Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Constipation issues / anal problems / a swollen area near the anus upon palpation? I previously had hemorrhoids, which disappeared, but I have been taking Senokot for about a year due to ongoing constipation. For the past few months, I have felt swelling around the anal area (the...
Dr. Ke Fangxu Reply:
It is essential to have a physician examine the issue for an accurate diagnosis. You may also consider purchasing over-the-counter hemorrhoid ointment to apply. If your daily routine and diet are normal, it is advisable to consult a gastroenterologist to investigate the cause of ...[Read More] Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Understanding Rectal Foreign Bodies: Causes and Concerns
Rectal foreign body Doctor, I felt a small lump inside my anus, about 0.1 to 0.2 cm in size. It feels hard and is round in shape, located under the skin. Touching it does not cause any pain, and it is very small. 1. What could that be? 2. Could it possibly be a wart? (Do warts gr...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis without a physician's personal examination. Conditions such as warts, anal fissures, hemorrhoids, fistulas, or abscesses could all be possibilities. It is advisable to consult a physician for an examination to avoid delaying trea...[Read More] Understanding Rectal Foreign Bodies: Causes and Concerns
Understanding Anal Fistulas: Causes, Symptoms, and Treatment Options
Anal fistula Last month, I underwent surgery for hemorrhoids at the hospital. After the operation, I went home to take medication and soak my buttocks. I experienced pus every day. During my first follow-up appointment and the last one, I asked the doctor about a large lump that ...
Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound before healing after hemorrhoid surgery. As for the prolapse after using the restroom, it needs to be evaluated by a physician to determine if it is an unresolved external hemorrhoid or excess skin. It could also be rectal mucosal pro...[Read More] Understanding Anal Fistulas: Causes, Symptoms, and Treatment Options
Post-Surgery Care: Can I Continue Sitz Baths After Pain and Bleeding?
Post-fistula surgery Dr. Ke, it has been five days since my surgery. During my first follow-up appointment, the doctor informed me that I no longer needed to take warm sitz baths. However, I have recently been experiencing pain when using the restroom, along with some slight blee...
Dr. Ke Fangxu Reply:
Generally, it is recommended to take sitz baths for at least two weeks after fistula surgery, or until the wound is completely healed, meaning there is no longer any discharge. If it is only the fifth day post-surgery and you wish to continue taking sitz baths, that is certainly ...[Read More] Post-Surgery Care: Can I Continue Sitz Baths After Pain and Bleeding?
Understanding Fistula Recovery: Key Considerations and Next Steps
Fistula issues Hello, doctor. I underwent an anal fistula incision surgery in May, but the postoperative outcome was not ideal, so I had a fistula debridement surgery in August. The surgeon indicated that the internal opening has healed, and no other openings were observed during...
Dr. Ke Fangxu Reply:
So initially, there was no intention to completely open the entire fistula tract? If only a small area was debrided at the beginning, then recurrence can be considered an inevitable outcome. 1. You might consider combining oral antibiotics to see if it helps. 2. Each hospital has...[Read More] Understanding Fistula Recovery: Key Considerations and Next Steps
Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery [Continuation 159006] Hello, Doctor. I recently underwent my third excision surgery on August 6, with the surgical site located at the 12 o'clock position above the anus and near the perineum. The wound measures approximately 2cm x...
Dr. Ke Fangxu Reply:
1. It is normal to have a small amount of discharge after fistula surgery before the wound has completely healed. 2. No. 3. No, different bacterial infections can produce different odors; any description of this is subjective. If there is no redness, swelling, heat, or pain, ...[Read More] Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Understanding Painful Anal Bumps: Causes and When to Seek Help
Perianal mass Recently, I noticed a lump near my anus that hurts a bit when I touch it, similar to the pain of squeezing a pimple. Aside from this, I don't have any other issues, and it doesn't affect my bowel movements, nor have I experienced any bleeding during bowel ...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. If there is no pain or bleeding, it may be possible to monitor the situation. However, if there a...[Read More] Understanding Painful Anal Bumps: Causes and When to Seek Help
Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Post-operative issues after hemorrhoid ligation? Hello Doctor: On August 5th, I visited a colorectal surgeon due to some pain in my anus, and the diagnosis was internal hemorrhoids. I underwent a hemorrhoid ligation procedure, and for the following week, I used suppositories. Aft...
Dr. Ke Fangxu Reply:
1. Mild pain after bowel movements is usually not a serious issue; sometimes it can occur with either hard or loose stools. A warm water sitz bath should help alleviate the discomfort. If symptoms do not improve or if there is severe pain, it is important to consult a physician f...[Read More] Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Post-Surgery Concerns: What to Do If Your Fistula Wound Opens?
Post-anal fistula surgery Dear Doctor, I had a fistula surgery last week, and on the seventh day post-operation, the suture at the wound site came undone and is now hanging beside the wound. My father mentioned that the wound is wide open, creating a hole. Is this a concern? I ...
Dr. Ke Fangxu Reply:
It is normal for the sutures to hang and for the wound to open slightly one week post-operation, as this method is designed to stop bleeding without the need for suture removal. Based on your description, the wound appears to be normal, and you can return for your follow-up appoi...[Read More] Post-Surgery Concerns: What to Do If Your Fistula Wound Opens?
Understanding Painful Bumps Near the Anus: Causes and Treatment Options
Hard lump outside the anus? I have a hard lump outside my anus that hurts when I sit. The pain feels similar to that of a large pimple, and there is redness and swelling, but nothing is draining. It has been almost a month. Do I need surgery? What could this be?
Dr. Ke Fangxu Reply:
Answer: 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. At the age of 13, most cases are likely to be folliculitis or exte...[Read More] Understanding Painful Bumps Near the Anus: Causes and Treatment Options
Understanding Post-Surgery Growths: Managing Hemorrhoid Recovery
A lump forms at the site of a hemorrhoid wound? 1. Three weeks ago, I underwent surgery for a fistula and hemorrhoids, but a lump has formed at the external wound of the hemorrhoids. The tissue is not retracted into the anus, and it is somewhat painful to the touch. What could be...
Dr. Ke Fangxu Reply:
1. It is impossible to determine whether there is an issue with the wound without a personal examination. It is recommended that you consult the surgeon for an evaluation to know how to proceed. 2. Wounds around the anus typically do not use cosmetic glue or artificial skin beca...[Read More] Understanding Post-Surgery Growths: Managing Hemorrhoid Recovery
Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Fistula assessment Hello, after taking antibiotics for a week, I experienced a rupture of a perianal abscess, which then stopped. There is a hard ring around the affected area, and after another week, it ruptured again, releasing a clear fluid with a slight pinkish blood that the...
Dr. Ke Fangxu Reply:
1. High. 2. Generally, observation is conducted for one month before reassessment. 3. Fistula surgery is typically not urgent; however, if there are long-term recurrent infections, it may evolve into a complex fistula, which would increase the difficulty and pain associated with ...[Read More] Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Postoperative care for anal fistula surgery? Hello, I discovered a perianal abscess and fistula in early April this year. I underwent the first surgery in early April to drain the abscess and remove the fistula. After that, for a month, I soaked the area in medicated water daily,...
Dr. Ke Fangxu Reply:
To completely eradicate an anal abscess and fistula, surgery is the only option. If surgery cannot be performed temporarily, oral antibiotics can be tried to control the infection and inflammation symptoms; however, there is still a possibility of recurrence in the future. As for...[Read More] Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Post-Surgery Care for Anal Fistula: Do's and Don'ts
Postoperative care for anal fistula surgery? Hello, doctor. Generally speaking, after surgery, is it sufficient to soak the wound in warm water and saline while taking antibiotics? Or is it necessary to return to the hospital or clinic daily for wound cleaning? Thank you.
Dr. Ke Fangxu Reply:
After anal fistula surgery, warm water sitz baths are recommended. I am not familiar with the term "gray manganese water." Generally, we advise using diluted Betadine for sitz baths, and there is no need to return to the clinic for daily dressing changes.[Read More] Post-Surgery Care for Anal Fistula: Do's and Don'ts
Understanding Anal Abscess: Symptoms, Treatment, and Dietary Advice
After the spontaneous rupture of an anal abscess, a hard lump may develop in the skin? Hello, I have been taking antibiotics (CEPHALEXIN 500mg every 6 hours and METRONIDAZOLE 250mg with meals) for a week. On the sixth day, I experienced diarrhea after drinking papaya milk. On the...
Dr. Ke Fangxu Reply:
1. If an anal abscess is not surgically treated, some patients may develop an anal fistula, which may result in bloody purulent discharge. 2. If a wound is slow to heal and is accompanied by swelling, pain, and purulent blood, it is likely that a fistula has formed. 3. It is ...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Dietary Advice
Understanding Chronic Anal Fissures: Symptoms, Treatment, and Concerns
Anal issues, chronic anal fissure? Hello Doctor, I have a chronic anal fissure issue. Three weeks ago, I had a recurrence due to hard stools, which caused bleeding for several days. I went to see a doctor and underwent treatment for two weeks. After my last follow-up appointment ...
Dr. Ke Fangxu Reply:
1. Chronic anal fissures may potentially develop into a subcutaneous fistula over a long period, but this typically takes several years. 2. If there is no pain or bleeding, chronic anal fissures indeed do not require specific treatment; it is sufficient to pay attention to life...[Read More] Understanding Chronic Anal Fissures: Symptoms, Treatment, and Concerns
Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Chronic anal fissure post-hemorrhoidectomy? Hello, Director Ke! I underwent surgery for chronic anal fissure and hemorrhoids on July 1. Currently, I still experience pain during bowel movements and need to take sitz baths to relieve the discomfort. On July 18, I noticed a lump ne...
Dr. Ke Fangxu Reply:
Mild pain after chronic anal fissure surgery for 1-2 weeks is considered normal; however, if it persists beyond one month, it may indicate an issue. Light bleeding and minor discharge from the wound are also normal, but a small number of patients may experience complications such...[Read More] Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Understanding Anal Abscess Treatment: Medication and Concerns
Medication Consultation for Anal Abscess I visited the proctology clinic today and found a subcutaneous swelling about 1 cm in size approximately 1 cm from the anus. This has been present for over a month, and in recent days, it has started to feel slightly painful when touched. ...
Dr. Ke Fangxu Reply:
If it is indeed a small anal abscess, with proper treatment, it is generally unlikely to develop into a fistula. The treatment for anal abscess involves oral antibiotics, and each physician may have different preferences for medication; however, this approach is not incorrect.[Read More] Understanding Anal Abscess Treatment: Medication and Concerns
Post-Surgery Care for Fistula: Managing Wound Healing and Discomfort
Post-fistula surgery 1. After my fistula surgery, since the incision was not sutured, I notice some stool comes out from the wound when I have a bowel movement. After cleaning the wound with rinsing and sitz baths, should I pack gauze into the wound to absorb secretions and a sma...
Dr. Ke Fangxu Reply:
1. There's no need to insert it; just leave it outside. 2. It can indeed have an impact, so do not insert it. 3. It's normal; external hemorrhoids can often be managed easily. 4. Antibiotics are not necessary unless there is an infection.[Read More] Post-Surgery Care for Fistula: Managing Wound Healing and Discomfort
Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?
Postoperative Issues After Anal Fistula Surgery Hello Dr. Ke, I recently had anal fistula surgery, and three days post-operation, I noticed some fecal matter appearing from the surgical opening while having a bowel movement. Is this a normal situation or an abnormal one? Should...
Dr. Ke Fangxu Reply:
The incision from the anal fistula surgery is left open and not sutured, so it is normal for a small amount of feces to be present in the wound. This is why warm sitz baths are recommended after the surgery. As long as there is no incontinence or significant bleeding, there is no...[Read More] Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?