Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid with thrombosis? 1. Current symptoms: For about 2 weeks, there is a sharp pain when pressed, but no pain if ignored. I have been doing warm water sitz baths (using tap water) for two days. The first week, the area felt soft when pressed, but in the se...
Dr. Zhang Shuhao Reply:
1. If two doctors have already diagnosed you with thrombosed hemorrhoids, you can follow their treatment recommendations, which may include warm sitz baths, oral anti-inflammatory and pain relief medications, using hemorrhoid ointments, and adjusting your diet and bowel habits. M...[Read More] Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Assessment of post-fistula surgery condition? I underwent a fistula surgery, which I believe was superficial. The clinic performed the surgery immediately on the same day. Now, three days have passed, and during my follow-up appointment on the second day, the doctor removed a pie...
Dr. Ke Fangxu Reply:
1. Fistula incision surgery involves cutting the internal opening to the external opening, effectively creating a single opening, thus eliminating both the internal and external openings. 2. Normal. 3. Will. 4. Will not.[Read More] Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Understanding Painful Anal Masses: Symptoms and Concerns
The external anal mass may have a foul odor and appears whitish in color? In the past three days, after eating spicy food, I experienced diarrhea, and afterward, I suddenly felt a lot of pain in my anus. I discovered a long, white, and somewhat flesh-colored lump that I had not n...
Dr. Zhang Shuhao Reply:
Based on your description, there is a suspicion of an anal fistula, which is associated with inflammatory lesions related to the anal glands. It is recommended to consult a colorectal specialist for a comprehensive examination and appropriate treatment, while also ruling out any ...[Read More] Understanding Painful Anal Masses: Symptoms and Concerns
Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...
Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Concerns About Incomplete Suture Removal After Cyst Surgery
Cyst suture removal Hello Doctor, I am the questioner 204748. I would like to ask what happens if the stitches are not completely removed. I had a follow-up appointment on the 22nd, and the doctor said he was hesitant to remove them too early (the doctor mentioned removing the st...
Dr. Ke Fangxu Reply:
Whether the sutures can be removed successfully depends on your physician. An online consultation cannot provide you with an answer regarding the nature of the excised tissue. You should ask the surgeon during your follow-up appointment, as they will have access to the pathology ...[Read More] Concerns About Incomplete Suture Removal After Cyst Surgery
Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
The incision for the removal of a sebaceous cyst is located very close to the anus? Hello Doctor, I am the questioner #204580. I would like to ask if, after having a sebaceous cyst removed near the anus, poor wound care could lead to the formation of an anal fistula? I have a wou...
Dr. Ke Fangxu Reply:
Wounds around the anal area typically heal more slowly, and it is normal for discharge to occur before the epidermis is fully healed. Cleaning the wound with tap water is sufficient, as this area is not a sterile environment. After cleaning, it is important to keep the area as dr...[Read More] Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Post-fistula surgery Hello Doctor, I underwent fistula removal surgery on January 11th, and during my follow-up appointment on the 15th, the doctor said there was no infection and advised me to continue with my recovery. Recently, I have been noticing a light yellow discharge, an...
Dr. Zhang Shuhao Reply:
The wound appearance is normal, with no signs of infection. During dressing changes, you can use a cotton swab to gently remove the old ointment and any yellow tissue. Continue to keep the wound clean with warm water sitz baths, and return for follow-up appointments as scheduled.[Read More] Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Anal fistula?? Epidermoid cyst Hello, doctor. I apologize for the lengthy message. Last February, while taking a shower, I noticed a lump near my anus. I consulted a doctor who diagnosed it as an anal fistula. Subsequently, I saw several doctors; some confirmed it as a fistula, w...
Dr. Ke Fangxu Reply:
Cysts and fistulas are two different conditions, so a cyst cannot turn into a fistula. If the cyst has been removed, the pathology report can clearly differentiate between the two types of tissues. Once the sutured wound is ready for suture removal, it is generally safe to expose...[Read More] Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Post-Surgery Care for Fistula Removal: Pain and Medication Concerns
Post-fistula surgery Hello doctor, I underwent a fistula excision surgery on January 11th. I have been taking sitz baths four times a day, and during these baths, I experience slightly more pain than usual and notice a little bleeding. I would like to know if this is normal. The ...
Dr. Zhang Shuhao Reply:
It is normal to experience slightly more pain and some bleeding during sitz baths before the wound has healed, and this should improve over time. If sitz baths are done more frequently, the amount of ointment can be reduced, and it may be sufficient to apply it only in the mornin...[Read More] Post-Surgery Care for Fistula Removal: Pain and Medication Concerns
Post-Fistula Surgery Care: Managing Pain and Medication Application
Post-fistula surgery Hello Doctor, I underwent a fistula excision surgery on January 11th. I am taking sitz baths four times a day, and I experience slightly more pain than usual during the baths, along with some bleeding. I would like to know if this is normal. The surgeon presc...
Dr. Zhang Shuhao Reply:
It is normal to experience slightly more pain and some bleeding during sitz baths before the wound has healed, and this will improve over time. If sitz baths are performed more frequently, the amount of ointment can be reduced, and it may even be sufficient to apply it only in th...[Read More] Post-Fistula Surgery Care: Managing Pain and Medication Application
Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Could there be an issue with a fistula? Hello Doctor: I would like to ask about the issue of fistulas/abscesses. On the morning of January 4th, I noticed a lump on the right side of my anus that was slightly painful. That evening, due to a company year-end party, I sat at work fo...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it seems like an anal abscess. During the acute phase, there will be swelling and pain, but once it ruptures and the pus drains out, the pain may alleviate. You can start with warm sitz baths, and if there is pus in the wound, you can gently e...[Read More] Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Understanding Anal Abscess: Treatment, Complications, and Recovery
Anal abscess Doctor, I apologize for the interruption, but I would like to ask a question. At that time, the physician diagnosed me with an anal abscess. Initially, the doctor said it was not mature yet and advised me to take antibiotics. However, it ruptured on its own in the mi...
Dr. Ke Fangxu Reply:
An anal abscess may indeed rupture on its own after antibiotic treatment. It is generally recommended to incise the abscess to prevent premature healing before the abscess is completely drained. Whether a fistula will form can only be determined after a period of observation, as ...[Read More] Understanding Anal Abscess: Treatment, Complications, and Recovery
Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Postoperative condition after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26, and since then, there has been a small opening in the wound that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a follow-u...
Dr. Zhang Shuhao Reply:
The wound has a small opening with purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not believe it is a recurrence, the clinical judgment of the physician should be prioritized. If there are symptoms suc...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Postoperative conditions after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26. The wound has been healing, but there is still a small opening that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a foll...
Dr. Zhang Shuhao Reply:
The wound has a small opening and there is purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not consider it to be a recurrence, the clinical judgment of the physician should be prioritized. If there are ...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Postoperative care for anal abscess? I was diagnosed with an abscess around mid-August, estimated to be 3-4 cm in size. When I went for a consultation, Doctor A used a needle to drain the pus and prescribed medication, saying that taking the medication and applying topical treatm...
Dr. Zhang Shuhao Reply:
1. Dr. B hopes to pack the wound with gauze to keep it cleaner, but excessive packing can prevent the drainage of tissue fluid and may cause the wound to expand, making Dr. C's suggestion more reasonable. 2. An anal abscess may lead to the formation of an anal fistula, whi...[Read More] Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Understanding Surgery Options and Costs for Pilonidal Cyst Treatment
Inquire about issues related to pilonidal cyst surgery? What are the surgical methods and costs for this type of disease? Is there health insurance coverage available?
Dr. Xu Kaixi Reply:
The surgery for fistulas and hemorrhoids primarily involves excision, and the costs are covered by health insurance.[Read More] Understanding Surgery Options and Costs for Pilonidal Cyst Treatment
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu Reply:
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
Post-Surgery Concerns: Blood After Bowel Movements Explained
Post-fistula surgery After nearly two months post-surgery, if you notice some blood when wiping after a bowel movement, it could be due to hard stools or a wound that hasn't fully healed.
Dr. Zhang Shuhao Reply:
Wound healing after fistula surgery typically takes about four to eight weeks. Initially healed wounds may still be prone to friction and bleeding, but allowing the wound to rest will promote healing. It is recommended to take warm sitz baths, increase fluid intake, and consume d...[Read More] Post-Surgery Concerns: Blood After Bowel Movements Explained