Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello, doctor. Since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Post-Hemorrhoid Surgery: Managing Anal Stenosis and Treatment Options
Postoperative care for hemorrhoids? Hello Dr. Ke: I underwent hemorrhoid surgery on June 30, and postoperatively developed anal stenosis due to scar tissue formation. I started self-dilation in early September, performing it twice daily for about five minutes each session. After ...
Dr. Ke Fangxu Reply:
1. If the issue of pain during defecation caused by anal stenosis is not resolved, then anal dilation should continue. 2. If possible, gradually increase the number of fingers inserted. 3. There is no option but to proceed slowly with the anal dilation treatment.[Read More] Post-Hemorrhoid Surgery: Managing Anal Stenosis and Treatment Options
Understanding Hand Injuries: Assessing Function and Disability After Trauma
Hand injuries Hello Doctor: My father had a work-related accident where his right hand got caught in a machine. He was taken to the hospital, and some fingers were reattached, but he lost his middle finger and has only half of his ring finger left. The other fingers were reattach...
Dr. Lu Daokuan Reply:
According to regulations, if the thumb and index finger have normal mobility, it does not meet the criteria for a disability rating.[Read More] Understanding Hand Injuries: Assessing Function and Disability After Trauma
Understanding Nerve Conduction Studies for Hand Injury Recovery
Hand injuries Hello Doctor: I would like to ask about my father, who had a work-related accident where his right hand was caught in a machine, resulting in the amputation of all five fingers. He later underwent surgery to reattach some fingers; however, the middle finger was not ...
Dr. Zhang Junwei Reply:
The nerve conduction study room examines nerve function to identify any potential issues. Please consult the original surgeon for assistance.[Read More] Understanding Nerve Conduction Studies for Hand Injury Recovery
Understanding Post-Surgery Recovery for Hemorrhoids: Pain and Bowel Changes
Traditional hemorrhoid surgery After undergoing surgery for mixed internal and external hemorrhoids, I went to the hospital for wound checks and dressing changes during the second, third, and fourth weeks. Each time, it was extremely painful due to tearing. Starting from the fift...
Dr. Zhang Shuhao Reply:
Complete excision of internal and external hemorrhoids typically requires about 4 to 6 weeks for wound healing. During this period, swelling and pain during bowel movements are considered normal. Once the wound scabs over, there may be slight loss of elasticity due to fibrosis, b...[Read More] Understanding Post-Surgery Recovery for Hemorrhoids: Pain and Bowel Changes
Understanding Symptoms of Suspected Intestinal Obstruction and Rectal Mass
Suspected intestinal obstruction, rectal mass? On the morning of October 22, I experienced pain in the lower left abdomen. After an evaluation, the doctor diagnosed it as intestinal spasms and prescribed medication for three days. Following that, I began to have occasional mild a...
Dr. Ke Fangxu Reply:
The lumps that can be felt during a digital rectal examination are mostly hemorrhoids or prostate issues. It is essential to consult a professional physician for an accurate diagnosis. If necessary, a sigmoidoscopy or colonoscopy can be performed for confirmation. If a tumor is i...[Read More] Understanding Symptoms of Suspected Intestinal Obstruction and Rectal Mass
Post-Surgery Concerns After Hemorrhoid Surgery: Pain and Treatment Options
Postoperative issues related to hemorrhoid surgery? Hello, doctor. I recently had hemorrhoid surgery two weeks ago, but I have the following questions: 1. What is a laser surgical knife? Is this considered traditional surgery? The doctor only mentioned that it would be less pai...
Dr. Ke Fangxu Reply:
1. It is the patient's responsibility to ask for clarification if the doctor does not provide detailed information; if the product name is not mentioned, I would not know what it is. 2. Whether it is anal stenosis or postoperative pain can only be determined through a digit...[Read More] Post-Surgery Concerns After Hemorrhoid Surgery: Pain and Treatment Options
Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Post-traumatic intracranial hemorrhage leading to limb impairment? In March of this year, I suffered a severe car accident that resulted in a right-sided skull fracture and intracranial hemorrhage. After surgery, I regained consciousness and underwent debridement approximately 3-...
Dr. Zhang Junwei Reply:
I'm not familiar with this technique, so I may need to consult other physicians.[Read More] Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Understanding Rectal Bleeding: Causes and When to Seek Help
Bowel movement and rectal bleeding issues? For the past few months, after bowel movements, I have repeatedly noticed blood on the toilet paper, although it is not a large amount—at most the size of a thumbnail, and most of the time just small dots, about the size of sesame seeds....
Dr. Chen Mingzhi Reply:
Hello: Your symptoms seem more like an anal fissure, so there is no need to worry too much. It is recommended to consult a colorectal specialist for an anoscopy, which can provide an immediate diagnosis of the underlying cause![Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Painful White Bumps Near the Anus: When to Seek Help
External anal mass - painful small white growth? Hello Doctor, I have noticed a condition where there are small growths resembling polyps around my anal area for over a year. However, since there has been no blood in my stool and no pain, it has only been bothersome when I touch ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The small white fleshy growth may be a polyp associated with the fissure. The pain often lasts several days, sometimes ...[Read More] Understanding Painful White Bumps Near the Anus: When to Seek Help
Understanding Left Back Numbness: Causes and Treatment Options
Numbness near the left back, specifically in the area of the "Huang" point? Hello, doctor. I have had a habit of slouching since childhood, and I tend to support my head with my left hand while sitting. About two years ago, one morning after waking up and engaging in no...
Dr. Lai Zhaokang Reply:
Hello: In addition to the condition of the cervical spine, it is advisable to further evaluate upper limb nerve conduction studies (NCS) and the thoracic spine to rule out other concurrent lesions. Best wishes // Dr. Lai Chao-Kang, Changhua Hospital[Read More] Understanding Left Back Numbness: Causes and Treatment Options
Is It Normal Fat Accumulation Under the Chin?
Is it fat? Hello. I am quite overweight, and when I lower my head, I can pinch a movable lump on both sides of my chin. I press down my head and insert my fingers into the flesh of my chin to pinch it, and it feels bouncy. I can even pull it towards the edges of my face. If I don...
Dr. Chen Jiaming Reply:
Your description cannot replace the physical examination conducted by a physician. Although most lesions are benign, it is essential to have an in-person evaluation to determine the nature of what is actually felt.[Read More] Is It Normal Fat Accumulation Under the Chin?
Should You Change a Bandage for Bleeding Wounds After Surgery?
If the wound is oozing blood after being bandaged, should the dressing be changed immediately? Dear Doctor, this afternoon I accidentally cut my left hand's middle and index fingers with a utility knife (at the joints on the back of the hand). Due to continuous bleeding, I w...
Dr. Peng Xianwen Reply:
Hello: It is recommended that you return to the surgical or orthopedic outpatient clinic for appropriate management. Director Peng Hsien-Wen, Nantou Hospital.[Read More] Should You Change a Bandage for Bleeding Wounds After Surgery?
Post-Hemorrhoid Surgery: Dealing with Anal Stenosis Issues
After undergoing circular surgery for hemorrhoids, there is an issue of anal stenosis? Hello! Two months ago, I underwent a circular surgery for hemorrhoids and now I am experiencing anal stenosis. The diameter of my stool is approximately the size of a male's index to thumb...
Dr. Yu Mingchang Reply:
Hello: If you have time during your follow-up visit, we can schedule surgery to address the narrowing issue. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Post-Hemorrhoid Surgery: Dealing with Anal Stenosis Issues
Understanding Anal Bumps: When to Seek Medical Attention
Recently, I have noticed a lump outside my anus, and I would like to seek clarification from a doctor? Recently, I noticed a lump around the five o'clock position of my anus while using the restroom. It feels somewhat soft, approximately 0.5 centimeters in size, and appears ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a thrombosed external hemorrhoid. If it does not continue to grow or become red, swollen, or painful, there is no need for concern. During this period, it is important to avoid constipation and shorten the time spent on the toilet. If...[Read More] Understanding Anal Bumps: When to Seek Medical Attention
Post-Surgery Care for Anal Fistula: Medication Application Tips
Post-operative care for fistula includes applying medication? Hello, doctor. I had an anal fistula surgery at the clinic a week ago. During my follow-up visit today, the surgeon demonstrated how to apply the ointment evenly with my fingertip, inserting it about two fingers deep, ...
Dr. Ke Fangxu Reply:
Indeed, after fistula surgery, if the wound heals too quickly, there is a higher risk of recurrence. However, I personally did not apply pressure to the wound because it was too painful. Additionally, a wound that does not heal properly is also a concern. I recommend taking warm ...[Read More] Post-Surgery Care for Anal Fistula: Medication Application Tips
Understanding Cervical Osteophytes: Recovery and Rehabilitation Insights
Cervical osteophytes Hello Doctor, I would like to ask you about my mother who is 64 years old. She underwent cervical spine surgery for bone spurs ten years ago. Last year, she fell and started experiencing numbness and pain in her fingers again. It was later discovered that the...
Dr. Lai Zhaokang Reply:
Hello, you just had surgery a month ago. It is recommended to follow up with your original surgeon for further examination. Wishing you well. // Dr. Lai Chao-Kang, Neurosurgery[Read More] Understanding Cervical Osteophytes: Recovery and Rehabilitation Insights
Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Cervical spine issues Hello, in February of this year, an MRI revealed a protrusion of the C5 and C6 intervertebral discs, with a broad central protrusion. However, there is still space for cerebrospinal fluid to flow when viewed from the side. After evaluation, the neurosurgeon ...
Dr. Lai Zhaokang Reply:
Hello: 1. If I suddenly woke up in the morning and found my right hand resting on my head, completely numb for over a minute, and it gradually returned to normal after I moved it down... it is possible that your right hand was compressed by your head for too long while you were s...[Read More] Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Understanding Post-Surgery Recovery and Risks for Hemorrhoid Surgery
Post-hemorrhoidectomy I previously experienced severe bleeding due to hemorrhoids and later consulted a physician who recommended surgery. Subsequently, I may have developed anal stenosis, and most doctors have responded that I should not have undergone surgery in the first place...
Dr. Ke Fangxu Reply:
1. After hemorrhoid surgery, if anal stenosis occurs, it is recommended to wait for six months until the scar tissue stabilizes before considering flap surgery. During this period, the use of stool softeners along with regular anal dilation may help improve the stenosis. If there...[Read More] Understanding Post-Surgery Recovery and Risks for Hemorrhoid Surgery