Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-anal fistula surgery Hello, Director: I had surgery for an anal fistula over two months ago. However, the doctor I saw only instructed me to take warm sitz baths with Betadine daily, without specifying for how long. I have been doing this until the wound heals, which has bee...
Dr. Ke Fangxu Reply:
Whether it is a recurrence of a fistula can only be determined through a physical examination, as online consultations cannot provide a diagnosis. However, based on your description, it seems less likely to be a recurrence. I recommend that you consult your surgeon for a further ...[Read More] Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I would like to consult with a doctor. I underwent anal fistula surgery at the end of February this year, but I experienced swelling in both May and July, with the May episode even resulting in pus formation. When I retu...
Dr. Zhang Shuhao Reply:
If the fistula has been completely excised, it is unlikely to recur at the same site. However, if there is swelling or purulent discharge, it is necessary to check for the formation of a new abscess or fistula. The surgical wound may exhibit itching or scar tissue formation depen...[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Issues Related to Sexual Activity or Childbirth After Anal Fistula Surgery Hello Doctor, I underwent anal fistula surgery in early March, but from May to July, I experienced swelling and even pus formation. I consulted my original surgeon, who addressed the issues, and after a pr...
Dr. Ke Fangxu Reply:
1. If there is still swelling and purulent discharge, it may indicate a recurrence. As long as there is no anal intercourse, it should not affect sexual activity. 2. If the fistula is not connected to the vagina, then it should not be related. 3. It depends on the subsequent ...[Read More] Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Anal fistula Hello, Doctor. About a year ago, I noticed a hard lump near my anus. When it first appeared, I consulted a physician who said it was hemorrhoids, and I left it at that. Over the past year, the lump has been painless, itch-free, and without any discharge, and its size...
Dr. Ke Fangxu Reply:
The only definitive treatment for an anal fistula is surgery. If there is no infection, swelling, or discomfort, continuous observation is also an option. However, if there are recurrent infections, it is advisable to proceed with surgical treatment to prevent the development of ...[Read More] Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Understanding Perianal Lumps: When to Consider Surgery or Medication
Perianal mass Hello, Doctor. A year ago, I noticed a hard lump near my anus. The first doctor I saw said it was hemorrhoids. After taking medication, it remained there, but since it was neither painful nor itchy, I didn't pay much attention to it. Until last Monday, when it ...
Dr. Zhang Shuhao Reply:
Anal fistulas are likely to recur due to their connection with the anal glands. Since this is your first occurrence and you are currently asymptomatic, you can choose to observe. However, if there is a recurrence at the same site (such as redness, swelling, heat, pain, a mass, or...[Read More] Understanding Perianal Lumps: When to Consider Surgery or Medication
Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Nocodazole film-coated tablets Hello Doctor, I suspected I had a fistula, so I went to see a colorectal specialist. My main complaints were anal itching and what seemed to be yellow discharge (there was no visible fistula opening). The doctor (referred to as Doctor A) performed a...
Dr. Zhang Shuhao Reply:
Curam is an antibiotic that targets common bacterial infections. If a doctor prescribes this medication, it indicates that, in addition to hemorrhoids, the possibility of other infectious lesions such as an anal abscess cannot be ruled out. Although Curam is typically recommended...[Read More] Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Understanding a Hard Lump Near the Anus: Is It a Fistula?
There is a hard lump outside the anus? This lump has been present for over a year, has not changed in size, and is not painful. This morning, I noticed that it may have been compressed, causing a small hole to bleed. I am very worried that it might be a fistula. I would like to a...
Dr. Zhang Shuhao Reply:
If it is a first-time occurrence, it could be an anal abscess. As for whether a fistula has formed, it can be checked after the inflammation subsides. It is recommended to seek medical treatment, prescribe anti-inflammatory medication and topical ointments, keep the wound clean, ...[Read More] Understanding a Hard Lump Near the Anus: Is It a Fistula?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Hard lump near the anus? Hello, doctor. I have a hard lump near my anus that has been present for over a year. Before this lump appeared, I had an experience with an anal abscess that was treated with antibiotics. About six months after the treatment, this lump developed. When I ...
Dr. Zhang Shuhao Reply:
If the affected area previously had an anal abscess that was treated and then recurs in the same location, it may indicate the presence of a fistula, which connects the affected area to the anal glands, making it prone to recurrent inflammation. If symptoms such as redness, swell...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscesses? Hello, Doctor. About 5-6 years ago, I had an experience with an anal abscess that required incision and drainage, but it did not result in an anal fistula. Recently, about 6 days ago, I started feeling mild discomfort deep in the anal area, w...
Dr. Ke Fangxu Reply:
An anal abscess is indeed more effectively treated with incision and drainage; however, if the abscess is too small or located at a greater depth, antibiotic treatment can also be a viable option. It is also possible that the physician you consulted is not a specialist in colorec...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscess? Hello Doctor, I have been experiencing pain near the anal area recently. The doctor I consulted initially diagnosed it as an anal abscess, approximately the size of a half peanut, with some signs of pus formation. I was prescribed oral antibiot...
Dr. Zhang Shuhao Reply:
If an abscess near the anus is only the size of a half peanut, it may not necessarily be connected to the anal glands. Initially, oral antibiotics can be prescribed for observation, as most cases can resolve on their own. However, if there is severe swelling and inflammation, inc...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Dealing with Painful Abscess Near the Anus: When to See a Doctor
There is a pus-filled abscess near the anus? Hello, doctor. Recently, I have developed a pus-filled bump near my anus. This has happened before, but it usually resolves itself in a few days. However, whenever I wipe forcefully, a pus-filled bump appears, and it is somewhat itchy ...
Dr. Zhang Shuhao Reply:
The formation of perianal abscesses can have multiple causes, including folliculitis, anal abscesses, or infectious lesions. These abscesses are more likely to occur and worsen after vigorous wiping or friction. If the abscess enlarges or symptoms such as fever, redness, swelling...[Read More] Dealing with Painful Abscess Near the Anus: When to See a Doctor
Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
If the anal abscess and fistula are no longer painful, is surgery still necessary? Hello Doctor: Recently, I developed an abscess near my anus, for which I visited a clinic, received antibiotics, and had the pus drained. Currently, I no longer feel any foreign body sensation or p...
Dr. Zhang Shuhao Reply:
If it is the first occurrence of an anal abscess and it is incised and drained, a fistula may not necessarily form. The clinic may discover this through palpation, or if there is recurrent swelling and pain, surgery may be recommended. If there is no pain, it indicates that the i...[Read More] Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?
Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery
Fistula surgery 1. Is minimally invasive surgery significantly worse than traditional surgery in terms of success rates, recovery outcomes, and recurrence rates? 2. I see that there are minimally invasive ligation and minimally invasive laser procedures available online; are the...
Dr. Zhang Shuhao Reply:
1. Traditional surgery for fistulas currently remains the surgical method with the lowest recurrence rate. Minimally invasive surgery results in smaller wounds and faster recovery, but the location of the fistula must be precisely identified, and in the case of complex fistulas, ...[Read More] Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery
Understanding Anal Fistulas: Treatment Options and Recovery Insights
Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...
Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Understanding Painful Bumps Inside the Anus: Causes and Concerns
There are bump-like lesions on the inner wall of the anus? Hello Doctor, I apologize for bothering you. Yesterday, I discovered a raised, ball-like mass on the inner wall of my anus (about 1 centimeter deep). It is painful when pressed, but I don't notice it during my daily ...
Dr. Zhang Shuhao Reply:
The most common causes of protrusions and pain in the anal canal are hemorrhoids and fistulas, while less common causes include inflammation and infectious diseases. However, self-examination is usually difficult to assess. It is advisable to take warm sitz baths, increase fluid ...[Read More] Understanding Painful Bumps Inside the Anus: Causes and Concerns
Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Post-operative discharge issues after anal surgery? Hello, Director. I underwent an anal fistula incision and drainage surgery at the end of August last year, and then had another surgery at the end of February this year. This time, the surgery was a bit more complex, involving h...
Dr. Ke Fangxu Reply:
The healing period for complex anal surgeries can be quite lengthy. However, if there is still discharge after three months, it may not be normal. If the surgeon has examined the area and found no issues, it is likely not a recurrence. Additionally, if a flap surgery was performe...[Read More] Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time
Anal fistula surgery wound 1. How many openings are there in a single anal fistula incision in minimally invasive surgery? Approximately how large is the wound? How long does recovery take?
Dr. Xu Kaixi Reply:
Hello, due to limited information, the size, length, and location of the fistula will affect the shape and size of the wound. It is recommended that you visit the hospital's colorectal surgery outpatient clinic for a personal examination and evaluation.[Read More] Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time