Understanding Anal Fistulas and Abscesses: Symptoms and Alternatives
Anal fistula abscess Is it true that an anal fistula or abscess always has an external or internal opening? Does it always drain pus? (The information I found online states that if there is an opening, it will drain pus.) If there is no opening or pus drainage, what other conditi...
Dr. Ke Fangxu Reply:
The cause of an anal abscess is a bacterial infection that leads to the accumulation of pus, which often ruptures and forms an opening. If the opening does not heal properly, it can develop into a fistula. If the opening is on the skin side, it is a common type of fistula, but th...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Alternatives
Post-Band Ligation Care: Do You Really Need Hemorrhoid Ointment?
Ointment after hemorrhoid ligation? Hello, doctor. I underwent my first hemorrhoid ligation on April 27th (the procedure was not painful, just a feeling of needing to have a bowel movement). The doctor prescribed a topical ointment for hemorrhoids and advised me to apply it insid...
Dr. Ke Fangxu Reply:
It is normal to experience a sensation of urgency after hemorrhoid ligation. The use of a tube to apply ointment internally varies among physicians; it is not necessary, and not using it will not cause the wound to develop into a fistula. Regular warm sitz baths are always benefi...[Read More] Post-Band Ligation Care: Do You Really Need Hemorrhoid Ointment?
Understanding Fistula Surgery: Open vs. Excision Techniques Explained
Fistula surgery After the follow-up consultation, it was confirmed by my physician, as previously discussed with Dr. Ke, that I have a fistula. Now, a decision has been made to proceed with surgery, and upon inquiry, the doctor mentioned that it would be an excision procedure. I ...
Dr. Ke Fangxu Reply:
Incision and excision each have their advantages and disadvantages. The benefit of incision is that it is less likely to recur, but the recovery time is longer. The advantage of excision is that it causes less damage to the sphincter muscles, but it is more prone to recurrence. T...[Read More] Understanding Fistula Surgery: Open vs. Excision Techniques Explained
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
External anal lump Hello Doctor, In March, I discovered a lump near my anus, which is painful to the touch, but I have not experienced any fever or discharge. After researching, I suspect it might be an anal fistula. I consulted a colorectal specialist who performed a digital e...
Dr. Yu Mingchang Reply:
Hello; when you have time, please take a look at the colorectal diagnosis from the Ministry of Health and Welfare Changhua Hospital. We care about you.[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Concerns About Fistula Surgery: Is There a Medical Oversight?
Questions about fistula treatment surgery? Hello Dr. Ke, two years ago I underwent a fistula treatment surgery at a hospital. Before the surgery, I was only informed that the treatment would focus on the fistula itself, but after the surgery, I learned that the doctor also remove...
Dr. Ke Fangxu Reply:
Surgery for anal fistulas will inevitably cause some degree of damage to the anal sphincter, as the fistula itself is a structure that passes through the sphincter. Therefore, whether it involves incision or excision, a portion of the sphincter will be disrupted. This is not done...[Read More] Concerns About Fistula Surgery: Is There a Medical Oversight?
Understanding Fistula Surgery: Is My Recovery Normal?
Fistula surgery Hello, doctor. I had anal fistula surgery over two months ago, and I can still feel a tubular structure at the surgical site. Could this indicate a recurrence?
Dr. Ke Fangxu Reply:
This situation is mostly due to scar tissue after surgery. Unless there is swelling, pain, or abnormal discharge, there is no need to worry. You can also ask your surgeon to check again to confirm whether there is a recurrence of a fistula.[Read More] Understanding Fistula Surgery: Is My Recovery Normal?
Understanding Anal Issues: Hard Lump and Pain Concerns Explained
Anal issues Hello, Doctor. I have a few questions because I have a hard lump near my anus that has persisted for over a month. When sitting on a chair, there is a painful spot on one side, and it hurts when pressed, but I don't feel pain while walking. However, I do experien...
Dr. Ke Fangxu Reply:
1. No, the depth of examination during a digital rectal exam is limited. If there are concerns about other issues that may not have been detected, a colonoscopy can be arranged. 2. Yes, the diagnosis of anal fistula is primarily based on palpation. If the examination shows no a...[Read More] Understanding Anal Issues: Hard Lump and Pain Concerns Explained
Do You Always Need Surgery for Anal Abscesses? Expert Insights
Is surgery always necessary for anal abscess? Hello Doctor, on March 16th, I had an abscess above my anus, and the doctor performed surgery to drain it. During a follow-up visit a few days ago, the doctor mentioned that it was not very clear whether there was a fistula upon exami...
Dr. Ke Fangxu Reply:
Based on your description, it seems that you have undergone incision and drainage for an anal abscess. If there is no pain, you can continue to observe. As for whether a fistula will form, it typically takes a longer time to determine, usually around three to six months. I recomm...[Read More] Do You Always Need Surgery for Anal Abscesses? Expert Insights
Post-Surgery Symptoms After Fistula Surgery: What to Expect and Manage
Postoperative symptoms after fistula surgery? Hello, I underwent a fistula repair surgery at a hospital near Madou on February 14th due to a fever. It has been over a month since the surgery. 1. Although the surgical wound has healed, I occasionally experience swelling and pain...
Dr. Xu Kaixi Reply:
Hello: It is normal to experience discomfort such as swelling, pain, or itching at the surgical site after fistula surgery, as well as some bleeding. These symptoms typically improve over time. The recovery process can be alleviated with the use of topical medications in conjunct...[Read More] Post-Surgery Symptoms After Fistula Surgery: What to Expect and Manage
Understanding Anal Pain After Prostate Massage: Risks and Recovery
Anal issues Hello Doctor: I visited the urology department yesterday morning and was diagnosed with prostatitis. The doctor performed a prostate massage. However, this morning during bowel movement, I noticed a slight stinging pain in the anal area. When I touched the anal openin...
Dr. Ke Fangxu Reply:
Answer: If the anal fistula surgery was performed completely, there should not be any bleeding in the short term. Any bleeding that occurs may be due to mild internal hemorrhoids. It is recommended to avoid constipation during this period and to shorten the time spent on bowel mo...[Read More] Understanding Anal Pain After Prostate Massage: Risks and Recovery
Understanding Post-Surgery Healing: Is Hardness Normal After Fistula Removal?
Anal fistula Hello doctor, I had a fistula excision surgery at the beginning of March. The original fistula was a blind type, and there was a hard, elongated area when pressed. During the surgery, a piece of tissue the size of a thumb was removed. Now, more than a month later, th...
Dr. Ke Fangxu Reply:
After anal fistula surgery, the formation of scar tissue at the wound site may lead to the sensation of a lump, which is a normal occurrence post-surgery. As long as there is no redness, swelling, heat, pain, or purulent discharge, there is no cause for concern. However, if this ...[Read More] Understanding Post-Surgery Healing: Is Hardness Normal After Fistula Removal?
Understanding Anal Infections: Causes, Treatments, and Concerns
Anal infection!? Anal abscess!? Hello Doctor: Initially, I had a problem with hemorrhoids, and I experienced blood drops during bowel movements. After visiting the hospital, the doctor prescribed me hemostatic medication and suppositories for treatment. Since I have Myelodysplast...
Dr. Ke Fangxu Reply:
If it is a mild anal infection, a week of antibiotic treatment is indeed sufficient. If symptoms do not improve, incision and drainage surgery may be necessary. Since the swelling and lumps around the anus have disappeared and there is no pain, it indicates that the anal inflamma...[Read More] Understanding Anal Infections: Causes, Treatments, and Concerns
Post-Surgery Concerns: Managing Anal Abscess Drainage Issues
Issues After Drainage of Anal Abscess Hello Dr. Ko, I apologize for bothering you with some small questions. My brother had an anal abscess that was incised and drained three weeks ago. He has already had three follow-up visits, and the doctor advised him to return for another ...
Dr. Ke Fangxu Reply:
Although antibiotic treatment can control the inflammation of the fistula, long-term use cannot cure it and may lead to side effects. Based on your description, it seems that an anal fistula may have formed. It is advisable to consult a physician for an examination and to assess ...[Read More] Post-Surgery Concerns: Managing Anal Abscess Drainage Issues
Understanding External Anal Bumps: Causes and Concerns
Pimple-like lesions around the anus? Hello Doctor: I have a bump about 1-2 centimeters from the outside of my anus that feels like it has pus inside, but I can't squeeze it out, so I'm not sure if there is actually pus. Additionally, it doesn't hurt when I touch th...
Dr. Ke Fangxu Reply:
The exact nature of the issue can only be determined through a personal examination by a physician. However, based on your description, it does appear to resemble an anal fistula. Please seek consultation at a colorectal clinic as soon as possible to obtain a definitive diagnosis...[Read More] Understanding External Anal Bumps: Causes and Concerns
Understanding Recurring Infections After Back Fistula Surgery in Children
Back fistula surgery Hello, my child underwent a back fistula surgery in January. Since he is a child, the doctor sutured the wound at that time. However, the surgical site has been repeatedly red and swollen, and eventually the wound has broken open and discharged pus. In Februa...
Dr. Ke Fangxu Reply:
The definition of a fistula refers to an abnormal connection between an internal organ and the skin or another organ that should not exist. Therefore, a fistula should not occur in the back unless it is a connection with the pleural cavity. If that is the case, it would be quite ...[Read More] Understanding Recurring Infections After Back Fistula Surgery in Children
Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Post-anal fistula surgery Hello, I had anal fistula surgery in early January, and recently I noticed a slight swelling around the surgical area that is not uncomfortable. Could this possibly be a recurrence?
Dr. Ke Fangxu Reply:
Postoperative swelling of the wound can occasionally occur. As long as there is no redness, heat, pain, or abnormal discharge, it is not a cause for concern. To determine whether it is a recurrence, it is necessary to have the surgeon evaluate it.[Read More] Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Understanding External Anal Masses: Causes, Symptoms, and Treatment Options
Perianal mass Since around my senior year of high school, I have had an unexplained lump located right next to my anus. At first, it was small and painless, so I didn't pay much attention to it, thinking it would go away with topical medication. However, it soon swelled up a...
Dr. Ke Fangxu Reply:
Answer: Since I cannot examine you in person, I cannot provide a definitive diagnosis. Conditions such as hemorrhoids, genital warts, sebaceous cysts, anal abscesses, or fistulas are all possibilities, and the treatment options vary for each. I recommend that you consult a surgeo...[Read More] Understanding External Anal Masses: Causes, Symptoms, and Treatment Options
Hard Lump on Buttocks: What to Do After a Week of Pain?
A hard lump has developed on my buttocks and has persisted for a week? Three years ago, I had a boil on my buttocks that I managed to drain myself. The wound took about two months to heal, but now a hard lump has formed in the same area. It's quite large, about the size of a...
Dr. Ke Fangxu Reply:
Answer: Since I cannot provide a definitive diagnosis without a personal examination, conditions such as sebaceous cyst infection, folliculitis, anal abscess, or fistula are all possibilities, and the treatment options vary for each. I recommend that you consult a surgeon for an ...[Read More] Hard Lump on Buttocks: What to Do After a Week of Pain?
Post-Fistula Surgery Recovery Concerns: Understanding Complications
Postoperative recovery issues after fistula surgery? Hello, doctor. I underwent fistula surgery on February 10th of this year. Initially, my recovery was quite good; I experienced minimal pain and had little discharge. However, two days ago (on March 3rd), I decided to try moving...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about a month to fully heal. During this time, general activities are usually fine, but running should be temporarily avoided to prevent frequent friction on the wound. While this does not necessarily lead to a recurrence of the...[Read More] Post-Fistula Surgery Recovery Concerns: Understanding Complications
Do You Need Surgery for an Abscess Without Visible Wound?
If an anal abscess has drained without any external wound, is it still necessary to perform a fistula surgery? Hello, Doctor! I noticed something unusual around February 20th. I felt a small lump near my anus extending towards the groin, which was painful. By February 26th, the p...
Dr. Ke Fangxu Reply:
If an anal abscess has ruptured and there is no pain or signs of infection, oral antibiotics are sufficient. Whether a fistula will form in the future is uncertain, and performing surgery at this time is not meaningful. Even if surgery were to be done, the wound would not be sutu...[Read More] Do You Need Surgery for an Abscess Without Visible Wound?