Post-Surgery Concerns: Managing Fistula and Anal Sphincter Damage
Postoperative care for fistula-in-ano and hemorrhoids? I previously underwent a private clinic procedure for anal fistula and since then, I have felt a lack of tightness in my anus. Whenever I feel the urge to defecate, I need to go immediately, and even passing gas does not feel...
Dr. Ke Fangxu Reply:
If there is sphincter damage, sphincteroplasty can be performed; however, it is advisable to seek a colorectal specialist at a large hospital who may have more experience. It is not recommended to go to a private clinic. Even with sphincteroplasty, the anal sphincter function may...[Read More] Post-Surgery Concerns: Managing Fistula and Anal Sphincter Damage
Post-Fistula Surgery: Recovery Concerns and Pain Management
Post-fistula surgery Hello Doctor, I underwent a fistula surgery on December 20, 2018, where the surgical method involved cutting the sphincter muscle. After the surgery, I noticed a piece of tissue around the anus that was cut and has sunken in. Around early February, I returned...
Dr. Chen Jiaming Reply:
1. Will gradually grow. 2. Normal. 3. If it does not provoke pain, you can gradually start exercising.[Read More] Post-Fistula Surgery: Recovery Concerns and Pain Management
Understanding Anal Fissure Surgery: Key Questions for Your Doctor
I would like to ask Dr. Ke about issues related to anal fissure surgery? 1. The doctor mentioned that my anal fissure is caused by the excessive scarring from recent surgeries for hemorrhoids, fistulas, and skin tags. I do not have an external anal tear; the fissure is located in...
Dr. Ke Fangxu Reply:
1. Incising the internal anal sphincter is appropriate because the internal sphincter is circular, allowing for incision; this is fundamental to anal fissure surgery. 2. It will not cause incontinence; the cause of anal fissures is excessive anal pressure. Incision of the sphin...[Read More] Understanding Anal Fissure Surgery: Key Questions for Your Doctor
Understanding Perianal Bumps: Possible Causes and Treatments
There is a lump near the anus, close to the perineum? Hello, Dr. Ko. I have noticed a small bump that resembles a pimple located between my anus and perineum. It started as a tiny bump, but the next day it seemed to grow a little larger and rounder. It is painful when pressed, an...
Dr. Ke Fangxu Reply:
If the lump is located a distance away from the anus, it could possibly be a sebaceous cyst. However, if it is near the vaginal opening, it may be an inflammation of the Bartholin's gland. If there is no discomfort or if it is not continuously enlarging, you can choose to mo...[Read More] Understanding Perianal Bumps: Possible Causes and Treatments
Understanding Anal Masses: Causes and When to Seek Help
Perianal mass Hello, I would like to ask about a small lump I noticed today above the anus (not near the testicles). It doesn't appear particularly red or swollen, and the texture and pain feel somewhat similar to the sensation of lymph nodes swelling for a day or two. Could...
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, although the likelihood of thrombosed external hemorrhoids...[Read More] Understanding Anal Masses: Causes and When to Seek Help
Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery
Recurrent inflammation and suppuration of anal abscess? Hello Dr. Ke, About a month ago, I underwent drainage surgery for a high anal abscess, which was approximately 6 to 7 centimeters deep. I took oral antibiotics for the first 10 days after the drainage, but currently, the w...
Dr. Ke Fangxu Reply:
Patients with anal abscesses may develop fistulas. If the inflammation is still present, medication will be administered to assess whether surgery is necessary. If the infection remains uncontrolled, direct surgical drainage is also one of the treatment options. As for endoscopic...[Read More] Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery
Understanding Post-Surgery Recovery for Anal Abscess: What to Expect
Postoperative wound of anal abscess? Hello: About three weeks ago, I underwent drainage surgery for an anal abscess, which was approximately 6 centimeters deep. The wound has not fully healed yet, and I still feel a warm and swollen sensation. However, my doctor examined it and f...
Dr. Ke Fangxu Reply:
Answer: Larger anal abscesses can sometimes take more than a month to heal. Approximately half of the patients will fully recover, while the other half may develop an anal fistula. Since your surgery was only three weeks ago, it is still too early to discuss the possibility of a ...[Read More] Understanding Post-Surgery Recovery for Anal Abscess: What to Expect
Can You Dive After Surgery? Key Considerations for Divers with Medical History
Diving activity issues Hello, a friend recently asked about learning to dive, but since I have undergone two surgeries in the past, I have a few questions for the physician (currently, there are no diving medicine specialists available, so I would like to consult a general surgeo...
Dr. Ke Fangxu Reply:
1. Generally, nasal allergies are not treated with surgery; however, I know that some physicians perform turbinate reduction surgery to alleviate obstruction symptoms caused by mucosal hypertrophy. It is best to consult an otolaryngologist for detailed information. 2. The surgi...[Read More] Can You Dive After Surgery? Key Considerations for Divers with Medical History
Post-Fistula Surgery: Understanding Pain, Itching, and Healing
Post-fistula surgery Hello Doctor, I had a fistula surgery on January 23rd. I have been soaking in the bath 4 to 5 times a day and changing the dressing as well. It has been two weeks now. Is it normal to experience pain and itching? Also, is it normal for the area around the wou...
Dr. Ke Fangxu Reply:
It is normal to experience swelling and pain at the wound site after fistula surgery. Complete recovery typically takes about a month, and as long as there is no infection or bleeding, there is no cause for concern.[Read More] Post-Fistula Surgery: Understanding Pain, Itching, and Healing
Managing Rectovaginal Fistulas in Stage III Cervical Cancer Patients
Cervical cancer stage III B with rectovaginal fistula? My mother is currently in stage III cervical cancer and has developed a rectovaginal fistula, which has led to the creation of a colostomy. However, the doctor did not mention how to manage the fistula moving forward. Is surg...
Dr. Xu Kaixi Reply:
The rectovaginal fistula caused by cervical cancer has undergone colostomy. The subsequent treatment plan will depend on the extent of tumor involvement and should be discussed with your treating physician.[Read More] Managing Rectovaginal Fistulas in Stage III Cervical Cancer Patients
Understanding Post-Surgery Urgency: Is It Temporary or Long-Term?
Urgent bowel movement urge? Hello Doctor: Since I had surgery before the Lunar New Year, there is still some time before my follow-up appointment after the holiday. I would like to ask for your advice. Since the surgery on January 28, I have been experiencing strong urges to defe...
Dr. Ke Fangxu Reply:
Since the letter did not specify which type of surgery, I will assume it is related to hemorrhoid or fistula surgery. Such anal surgeries can cause abnormal bowel movements due to wound irritation within 1-2 weeks post-operation. Taking warm sitz baths should help alleviate disco...[Read More] Understanding Post-Surgery Urgency: Is It Temporary or Long-Term?
Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Fistulous granulation tissue Hello doctor, two weeks after the fistula surgery, during my follow-up appointment, the doctor informed me that there is granulation tissue at the wound site. I would like to ask if this increases the risk of recurrence. Additionally, regarding sitz b...
Dr. Ke Fangxu Reply:
Answer: It is correct to use povidone-iodine for sitz baths in the early postoperative period. Whether to continue using povidone-iodine thereafter is a matter of personal preference. The issue with long-term use of povidone-iodine is that it can cause skin irritation around the ...[Read More] Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-fistula surgery Hello Doctor: I underwent fistula surgery on December 20, 2018, and was discharged three days later. I had previously looked in the mirror and saw that the surgical incision was about 2-3 cm next to the sphincter, with an external incision of 2-3 cm that was ...
Dr. Chen Jiaming Reply:
1. The depth of the anal fistula varies among individuals, and the healing time for surgical wounds also differs. 2. It is common to have discharge from the anus after anal fistula surgery; however, some may experience pus while others may only have normal intestinal secretions...[Read More] Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-Surgery Sitz Bath: Why Is It Causing Pain After Fistula Surgery?
Sitz bath after fistula surgery? Hello, doctor. It's been about nine days since my fistula surgery (three in total), and when I started taking warm sitz baths, I experienced sharp pain at the incision site as soon as it came into contact with water, making it impossible to c...
Dr. Ke Fangxu Reply:
If sitting baths cause pain, reducing the amount of povidone-iodine in the water or using plain water can help. Typically, the stinging sensation during a sitz bath is caused by excessive addition of povidone-iodine.[Read More] Post-Surgery Sitz Bath: Why Is It Causing Pain After Fistula Surgery?
Outpatient Treatment for Anal Fistulas: Is It Safe and Effective?
Surgical Methods for Anal Fistula Repair Hello Dr. Ke, I would like to ask you about some colorectal surgery clinics that claim they can treat anal fistulas and abscesses on an outpatient basis without hospitalization, stating that the wounds are small and recovery is quick. I wo...
Dr. Ke Fangxu Reply:
An anal abscess can indeed be treated with incision and drainage under local anesthesia in an outpatient setting, which results in a smaller wound and quicker recovery. However, there is also a risk of recurrence or development into a fistula. This approach is suitable for small ...[Read More] Outpatient Treatment for Anal Fistulas: Is It Safe and Effective?
Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Prolapse of hemorrhoids after fistula surgery? Hello Doctor, I previously had a problem with a protruding hemorrhoid that I could push back after bowel movements. A week ago, I underwent fistula surgery, but the hemorrhoid has been continuously protruding, and due to the pain fro...
Dr. Ke Fangxu Reply:
If hemorrhoids are large enough to protrude outside the anus, conservative treatment is generally less effective. However, during fistula surgery, hemorrhoids are often removed to prevent the situation where both the surgical site and the hemorrhoids are painful. Currently, the b...[Read More] Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Post-Surgery Anal Fistula: Understanding Pain and Recovery Issues
Postoperative soreness is common after anal fistula surgery? Hello Doctor, I underwent anal fistula surgery on September 5th of this year. Although the surgeon mentioned that the location of my fistula was difficult to locate, they managed to address it based on their experience....
Dr. Xu Kaixi Reply:
Hello, based on your description, you have undergone surgical treatment for an anal fistula, and the wound has healed. Recently, you have been experiencing soreness and other symptoms in the anal area, which may be due to scar tissue following the healing of the wound. You might ...[Read More] Post-Surgery Anal Fistula: Understanding Pain and Recovery Issues
Post-Surgery Care for Fistula and Hemorrhoids: Your Questions Answered
Fistula and hemorrhoid surgery follow-up questions? Hello, doctor. I would like to ask about my situation. I was admitted for a fistula surgery yesterday, and the doctor mentioned that they would also remove part of my hemorrhoids. They said that if too much is removed at once, i...
Dr. Ke Fangxu Reply:
This situation may simply be swelling of the wound, but it is also possible that the hemorrhoidal tissue was not completely excised. However, it is currently not recommended to push it back in, as this could increase pain at the site and there is no guarantee it won't protru...[Read More] Post-Surgery Care for Fistula and Hemorrhoids: Your Questions Answered
Managing Pain After Fistula and Hemorrhoid Surgery: Can Warm Baths Help?
Anal fistula and surgical treatment of ulcers? Hello, doctor. I was admitted for surgery on an anal fistula, during which the surgeon also removed hemorrhoids. I was advised not to take warm water baths during the first week, but currently, the pain from the hemorrhoids is worse ...
Dr. Ke Fangxu Reply:
Yes, personally, I started taking sitz baths the day after the surgery; otherwise, the wound cannot be kept clean, which could lead to complications. However, I would recommend waiting to apply the ointment until the amount of discharge decreases.[Read More] Managing Pain After Fistula and Hemorrhoid Surgery: Can Warm Baths Help?
Understanding Small Bumps Inside the Anus: Are They Hemorrhoids?
There are many small lumps located about half a finger's length inside the anus? There are many small lumps located about half a finger's length inside the anus. Could this be hemorrhoids?
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a personal examination by a physician. Conditions such as anal fissures, hemorrhoids, fistulas, or abscesses are all possibilities. It is advisable to consult a doctor to avoid delaying treatment and worsening the con...[Read More] Understanding Small Bumps Inside the Anus: Are They Hemorrhoids?