Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Swimming issues Hello, Dr. Zhang. I would like to ask if having a small injury in the anal area, without being aware of it, and then going swimming could lead to the formation of an anal abscess and subsequently develop into an anal fistula? Additionally, I mostly have bowel move...
Dr. Zhang Shuhao Reply:
Anal abscesses or fistulas are caused by inflammation and infection of the glands located within the anal canal. Therefore, even if there are small external wounds, swimming will not lead to the development of anal fistulas. The skin around the anus is quite sensitive, so in addi...[Read More] Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Reducing Skin Bumps on Dialysis Access Sites: Expert Tips
Dialysis catheter Hello Director Li! I am a dialysis patient and have been undergoing hemodialysis for about 5 years. I have an autologous fistula in my left arm, and currently, the injection site has a slight protrusion. Could you please advise on ways to reduce the skin protrus...
Dr. Li Qinglong Reply:
Hello Mr. Cheng: Each time you undergo dialysis and the catheter is inserted, it causes vascular injury. If, after dialysis, you apply appropriate pressure to both needle insertion sites, it should help reduce the swelling of the skin. The Hualien Hospital of the Ministry of Heal...[Read More] Reducing Skin Bumps on Dialysis Access Sites: Expert Tips
Can a Fistula Heal After Swelling Reduces? Expert Insights
Will the necrotic tissue regenerate after the fistula has reduced in size? Hello, Doctor. My abscess started to appear in mid-January and has now developed into a fistula. During this time, I initially managed to reduce it with medication, but in March, I switched to taking cold ...
Dr. Xu Kaixi Reply:
The "fistula" you mentioned "affecting" other bodily structures or tissues refers to the damage caused by the extension and spread of the fistula. Theoretically, if a fistula becomes severely infected and is left untreated, along with a decline in the body...[Read More] Can a Fistula Heal After Swelling Reduces? Expert Insights
Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
There is a pimple on the left side of the anus? Hello, doctor! On April 15th, while taking a shower, I felt a small hard lump on the left side of my anus. It only hurts when I touch it. Over the next few days, it slightly swelled up, about the size of a small green bean. It still...
Dr. Zhang Shuhao Reply:
If it is an anal abscess, it is usually located closer to the anal opening, and topical ointments are often ineffective. Once it ruptures, there will be purulent discharge. Your description is more similar to general folliculitis. If you are concerned, you can visit a colorectal ...[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Anal abscess: Inquiry about diarrhea issues during the recovery period? Hello Doctor: I underwent incision and drainage of an anal abscess on April 1st, and during my follow-up visit on April 8th, it was confirmed that the incision site was healing. During this period, I was trea...
Dr. Zhang Shuhao Reply:
1: The glands in the surgical area will be removed along with the fistula, so recent diarrhea will not affect the outcome of the surgery. Additionally, while diarrhea is theoretically related to inflammation of the anal glands, there is no clear causal relationship between the tw...[Read More] Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Understanding Greenish Discharge from the Anus: Causes and Concerns
The sudden presence of light green discharge from the anus can be indicative of several conditions. It may suggest an infection, such as a sexually transmitted infection (STI) or a gastrointestinal issue, such as a parasitic infection or an inflammatory condition. It is important...
Dr. Zhang Shuhao Reply:
Based on your description, it could be an anal abscess or a fistula. During inflammation, there may be a localized pus-filled cavity, which, when ruptured, will discharge purulent material. Once it drains completely, the pain may alleviate. If there is persistent discharge, it is...[Read More] Understanding Greenish Discharge from the Anus: Causes and Concerns
Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Post-Surgery Concerns: Understanding Healing After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent an anal fistula excision surgery on January 11th using traditional surgical techniques, and it has been almost three months since then. However, it has not completely healed. I usually do not feel any discomfort, but I notice fresh b...
Dr. Zhang Shuhao Reply:
Your wound looks clean and shows no signs of infection or inflammation. If there is only a thin layer of skin remaining, it may be due to the initial depth of the wound or increased tension in the surrounding skin. Just keep the wound clean and allow it to heal gradually. You can...[Read More] Post-Surgery Concerns: Understanding Healing After Fistula Surgery
Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent anal fistula surgery on March 14. During my follow-up appointment on March 22, it was confirmed that the external wound was healing well. However, starting from the night of March 23, I developed a fever of about 38.7°C and began exp...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, if the wound is in an open state, the risk of infection is low. Pain associated with anal inflammation and abscess is usually quite pronounced. If there are symptoms such as fever and diarrhea, along with cold-like symptoms, it may indicate a viral inf...[Read More] Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery
Can You Undergo Surgery for Anal Fistula During Menstruation?
Anal fistula Can surgery be performed during menstruation?
Dr. Zhang Shuhao Reply:
It is possible to undergo anal surgery during menstruation; however, it is important to maintain wound cleanliness and to wait until menstruation has ended before starting sitz baths.[Read More] Can You Undergo Surgery for Anal Fistula During Menstruation?
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Post-Surgery Care and Concerns for Anal Abscess Drainage
Post-anal abscess surgery Hello, I was diagnosed with an anal abscess during an outpatient visit on January 31, 2024, and underwent incision and drainage of the abscess in the clinic. By the time of my follow-up on February 21, there was no significant swelling or pain (though th...
Dr. Zhang Shuhao Reply:
1. If there is proper drainage and no significant swelling or pain, this healing condition is normal. The tenderness in the area and any lumps near the wound should decrease over time. 2. Granulation tissue that forms during the healing process may easily bleed due to friction;...[Read More] Post-Surgery Care and Concerns for Anal Abscess Drainage
Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Bowel movements after fistula surgery? Hello doctor, I had a fistula surgery on February 19, and I noticed that the wound is close to the anus. Every time I have a bowel movement, a lot of feces gets on it. I first wipe with toilet paper, then use wet wipes, and finally rinse wit...
Dr. Zhang Shuhao Reply:
The wound from a fistula surgery has irregular edges, making it difficult to clean thoroughly, and vigorous scrubbing is not recommended. It is generally advised to rinse with water and use moist wipes for assistance in cleaning. A small amount of residual stool is acceptable and...[Read More] Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect
Postoperative Recovery After Anal Fistula Surgery Hello Doctor, Happy New Year. I underwent an anal fistula excision surgery using traditional surgical methods on January 11 of this year. During my follow-up appointment on February 5, the surgeon mentioned that there were no sign...
Dr. Zhang Shuhao Reply:
Based on the wound image, the wound appears to be gradually healing and shows no obvious signs of infection. The recovery speed may vary depending on individual constitution and surgical method, but it currently seems normal. You can continue to take warm sitz baths, keep the wou...[Read More] Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect
Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect
Postoperative Recovery After Anal Fistula Surgery Hello Doctor, Happy New Year. I underwent an anal fistula excision surgery using traditional surgical methods on January 11th of this year. During my follow-up appointment on February 5th, the surgeon mentioned that there were no ...
Dr. Zhang Shuhao Reply:
Based on the wound images, the wound appears to be gradually healing and shows no obvious signs of infection. The recovery speed may vary depending on individual constitution and surgical method, but it currently seems to be normal. You can continue with warm water sitz baths, ke...[Read More] Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect
Post-Surgery Recovery for Anal Fistula: What to Expect and Tips
Postoperative Recovery After Anal Fistula Surgery Hello Doctor, Happy New Year. I underwent an anal fistula excision surgery using traditional surgical methods on January 11 of this year. During my follow-up appointment on February 5, the surgeon indicated that there were no sign...
Dr. Zhang Shuhao Reply:
Based on the wound image, it appears to be gradually healing, with no obvious signs of infection. The recovery speed may vary depending on individual constitution and surgical method, but it currently looks normal. You can continue with warm water sitz baths, keep the wound clean...[Read More] Post-Surgery Recovery for Anal Fistula: What to Expect and Tips
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery
Postoperative care for anal abscess? 1. Symptoms: Today, I sought medical attention due to swelling and sharp pain at the six o'clock position of the anus. The doctor used a syringe to aspirate the contents, which contained some pus and blood (mostly blood), and diagnosed me...
Dr. Chen Jiaming Reply:
It is possible to recover from this infection; however, if it is caused by a fistula, there is a higher likelihood of recurrence. Therefore, if similar symptoms occur in the future, it is essential to seek treatment as soon as possible.[Read More] Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery