Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Issues related to the presence of blisters at the anal opening and fistula surgery? Hello, doctor. I underwent anal fistula surgery two years ago, and this year I had two more surgeries at the end of July and the beginning of October. The surgical area is from the anal opening to...
Dr. Zhang Shuhao Reply:
There are no visible wounds on the surface, but as long as the inside of the anus has not fully healed, there may still be some discharge. If ointment is still being used, the discharge may appear to be more abundant. If there is no swelling, pain, or bleeding, there is likely no...[Read More] Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Postoperative massage after anal fistula surgery? Hello, doctor. It has been 4 weeks since my surgery. During my follow-up visit today, the doctor said that my wound is healing well and that I can start massaging it. However, the doctor directly inserted their finger into my anus...
Dr. Ke Fangxu Reply:
1. It is sufficient to take warm sitz baths without the need for massage; personally, I do not recommend massage for patients. 2. For simple fistulas, maintaining cleanliness and waiting for the wound to heal is adequate. If there is no pain or swelling, the application of oint...[Read More] Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Mixed hemorrhoidal mass Hello doctor! In the past few months, I have been experiencing thrombosed hemorrhoids. The swelling has decreased significantly after soaking in warm water. However, yesterday, when my wife examined the area, she noticed a wound on the skin tag that appear...
Dr. Zhang Shuhao Reply:
Thrombosed hemorrhoids are similar to areas covered by regular skin; friction can still cause wounds, and sometimes they may rupture, leading to bleeding or even small blood clots. Regular warm sitz baths, along with topical treatments, are usually sufficient for management. If t...[Read More] Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Why must a patient be discharged after surgery for an anal abscess or fistula as long as they are able to have bowel movements? I would like to ask the doctor why, after my anal abscess fistula recurrence surgery, the doctor said that as long as I had a bowel movement, regardless...
Dr. Zhang Shuhao Reply:
Whether it is for anal fistula or other surgeries, patients must be stable postoperatively, not requiring intravenous fluids, and able to perform daily activities before being discharged. There is no absolute correlation between the ability to have bowel movements and discharge r...[Read More] Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Post-Surgery Leakage: Understanding Fistula Repair Complications
Fistula surgery with postoperative leakage after bowel movement? Hello doctor, I had a fistula surgery on September 26, and it has been almost two months since then. I still have some yellowish discharge, and I’ve noticed a small amount of fecal leakage about half an hour after e...
Dr. Zhang Shuhao Reply:
If the wound from the fistula surgery is relatively large, it is common to have some discharge before healing is complete. As long as there are no signs of infection such as redness, swelling, heat, pain, or fever, it can be monitored. It is also quite common to experience a slig...[Read More] Post-Surgery Leakage: Understanding Fistula Repair Complications
Dealing with Discharge Near the Anus: When to Seek Medical Help
If there is discharge near the anus, what should I do? Recently, I experienced gastroenteritis with diarrhea, and suddenly I had pain near the anus. Upon examination, I felt a small lump close to the anus that was painful when pressed. Generally, I only felt pain when sitting dow...
Dr. Zhang Shuhao Reply:
After diarrhea, if there is swelling and pain around the anus accompanied by purulent discharge, it may be indicative of an anal fistula. If symptoms persist, it is advisable to seek medical evaluation. An experienced colorectal surgeon can diagnose an anal fistula through a phys...[Read More] Dealing with Discharge Near the Anus: When to Seek Medical Help
Post-Surgery Care: Understanding Sitz Baths and Wound Healing After Fistula Surgery
Post-operative care for fistula surgery: sitz baths and wiping issues? Hello, Doctor. I underwent a fistula excision surgery on November 3rd (Friday) and returned for a follow-up appointment today, November 9th (Thursday). I had been using sitz baths to care for the postoperative...
Dr. Zhang Shuhao Reply:
Postoperative wound healing typically involves the formation of granulation tissue. However, if the tissue is not overly prominent or prone to bleeding, it is generally not a concern. In the outpatient setting, silver nitrate can be used to cauterize and control the growth of gra...[Read More] Post-Surgery Care: Understanding Sitz Baths and Wound Healing After Fistula Surgery
Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
It is difficult to differentiate between an anal fistula and a skin tumor, making it challenging to provide the appropriate treatment? Hello Doctor, my husband has had a hard lump near his anus since April, which has changed color, is painful when pressed, and even affects his wa...
Dr. Zhang Shuhao Reply:
Based on your description of wounds around the anus that are bleeding, discharging pus, and prone to recurrence, there is a high suspicion of an anal fistula. The difference between an anal fistula and a skin tumor is that the fistula is connected to the anal glands, so both the ...[Read More] Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
Understanding Anal Fistula Recurrence: Risks and Surgical Options
Recurrence of anal fistula? Hello Doctor, I underwent surgery to remove an anal fistula in January of this year, but the wound has not fully healed. During a follow-up appointment at the end of August, it was determined that the fistula had recurred. The surgeon who initially per...
Dr. Zhang Shuhao Reply:
1. Superficial fistulas, if left untreated temporarily, will not undergo malignant transformation. However, if they are shallow and connected to the anal glands, they may still be prone to inflammation and swelling. 2. Most fistula surgeries do not involve suturing the wound; i...[Read More] Understanding Anal Fistula Recurrence: Risks and Surgical Options
Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Anal abscess and fistula? My daughter had her first anal abscess discovered in April, which was treated with incision and drainage at a clinic. In October, it occurred again, and the doctor recommended going to the hospital for further evaluation, as there might be a fistula issu...
Dr. Zhang Shuhao Reply:
In the case of an initial diagnosis of an anal abscess, incision and drainage is typically performed without issues. If a recurrence occurs, it is important to determine whether it is in the same location. If there are multiple recurrences at the same site, a fistula may have for...[Read More] Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Understanding Recovery After Anal Fistula Surgery: What to Expect
Post-anal fistula surgery Hello, Doctor. I underwent anal fistula surgery in June, and it has been four months since then. I have been monitoring the healing progress of the wound, but currently, there is still a small opening visible when my anus is relaxed, although it is not v...
Dr. Ke Fangxu Reply:
If the surgery was performed four months ago, the wound should be fully healed by now. The small hole you described may just be a remnant of the surgical scar. However, if you still see an unhealed wound, it is best to consult the surgeon again to rule out the possibility of recu...[Read More] Understanding Recovery After Anal Fistula Surgery: What to Expect
Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Fistula surgery with hemorrhoids has recurred for the second time, only five months apart? After surgery, my blood sugar has been maintained between 300-500 for three days. I have been taking sitz baths after bowel movements. The doctor prescribed a lot of pain medication, but I ...
Dr. Ke Fangxu Reply:
Anal fistulas are inherently prone to recurrence. Poor blood sugar control can affect immune function and tissue repair, making healing more difficult and increasing the likelihood of recurrence. Postoperative wound drainage is a normal phenomenon; it is recommended to change the...[Read More] Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Post-Surgery Concerns: Managing Long-Term Drainage After Anal Abscess
Postoperative care for anal abscess? Hello, doctor. I underwent drainage surgery for an anal abscess around mid-September and had a drainage tube placed. My attending physician informed me that due to the depth of my wound, the drainage tube might need to remain in place for 2-3 ...
Dr. Zhang Shuhao Reply:
If a drainage tube is needed, it indicates a higher-level abscess, possibly located behind the rectum, where an open wound alone cannot adequately drain the area. Therefore, the doctor's statement is valid. However, it is generally difficult for the drainage tube to remain i...[Read More] Post-Surgery Concerns: Managing Long-Term Drainage After Anal Abscess
Understanding External Anal Growths: Causes, Symptoms, and Treatment Options
Small growths or lumps around the anus? Hello doctor, there is a lump located about one centimeter from my anus. It has no color, and it doesn't hurt when I touch it, but it becomes noticeably painful when I wipe or apply pressure. It feels and looks similar to a mosquito bi...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery is not necessarily required. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for any redness, swelling, heat, pain, or discha...[Read More] Understanding External Anal Growths: Causes, Symptoms, and Treatment Options
Understanding External Anal Bumps: Causes and Treatment Options
Small growths or lumps around the anal area? Hello doctor, I have a lump located about one centimeter from my anus. It has no color, is not painful to the touch, but causes noticeable pain when wiping or applying pressure. It feels and looks similar to a mosquito bite. About two ...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for redness, swelling, heat, pain, and any discharge. R...[Read More] Understanding External Anal Bumps: Causes and Treatment Options
Understanding External Anal Bumps: Causes and Treatment Options
Small growths or lumps around the anus? Hello doctor, I have a lump located about one centimeter from my anus. It is colorless, and it doesn't hurt when I touch it, but I feel significant pain when wiping or applying pressure. It feels and looks similar to a mosquito bite. A...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of requiring surgery afterward is quite high. It is important to observe the surrounding skin tissue for any redness, swelling, heat, pain, or discharge. ...[Read More] Understanding External Anal Bumps: Causes and Treatment Options
Understanding Healing After Anal Fistula Surgery: What to Expect
Healing after anal fistula surgery? Hello, I underwent anal fistula surgery around mid-August this year. I have been recovering since then, and most of the wound has healed, but for some reason, there is a small wound on the outside of the fistula that has not yet healed (I have ...
Dr. Zhang Shuhao Reply:
Fistula surgery may take several weeks or even months to fully heal, depending on the size of the wound. If there is a small wound without signs of redness, swelling, heat, pain, or purulent discharge, it can be monitored, and regular follow-up appointments can be scheduled to as...[Read More] Understanding Healing After Anal Fistula Surgery: What to Expect
Understanding External Anal Growths: Causes and Treatment Options
External anal skin tag? Hello doctor, I have a lump about one centimeter from my anus that is colorless. It doesn't hurt when I touch it, but I feel significant pain when I wipe or apply pressure. It feels and looks similar to a mosquito bite. About two weeks before the lump...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for redness, swelling, heat, pain, and any discharge. T...[Read More] Understanding External Anal Growths: Causes and Treatment Options
Understanding External Anal Bumps: Causes and Treatment Options
A small growth or lump outside the anus? Hello doctor, I have a lump located about one centimeter from my anus. It is colorless, not painful to touch, but I feel significant pain when wiping or applying pressure. It feels and looks similar to a mosquito bite. About two weeks befo...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for redness, swelling, heat, pain, and any discharge. F...[Read More] Understanding External Anal Bumps: Causes and Treatment Options
Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?
Intracranial dural arteriovenous fistula Hello Dr. Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature). Recently, he has been experiencing pain in his shoulder...
Dr. Zhang Junwei Reply:
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr. Yuan Qiu for further evaluation.[Read More] Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?