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 deformity of the anus, which can result in the presence of discharge. It...[Read More] Understanding Anal Fistulas vs. Fissures: Symptoms and Treatment Insights
Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns
More than four months after hemorrhoid surgery? I underwent traditional mixed hemorrhoidectomy on November 24 of last year. During my follow-up appointment on December 22, granulation tissue was removed. On December 25, I experienced sudden severe pain from a swelling that had pe...
Dr. Ke Fangxu Reply:
It is impossible to determine the formation of a fistula without a personal examination. After hemorrhoid surgery, there will always be residual hemorrhoidal tissue, and if bowel habits are poor, bleeding may still occur. It is recommended to shorten the time spent on bowel movem...[Read More] Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns
Post-Surgery Pain Management After Mole Removal: What to Do?
Postoperative pain after mole removal? Hello Dr. Ke: I previously asked you about pain after my mole removal surgery. I returned to the hospital for a follow-up, and the doctor said my wound is healing well and there are no issues. However, I mentioned that I still experience pai...
Dr. Ke Fangxu Reply:
In traditional hemorrhoidectomy, pain typically resolves completely within one month post-surgery. If pain persists, it is important to consider the possibility of infection or the development of a fistula. In the case of a hemorrhoidal circular resection, continuous pain may be ...[Read More] Post-Surgery Pain Management After Mole Removal: What to Do?
Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
There is a swelling near the surgical wound? Hello Doctor, on February 18, 2021, I underwent fistula surgery at a medical center affiliated with a medical university in Vietnam. A total of three fistulas were treated. Due to the pandemic, I was unable to return to Taiwan for foll...
Dr. Yu Mingchang Reply:
Yes, it can recur. Please return to Taiwan for a follow-up appointment when you have the chance.[Read More] Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
Understanding Post-Surgery Anal Pain: When to See a Specialist
Anal issues Hello Doctor, I underwent electrosurgery for a papilloma near the anus on February 8, which included excision. Two weeks post-surgery, I experienced hard stools that felt like they were cutting me. I returned to my gynecologist, who prescribed an ointment and advised ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Post-Surgery Anal Pain: When to See a Specialist
Understanding Anal Fistulas in Elementary School Children: Causes and Concerns
Anal fistula in elementary school students? Hello Doctor, my nephew, who is in the third grade, was diagnosed with an anal fistula during a hospital examination. The attending physician mentioned that this condition is uncommon in children and recommended that we refer him to a l...
Dr. Xu Kaixi Reply:
The formation of anal fistulas is primarily caused by infection and inflammation of the glands in the skin or subcutaneous tissue adjacent to the anus. The incidence is significantly higher in adults compared to children, and the main treatment approach is surgical excision.[Read More] Understanding Anal Fistulas in Elementary School Children: Causes and Concerns
Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Unable to distinguish between acne and an anal abscess (has sought medical attention)? Hello, Dr. Ke. Last week, perhaps due to prolonged sitting, I developed a bump near my anus that resembles a pimple. The location is not very close to the anus, but it is also not far, approxim...
Dr. Ke Fangxu Reply:
1. If so many professional physicians believe it is not a fistula, I cannot simply overturn their diagnosis based on a unclear photograph. The key elements for diagnosing a fistula, aside from the external opening, include palpating a firm tract, which cannot be achieved through ...[Read More] Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Fistula issues Hello, doctor! I underwent fistula surgery on February 27, and I have been recovering well since then. However, I am puzzled as to why I developed an anal fistula when my daily routine and bowel movements were normal before. Could it be due to "excessive use o...
Dr. Ke Fangxu Reply:
Anal fistulas are generally a consequence of bacterial infections and are not related to excessive soap use for cleaning the anus or to exercise. If there is anal swelling or pain, it is important to seek medical attention immediately to prevent the condition from worsening and l...[Read More] Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Suspected fistula? Hello doctor, I would like to ask if this is an anal fistula? If so, I would like to know about the urgency of surgery. Thank you.
Dr. Ke Fangxu Reply:
Based solely on photos, it is not possible to definitively diagnose an anal fistula. A necessary condition for diagnosis is the physical examination to feel for a hard fistula tract. It is advisable to consult a colorectal specialist for a thorough examination. While the urgency ...[Read More] Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Understanding Persistent Bleeding After Surgery: What You Need to Know
Persistent bleeding issues? Hello, Doctor. I am a patient with rheumatoid arthritis. I underwent a simple fistula incision surgery a month ago, but I am currently experiencing bleeding during bowel movements, even having blood in my stool. Is this normal? I had a ligation procedu...
Dr. Ke Fangxu Reply:
It is normal to experience slight bleeding and discharge within a month after fistula surgery. If you are concerned, you can ask the surgeon for a follow-up examination. Hemorrhoid ligation is not a curative procedure, and recurrence of symptoms is a common occurrence. If you had...[Read More] Understanding Persistent Bleeding After Surgery: What You Need to Know
Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Postoperative care for anal fistula surgery #165766 Hello doctor, I have undergone three surgeries for anal fistula, and it has been 80 days post-operation, but the wound has not healed yet. There is still yellow exudate. Every time I wipe after a bowel movement, there is bright ...
Dr. Ke Fangxu Reply:
If you have already consulted with many specialists from major hospitals and they all believe that the fistula has healed, then I don't know how to reassure you. Moreover, I have not conducted any examinations, and online consultations have their limitations. It would be bes...[Read More] Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Recovery period after anal fistula surgery? Hello, Doctor. I had a fistula surgery about a month and a half ago. The wound appears to be filled from the outside. During my follow-up appointment one month post-surgery, the surgeon performed a digital examination and said everythin...
Dr. Ke Fangxu Reply:
1. The clear mucus may be rectal secretions or it could indicate that an internal wound has not fully healed; it is recommended to wait another month to observe. 2. Once there is no discharge from the wound, sitz baths will no longer be necessary. After the sitz bath, gently pa...[Read More] Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissure and hemorrhoid excision on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have ...
Dr. Ke Fangxu Reply:
At the age of 36, it may not be necessary to undergo a colonoscopy so frequently. The persistent urge to defecate could also be caused by irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Taking warm s...[Read More] Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissures and hemorrhoids on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have been ex...
Dr. Ke Fangxu Reply:
At the age of 36, it may not be necessary to undergo colonoscopy so frequently. The persistent urge to defecate could also be due to irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Additionally, taki...[Read More] Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months
Two months after anal fistula surgery, there is still discharge from the wound? Hello Doctor, it has been 2 months since my last anal fistula surgery, but my wound has not fully healed yet. Although there is no longer any discharge during normal activities, I notice a significant...
Dr. Ke Fangxu Reply:
The wound appears to be not fully healed and does not seem to indicate a recurrence. Larger surgical wounds indeed take longer to heal. If the wound continues to shrink, there is no need for concern; otherwise, it is advisable to consult a physician for further evaluation.[Read More] Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months
Understanding External Anal Masses: Are They Hemorrhoids?
Perianal mass Yesterday, while taking a shower, I noticed a round, soft lump around the anal area. Today, during my shower, I found that the lump has increased in number and there are now many small ones located at the anal opening. Usually, there is no pain, but I feel a bit of ...
Dr. Ke Fangxu Reply:
Although your description seems more like a thrombosed external hemorrhoid, it is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities...[Read More] Understanding External Anal Masses: Are They Hemorrhoids?
Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns
Post-operative issues following fistula surgery? Dear Dr. Ke, 1. I underwent surgery to excise two anal fistulas in December 2019. About two months post-surgery, I no longer had any discharge, but I have been experiencing slight pain and itching at the anal area, especially afte...
Dr. Ke Fangxu Reply:
1. If the fistula surgery was performed more than a year ago, then this phenomenon could either be a recurrence or damage to the sphincter muscle. To determine the exact cause, a further examination by a physician is necessary. 2. It is possible, but it could also simply be fol...[Read More] Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns
Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Postoperative Wound Care for Fistula Surgery Hello, doctor. I am 20 days post-operative from a fistula incision. A few days ago, during my follow-up appointment, the doctor said that the wound is healing well and that I do not need to return for further visits. However, I am curr...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about 4-6 weeks to heal completely. If it is a complex fistula, the healing time may extend up to two months. During this period, slight bleeding and discharge from the wound are normal. Antibiotic ointments are not necessary, a...[Read More] Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Post-Fistula Surgery: Understanding Anal Sensitivity and Sexual Activity
Anal intercourse after anal fistula? Hello, doctor! Before my fistula surgery, I engaged in normal and safe anal intercourse, using lubrication and taking necessary precautions. However, after the fistula surgery, I had a recovery period of six months during which I did not engag...
Dr. Ke Fangxu Reply:
After fistula surgery, a scar tissue may form across the anal opening. Since scar tissue lacks elasticity, discomfort may occur during anal intercourse due to the repeated stretching. Theoretically, the wound should be fully healed six months post-surgery; however, discomfort may...[Read More] Post-Fistula Surgery: Understanding Anal Sensitivity and Sexual Activity
Post-Surgery Care for Fistula: Essential Tips and Concerns
Post-fistula surgery Hello Doctor, I had surgery for internal and external hemorrhoids a month ago, and due to a wound infection, an abscess formed. After the abscess ruptured on its own, a fistula developed. I just underwent fistula surgery the day before yesterday. The fistula ...
Dr. Ke Fangxu Reply:
1. It is not necessary to clean the wound thoroughly before applying povidone-iodine and saline; the key point is to ensure proper cleaning. 2. Using a bidet is not harmful; it is similar to rinsing with a handheld shower after bowel movements. It is impossible to completely cl...[Read More] Post-Surgery Care for Fistula: Essential Tips and Concerns