Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure distress Hello, Doctor: I apologize for having so many questions, and I appreciate your help in answering them one by one. Thank you. I’ve read online that "constipation" leads to anal fissures, but I don’t have constipation! Just a few days ago, my bowel m...
Dr. Ke Fangxu Reply:
1. In addition to constipation, frequent loose stools can also be a cause of anal fissures. Furthermore, excessive contraction of the anal sphincter is another contributing factor. 2. It is important to have an adequate intake of dietary fiber; simply eating vegetables is not e...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Managing Hemorrhoids and Warts: Effective Treatment Strategies
Hemorrhoids and cauliflower issues? Recently, I visited a proctology clinic and was diagnosed with a grade III external hemorrhoid and genital warts. The doctor prescribed me to apply wart cream, while for the hemorrhoid issue, I was given suppositories and pain relief capsules. ...
Dr. Ke Fangxu Reply:
The area below the testicles is likely the location of the prostate, and an anal abscess could also be a possibility, as well as swollen internal hemorrhoids. It is essential to consult a physician for a definitive diagnosis. The application sites for imiquimod cream and topical ...[Read More] Managing Hemorrhoids and Warts: Effective Treatment Strategies
Understanding External Hemorrhoids: Treatment and Recovery Insights
External hemorrhoid thrombosis ointment Hello Doctor, several years ago I experienced fresh red blood in my stool. After seeing a doctor, I was diagnosed with internal hemorrhoids and treated with a suppository, after which I didn't need to return for a follow-up. Occasional...
Dr. Ke Fangxu Reply:
Is it true that only a rectal examination with the same medication can confirm this? However, that's not the main point; the key issue is whether the symptoms improve. Small external hemorrhoids will completely absorb, but larger thrombosed hemorrhoids may leave excess skin ...[Read More] Understanding External Hemorrhoids: Treatment and Recovery Insights
Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Constipation issues / anal problems / a swollen area near the anus upon palpation? I previously had hemorrhoids, which disappeared, but I have been taking Senokot for about a year due to ongoing constipation. For the past few months, I have felt swelling around the anal area (the...
Dr. Ke Fangxu Reply:
It is essential to have a physician examine the issue for an accurate diagnosis. You may also consider purchasing over-the-counter hemorrhoid ointment to apply. If your daily routine and diet are normal, it is advisable to consult a gastroenterologist to investigate the cause of ...[Read More] Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps
Chronic anal fissure Hello Doctor: I have been suffering from chronic anal fissures due to frequent constipation for the past 2 to 3 years. Initially, after controlling my diet last December, I stopped bleeding, but in the past two months, I experienced hard stools again, which c...
Dr. Ke Fangxu Reply:
1. Chronic anal fissures typically do not have other complications aside from pain and bleeding. 2. The only definitive solution for chronic anal fissures is surgery, and even after the procedure, proper care is necessary to prevent recurrence. 3. These two medications have s...[Read More] Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps
Understanding Recurrent Anal Fissures and Skin Tags: What You Need to Know
Recurrent anal fissures, flesh-colored papules? I rarely experience constipation, but sometimes when my stool is hard, it causes bleeding. When it’s severe, it can also be itchy. Recently, I noticed a skin-colored papule about the size of a grain of rice located next to the fissu...
Dr. Ke Fangxu Reply:
Chronic anal fissures are often accompanied by surrounding papillomas, referred to as "satellite polyps" or "sentinel polyps," which result from the recurrent occurrence of fissures. These polyps do not undergo malignant transformation. If there are no signifi...[Read More] Understanding Recurrent Anal Fissures and Skin Tags: What You Need to Know
Understanding Hemorrhoids: Types, Treatment, and When to Seek Surgery
Hemorrhoid issues Hello, a few days ago after having a bowel movement, I felt pain around my anus and noticed a lump. I went to the hospital, and the doctor said it was hemorrhoids. He pushed the lump back into the anus and said that if it stays outside, it will continue to engor...
Dr. Yu Mingchang Reply:
Hello: Hemorrhoids can be effectively resolved through surgery. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Hemorrhoids: Types, Treatment, and When to Seek Surgery
Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Post-operative issues after hemorrhoid ligation? Hello Doctor: On August 5th, I visited a colorectal surgeon due to some pain in my anus, and the diagnosis was internal hemorrhoids. I underwent a hemorrhoid ligation procedure, and for the following week, I used suppositories. Aft...
Dr. Ke Fangxu Reply:
1. Mild pain after bowel movements is usually not a serious issue; sometimes it can occur with either hard or loose stools. A warm water sitz bath should help alleviate the discomfort. If symptoms do not improve or if there is severe pain, it is important to consult a physician f...[Read More] Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Managing Hemorrhoids: Softener and Ointment Usage Guidelines
Thrombosed external hemorrhoids: Use of stool softeners and topical ointments? Hello, Doctor. Thank you for your response. I would like to ask for your advice regarding the use of stool softeners and ointments. I have been experiencing bleeding for the past two to three days, so ...
Dr. Ke Fangxu Reply:
1. You can apply the ointment for hemorrhoids as needed without strict limitations on frequency. 2. Hemorrhoids are mostly caused by constipation, so doctors often prescribe laxatives. If your stools become too soft, it is advisable to stop taking them.[Read More] Managing Hemorrhoids: Softener and Ointment Usage Guidelines
Preventing Hemorrhoids: Tips for Long Hours of Standing and Treatment Options
Regarding the prevention of hemorrhoids and an external hemorrhoid? Hello, doctor. I am an international student in a healthcare-related field, and my internship requires prolonged standing (at least 5 hours). I have previously been treated for internal hemorrhoids. 1. Will wea...
Dr. Ke Fangxu Reply:
1. Compression garments are known to be effective in preventing lower extremity varicose veins, but there is no evidence to suggest they are effective in preventing hemorrhoids. 2. It is possible, but a medical examination is necessary to determine the grade of hemorrhoids, whi...[Read More] Preventing Hemorrhoids: Tips for Long Hours of Standing and Treatment Options
Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
What should I do if I have itching, mild pain, and a feeling of heaviness due to hemorrhoids? Hello Doctor: Thank you for your response last time (on April 7). I later experienced significant discomfort and mustered the courage to see a doctor. The doctor diagnosed me with thromb...
Dr. Ke Fangxu Reply:
1. If there is currently no pain or bleeding, continue with the current treatment or take warm sitz baths, but avoid constipation and shorten the time spent on bowel movements; this should help alleviate the feeling of bloating. 2. Indeed, some patients may experience worsening h...[Read More] Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure - burning sensation in the buttocks? Hello Doctor: Since March 17, I have been experiencing bleeding when using the restroom, along with swelling and pain in the anal area, and I noticed some protrusions. I visited Mackay Memorial Hospital, where the doctor performed...
Dr. Ke Fangxu Reply:
1. Although there is no longer any bleeding, if there is still pain, you may apply ointment again. 2. The cause of anal fissures is often due to constipation or diarrhea. The fundamental treatment is to improve bowel movements, along with warm sitz baths. Warm sitz baths can hel...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
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 Bumps Near the Anus: When to Seek Medical Attention
There is a protrusion near the anus? Hello doctor, I recently had a cold and sinusitis, and I've been taking antibiotics for almost a week, but I've been experiencing diarrhea. My doctor mentioned that it could be a side effect of the antibiotics. I go to the bathroom a...
Dr. Ke Fangxu Reply:
This is likely an acute thrombosed hemorrhoid caused by diarrhea. Applying an external hemorrhoid ointment should suffice. Since a colonoscopy was performed a year and a half ago, there is no urgent need for another examination.[Read More] Understanding Bumps Near the Anus: When to Seek Medical Attention
Understanding Hemorrhoids: Symptoms, Treatment, and Care Tips
Hemorrhoid issues Hello, doctor. Today I visited the colorectal surgery department due to blood in my stool. The doctor performed a digital examination and mentioned that I have mild hemorrhoids and a small wound nearby (the cause is unknown, but it could be due to friction from ...
Dr. Ke Fangxu Reply:
1. It is likely an anal fissure; a warm water sitz bath followed by applying ointment should suffice. Anal cancer can also present similarly, but it is unlikely at your age. 2. Normal. 3. It is possible, so I personally recommend using a finger to apply the ointment inside the an...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Care Tips
Post-Gastroenteritis: Is My Swollen Hemorrhoid a Cause for Concern?
After gastroenteritis, experiencing diarrhea may result in what appears to be an external hemorrhoid at the anal opening? Hello, doctor. Recently, I ate some spoiled food and have been experiencing stomach pain for several days, along with frequent diarrhea. As a result, one of t...
Dr. Ke Fangxu Reply:
Based on your description, it does seem more like a thrombosed hemorrhoid. If you are not experiencing significant discomfort, you can use over-the-counter hemorrhoid ointments and warm sitz baths, which may help. However, if you are in pain or are concerned about the hemorrhoid ...[Read More] Post-Gastroenteritis: Is My Swollen Hemorrhoid a Cause for Concern?
Understanding Anal Fissures: Treatment Options and Recovery Insights
Anal fissure issues? I started experiencing symptoms of anal fissures two to three years ago. Previously, my stools were quite hard, and after a few episodes of fissures, I realized that if my stool was even slightly hard, it could lead to tearing. I later began taking probiotics...
Dr. Ke Fangxu Reply:
Answer: Hemorrhoid ointments do contain steroids, but they do not make it easier to develop anal fissures. Recovery after surgery typically takes about 2-4 weeks, and complications such as anal incontinence are unlikely to occur. Chronic anal fissures can be treated using self-di...[Read More] Understanding Anal Fissures: Treatment Options and Recovery Insights
Managing Post-Surgery Itching After Fistula and Hemorrhoid Surgery
Itching may occur after fistula surgery? Hello, doctor. I had a fistula and hemorrhoid surgery in January this year. The recovery has been fine, but I have been experiencing persistent anal itching, sometimes so severe that it wakes me up at night. Are there any topical treatment...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping. Applying topical hemorrhoid ointment should help alleviate the symptoms. In addition to medication, there are three important considerations: 1. Do not scratch to avoid causing an infection in the wound. 2. Temporarily avoid spicy f...[Read More] Managing Post-Surgery Itching After Fistula and Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Swelling After Hemorrhoid Surgery
Postoperative swelling after hemorrhoid surgery? Hello Dr. Ke, It has been 18 days since my mixed hemorrhoid surgery (stage IV), and I am no longer experiencing pain and have been able to pass stool smoothly. However, I have noticed a protrusion on the left side of my anus (whi...
Dr. Ke Fangxu Reply:
1. The presence of residual skin tags after surgery is a normal phenomenon. 2. It may or may not resolve; observation over a few months is necessary to determine the outcome. 3. If there is no discharge from the wound, then no additional treatment is needed. Generally, it tak...[Read More] Post-Surgery Concerns: Understanding Swelling After Hemorrhoid Surgery
Understanding Hemorrhoids: Causes, Treatments, and Recovery Time
Hemorrhoid issues Hello, Doctor. Three years ago, I had a colonoscopy due to blood in my stool, and the doctor diagnosed me with hemorrhoids. Later, I experienced blood in my stool again, and the doctor performed a digital examination, confirming the presence of internal hemorrho...
Dr. Ke Fangxu Reply:
1. This phenomenon is more akin to thrombosed external hemorrhoids, but severe swelling may also lead to prolapse outside the anus. 2. There are no specific contraindications, but it is generally advised not to use it long-term. 3. In cases of acute hemorrhoidal swelling, it ...[Read More] Understanding Hemorrhoids: Causes, Treatments, and Recovery Time