Understanding Persistent Anal Issues: Fistula or Folliculitis?
Is it an anal fistula? I apologize for the inconvenience, but I would like to inquire about something. About six months ago, I developed a lump on my buttocks, and I underwent incision and drainage. It healed, but the wound turned into a small pit that occasionally oozes pus and ...
Dr. Lin Zhiguang Reply:
Hello, because you only underwent incision and drainage, if it is folliculitis or another type of subcutaneous abscess, it may not fully heal. The farther away from the anus, the lower the likelihood of an anal fistula, but it cannot be completely ruled out; further examination i...[Read More] Understanding Persistent Anal Issues: Fistula or Folliculitis?
Understanding Fistula Recurrence Rates After Surgery
Fistula recurrence rate Hello, doctor; I would like to ask you. A year ago, I underwent a fistula surgery at another hospital. This April, I started feeling pain and swelling near my buttocks. Could this possibly be related to the fistula? Is it possible for it to recur even afte...
Dr. Lin Zhiguang Reply:
Fistulas may sometimes recur because the internal opening has healed, making it difficult to locate during surgery. If a recurrence does occur, surgery is necessary to accurately identify the internal opening and open it, which will help prevent further recurrences.[Read More] Understanding Fistula Recurrence Rates After Surgery
Understanding Anal Fistulas: Symptoms, Treatment, and Concerns
Anal fistula/abscess Hello, doctor. My mother developed a hard lump near her anus about two to three months ago, which was about the size of an acne pimple and was not painful. Over time, the lump grew larger and became softer, with the surface appearing shiny. Light pressure did...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is normal to have slight blood-tinged drainage from the wound after anal fistula surgery, as long as there is no redness, swelling, or severe pain. It is not necessary to take anti-inflammatory or pain relief medication, but if you experien...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Concerns
Understanding Fistula Surgery: Concerns and Recovery Insights
Issues related to laparoscopic surgery? Hello, doctor. I am currently abroad (in a developed country), but sometimes I still encounter language barriers. I have already sought medical attention, but I do not fully understand the seriousness of the surgery and would like to know i...
Dr. Ke Fangxu Reply:
Hello: In response to your question, complex anal fistulas can sometimes be very troublesome, not only for patients but also for physicians. Based on your description, it is possible that you have a long-distance anal fistula. Generally, these types of fistulas cross the anal sph...[Read More] Understanding Fistula Surgery: Concerns and Recovery Insights
Post-Surgery Concerns: Understanding Anal Fistula Healing and Symptoms
Postoperative issues following anal fistula surgery? Hello, Dr. Ke. My fistula surgery wound is approximately two centimeters long (located in the center of the buttocks, extending from the anal area backward). I would like to ask you: 1. It has been 37 days since the wound, an...
Dr. Ke Fangxu Reply:
Hello: Here are the responses to your questions: 1. The wound should be healed after one month post-surgery, but healing speed varies among individuals due to personal health factors. As long as the wound area continues to shrink, there is no cause for concern. 2. It is norm...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Symptoms
Post-Surgery Pain Management After Fistula and Hemorrhoid Surgery
Postoperative pain and discomfort after fistula and hemorrhoid surgery..? Hello, Dr. Ko: I underwent a fistula surgery at Mackay Memorial Hospital in Hsinchu on July 23, and some hemorrhoids were removed as well. It has been 34 days, but I still experience discomfort and pain in ...
Dr. Ke Fangxu Reply:
Hello, in response to your question, post-operative pain after general anal surgery typically lasts around two weeks. However, for fistula surgery, it may extend to over a month, depending on the length of the fistula and the size of the surgical wound. If there is no severe pain...[Read More] Post-Surgery Pain Management After Fistula and Hemorrhoid Surgery
Post-Surgery Anal Fistula: Causes of Pain and Prevention Tips
Postoperative issues following anal fistula surgery? Hello, doctor: I had an anal fistula surgery at the beginning of April this year, and the wound has completely healed. However, sometimes I feel a slight sharp pain in the anal area, which lasts only for a moment and then goes ...
Dr. Ke Fangxu Reply:
Hello, Cocoa: After surgery for anal fistula, it is common for patients to experience a stinging sensation at the surgical site. This is likely related to the larger size of the surgical wound and the longer recovery time. It is generally believed to be caused by the severing of ...[Read More] Post-Surgery Anal Fistula: Causes of Pain and Prevention Tips
Post-Surgery Concerns: Managing Anal Fistula and Granulation Tissue
Postoperative Issues Related to Anal Fistula Surgery 2 Hello Dr. Ke, I would like to ask you some questions. After my anal fistula surgery on April 2, my wound has not fully healed. Occasionally, I notice some blood when wiping after a bowel movement. On June 16, I went to anoth...
Dr. Ke Fangxu Reply:
Hello, Xiao Zhi: Surgery for anal fistulas may sometimes result in faster healing of wounds outside the anal glands, especially in younger individuals with better wound healing capabilities. This can lead to the internal wound of the fistula being surrounded again, resulting in t...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Granulation Tissue
Understanding Umbilical Infections in Infants: Causes and Solutions
The child's umbilical area is red, swollen, and has pus? Dear Doctor, My child underwent surgery for an umbilical fistula at 2 months old. Now, at 10 months, the belly button suddenly became red, and two days later, it swelled and protruded. We took him to see a pediatric s...
Dr. Huang Yuanhui Reply:
1. The incidence of postoperative suture abscess is approximately 10%. 2. In umbilical fistula surgery, some suture ends are non-absorbable sutures used to ligate blood vessels, while others are absorbable sutures, such as those used for subcutaneous closure, which do not requi...[Read More] Understanding Umbilical Infections in Infants: Causes and Solutions
Post-Surgery Concerns After Anal Fistula Surgery: Healing and Treatment Options
Postoperative Issues Related to Anal Fistula Surgery Hello Dr. Ke, I would like to ask you some questions. After my anal fistula surgery on April 2, my wound has not fully healed. Occasionally, I notice some blood when wiping after a bowel movement. On June 16, I went to anothe...
Dr. Ke Fangxu Reply:
Hello, Xiao Zhi: Generally speaking, the wound from anal fistula surgery takes about a month to heal. If it has not healed after more than two months, there may be an issue. The so-called polyp is likely residual granulation tissue, and it should be examined to see if it is due t...[Read More] Post-Surgery Concerns After Anal Fistula Surgery: Healing and Treatment Options
Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Is it advisable to add Betadine to warm sitz baths after anal fistula surgery? Hello, Doctor: I would like to ask if it is necessary to add a few drops of povidone-iodine to the warm water during sitz baths after anal fistula surgery. I have seen some people online mention that a...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the principle of warm water sitz baths with povidone-iodine is to utilize the released iodine ions for their antibacterial effect, which is very helpful in keeping the surgical wound clean. However, using too much povidone-iodine can actually ...[Read More] Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Managing Post-Surgery Anal Fistula: Tips for Softening Stools and Healing
After anal fistula surgery, the anus remains very narrow and the wound often reopens? Hello, doctor: I apologize for bothering you again. It has been over 40 days since my anal fistula surgery, and I still experience bleeding during bowel movements at times. I visited the doctor ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the healing speed of anal fistula wounds is generally slower than that of regular wounds. If a complex anal fistula wound has not healed after more than a month, it is not considered abnormal. The biggest concern after anal surgery is constipa...[Read More] Managing Post-Surgery Anal Fistula: Tips for Softening Stools and Healing
Understanding Post-Surgery Care for Anal Fistula and Hemorrhoids
Issues related to anal fistulas? Hello, Doctor: I had surgery for anal fistula and hemorrhoids on April 2nd, and it has been over ten days since then. Although the pain has decreased, I still experience bleeding with each bowel movement, and there is a small amount of blood on th...
Dr. Ke Fangxu Reply:
Hello, in response to your question: After anal fistula surgery, mild pain and bleeding due to the larger wound may persist for about a month. Continuous warm sitz baths will help improve the condition gradually. Taking multivitamins does not have any adverse effects; however, it...[Read More] Understanding Post-Surgery Care for Anal Fistula and Hemorrhoids
Understanding Anal Fistula Surgery: Success Rates and Recovery Tips
Anal fistula Hello Doctor: I have an anal fistula, and I am scheduled for surgery next month. I would like to know what the success rate of this type of surgery is. I have only one fistula that is about one centimeter long; how significant are the risks? Additionally, how can I p...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the anal canal is short and superficial, it is generally considered a low-risk surgery. The procedure typically takes about half an hour, and postoperative pain is relatively mild. Pain usually decreases significantly within a week, and it ...[Read More] Understanding Anal Fistula Surgery: Success Rates and Recovery Tips
Understanding Anal Fistula Surgery: Healing, Care, and Prevention Tips
Anal fistula Hello Doctor: I underwent anal fistula surgery at the end of July this year, and it has been a month since then. The wound is no longer painful and there is no discharge, everything seems normal. However, I noticed that there is a hole that appears larger than the an...
Dr. Xu Kaixi Reply:
Dear Xiaoling, This is Dr. Hsu Kai-Hsi, Chief of Surgery at Tainan Hospital, Department of Health, Executive Yuan. 1. If the wound has healed, what you see externally is scar tissue. The larger the wound, the larger the scar, and there is little chance for further change. 2. Th...[Read More] Understanding Anal Fistula Surgery: Healing, Care, and Prevention Tips
Post-Surgery Concerns: Understanding Skin Tags After Anal Fistula Surgery
Postoperative care after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on July 24 of this year. The day after the surgery, a growth that looked like a polyp appeared near the wound. After a week, the polyp grew larger. When I returned for a follow-up, the d...
Dr. Ke Fangxu Reply:
After fistula surgery, a recovery period of about one month is typically required. During this month, pain, swelling, and drainage from the wound are likely unavoidable. 1. The wound from fistula surgery cannot be sutured (to prevent recurrence), so some granulation tissue may ...[Read More] Post-Surgery Concerns: Understanding Skin Tags After Anal Fistula Surgery
Understanding Fistula Surgery: Recurrence and Treatment Options Explained
Fistula surgery Hello Dr. Ke, I underwent two fistula surgeries at Chang Gung Hospital over two years ago, with a three-month interval between them. The attending physician mentioned that my fistula was quite deep, necessitating two separate surgeries for complete removal. I fo...
Dr. Ke Fangxu Reply:
Hello: In response to your question, fistula surgery can sometimes result in recurrence. Generally, this is due to the previous surgery not identifying the internal opening of the fistula in the anal canal. If a repeat surgery is not performed, the likelihood of spontaneous heali...[Read More] Understanding Fistula Surgery: Recurrence and Treatment Options Explained
Persistent Discharge After Fistula Surgery: What to Do Next?
Four months after the fistula surgery, there is still discharge? Hello doctor, I underwent anal fistula surgery at Chang Gung in August, and until now, there is still some discharge from my anus. Sometimes my stools are hard, and after bowel movements, I experience a bit of pain....
Dr. Ke Fangxu Reply:
Hello: In response to your question, after anal fistula surgery, as long as it is not a complex fistula, the wound generally heals within one to two months post-surgery. During the healing process, there may be some pain and discharge; however, if there is still discharge after s...[Read More] Persistent Discharge After Fistula Surgery: What to Do Next?
Understanding Anal Fistula Surgery: Risks and Anesthesia Options Explained
Anal fistula Dr. Gao has diagnosed an anal fistula and recommends surgery. I would like to ask: 1. What are the risks associated with this surgery? 2. The doctor advocates for general anesthesia, but my research indicates that spinal or local anesthesia is commonly used. Is there...
Dr. Hou Yongji Reply:
1. Anorectal surgeries (such as hemorrhoidectomy or fistulotomy) are generally considered minor procedures; however, due to the involvement of structures that control bowel function, careful attention to anatomical details is essential. Therefore, it is advisable to seek treatmen...[Read More] Understanding Anal Fistula Surgery: Risks and Anesthesia Options Explained
Post-Surgery Pain: Understanding Complications After Ear Surgery
Post-surgery Doctor, I previously had surgery for a preauricular sinus at Changhua Hospital. The physician said I was healed. After returning home, I initially thought I was fine, but recently the area where I had the surgery has suddenly become very painful, and I also have a he...
Dr. Lai Jihong Reply:
Hello, The causes of preauricular fistula can be either congenital or acquired. Generally, if the lesion has been present for a long time, the acquired lesions may initially arise from infections of sebaceous cysts or traumatic infections, which, if not completely healed, can l...[Read More] Post-Surgery Pain: Understanding Complications After Ear Surgery