Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Cauliflower and fistula? Hello Doctor, I have developed genital warts and have been actively applying medication for treatment. I also received the HPV vaccine immediately to prevent reinfection. However, I may not have applied the medication properly, which led to significant sk...
Dr. Ke Fangxu Reply:
Based on the photo, it appears that excessive application of the ointment has caused skin ulceration. I recommend temporarily discontinuing the use of Lede Mei and applying an antibiotic ointment instead. If the perineum is very painful, you should consult a physician to determin...[Read More] Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Understanding Painful Red Swelling Near the Anus: Causes and Treatments
There is a red, swollen area next to the anus that is painful? Anal issues, with a lump that appeared rapidly two days ago. Eight years ago, I had an anal fistula and underwent surgical removal. Over the past two years, I have occasionally experienced lumps near the anus that dev...
Dr. Ke Fangxu Reply:
Fusidic acid ointments or similar medications are used to treat conditions that may involve the recurrence of abscesses or general folliculitis, but it is essential to consult a physician for an accurate diagnosis.[Read More] Understanding Painful Red Swelling Near the Anus: Causes and Treatments
Do I Still Need Surgery If My Anal Cyst Disappeared with Treatment?
Will applying medication to a fistula help? I have a small bump next to my anus that has been there for almost a year. I have seen three doctors; only one determined that it is not a fistula. However, I ultimately decided to go ahead with surgery, which is still a month away. The...
Dr. Ke Fangxu Reply:
You can temporarily observe the situation, and if there is any swelling or pain, or if the bumps reappear, please consult a physician for evaluation.[Read More] Do I Still Need Surgery If My Anal Cyst Disappeared with Treatment?
Understanding Anal Fistula Treatment: When Surgery Isn't Necessary
Treatment of Anal Fistulas Hello, Dr. Ke! Last year, I experienced pain near the anus along with the presence of pus, and after seeing a doctor, I was diagnosed with an anal fistula and underwent surgery. However, recently I have been feeling some pain again near the anus. Althou...
Dr. Ke Fangxu Reply:
An anal fistula is a complication of an anal abscess, essentially a channel that connects to the inside of the anus. If it is not surgically excised, it will not resolve on its own. However, if there are no recurrent infections, it can be monitored. While applying ointment will n...[Read More] Understanding Anal Fistula Treatment: When Surgery Isn't Necessary
Pain Near the Anus: Should You See a Doctor?
Pain upon palpation of the perianal area? Unlike the previous abscess that had a noticeable lump, this time I accidentally discovered a mass about two fingerbreadths away from the anus while wiping. There is pain only when I press on it, but upon examination, there are no externa...
Dr. Ke Fangxu Reply:
After the healing of an anal abscess, there is a possibility of developing an anal fistula. It is advisable to have a physician examine the area to avoid any delays in treatment.[Read More] Pain Near the Anus: Should You See a Doctor?
Post-Surgery Recovery Insights for Fistula Treatment: What to Expect
Post-fistula surgery Hello Doctor, I underwent my first fistula surgery on April 13 of this year. After three months, the wound has not fully healed. I consulted two other doctors who both told me that this is normal and that it might be a recurrence. Therefore, I returned to the...
Dr. Xu Kaixi Reply:
Based on your description and the photos, the current condition of the fistula surgical wound (as shown in the last photo) is almost healed. If there is no discharge, redness, or significant pain, it indicates that there is no recurrence. The postoperative wound at the anal area,...[Read More] Post-Surgery Recovery Insights for Fistula Treatment: What to Expect
Post-Surgery Care: Managing Discharge and Wound Healing After Fistula Surgery
Post-fistula surgery Hello, doctor. I had surgery on the 14th of last month, but there is still some discharge from the wound. During my follow-up appointment on the 16th, the doctor applied medication, which seemed to involve inserting a thin metal tube into my wound. In the pas...
Dr. Ke Fangxu Reply:
1. Since the names of the ointment ingredients are unknown, it is difficult to determine if it is normal; however, if there is no redness, swelling, heat, or pain, it can be monitored further. 2. Yes, it is generally recommended to soak the area until the wound has healed comple...[Read More] Post-Surgery Care: Managing Discharge and Wound Healing After Fistula Surgery
Understanding a Painful Lump Near the Anus: Causes and Concerns
A spherical mass has developed next to the anus? Hello, doctor. I have noticed a lump near my anus (about the width of a finger). It feels spherical when I pinch it, and while it doesn't hurt when I don't touch it, it does hurt when I do pinch it. The appearance is skin...
Dr. Yu Mingchang Reply:
There is a higher possibility of external hemorrhoids, so it is advisable to consult a colorectal specialist.[Read More] Understanding a Painful Lump Near the Anus: Causes and Concerns
Fistula or Skin Issue? Understanding Recurring Abscesses
Is it an anal fistula or a skin issue? A year ago, I developed an abscess on the left side of my anus, which was drained and has not recurred at the same location. However, over the past year, I have been experiencing the emergence of harder small nodules from the right labia to ...
Dr. Ke Fangxu Reply:
Without a definitive diagnosis, it is certainly unwise to proceed with surgery. I recommend that you consult a physician for a thorough evaluation before making any decisions. In addition to anal abscess and fistula, it is also possible that it could be Bartholin's gland inf...[Read More] Fistula or Skin Issue? Understanding Recurring Abscesses
Post-Fistula Surgery: Managing Blood in Stool and Healing Tips
Post-fistula surgery After 60 days post-fistula surgery, it is possible to see some blood in the stool occasionally. This may be due to hard stools or the stool irritating the granulation tissue at the fistula site. Is it advisable to perform some Kegel exercises to promote wound...
Dr. Ke Fangxu Reply:
Kegel exercises do not enhance wound healing, but they are effective for strengthening the pelvic floor muscles.[Read More] Post-Fistula Surgery: Managing Blood in Stool and Healing Tips
Post-Surgery Care for External Hemorrhoids: What to Do About Swelling and Discharge
Postoperative care for external hemorrhoids? Three days ago, I underwent surgery for mixed hemorrhoids and a fistula. There are two lumps at the anal opening, one large and one small. Today, I rode my motorcycle to work; although it was painful, I managed to sit down. When I got ...
Dr. Ke Fangxu Reply:
After hemorrhoid and fistula surgery, the wound cannot be completely healed within three days; there will be discharge for up to a month. It is recommended to maintain local cleanliness and enhance sitz baths. If there is redness, swelling, heat, or pain, please consult a physici...[Read More] Post-Surgery Care for External Hemorrhoids: What to Do About Swelling and Discharge
Understanding Granulation Tissue After Fistula Surgery: What to Expect
A granulation tissue has developed next to the wound after the fistula surgery? Hello Dr. Ke, I previously asked about a complex fistula. After the surgery in mid-July, the skin around the wound has become firm. Recently, in the past two weeks, a growth resembling granulation tis...
Dr. Ke Fangxu Reply:
Based on the images, it appears to be a recurrence of the fistula. I recommend that you consult your surgeon for an evaluation, as it may be necessary to undergo another surgery.[Read More] Understanding Granulation Tissue After Fistula Surgery: What to Expect
Post-Surgery Care for Anal Fistula: Managing Discharge and Healing
Post-anal fistula surgery Hello Dr. Ke, I had my anal fistula surgery two months ago. However, I still have yellowish-white discharge postoperatively. I went back to see the surgeon, and he said that I am healing well. I believe that since I have had multiple surgeries before, an...
Dr. Ke Fangxu Reply:
Post-operative sitz baths after anal fistula surgery are essential for maintaining cleanliness. I'm not sure about the condition of your granulation tissue, but it is not necessary to clean the granulation tissue after anal fistula surgery. If the wound heals too quickly, it...[Read More] Post-Surgery Care for Anal Fistula: Managing Discharge and Healing
Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
After hemorrhoid surgery, what is the string-like substance in the anal canal? Hello, Dr. Ke. Last weekend, I underwent fistula and hemorrhoid surgery at China Medical University. The nurse informed me that I need to insert my finger about one finger's breadth into the anus ...
Dr. Ke Fangxu Reply:
A fistula can indeed occur within the anus, so during surgery, the incision may extend into the anal canal. As for the so-called tubular structure you felt, I cannot determine what it is. If the surgeon indicates that it is scar tissue from the wound, then there should be no issu...[Read More] Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
Preventing Anal Fistulas in Wheelchair Users: Key Insights
Anal fistula in individuals with limited mobility? Dear Dr. Ke: I apologize for taking up your valuable time. I would like to ask if individuals with lower limb disabilities who spend all day in a wheelchair are more prone to developing anal fistulas. Are there any preventive mea...
Dr. Ke Fangxu Reply:
Anal fistula is a complication resulting from an anal abscess. Lower limb impairment is not a risk factor for its occurrence. It is important to maintain local hygiene, and individuals with diabetes should pay attention to blood sugar control.[Read More] Preventing Anal Fistulas in Wheelchair Users: Key Insights
Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Will anal fistula surgery damage the anus? Dr. Ko: Hello! The surgeon who performed my operation is very quiet and serious, making it difficult for me to ask him questions, so I’m here to consult you. Thank you! 1. The surgeon mentioned that my fistula can only be resolved thro...
Dr. Ke Fangxu Reply:
1. Postoperative pain after anal fistula surgery is a normal phenomenon, and the pain typically lasts for 1-2 weeks. If the pain is severe, you can ask your physician to prescribe pain medication. Taking warm sitz baths can also be helpful. 2. It should be possible, but without...[Read More] Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Post-Surgery Recovery: Concerns About Pain Near Anal Fistula Site
Recovery after surgery for anal fistula? Hello Doctor, I apologize for the interruption, but I would like to ask a question. I had surgery for an anal fistula on July 6th, and after a month, the wound completely healed without any issues. My follow-up doctor also confirmed the re...
Dr. Ke Fangxu Reply:
To determine if there is a recurrence, it is necessary to have a physician examine the area. The distance between the groin pubic bone and the anal opening should be relatively significant, which may indicate that it is less likely to be a recurrence. However, it is still advisab...[Read More] Post-Surgery Recovery: Concerns About Pain Near Anal Fistula Site
Post-Surgery Recovery Insights for Anal Fistula Treatment
Post-anal fistula surgery Hello Doctor, I underwent my first fistula surgery on April 13 of this year. After three months, the wound has not fully healed. I consulted two other doctors who both told me that it is normal for this to happen and that it might be a recurrence. Theref...
Dr. Yu Mingchang Reply:
Hello: Change to a different doctor for a reevaluation.[Read More] Post-Surgery Recovery Insights for Anal Fistula Treatment
Symptoms of Recurrence After Anal Fistula Surgery: What to Expect
Postoperative Issues Related to Anal Fistula Surgery Hello, doctor. I would like to ask what symptoms may occur if a fistula after anal surgery recurs within a few months?
Dr. Ke Fangxu Reply:
Commonly, purulent discharge accompanied by swelling and pain may sometimes present with serosanguineous fluid. An opening and discharge may be observed at the surgical scar.[Read More] Symptoms of Recurrence After Anal Fistula Surgery: What to Expect
Understanding Hard Skin Around Surgical Wounds After Fistula Surgery
The wound after fistula surgery has surrounding skin that is very firm? Hello, Doctor. I had a fistula surgery a month ago, and I currently have four wounds, one of which has not healed yet. Is this normal? Additionally, I would like to ask about the surrounding skin of the wound...
Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a rather complex surgery, likely involving a complicated fistula procedure. Due to the extensive debridement required, the postoperative recovery may be slower. During the healing process, scar tissue will form, which is why it feels firm to t...[Read More] Understanding Hard Skin Around Surgical Wounds After Fistula Surgery