Post-Fistula Surgery: Understanding Recurrence and Symptoms
Post-fistula surgery Hello, doctor. I had a fistula surgery six years ago, but recently while showering, I noticed a deeper, tubular structure beneath the scar of the fistula (which I hadn't noticed before). Could this indicate a recurrence? I usually don't experience p...
Dr. Ke Fangxu Reply:
If there is a recurrence, a physician should be consulted for evaluation, as it could also be scar tissue. If there is no redness, swelling, heat, or pain, it may be appropriate to continue observation; otherwise, a follow-up examination with a physician is necessary.[Read More] Post-Fistula Surgery: Understanding Recurrence and Symptoms
Post-Surgery Care Tips for Anal Fistula: Managing Discharge and Healing
Post-anal fistula surgery Hello Dr. Ke, this is my fourth anal fistula incision and drainage surgery. The previous three surgeries failed due to rapid healing, as the external wound was treated with medication, leading to false healing. This time, I will not apply any medication ...
Dr. Ke Fangxu Reply:
Complex fistulas are prone to recurrence. Whether this is a recurrence will need to be observed for a period of time. If complete healing occurs, there will be no more discharge. Therefore, it is generally recommended to take sitz baths until there is no discharge. Sitz baths wit...[Read More] Post-Surgery Care Tips for Anal Fistula: Managing Discharge and Healing
Understanding the Difference: Anal Fistula vs. Folliculitis
Is it an anal fistula or folliculitis? Hello doctor, recently I noticed a lump on the left side of my vulva, but it is not painful. When I touch it, I can feel a hard mass. I consulted a gynecologist who diagnosed it as folliculitis. The swelling has reduced significantly after f...
Dr. Yu Mingchang Reply:
Hello: Please take some time to check the surgical department. The possibility of a skin abscess is relatively high. The Changhua Hospital of the Ministry of Health and Welfare is concerned about you.[Read More] Understanding the Difference: Anal Fistula vs. Folliculitis
Understanding Post-Surgery Complications of Anal Fistula: Key Concerns
More than a year after anal fistula surgery..? Hello, doctor. I apologize for interrupting you during your busy schedule. I would like to ask you about my anal fistula. I had surgery for it in early January last year, and it has been a year and a half since then. During this time...
Dr. Yu Mingchang Reply:
Hello: It is possible that there is a recurrence. Please visit the colorectal department at Changhua Hospital, Ministry of Health and Welfare, to discuss your concerns.[Read More] Understanding Post-Surgery Complications of Anal Fistula: Key Concerns
Post-Drainage Care for Anal Abscess: What to Expect and Do
Issues After Drainage of Anal Abscess Hello, Doctor. I have pain and swelling above the anal opening. The doctor diagnosed me with an "anal abscess" and administered a painkiller and drained the pus. It has been over five hours, and I feel much better than before the dr...
Dr. Ke Fangxu Reply:
Since I cannot see your lesion, I cannot determine whether it is more severe. However, if hospitalization and surgery are not required, it is likely not too serious. After surgery, taking warm sitz baths can help with wound healing and abscess drainage. As for the formation of a ...[Read More] Post-Drainage Care for Anal Abscess: What to Expect and Do
Should You Consider Surgery for Anal Fistula? Expert Insights
Should I undergo surgery for an anal fistula? Dr. Ke: Hello! The physician at the outpatient clinic told me I have an anal fistula. Initially, it resolved after a week of antibiotics, but after some time, it became swollen again. I went back to see the doctor, who said that surge...
Dr. Ke Fangxu Reply:
An anal fistula does not necessarily need to be surgically treated only during an acute infection; in fact, surgery may result in a quicker recovery when there is no infection present. If the previous diagnosis is confirmed to be accurate, surgery can be performed at this time.[Read More] Should You Consider Surgery for Anal Fistula? Expert Insights
White Bump Near Anus: Is It Folliculitis or Something Else?
A white bump near the anus that resembles a pimple? Doctor, I’m sorry, but yesterday while I was showering, I noticed a small white bump near my anus that looks similar to a pimple, measuring less than 0.5 centimeters. Could this be folliculitis, or is it a fistula? It burst on i...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check with the Department of Colorectal Surgery at Changhua Hospital, as the Ministry of Health and Welfare is concerned about your external hemorrhoid embolization.[Read More] White Bump Near Anus: Is It Folliculitis or Something Else?
Managing High-Complexity Fistulas: Challenges and Treatment Options
High-level complex fistula Hello Dr. Ke, I am a patient with a high complex fistula. I have undergone surgery at Chang Gung Memorial Hospital over a dozen times. A few days ago, an old wound became swollen and ruptured again, but there is no inflammation, just some fluid. The doc...
Dr. Ke Fangxu Reply:
High complex fistulas are challenging to manage due to their high recurrence rate and potential damage to the sphincter muscle. If the fistula is recurrent, the definitive treatment is to excise the fistula. For poorly healing wounds, there are many hydrogel products available th...[Read More] Managing High-Complexity Fistulas: Challenges and Treatment Options
Post-Surgery Pain Management: Understanding Complications and Next Steps
Postoperative wound pain Hello, Dr. Ke. I discovered a hard lump about the size of a fingertip at the anal opening in May-June. I don't feel it while walking, but there is an inflammatory pain when I press on it. It feels deep, has not developed pus, and has not opened up. I...
Dr. Ke Fangxu Reply:
If it is a fistula incision surgery, the wound will take about a month to heal. Based on your description, it seems that the wound is not sutured. If the wound is close to the anal area, it is recommended to take warm sitz baths and monitor the wound for a month to see if it heal...[Read More] Post-Surgery Pain Management: Understanding Complications and Next Steps
Can I Get Vaccinated While Taking Antibiotics for a Fistula?
Can I receive a vaccine while taking antibiotics for the treatment of a fistula? Hello, Dr. Ke! I am currently taking antibiotics to treat an abscess related to a fistula. Is it safe for me to receive the COVID-19 vaccine?
Dr. Ke Fangxu Reply:
Sure.[Read More] Can I Get Vaccinated While Taking Antibiotics for a Fistula?
20 Days Post-Anal Fistula Surgery: Concerns and Recovery Insights
20 days post anal fistula surgery? Hello doctor, I would like to ask about my anal fistula surgery which was 20 days ago. The wound near my anus hurts a bit after bowel movements, but taking a sitz bath immediately alleviates the pain. After the surgery, there is a 10 cm sutured ...
Dr. Ke Fangxu Reply:
Without a personal examination, it is difficult to make a judgment. If the surgeon feels the same way, then the likelihood of recurrence is quite high. If you are still concerned, you may consider seeking a second opinion from another physician.[Read More] 20 Days Post-Anal Fistula Surgery: Concerns and Recovery Insights
Understanding Anal Fistula: Symptoms, Recovery, and Treatment Insights
Anal fistula case: 170627 Hello, doctor. I saw your response and would like to ask a few more questions. My wound looks like this: https://ibb.co/GcJhK59. Today, I did not experience pain during bowel movements; however, I felt a slight pain when the stool touched the area of the...
Dr. Ke Fangxu Reply:
1. A check-up is necessary to confirm, but there seems to be improvement. 2. Therefore, it is not necessarily a recurrence. 3. The fistula surgery inherently carries a risk of recurrence. 4. Yes. 5. Yes.[Read More] Understanding Anal Fistula: Symptoms, Recovery, and Treatment Insights
Post-Surgery Concerns: Is My Fistula Recurring?
Questions after fistula surgery? Hello Doctor: The link above shows the condition of my wound from two days ago. The area circled seems to have a small broken skin hole that is oozing a little bit of fluid. Is this a recurrence of the fistula? Today, the surgeon told me it is not...
Dr. Ke Fangxu Reply:
If it is a wound after fistula surgery, it indeed appears to be a recurrence since it has been three months post-surgery, and the wound should have completely healed by now. Your wound shows not only incomplete healing on the inner side of the anus but also signs of rupture on th...[Read More] Post-Surgery Concerns: Is My Fistula Recurring?
Managing Colostomy Complications After Surgery: A Patient's Journey
After undergoing a colostomy, a fistula developed in the abdomen? I have undergone major surgery, resulting in 100% intestinal adhesions, and I had my stomach and duodenum removed, followed by a bypass surgery. Eighteen years after the surgery, I had to undergo another operation ...
Dr. Xu Kaixi Reply:
Based on your description, it seems you have undergone surgery for an abdominal wall hernia, which has resulted in a fistula between the intestine and the abdominal wall as well as the skin. In some severe abdominal surgeries, there is indeed a small percentage of cases that may ...[Read More] Managing Colostomy Complications After Surgery: A Patient's Journey
Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?
Is surgery necessary for chronic anal fissures and fistulas? I have internal and external hemorrhoids and recently underwent a colon resection. A month later, after receiving the AZ vaccine, I experienced abdominal pain and the urge to use the restroom every hour, but I couldn&#x...
Dr. Ke Fangxu Reply:
1. Taking laxatives can indeed lead to excessive bowel movements. If this occurs, it is advisable to stop the medication and see if the symptoms improve. Holding in bowel movements is not a good habit, as continuous anal contractions can worsen the symptoms of anal fissures. It i...[Read More] Do You Really Need Surgery for Chronic Anal Fissures and Fistulas?
Understanding Recurring Anal Abscesses: Causes and Treatment Options
Recurrent anal abscesses? About a year ago, I had a large perianal abscess that was incised, and follow-up confirmed that it did not develop into a fistula. However, I have since experienced about six recurrences (in different locations). Although I have taken antibiotics each ti...
Dr. Ke Fangxu Reply:
External hemorrhoids are not related to the recurrence of abscesses, and it is unlikely for an anal abscess to occur six times in different locations. Folliculitis or skin infections are more likely to present this way. If the abscess occurs in the same location, it is more proba...[Read More] Understanding Recurring Anal Abscesses: Causes and Treatment Options
Understanding Anal Fistula Surgery: When to Operate and What to Expect
Surgery for anal fistula? Hello Doctor, I was scheduled for surgery to address my anal fistula in May, but it was postponed the day before the surgery due to the pandemic. Now that it is the end of June, I can proceed with the surgery. However, the external wound of my anal fistu...
Dr. Ke Fangxu Reply:
1. If there is no redness, swelling, or pain, it is fine to continue monitoring. 2. If a complete cure is desired, surgical treatment is still necessary. 3. If there are no recurring symptoms, it is important to maintain cleanliness and good bowel habits.[Read More] Understanding Anal Fistula Surgery: When to Operate and What to Expect
Post-Surgery Concerns After Fistula Procedure: What to Expect
Postoperative issues following fistula surgery? Hello doctor, I had a fistula surgery on June 15th. Is it normal for it to keep draining fluid? The doctor said I could just wipe it with a wet tissue; is that okay? Does the wound need to be treated with ointment? The doctor told m...
Dr. Ke Fangxu Reply:
It is normal to have discharge after fistula surgery, which may sometimes last for up to a month. Using feminine pads can be more convenient during this time. Once the surgical wound heals, the discharge will subside. Generally, it is not recommended to apply ointments to the wou...[Read More] Post-Surgery Concerns After Fistula Procedure: What to Expect
Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Bowel issues Hello, Doctor. I underwent surgery for an anal abscess at the end of September last year, with the incision located at the posterior aspect of the anus. Although the wound has completely healed, I continue to observe that the anal area is usually normal, but occasion...
Dr. Ke Fangxu Reply:
This issue requires an examination by a colorectal specialist to determine if it may have developed into an anal fistula post-surgery, or if surgical trauma has caused deformation of the anal sphincter. If increasing dietary fiber can improve the condition, then it can be monitor...[Read More] Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Understanding Fistula Healing: Duration, Treatment, and Dietary Impact
Fistula-in-ano issues? Hello, doctor. After the original anal fissure healed, I discovered a small hole at the anal opening. Upon examination, the doctor mentioned it could possibly be a fistula, but the wound is too shallow and there is no pus, so surgery is not necessary. I was...
Dr. Ke Fangxu Reply:
Chronic anal fissures can potentially evolve into a subcutaneous fistula, in which case they may not heal completely. If there is persistent swelling and pain, surgical intervention may be necessary. The swelling and pain could be due to infection or re-tearing of the anal fissur...[Read More] Understanding Fistula Healing: Duration, Treatment, and Dietary Impact