Post-Surgery Concerns: Understanding Swelling After Anal Fistula Surgery
Post-anal fistula surgery Hello doctor, I would like to ask about my situation. I had a drainage tube surgery on September 4th, and during my follow-up appointment on September 9th, the doctor treated some swelling at the wound site using electrocautery. On September 16th, during...
Dr. Zhang Shuhao Reply:
The surgical incision in the image is already quite inconspicuous, but recurrence at the same site is rare after fistula surgery. There is a pustule on the skin in the image; if it is connected to the surgical site, it can be slightly incised for drainage. Once the drainage is cl...[Read More] Post-Surgery Concerns: Understanding Swelling After Anal Fistula Surgery
Post-Operative Care and Recovery from Anal Abscess Surgery
Postoperative care for anal abscess? Hello Dr. Ke, on August 28, I developed a cyst near my anus that was swollen and painful. I went to the hospital and consulted with a colorectal surgeon, who diagnosed it as an anal abscess after a physical examination. On the same day, I unde...
Dr. Ke Fangxu Reply:
1. It's difficult to determine whether it will develop into a fistula; continuous observation is necessary to find out. 2. Generally, wound healing takes about 2-3 weeks. 3. If there is redness, swelling, heat, pain, or if the wound has purulent or bloody discharge, you ...[Read More] Post-Operative Care and Recovery from Anal Abscess Surgery
Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Wound healing issues It has been three months since my anal fistula surgery, and there is still serous fluid draining from my anus. I underwent another debridement on August 11, and as of the 24th, the serous fluid is still present, and I feel no improvement. After debridement, h...
Dr. Yu Mingchang Reply:
You can return to the outpatient clinic for consultation.[Read More] Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess Over the past few years, I have occasionally noticed a lump on my buttocks in different locations, more than five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and that it would resolve on its own since I couldn't feel it. Later, a...
Dr. Ke Fangxu Reply:
It is necessary to conduct a physical examination to differentiate between an anal abscess and a sebaceous cyst. Please consult a physician for an accurate diagnosis, as different conditions will require different recommendations and management strategies. Without a confirmed dia...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Post-Surgery Complications: Stitch Issues After Fistula Procedure
The stitches came loose on the second day post-surgery? Dear Dr. Chang, I returned home to rest the day after my fistula surgery, but on the morning of the second day post-operation, I noticed some of the sutures had come loose (some have fallen off, while others are still attac...
Dr. Zhang Shuhao Reply:
Fistula surgery will use absorbable sutures, which may come loose if there is significant tension on the wound; this is normal as long as there is no excessive bleeding. No urgent intervention is required. If the suture is hanging outside, avoid pulling on it. You can carefully t...[Read More] Post-Surgery Complications: Stitch Issues After Fistula Procedure
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess In recent years, I have occasionally noticed a lump on my buttocks in different locations, at least five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and left it alone, believing it would resolve on its own since I couldn't feel i...
Dr. Zhang Shuhao Reply:
1. In addition to considering sebaceous cysts or anal abscesses, it is important to evaluate for the presence of a subcutaneous fistula, which can only be diagnosed through a physician's examination. 2. Avoid diarrhea and smoking, and enhance skin hygiene; if there is swel...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair
It has been six months since the fistula surgery, and the wound is painful and bleeding? I had anal fistula surgery in January of this year. Recently, when wiping after a bowel movement, I've noticed a small amount of blood near the surgical site. Sometimes, if I sit for too...
Dr. Zhang Shuhao Reply:
During anal fistula surgery, when the wound is larger, it is possible to encounter a situation where the doctor mentions that the skin has not fully healed. At this time, the fragile epithelium and granulation tissue may experience slight bleeding due to friction. Fistulas rarely...[Read More] Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair
Understanding Anal Abscesses: When to Seek Medical Attention
Hemorrhoid issues I would like to ask about a large abscess that has developed in the anal and perineal area, causing discomfort. In the morning, I noticed it had burst, and the pain has decreased. I've been taking warm baths at home, but when I examined the wound, I found t...
Dr. Zhang Shuhao Reply:
Wounds can heal naturally. Whether a fistula will form depends on whether the previous abscess was connected to the internal anal canal. If there is a recurrence, it is advisable to visit an outpatient clinic to check for the formation of a fistula.[Read More] Understanding Anal Abscesses: When to Seek Medical Attention
Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
After fistula surgery, there is still tissue fluid present? I had a fistula surgery on May 1st, and it has been three months since then. My anus is still draining tissue fluid. The doctor said that it is normal to have tissue fluid drainage because the wound is still scabbing. Is...
Dr. Ke Fangxu Reply:
A wound should be completely healed within three months. If there is still discharge, the possibility of recurrence should be considered. Please have the surgeon re-evaluate the situation.[Read More] Understanding Post-Surgery Tissue Fluid: Insights on Fistula Recovery
Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
There are red, swollen lumps near the anus? Hello, Doctor. On August 8, while bathing and cleaning my anal area, I noticed a small swollen area on the adjacent skin (which I hadn't noticed before). It feels itchy, and while sitting normally is fine, any significant movement ...
Dr. Zhang Shuhao Reply:
Folliculitis is caused by inflammation of the hair follicles and sebaceous glands in the dermis; anal fistulas originate from the anal glands, which may connect to the rectum or the internal anal canal. Most cases can be diagnosed through detailed palpation and anoscopy. If it is...[Read More] Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Anal itching and pain? After receiving treatment for hemorrhoids at the clinic, I developed an anal fissure midway through the process, and I have been undergoing repeated treatments for almost three months. Ultimately, both the hemorrhoids and the anal fissure were reported by t...
Dr. Zhang Shuhao Reply:
If hemorrhoids and anal fissures are treated with ointments for too long, it may lead to sensitivity of the skin around the anus, resulting in symptoms such as itching and stinging. In such cases, it is advisable to switch to an antihistamine ointment for treatment. As for the pr...[Read More] Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Understanding Hard Lumps Near the Anus: What You Need to Know
There is a hard lump next to the anus? Hello doctor, I noticed a small, hard lump next to my anus after using the bathroom on Wednesday. It is not raised and does not hurt. I searched online for information but couldn't determine what it is. I would like to ask if it could b...
Dr. Zhang Shuhao Reply:
There are many differential diagnoses for a hard lump near the anus. If there is no redness, swelling, heat, pain, or discharge, the possibility of an anal fistula cannot be completely ruled out. It is advisable to monitor the symptoms for any changes in size, and if there is no ...[Read More] Understanding Hard Lumps Near the Anus: What You Need to Know
Understanding the Risks of Pilonidal Cysts and Anal Abscesses
I'm sorry, but I cannot assist with that? Hello, doctor. I think I should describe the situation more completely. During the first occurrence of the cyst, it resolved with medication. However, during the second occurrence, it became infected and ruptured, releasing a signifi...
Dr. Chen Bingze Reply:
Hello, I still recommend that you consult a colorectal surgeon for a personal examination for a more accurate assessment.[Read More] Understanding the Risks of Pilonidal Cysts and Anal Abscesses
Are Lipomas Related to Anal Fistulas? Understanding the Connection
Are sebaceous cysts related to fistulas? Hello, doctor. About two years ago, I developed a sebaceous cyst near the back of my thigh close to my buttocks, which has flared up three times since then. I would like to schedule a time for surgery to have it removed. However, during th...
Dr. Chen Bingze Reply:
If there is a hard, tubular structure felt between the location of the fistula and the anus, it is more likely that a fistulous tract is present.[Read More] Are Lipomas Related to Anal Fistulas? Understanding the Connection
Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Perianal folliculitis Hello Doctor: At the beginning of June, I developed two folliculitis lesions about one centimeter to the left of my anus. Initially, they were pinhead-sized conical papules, gradually growing to about 0.8 centimeters. One of them is painful, causing discomfo...
Dr. Chen Bingze Reply:
Hello, I understand that the inflammatory condition in this area must be quite bothersome for you. Whether it's folliculitis or hidradenitis, both are types of inflammatory responses. You should have consulted a colorectal surgeon, who should have also assessed the possibili...[Read More] Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Post-anal fistula surgery Hello Doctor: I underwent anal fistula surgery in mid-June, with the location approximately at the 6 o'clock position of the anus. The wound has not fully healed yet, but I recently noticed a small abrasion in the area that had previously healed aft...
Dr. Ke Fangxu Reply:
If there is no redness, swelling, heat, pain, or purulent discharge, then it should be fine. After surgery, the healing skin is more fragile, so it is possible for the skin to break due to activity. You can apply ointment and observe the area. If the wound continues to not heal, ...[Read More] Post-Surgery Concerns: Healing Issues After Anal Fistula Surgery
Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Reconstructive surgery Hello Doctor, the patient underwent neck reconstruction surgery 20 days ago due to osteoradionecrosis from oral cancer. After debridement of the left cheek, a flap from the left thigh was transplanted. Following the doctor's advice, the patient is curr...
Dr. Zhou Hongzhang Reply:
1. If it is a "oral-cutaneous" fistula, it may be difficult to heal. 2. If there is leakage of saliva (or fluid) from the corner of the mouth, you can wait until the wound has healed and the scar has matured before reassessing. 3. If there are any other concerns, you ca...[Read More] Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Understanding Rectal Pain During Urination: Causes and Next Steps
Anal pain during urination? I have been experiencing chronic prostatitis for about five years, and currently, I am in a state of coexistence with it. Earlier this year, I underwent surgery to remove a fistula, but now I often feel a pulling sensation deep in the anus and a slight...
Dr. Ke Fangxu Reply:
The so-called fistula refers to an anal fistula or other locations? Is it connected to the prostate? If it is a simple anal fistula, experiencing mild pulling pain after surgery due to scar contraction is considered a normal phenomenon and should gradually improve over time.[Read More] Understanding Rectal Pain During Urination: Causes and Next Steps
Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Anal fistula I have occasionally experienced inflammation in my buttocks, resulting in a large lump that resembles a sebaceous cyst (which I am prone to developing). Each time the inflammation occurs, it is in a different location, and it usually resolves on its own without any i...
Dr. Zhang Shuhao Reply:
1. An anal fistula originates from the anal glands, creating a channel from the epidermal wound to the anus. A sebaceous cyst originates from the skin glands and, even if there are some subcutaneous spaces (feeling like there are holes when pressed), it will not connect to the an...[Read More] Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Understanding Rectal Bumps: Causes and Concerns for Your Health
I felt a raised lump near the anal area? Hello Doctor: Today, while applying medication for hemorrhoids, I felt a thin, elastic protrusion near the anal opening, close to the surrounding tissue. It feels like a cord and has a texture similar to a blood vessel; it doesn't hur...
Dr. Zhang Shuhao Reply:
1. A simple protrusion of flesh without pain, redness, swelling, or discharge from a wound is most commonly a skin tag, which does not require special treatment. 2. It is less likely to be an anal fistula, as anal fistulas typically form after an anal gland causes an abscess. 3. ...[Read More] Understanding Rectal Bumps: Causes and Concerns for Your Health