Post-Surgery Care for Fistula: Cleaning and Hygiene Tips
Post-operative cleaning issues with a fistula for more than two months? Dr. Ke, I have another question. Last week during my follow-up visit, the doctor advised me to rinse after bowel movements instead of wiping, as wiping can irritate the skin around the anus. Additionally, I w...
Dr. Ke Fangxu Reply:
After two months post-anal fistula surgery, the wound should be healed and generally does not require special care. After sitz baths, do not insert toilet paper into the anus to avoid mucosal injury. The internal anal environment is not sterile, so excessive cleaning is unnecessa...[Read More] Post-Surgery Care for Fistula: Cleaning and Hygiene Tips
Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
More than three months after anal fistula surgery, the anal area still feels hard? Hello Doctor: I underwent fistula surgery in mid-May of this year, and it has been three months since then. The wound has completely healed. I take a sitz bath once a day and apply a topical medica...
Dr. Ke Fangxu Reply:
1. Scar tissue after surgery generally takes about six months to gradually absorb, and it is normal for the wound to feel firm during this period. 2. If it has been more than three months since the surgery, there should be no need to continue applying ointment. If the phenomenon...[Read More] Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
Understanding Post-Surgery Symptoms: Hemorrhoids and Recovery Insights
Hemorrhoid surgery Hello, I had surgery for a fistula and hemorrhoids on June 30. The doctor said they removed both external and internal hemorrhoids, but there is still a small remnant of the internal hemorrhoid that may need to be treated with rubber band ligation later, around...
Dr. Ke Fangxu Reply:
1. It is normal to experience slight bleeding after hemorrhoid surgery. If there is still straining during bowel movements post-surgery, the bleeding may persist. It is advisable to avoid constipation and enhance sitz baths; if there is no improvement, please consult a physician ...[Read More] Understanding Post-Surgery Symptoms: Hemorrhoids and Recovery Insights
Can I Take Other Medications After Fistula Surgery?
Could you please clarify your question regarding the use of other medications in relation to fistula surgery? Doctor Ke, I have had a fistula for two months and have developed dermatitis on both sides of my buttocks. I have seen a dermatologist; can I take other medications? Will...
Dr. Ke Fangxu Reply:
There should be no impact; sometimes excessive sitz baths or the overuse of povidone-iodine can cause this. It is recommended to reduce the frequency of sitz baths and discontinue the use of povidone-iodine, which should also help.[Read More] Can I Take Other Medications After Fistula Surgery?
Post-Fistula Surgery Concerns: Diet, Recovery, and Healing Questions
Post-operative questions regarding fistula surgery? 1. After fistula surgery, is it okay to eat fish? I have seen some people online say that fish should be avoided. I have eaten quite a bit of it. 2. Is it normal to have the urge to pass gas sometimes after surgery? 3. How m...
Dr. Ke Fangxu Reply:
1. Yes. 2. It is normal for the anal area to become sensitive due to wound irritation, which may lead to increased frequency of gas or bowel movements. 3. Generally, it is recommended to apply the antiseptic solution four times a day: morning, noon, evening, and before bed. I...[Read More] Post-Fistula Surgery Concerns: Diet, Recovery, and Healing Questions
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I underwent anal fistula surgery on June 4th. Postoperatively, I felt that the wound has healed and looks quite normal now. However, occasionally there is a small amount of discharge at the surgical site, which can be ab...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it typically takes about a month to recover from mild pain. The use of topical ointments and regular warm sitz baths can be helpful. As long as constipation is avoided, the pain should subside.[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Understanding Post-Surgery Symptoms: When to Seek Further Medical Advice
There is a growth near the anus? Three years ago, I had hemorrhoid surgery at a clinic, and my recovery was normal and good until two weeks ago when I noticed a swollen lump around my anus that is painful. I returned to the original clinic for an examination, and the doctor said ...
Dr. Ke Fangxu Reply:
Based on your description, it seems like it could be an anal fistula. If you're unsure, you can consult a colorectal surgeon for an examination; otherwise, a definitive diagnosis cannot be made. The change in bowel habits is likely unrelated to the lump at the anal opening a...[Read More] Understanding Post-Surgery Symptoms: When to Seek Further Medical Advice
Understanding and Managing Recurring Folliculitis and Skin Concerns
Molluscum contagiosum, folliculitis Doctor, I would like to ask about my hemorrhoids, which have been persistent for a long time and keep recurring. I have seen doctors who say that the condition is not serious and that I shouldn't worry. However, if it’s not serious, why ha...
Dr. Ke Fangxu Reply:
Hemorrhoids and fistulas both occur around the anal area, but there is no causal relationship between the two. If hemorrhoids are asymptomatic, there is no need for specific treatment. Surgery is only recommended if symptoms are severe and unresponsive to medication. Since you di...[Read More] Understanding and Managing Recurring Folliculitis and Skin Concerns
Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Postoperative care for anal fistula surgery? Hello, I underwent surgery for anal fistula and hemorrhoids on June 30th. Initially, in mid-June, I had a noticeable swelling, but it subsided on its own after a couple of days (it can still be felt, but it has shrunk significantly and...
Dr. Ke Fangxu Reply:
Based on the photo you provided, it appears to be an unhealed wound from an anal fistula surgery. Since this type of wound cannot be sutured, it typically takes about a month to heal. Regular warm sitz baths and follow-up appointments are recommended. Additionally, hair growth ar...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Post-Hemorrhoid Surgery: Managing Bowel Movements and Leakage Issues
Post-operative bowel movements after hemorrhoid surgery may lead to anal-vaginal incontinence? Hello, doctor. I would like to ask you a few questions. I underwent ultrasound knife surgery to remove three hemorrhoids on July 21. Starting the day after the surgery, I began attempti...
Dr. Ke Fangxu Reply:
1. It is normal for the frequency of bowel movements to increase after hemorrhoid surgery due to heightened sensitivity around the anal area caused by wound irritation, as long as there is no pain or bleeding during defecation. 2. It is also normal for the surgical site to have...[Read More] Post-Hemorrhoid Surgery: Managing Bowel Movements and Leakage Issues
Managing Anal Fissures: Treatment Options and Soothing Bath Techniques
Anal fissures have been treated for a long time with steroid-containing hemorrhoid ointments? Hello, Doctor Mu: I underwent surgery for an anal fistula due to hemorrhoids, but the healing has not been satisfactory. I have been using a steroid-containing hemorrhoid cream for nearl...
Dr. Ke Fangxu Reply:
Long-term use of steroid ointments can lead to such side effects. In addition to discontinuing the use of these ointments, warm water sitz baths can be a good maintenance method. However, this may potentially make the already fragile skin even drier. It is recommended to apply zi...[Read More] Managing Anal Fissures: Treatment Options and Soothing Bath Techniques
Understanding Anal Abscess: Treatment Options and Concerns
Anal abscess I noticed swelling around the anus for the first 3 to 4 days but didn't pay much attention to it. However, on the second day, I discovered a lump on the right side of the anus, which didn't cause much discomfort at first. By the fourth day, I was experienci...
Dr. Li Zhonghuai Reply:
Hello! When dealing with a perianal abscess, it is important to check for the presence of a fistula. If a fistula is present, it should be addressed simultaneously; otherwise, there is a risk of recurrence! It is recommended to consult a colorectal surgeon for management. Changhu...[Read More] Understanding Anal Abscess: Treatment Options and Concerns
Understanding Perianal Abscess: Treatment Options and Recovery Insights
Perianal abscess About four days ago, I initially felt tightness around the anus. After a day, a small lump appeared just beneath the skin on the right side of the anus. The next day, it suddenly protruded, but I thought it wouldn't be a problem and would resolve on its own....
Dr. Ke Fangxu Reply:
If an anal abscess is not promptly incised and drained in the early stages, it is likely to rupture on its own. After receiving antibiotic treatment, it may initially heal. Although both scenarios will eventually heal, the latter almost always leads to the formation of an anal fi...[Read More] Understanding Perianal Abscess: Treatment Options and Recovery Insights
Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Fistula surgery Hello, doctor. I had a fistula surgery last week, and since then, I've been taking sitz baths at least three times a day. I've been using sanitary pads, but each time I change them, I notice a small amount of blood and a yellowish fluid on the pad. The f...
Dr. Ke Fangxu Reply:
The surgical wound from an anal fistula typically takes about one month to heal. If it is a complex fistula, the healing time may be longer. It is normal to have discharge during this period, as long as there are no signs of redness, swelling, heat, or pain. Cleaning the surgical...[Read More] Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Understanding Hemorrhoid Surgery: Common Concerns and Post-Operative Care
Hemorrhoid surgery Hello, I had hemorrhoid surgery on June 30. Initially, there was a fistula issue (the hemorrhoids had been present for a long time), and the doctor said surgery was necessary. The external hemorrhoids were also addressed, but the fistula resolved on its own. Th...
Dr. Ke Fangxu Reply:
1. Fistulas will not resolve on their own. Currently, the absence of symptoms indicates there is no infection; if an infection were present, symptoms would recur. Therefore, fistula management is necessary. If you do not wish to undergo surgery at this time, that is acceptable si...[Read More] Understanding Hemorrhoid Surgery: Common Concerns and Post-Operative Care
Post-Surgery Complications: Managing Pain and Infection After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Doctor, I would like to ask about my condition. I had surgery for internal and external hemorrhoids on April 27. After the surgery, I experienced wound infection, swelling, and pus formation. After a follow-up visit, I was prescribed antibiotics, and...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, there is a possibility of wound infection leading to the development of an anal fistula. It is generally recommended to use antibiotics for a period of time. If symptoms recur, surgical treatment may be necessary.[Read More] Post-Surgery Complications: Managing Pain and Infection After Hemorrhoid Surgery
Understanding a Round Bump Near the Anus: Causes and Treatments
There is a round growth at the anal opening? Hello doctor, I have noticed a round lump at the opening of my anus over the past couple of days. It feels a bit hard when pressed, but it is not painful or itchy, and its color is similar to the surrounding skin. I am unsure what it c...
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 are all possibilities. However, based on your description, it seems more like a thrombosed external...[Read More] Understanding a Round Bump Near the Anus: Causes and Treatments
Understanding Anal Hard Lumps: Diagnosis, Treatment, and Concerns
Hard mass in the anal canal? Hello Doctor, I asked a question a few days ago regarding a small hard lump inside my anus. It is located about one finger's breadth inside the anal opening, not too deep. I have since consulted two other doctors. The first doctor believed it was...
Dr. Ke Fangxu Reply:
First of all, a malignant tumor should not be overlooked by so many physicians, and you are not in a high-risk age group. If this mass is not large and you are not experiencing any discomfort, it is advisable to take a conservative approach and continue to monitor it. If there is...[Read More] Understanding Anal Hard Lumps: Diagnosis, Treatment, and Concerns
Understanding Anal Fistulas: Do You Still Need Surgery After Drainage?
Anal fistula Hello Doctor, about two weeks ago, I noticed a lump the size of a thumb near my anus, which made it difficult to sit comfortably. I went to the hospital for an examination and was diagnosed with an anal fistula. On the same day, the doctor drained the pus from the fi...
Dr. Xu Kaixi Reply:
After the anal fistula becomes infected and receives initial drainage and antibiotic treatment, symptoms may improve; however, there is still a possibility of recurrence, which varies from person to person. To achieve a complete cure of the anal fistula, surgical excision is the ...[Read More] Understanding Anal Fistulas: Do You Still Need Surgery After Drainage?
Understanding Sudden Anal Pain: Causes and Concerns
Pain around the anal area? There is pain around the anus with skin breakdown, but no abnormalities were observed in the photographs. The pain occurs only during bowel movements due to friction. It is painful when touched, and the pain appeared suddenly without any prior medical h...
Dr. Ke Fangxu Reply:
Based on your description, it is difficult to make an accurate diagnosis as it could be an anal fissure, hemorrhoids, fistula, abscess, or pilonidal cyst. It is advisable to consult a physician for an examination to avoid any delays in treatment that could worsen the condition.[Read More] Understanding Sudden Anal Pain: Causes and Concerns