to secretions from the rectal mucosa or a small amount of fecal matter being expelled during gas release. This situation is normal as long as the quantity is minimal and does not requi...[Read More] Understanding Incomplete Bowel Hygiene: Is It Normal?
Potential Risks of a Safety Pin Puncture: Tetanus and Wound Care
The toe was punctured by a safety pin? If your toe was pricked by a safety pin, there are a few considerations to keep in mind. While the risk of tetanus infection is generally low if the pin is not rusty and the wound is minor, it is still important to monitor the wound for any ...
Dr. Chen Jiaming Reply:
Clostridium tetani, classified as an "anaerobic bacterium," typically enters the human body through "puncture wounds" contaminated by soil, dust, or animal and human feces. It can also be introduced through lacerations, burns, and general wounds, or even throu...[Read More] Potential Risks of a Safety Pin Puncture: Tetanus and Wound Care
Understanding Tetanus: Risks and Precautions After Minor Injuries
Tetanus concerns? Hello doctor, I would like to ask under what circumstances one can get infected with tetanus. If there is no obvious wound, does that mean there is no risk? This morning, I bumped into a rusty railing that doesn't appear to have broken the skin, but it is r...
Dr. Chen Jiaming Reply:
Bruises caused by impact are generally not prone to tetanus infection. The tetanus bacillus belongs to the group of "anaerobic bacteria." Spores typically enter the human body through puncture wounds contaminated by soil, dust, or animal and human feces. They can also e...[Read More] Understanding Tetanus: Risks and Precautions After Minor Injuries
Understanding Tetanus Infection Risks After Injury: Key Insights
Questions about tetanus infection? Hello doctor, I would like to ask about tetanus infections. Is it possible to get infected only at the moment of injury, or can there also be a risk of infection after the injury if exposed to things like feces or rust? I previously had a cut an...
Dr. Li Zhonghuai Reply:
Hello, if you get cut by a sharp object, be cautious of tetanus infection! If it involves feces, there are other bacteria to consider. Stay safe! Changhua Hospital cares about you![Read More] Understanding Tetanus Infection Risks After Injury: Key Insights
Could I Have a Parasite? Understanding Symptoms and When to Seek Help
Are there any parasites? I have recently been feeding stray cats, and they tend to rub against me. One day, my family asked me to feed them some tuna from my tuna pancake, which I did twice. After the first feeding, I didn't think much of it and touched the pancake again for...
Dr. Ke Fangxu Reply:
1. The parasite that cats can transmit to humans is Toxoplasma gondii; however, it is not easily transmitted and is not contracted through oral ingestion from cats, but rather through ingestion of contaminated feces. Therefore, as long as one does not consume cat feces, transmiss...[Read More] Could I Have a Parasite? Understanding Symptoms and When to Seek Help
Post-Surgery Care: Using Suppositories and Ointments for Healing
Please provide information regarding the use of suppositories and ointments prescribed by the physician after fistula surgery? Hello Dr. Ke, I visited you yesterday regarding the reason my wound has not fully healed one and a half months after the fistula surgery. You mentioned t...
Dr. Ke Fangxu Reply:
1. It is generally recommended to use suppositories before bedtime to prevent the medication from slipping out after movement. 2. A suppository should be fully inserted into the rectum; as long as it remains within the anal sphincter, it will not slip out. Urination can cause r...[Read More] Post-Surgery Care: Using Suppositories and Ointments for Healing
Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
More than three months after anal fistula surgery, the anal area still feels hard? Hello Doctor: I underwent fistula surgery in mid-May of this year, and it has been three months since then. The wound has completely healed. I take a sitz bath once a day and apply a topical medica...
Dr. Ke Fangxu Reply:
1. Scar tissue after surgery generally takes about six months to gradually absorb, and it is normal for the wound to feel firm during this period. 2. If it has been more than three months since the surgery, there should be no need to continue applying ointment. If the phenomenon...[Read More] Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
Post-Hemorrhoid Surgery: Managing Bowel Movements and Leakage Issues
Post-operative bowel movements after hemorrhoid surgery may lead to anal-vaginal incontinence? Hello, doctor. I would like to ask you a few questions. I underwent ultrasound knife surgery to remove three hemorrhoids on July 21. Starting the day after the surgery, I began attempti...
Dr. Ke Fangxu Reply:
1. It is normal for the frequency of bowel movements to increase after hemorrhoid surgery due to heightened sensitivity around the anal area caused by wound irritation, as long as there is no pain or bleeding during defecation. 2. It is also normal for the surgical site to have...[Read More] Post-Hemorrhoid Surgery: Managing Bowel Movements and Leakage Issues
Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Rectal bleeding Hello, doctor. I had treatment for internal hemorrhoids at the end of last year, and there were no issues afterward. However, recently I have noticed that my stool appears to have a reddish color in the water, resembling blood. Visually, there is no blood mixed in...
Dr. Ke Fangxu Reply:
Based on your imaging, it appears more likely that the discoloration resembles pigment from feces rather than bleeding. It is recommended to avoid consuming red fruits and vegetables during this period and to monitor the situation. Additionally, it is common for feces to become d...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Fistula surgery Hello, doctor. I had a fistula surgery last week, and since then, I've been taking sitz baths at least three times a day. I've been using sanitary pads, but each time I change them, I notice a small amount of blood and a yellowish fluid on the pad. The f...
Dr. Ke Fangxu Reply:
The surgical wound from an anal fistula typically takes about one month to heal. If it is a complex fistula, the healing time may be longer. It is normal to have discharge during this period, as long as there are no signs of redness, swelling, heat, or pain. Cleaning the surgical...[Read More] Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Understanding Stool Color Changes: Causes and Concerns for Patients
Issues with bowel movements? Hello Doctor, I have internal hemorrhoids and have been applying medication regularly. I have also had a fecal occult blood test that came back negative. However, for the past two months, I have noticed that if my stool is soaked in water for more tha...
Dr. Ke Fangxu Reply:
The reason feces are brown is due to the presence of bile pigments mixed with food residues. After being soaked in water for a long time, bile pigments can dissolve, resulting in an orange color, which is not caused by bleeding. As long as the fecal occult blood test shows a nega...[Read More] Understanding Stool Color Changes: Causes and Concerns for Patients
Is It Colon Cancer? Understanding Symptoms and Concerns
Worried about the possibility of colorectal cancer? In mid-November, I noticed blood in my stool. There was one instance of bleeding before the bowel movement and another after. I went to the hospital for a brief examination, and the doctor mentioned that the stool color was norm...
Dr. Ke Fangxu Reply:
At the age of 17, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like hemorrhoids. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irritating, and gr...[Read More] Is It Colon Cancer? Understanding Symptoms and Concerns