Understanding Post-Bowel Movement Discomfort and Hygiene Issues
Inadequate cleaning after a bowel movement? Hello Doctor: About six months ago, I experienced a few instances of hard stools while using the restroom, which required me to sit on the toilet for a while and exert some effort to pass them. At that time, I noticed bright red blood s...
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 common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Post-Bowel Movement Discomfort and Hygiene Issues
Post-Surgery Care: Using Suppositories and Ointments for Healing
Please provide information regarding the use of suppositories and ointments prescribed by the physician after fistula surgery? Hello Dr. Ke, I visited you yesterday regarding the reason my wound has not fully healed one and a half months after the fistula surgery. You mentioned t...
Dr. Ke Fangxu Reply:
1. It is generally recommended to use suppositories before bedtime to prevent the medication from slipping out after movement. 2. A suppository should be fully inserted into the rectum; as long as it remains within the anal sphincter, it will not slip out. Urination can cause r...[Read More] Post-Surgery Care: Using Suppositories and Ointments for Healing
Understanding Steroid Use and Its Effects on Anal Fissures
Anal fissure issues and steroid intake concerns? How much steroid should be used in a day and for how long before it may cause skin thinning? I have been dealing with an anal fissure for a long time. Initially, my doctor prescribed Hemorrhoid Ointment, and recently I switched to ...
Dr. Ke Fangxu Reply:
The active ingredient in Gan-Demai ointment is gramicidin, and it does not contain steroids. Although the Hi-Yu hemorrhoid ointment contains steroids, the concentration is very low, and generally, long-term use is not a problem. However, if you have sensitive skin, it is advisabl...[Read More] Understanding Steroid Use and Its Effects on Anal Fissures
Effective Topical Treatments for Anal Abscess Management
Topical ointment for anal abscess? Hello, doctor. I previously underwent surgery for an anal abscess. Since then, I often experience abscesses. I hope to use a topical ointment to apply pressure when I start feeling discomfort. Based on my past experience, this method was effecti...
Dr. Ke Fangxu Reply:
After surgery for an anal abscess, there is indeed a risk of recurrence. Topical ointments can alleviate discomfort, but the primary treatment method remains oral medications. Most topical antibiotic ointments are quite similar; tetracycline hydrochloride or neomycin can be used,...[Read More] Effective Topical Treatments for Anal Abscess Management
Managing Anal Abscess and Fistula Concerns During Pregnancy
Anal issues Hello Doctor, last year I was diagnosed with an anal abscess and underwent surgery. The surgeon mentioned that my recovery was good. However, I later noticed some abnormalities at the surgical site. When I returned for a follow-up, the doctor also indicated that there...
Dr. Ke Fangxu Reply:
After anal abscess surgery, approximately 50% of patients may experience the complication of fistula. If this occurs, a second surgery may be required for definitive treatment. Pregnancy does not absolutely contraindicate surgery; however, most physicians, including myself, do no...[Read More] Managing Anal Abscess and Fistula Concerns During Pregnancy
Managing Pain After Hemorrhoid Surgery: Causes and Treatments
The wound from hemorrhoids hurts when lying down? It has been four months since the surgery for the thrombosed external hemorrhoid. Initially, there was no pain, but recently, over the past two months, the pain has returned. The pain does not occur while standing, but it does whe...
Dr. Ke Fangxu Reply:
Is it possible that it is an anal fissure? Generally, four months after surgery, the wound should not reopen. You can first improve your bowel habits and apply hemorrhoid ointment to avoid constipation or diarrhea. If there is no improvement, please consult a doctor for a detaile...[Read More] Managing Pain After Hemorrhoid Surgery: Causes and Treatments
Understanding Granulation Tissue After Hemorrhoid Healing: Is It Normal?
After the healing of a fissure from hemorrhoids, small lumps may develop? Hello Doctor, I am the person who asked question #135028. Following your advice, I applied the hemorrhoid ointment, and the previously broken skin has turned white, resembling a canker sore. Now, the canker...
Dr. Ke Fangxu Reply:
Granulation tissue is a remnant after wound healing. If the wound has already healed without bleeding or itching, there is no need for concern.[Read More] Understanding Granulation Tissue After Hemorrhoid Healing: Is It Normal?
Is My Painful Hemorrhoid a Skin Tear or Something Else?
Is the appearance of something similar to a mouth ulcer in hemorrhoids a sign of broken skin? Hello Doctor, recently I've been experiencing some pain from hemorrhoids, so I looked in the mirror and noticed something that resembles a canker sore. I tried taking pictures, but ...
Dr. Ke Fangxu Reply:
The photo you provided is unclear and overexposed, making it difficult to determine the issue. I recommend starting with warm sitz baths and using hemorrhoid ointment. If the symptoms persist without improvement, it would be best to consult a physician to avoid any delays in trea...[Read More] Is My Painful Hemorrhoid a Skin Tear or Something Else?
Post-Hemorrhoid Surgery: Understanding and Managing Hematoma Pain
Hematoma after hemorrhoid surgery? Hello Doctor: Two days ago, on April 6th, I underwent hemorrhoid surgery, where one internal hemorrhoid was ligated and one mixed hemorrhoid was excised using Ligasure. The following morning, the nurse observed that the anal area appeared normal...
Dr. Ke Fangxu Reply:
The benefits of using Ligasure include reduced blood loss; however, postoperative pain is similar to that of traditional surgery, typically diminishing after about a week. 1. The pain may be due to simple wound swelling; if a hematoma is present, a dark blue-black lump may be obs...[Read More] Post-Hemorrhoid Surgery: Understanding and Managing Hematoma Pain
Understanding Rectal Issues: Natural Remedies for Teens with Constipation
I've been experiencing some unusual changes when using the restroom lately? I have had some constipation and don't have bowel movements every day. I noticed a small light red bump at the anal opening, but there is no bleeding. Will drinking more water help improve this?...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a case of mild thrombosed external hemorrhoids caused by excessive straining during bowel movements. This condition can heal on its own by avoiding constipation and taking warm sitz baths. You can also purchase hemorrhoid ointment ove...[Read More] Understanding Rectal Issues: Natural Remedies for Teens with Constipation
When Will Bleeding Stop After Thrombosed External Hemorrhoid Surgery?
After a thrombectomy, when can I expect the bleeding to stop, and what medications can I apply to help reduce the bleeding? Hello, on Saturday morning at the clinic, I was diagnosed with a thrombosed external hemorrhoid. The doctor treated it at that time, and since the hemorrhoi...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids are typically treated in an outpatient setting with thrombectomy. After the procedure, it is common to experience some bleeding for one or two days, which usually does not require excessive concern. If the wound stops bleeding, there is no need to ...[Read More] When Will Bleeding Stop After Thrombosed External Hemorrhoid Surgery?
Understanding Internal Hemorrhoids: Causes, Treatments, and Recovery
Internal hemorrhoid bleeding Hello, Dr. Ke. Last Friday, December 8th, my husband (36 years old) went to the outpatient clinic due to blood in his stool. After an examination, it was determined that he had bleeding internal hemorrhoids, and the doctor performed a ligation procedu...
Dr. Ke Fangxu Reply:
Rubber band ligation for internal hemorrhoids is indeed a commonly used procedure; however, any intervention may have associated complications. A minority of patients may experience pain and bleeding. There are many causes of hematochezia, and a colonoscopy is necessary to obtain...[Read More] Understanding Internal Hemorrhoids: Causes, Treatments, and Recovery
How Long Should You Use Hemorrhoid Cream for Effective Relief?
How long should hemorrhoid ointment be applied? You have experienced rectal bleeding and underwent a colonoscopy, which revealed significant mixed hemorrhoids. After applying hemorrhoid ointment, you noticed improvement; however, discomfort recurs after one to two weeks, particul...
Dr. Ke Fangxu Reply:
Topical ointments can alleviate the symptoms of hemorrhoids to some extent; however, for internal hemorrhoids, it is still recommended to use suppositories for better treatment efficacy. Therefore, patients with mixed hemorrhoids often use both treatments together for optimal res...[Read More] How Long Should You Use Hemorrhoid Cream for Effective Relief?
Understanding Thrombosed External Hemorrhoids: Healing and Concerns
Thrombosed external hemorrhoid Hello, doctor. I had an outpatient procedure for a thrombosed external hemorrhoid last week. I currently experience only occasional mild pain, but the original thrombosed external hemorrhoid feels hard to the touch. Is this a blood clot? Will it nat...
Dr. Ke Fangxu Reply:
It is recommended that you take warm sitz baths regularly. Over-the-counter hemorrhoid ointments can also be applied. If the symptoms do not resolve after two weeks, you should consult a physician for further evaluation.[Read More] Understanding Thrombosed External Hemorrhoids: Healing and Concerns
Choosing the Best Ointment for Hemorrhoids: A Doctor's Recommendation
Selection of Hemorrhoid Ointments The ingredients of Yizhi Kang ointment include Sodium Oleate, while the ingredients of Xiyu Zhi cream include Lidocaine, Aluminium Acetate, Zinc Oxide, and Hydrocortisone Acetate. Which one would the doctor recommend for treating hemorrhoids? Tha...
Dr. Ke Fangxu Reply:
In fact, the ingredients of hemorrhoid ointments are quite similar. The primary function of the former is to reduce inflammation and promote astringency, while the latter has a better analgesic effect due to the addition of a local anesthetic. The choice of which to use should de...[Read More] Choosing the Best Ointment for Hemorrhoids: A Doctor's Recommendation
Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Pain after anal fistula surgery? Hello! I underwent an anal fistula surgery under spinal anesthesia on October 30th at Chang Gung Memorial Hospital, which lasted about ten minutes. Upon discharge on October 31st, my surgeon informed me that there were no issues with bacterial inf...
Dr. Ke Fangxu Reply:
Anal fistula surgery typically results in a larger wound, which can lead to more postoperative pain; however, bacterial infections are relatively uncommon. Some patients may experience increased pain about a week after the surgery. If there is no fever or signs of redness, swelli...[Read More] Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Post-Surgery Concerns: Understanding Hemorrhoid Recovery and Symptoms
Internal and external hemorrhoid surgery? Hello Doctor, I underwent surgery to remove internal and external hemorrhoids on October 13th. After the surgery, I have been taking warm sitz baths at least three times a day. The wound from the external hemorrhoid no longer hurts, but I...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, pain typically lasts for about a week, but complete healing of the wound may take around a month. Prior to that, these symptoms are normal. You can apply topical hemorrhoid ointments to alleviate symptoms. The feeling of constipation is related to the fa...[Read More] Post-Surgery Concerns: Understanding Hemorrhoid Recovery and Symptoms
Postpartum Fecal Incontinence: Understanding Causes and Treatment Options
Postpartum anal incontinence? Hello, doctor! After giving birth in August, I noticed a week later that I had some fecal leakage, and the doctor who assisted with the delivery promptly performed an episiotomy repair. It has now been a month and a half. The leakage improved a few d...
Dr. Ke Fangxu Reply:
Severe obstetric injuries can lead to rectovaginal fistulas. If there is still fecal incontinence after repair, a contrast agent can be administered rectally for imaging. If the contrast agent enters the vagina, it indicates the presence of a rectovaginal fistula. If healing is p...[Read More] Postpartum Fecal Incontinence: Understanding Causes and Treatment Options
Managing Anal Fissures: Effective Use of Topical Treatments
Application of rectal ointment? Hello, Dr. Ko. Since July of this year, I have been experiencing pain and bleeding during bowel movements, with symptoms that fluctuate. There is a swollen, yellowish lump outside my anus. Initially, I thought it was hemorrhoids, and in August, I p...
Dr. Ke Fangxu Reply:
1 & 2. The main function of this ointment is the petroleum jelly component, which serves as a lubricant. Since petroleum jelly is not classified as a medication, this ointment is eligible for health insurance coverage. Therefore, either option can be applied. 3. It is accepta...[Read More] Managing Anal Fissures: Effective Use of Topical Treatments
Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding
Hemorrhoid treatment, breastfeeding, and medication issues? Hello, I have two questions. After giving birth in March, I developed severe internal and external hemorrhoids (3 to 4 swollen areas, with the largest one the size of a ping pong ball, which pops back out immediately aft...
Dr. Ke Fangxu Reply:
1. In this situation, I also recommend undergoing traditional hemorrhoidectomy, as conservative treatments such as ligation are not effective for large hemorrhoids that prolapse. The occurrence of anal stenosis typically happens only under special circumstances, such as acute epi...[Read More] Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding