Minimally Invasive Surgery for Chronic Anal Fistulas: What You Need to Know
Minimally Invasive Surgery for Anal Fistula Inquiry I would like to inquire about the current treatment options for a diagnosed anal fistula, which is considered chronic and mild. I understand that traditionally, surgery involved incision, resulting in large wounds and longer hea...
Dr. Xu Kaixi Reply:
The treatment for anal fistulas involves fistulotomy or excision, with most cases being managed through traditional surgical methods. The recovery time is approximately one week. The recurrence rate is related to the severity and complexity of the original fistula.[Read More] Minimally Invasive Surgery for Chronic Anal Fistulas: What You Need to Know
Understanding Bumps Near the Anus: Symptoms and Concerns
There is a protrusion next to the anus? Hello, doctor. I would like to ask about a bump near my anus that looks like a pimple, but I can't tell what it is. There are no wounds or anything like that, but it hurts a little when I press on it, and I can feel a lump. This has be...
Dr. Ke Fangxu Reply:
The exact issue cannot be accurately diagnosed without a personal examination by a physician. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be possibilities. Based on your age and description, it is more likely to be thrombosed e...[Read More] Understanding Bumps Near the Anus: Symptoms and Concerns
Post-Fistula Surgery: Persistent Pain and Scar Concerns After One Year
More than a year after the fistula surgery, there is still a sharp pain in the anus? Hello Doctor, I underwent a fistula and hemorrhoidectomy surgery in mid-May of 2018, and it has been over a year since then. I still experience a sharp pain in my anal area, and when I use my g...
Dr. Yu Mingchang Reply:
Hello: After the surgery, the scar will not disappear. Please take some time to check with the colorectal department at Changhua Hospital. We care about you.[Read More] Post-Fistula Surgery: Persistent Pain and Scar Concerns After One Year
Timing for Fistula Surgery After Hemorrhoidectomy: What You Need to Know
Timing of Fistula Surgery Five weeks ago, I underwent hemorrhoidectomy, but two weeks post-surgery, I experienced a systemic allergic reaction. Subsequently, I developed a condition resembling folliculitis near the anal area, about one centimeter from the anus. After two weeks, i...
Dr. Ke Fangxu Reply:
Indeed, it is not advisable to undergo fistula surgery shortly after hemorrhoid surgery. During this time, antibiotic treatment can be used, and observation is recommended. If the fistula persists 2-3 months after the initial surgery, it would still be appropriate to proceed with...[Read More] Timing for Fistula Surgery After Hemorrhoidectomy: What You Need to Know
Is It an Anal Fistula? Understanding Symptoms and Diagnosis
Inquire whether it is an anal fistula? Hello doctor, I would like to inquire about a tubular structure I felt between the area above the anus and the scrotum. There is a small wound on top of the tubular structure. During the period of the wound, there hasn't been much pus, ...
Dr. Ke Fangxu Reply:
If this phenomenon occurs repeatedly, it could be indicative of an anal fistula, but it may also simply be an infection in the perineal area that has not been fully resolved. It is advisable to have a thorough examination by a colorectal surgeon to obtain a definitive diagnosis a...[Read More] Is It an Anal Fistula? Understanding Symptoms and Diagnosis
Concerns About Non-Healing Anal Fistula After Two Months Post-Surgery
The fistula has not healed two months after the procedure? Hello Dr. Ke, I had anal fistula surgery two months ago. I am currently taking sitz baths twice a day, and the wound is almost healed. However, there is a small hole that has not yet closed. I don't feel any swelling...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery should fully heal within 1-2 months, depending on the size of the wound. It is recommended to monitor for an additional 1-2 months. If a small opening still exists and there is discharge, it may indicate a recurrence of the fistula. During this...[Read More] Concerns About Non-Healing Anal Fistula After Two Months Post-Surgery
Understanding Perianal Pimples: Treatment and Risks of Folliculitis
Perianal acne Recently, I developed a bump near my anus, which became swollen. On the seventh day, I squeezed it, and a mixture of pus and blood (mostly blood) came out. After squeezing, it shrank over the next few days but did not completely resolve. Two weeks later, I became co...
Dr. Ke Fangxu Reply:
Answer: Folliculitis will not develop into an anal fistula, but it is best to have a colorectal surgeon examine the condition to determine whether it is folliculitis or an anal fistula. In the meantime, antibiotic treatment can be used, but obtaining a definitive diagnosis is adv...[Read More] Understanding Perianal Pimples: Treatment and Risks of Folliculitis
Understanding Healing After Fistula Surgery: What to Expect
Healing after fistula surgery Hello, I underwent fistula excision, and the external wound around the anus has mostly healed. The doctor mentioned that there is still a small area inside that hasn't healed yet. Will this have any adverse effects? Isn't it better for heal...
Dr. Ke Fangxu Reply:
Since I don't know how much time has passed since the surgery, it's difficult to determine if everything is normal. The goal of a fistula surgery is for the wound to heal from the inside out, but just because the outer wound heals faster doesn't necessarily mean th...[Read More] Understanding Healing After Fistula Surgery: What to Expect
Post-Surgery Care for Pediatric Anal Fistula: When to Seek Further Treatment?
Post-fistula surgery Hello, Dr. Ke. My child, who is currently one year and six months old, was suspected to have an anal abscess and fistula when he was six to seven months old. Initially, there was just a lump near the anus without any pus formation. Due to his young age, we op...
Dr. Ke Fangxu Reply:
It is likely a recurrence of a fistula. In young children, this phenomenon can occasionally occur because most cases are simple fistulas, resulting in a low recurrence rate after surgery. If there have been two surgeries in a short period and recurrence still occurs, it is advisa...[Read More] Post-Surgery Care for Pediatric Anal Fistula: When to Seek Further Treatment?
Understanding Cysts Near the Coccyx: Causes and Treatments
Coccygeal acne? Hello doctor, I would like to ask about a bump I found near my coccyx, close to the buttocks. I'm very concerned that it might be a sign of an anal fistula. What should I do about it?
Dr. Ke Fangxu Reply:
If the area is so close to the coccyx, it is likely not a fistula; however, a definitive diagnosis still requires an examination by a physician.[Read More] Understanding Cysts Near the Coccyx: Causes and Treatments
Understanding Anal Discomfort: Allergies, Hemorrhoids, and Treatment Options
Recently, I visited the doctor for a follow-up appointment, and they mentioned that I have an allergic reaction to the medication? I would like to ask Dr. Ke about my recent discomfort. After a follow-up visit, the doctor examined me and mentioned a medication allergy. He also no...
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 could all be potential issues. If it is a drug allergy, applying betamethasone ointment m...[Read More] Understanding Anal Discomfort: Allergies, Hemorrhoids, and Treatment Options
Post-Surgery Care and Concerns After Anal Fistula Surgery
Postoperative care after anal fistula surgery? I would like to ask the doctor about the postoperative care following anal fistula surgery. The doctor performed a small suture at the end; should this be considered an excision procedure? I have a few questions: 1. Is it normal fo...
Dr. Ke Fangxu Reply:
1. It is normal for the stool to become thinner due to swelling at the surgical site. 2. To accurately assess the appearance of the wound, it must be seen in person; a description alone may not provide sufficient information. 3. Increasing dietary fiber intake is recommended, and...[Read More] Post-Surgery Care and Concerns After Anal Fistula Surgery
Post-Surgery Care for Anal Fistula: What to Expect and Tips for Recovery
Postoperative care after anal fistula surgery? Hello, Doctor. 1. I would like to ask, I underwent anal fistula surgery at E-Da Hospital a few days ago, and today is the fifth day post-operation. Is it normal for the area around the wound to continue bleeding and occasionally ex...
Dr. Ke Fangxu Reply:
1. 2. Pain and bleeding within 2-4 weeks after fistula surgery are normal. 3. Pain and bleeding are part of the wound healing process and are unrelated to sleeping position.[Read More] Post-Surgery Care for Anal Fistula: What to Expect and Tips for Recovery
Post-Surgery Care: Can I Drink Nutritional Supplements After Fistula Surgery?
Post-fistula surgery Hello doctor, I underwent anal fistula surgery on July 5th, and today is the fourth day post-operation. I would like to ask if I can consume the nutritional supplement, Ensure Plus.
Dr. Ke Fangxu Reply:
If drinking it does not cause diarrhea, then it is acceptable, as some patients may experience diarrhea due to lactose intolerance; in such cases, it should be avoided.[Read More] Post-Surgery Care: Can I Drink Nutritional Supplements After Fistula Surgery?
Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Postoperative Issues After Hemorrhoid Surgery Hello, Doctor. I underwent minimally invasive hemorrhoid surgery at a private clinic on April 9th, and afterward, I developed a hematoma. I had another surgery on April 17th to remove the hematoma. Since then, I have experienced persi...
Dr. Ke Fangxu Reply:
The so-called minimally invasive surgery for hemorrhoids actually involves various techniques and instruments. Please describe the specific method used clearly; otherwise, it will be difficult to identify the issue. Based on your description, it seems that a postoperative wound i...[Read More] Post-Hemorrhoid Surgery Complications: Understanding Pain and Abscess Issues
Post-Surgery Concerns: Understanding Drainage After Fistula Surgery
Post-operative tissue fluid after fistula surgery? I underwent anal fistula excision on June 4th, and today, June 10th, I noticed a dark, foul-smelling discharge while cleaning the area. In the previous days, there was more blood-tinged fluid. The pain at the wound site has decre...
Dr. Li Qinglong Reply:
Mr. Chia-Hao: Hello, it is recommended that you visit the surgical outpatient clinic to have your wound examined by a physician. This will provide you with the best possible answers. Sometimes, a literal description can only lead to speculation about the condition of the wound, a...[Read More] Post-Surgery Concerns: Understanding Drainage After Fistula Surgery
Understanding Fistulas: Seeking Clarity in Surgical Diagnosis
Differentiation of Fistulas Hello Dr. Ke, in mid-June, I developed a cyst between my anus and scrotum, so I went to a nearby surgical clinic for drainage. After about a week with a dressing, it healed. However, three to four days later, it swelled up again, and I returned to the ...
Dr. Ke Fangxu Reply:
The distinction between a fistula and a sebaceous cyst can only be confirmed through a physical examination. If the condition is still in the acute inflammatory phase, it may be difficult to ascertain, as both the fistula and the internal opening may not be clearly visible at thi...[Read More] Understanding Fistulas: Seeking Clarity in Surgical Diagnosis
Post-Surgery: Persistent Foreign Body Sensation and Swelling After Fistula Repair
Foreign body sensation and swelling after fistula surgery? Hello doctor, I underwent anal fistula and mixed hemorrhoid surgery along with a colonoscopy on April 1st. During my follow-up appointment a little over a month post-surgery, the doctor said I had recovered. However, I st...
Dr. Ke Fangxu Reply:
If there is no pain or discharge, it is considered that the anal fistula has healed. Sometimes, due to a larger wound, the sensation of discomfort may persist for a longer period. If topical medications are not effective, you might try taking warm sitz baths.[Read More] Post-Surgery: Persistent Foreign Body Sensation and Swelling After Fistula Repair
Post-Surgery Anal Fistula: Pain, Healing, and Treatment Options
Post-operative wound after fistula surgery? Hello Doctor: After undergoing surgery for a fistula and mixed hemorrhoids on December 28, 2018, I often experience swelling and pain when pressing on the area where the fistula was located. Upon examination, it was found that there is ...
Dr. Ke Fangxu Reply:
1. Anal fistulas can be evaluated using fistulography to determine their course; however, this type of examination is typically available only at larger hospitals. Magnetic resonance imaging (MRI) can also be used, but health insurance may not cover it, and the diagnostic accurac...[Read More] Post-Surgery Anal Fistula: Pain, Healing, and Treatment Options
Managing Post-Surgery Itching After Fistula and Hemorrhoid Surgery
Itching may occur after fistula surgery? Hello, doctor. I had a fistula and hemorrhoid surgery in January this year. The recovery has been fine, but I have been experiencing persistent anal itching, sometimes so severe that it wakes me up at night. Are there any topical treatment...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping. Applying topical hemorrhoid ointment should help alleviate the symptoms. In addition to medication, there are three important considerations: 1. Do not scratch to avoid causing an infection in the wound. 2. Temporarily avoid spicy f...[Read More] Managing Post-Surgery Itching After Fistula and Hemorrhoid Surgery