Understanding the Difference: Anal Fistula vs. Folliculitis
Is it an anal fistula or folliculitis? Hello doctor, recently I noticed a lump on the left side of my vulva, but it is not painful. When I touch it, I can feel a hard mass. I consulted a gynecologist who diagnosed it as folliculitis. The swelling has reduced significantly after f...
Dr. Yu Mingchang Reply:
Hello: Please take some time to check the surgical department. The possibility of a skin abscess is relatively high. The Changhua Hospital of the Ministry of Health and Welfare is concerned about you.[Read More] Understanding the Difference: Anal Fistula vs. Folliculitis
White Bump Near Anus: Is It Folliculitis or Something Else?
A white bump near the anus that resembles a pimple? Doctor, I’m sorry, but yesterday while I was showering, I noticed a small white bump near my anus that looks similar to a pimple, measuring less than 0.5 centimeters. Could this be folliculitis, or is it a fistula? It burst on i...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check with the Department of Colorectal Surgery at Changhua Hospital, as the Ministry of Health and Welfare is concerned about your external hemorrhoid embolization.[Read More] White Bump Near Anus: Is It Folliculitis or Something Else?
Post-Surgery Pain Management: Understanding Complications and Next Steps
Postoperative wound pain Hello, Dr. Ke. I discovered a hard lump about the size of a fingertip at the anal opening in May-June. I don't feel it while walking, but there is an inflammatory pain when I press on it. It feels deep, has not developed pus, and has not opened up. I...
Dr. Ke Fangxu Reply:
If it is a fistula incision surgery, the wound will take about a month to heal. Based on your description, it seems that the wound is not sutured. If the wound is close to the anal area, it is recommended to take warm sitz baths and monitor the wound for a month to see if it heal...[Read More] Post-Surgery Pain Management: Understanding Complications and Next Steps
Understanding Recurring Anal Abscesses: Causes and Treatment Options
Recurrent anal abscesses? About a year ago, I had a large perianal abscess that was incised, and follow-up confirmed that it did not develop into a fistula. However, I have since experienced about six recurrences (in different locations). Although I have taken antibiotics each ti...
Dr. Ke Fangxu Reply:
External hemorrhoids are not related to the recurrence of abscesses, and it is unlikely for an anal abscess to occur six times in different locations. Folliculitis or skin infections are more likely to present this way. If the abscess occurs in the same location, it is more proba...[Read More] Understanding Recurring Anal Abscesses: Causes and Treatment Options
Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Folliculitis & Prevention of Anal Abscess and Fistula Hello, Doctor Ko. I often develop what looks like acne around my anus, which I believe is folliculitis. Typically, these bumps heal within 2 to 3 weeks. However, I tend to worry excessively, especially since I come from a ...
Dr. Ke Fangxu Reply:
1. Folliculitis and anal abscess are different conditions with no correlation, so there is no possibility of one worsening the other. 2. It is impossible to make an accurate diagnosis without a physician's direct examination; conditions such as anal fissures, hemorrhoids, f...[Read More] Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Unable to distinguish between acne and an anal abscess (has sought medical attention)? Hello, Dr. Ke. Last week, perhaps due to prolonged sitting, I developed a bump near my anus that resembles a pimple. The location is not very close to the anus, but it is also not far, approxim...
Dr. Ke Fangxu Reply:
1. If so many professional physicians believe it is not a fistula, I cannot simply overturn their diagnosis based on a unclear photograph. The key elements for diagnosing a fistula, aside from the external opening, include palpating a firm tract, which cannot be achieved through ...[Read More] Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns
Post-operative issues following fistula surgery? Dear Dr. Ke, 1. I underwent surgery to excise two anal fistulas in December 2019. About two months post-surgery, I no longer had any discharge, but I have been experiencing slight pain and itching at the anal area, especially afte...
Dr. Ke Fangxu Reply:
1. If the fistula surgery was performed more than a year ago, then this phenomenon could either be a recurrence or damage to the sphincter muscle. To determine the exact cause, a further examination by a physician is necessary. 2. It is possible, but it could also simply be fol...[Read More] Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns
Understanding Pain Around the Armpit: Causes and Concerns
Pain around the armpit area? My boyfriend, who is the same age as me, has been experiencing pain around his left armpit for the past two weeks without any pressure or touch. He usually has a habit of exercising, and he says the pain doesn't feel like a typical sports injury....
Dr. Xu Kaixi Reply:
Based on your description and information, it is difficult to determine the possible causes. There are many possibilities ranging from localized folliculitis to lymphadenitis, among others. It is recommended to visit a hospital's surgical outpatient department for examinatio...[Read More] Understanding Pain Around the Armpit: Causes and Concerns
Furunculosis or Anal Abscess: Understanding Your Symptoms
Folliculitis or perianal abscess? Hello Doctor, I noticed a bump near my anus that resembles a pimple while showering on the evening of January 20th. It only hurts when pressed. I visited a dermatology clinic on January 21st, where it was diagnosed as folliculitis, and I underwen...
Dr. Ke Fangxu Reply:
Although an accurate diagnosis cannot be made solely based on photos, it appears to be a simple case of folliculitis. However, a definitive diagnosis should be made by a physician through examination. For now, it may be advisable to continue monitoring the situation.[Read More] Furunculosis or Anal Abscess: Understanding Your Symptoms
Understanding Hard Bumps on the Back of the Head: Tumor or Folliculitis?
Occipital bone lump Hello Doctor, I have noticed that the right side of the back of my head is more protruded than the left side (it feels like there is a lump). It does not hurt normally, but it feels hard and immovable when I touch it. Pressing around it causes some pain, but t...
Dr. Li Zhonghuai Reply:
Hello! At your age, the likelihood of developing malignant tumors on the scalp is low; however, the chances of folliculitis or sebaceous cysts are higher. I can only advise you to completely avoid fried foods, barbecued foods, sweets, bubble tea, and tobacco and alcohol. Going to...[Read More] Understanding Hard Bumps on the Back of the Head: Tumor or Folliculitis?
Understanding Painful Bumps Near the Anus: Causes and Treatments
External anal mass Hello, doctor. I would like to ask about a bump near my anus that looks like a pimple and is painful and hard. I went to the pharmacy and informed the pharmacist about my condition, and they gave me a topical cream called Xinhui Meikang Cream (a treatment for v...
Dr. Xu Kaixi Reply:
Based on your description, this lump is more likely to be folliculitis or an inflamed sebaceous cyst. For a definitive diagnosis and to determine the exact cause, it is necessary to visit a surgical outpatient clinic or a dermatology clinic in person for further evaluation.[Read More] Understanding Painful Bumps Near the Anus: Causes and Treatments
Preventing Infections in Axillary Cysts: Is Povidone-Iodine Ointment Better?
Please advise on medications for preventing infection in axillary lipomas? Hello Dr. Ke, I discovered an axillary sebaceous cyst during my junior high school years and underwent surgical excision, but it has continued to recur, so I have since switched to conservative treatment (...
Dr. Ke Fangxu Reply:
The active ingredients in povidone-iodine ointment and solution are the same; however, the ointment can remain on the skin for a longer duration. Folliculitis in the axillary region is a challenging issue that is very prone to recurrence. If the individual is overweight, sweat ac...[Read More] Preventing Infections in Axillary Cysts: Is Povidone-Iodine Ointment Better?
Understanding Painful Bumps Near the Anus: Causes and Treatment Options
Hard lump outside the anus? I have a hard lump outside my anus that hurts when I sit. The pain feels similar to that of a large pimple, and there is redness and swelling, but nothing is draining. It has been almost a month. Do I need surgery? What could this be?
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities. At the age of 13, most cases are likely to be folliculitis or exte...[Read More] Understanding Painful Bumps Near the Anus: Causes and Treatment Options
Understanding the Characteristics and Locations of Lipomas
Characteristics and Growth Locations of Epidermoid Cysts? Hello Doctor: I apologize for bothering you, but I noticed a lump on the right side of my genital area that resembles a pimple about three weeks ago. The lump is relatively large and somewhat elastic. Initially, it was pai...
Dr. Chen Jiaming Reply:
It is not possible to definitively diagnose a sebaceous cyst based solely on your description. However, due to the nature of clothing in the genital area, the skin can become hot and non-breathable, which can indeed lead to conditions similar to sebaceous gland obstruction (such ...[Read More] Understanding the Characteristics and Locations of Lipomas
Understanding Recurring Boils: Causes and Treatment Options
The issue of recurrent furuncles? Hello, Director Ke. I would like to ask a question. I developed a boil around December, and as of February 6th, it keeps recurring just when it seems to be healing. This has happened four times in total (all in roughly the same location). I have ...
Dr. Ke Fangxu Reply:
The term "dengzi" is a colloquial expression that generally refers to soft tissue infections; however, various diseases can cause soft tissue infections, ranging from mild folliculitis to Kaposi's sarcoma. It is advisable to visit a larger hospital for a physician&...[Read More] Understanding Recurring Boils: Causes and Treatment Options
Understanding the Difference: Anal Abscess vs. Folliculitis
Anal abscess or general folliculitis? Hello doctor, recently I developed a pimple just below the right side of my groin. It hurts when I press on it. Later, it shrank in size and became softer, and then yesterday it ruptured on its own, resulting in bleeding and yellow fluid. I a...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues. It is advisable to consult a physician for an examination ...[Read More] Understanding the Difference: Anal Abscess vs. Folliculitis
Understanding Painful White Bumps Near the Anus: Causes and Solutions
Small white bumps protruding from the anus that are painful? Hello, doctor. My question is a bit long, and I appreciate your understanding. Regarding my history of anal diseases, I have internal hemorrhoids and have previously had external hemorrhoids. I have undergone several li...
Dr. Ke Fangxu Reply:
The link you provided could not be accessed due to verification requirements (safety concerns). The small white spots you mentioned are more likely to be caused by anal fissures due to diarrhea. While the possibility of a fistula or abscess is not zero, it is more likely if there...[Read More] Understanding Painful White Bumps Near the Anus: Causes and Solutions
Understanding Black Spots on the Scalp: Causes and Concerns
Black circular spots on the scalp? Dear Dr. Ke, I recently noticed a black round spot on the scalp at the back of my head (where there is hair), approximately 0.2 to 0.3 centimeters in size. I would like to ask you the following questions: 1. Is it common for benign moles to de...
Dr. Ke Fangxu Reply:
1. There is a possibility of this. 2. It is also possible. 3. If the pigmentation is due to post-inflammatory changes, the color will gradually fade as long as there are no further inflammatory episodes.[Read More] Understanding Black Spots on the Scalp: Causes and Concerns
Understanding Black Spots on the Scalp: Causes and Treatments
Black circular spots on the scalp? Dear Dr. Zhou, I recently discovered a black round spot on the back of my head (where my long hair is), approximately 0.2 to 0.3 centimeters in size. I would like to ask you the following questions: 1. Can benign moles develop on the scalp? Ba...
Dr. Zhou Hongzhang Reply:
1. Benign moles can develop on the scalp. If the mole does not change, it may not require treatment. 2. Yes, the black circular spot on the back of the head could be post-inflammatory hyperpigmentation (PIH). 3. Yes, if it is post-inflammatory hyperpigmentation (PIH), the black c...[Read More] Understanding Black Spots on the Scalp: Causes and Treatments
Is That Bump Near My Anus a Pimple or Something More Serious?
The external hemorrhoid has resolved, but recently there seems to be a small bump above the anus that looks like a pimple? The area that is circled—should I go to the hospital for it, or is applying an antibiotic ointment sufficient? It feels quite similar to a pimple; could it b...
Dr. Ke Fangxu Reply:
The link you provided requires a login, so I cannot see what the issue is. Without a personal examination by a physician, it is impossible to make an accurate diagnosis. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities. ...[Read More] Is That Bump Near My Anus a Pimple or Something More Serious?