Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Postoperative leakage after hemorrhoid surgery? Hello Doctor, I am #203132. Two years after my hemorrhoid surgery, I experience leakage of intestinal fluid and feces after bowel movements. I would like to ask you: 1. I underwent anorectal manometry, and the results showed lower...
Dr. Zhang Shuhao Reply:
1. Rectal pressure measurement should show a resting pressure lower than that of normal individuals. Ultrasound may reveal scarring of the external anal sphincter, but it is not completely torn. If digital examination does not indicate complete relaxation, most physicians would n...[Read More] Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Two years after hemorrhoid surgery, experiencing fecal incontinence? Hello Doctor, it has been nearly two years since my hemorrhoid surgery, and even after cleaning thoroughly after bowel movements, I still experience leakage of fecal fluid and secretions. I have undergone anorec...
Dr. Zhang Shuhao Reply:
1. It is difficult to guarantee whether further improvement is possible without a clear understanding of the actual surgical condition, but if there is no significant damage to the sphincter, the chances of recovery are higher. 2. If there is a noticeable defect in appearance, ...[Read More] Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Can anal intercourse be performed after hemorrhoid surgery? Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with t...
Dr. Zhang Shuhao Reply:
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
I would like to inquire if fever can occur after hemorrhoid surgery? Hello, I would like to inquire about my father's hemorrhoid banding surgery at the postal hospital on November 18. Is postoperative fever a normal phenomenon, or is it related to individual constitution? Ad...
Dr. Zhang Shuhao Reply:
Generally, rubber band ligation for internal hemorrhoids does not cause fever. However, if fever is accompanied by chills, palpitations, shortness of breath, low blood pressure, or severe anal-rectal pain, immediate medical attention is required. If there is a mild fever without ...[Read More] Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
Understanding Post-Hemorrhoid Surgery Urgency: What to Expect
Postoperative bowel urgency after hemorrhoid surgery? Hello: A family member underwent hemorrhoid surgery a few years ago, and I would like to inquire if it is possible to experience an urgent need to have a bowel movement post-surgery, where they cannot hold it in (meaning that ...
Dr. Yu Mingchang Reply:
After hemorrhoid surgery, there will be no incontinence issues. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Post-Hemorrhoid Surgery Urgency: What to Expect
Managing External Hemorrhoids: Aesthetic Concerns and Treatment Options
External hemorrhoids issue? Hello doctor, I visited the hospital yesterday for a consultation regarding an external hemorrhoid. It is not serious, as it was diagnosed as grade II, but I am concerned about the aesthetic appearance of my anus. The external hemorrhoid makes it look ...
Dr. Zhang Shuhao Reply:
If an external mole appears as a spherical shape and develops suddenly, it may be due to an internal blood clot, which could reduce in size once the clot is absorbed. However, if it is a case of hemorrhoidal soft tissue hyperplasia, surgical excision would be necessary for improv...[Read More] Managing External Hemorrhoids: Aesthetic Concerns and Treatment Options
Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Fistula surgery with hemorrhoids has recurred for the second time, only five months apart? After surgery, my blood sugar has been maintained between 300-500 for three days. I have been taking sitz baths after bowel movements. The doctor prescribed a lot of pain medication, but I ...
Dr. Ke Fangxu Reply:
Anal fistulas are inherently prone to recurrence. Poor blood sugar control can affect immune function and tissue repair, making healing more difficult and increasing the likelihood of recurrence. Postoperative wound drainage is a normal phenomenon; it is recommended to change the...[Read More] Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Understanding Black Stool After Surgery: Causes and Concerns
Postoperative black stools? Hello Doctor, I underwent traditional hemorrhoid surgery on September 28, and it has been 12 days since then. I have been taking a laxative called Lacto for constipation, 20ml once a day, but my stools have been consistently dark. On October 4, I had a...
Dr. Zhang Shuhao Reply:
1. If there is black stool without obvious bright red blood, it is likely caused by upper gastrointestinal bleeding, with the most common reason being bleeding from a gastric ulcer due to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In this case, taking magnesium oxi...[Read More] Understanding Black Stool After Surgery: Causes and Concerns
Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Issues After Hemorrhoid Banding for Internal Hemorrhoids Hello Doctor: I underwent a hemorrhoid ligation procedure on September 21 this year. I felt a bit uncomfortable at the time, but aside from experiencing significant pain during bowel movements on one particular day, I didn&...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, scar tissue will form in the local area, securing the internal hemorrhoids at a higher position in the anal canal. As a result, there may be a sensation of tightness in the anus, but it usually does not cause pain. It is advisable to ta...[Read More] Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Post-Surgery Recovery Challenges After Anal Flap Surgery
Postoperative recovery issues following anal flap surgery? Hello Doctor, after my first hemorrhoid surgery, I experienced anal stenosis and underwent an anal flap reconstruction surgery in March of this year. It has been nearly six months since the surgery. The wound took over fo...
Dr. Zhang Shuhao Reply:
Anal flap surgery can result in significant scar tissue due to the high tension at the wound site. If the physician assesses that the wound has completely healed, no further intervention is needed at that time. Scar tissue hardening may lead to pain and discomfort during bowel mo...[Read More] Post-Surgery Recovery Challenges After Anal Flap Surgery
Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Postoperative ointment for hemorrhoids? Hello Dr. Chang, I visited you a few months ago, and you diagnosed me with grade III hemorrhoids, which were not severe enough to require surgery. However, after experiencing intermittent flare-ups, I decided to undergo traditional hemorrho...
Dr. Zhang Shuhao Reply:
In addition to pain-relieving ingredients like Lidocaine, hemorrhoid ointments often contain steroids, which can be detrimental to postoperative wound healing. Postoperative pain management for hemorrhoid surgery primarily involves warm sitz baths and oral anti-inflammatory pain ...[Read More] Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-hemorrhoid surgery, there may be leakage of mucus and fecal matter? Hello, doctor. I had hemorrhoid surgery on the ninth day postpartum, and it has been one year and eight months since then. Besides discomfort in the anal area, I have been experiencing leakage of intestinal ...
Dr. Ke Fangxu Reply:
If you have already visited so many medical centers and undergone all the examinations, then I may not be able to help much. 1. It could be scar tissue. 2. It may soften over time. 3. Leakage issues after hemorrhoid surgery typically only last for a month; once the wound has comp...[Read More] Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Will an external hemorrhoidectomy involve an incision in the perineum? Hello Doctor, I have an external hemorrhoid about 2 cm long located between the perineum and the anus. The doctor performed a complete excision of both internal and external hemorrhoids. After the surgery, I n...
Dr. Ke Fangxu Reply:
Without a personal examination, I cannot provide you with a definitive answer. I recommend discussing this thoroughly with your surgeon. Personally, I do not advise performing a ligation for external hemorrhoids, as this issue is unlikely to be addressed by a general surgeon.[Read More] Understanding External Hemorrhoid Surgery: Risks and Recovery Insights
Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Occasional bleeding after hemorrhoid surgery? Thank you for your previous response. The issue of redness, swelling, and itching has improved after changing medication. It has been almost two months since my surgery on June 15. Occasionally, I notice a little blood after bowel mov...
Dr. Zhang Shuhao Reply:
Typically, new anal fissures can occur due to friction at the surgical wound site or from straining during bowel movements. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber. If there is no improvement, further evaluation should be sought.[Read More] Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
One month after undergoing traditional hemorrhoid surgery, I encountered some issues? Hello Dr. Ke, I would like to ask you a question. I have internal hemorrhoids and underwent traditional hemorrhoid surgery at a hospital on June 23rd, which was over a month ago. During my follo...
Dr. Ke Fangxu Reply:
It is possible that straining during bowel movements can cause bleeding from the surgical site. After surgery, it is important to avoid constipation. You can continue taking your usual medications as long as there is no significant bleeding or severe pain. After hemorrhoid surger...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?
Perianal mass Hello, doctor. I had minimally invasive surgery for hemorrhoids two weeks ago and I'm almost fully recovered. However, the right side of my anal area is still swollen, and I experience slight pain after bowel movements. The stool is somewhat hard at the front a...
Dr. Zhang Shuhao Reply:
Two weeks after hemorrhoid surgery, the wound may not be completely healed, so slight swelling and pain are still within the normal range. External hemorrhoids are typically addressed during the procedure. It is advisable to increase fluid intake, perform warm sitz baths, and ret...[Read More] Understanding Post-Surgery Anal Swelling: Is It Hemorrhoids or Normal Healing?
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Post-Surgery Hemorrhoid Cream Causing Redness and Itching: What to Do?
After hemorrhoid surgery, the hemorrhoid ointment caused redness, swelling, and itching? Hello, Doctor. I would like to ask a question. It has been a month since my hemorrhoid surgery, and recently I visited a dermatologist due to redness, swelling, and itching around the anal ar...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments such as Le Yu Zhi contain analgesic and corticosteroid components, which are suitable for short-term symptom relief before surgery, but are not appropriate for long-term use and are less suitable after surgery. It is recommended to switch to an antihistamine ...[Read More] Post-Surgery Hemorrhoid Cream Causing Redness and Itching: What to Do?