Understanding Perianal Wounds: Is It a Fistula or Ulcer?
There is a wound near the anus? Hello Doctor: I recently discovered a small wound near my anus that hasn't healed. The wound is not painful. After reading some articles, I suspect it might be an anal fistula. However, when I press around the wound, I don't feel any conn...
Dr. Ke Fangxu Reply:
Answer: Whether it is an anal fistula can only be confirmed by a specialist. However, based on your description, it does seem quite similar. I recommend that you consult a colorectal surgeon for further evaluation.[Read More] Understanding Perianal Wounds: Is It a Fistula or Ulcer?
Understanding Anal Abscesses and Fistulas: What You Need to Know
Anal abscess and anal fistula? Hello, Dr. Ke. Last May, I underwent surgery for an anal abscess drainage (in the operating room). Half a month later, I had a drainage procedure for a perineal abscess in the outpatient clinic. The wound from the outpatient drainage has not healed,...
Dr. Ke Fangxu Reply:
Based on your description, it does seem possible that a complex anal fistula may have formed due to repeated infections. There shouldn't be significant changes within just a few months, but if there are episodes of swelling, pain, or inflammation during this time, it is impo...[Read More] Understanding Anal Abscesses and Fistulas: What You Need to Know
Understanding Internal Hemorrhoids and Anal Fistula Surgery
Internal hemorrhoids and anal fistula? Hello, doctor. I have a small bump located just above the anus towards the spine, which is painful. After diagnosis, it was identified as an internal hemorrhoid. Can internal hemorrhoids cause swelling and pain in the skin around the anus? A...
Dr. Ke Fangxu Reply:
Answer: Because there is a protrusion behind the anus accompanied by pain, I suspect you may have an anal fissure rather than internal hemorrhoids. However, a proper diagnosis can only be made through a physical examination. Additionally, due to the presence of a wound from surge...[Read More] Understanding Internal Hemorrhoids and Anal Fistula Surgery
Understanding Surgical Options for Fistula: Open vs. Excision Techniques
Surgical methods for fistula? Hello, Director Ke: I underwent traditional surgery for a fistula and learned online that there are two methods: incision and excision. After consulting with my attending physician, it was determined that I have a simple fistula. However, the attendi...
Dr. Ke Fangxu Reply:
The mainstream approach for fistula surgery is open surgery because it has a lower recurrence rate, rather than being associated with smaller wounds. In fact, open surgery typically results in larger incisions and longer recovery times. Since we cannot see your fistula, it is dif...[Read More] Understanding Surgical Options for Fistula: Open vs. Excision Techniques
Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Post-operative issues following fistula surgery? Hello, Director Hsu: I underwent a fistula surgery in Taipei on December 29. After the anal packing was removed on the 30th, I have been experiencing a discharge of blood-tinged fluid, and today, the 31st, I still have this fluid s...
Dr. Xu Kaixi Reply:
The recovery of the wound after fistula surgery typically takes about one to two weeks. During this period, some bleeding or discharge is normal. It is not recommended to rinse the wound directly with warm water, as this can be more irritating than sitz baths and may not be benef...[Read More] Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Understanding Fistula Surgery: Is My Condition Recurring?
Recurrence after laparoscopic surgery? Hello doctor, I underwent fistula surgery on September 3rd, and it has been almost two months now. I have been taking sitz baths three times a day, but I am still experiencing yellow, thick discharge from the anus. Could this indicate a recu...
Dr. Xu Kaixi Reply:
I apologize for the delayed response due to the email forwarding process. In theory, surgical wounds typically heal within two to three weeks. If there is still discharge from the surgical site three months post-surgery, it is advisable to return to the original surgeon's cl...[Read More] Understanding Fistula Surgery: Is My Condition Recurring?
Is It a Fistula? Understanding Symptoms and Treatment Options
Is it a fistula? Hello Doctor, I have a small indentation on the right side of my buttocks that I was born with. When I was younger, it was just itchy and didn't cause much discomfort. However, in recent years, it has started to swell and ooze, with recurrent inflammation. I...
Dr. Ke Fangxu Reply:
The term "congenital" refers to conditions that are present at birth, but it can also refer to conditions that are noticed later in life. These two scenarios are quite different. However, if there is inflammation with purulent discharge, it is best to start treatment wi...[Read More] Is It a Fistula? Understanding Symptoms and Treatment Options
Should You Add Povidone-Iodine to Sitz Baths After Anal Fistula Surgery?
Is it necessary to add Betadine to sitz baths after anal fistula surgery? Hello, the Ministry of Health and Welfare has been promoting the idea of visiting local clinics instead of rushing to large hospitals. Unfortunately, I ended up taking antibiotics and painkillers for over a...
Dr. Ke Fangxu Reply:
There is a level between clinics and medical centers called regional hospitals, which I hope you can utilize more. Your situation likely involves an anal abscess surgery, allowing for discharge the day after the procedure. For preoperative preparation, a water-soluble povidone-io...[Read More] Should You Add Povidone-Iodine to Sitz Baths After Anal Fistula Surgery?
Post-Surgery Concerns: Managing Pain and Healing After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, doctor. It has been two months since my surgery for internal and external hemorrhoids. Previously, I experienced pain when pressing on the skin on the right side of the anal area and while sitting, which was described as pain from the scar stretchin...
Dr. Ke Fangxu Reply:
Online consultations cannot replace clinical diagnoses, and a patient's subjective description cannot substitute for a physician's observations and examinations. It is indeed concerning that you are experiencing multiple issues after your surgery; however, it is essenti...[Read More] Post-Surgery Concerns: Managing Pain and Healing After Hemorrhoid Surgery
Post-Surgery Recovery: Understanding Anal Fistula Healing Process
Post-operative wound healing after fistula surgery? Hello Dr. Ke, I had a bit of a lapse in memory around the end of June when I developed an "anal abscess" due to frequent wiping from diarrhea. Initially, I was unaware of the condition and visited a small clinic where ...
Dr. Ke Fangxu Reply:
If an anal abscess is left untreated for too long, there is a higher chance that it will develop into a fistula. This type of fistula is generally more complex to manage and has a higher likelihood of recurrence. Currently, you have undergone drainage of the abscess and a fistulo...[Read More] Post-Surgery Recovery: Understanding Anal Fistula Healing Process
Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
The wound from the anal fistula surgery has reopened? Hello Dr. Ke, I just had a fistula excision surgery last month. Yesterday (exactly four weeks post-op), I had a follow-up appointment with my doctor, and the wound looked good, healing well, with no signs of infection. The doc...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a recurrence of a fistula. However, to determine the exact issue, you will need to have a physician examine you. Please consult with your surgeon for a detailed examination and to discuss the subsequent treatment plan.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Post-Surgery Scar Pain: Causes, Concerns, and Treatment Options
Postoperative skin scars Hello, doctor. It has been two months since my internal and external hemorrhoid surgery. I am experiencing pain under the skin near the anus when pressing or sitting, and during the pain, 1-2 drops of fluid appear on the gauze, which is a brownish color; ...
Dr. Ke Fangxu Reply:
If there is still discharge with a brownish color accompanied by pain two months after surgery, it is important to consider the possibility of an anal fistula. It is recommended that you consult your surgeon for further evaluation. If an anal fistula is confirmed, a repeat surger...[Read More] Post-Surgery Scar Pain: Causes, Concerns, and Treatment Options
Managing Exposed Sutures After Fistula Surgery: What to Do?
Exposed suture ends of a fistula wound? It has been about 23 days since my fistula surgery, and the wound is healing well without any pain. Today, while taking a sitz bath, I noticed that a suture end is protruding. The surgeon mentioned that the sutures used are absorbable. Shou...
Dr. Ke Fangxu Reply:
Based on the photo you provided, it does appear to be surgical sutures. If you are not experiencing any discomfort, I recommend leaving it alone; it should fall out on its own within one to two weeks. However, if you are experiencing any discomfort around the anus, you should con...[Read More] Managing Exposed Sutures After Fistula Surgery: What to Do?
Post-Surgery Pain After Perianal Abscess: Causes and Concerns
Postoperative issues following perianal abscess surgery? Hello, I underwent surgery for a perianal abscess nearly three and a half months ago, and the doctor has indicated that the wound has healed. However, I still experience pain near the coccyx area after bowel movements or pr...
Dr. Ke Fangxu Reply:
After anal abscess surgery, there is a 50% chance that it may develop into an anal fistula. Both conditions can occur, and it is essential to have a physician conduct a personal examination to determine the exact issue.[Read More] Post-Surgery Pain After Perianal Abscess: Causes and Concerns
Understanding Fistula Healing: Seeking Expert Advice on Surgical Recovery
I would like to consult Director Ke regarding the issue of fistulas? On October 6th of this year, I underwent surgery for a fistula, and it has now been seven weeks since the operation. I have been attending regular follow-up appointments every week after the surgery. My family h...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery typically takes about one month. The recurrence rate after surgery also depends on the surgical method used. Since I am unaware of your specific surgical technique, I cannot speculate on the issues you may be experiencing. It is advisable...[Read More] Understanding Fistula Healing: Seeking Expert Advice on Surgical Recovery
Post-Surgery Recovery Insights for Anal Fistula Patients
Recovery after anal fistula surgery? Hello Dr. Ke, I underwent anal fistula surgery at Taichung Veterans General Hospital's Colorectal Surgery Department in early July 2017. Currently, the external wound has completely healed, and I do not experience any pain. I take warm s...
Dr. Ke Fangxu Reply:
1. The healing time varies for each individual. If there was a pre-existing hemorrhoid issue before the surgery, it is normal to experience slight bleeding after the procedure. However, it is important to have a physician evaluate for any residual anal fistula to make a proper as...[Read More] Post-Surgery Recovery Insights for Anal Fistula Patients
Post-Surgery Recovery Challenges After Anal Fistula Treatment
Postoperative Recovery Issues After Anal Fistula Surgery Hello Doctor, On July 1st of this year, I underwent treatment for an anal fistula at a clinic in Kaohsiung (I apologize for the electrotherapy that you do not recommend). The diagnosis was a complex anal fistula. During t...
Dr. Ke Fangxu Reply:
1. The recovery time for a typical anal fistula surgery is approximately one month, while more complex fistulas may take longer. I personally have less experience with radiation therapy, but the recovery time is generally a bit longer compared to traditional surgery. Whether the ...[Read More] Post-Surgery Recovery Challenges After Anal Fistula Treatment
Post-Surgery Care for Fistula: Is Wound Cleaning Necessary?
Is it necessary to clean the wound after a fistula surgery? Hello Dr. Ke, 1. My father underwent a fistula surgery three days ago (with two incisions). It appears to be a tunnel-type surgical procedure. The doctor instructed that he needs to insert his finger into the wound (the...
Dr. Ke Fangxu Reply:
1. I personally use the tunnel technique less frequently due to its higher recurrence rate. However, having to poke your finger into the wound every day can be quite painful and may lead to accidental injuries or infections. Generally, a warm water sitz bath is recommended, but w...[Read More] Post-Surgery Care for Fistula: Is Wound Cleaning Necessary?
Post-Surgery Care for Hemorrhoid Patients: Healing and Concerns
Postoperative anal sphincter after hemorrhoid surgery? Hello, it has been a month and a half since my hemorrhoidectomy, and I am still using gauze as there is a small amount of fluid. Does this indicate that the wound inside the anus has not healed yet? Urination is also affected...
Dr. Ke Fangxu Reply:
1. If there is still discharge or pain from the anus, it indicates that the wound has not fully healed. 2. Topical ointments can alleviate discomfort from the wound, but there is no conclusive evidence that they aid in wound healing. 3. The so-called protrusion may need to be...[Read More] Post-Surgery Care for Hemorrhoid Patients: Healing and Concerns
Understanding Anal Issues: What to Do About a Persistent Bump
Anal issues Hello, I noticed a small round bump around the anal area while showering. It appears white and sometimes the area itches. There is no sensation of a foreign body, and there is no discharge. I don't feel anything while walking, and I don't notice it unless I ...
Dr. Ke Fangxu Reply:
If there is a protrusion at the anal opening without pain, bleeding, or enlargement, it is most likely an external hemorrhoid. However, it could also be other conditions such as a fistula or condyloma. To obtain a definitive diagnosis, it is essential to consult a physician for a...[Read More] Understanding Anal Issues: What to Do About a Persistent Bump