Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
I would like to inquire about the delayed healing of the wound after mole removal surgery and medication issues? Hello Dr. Ke, on March 18 of this year, I underwent surgery for internal hemorrhoids at Hospital A. However, since last September, I have already had three anal surger...
Dr. Ke Fangxu Reply:
1. Anal fissures cannot occur as a result of stretching the anal opening, as there would be no injury present. 2. If the colonoscopy shows no abnormalities, performing a digital rectal examination or anoscopy will not yield new findings, but it can help assess the extent of woun...[Read More] Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
Concerns After Failed Fistula Imaging: What Should You Do Next?
After the outpatient visit, a suspected hernia was arranged for examination, but the wound could not be located for evaluation? On May 1st, I noticed a large abscess on my buttocks that was painful and also bled. The next day, I went to see a doctor who suspected it might be a fi...
Dr. Ke Fangxu Reply:
After incision and drainage of an anal abscess, there is a 50% chance of complete healing without the formation of a fistula. Personally, I do not recommend performing a fistulography at this stage, as the wound may not have healed or may still be unstable. If the fistula can be ...[Read More] Concerns After Failed Fistula Imaging: What Should You Do Next?
Post-Surgery Concerns After Fistula and Hemorrhoid Surgery: A Guide
Post-fistula surgery Hello Doctor: I underwent a fistulotomy and mixed hemorrhoid surgery on December 28, 2018. It has been almost four months since the procedure. Although I can run and sit for extended periods now, I still have a few concerns: 1. I often notice discharge a few ...
Dr. Xu Kaixi Reply:
1. If the discharge is not blood-tinged or purulent, it may be intestinal mucosal secretions, and observation is sufficient. 2. It could be a minor tear in the scar tissue from postoperative healing; applying a topical ointment to the wound is adequate.[Read More] Post-Surgery Concerns After Fistula and Hemorrhoid Surgery: A Guide
Understanding Post-Surgery Granulation Tissue After Fistula Surgery
Granulation tissue at the wound site after fistula surgery? Hello Doctor, I underwent a fistula surgery at the end of March. The doctor made the incision deeper and larger (approximately 3 to 5 centimeters in diameter) to prevent recurrence. The healing process has been relativel...
Dr. Ke Fangxu Reply:
If you are abroad for a short period and will not be returning, as long as there is no swelling, pain, or discharge, it should not be a concern. However, to determine if there is a recurrence, a medical examination is necessary. If you experience any fever, you should seek medica...[Read More] Understanding Post-Surgery Granulation Tissue After Fistula Surgery
Post-Surgery Care for Abscess and Discharge After Fistula and Hemorrhoid Surgery
Postoperative purulent discharge from hemorrhoid and fistula surgery? Since the surgery for fistula and mixed hemorrhoids on December 28, 2018, there has been persistent discharge from the anus. The original surgeon indicated that this is due to recurrent infection of the interna...
Dr. Ke Fangxu Reply:
Answer: Without a personal examination, I cannot provide a definitive answer. However, after such a long time post-surgery, the wound should not remain unhealed. I tend to agree with the second physician's opinion that there may be a recurrence of the fistula. It would be ad...[Read More] Post-Surgery Care for Abscess and Discharge After Fistula and Hemorrhoid Surgery
Persistent Cyst Near Anus: Is It Infected or a Fistula?
Cyst near the anus, not healing after surgery? Hello Dr. Ke: In March 2017, I developed a round lump near my anus that caused discomfort when sitting. I visited a hospital, and the doctor diagnosed it as a sebaceous cyst. After surgery, there were no stitches, and the wound depth...
Dr. Ke Fangxu Reply:
Generally, an epidermoid cyst should not take two years to heal after surgery. If the wound continues to remain unhealed, it is important to consult a physician for further evaluation. It is possible that the initial surgery did not completely excise an anal fistula. If this is t...[Read More] Persistent Cyst Near Anus: Is It Infected or a Fistula?
Is It Granulation Tissue After Hemorrhoid Surgery?
Is it granulation tissue after hemorrhoid surgery? Is this a postoperative granuloma? I had traditional surgery for internal and external hemorrhoids with thrombosis on April 2nd, and it has been 25 days since then. There is still a small lump the size of a mung bean at the anal ...
Dr. Yu Mingchang Reply:
Hello: After using the restroom, cleaning with cold water is sufficient and is not a problem.[Read More] Is It Granulation Tissue After Hemorrhoid Surgery?
Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Postoperative care for anal fistula surgery? Last August, after undergoing surgery for hemorrhoids and a fistula, I noticed an increase in my bowel movements; I feel the urge to defecate frequently and cannot hold it in. Additionally, whenever I am hot or sweating, my anus feels ...
Dr. Ke Fangxu Reply:
If the damage to the sphincter is due to surgery, the possibility of undergoing sphincteroplasty depends on the extent of the injury. The effectiveness of this procedure is related to the degree of damage. It is advisable to consult a colorectal surgeon for an evaluation, as this...[Read More] Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Postoperative care for anal fistula surgery? Last August, after undergoing surgery for hemorrhoids and a fistula, I noticed an increase in my bowel movements; I feel the urge to defecate frequently and cannot hold it in. Additionally, whenever it's hot or I sweat, my anus fe...
Dr. Ke Fangxu Reply:
If the damage to the sphincter is due to surgery, the possibility of undergoing sphincteroplasty depends on the extent of the injury. The effectiveness of this procedure is related to the degree of damage. It is advisable to consult a colorectal surgeon for an evaluation, as this...[Read More] Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Postoperative care for anal fistula surgery? Last August, after undergoing surgery for hemorrhoids and a fistula, I noticed an increase in my bowel movements; I feel the urge to defecate frequently and cannot hold it in. Additionally, whenever it's hot or I sweat, my anus fe...
Dr. Ke Fangxu Reply:
If the damage to the sphincter is due to surgery, the possibility of undergoing sphincteroplasty depends on the extent of the injury. The effectiveness of this procedure is related to the degree of damage. It is advisable to consult a colorectal surgeon for an evaluation, as this...[Read More] Post-Surgery Concerns: Managing Increased Bowel Movements and Discomfort
Post-Surgery Discharge: Understanding Symptoms After Fistula Surgery
Post-operative discharge from a fistula? Hello Doctor: I underwent a fistula and mixed hemorrhoid surgery about four months ago. My bowel movements have been very smooth, and I mostly have soft stools, so I haven't experienced any difficulties like straining. However, I noti...
Dr. Ke Fangxu Reply:
Answer: Four months after surgery, the wound should be completely healed, and there should be no more wound drainage. The current phenomenon could be attributed to three possibilities: recurrence of a fistula, postoperative anal incontinence, or excessive intestinal mucus secreti...[Read More] Post-Surgery Discharge: Understanding Symptoms After Fistula Surgery
Understanding Anal Fistulas: Seeking a Second Opinion Before Surgery
Anal fistula Hello, Dr. Ke: A few days ago, I was diagnosed with an anal fistula at the hospital and was informed that I would need surgery and a 5-day hospitalization. However, I have some questions that have not been answered, and because my father was misdiagnosed in the past ...
Dr. Ke Fangxu Reply:
Answer: I cannot provide a definitive answer without a personal examination. However, since there is no pain, bleeding, fever, or discharge, what is the reason for your visit? Is it possible that there is a fistula? In addition to a digital rectal exam, larger hospitals may offer...[Read More] Understanding Anal Fistulas: Seeking a Second Opinion Before Surgery
Understanding Perianal Issues: Folliculitis or Fistula?
Suspected folliculitis near the anal area? Hello, on April 1st, I discovered a small lump near the hair follicle around the anus (approximately 2-3 cm from the anal opening). Initially, I thought it was just folliculitis, so I performed warm sitz baths daily and applied anti-infl...
Dr. Ke Fangxu Reply:
The diagnosis on the prescription represents the considerations of the physician, and it is not necessary to overly focus on which specific diagnosis it is; it is best to rely on what the physician states. After all, the diagnosis of such diseases still depends on physical examin...[Read More] Understanding Perianal Issues: Folliculitis or Fistula?
Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Anal issues Hello, Dr. Ko: Last month, I visited a doctor due to anal pain and rectal bleeding. At that time, the doctor diagnosed me with anal fissures and internal hemorrhoids. 1. I later noticed a long lump between my anus and perineum that feels soft and is not very painful w...
Dr. Ke Fangxu Reply:
1. If the anal fissure is located in the anterior region, it is indeed possible for inflammation to cause this phenomenon; however, anal fistulas are generally not the case, but a physician should be consulted for a definitive diagnosis. 2. The progression of chronic anal fissure...[Read More] Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Post-Surgery Discomfort: Understanding Anal Fistula Recovery Challenges
It has been six months since the surgery, and there is still some discomfort in the anal area? I had an anal fistula surgery on September 5, 2018. The doctor mentioned that the fistula was located directly above the anus, so after the surgery, the incision was made at the top of ...
Dr. Yu Mingchang Reply:
Hello; please take a moment to check the colorectal clinic at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Post-Surgery Discomfort: Understanding Anal Fistula Recovery Challenges
Post-Surgery Concerns: Is My Fistula Recurring?
Recurrence after fistula surgery? Hello Dr. Ke, last August I noticed a bump that looked like a pimple at the anal opening while using the restroom, and there was also purulent material in the toilet. Therefore, I underwent a fistula surgery at the end of September last year. It ...
Dr. Ke Fangxu Reply:
Based on your description, it seems possible that there may be a recurrence; however, it is essential for a physician to conduct a personal examination to confirm this. Please have the surgeon evaluate the situation again, and if necessary, you may need to undergo another surgery...[Read More] Post-Surgery Concerns: Is My Fistula Recurring?
Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Post-operative issues related to fistula surgery? Hello, doctor. I have a lump near my anus that resembles an epidermoid cyst. After an examination by the first physician, there was a suspicion of an anal fistula (though it was not confirmed). However, after a second examination,...
Dr. Ke Fangxu Reply:
1. If a large amount of hydrogen peroxide was initially injected, it is reasonable that the wound healing would be slower due to the tissue reaction caused by hydrogen peroxide. 2. Generally, wounds can heal in 4 to 6 weeks.[Read More] Post-Surgery Concerns: Healing Time and Issues After Abscess Drainage
Post-Surgery Concerns: Yellow Discharge After Fistula Removal Surgery
Postoperative abscess after anal fistula surgery? In mid-February of this year, I underwent fistula tract excision and cyst excision surgeries. However, it has been 12 days post-surgery, and I have observed that there is still a yellow discharge coming from the surgical wounds. T...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery cannot be sutured, so it takes more than a month to heal. This is to reduce the likelihood of recurrence. It is normal for the wound to have discharge within 4 to 6 weeks. During this period, it is important to take warm sitz baths and avoid co...[Read More] Post-Surgery Concerns: Yellow Discharge After Fistula Removal Surgery
Post-Surgery Concerns: Managing Open Wound After Fistula Procedure
Suture dehiscence after fistula surgery? Hello, doctor. After my fistula surgery, while resting at home, I noticed that some of the stitches on my wound had come apart. During my follow-up visit, I continuously asked the doctor about the subsequent management of the wound, but th...
Dr. Ke Fangxu Reply:
The fistula surgery will intentionally leave a small opening to allow for delayed healing, which helps reduce the risk of recurrence. This wound will gradually heal over a period of about one to two months. Currently, it is important to maintain cleanliness. Before the wound heal...[Read More] Post-Surgery Concerns: Managing Open Wound After Fistula Procedure
Post-Surgery Complications: Managing Open Sutures After Fistula Repair
Dehiscence of sutures after fistula surgery? Hello, Doctor. After my fistula surgery, while resting at home, I noticed that some of the stitches on my wound have come apart. During my follow-up visit, I continuously asked the doctor about the subsequent management of the wound, b...
Dr. Ke Fangxu Reply:
The fistula surgery will intentionally leave a small opening to allow for delayed healing of the wound, which helps reduce the risk of recurrence. This wound will gradually heal over a period of about one to two months. Currently, it is important to maintain cleanliness. Before t...[Read More] Post-Surgery Complications: Managing Open Sutures After Fistula Repair