Understanding Anal Fistulas: Should You Consider Surgery or Manage Symptoms?
Regarding issues related to anal fistulas? The current situation is that about a year and a half ago, I had an anal abscess, which caused severe pain and made it difficult to sit or stand. After consulting with a physician, I took antibiotics, and after the abscess ruptured and d...
Dr. Ke Fangxu Reply:
I also believe that the first hospital is a scam. For young people with simple fistulas, I recommend surgery as a better option; otherwise, there is a risk that it could develop into a complex fistula over the next 50 years. If surgery is not desired, monitoring the condition is ...[Read More] Understanding Anal Fistulas: Should You Consider Surgery or Manage Symptoms?
Post-Band Ligation Care: Do You Really Need Hemorrhoid Ointment?
Ointment after hemorrhoid ligation? Hello, doctor. I underwent my first hemorrhoid ligation on April 27th (the procedure was not painful, just a feeling of needing to have a bowel movement). The doctor prescribed a topical ointment for hemorrhoids and advised me to apply it insid...
Dr. Ke Fangxu Reply:
It is normal to experience a sensation of urgency after hemorrhoid ligation. The use of a tube to apply ointment internally varies among physicians; it is not necessary, and not using it will not cause the wound to develop into a fistula. Regular warm sitz baths are always benefi...[Read More] Post-Band Ligation Care: Do You Really Need Hemorrhoid Ointment?
Understanding Anal Skin Tags: When to See a Doctor for Bleeding
There are small flesh-like growths around the anus, and sometimes there is slight bleeding when wiping? Because I often squat, sometimes I feel a lump protruding from my anus. When I shower, I push it back in with my hand, but it pops out again shortly after. When I wipe, it some...
Dr. Xu Kaixi Reply:
Hello: Based on your description, this condition may be internal hemorrhoids. I recommend that you visit a surgical outpatient clinic for an examination to rule out other possibilities.[Read More] Understanding Anal Skin Tags: When to See a Doctor for Bleeding
Managing Thrombosed Hemorrhoids: Insights and Treatment Options
Thrombosis of external hemorrhoids caused by ligation of internal hemorrhoids? Hello, Dr. Ke. I apologize for having so many questions and would like to seek your professional opinion. Thank you! I have seen three doctors regarding my hemorrhoids. One said the issue was too minor...
Dr. Ke Fangxu Reply:
If thrombosed hemorrhoids do rupture on their own and there is no severe pain, then thrombectomy is not necessary. Application of topical ointments along with warm sitz baths is sufficient, and massage is not particularly helpful.[Read More] Managing Thrombosed Hemorrhoids: Insights and Treatment Options
Understanding Anal Bumps: Is It Hemorrhoids or Something Else?
There is a lump in the anus? I often experience constipation and have a history of hemorrhoids. Recently, I felt a lump at the anal opening; there is no bleeding, pain, or itching. I consulted a general practitioner who said it is a skin tag at the anus and does not require treat...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a small thrombosed external hemorrhoid, which typically shrinks and resolves on its own within one to two weeks. You can purchase over-the-counter topical hemorrhoid ointments for application. However, if there is no improvement after two...[Read More] Understanding Anal Bumps: Is It Hemorrhoids or Something Else?
Is It Safe to Use Hemorrhoid Medications During Pregnancy?
Is it safe to use hemorrhoid medications during pregnancy? Hello Doctor, I am currently 37 weeks pregnant. I have been experiencing worsening hemorrhoids (between stage 3 and stage 4). I am currently using (1) stool softeners (4-6 capsules per day), (2) hemorrhoid suppositories (...
Dr. Ke Fangxu Reply:
The hemorrhoid ointment and suppositories from the brand "Hiyu" are classified as Category C for use in pregnant women, meaning that there have been no adequate studies in pregnant women or animals. Generally, it is believed that as long as they are used according to th...[Read More] Is It Safe to Use Hemorrhoid Medications During Pregnancy?
Understanding Anal Fissures: Symptoms, Treatment, and When to Seek Help
The issue of anal fissures? Hello, Doctor: Recently, I had sexual intercourse with a male partner (with a condom), and due to insufficient lubrication, my anus was injured. The same day and the next day were fine; urination and bowel movements were relatively normal and not very ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a typical symptom of anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding. If there is concurrent bleeding from hemorrhoids, the amount of blood may be greater. Severe anal fissures or those a...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and When to Seek Help
Exploring Anal Fissure Treatments: Are Similar Ointments Available in Taiwan?
Medications for anal fissures? A doctor in Taiwan diagnosed me with anal fissure. A doctor in the United States prescribed a topical ointment called Rective. I'm wondering if there is a similar ointment with the same ingredients available in Taiwan?
Dr. Ke Fangxu Reply:
Due to the annual reduction of drug prices by the National Health Insurance Administration, there are currently only about 4-5 types of hemorrhoid ointments covered by health insurance in the country. I couldn't find any relevant information on the ointment you mentioned (pe...[Read More] Exploring Anal Fissure Treatments: Are Similar Ointments Available in Taiwan?
Understanding Painful Rectal Lumps: Causes and Treatments
There is a hard lump in the anus? In the morning, I experienced severe pain in my anus while having a bowel movement. I have a significant issue with hemorrhoids, so I applied hemorrhoid ointment. While applying the medication, I felt a long, hard lump that seemed to protrude fro...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be acute thrombosed hemorrhoids. If there is no further swelling or pain, it should not be a concern. However, if the symptoms recur, you should consult a physician for medication treatment.[Read More] Understanding Painful Rectal Lumps: Causes and Treatments
Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
Issues related to internal hemorrhoids? Hello, Dr. Ke! I would like to consult you regarding an issue with internal hemorrhoids. (I apologize for the lengthy description, as I am quite confused and troubled. Thank you in advance for your response.) For the past six months, I have...
Dr. Ke Fangxu Reply:
It is generally not recommended to insert fingers too deeply when using hemorrhoid ointments to avoid accidental rectal injury. If applying the ointment is not very convenient, suppositories are also a practical option. To improve bowel habits, in addition to the intake of fiber ...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
White Bumps Around the Anus: Causes and Treatment Options
There are white bumps around the anal area? A few days ago, I had hard stools which caused anal fissures and bleeding. I applied hemorrhoid ointment after using the bathroom, but over the past few days, I’ve noticed a rough texture when touching the area while showering. I just c...
Dr. Yu Mingchang Reply:
Hello; please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] White Bumps Around the Anus: Causes and Treatment Options
Understanding Anal Itching: Causes, Symptoms, and Treatments
Anal pruritus Hello doctor, a few days ago I experienced intense itching in my anus. I applied some talcum powder, which provided relief. However, two days later, I started to feel pain in the anal area, and the next day I had difficulty passing stool. I have previously taken ste...
Dr. Ke Fangxu Reply:
Anal itching is a common issue. It is recommended to take warm sitz baths and apply hemorrhoid ointment. If scratching can be avoided, symptoms usually improve within a week. However, if the symptoms are severe and there is skin inflammation, oral medication may be necessary. If ...[Read More] Understanding Anal Itching: Causes, Symptoms, and Treatments
What Could a Hard Lump Near Your External Hemorrhoid Indicate?
There is a hard mass near the anal opening (next to an external hemorrhoid)? Hello! I have a question to ask. I have external hemorrhoids, which I believe are grade II. They appear when I exert myself and return to their original position after a bowel movement. Currently, I am a...
Dr. Ke Fangxu Reply:
This condition is likely a thrombosed external hemorrhoid. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths should also help alleviate symptoms. You can purchase over-the-counter hemorrhoid suppositories ...[Read More] What Could a Hard Lump Near Your External Hemorrhoid Indicate?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool for a period of time? In the past few weeks, I have noticed blood in my stool. This happened a few years ago but then stopped. The blood appears on the surface of the stool and on the toilet paper, and it is bright red. The stool itself is yellow-brown, occasio...
Dr. Yu Mingchang Reply:
Hello; there are no significant issues, just eat more fruits and vegetables.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Managing Itching and Hemorrhoids: Proper Application of Topical Treatments
Itching and topical medication for internal hemorrhoids? Hello doctor, I have itching around my anus and also in the groin area towards the coccyx. Recently, I visited a colorectal surgeon, and the day before my appointment, I noticed a little redness after using the toilet. Afte...
Dr. Ke Fangxu Reply:
Mild hemorrhoidal bleeding that does not persist does not require excessive concern. Hemorrhoid ointment is theoretically applied by inserting the applicator into the anus and delivering the ointment; however, if one is apprehensive, it can be directly applied externally or a sma...[Read More] Managing Itching and Hemorrhoids: Proper Application of Topical Treatments
Understanding Bowel Issues: When to Seek Medical Attention for Symptoms
Bowel movement issues? Doctor, for the past few months, I have been feeling the urge to use the bathroom frequently, about 5 to 6 times a day. Usually, the most significant urge occurs in the morning after waking up, while the other times I only pass a small amount. I often feel ...
Dr. Ke Fangxu Reply:
Doctor, for the past few months, I have been feeling the urge to use the restroom frequently, about 5 to 6 times a day. Usually, the most significant urge occurs in the morning after I wake up, while the other times I only pass a small amount. I often feel like I haven't com...[Read More] Understanding Bowel Issues: When to Seek Medical Attention for Symptoms
Understanding Itchy Hemorrhoids: Causes and Solutions
Hemorrhoidal itching Hello Doctor: About a month ago, after returning from Japan, I experienced constipation. After a hard bowel movement, I developed an external hemorrhoid, which was initially very uncomfortable and painful. The doctor prescribed me a hemorrhoid ointment, which...
Dr. Cai Xingzhi Reply:
It is likely an internal hemorrhoid (not an external hemorrhoid). Please maintain proper hygiene after bowel movements according to hemorrhoid prevention and treatment methods. Since intestinal fluid may leak from the anus, causing itching, simply wash the anal area with soap aft...[Read More] Understanding Itchy Hemorrhoids: Causes and Solutions
Over-the-Counter Options for Anal Pain Relief: What You Need to Know
Rectal medication Hello: Sometimes when I have severe diarrhea, I experience pain in the anal area. I have been using a topical ointment (Hemorrhoid Cream) that I received during my doctor's visit, but I'm running low on it. I would like to know if I can purchase this o...
Dr. Ke Fangxu Reply:
It is acceptable to use over-the-counter hemorrhoid ointments for anal pain caused by diarrhea. These products are generally available at pharmacies and do not require a prescription.[Read More] Over-the-Counter Options for Anal Pain Relief: What You Need to Know
Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
The anal fissure has healed, but it feels strange? Hello, Dr. Ko! I had a follow-up appointment on May 2nd, where the doctor used an anoscope to examine me closely and said that my anal fissure had healed. However, I still feel discomfort in the deeper mucosal tissue; sometimes t...
Dr. Ke Fangxu Reply:
If the pain and bleeding caused by anal fissures are not severe, it is generally not recommended to continuously use medications or undergo procedures such as ligation. Maintaining good lifestyle and bowel habits is sufficient. For mild discomfort, warm sitz baths can be helpful....[Read More] Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
Can Anal Fissures Be More Than Just Symptom Relief?
Can anal fissures only improve symptoms? Hello, doctor! My current anal fissure is different from before; it was caused by diarrhea, and the fissure is internal with no external wounds. Sitz baths and applying hemorrhoid ointment help relieve the pain, but if I only take sitz bat...
Dr. Ke Fangxu Reply:
Anal fissures are a troublesome condition; although they are not life-threatening, they can be difficult to heal. While they do not interfere with overall health, they can be quite uncomfortable. Symptoms typically gradually diminish, but they usually persist for about a month. T...[Read More] Can Anal Fissures Be More Than Just Symptom Relief?