Understanding Rectal Bumps: Symptoms, Causes, and When to See a Doctor
There is a protrusion in the anal area? Hello doctor, I have a small protrusion at the 12 o'clock position of my anus. It does not bleed and is usually not painful, but I experience a burning sensation and slight discomfort when having a bowel movement, although this feeling...
Dr. Ke Fangxu Reply:
Answer: It is difficult 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 possibilities. It is advisable to consult a colorectal specialist to avoid dela...[Read More] Understanding Rectal Bumps: Symptoms, Causes, and When to See a Doctor
Is It Hemorrhoid Infection or Fistula? Understanding Your Symptoms
Is it a hemorrhoid infection or a fistula? Hello Doctor, I underwent a minimally invasive surgery for hemorrhoids last November, and both my internal and external hemorrhoids seemed to have healed. However, there is still some residual tissue from the external hemorrhoid (without...
Dr. Ke Fangxu Reply:
Based on your description, it does seem like a fistula, but it is essential for a physician to examine you in person to determine the cause. It is likely related to a bacterial infection rather than your own actions. If your symptoms do not recur after oral antibiotic treatment, ...[Read More] Is It Hemorrhoid Infection or Fistula? Understanding Your Symptoms
Understanding Fistula Healing Issues After Surgery: What You Need to Know
Issues with fistula healing? Hello Doctor, I am 131087. I had another surgery at the beginning of January, and since the surgical method involved suturing the mucosa at the internal opening, the wound is larger, and my healing has been very slow; it only started to close slightly...
Dr. Ke Fangxu Reply:
The current situation likely indicates a recurrence of the fistula; otherwise, the wound would not have taken six months to heal. If there is currently no severe swelling or pain, immediate surgery may not be necessary. During this period, oral antibiotics can be used for treatme...[Read More] Understanding Fistula Healing Issues After Surgery: What You Need to Know
Understanding Anal Abscess: Symptoms and Causes Explained
Is it an anal abscess? Hello Dr. Ke: About three weeks ago, I noticed a lump approximately 2 centimeters in diameter near the anal opening when my menstrual period started. The center of the lump is soft, and it is not painful or itchy. However, I recently discovered that when I ...
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 Anal Abscess: Symptoms and Causes Explained
Managing Anal Abscess and Fistula Concerns During Pregnancy
Anal issues Hello Doctor, last year I was diagnosed with an anal abscess and underwent surgery. The surgeon mentioned that my recovery was good. However, I later noticed some abnormalities at the surgical site. When I returned for a follow-up, the doctor also indicated that there...
Dr. Ke Fangxu Reply:
After anal abscess surgery, approximately 50% of patients may experience the complication of fistula. If this occurs, a second surgery may be required for definitive treatment. Pregnancy does not absolutely contraindicate surgery; however, most physicians, including myself, do no...[Read More] Managing Anal Abscess and Fistula Concerns During Pregnancy
Post-Surgery Bleeding: Managing Bowel Movements After Fistula Surgery
Seventh day post-fistula surgery, experiencing rectal bleeding? I had a hemorrhoidectomy and anal fistula surgery last Tuesday (May 15). After the surgery, I took stool softeners, but they caused diarrhea, and I had to go to the bathroom every two hours on average. The wound has ...
Dr. Ke Fangxu Reply:
1. If taking a laxative results in diarrhea, the medication needs to be adjusted because diarrhea, like constipation, can be detrimental to the wound. Please discuss with your physician how to modify the medication. 2. Mild bleeding from the surgical site is a normal occurrence...[Read More] Post-Surgery Bleeding: Managing Bowel Movements After Fistula Surgery
Understanding Anal Itching and Bumps: Causes and Treatment Options
Itching around the anal area with the presence of bumps? Hello doctor, I noticed a bump near my anus while taking a shower tonight (it seems to have a whitehead when I looked in the mirror) and it feels itchy. Could this be folliculitis? I read online that it could possibly be ge...
Dr. Ke Fangxu Reply:
If there has been no sexual intercourse, then anal warts would not be present; however, folliculitis, hemorrhoids, or fistulas are still possible. To determine the exact issue, it is essential to consult a physician. Do not hesitate to seek medical attention to avoid delaying tre...[Read More] Understanding Anal Itching and Bumps: Causes and Treatment Options
Should You Consider Surgery for Recurring Anal Issues?
Should I undergo surgery to resolve the issue in one go? I have a habit of constipation and irregular bowel movements. However, since last year, I have noticed that whenever I experience constipation and cannot pass stool, small hard lumps appear near my anus. I researched online...
Dr. Ke Fangxu Reply:
Self-administering injections to treat anal lesions is very dangerous and could lead to sepsis due to bacterial infection. It should not be attempted lightly. Based on your description, it seems more like an anal fistula infection with an accompanying abscess. A proper diagnosis ...[Read More] Should You Consider Surgery for Recurring Anal Issues?
Understanding Painful Cysts Near the Anus: Causes and Treatments
A lump near the anus? There are lumps forming in the area between the anus and the vagina, occurring after each menstrual period. Sometimes they appear on the left side, sometimes on the right, and sometimes one on each side. There is no visible pus head, and the lumps can grow a...
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 Painful Cysts Near the Anus: Causes and Treatments
Understanding Anal Pain: Could It Be Hemorrhoids?
Anal pain? Recently, I have been experiencing sudden anal pain that lasts about 2 to 3 seconds. When I touch the area around the anus, it feels a bit hard, and occasionally there is blood during bowel movements, which can also be painful. Could this be hemorrhoids?
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delays in treatment that could worsen the c...[Read More] Understanding Anal Pain: Could It Be Hemorrhoids?
Post-Surgery Bathroom Use: Key Questions After Anal Surgery
How long after surgery can I use the restroom and other related questions? Hello, doctor. I underwent fistula and hemorrhoidectomy today. Before the surgery, I did some research online, but since I am in the UK, it seems the doctors' recommendations differ from those in Taiw...
Dr. Ke Fangxu Reply:
After anal surgery, it is recommended to restore normal bowel movements as soon as possible, as constipation and hard stools can lead to bleeding and pain at the surgical site. It is advised to use a sitz bath for cleaning to avoid pain caused by water pressure on the wound. The ...[Read More] Post-Surgery Bathroom Use: Key Questions After Anal Surgery
Understanding Rectal Swelling and Growth: When to Seek Medical Advice
I'm not sure what to do..? Hello, doctor! I would like to ask you about something. After having a bowel movement, the area around my anus becomes swollen due to irritation. I have touched it slightly while cleaning myself. Also, there is a sizable lump between my vagina and ...
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 are all possibilities. At the age of 17, it is unlikely to be a malignant tumor, but it i...[Read More] Understanding Rectal Swelling and Growth: When to Seek Medical Advice
Do I Really Need Surgery for an Anal Fistula?
Anal abscess Hello Doctor: A few days ago, I had diarrhea for a whole day and experienced some pain in my anus, but it didn't affect my daily activities. I ate seafood and drank beer the day before, and the next day I was in unbearable pain. After work, I went to the pharmac...
Dr. Ke Fangxu Reply:
An anal abscess refers to an acute bacterial infection of the anus that leads to pus formation. Half of the individuals will completely recover after medical treatment or incision and drainage, while the other half may develop a fistula due to incomplete healing. An anal fistula ...[Read More] Do I Really Need Surgery for an Anal Fistula?
Post-Surgery Abscess: Concerns and Care After Fistula Surgery
Abscess after fistula surgery Hello Doctor, I previously asked you about the small abscess that developed five weeks after my fistula surgery. During my follow-up visit, the doctor mentioned that there was some residual mucus that wasn't cleaned out during the surgery, which...
Dr. Ke Fangxu Reply:
After fistula surgery, there may occasionally be mild skin infections around the wound. In such cases, sitz baths combined with antibiotic treatment can gradually improve the condition. Adding povidone-iodine to the water is acceptable, but the concentration should not be too hig...[Read More] Post-Surgery Abscess: Concerns and Care After Fistula Surgery
Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Fistula surgery postoperative wound Today is the 21st day post-surgery. The wound feels numb and is no longer painful, but there is an unusual odor on my underwear. Is this normal? Is it also normal for the wound to occasionally feel itchy?
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes over a month to fully heal. During this time, it is normal for the wound to have some discharge, which may cause staining of underwear. It is recommended to use feminine pads to absorb the discharge. Mild itching at the wound si...[Read More] Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Post-Surgery Concerns: Understanding Recovery After Fistula Surgery
Post-fistula surgery Hello doctor, I underwent fistula excision surgery five weeks ago. Two weeks ago, during my follow-up appointment, the doctor said my recovery was going well and that I didn't need to return for further visits. Currently, the wound has not yet healed but...
Dr. Ke Fangxu Reply:
Based on your description, it seems like symptoms of a recurrence; however, it is essential to have a physician examine you in person to confirm whether it is indeed a recurrence. Please visit your surgeon's clinic for an evaluation.[Read More] Post-Surgery Concerns: Understanding Recovery After Fistula Surgery
Post-Surgery Concerns: Unexpected Bleeding After Fistula Surgery
Postoperative care for fistula surgery? Today is the 8th day post-surgery, and I suddenly felt my buttocks were damp in the evening. Upon inspection, I discovered that the wound was bleeding profusely, specifically from the area near the incision. At first glance, it seemed like ...
Dr. Ke Fangxu Reply:
This is likely just a simple wound oozing blood. The surgical site for anal fistula repair typically takes about a month to fully heal, so it is important to avoid constipation or diarrhea during this period, as these conditions can easily lead to bleeding from the wound. Additio...[Read More] Post-Surgery Concerns: Unexpected Bleeding After Fistula Surgery
Understanding Post-Surgery Pain and Complications After Abscess Removal
Mole excision surgery? One and a half months after surgery for a pilonidal cyst at the end of September, I have been experiencing a persistent pain point inside the anus. Initially, I thought it was due to the wound not healing, but later the pain intensified. Upon self-examinati...
Dr. Ke Fangxu Reply:
Answer: Given that you are still experiencing these issues long after the surgery, I personally believe there is a significant chance that an anal fistula has developed. If the symptoms cannot be completely resolved, it may be necessary to undergo another surgery. I recommend tha...[Read More] Understanding Post-Surgery Pain and Complications After Abscess Removal
Post-Surgery Concerns After Hemorrhoidectomy: What to Expect
Post-operative questions regarding hemorrhoidectomy? Dear Dr. Ke, I had surgery on January 3rd, and today is February 5th. The wound is generally not painful anymore, and there is no pain during bowel movements, just a slight tingling sensation. There is no severe pain inside t...
Dr. Ke Fangxu Reply:
Generally, the wound should heal within a month after surgery, so this situation is indeed somewhat unusual. The incidence of anal fistula occurring after hemorrhoid surgery is quite low, but it is still a possibility. It could also be that the surgical wound is larger and requir...[Read More] Post-Surgery Concerns After Hemorrhoidectomy: What to Expect
Understanding Painful Bumps Near the Buttocks: Cysts or Pimples?
Buttock lump Hello, doctor. Recently, I noticed a small hard lump at the top of the buttock cleft. It is slightly red and swollen, and it hurts when pressed. It resembles the symptoms of a pimple. Could this be a perianal cyst, or is it just a simple pimple?
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delays in treatment that could worsen the c...[Read More] Understanding Painful Bumps Near the Buttocks: Cysts or Pimples?