Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Anal abscess?? Anal fistula?? I found a lump near my anus after using the restroom. Later, the doctor said it was a fistula and that I needed surgery. However, after researching online, it seems like it could be an anal abscess, and I haven't developed any small openings (wh...
Dr. Ke Fangxu Reply:
The National Health Insurance Quick Access is not a doctor; it can only provide general information for reference. Accurate diagnosis still relies on a physician. I understand that you may not comprehend why the doctor diagnosed you with a fistula. I can appreciate your reluctanc...[Read More] Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Anal abscess Hello doctor, I would like to ask about my condition. It has been almost two months since my anal abscess surgery. Initially, I experienced some bleeding and diarrhea with blood, but it seems that I haven't had any discharge for about two weeks. However, in the ...
Dr. Ke Fangxu Reply:
After undergoing incision and drainage surgery for an anal abscess, nearly half of the patients may develop an anal fistula. Based on your description, it seems quite similar to an anal fistula. I recommend that you consult a physician for an examination to confirm.[Read More] Post-Surgery Care for Anal Abscess: When to Seek Medical Attention
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu Reply:
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Blood in the stool Hello, Doctor. Recently, I experienced blood in my stool and consulted a colorectal surgeon. Through a digital rectal exam and anoscopy, it was determined that I have mild internal hemorrhoid bleeding. I am currently using an ointment and suppositories, and I a...
Dr. Ke Fangxu Reply:
1. If there is no bleeding, it is not necessary to continue using it. 2. A small amount of bleeding can also be monitored; it does not necessarily require daily use. 3, 4. An anal fistula is a complication of an anal abscess and is not related to hemorrhoids.[Read More] Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Perianal mass Hello, doctor. I have a hard lump about 4 cm outside the anus that has been present for about a year. Last month, it suddenly became a bit red and swollen, but after a week, it returned to being a smooth hard lump. I did not experience any symptoms of an abscess, so...
Dr. Zhang Shuhao Reply:
A sebaceous cyst originates from inflammation of the sebaceous glands and subcutaneous tissue, while an anal fistula arises from inflammation of the anal glands. Therefore, an anal fistula is connected to the rectum, and as long as the connecting passage is not excised, recurrenc...[Read More] Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Can chronic anal fissures lead to the formation of ulcers or fistulas? I have had an anal fissure for five years, and it has never been excruciating. Recently, I visited a major hospital and noticed the issue of a fistula. 1. I would like to know if a chronic anal fissure can lea...
Dr. Xu Kaixi Reply:
1. Chronic anal fissures and fistulas do not have a direct causal relationship. 2. The management of anal fissures primarily involves maintaining a regular lifestyle, adopting good dietary habits to prevent constipation, and using warm sitz baths. If there is no improvement over ...[Read More] Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Post-Surgery Concerns: Understanding Electrocautery Effects on Polyp Removal
Electrosurgery for polyps after fistula surgery? Two months after undergoing surgery for a complex fistula, I returned for a check-up and found that I had a polyp. The doctor immediately performed electrocautery on a spot just above the anus. After returning home, I noticed that ...
Dr. Zhang Shuhao Reply:
After electrocautery, there may sometimes be the formation of eschar due to elevated temperatures, similar to the scabbing process of a typical wound. This eschar will slough off as the epidermis undergoes metabolic processes and will improve within a few weeks.[Read More] Post-Surgery Concerns: Understanding Electrocautery Effects on Polyp Removal
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu Reply:
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Understanding Fistula Issues: When to Observe or Consider Surgery?
Fistula issues, inquiry supplement 192905? Hello, doctor (the previous inquiry number is 192905). Today, a general surgical ultrasound was performed on the elongated mass extending from the area beside the anus to the thigh and perineal angle down to below the scrotum. The hard m...
Dr. Ke Fangxu Reply:
If it is not connected to any cavities, it may not be an anal fistula. If there is no pain, swelling, or inflammation, it can indeed be observed further. However, if you want to completely resolve this issue, surgical intervention may be necessary. If it is a fistula, it would re...[Read More] Understanding Fistula Issues: When to Observe or Consider Surgery?
Understanding Anal Itching: When to See a Specialist for Relief
Occasional itching in the anal area? The symptoms have persisted for nearly a month. Initially, I thought it was due to irregular sleep patterns, dietary issues, and some stress, so I made adjustments and changes. Although the frequency of itching has decreased, it still occurs o...
Dr. Zhang Shuhao Reply:
Anal itching accompanied by discharge requires the exclusion of issues such as hemorrhoids or fistulas. It is recommended to visit a colorectal clinic for examination. During this time, avoid high water temperatures while bathing, and refrain from using bath products containing f...[Read More] Understanding Anal Itching: When to See a Specialist for Relief
Understanding Anal Fistulas: Is Delaying Treatment the Right Choice?
Anal fistula Doctor, is it correct for the proctologist to ask me to wait over a month for a recurrence before coming back for a follow-up?
Dr. Zhang Shuhao Reply:
If surgery is required for an anal fistula, it is best to perform it during a period without severe inflammation. If a wait of one month is necessary, it may indicate that the diagnosis is still unclear or that the fistula's course is more complex, necessitating a period of ...[Read More] Understanding Anal Fistulas: Is Delaying Treatment the Right Choice?
Minimally Invasive Surgery for Fistulas: Recurrence Rates and Recovery
Fistula Minimally Invasive Surgery Hello Doctor: My fistula has recurred after 4 years. I found the pain after traditional surgery quite significant, so this time I am considering minimally invasive surgery mainly because it has smaller incisions and quicker recovery. Can you tel...
Dr. Zhang Shuhao Reply:
Whether it is traditional or minimally invasive surgery, as long as the fistula is completely excised, the recurrence rate is very low. Therefore, it is important to discuss with the physician whether the surgeon is confident in completely excising the fistula using minimally inv...[Read More] Minimally Invasive Surgery for Fistulas: Recurrence Rates and Recovery
Managing Post-Surgery Itching and Skin Issues After Fistula Repair
Post-fistula surgery, patients may experience anal itching and a tendency for the wound to become easily irritated or break down? Hello Doctor, I underwent minimally invasive surgery to remove a fistula on January 2nd of this year. During my follow-up appointment last week (Febru...
Dr. Zhang Shuhao Reply:
1. Fistula wounds produce granulation tissue during the healing process, which can easily bleed or cause a stinging sensation due to friction. It is advisable to continue warm water sitz baths and apply ointment for dressing changes to avoid frictional irritation of the wound. If...[Read More] Managing Post-Surgery Itching and Skin Issues After Fistula Repair
Unexplained Anal Pain: Causes and Solutions for Discomfort
It doesn't seem like an anal fissure, hemorrhoids, or an anal fistula, but it hurts a lot? Hello Doctor, recently I've been experiencing a sharp pain near my anus while walking for more than half an hour. It feels like a friction burn, and there have been two or three i...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to wear loose-fitting pants and pure cotton underwear, and to change them frequently. Generally speaking, the blood circulation in the perineal area is good, and small wounds heal quickly, usually just requiring the application of antibiotic ointment. If ...[Read More] Unexplained Anal Pain: Causes and Solutions for Discomfort
Understanding Anal Fistulas: When to Seek Medical Attention
Fistula inquiry Hello, doctor. I found a case similar to mine on a Chinese medical website... I would like to consult with you. I also have an elongated hard mass, approximately 6mm in diameter and about 30mm in length. It can be felt extending from the area next to the anus, fro...
Dr. Ke Fangxu Reply:
Due to the hospital's IP restrictions, I cannot access the information you provided. However, each patient is unique, and whether your issue is a fistula can only be determined by a physician's examination. Based on your description, it does seem quite similar. I recomm...[Read More] Understanding Anal Fistulas: When to Seek Medical Attention
Understanding Anal Masses: When to Seek Medical Attention
Anal mass Doctor, for the past couple of months, I've been experiencing severe diarrhea, and a day or two afterward, I feel pain in an area about two finger widths from the anus when sitting down. When I touch it, there seems to be a hard lump, but there is no noticeable red...
Dr. Zhang Shuhao Reply:
A lump near the anus after diarrhea, aside from hemorrhoids, can sometimes be caused by an inflamed fistula or an abscess. During an episode, it is advisable to take warm sitz baths and apply ointment. If there is no improvement, it is recommended to visit a colorectal clinic for...[Read More] Understanding Anal Masses: When to Seek Medical Attention
Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Anal abscess Hello Dr. Ke, the cause of my issue is that after having a bowel movement, I wash with water (when at home) and noticed a soft, elongated bump near the anal line. It wasn't too large, so I immediately made an appointment with a doctor. The doctor prescribed anti...
Dr. Ke Fangxu Reply:
When an anal abscess is first identified, an incision and drainage procedure is typically performed, followed by monitoring for subsequent developments. If the abscess heals completely without forming a fistula, no further treatment is necessary. However, if it develops into an a...[Read More] Understanding Anal Abscesses: Causes, Treatment, and Surgical Options
Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
An anal fistula is characterized by the continuous formation of abscesses either internally or externally? Hello Dr. Chen, I would like to ask about a situation. I had surgery for an anal abscess on May 28, 2022, where it was incised and drained. After the surgery, the wound has ...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and cause pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to pre...[Read More] Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Anal fistula Anal abscess was surgically drained at the clinic on May 30, 2022. Three weeks after the procedure, tissue began to grow back, but it did not fully fill in, leaving a 1 cm deep and 0.6 cm wide hole. This hole tends to trap debris (feces and yellow discharge) and deve...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to prevent r...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Insights
Addressing Anal Stenosis: Surgical and Self-Treatment Options
Anal stenosis issue Hello doctor, I am a member of the LGBTQ+ community. I previously underwent fistula and hemorrhoid surgery at another clinic, but since the surgery, I have found it difficult to engage in anal intercourse, and it feels much narrower than before. The previous p...
Dr. Zhang Shuhao Reply:
After surgery for fistulas and hemorrhoids, the wound area may slightly lose elasticity; however, if the external anal sphincter is not damaged, it will not cause severe stenosis. Mild stenosis can be improved through self-dilation, but it is important to ensure adequate lubricat...[Read More] Addressing Anal Stenosis: Surgical and Self-Treatment Options