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
Understanding Pain After Rubber Band Ligation for Hemorrhoids
Rubber band ligation surgery I just underwent rubber band ligation for internal hemorrhoids, and the pain is extremely intense. It lasted for about an hour, and I was sweating from the pain. Is this normal, or does it indicate a failure? I read that it shouldn't be painful.....
Dr. Ke Fangxu Reply:
The rubber band ligation procedure for internal hemorrhoids is theoretically painless; however, if the ligation is too superficial, pain may occur. If oral medication can alleviate the pain, then pharmacological treatment should be used. If that is ineffective, the rubber band mu...[Read More] Understanding Pain After Rubber Band Ligation for Hemorrhoids
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Questions about hemorrhoid suppositories? Hello, doctor. I have been using suppositories and medication (vasoconstrictors and antidiarrheals) for my mixed hemorrhoids. I have used the suppositories for two days (twice), but they are expelled by noon the following day, remaining i...
Dr. Zhang Shuhao Reply:
For the treatment of hemorrhoids, if there is no diarrhea, there is no need to take antidiarrheal medications. Suppositories are usually used before bedtime; after slight lubrication, they should be inserted deep enough to pass beyond the sphincter. Once inside the rectum, there ...[Read More] Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
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 Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
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 Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Thrombosed external hemorrhoid Dear Doctor, after a thrombosed external hemorrhoid is absorbed, it leaves behind a fold or excess skin. Is this still considered a hemorrhoid? Should we assess the size after absorption? How can we differentiate between excess skin and a hemorrhoid...
Dr. Ke Fangxu Reply:
The residual tissue left after the absorption of a thrombosed external hemorrhoid can be referred to as either a skin tag or an external hemorrhoid; structurally, they are both composed of skin-covered connective tissue, differing only in size. If asymptomatic, they typically do ...[Read More] Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Understanding Complications After Hemorrhoid Ligation: What to Do?
Hemorrhoid ligation issues? Hello, Dr. Ke! I have a question regarding my hemorrhoid ligation issue. I have had external hemorrhoids for 20 years. Initially, they would only protrude after a bowel movement and I could push them back in with my hand. However, after undergoing liga...
Dr. Ke Fangxu Reply:
It is recommended to visit the colorectal surgery outpatient clinic for evaluation. Thank you.[Read More] Understanding Complications After Hemorrhoid Ligation: What to Do?
Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids? Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean. Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids. A minimally invasiv...
Dr. Ke Fangxu Reply:
We recommend that you schedule a follow-up consultation. Thank you.[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...
Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
Thrombotic external hemorrhoids Hello Doctor No. 202795, thank you for your response. The wound is currently healing! The thrombus has been absorbed! I now have some wrinkled skin, which is a remnant of the swelling. I would like to ask if this thickened wrinkled skin is an exter...
Dr. Zhang Shuhao Reply:
The difference between external hemorrhoids and simple skin tags lies in the presence of vascular plexus in external hemorrhoids, which can become engorged and swollen due to poor venous return or external irritation. In contrast, simple skin tags do not exhibit this phenomenon a...[Read More] Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
How to Differentiate Between External Hemorrhoids and Skin Folds
Anal issues Thank you, doctor, for your response! I am still very confused about whether my folds are external hemorrhoids. How can a doctor distinguish between external hemorrhoids and skin folds? My anxiety is affecting my sleep!
Dr. Zhang Shuhao Reply:
External hemorrhoids, in addition to containing vascular plexuses, are prone to congestion and swelling due to poor venous return. They are located closer to the anal opening, and the skin in this area is more sensitive, making it prone to pain when swollen. If symptoms are not s...[Read More] How to Differentiate Between External Hemorrhoids and Skin Folds
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
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
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?
Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Postoperative Issues After Minimally Invasive Hemorrhoid Surgery Hello, Doctor: In September, I consulted a physician and was confirmed to have a grade IV condition, and I underwent minimally invasive surgery. I understand that post-operative swelling is normal. After two follow-...
Dr. Ke Fangxu Reply:
Grade IV hemorrhoids indicate that the external hemorrhoids are larger, and minimally invasive surgery is generally not recommended because the external hemorrhoidal tissue may not be completely removed. Your situation seems to resemble this condition. If there is no pain or disc...[Read More] Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Understanding Surgery Options and Costs for Pilonidal Cyst Treatment
Inquire about issues related to pilonidal cyst surgery? What are the surgical methods and costs for this type of disease? Is there health insurance coverage available?
Dr. Xu Kaixi Reply:
The surgery for fistulas and hemorrhoids primarily involves excision, and the costs are covered by health insurance.[Read More] Understanding Surgery Options and Costs for Pilonidal Cyst Treatment
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu Reply:
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?