Understanding Persistent White Bumps Around the Anus: Causes and Care
Small white bumps protruding from the anus (continued) Hello Dr. Ke, I am the patient who inquired about anal pain with white spots a few days ago (<a href="https://adoctor.tw/article/151979">#151979</a>). You mentioned that you couldn't view the photo ...
Dr. Ke Fangxu Reply:
The photo does show some redness in the skin, but without a physical examination, it's difficult to determine the exact issue. Since the location is on the side, it is less likely to be an anal fissure; it could be more indicative of an anal abscess or a fistula. If the pain...[Read More] Understanding Persistent White Bumps Around the Anus: Causes and Care
Understanding Enlarged White Bumps Around the Anus: Causes and Care
Small white bumps protruding from the anus (update) Hello Dr. Ke, I am the patient who inquired about the white bump near the anus a few days ago (<a href="https://adoctor.tw/article/151979">#151979</a>). PS. You mentioned that the uploaded photos cannot be ...
Dr. Ke Fangxu Reply:
Based on this photo, it appears to be an anal fistula. If there is no pain or swelling, there is no immediate urgency to seek medical attention. I recommend applying ointment and taking warm sitz baths. However, it is still best to have a doctor evaluate it as soon as possible to...[Read More] Understanding Enlarged White Bumps Around the Anus: Causes and Care
Pre-Surgery Care for Anal Fistula: Safe Cleaning Practices
Preoperative Care for Fistula Surgery Hello, Dr. Ke. My husband has an anal fistula and has already undergone drainage, with surgery planned for early February. However, he has recently experienced some swelling and pain. A friend of my mother-in-law, who practices homeopathy, su...
Dr. Ke Fangxu Reply:
It is not personally recommended to do this as it poses a risk of damaging the sphincter and mucous membranes. Those suggesting this are often not specialists in proctology. If there are issues with constipation, increasing fiber intake and drinking more water is advisable. If ne...[Read More] Pre-Surgery Care for Anal Fistula: Safe Cleaning Practices
Understanding Painful White Bumps Near the Anus: Causes and Solutions
Small white bumps protruding from the anus that are painful? Hello, doctor. My question is a bit long, and I appreciate your understanding. Regarding my history of anal diseases, I have internal hemorrhoids and have previously had external hemorrhoids. I have undergone several li...
Dr. Ke Fangxu Reply:
The link you provided could not be accessed due to verification requirements (safety concerns). The small white spots you mentioned are more likely to be caused by anal fissures due to diarrhea. While the possibility of a fistula or abscess is not zero, it is more likely if there...[Read More] Understanding Painful White Bumps Near the Anus: Causes and Solutions
Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Anal issues, chronic anal fissure? Hello Doctor: Two months ago, I underwent a hemorrhoid ligation procedure, and I have a history of chronic anal fissures. However, since my last visit to the doctor, I haven't experienced any bleeding for a while. Recently, I've been e...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. Chronic anal fissures can lead to the formation of a fistula due to repeated tearing and healing of the wound; however...[Read More] Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Understanding Recovery After Anal Fistula Surgery: What to Expect
What is the recovery process like after anal fistula surgery? I underwent anal fistula surgery on September 26, 2019. After the surgery, I had three follow-up appointments, and the same doctor said the wound looked normal and advised me to continue rinsing with water at home. I h...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery is generally prolonged, and it is indeed concerning if the wound has not fully healed after two months. I am not quite sure what you mean by "another opening." Shouldn't there only be one opening at the site of the fistula ...[Read More] Understanding Recovery After Anal Fistula Surgery: What to Expect
Is This a Hemorrhoid? Understanding Anal Swelling Symptoms
Could this be hemorrhoids? Could this be hemorrhoids? After using the bathroom today, I noticed a swollen lump outside my anus.
Dr. Ke Fangxu Reply:
Answer: 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. It is advisable to consult a doctor to avoid delaying treatment and worsening the condit...[Read More] Is This a Hemorrhoid? Understanding Anal Swelling Symptoms
Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Please consult with your physician regarding post-operative issues related to drainage tube placement? I underwent surgery for an anal abscess and a mild fistula at China Medical University in Taichung on November 6th. Today is the fifth day post-operation, and I would like to as...
Dr. Ke Fangxu Reply:
1. Laxatives are prescribed to prevent postoperative constipation; if diarrhea occurs, the dosage should be reduced or the medication should be discontinued. 2. Based on this description alone, it is not possible to determine whether it is related to the surgery; a consultation...[Read More] Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Post-Surgery Concerns: Understanding Symptoms of Anal Fistula Recurrence
Postoperative issues following anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on August 6, 2019. I took a photo of the wound with my phone, and it looks like it is healing well. The doctor mentioned that my fistula wound is very close to the anal opening, wh...
Dr. Ke Fangxu Reply:
All fistulas are located very close to the anus, so they naturally heal more slowly. However, it is not normal for a fistula to remain unhealed three months after surgery. Symptoms of fistula recurrence include the reappearance of a skin opening and purulent discharge, and someti...[Read More] Post-Surgery Concerns: Understanding Symptoms of Anal Fistula Recurrence
Is That Bump Near My Anus a Pimple or Something More Serious?
The external hemorrhoid has resolved, but recently there seems to be a small bump above the anus that looks like a pimple? The area that is circled—should I go to the hospital for it, or is applying an antibiotic ointment sufficient? It feels quite similar to a pimple; could it b...
Dr. Ke Fangxu Reply:
The link you provided requires a login, so I cannot see what the issue is. Without a personal examination by a physician, it is impossible to make an accurate diagnosis. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities. ...[Read More] Is That Bump Near My Anus a Pimple or Something More Serious?
Understanding Complex Anal Fistulas: Treatment Options Beyond Surgery
Anal fistula The situation is as follows: I previously went to a hospital to arrange for a fistula surgery, but the doctor informed me that the fistula was too deep and the internal opening could not be located, so they were unable to perform the procedure directly. Therefore, th...
Dr. Ke Fangxu Reply:
The management of complex fistulas can be quite challenging. Performing a fistulotomy can indeed lead to sphincter damage, so the approach is somewhat different. The traditional surgical method is the seton procedure, which involves placing a thread through the fistula. However, ...[Read More] Understanding Complex Anal Fistulas: Treatment Options Beyond Surgery
Post-Abscess Surgery: Do I Need Fistula Surgery?
Post-operative issues following abscess surgery? At the end of July this year, I underwent an abscess surgery. About a month later, I visited my original doctor for a follow-up examination, and he mentioned that it had developed into a mild fistula. However, up to now, the wound ...
Dr. Ke Fangxu Reply:
If there is currently no pain, bleeding, or discharge, you can observe the situation for a while. However, if the symptoms recur, surgery will be necessary for a definitive cure. If surgery is not considered, antibiotic treatment can only be used during flare-ups of the fistula, ...[Read More] Post-Abscess Surgery: Do I Need Fistula Surgery?
Post-Surgery Concerns: Issues with Stitches After Fistula Procedure
One week after the fistula surgery, there is a phenomenon of suture detachment at both the upper and lower ends? Last week, my mother underwent a fistula surgery. On the third day post-operation, I noticed that the wound seemed to be longer. After comparing photos, I found that t...
Dr. Ke Fangxu Reply:
1. The fistula surgery uses absorbable sutures that will naturally dissolve and fall off within 1-2 weeks after the procedure, so there is no need to rush to have a doctor address it. 2. If the sutures do not fall off on their own, it is acceptable to cut them, but care should b...[Read More] Post-Surgery Concerns: Issues with Stitches After Fistula Procedure
Slow Recovery After Fistula Surgery: Tips for Faster Healing
The recovery after fistula surgery is very slow? Hello Doctor, I had a fistula surgery in mid-January 2019 at the six o'clock position near the coccyx, with a length of about three to four centimeters. For postoperative care, I found that sitz baths were not very effective f...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is recommended to use sitz baths instead of rinsing, as rinsing may cause anal contractions and could miss deeper areas. Other precautions include avoiding prolonged sitting and constipation, and increasing the frequency of sitz baths, which should ...[Read More] Slow Recovery After Fistula Surgery: Tips for Faster Healing
Understanding Anal Discomfort: Causes and When to Seek Help
Anal issues Hello Dr. Ke, I would like to ask a question. Recently, I have experienced some pain when wiping my anus after a bowel movement. There is no blood, but it feels somewhat like a pimple. I feel a bit of pain when wiping the right side, but the left side is fine. When I ...
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. It is also possible that excessive wiping may simply cause skin irritation. It is advisable to c...[Read More] Understanding Anal Discomfort: Causes and When to Seek Help
Post-Fistula Surgery: Understanding Discharge and Potential Infection Concerns
Post-fistula surgery Hello, doctor. I had a fistula surgery about a month ago. Two weeks ago, the surgeon told me that I no longer needed to take sitz baths and that I didn't need to return for follow-up appointments, just to apply medication. However, it has been over a mon...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is common to have wound discharge that may last for 1-2 months. Taking warm sitz baths should help. If the wound does not show improvement, it is advisable to return to the physician for a thorough examination.[Read More] Post-Fistula Surgery: Understanding Discharge and Potential Infection Concerns
Understanding Causes of Moisture Around the Anus: A Medical Perspective
Anal moisture I would like to ask the doctor what the possible causes of anal moisture are? It is only moist without itching, usually odorless, with occasional mild odor.
Dr. Li Zhonghuai Reply:
Hello! It may be necessary to check for hemorrhoids or fistula issues, but it is not unusual for a healthy person to expel a small amount of fecal fluid when passing gas. Take care! Changhua Hospital cares about you![Read More] Understanding Causes of Moisture Around the Anus: A Medical Perspective
Understanding Recovery Time After Anal Abscess or Fistula Surgery
Please ask questions regarding anal abscess or fistula surgery? Hello Dr. Ke: I underwent an excision of internal and external hemorrhoids in January of last year. At that time, two larger wounds were formed; one side healed well, but the other side has not healed properly and ha...
Dr. Ke Fangxu Reply:
If the anal fistula is not of the complex type, it can fully heal within a month after surgery. Pain typically alleviates significantly after about a week of rest. Taking about two weeks off work may be sufficient. However, if the fistula is longer or has multiple openings, the r...[Read More] Understanding Recovery Time After Anal Abscess or Fistula Surgery
Understanding the Cost of Anal Fistula Surgery: What to Expect
Anal fistula Doctor, may I ask if the cost of anal fistula surgery is high?
Dr. Ke Fangxu Reply:
If you are hospitalized in a National Health Insurance bed and do not use any special out-of-pocket items, the portion you need to pay upon discharge is approximately around two thousand NT dollars.[Read More] Understanding the Cost of Anal Fistula Surgery: What to Expect
Timing for Fistula Surgery After Hemorrhoid Surgery: What You Need to Know
The interval between hemorrhoid surgery and fistula surgery? Approximately three weeks after hemorrhoid surgery, a condition resembling folliculitis appeared near the anal area. It later ruptured and discharged pus, and has now turned into a small hard lump that occasionally exud...
Dr. Xu Kaixi Reply:
Based on your description, the wound from the hemorrhoid surgery is still healing. The nearby lump and the new wound can initially be treated with medication. If the results are not satisfactory, surgery can be reconsidered. Therefore, it is recommended to follow the advice of th...[Read More] Timing for Fistula Surgery After Hemorrhoid Surgery: What You Need to Know