Understanding the Differences Between Fistulas and Hemorrhoids
Fistula or hemorrhoids Recently, I felt a soft lump near the anus that seems not to be connected to the surrounding skin. For a while, I had been experiencing bleeding during bowel movements, and a doctor suggested it might be an anal fissure. Recently, I have also noticed that t...
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. It is advisable to consult a physician for an examination ...[Read More] Understanding the Differences Between Fistulas and Hemorrhoids
Understanding Post-Surgery Bleeding During Bowel Movements: Is It Normal?
Bleeding during bowel movements? Hello, I had surgery for hemorrhoids and anal fistula at the end of June, and then in September, I underwent a procedure for internal hemorrhoids. However, I have noticed that whenever I exert a little pressure during bowel movements, the likeliho...
Dr. Ke Fangxu Reply:
In healthy individuals, blood in the stool is certainly not normal. This situation is more likely to be caused by hemorrhoidal bleeding. As long as there is no continued heavy bleeding, it should not be a major concern. It is recommended to avoid constipation during this period a...[Read More] Understanding Post-Surgery Bleeding During Bowel Movements: Is It Normal?
Post-Surgery Care for Anal Fistula: What to Expect and Healing Tips
Fistula surgery Hello, doctor. I had an anal fistula surgery on December 3rd. After the surgery, the doctor instructed me to change the dressing regularly and did not prescribe any topical medication, only antibiotics, pain relievers, and stool softeners. I would like to ask if t...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery can vary from two weeks to two months, depending on the complexity of the procedure. During this period, it is normal to experience pain and some bleeding from the wound. The principle for managing the fistula wound is to maintain cleanli...[Read More] Post-Surgery Care for Anal Fistula: What to Expect and Healing Tips
Post-Surgery Care: Using Suppositories and Ointments for Healing
Please provide information regarding the use of suppositories and ointments prescribed by the physician after fistula surgery? Hello Dr. Ke, I visited you yesterday regarding the reason my wound has not fully healed one and a half months after the fistula surgery. You mentioned t...
Dr. Ke Fangxu Reply:
1. It is generally recommended to use suppositories before bedtime to prevent the medication from slipping out after movement. 2. A suppository should be fully inserted into the rectum; as long as it remains within the anal sphincter, it will not slip out. Urination can cause r...[Read More] Post-Surgery Care: Using Suppositories and Ointments for Healing
Understanding Anal Fistula Inflammation: Symptoms and Treatment Options
Inflammation of the anal fistula? Hello, doctor. I was previously diagnosed with an anal fistula, but I haven't experienced any significant discomfort, so surgery was not scheduled. Recently, the affected area has suddenly become swollen and painful. Will the swelling and pa...
Dr. Ke Fangxu Reply:
If a fistula becomes infected, it may cause swelling and pain. Please consult a physician as soon as possible for medication. If necessary, an incision and drainage may need to be performed. If left untreated, it could potentially develop into a complex fistula in the future.[Read More] Understanding Anal Fistula Inflammation: Symptoms and Treatment Options
Understanding Fistula Pain: Causes, Treatments, and Relief Options
The fistula is causing unbearable pain? I thought it was a thrombosed hemorrhoid, so I went to see a doctor in Taipei yesterday. The doctor said there is a 90% chance it is an inflamed fistula. Today, I went to see a doctor in Chungli (in the colorectal department). The doctor pr...
Dr. Ke Fangxu Reply:
Acute inflammation of an anal fistula can initially be treated with oral medications. If the response is inadequate, surgical intervention will be necessary, as surgery is the only definitive solution to this problem.[Read More] Understanding Fistula Pain: Causes, Treatments, and Relief Options
Understanding Post-Surgery Symptoms: Anal Fistula and Hemorrhoid Concerns
Anal hemorrhoid and fistula incision surgery? Hello Doctor, I had a fistula incision surgery a week ago, but today I still feel some swelling and pain, which is quite similar to the sensation I had with the previous anal abscess. The area where the incision is healing feels swoll...
Dr. Yu Mingchang Reply:
Hello: Drinking more warm water can be beneficial. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Post-Surgery Symptoms: Anal Fistula and Hemorrhoid Concerns
Post-Surgery Concerns: Understanding Swelling and Pain After Fistula Repair
Post-fistula surgery wound swelling? Hello! I would like to ask Dr. Ke about my condition. I underwent fistula surgery in mid-September, and about two weeks post-surgery, the wound had healed. However, I experienced some swelling and pain, and after a few days, the healed wound d...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a recurrence. We can start with antibiotic treatment to see if it helps. If the treatment is ineffective or if there are repeated episodes, it may be necessary to undergo surgery again.[Read More] Post-Surgery Concerns: Understanding Swelling and Pain After Fistula Repair
Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Suspected anal fistula? Hello, Doctor. I apologize for interrupting you during your busy schedule. I underwent anal fistula surgery on July 10 of this year, with the location being slightly to the right of the anal opening. I am recovering well, with only scar tissue remaining an...
Dr. Ke Fangxu Reply:
1. It is also possible that it is a benign subcutaneous tumor or a smaller external hemorrhoid at the anal opening. Since I cannot perform a physical examination, I cannot provide a definitive answer, but I recommend continued observation. 2. Of course, a newly formed fistula i...[Read More] Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Post-Surgery Complications: Understanding Swelling Around the Anus
Postoperative care for hemorrhoids and the anal region? A year ago, I underwent surgery for internal and external hemorrhoids. At the end of September, I noticed that the skin around the anal area, which was left over from the surgery, swells noticeably (it is clearly connected t...
Dr. Ke Fangxu Reply:
This is residual skin tags or remaining external hemorrhoidal tissue after surgery. If there is no pain or bleeding, it can be left alone. However, if it causes discomfort that affects daily activities, surgical removal can be considered. Since the area is relatively small, there...[Read More] Post-Surgery Complications: Understanding Swelling Around the Anus
Understanding Painful Bumps Near the Anus: When to Seek Medical Help
There is a bump near the anus that looks like a pimple? Hello doctor, recently while showering, I noticed a prickly sensation near my anus. When I touched it, I felt a slight sting, and upon looking in the mirror, I found a small white bump that resembled a pimple. It disappeared...
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, abscesses, or pilonidal cysts could all be potential issues. It is advisable to consult a doctor to avoid delaying treatm...[Read More] Understanding Painful Bumps Near the Anus: When to Seek Medical Help
Post-Surgery Pain After External Hemorrhoid Procedure: What to Expect
External hemorrhoid surgery Hello, doctor. I underwent an outpatient procedure for thrombosed external hemorrhoids today, and I'm experiencing pain at the anal area. Is this a normal occurrence? How long will it take to alleviate, and is there a risk of it developing into an...
Dr. Ke Fangxu Reply:
Answer: Since I don't know which type of surgery you underwent, I can't determine how long the pain will last. If it was just a thrombectomy, the pain typically lasts for two to three days. However, if an external hemorrhoid was completely excised, the pain may persist ...[Read More] Post-Surgery Pain After External Hemorrhoid Procedure: What to Expect
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Irritable Bowel Syndrome (IBS) Hello Doctor, about two months ago, I started experiencing recurring discomfort in my abdomen, and then my bowel habits began to change, leading to diarrhea. Sometimes I feel better, but then it gets worse again. Shortly after, I started having pain...
Dr. Ke Fangxu Reply:
At the age of 17, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like irritable bowel syndrome. It is recommended to maintain a light diet and a good lifestyle routine, while avoidi...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
How Long Does It Take for External Hemorrhoids to Heal Completely?
How many days does it take for an external mole to fully heal? On August 31, I noticed a feeling of a foreign object in my anus. It feels swollen, red, and painful, resembling a bulging mass of tissue. There is no blood in my stool. Initially, it was about 2.5 cm in size, but it ...
Dr. Ke Fangxu Reply:
1. Based on your description, it seems more like a large thrombosed hemorrhoid, which typically requires 1-2 weeks for symptoms to alleviate and 2-4 weeks for complete resolution. 2. The components are generally similar. 3. It could be slight swelling of the adjacent hemorrho...[Read More] How Long Does It Take for External Hemorrhoids to Heal Completely?
Understanding Hemorrhoids and Fistulas: Can They Be Treated Together?
Chalazion and Fistula Hello, doctor. I would like to ask if the presence of a lump at the anal opening that needs to be pushed back with a finger indicates internal hemorrhoids? Can hemorrhoid and fistula surgeries be performed simultaneously? Thank you, doctor.
Dr. Ke Fangxu Reply:
Answer 1: It should be 2. It is possible.[Read More] Understanding Hemorrhoids and Fistulas: Can They Be Treated Together?
Can I Consult Another Doctor After Fistula Surgery?
Is it possible to see another doctor to evaluate the condition more than three months after the fistula surgery? After more than four months post-surgery for a fistula, the external wounds appear to have healed, but there is still discharge from the anal area. I have returned for...
Dr. Ke Fangxu Reply:
In this situation, it is advisable to seek a second opinion from another physician. Generally, there should not be any discharge more than three months post-surgery. There is no need for medical records; just clearly explain the medical history.[Read More] Can I Consult Another Doctor After Fistula Surgery?
How to Prevent Recurrence of Anal Fistula After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I am quite worried ab...
Dr. Ke Fangxu Reply:
If there is no recurrence after three years post-surgery, it is generally considered that there will not be a recurrence at the same site. Washing with water or taking warm sitz baths can be beneficial for anal care, but they do not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistula After Surgery
How to Prevent Recurrence of Anal Fistulas After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I'm worried abou...
Dr. Ke Fangxu Reply:
If there is no recurrence for three years after surgery, it is generally believed that the same site is unlikely to experience a recurrence. Washing with water or taking warm sitz baths can be beneficial for anal care, but it does not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistulas After Surgery
Minimally Invasive Treatments for Anal Fistulas: LIFT and More
Fistula treatment methods Hello, doctor. May I ask if anal fistulas can be treated with minimally invasive surgery or the LIFT procedure? Is the incision small, and is it possible to be hospitalized for just one day? Do major hospitals have this technology? Thank you.
Dr. Ke Fangxu Reply:
The essence of anal fistula surgery lies in destroying the fistula structure and reconstructing the surrounding tissues to prevent recurrence. Many clinics seem to promote this approach to attract patients. As for the LIFT procedure you mentioned, from what I understand, it is no...[Read More] Minimally Invasive Treatments for Anal Fistulas: LIFT and More
Understanding Treatment Options for Anal Fistulas: Surgery vs. Minimally Invasive Techniques
Treatment methods for anal fistulas? Hello, doctor. I have had a painful lump near my anus for three to four years. Since it hasn't caused any significant discomfort, I haven't sought medical attention. Recently, I discovered a hard lump on the other side near the anus....
Dr. Ke Fangxu Reply:
The only solution for anal fistulas is surgery. If there is no inflammation or pain, there is no urgent need for surgery, as the procedure requires anesthesia and postoperative pain is expected, making hospitalization necessary. As for the minimally invasive techniques mentioned ...[Read More] Understanding Treatment Options for Anal Fistulas: Surgery vs. Minimally Invasive Techniques