Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Postoperative care for anal abscess? Hello, doctor. I underwent extensive drainage surgery for an anal abscess on August 13 of last year, which involved the entire left side of my buttocks. I continued to have follow-up appointments until November 19, when the surgeon said everyt...
Dr. Ke Fangxu Reply:
1. Is the discharge coming from the anus, an abscess, or the original surgical site? Each of these locations represents different implications, such as a skin infection or a possible anal fistula. 2. Has this been the case all along? Did it start after the surgery, or is it rel...[Read More] Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Is It an Anal Abscess? Symptoms and Treatment Explained
I would like to ask if it is an anal abscess? I would like to ask the doctor, about three days ago I started feeling swelling in my anus. At first, I thought it was hemorrhoids, and it hurts when I move or strain. Then, two days later, I noticed some yellow discharge. Could this ...
Dr. Ke Fangxu Reply:
What issues can lead to a correct diagnosis of anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts only through a personal examination by a physician? It is advisable to consult a doctor to avoid delays in treatment that could worsen the condition.[Read More] Is It an Anal Abscess? Symptoms and Treatment Explained
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 Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Recurrence of anal fistula? Hello doctor, I had anal fistula surgery in October 2016. After healing for a year, I started to feel a hard lump during my menstrual periods. When I returned to the doctor, he said to just take antibiotics. Then, last year, I felt a hard lump again al...
Dr. Ke Fangxu Reply:
If the symptoms have persisted for such a long time without improvement, then antibiotic treatment may only address the symptoms rather than the underlying issue. If the symptoms are not severe, it may be advisable to wait until the pandemic subsides before seeking medical attent...[Read More] Understanding Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Post-Hemorrhoid Surgery: Itchy Rectum and Discharge Concerns
One year after hemorrhoid surgery, there is itching in the rectum along with discharge? Hello, I had hemorrhoidectomy surgery at the end of June last year. It wasn't until January to February of this year that I stopped experiencing bleeding during bowel movements. However, ...
Dr. Ke Fangxu Reply:
The Strongly Applied Beauty Ointment contains salicylic acid and should not be used on the anal or rectal area. It is recommended that you stop using it and observe whether your symptoms improve. Anal itching may be caused by excessive wiping. There are three important points to ...[Read More] Post-Hemorrhoid Surgery: Itchy Rectum and Discharge Concerns
Post-Surgery Care for Anal Abscess and Fistula: Pain Management Tips
Post-fistula surgery Hello Dr. Ke, I just had surgery for an anal abscess and fistula on May 19, 2021. After the surgery, I have been experiencing significant pain while applying medication. I have been doing sitz baths and using nine cotton swabs, five of which are soaked in Bet...
Dr. Ke Fangxu Reply:
1. As long as you avoid inserting cotton swabs or gauze, it shouldn't be as painful. It's recommended to take warm sitz baths, and there's no need for special cleaning of the wound internally; rinsing with a handheld showerhead is also acceptable. 2. The first we...[Read More] Post-Surgery Care for Anal Abscess and Fistula: Pain Management Tips
Understanding Post-Surgery Complications: Pus Formation Near the Anus
Using a cotton swab to squeeze pus from the area around the anus? Hello Doctor, I underwent fistula surgery at the end of last month. On the 17th, I noticed a small white bump resembling an abscess at the original anal wound site, which later ruptured on its own. I consulted the ...
Dr. Ke Fangxu Reply:
1. If the location of the pus is at the original surgical site, it is more likely to be a reinfection of the surgical wound, and antibiotic treatment is recommended. 2. If oral antibiotic treatment is ineffective, a repeat surgical intervention may indeed be necessary. 3. Gen...[Read More] Understanding Post-Surgery Complications: Pus Formation Near the Anus
Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Persistent bleeding after fistula surgery? Hello Doctor, I underwent a fistula incision surgery three months ago, but I am still experiencing oozing blood. I have also noticed a red and swollen area at the anal opening (as shown in the linked photo) https://img.onl/YnRMTb. After ...
Dr. Ke Fangxu Reply:
If the surgery was performed three months ago, it is possible that there is a recurrence of the fistula. If there is a history of diabetes, this could indeed lead to delayed wound healing. It is recommended to observe for another six months; if the wound has not healed by then, a...[Read More] Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Postoperative care after anal fistula surgery? Hello Doctor, I had a fistula surgery on April 24th of this year, and I would like to ask the following questions: 1. The wound from the anal fistula has been painful and I have been experiencing significant itching in the anal are...
Dr. Ke Fangxu Reply:
1. The poor wound healing may be due to diarrhea; at this time, constipation or diarrhea should be avoided. If the physician has prescribed laxatives, they should be discontinued. 2. It is possible that at this age, it is primarily caused by irritable bowel syndrome; you can co...[Read More] Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Suspected recurrence after anal fistula surgery? Hello Doctor, I underwent anal fistula surgery on April 24th last month. I returned to the hospital for a follow-up appointment on the morning of the 17th, and the doctor said the wound looked normal. However, after returning home ...
Dr. Ke Fangxu Reply:
Generally, a recurrence would not happen so quickly; it is more likely due to poor wound healing. It is recommended to take warm sitz baths and observe for a while to determine if medication is needed. Please consult a physician for evaluation. If the wound is healing gradually, ...[Read More] Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Understanding Wound Healing: When to Seek a Second Opinion
Wound healing issues? I underwent fistula surgery on April 14th. Initially, the doctor told me it would take three weeks to heal, but now it has been a month. During my recent follow-up appointment, he mentioned that a granulation tissue has formed and said it would take another ...
Dr. Xu Kaixi Reply:
Based on the image you provided, there are no significant signs of infection or inflammation in this granulation tissue. If it does not continue to enlarge, theoretically, ongoing medication and care will lead to improvement over time. If there is no improvement after a prolonged...[Read More] Understanding Wound Healing: When to Seek a Second Opinion
Understanding Post-Digital Rectal Exam Discomfort and Concerns
Experiencing unusual sensations after a digital rectal examination? I apologize for the inconvenience, but I would like to ask a question. I have internal hemorrhoids, and after my first digital examination by the doctor, I noticed some pain and mild redness and swelling on the r...
Dr. Ke Fangxu Reply:
If the redness and swelling subside and there is no pain, then it can be monitored further. However, if there is a suspicion of an abscess or fistula, it is important to inform the physician and request a thorough examination of that area to rule out these possibilities.[Read More] Understanding Post-Digital Rectal Exam Discomfort and Concerns
Understanding Hard Bumps Near the Anus: Is It Hemorrhoids?
There is a growth or lump at the anal opening? Hello, Dr. Ke: I have hemorrhoids, and after experiencing diarrhea 3 to 4 times due to food poisoning, I suddenly noticed a small lump at the anal opening, approximately 1 to 2 centimeters in size. It is round, somewhat firm, and mov...
Dr. Ke Fangxu Reply:
It is impossible to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. Based on your description, it seems more like a thrombosed hemorrhoid. If the symptoms do not wo...[Read More] Understanding Hard Bumps Near the Anus: Is It Hemorrhoids?
Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March. During my follow-up appointment, the doctor mentioned that my wound care was going well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Since ...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is a region where feces pass through, granulation tissue may recur. As long as there is no infection, it should theoretically improve and heal over time...[Read More] Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March, and during my follow-up visit, the doctor mentioned that my wound care was progressing well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Co...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is where feces pass through, granulation tissue may recur. As long as there is no infection, it is theoretically expected to improve and heal over time.[Read More] Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Understanding Scar Tissue: Painful Bumps After Fistula Surgery
The scar from a fistula may appear as a bump similar to an acne lesion? Hello Doctor, I have undergone three fistula surgeries in total. The first was for abscess drainage, the second developed into a fistula, and after debridement, I needed to have multiple surgeries, so I had t...
Dr. Ke Fangxu Reply:
Scar hardening after multiple fistula surgeries is normal; typically, the scar tissue will soften within six months post-surgery.[Read More] Understanding Scar Tissue: Painful Bumps After Fistula Surgery
Understanding Anal Abscess: Healing Process and Fistula Concerns
Anal abscess Hello, doctor. About a month ago, I experienced diarrhea, and after it resolved, I noticed a small bump near my anus that resembled a pimple (about 1 cm in size). It later ruptured and bled, but the amount was minimal, so I didn't think much of it. Recently, the...
Dr. Ke Fangxu Reply:
1. The lump may be a thrombosed hemorrhoid or an anal abscess, which typically resolves on its own after it ruptures and drains completely. Regular warm sitz baths are recommended. 2. If it is an anal abscess that has ruptured, there is indeed a possibility of it developing int...[Read More] Understanding Anal Abscess: Healing Process and Fistula Concerns
Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Incomplete healing after anal fistula surgery? Hello Dr. Ke: I underwent anal fistula surgery at the end of January this year. After the surgery, I returned for follow-up appointments to check the wound, and my attending physician confirmed that the healing process was progressi...
Dr. Ke Fangxu Reply:
1. If the wound continues to reopen after such a long time post-surgery, it is advisable to have the surgeon check for the possibility of a fistula recurrence. 2. External hemorrhoids can indeed affect cleanliness; however, it is not possible to determine whether the issue is due...[Read More] Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Folliculitis & Prevention of Anal Abscess and Fistula Hello, Doctor Ko. I often develop what looks like acne around my anus, which I believe is folliculitis. Typically, these bumps heal within 2 to 3 weeks. However, I tend to worry excessively, especially since I come from a ...
Dr. Ke Fangxu Reply:
1. Folliculitis and anal abscess are different conditions with no correlation, so there is no possibility of one worsening the other. 2. It is impossible to make an accurate diagnosis without a physician's direct examination; conditions such as anal fissures, hemorrhoids, f...[Read More] Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Anal fistula or anal fissure? Hello Dr. Ke, I have undergone three surgeries for anal fistula, and it has been four months, but I still have yellow discharge. It is particularly noticeable after bowel movements, but it gradually decreases in the afternoon and evening. The doctor ...
Dr. Ke Fangxu Reply:
If there are no healing wounds or swelling, the likelihood of fistula recurrence is relatively low. However, if you have undergone multiple fistula surgeries, the scarring caused by the surgeries may lead to deformation of the anus, which can result in the appearance of secretion...[Read More] Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights