Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Post-hemorrhoid surgery Hello Dr. Ke, I underwent a mixed nevus and anal protrusion excision surgery on May 29th, and it has been about 50 days since then. I would like to ask the following questions: 1. During my follow-up appointment in the fourth week post-surgery, the docto...
Dr. Ke Fangxu Reply:
1. Digital examination is sufficient for diagnosis. 2. This phenomenon can occur even if it is not normal, especially during exertion. 3. It is normal. 4. Redness, swelling, heat, pain, along with purulent discharge or a wound that does not heal for a long time.[Read More] Post-Surgery Care and Concerns After Hemorrhoid Surgery: A Guide
Understanding Painful Anal Growths: Causes and Treatment Options
Prolapse or protrusion at the anal opening? I have a protrusion about 1 cm outside my anus, measuring approximately 0.5 to 1 cm. It causes pain during bowel movements and also when touched. The pain is more intense after I finish a bowel movement and usually subsides gradually ov...
Dr. Zhang Shuhao Reply:
Based on the description, the protrusion may be related to an anal fistula. The fistula connects to the interior of the anus and can cause pain and purulent discharge when inflamed. It is not necessarily related to hemorrhoidectomy. It is recommended to visit a colorectal clinic ...[Read More] Understanding Painful Anal Growths: Causes and Treatment Options
Understanding Fistula Management: Surgical Options and Quality of Life
Fistula issues Hello, Dr. Chang! My father is 86 years old, 160 cm tall, and weighs 45 kg. He had an anal abscess that required three incisions for drainage. After a week in the hospital, he returned home and had a follow-up appointment where three new fistula openings were ident...
Dr. Zhang Shuhao Reply:
1. If surgery to create a stoma is not performed and there is fecal leakage, frequent dressing changes and cleaning are necessary to prevent infection. At this point, the patient's mobility should be considered. If the patient is still able to care for themselves, they can m...[Read More] Understanding Fistula Management: Surgical Options and Quality of Life
Persistent Wound in Groin After Surgery: Concerns and Next Steps
Wound in the groin that is not healing? Hello Doctor, I underwent a fistula surgery on January 3rd this year, and there is a small wound in the gluteal cleft, between the coccyx and the anal area, that has not healed. According to the surgeon, the wound is very small, similar to ...
Dr. Ke Fangxu Reply:
If the wound is located at the surgical site and has not healed after six months, it is important to consider the possibility of recurrence. However, erosion of the coccyx is unlikely to occur. It is advisable to have a colorectal surgeon reassess the situation.[Read More] Persistent Wound in Groin After Surgery: Concerns and Next Steps
Post-Drainage Questions on Anal Abscess: Healing and Care Tips
Inquiry after drainage of an anal abscess? Hello Doctor, I would like to ask a few questions. 1. Is the formation of a fistula from an anal abscess determined by the healing of the wound, or can it be observed during the outpatient drainage procedure? 2. After the outpatient ...
Dr. Zhang Shuhao Reply:
1. Whether an anal abscess leads to the formation of a fistula depends on the healing of the wound and whether there remains a channel connecting to the anal glands. Therefore, it can only be assessed several weeks after the wound has healed. 2. It is advisable to apply ointment ...[Read More] Post-Drainage Questions on Anal Abscess: Healing and Care Tips
Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Mild anal pain during bowel movements? Hello Dr. Ke: For over a month, I have occasionally experienced slight pain on the right side of my anus during bowel movements, without any bleeding. When the discomfort is more severe, I feel a mild burning sensation and a swollen foreign ...
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 pain usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Post-Surgery Dietary Guidance for Anal Fistula Patients: Low Residue Diet Options
Post-anal fistula surgery Hello, doctor. I had a fistula surgery on July 1 and was discharged on July 3. Since then, I have been experiencing continuous diarrhea (averaging once an hour). I stopped using stool softeners, and my condition has slightly improved. The postoperative m...
Dr. Zhang Shuhao Reply:
Fistula surgery is different from hemorrhoid surgery, and generally, there is no need for stool softeners postoperatively. If there is concern about bowel movements irritating the wound, a low-residue diet can help reduce stool volume. Once the wound has healed more, a return to ...[Read More] Post-Surgery Dietary Guidance for Anal Fistula Patients: Low Residue Diet Options
Post-Surgery Concerns: Managing Bowel Movements After Fistula Surgery
Post-anal fistula surgery Hello doctor, I underwent fistula surgery on July 1st. After being discharged, I have been taking stool softeners (once in the morning and once in the evening). However, yesterday, July 3rd, I accidentally took the stool softener in the morning and again...
Dr. Zhang Shuhao Reply:
After surgery, the wound may experience swelling and a foreign body sensation, which can sometimes be mistaken for the urge to defecate. It is important not to strain on the toilet to avoid affecting the wound. Instead, you can take warm sitz baths and increase your fluid intake ...[Read More] Post-Surgery Concerns: Managing Bowel Movements After Fistula Surgery
Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
The surgical wound from an anal fistula has become dehiscent? Hello Doctor, I had anal fistula surgery at the beginning of the year, and recently I accidentally caused a small abrasion around the anus while wiping. The wound is located near the surgical site. After a consultation...
Dr. Zhang Shuhao Reply:
The source of a fistula is the anal glands, so simple skin breaks will not lead to the recurrence of a fistula. Over-the-counter antibiotic ointments can be applied, but it is important to note that prolonged use may increase the risk of skin allergies.[Read More] Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
Understanding Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
Is there a "hidden fistula"? Is it true that a fistula must first have an abscess or injury to form? Is there always a specific color of discharge associated with it? I experienced pain for a long time while using the restroom, without any external wounds, abscesses, or...
Dr. Ke Fangxu Reply:
A fistula is a sequela of an infection that has not completely healed; it does not occur without reason. The discharge is typically yellowish-white, and some individuals may experience bleeding. Regarding anal fistulas, I personally recommend consulting a colorectal surgeon for e...[Read More] Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
How Long Does It Take for Anal Fistula Surgery Wounds to Heal?
Post-anal fistula surgery Hello doctor, I had an anal fistula surgery a month ago. A few days ago, the doctor said that my recovery is going well and that I don't need to return for a follow-up, just to apply the medication. I just want to know how long it will take for the ...
Dr. Zhang Shuhao Reply:
A wound size of 4 cm in width and 2 cm in depth is considered common for fistula surgeries, typically requiring 4 to 6 weeks for healing, although this may vary slightly depending on individual health and nutritional status.[Read More] How Long Does It Take for Anal Fistula Surgery Wounds to Heal?
Understanding Folliculitis Near the Anus: Symptoms and Treatment
Suspected folliculitis near the anus? Hello: In the past two days, I have developed two bumps near the anal area, approximately 1.5 cm in size (at the 5 o'clock and 11 o'clock positions). One is about 1 x 0.5 cm, while the other appears to be a raised area resembling fo...
Dr. Zhang Shuhao Reply:
An anal abscess or fistula is caused by inflammation of the anal glands, while folliculitis originates from inflammation of the dermis. Your condition is more consistent with folliculitis caused by friction and heat. A colorectal surgeon can differentiate this through physical ex...[Read More] Understanding Folliculitis Near the Anus: Symptoms and Treatment
Understanding Recovery After Fistula Surgery: Key Questions Answered
Post-fistula surgery Hello Doctor, during my follow-up appointment, I asked about the healing status of my wound. The doctor said it was okay, mentioning that it has only been two weeks and that the location of my fistula would heal more slowly. I would like to ask: 1. Does the l...
Dr. Zhang Shuhao Reply:
1. If the location is in an area that is easily subjected to movement, the recovery may be slower, but not significantly so. The healing of a fistula typically takes several weeks. 2. Neomycin ointment contains antibiotic components and is suitable for use after surgery when th...[Read More] Understanding Recovery After Fistula Surgery: Key Questions Answered
Can You Safely Wax the Bikini Area After Fistula Treatment?
Can a fistula be used for hair removal in the private area? Hello doctor, about six months ago I had an abscess issue, and the doctor mentioned it had developed into a fistula, but I could choose not to undergo surgery as there was a low chance it would heal on its own. I have no...
Dr. Zhang Shuhao Reply:
As long as the surface wound on the skin is completely healed, it is safe to proceed. If there are any concerns, you can ask the hair removal specialist to specifically avoid the area of the original abscess. This does not affect the recurrence rate.[Read More] Can You Safely Wax the Bikini Area After Fistula Treatment?
Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Inquire whether it is related to fistula issues? Recently, I have been experiencing a painful sensation near the anus that feels like a skin tear (it's not very painful, but it affects my mood). When I rinse with hot water, it feels like there is a painful wound similar to a...
Dr. Ke Fangxu Reply:
1. Is it necessary to personally examine the fistula to confirm that it generally needs to meet the three conditions of an internal opening, external opening, and the tract? However, it is not always guaranteed that all three can be identified. 2. Maintain cleanliness and avoid...[Read More] Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Post-Surgery Care for Anal Fistula: Healing Insights and FAQs
Postoperative care after anal fistula surgery? Hello doctor, I have already had two surgeries and it has been a week. I just want to ask: 1. Why does it feel itchy when I apply medication to the wound, but it goes away after a while? 2. The surgeon said my wound is 4 cm long and ...
Dr. Zhang Shuhao Reply:
1. The wound may experience pain and itching before it fully heals; applying ointment and taking sitz baths can provide relief. 2. A wound measuring 4 centimeters long and 2 centimeters deep is not considered too large in the context of fistula surgery. 3. Depending on individual...[Read More] Post-Surgery Care for Anal Fistula: Healing Insights and FAQs
Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Fecal incontinence after fistula surgery? Hello, doctor. Today is the 9th day since I had my fistula surgery. Since the surgery, whenever I sit for a longer period, I feel something coming out from my anus. Each time I remove the dressing to check, I notice that not only is there...
Dr. Zhang Shuhao Reply:
After the fistula surgery, pain and swelling at the surgical site may affect the sensation of bowel movements. If the stool is relatively loose at this time, there may be a feeling of incontinence. If the patient does not typically experience constipation, there is no need for st...[Read More] Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
How can we prevent or check for the formation of a fistula in cases of chronic anal fissures lasting more than five years? I understand that chronic anal fissures, which can lead to the formation of fistulas, are considered a high-risk factor. However, before making the decision ...
Dr. Zhang Shuhao Reply:
If there is no swelling, pain, bleeding, or purulent discharge from the anus, there is no need for a special internal examination. It is advisable to increase fluid intake and dietary fiber to prevent constipation, reduce the time spent in the restroom, and if there is pain after...[Read More] Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Anal wound Hello, doctor. I have been experiencing anal pain after bowel movements for a long time, with slight bleeding (similar to a skin tear) after wiping. I tend to be constipated, and a doctor mentioned that this could be due to hard stools, so I didn't pay much attent...
Dr. Zhang Shuhao Reply:
1. Pain and bleeding from the anus after bowel movements may be symptoms of anal fissures. If anal fissures recur, they can lead to the formation of ulcers in the local area, which are less likely to heal on their own. It is necessary to check for the presence of abscesses or fis...[Read More] Understanding Anal Wounds: Symptoms, Causes, and Treatment Options