Post-Surgery Concerns: Understanding Fistula Recovery and Healing Process
Post-fistula surgery Hello Dr. Chang, I underwent minimally invasive surgery to remove a fistula on January 3rd of this year. My recovery had been going well, and I currently have no drainage of tissue fluid, with minimal bleeding or discomfort. However, during my follow-up appoi...
Dr. Zhang Shuhao Reply:
1. There is no swelling, pain, or discharge, which does not resemble a recurrence, and it is unlikely to have recurrence issues shortly after surgery. 2. Granulation tissue that grows beyond the necessary range for wound healing can lead to poor healing and is prone to bleeding...[Read More] Post-Surgery Concerns: Understanding Fistula Recovery and Healing Process
Do You Need Surgery for Hemorrhoids? Understanding Anal Fistula Symptoms
There are small hemorrhoids visible at the anus, along with a small black spot nearby? Which hemorrhoids require surgical removal? Is a small black dot a fistula? What are the symptoms of a fistula?
Dr. Zhang Shuhao Reply:
Hemorrhoids typically do not require surgery unless the symptoms significantly affect the quality of life. Occasional flare-ups can often be managed with medication and lifestyle changes. A small black dot that is not an indented opening does not necessarily indicate a fistula. T...[Read More] Do You Need Surgery for Hemorrhoids? Understanding Anal Fistula Symptoms
Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Anal fistula issues? Hello Dr. Ke, my father has developed something resembling acne near his anus, which has repeatedly become infected and ruptured. The doctor diagnosed it as a fistula and he underwent fistula surgery a week ago. However, during the follow-up appointment one w...
Dr. Ke Fangxu Reply:
The National Health Insurance does not stipulate that an anal fistula surgery can only remove one site at a time. It is likely that another site was not detected during the initial surgery and therefore was not removed. A second surgery may be unavoidable. However, it may be bett...[Read More] Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Post-fistula surgery granulation tissue inflammation? Hello, doctor. It has been about a month since my fistula excision surgery (the doctor informed me that the wound healing requires at least 2 months). Recently, I noticed yellow spots that look like pus on the newly formed gra...
Dr. Ke Fangxu Reply:
If there is no redness, swelling, heat, or pain, you can continue to observe the healing process of the wound. The appearance of granulation tissue is a normal phenomenon. If there is not much discharge, it is not a concern. However, if there is brown or green purulent discharge,...[Read More] Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Understanding Anal Issues: Is It Hemorrhoids or a Fistula?
Hemorrhoids? Fistula? Hello doctor, this is a picture of my buttocks: https://ppt.cc/f18W9x. There is a growth on the skin that doesn't hurt, itch, or have any wounds; it's just an extra piece that has been there for a long time. Recently, I went to a dermatology clinic...
Dr. Zhang Shuhao Reply:
The image does not appear to show hemorrhoids or a fistula; if there is no swelling or pain, it does not resemble an anal abscess either. Fistulas typically present with a hard lump, and there may sometimes be swelling, pain, and discharge. It is recommended to visit an outpatien...[Read More] Understanding Anal Issues: Is It Hemorrhoids or a Fistula?
Understanding Anal Fistulas: Symptoms and Alternative Diagnoses
Anal fistula Hello Dr. Chang, I have noticed a growth on my buttock that I suspect might be an anal fistula. However, I have researched related information and found that my buttock and anal area do not experience any pain, and the condition has been present for quite a while, wh...
Dr. Zhang Shuhao Reply:
The most common symptoms of an anal fistula include a hard lump around the anus, which may be accompanied by discharge and swelling, and it tends to recur frequently. Based on your description, it may not necessarily be a fistula; it could also be hemorrhoids. It is recommended t...[Read More] Understanding Anal Fistulas: Symptoms and Alternative Diagnoses
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you may gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure. Durin...[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
Post-anal fistula surgery Hello, doctor. I underwent minimally invasive fistula surgery last week. After my follow-up appointment today, the doctor said that my wound is healing well and that I do not need to continue taking antibiotics or pain medication. However, I still notice...
Dr. Zhang Shuhao Reply:
When the wound has not yet healed, bowel movements may cause friction on the wound, resulting in slight bleeding. If there is no redness, swelling, heat, or pain, there is no need for additional medication, and this will not lead to infection. Post-surgery, pain at the wound site...[Read More] Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
How to Differentiate Between Fistula and Hemorrhoids Symptoms
How to differentiate between a fistula and hemorrhoids? Hello, doctor. Recently, I have been experiencing a small amount of foul-smelling liquid leaking from my anus. However, upon examining my anus with a mirror, I did not notice any signs of a fistula (there is no redness, swel...
Dr. Zhang Shuhao Reply:
Anal fistulas and hemorrhoids can occur simultaneously, but the presence of foul-smelling discharge from the anus is not necessarily caused by a fistula. Fistulas typically form after inflammation and swelling, and there may be an external opening on the skin, often accompanied b...[Read More] How to Differentiate Between Fistula and Hemorrhoids Symptoms
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you can gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure.[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-Surgery Concerns: Managing Swelling and Pain After Hemorrhoid Surgery
More than a month after hemorrhoid surgery, there is slight swelling at the anal wound? Hello, Doctor. In mid-November last year, I underwent laser hemorrhoid surgery at Kaohsiung Hemorrhoid Clinic, where five internal and external hemorrhoids were removed. Currently, the wound i...
Dr. Ke Fangxu Reply:
1. There are various types of laser surgery instruments and power settings, and the recovery period can vary significantly. However, it generally should not last this long. To determine if your symptoms are normal, it is best to consult your surgeon. 2. It is not necessary to ex...[Read More] Post-Surgery Concerns: Managing Swelling and Pain After Hemorrhoid Surgery
Understanding Anal Abscess: Healing and Fistula Detection Tips
Anal abscess On Tuesday, I noticed a hard lump near my anus that looked like a pimple. I went to see a doctor yesterday, and I was diagnosed with an anal abscess, which was drained. I was prescribed antibiotics for three days. This morning, the abscess ruptured and discharged a w...
Dr. Zhang Shuhao Reply:
1. When the pus drains completely and the lump gradually softens and disappears, healing will occur slowly. 2. If a fistula forms, there may be an opening with discharge or a lump present. Once it flares up, it will be red, swollen, hot, and painful. Generally, a diagnosis can be...[Read More] Understanding Anal Abscess: Healing and Fistula Detection Tips
Understanding Wounds Near the Anus: Causes and Treatment Options
Wound near the anus? Hello Doctor, I have a wound in my groin area located towards the direction of my testicles from the anus, very close to the anal opening (but not in the anal folds). It has not healed for about two weeks, and I suspect it might be an anal fistula. I visited ...
Dr. Zhang Shuhao Reply:
The occurrence of anal fistula can present with symptoms such as redness, swelling, heat, and pain, resembling an open wound. It is recommended to rinse the area with clean water after using the restroom to reduce friction and irritation. Wear loose and breathable clothing, and a...[Read More] Understanding Wounds Near the Anus: Causes and Treatment Options
Post-Abscess Hard Lump Near Anus: Should You Worry?
After the abscess near the anus has been drained, it has turned into a painless, firm lump upon palpation? Hello, doctor. Around mid-November, I developed an abscess near my anus (toward the coccyx) that was about the size of a ten-dollar coin. It was extremely painful even when ...
Dr. Zhang Shuhao Reply:
If there are no symptoms, it may not be necessary to take immediate action; instead, observe whether the swelling and pain recur. A simple subcutaneous abscess may resolve on its own after the inflammation and infection are controlled. However, if the source of the abscess is fro...[Read More] Post-Abscess Hard Lump Near Anus: Should You Worry?
Is Swelling After Fistula Surgery for Dialysis Normal?
After undergoing surgery for the creation of an arteriovenous fistula for hemodialysis, what should be considered regarding swelling? A family member underwent an arteriovenous fistula surgery on the left arm for hemodialysis. After the surgery, the doctor instructed to apply ice...
Dr. Li Zhonghuai Reply:
Hello! Is the swelling localized to the wound or is the entire hand swollen? Swelling at the wound site will gradually subside, but if the entire hand is swollen, you should return for a follow-up appointment as soon as possible. Take care! Changhua Hospital cares about you![Read More] Is Swelling After Fistula Surgery for Dialysis Normal?
Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Fistula scar Dear Dr. Fangfang, It has been five months since my fistula excision surgery, and I have two questions to ask you. 1. Is it normal for the scar tissue after surgery to feel firm and for the portion of the fistula to protrude? I can still feel the presence of the c...
Dr. Ke Fangxu Reply:
1. Generally, surgical scars take about 1-2 years to soften, and as long as there is no swelling or pain, there is no cause for concern. 2. The recurrence of fistulas is an unavoidable aspect of this condition. Whether recurrence occurs requires long-term observation. If there ...[Read More] Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Understanding Prolonged Recovery After Surgical Treatment for Cellulitis
The recovery period after cellulitis surgery exceeds six months? In February, I underwent surgery to debride a large area of tissue due to cellulitis on the right side of my buttock. Currently, the large wound has healed, but there are several small scattered holes around it that...
Dr. Zhang Shuhao Reply:
Post-abscess surgery, a longer recovery time may be necessary. As long as purulent discharge can flow out and is not retained inside, there is a chance for gradual healing. However, it is important to monitor for any new inflammatory infections or the formation of residual absces...[Read More] Understanding Prolonged Recovery After Surgical Treatment for Cellulitis
Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Post-anal fistula surgery Hello, doctor. I underwent anal fistula surgery on November 24, 2022, and since my discharge, I have noticed black specks of discharge at the surgical site. Could this be caused by the absorption of the sutures? I have been using hydrocolloid wound dress...
Dr. Zhang Shuhao Reply:
It is normal for wounds to have discharge; black discharge may be caused by the dressing. You can take warm water sitz baths to maintain cleanliness, and this should improve as the wound heals.[Read More] Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Post-Surgery Consultation: Questions About Fistula Removal Recovery
Post-operative consultation for fistula surgery? Hello Dr. Chang, I underwent a fistula tube removal surgery on November 7th, and the current condition of my wound is as follows: https://imgur.com/a/d5Zh6dH. As of today, the pain in the wound has gradually decreased, with only sl...
Dr. Zhang Shuhao Reply:
1. The wound healing process is normal. 2. Normal. 3. Can do. 4. Can do. 5. There is no need to apply too deeply; just a small amount around the wound is sufficient.[Read More] Post-Surgery Consultation: Questions About Fistula Removal Recovery
Post-Operative Care for Anal Abscess: When to Seek Medical Attention
Postoperative care for anal abscess? I had an anal abscess surgery at the end of April 2021, and now there is still a small hole in the wound that sometimes bleeds a little and occasionally has a bit of pus. If there is no pus, it’s just a small hole. Is this normal? Do I need to...
Dr. Zhang Shuhao Reply:
If there are still wounds and purulent discharge, there may be concerns about an inadequately drained abscess or the formation of an anal fistula. It is advisable to return to the original surgeon for a follow-up, explain the current situation, and assess whether medication or su...[Read More] Post-Operative Care for Anal Abscess: When to Seek Medical Attention