Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Hemorrhoid surgery issues I underwent traditional surgery for internal and external hemorrhoids on March 19. Postoperatively, aside from the expected pain, the biggest issue has been my inability to urinate on my own. After having a catheter inserted for one day, I produced a lot...
Dr. Zhang Shuhao Reply:
Urinary retention is a common complication after hemorrhoid surgery, caused by pain at the anal wound, leading to pelvic muscle tension and excessive sympathetic nervous system stimulation. Temporary catheterization, analgesics for relaxation, or medications that assist bladder c...[Read More] Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Postoperative discomfort after hemorrhoid surgery? Hello Dr. Ke, I would like to ask about my situation. Three years ago, I underwent a circular excision hemorrhoid surgery at a certain hospital. Last year, due to a recurrence, I went to a gynecology clinic for another hemorrhoid...
Dr. Ke Fangxu Reply:
If the tingling sensation has disappeared, what other issues need to be addressed? It is possible that the staples from the first surgery are causing concerns, and it may depend on how the second surgery was performed or what instruments or materials were used. It is also possibl...[Read More] Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Regarding colonoscopy examination? Hello Dr. Chang, I would like to ask you about something. I underwent traditional hemorrhoid surgery for both internal and external hemorrhoids in June of last year. Now, I am planning to have a colonoscopy in May of this year. I am wondering if...
Dr. Zhang Shuhao Reply:
After undergoing traditional internal and external hemorrhoid surgery, it is still possible to have a colonoscopy. Typically, six to eight weeks post-surgery, it will not significantly affect the surgical site, so you can safely schedule a colonoscopy if needed.[Read More] Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Post-Surgery Care for Mole Removal: Managing Pain and Infection Risks
Post-operative care for mole removal? Hello, I underwent traditional excision of moles on January 26, and during my follow-up appointment on February 19, the doctor only examined the surface and said I didn't need to return. I noticed that there was less discharge and less p...
Dr. Zhang Shuhao Reply:
1. Prolonged cycling can affect the surgical wound, which typically takes six to eight weeks to heal completely postoperatively. Extended periods of cycling may lead to poor venous return in the pelvic region, resulting in swelling and pain at the hemorrhoidal site. It is advisab...[Read More] Post-Surgery Care for Mole Removal: Managing Pain and Infection Risks
Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...
Dr. Ke Fangxu Reply:
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...[Read More] Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Three months post-surgery? Hello Doctor, I am the one who previously left a message regarding #204738. It has been three months since my anal fissure and hemorrhoid surgery, and the wound still shows no signs of healing. I am still taking stool softeners daily and using supposito...
Dr. Zhang Shuhao Reply:
If the wound continues to exude a white fluid, it can be monitored if it is tissue fluid. However, if there is swelling, pain, and purulent discharge, a medical evaluation and treatment are necessary. When using suppositories frequently, it is important to pay attention to the in...[Read More] Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Postoperative bowel movements after Modified Ferguson with Ligasure? Hello, doctor. I had hemorrhoid surgery on Thursday afternoon. I took two softening agents in the evening, and I did not have a bowel movement before being discharged the next day. After returning home, I had wa...
Dr. Zhang Shuhao Reply:
If there is loose stool, Sennosides and Magnesium Oxide can be temporarily discontinued. If there are no severe constipation issues before the surgery, there is no need to take stool softeners after the procedure. Increase fluid intake, continue warm sitz baths, and if there is n...[Read More] Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips
The anal wound has not healed? Hello Doctor, since my hemorrhoid surgery on December 27, 2023, I have been using moist wipes to clean myself after bowel movements, followed by washing with warm water and taking sitz baths. I'm not sure if I have been rubbing too hard, but I ...
Dr. Zhang Shuhao Reply:
After surgery, try to minimize irritation to the anus. If the wound is not swollen, you may temporarily stop sitz baths. Povidone-iodine ointment is an antibiotic ointment that can be used. If symptoms do not improve, it is advisable to return for a follow-up examination of the w...[Read More] Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...
Dr. Ke Fangxu Reply:
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Postoperative issues related to hemorrhoid surgery? Hello Dr. Chang, I am a grade III internal hemorrhoid patient. I underwent minimally invasive hemorrhoid surgery at a large hospital, and it has been 56 days post-operation. Currently, I am experiencing some strange symptoms. I ...
Dr. Zhang Shuhao Reply:
The tissue around the surgical wound may have reduced elasticity, and sensation might be slightly affected. However, symptoms will improve once the scar tissue stabilizes. If examinations show no issues with anal stenosis, there is no cause for concern. You can continue with warm...[Read More] Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-hemorrhoidectomy Hello, doctor. It has been 43 days since my hemorrhoid surgery. I only had a follow-up appointment 7 days post-surgery, and currently, there are no significant issues with the wound. However, I have a question: since there has been no discharge from the woun...
Dr. Zhang Shuhao Reply:
If the wound has healed and is not painful, there is no need to use ointment. When the wound feels slightly itchy or uncomfortable due to contraction, a warm water sitz bath can be helpful. Hemorrhoid ointments can alleviate symptoms, but after surgery, it is advisable to choose ...[Read More] Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Granulation tissue excision after hemorrhoid surgery? Hello, Doctor. During my follow-up appointment on January 9th, I underwent excision of granulation tissue after hemorrhoid surgery (there was bleeding at the time, and gauze was applied for hemostasis). It has been about 25 da...
Dr. Zhang Shuhao Reply:
Twenty-five days after hemorrhoid surgery, the wound has mostly healed and does not appear to be bleeding like a surgical wound. Granulation tissue removal may occasionally cause some bleeding, but since there are no major blood vessels internally, appropriate pressure for a day ...[Read More] Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Understanding Hemorrhoid Creams: Usage, Alternatives, and Treatment Options
Hemorrhoid ointment I usually have hemorrhoids that protrude, and after using the restroom, I need to push them back in. I feel like it's getting harder to push them back. Last week, when I pushed them back, I noticed blood on the toilet paper, which startled me. Later, I we...
Dr. Yu Mingchang Reply:
Surgery is a better solution; the ointment can continue to be used.[Read More] Understanding Hemorrhoid Creams: Usage, Alternatives, and Treatment Options
Understanding the Risks of Hemorrhoid Surgery: A Case of Sepsis
Sepsis following hemorrhoid surgery? Dr. Chang, my friend (a 47-year-old healthy male) recently underwent hemorrhoidectomy using ultrasound knife at the hospital. He was readmitted for observation the day after discharge due to widespread pain, and the following morning he passed...
Dr. Zhang Shuhao Reply:
Septic shock following hemorrhoidectomy is quite rare and may occur due to complications such as rectal abscess or even rectal perforation during the surgical procedure. Additionally, it could be related to the patient's pre-existing chronic conditions that compromise their ...[Read More] Understanding the Risks of Hemorrhoid Surgery: A Case of Sepsis
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Inquiry about postoperative pain after tissue coagulation knife procedure? Hello Dr. Chang, I am suffering from grade III internal hemorrhoids and have already undergone surgery at a major hospital. The procedure seemed to involve a tissue coagulation device, not laser treatment....
Dr. Zhang Shuhao Reply:
1. The LigaSure device is a literature-validated surgical method that results in lower levels of pain and bleeding compared to traditional surgery. If the wound has fully healed, antibiotic ointment is not necessary. Strongly applied analgesics can help soothe the wound and relie...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
The Recovery Journey After Hemorrhoid Surgery Hello, doctor. I had surgery at the end of October and was hospitalized for two days before returning home to recover. I have been very careful with my diet, eating low-residue foods and supplementing with probiotics. I have been usin...
Dr. Zhang Shuhao Reply:
After hemorrhoid surgery, it is sufficient to use ointment without the need for suppositories. In addition to increasing fluid intake, dietary fiber can also be gradually increased, as well-formed, bulky stools will not cause additional irritation to the wound. If there was no co...[Read More] Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?