Understanding Anal Abscess: Symptoms, Treatment, and Surgical Options
Anal abscess A few months ago, I developed a lump near my left buttock close to the anus, which was painful to touch (it felt like a large pimple). However, it did not improve over time. In late June, it ruptured and began to ooze blood and some pus, so I made an appointment to s...
Dr. Ke Fangxu Reply:
An anal abscess typically does not last this long; if symptoms have persisted for several months, it may have developed into an anal fistula. If antibiotic treatment does not lead to complete healing, surgical intervention may be necessary to cure the anal fistula. Surgery genera...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Surgical Options
Understanding Post-Surgery Care for Anal Fistula: Wound Cleaning and Dryness
Post-fistula surgery It has been almost 40 days since my anal fistula surgery, and during my recent follow-up visits, the doctor mentioned that the wound is not very clean. The doctor also said that after taking a sitz bath, the wound should be kept dry and that I shouldn't ...
Dr. Ke Fangxu Reply:
It is difficult to determine the condition without seeing the wound firsthand. Generally, a fistula surgery in the anal area should heal completely within a month; however, more complex fistulas may require a longer healing time. Placing cotton in the anal area can absorb the wou...[Read More] Understanding Post-Surgery Care for Anal Fistula: Wound Cleaning and Dryness
Understanding Anal Fistulas: Symptoms, Treatment Options, and Risks
Issues related to anal fistulas? Dear Dr. Ke, Background: On June 12, I experienced discomfort and slight pain in the anal area. By June 15, the pain and swelling became severe, making it difficult to walk, stand, sit, or sleep, and I felt a sense of heat (but no fever). Note: I...
Dr. Ke Fangxu Reply:
1. If you are planning to travel abroad soon, it is advisable to wait until you return to your home country to undergo surgery to avoid complications with the surgical site while overseas, where you may have limited access to help. In the meantime, you can manage your symptoms wi...[Read More] Understanding Anal Fistulas: Symptoms, Treatment Options, and Risks
Understanding the Risk of Anal Fistula Recurrence After Surgery
The possibility of fistula recurrence? Hello, doctor. I have undergone two anal fistula surgeries in the past four years. Recently, I noticed a little bit of blood and clear discharge when wiping the area with toilet paper, even though the wound should have healed by now. However...
Dr. Ke Fangxu Reply:
It is possible that it is a recurrence. If you have undergone surgery twice within four years, it indicates that your fistula is not easy to manage. The more complex the fistula, the higher the likelihood of recurrence. I recommend that you consult your physician for further eval...[Read More] Understanding the Risk of Anal Fistula Recurrence After Surgery
Understanding Painful Anal Masses: Hemorrhoids or Fistulas?
A lump has appeared near the anus? Hello Dr. Ke, recently I have noticed a painful lump outside my anus, which feels quite hard. Previously, I experienced bleeding when having hard bowel movements (the toilet paper showed bright red blood). Last week, there was more bleeding (blo...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Painful Anal Masses: Hemorrhoids or Fistulas?
Understanding Fistula Recurrence: Hard Lump After Surgery Concerns
Is the fistula likely to recur? In January of this year, I underwent a fistula surgery. A week after the surgery, I returned for a follow-up appointment, and the doctor said that my recovery was going well and that I did not need to return for further visits. After that, I contin...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a scar left after surgical wound healing. Generally, scar tissue takes about six months to stabilize and enter the absorption phase. As long as there is no redness, swelling, heat, pain, or discharge, there is no cause for concern. An...[Read More] Understanding Fistula Recurrence: Hard Lump After Surgery Concerns
Minimally Invasive Fistula Surgery: Benefits and Patient Options
Minimally invasive fistula surgery Most articles discuss surgical methods such as fistula excision or incision. I came across an online news report from 2015 about Changhua Show Chwan Hospital utilizing minimally invasive surgery for fistula treatment. Traditional surgical method...
Dr. Ke Fangxu Reply:
The traditional fistula surgery involves disrupting the three-dimensional structure of the fistula to convert it into a two-dimensional structure in order to prevent symptom recurrence. Minimally invasive surgery may be less understood due to my limited knowledge; please consult ...[Read More] Minimally Invasive Fistula Surgery: Benefits and Patient Options
Post-Surgery Issues with Anal Abscess: Healing Challenges and Concerns
Postoperative complications of anal abscess surgery? Hello Doctor, I underwent an anal abscess drainage surgery in March. Since there was no external opening initially, the doctor performed the drainage, resulting in two wounds due to their different locations: one near the perin...
Dr. Yu Mingchang Reply:
Hello: If you have any issues, please visit the outpatient clinic at Changhua Hospital, Ministry of Health and Welfare for assistance regarding colorectal health.[Read More] Post-Surgery Issues with Anal Abscess: Healing Challenges and Concerns
Is My Fistula Recurring? Understanding Post-Surgery Concerns
Is this a recurrence of the diverticulum? I had a fistula surgery at the beginning of October last year. I actually discovered it in August, but I thought it was just a pimple. It wasn't until I experienced fever, chills, and restlessness that I sought medical attention. 😢 A...
Dr. Xu Kaixi Reply:
Based on your description, this situation is more likely related to issues with the surgical wound after fistula surgery. If there is no improvement, it is recommended to return to the hospital for a consultation with your physician to discuss the possibility of further examinati...[Read More] Is My Fistula Recurring? Understanding Post-Surgery Concerns
Understanding Anal Fistulas: Should You Consider Surgery or Manage Symptoms?
Regarding issues related to anal fistulas? The current situation is that about a year and a half ago, I had an anal abscess, which caused severe pain and made it difficult to sit or stand. After consulting with a physician, I took antibiotics, and after the abscess ruptured and d...
Dr. Ke Fangxu Reply:
I also believe that the first hospital is a scam. For young people with simple fistulas, I recommend surgery as a better option; otherwise, there is a risk that it could develop into a complex fistula over the next 50 years. If surgery is not desired, monitoring the condition is ...[Read More] Understanding Anal Fistulas: Should You Consider Surgery or Manage Symptoms?
Understanding Anal Issues: Seeking the Right Specialist for Treatment
Anal issues Hello Doctor, In mid-May of this year, I developed a 0.2 cm raised white pus-filled bump at the anal opening, approximately 1 cm in size (it feels soft to the touch). There seems to be a granular tissue-like substance in the center (fine texture). The surrounding ski...
Dr. Ke Fangxu Reply:
Since there is concern about the possibility of an anal fistula, you should consult a colorectal surgeon. It is advisable to wait until the skin issue has resolved before seeking an appointment to obtain a more accurate diagnosis.[Read More] Understanding Anal Issues: Seeking the Right Specialist for Treatment
Post-Surgery Recovery: Managing Pain and Complications After Anal Abscess
Wound healing after an anal abscess? Hello, doctor. I underwent a surgical procedure for an anal abscess on May 22, where tissue was excised, resulting in a hole about the size of a 10 NT dollar coin. The surgery lasted less than 2 minutes (it was not a fistula surgery). I had a ...
Dr. Ke Fangxu Reply:
1. Both possibilities exist; I suggest you avoid using gauze for now and observe. If you are concerned about discharge, you can use panty liners. 2. The formation of a fistula is not related to these past ten days, so there is no need to worry about developing a complex fistula...[Read More] Post-Surgery Recovery: Managing Pain and Complications After Anal Abscess
Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Issues related to anal fistulas? Hello Dr. Ke: I have had lumps on my buttocks since childhood, which usually resolve on their own. Last year, a lump developed about five centimeters to the right of my anus, causing severe pain when standing due to skin tension. I went to a tradi...
Dr. Ke Fangxu Reply:
Answer: Anal fistulas and inflammation of the hair follicle tissue in the buttocks can sometimes be difficult to distinguish. The key is to determine whether there is a connection to the internal anal canal, which requires a physician's direct examination for accurate assess...[Read More] Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
When to Consider Surgery for Anal Fistula: Key Insights for Patients
The timing for surgical intervention regarding fistulas? Hello doctor, my current condition is that I previously had an anal abscess, which was surgically drained. The wound has gradually closed, but I am still experiencing approximately less than 0.5mm of pus daily. Today, I vis...
Dr. Ke Fangxu Reply:
If the anal fistula cannot be confirmed through palpation, it is common practice to explore along the opening during surgery. If the fistula opening is far from the anus, a larger wound is inevitable. If there are concerns about a simple wound infection, antibiotic treatment can ...[Read More] When to Consider Surgery for Anal Fistula: Key Insights for Patients
Understanding Recurrence of Abscess After Surgery: Key Insights and Advice
A pus-filled abscess developed 24 days after surgery for appendicitis? At the end of March, I discovered an abscess near the anus and consulted a colorectal surgeon. The doctor was unable to determine if it was an anal fistula and mentioned that confirmation could only be made du...
Dr. Ke Fangxu Reply:
1. First, it's unclear what type of surgery you underwent. If it was merely the removal of a superficial abscess, it is not a definitive treatment for a fistula, and the recurrence rate is quite high. Generally, fistula excision surgery involves a larger incision, and few pa...[Read More] Understanding Recurrence of Abscess After Surgery: Key Insights and Advice
Exploring Alternative Methods for Diagnosing Anal Fistulas
Anal fistula Doctor, I saw someone on the forum asking, "Is there a high probability of an anal fistula being misdiagnosed as not having one?" and your response was that it is possible. I have the same concern as her, and my issue has been ongoing for a long time. It us...
Dr. Ke Fangxu Reply:
Textbooks mention that magnetic resonance imaging (MRI) can be used to diagnose complex anal fistulas, and fistulography is also one of the diagnostic methods. However, both of these diagnostic techniques are utilized for confirming the presence of anal fistulas when the exact tr...[Read More] Exploring Alternative Methods for Diagnosing Anal Fistulas
Understanding Recovery and Complications After Anal Abscess Surgery
Anal abscess Hello Doctor, I underwent a right anal abscess drainage surgery on May 12. The doctor mentioned that the abscess was located deep, so I had to go to the operating room, and a drainage tube was placed for two days. Recently, while taking a warm sitz bath, I tried to s...
Dr. Ke Fangxu Reply:
Answer: Sitting down may cause a sensation of soreness and is likely related to the depth of the wound. This should gradually improve as the wound heals. I cannot provide a definite answer on how long the drainage will take, as it depends on the findings during the surgery and th...[Read More] Understanding Recovery and Complications After Anal Abscess Surgery
Understanding Anal Abscesses and Fistulas: Common Concerns Explained
There is a foreign object in the anus? There is a pimple located 1 to 2 centimeters from the anus. After it burst on its own, it is healing quickly, has shrunk, and is not very painful anymore. Does having a pimple near the anus "definitely" mean it is an anal fistula? ...
Dr. Yu Mingchang Reply:
Hello; it's not an anal fistula. Please take some time to check with the Department of Colorectal Surgery, Ministry of Health and Welfare, Changhua. We care about you.[Read More] Understanding Anal Abscesses and Fistulas: Common Concerns Explained
Understanding Anal Bumps: Is It a Pimple or Something More Serious?
There is a foreign object in the anus? I have a bump located about 1.5 to 2 centimeters outside my anus. It's not too big or too small, and it hurts a bit when pressed, but it doesn't hurt if I leave it alone. It appeared and ruptured on the same day, releasing a small ...
Dr. Ke Fangxu Reply:
Answer: It is difficult to determine whether it is acne or an anal fistula without a physician's examination. However, at this age, the likelihood is more towards acne. If the symptoms do not recur, continue to monitor. If there is persistent pain and discharge, it is advisa...[Read More] Understanding Anal Bumps: Is It a Pimple or Something More Serious?
Misdiagnosis of Anal Fistulas: Understanding the Risks and Challenges
Anal fistula Is there a high chance of misdiagnosing an anal fistula as not having one?
Dr. Ke Fangxu Reply:
It is possible that no diagnostic method has a 100% accuracy rate. Sometimes, the fistula may be too deep to palpate, or it may be very superficial and overlooked. If there are concerns, it is advisable to consult multiple physicians to reduce the likelihood of being missed.[Read More] Misdiagnosis of Anal Fistulas: Understanding the Risks and Challenges