Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Post-fistula surgery Hello, doctor. I had a fistula and external hemorrhoid surgery on October 20, 2020. It has been two months since then, and I have recently experienced slight bleeding and sharp pain. After one bowel movement, the bleeding increased (soaking half a tissue). Wh...
Dr. Ke Fangxu Reply:
Theoretically, the wound should be completely healed one month after surgery. If there is still significant bleeding, it may indicate poor wound healing or residual bleeding from internal hemorrhoids. It is advisable for you to have the surgeon check it again.[Read More] Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Understanding Painful Bumps Near the Anus: Causes and Treatments
External anal mass Hello, doctor. I would like to ask about a bump near my anus that looks like a pimple and is painful and hard. I went to the pharmacy and informed the pharmacist about my condition, and they gave me a topical cream called Xinhui Meikang Cream (a treatment for v...
Dr. Xu Kaixi Reply:
Based on your description, this lump is more likely to be folliculitis or an inflamed sebaceous cyst. For a definitive diagnosis and to determine the exact cause, it is necessary to visit a surgical outpatient clinic or a dermatology clinic in person for further evaluation.[Read More] Understanding Painful Bumps Near the Anus: Causes and Treatments
Understanding Anal Fissures: Symptoms, Treatment, and Concerns
Anal issues I previously had an anal fissure problem, and the last episode occurred three years ago, taking two weeks to heal. After that, I experienced episodes every 4 to 6 months on average, but I haven't had any bleeding the next day. Recently, my bowel movements have be...
Dr. Ke Fangxu Reply:
The symptoms of an anal fistula include a long-lasting wound outside the anus that occasionally swells and causes pain, along with purulent and bloody discharge. Upon careful palpation, a hard tubular structure can be felt extending to the anus. Based on your description, it seem...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Concerns
Understanding Symptoms and Treatment of External Hemorrhoids
About conditions similar to hemorrhoids? Hello, due to work commitments, it's difficult for me to find time for a consultation in the evening. Previously, I visited a doctor for some unusual symptoms and was diagnosed with mild internal hemorrhoids. Since this is my first ex...
Dr. Ke Fangxu Reply:
What does "previously" refer to in terms of time? Does "two weeks ago" mean two weeks prior to the onset of the current symptoms? Without a personal examination and consultation, it is impossible to make a definitive diagnosis. Conditions such as anal fissures...[Read More] Understanding Symptoms and Treatment of External Hemorrhoids
Post-Surgery Concerns: Pain Near Healing Site After Fistula Surgery
Postoperative care for anal fistula surgery? Hello Doctor: It has been about 4 months since my fistula surgery, and I have returned to normal life. However, recently while showering, I noticed swelling and pain near the healed wound (but there are no visible abnormalities). I wou...
Dr. Yu Mingchang Reply:
Hello: Please come back for a follow-up appointment at the Changhua Hospital of the Ministry of Health and Welfare. We care about you.[Read More] Post-Surgery Concerns: Pain Near Healing Site After Fistula Surgery
Post-Surgery Recovery from Anal Fistula: What to Expect
Postoperative Recovery After Anal Fistula Surgery Hello, I had my first surgery for a fistula in June of this year, and it recurred, leading to a second surgery in mid-September. It has been 62 days since the surgery, and there is no blood in my stool, but the wound has not yet h...
Dr. Ke Fangxu Reply:
Theoretically, two months after surgery, the wound should be fully healed and there should be no more discharge. However, if there have been two surgeries or if the wound is larger, it is possible that the wound has healed but there is still rectal mucus leakage. This may be due ...[Read More] Post-Surgery Recovery from Anal Fistula: What to Expect
Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Surgical treatment for anal fistula? Hello Doctor, I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a risk of damaging the sphincter, so a third s...
Dr. Yu Mingchang Reply:
Hello: When you have time, please consider seeking a second opinion from another colorectal specialist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Surgery for anal fistula? Hello, doctor. I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a concern about damaging the sphincter, so a third surge...
Dr. Yu Mingchang Reply:
Hello: When you have time, please consider seeking a second opinion from another colorectal specialist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Post-Surgery Bowel Control Issues: Solutions and Insights
Post-fistula surgery Hello, doctor: I have a question. After my surgery, I have been unable to control my bowel movements. I asked my surgeon about it, and he said it's normal. It's been six months now. Is there a solution for this?
Dr. Ke Fangxu Reply:
If the incision of the sphincter is too extensive in complex fistula cases, there is indeed a possibility of experiencing such sequelae. If conservative treatment is ineffective, an anal pressure test may be necessary. If a pressure deficiency in the sphincter is confirmed, sphin...[Read More] Post-Surgery Bowel Control Issues: Solutions and Insights
Post-Anal Fistula Surgery: Managing Pain and Recovery Tips
Postoperative care for anal fistula surgery? Dr. Hsu, I would like to ask about my condition after undergoing anal fistula surgery and hemorrhoid surgery on October 6, 2020. I currently have some concerns: 1. I experience a slight stinging sensation in the anal area after the ana...
Dr. Xu Kaixi Reply:
It is normal to experience abnormal sensations or mild pain at the surgical site after surgery for anal fistula and hemorrhoids once the wound has healed, and this should improve over time. A cotton swab can be used to apply ointment.[Read More] Post-Anal Fistula Surgery: Managing Pain and Recovery Tips
Understanding Anal Fissures, Internal Hemorrhoids, and Fistulas: Key Insights
Anal fissure, internal hemorrhoids, anal fistula? Hello Doctor, I have a few questions: 1. If the anal fistula is located deep inside the anus, will it still cause pain? 2. Could it be that internal hemorrhoids are complicating the anal fissure? 3. When making an appointment with...
Dr. Li Qinglong Reply:
Mr. L: Hello, I am unable to provide an answer without seeing your condition in person. I recommend that you take the time to visit the hospital for a consultation. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Anal Fissures, Internal Hemorrhoids, and Fistulas: Key Insights
Comparing Electrocautery and Traditional Surgery for Anal Fistulas
The differences between electrocautery treatment for anal fistulas and traditional incision surgery? Hello Dr. Ke: I apologize for bothering you again. I previously asked about the issue of electrocautery for anal fistulas, and I would like to inquire about the differences, advan...
Dr. Ke Fangxu Reply:
Open surgery has a larger incision but a higher chance of a cure. I personally have not undergone electrosurgery, but I recall that the incision is smaller, although the recurrence rate is higher. However, it is best to consult a physician who performs this type of surgery to obt...[Read More] Comparing Electrocautery and Traditional Surgery for Anal Fistulas
Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms
Postoperative care for anal fistula surgery [Continuation 159006, 159626] Hello, doctor. Since I underwent my third anal fistula surgery (I have a simple low anal fistula) at the beginning of August, it has been almost two and a half months. During my follow-up appointment in Sep...
Dr. Ke Fangxu Reply:
Because online consultations cannot provide a thorough examination, it is not possible to determine the issue or confirm if there is inflammation; this requires an in-person evaluation by a physician. I have previously addressed your concerns multiple times. If you are still expe...[Read More] Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms
Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-fistula surgery It has been about a month since the drainage tube surgery (September 19). I had a follow-up appointment last week (October 17), and the doctor checked the wound and found no major issues. I was prescribed antibiotics and ointment to continue using. Today, whi...
Dr. Ke Fangxu Reply:
Without a personal examination, it is impossible to determine whether it is a recurrence or a scar. If there is no redness, swelling, or pain, it is advisable to observe the situation first; otherwise, a follow-up examination and treatment by a physician are necessary.[Read More] Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
The first night after fistula surgery? Hello, I am scheduled for a fistula surgery, and the doctor advised me to avoid having a bowel movement on the first night after the procedure (I did not have a bowel prep the night before at the clinic). However, I tend to have a sensitive ...
Dr. Ke Fangxu Reply:
I don't understand the reason for not having a bowel movement the day before. Generally, bowel cleansing is required before undergoing anal surgery to reduce the risk of wound infection and to help clarify the surgical field. After the surgery, you will definitely need to us...[Read More] Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
Understanding Fistula Treatment: Surgical Options and Electrocautery Explained
Electrocautery treatment for anal fistula? Hello Doctor: A year ago, I underwent surgery for a fistula, and now it has recurred. Is it still appropriate to perform a standard incision surgery for a cure? The doctor mentioned that this time the wound would be larger than before, w...
Dr. Ke Fangxu Reply:
The recurrence of fistulas does require reoperation, and it is inevitable that the surgical wound will be larger and more painful. Electrocautery treatment is generally used for simple fistulas. The iron rod electrocautery you mentioned likely refers to this type of procedure. Fo...[Read More] Understanding Fistula Treatment: Surgical Options and Electrocautery Explained
Understanding Anal Fistulas: Symptoms, Treatment, and Timing for Surgery
Anal fistula About two weeks ago, I discovered a raised lump near my anus. It is pink in color and painful when pressed, roughly a little smaller than a coin. At first, I didn't pay much attention to it, but after a few days, it started to ooze a little pus, so I went to see...
Dr. Ke Fangxu Reply:
Based on the image, it is indeed possible that it is an anal fistula; however, without a personal examination, it cannot be confirmed. If there is no redness, swelling, pain, or discharge, it is less concerning. You can start with oral medication for treatment and consider surger...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Timing for Surgery
Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, three years ago I had a mole removed, and during the healing process, I experienced inflammation of the sutures. There is excess skin around the anal area, and within a year, I developed pain in the scar tissue that radiates to my left thigh, making...
Dr. Ke Fangxu Reply:
I have never heard of a case of anal keloids, nor have I seen anyone receive steroid injections in the anal area. I recommend that you visit a large hospital and consult a colorectal surgeon for a proper diagnosis before proceeding with any treatment. Personally, I am more inclin...[Read More] Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Pain and Bleeding After Anal Fistula Repair
Postoperative care related to anal fistula surgery? Hello Dr. Ke: My father underwent surgery for an anal fistula on July 31. He had three follow-up appointments until September 8. During this period, he experienced pain and bleeding from the wound. At the last appointment on Sep...
Dr. Ke Fangxu Reply:
Whether it is a recurrence of a fistula can only be determined by a physician's examination. It is also possible that it is caused by the contraction of the surgical scar. If there is no redness, swelling, or pus, the likelihood of recurrence is lower; however, a follow-up e...[Read More] Post-Surgery Concerns: Understanding Pain and Bleeding After Anal Fistula Repair
Understanding Colorectal Fistulas: Management and Surgical Considerations
Colorectal fistula Hello, doctor. About four to five years ago, I underwent surgery for diverticulitis. The surgeon mentioned that due to severe inflammation, they were unable to resect the affected area and connect the intestines. Additionally, because of my obesity (weighing 11...
Dr. Ke Fangxu Reply:
If the intestinal fistula has not healed for many years and you are still quite young, it is advisable to undergo definitive surgical treatment. If you are tall, a weight of 110 kg is not considered excessively overweight. While weight loss can facilitate the surgery, it is not a...[Read More] Understanding Colorectal Fistulas: Management and Surgical Considerations