Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Wound healing issues It has been three months since my anal fistula surgery, and there is still serous fluid draining from my anus. I underwent another debridement on August 11, and as of the 24th, the serous fluid is still present, and I feel no improvement. After debridement, h...
Dr. Yu Mingchang Reply:
You can return to the outpatient clinic for consultation.[Read More] Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Understanding Unusual Stool Color: Causes and Concerns
Bowel issues Hello doctor, this is my stool from this morning (attached images). I noticed a small amount of pink in one of the stools (https://ibb.co/fGK4Vbj https://ibb.co/Xb9Yd9G), while the others appear normal. Could this be related to the food I ate in the past two days, or...
Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Based on your description, it seems more likely to be food residue. It is advisable to temporarily avoid dark-colored foods. If there is no improvem...[Read More] Understanding Unusual Stool Color: Causes and Concerns
Understanding Discomfort Around the Anus: Causes and Concerns
Discomfort around the anal area? Hello Doctor, I recently took medication for my stomach which caused constipation. I then visited a colorectal surgeon who performed a digital examination and informed me that I only had a small tear. They provided me with three suppositories, and...
Dr. Xu Kaixi Reply:
Based on your description, these anal discomforts may be symptoms caused by hemorrhoids. If you have already visited three hospitals for examination and there are no specific recommendations for further testing, the lack of improvement in anal symptoms may be due to anxiety or st...[Read More] Understanding Discomfort Around the Anus: Causes and Concerns
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess Over the past few years, I have occasionally noticed a lump on my buttocks in different locations, more than five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and that it would resolve on its own since I couldn't feel it. Later, a...
Dr. Ke Fangxu Reply:
It is necessary to conduct a physical examination to differentiate between an anal abscess and a sebaceous cyst. Please consult a physician for an accurate diagnosis, as different conditions will require different recommendations and management strategies. Without a confirmed dia...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Understanding Rectal Bleeding: Possible Causes and Solutions
I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...
Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions
Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
External anal skin tag Hello Doctor, about two years ago, I felt a small lump between my anus and vagina. There was no bleeding after bowel movements, but it felt a bit itchy when touched. I have already consulted a colorectal surgeon at the hospital, who performed a physical exa...
Dr. Zhang Shuhao Reply:
The colorectal surgeon diagnosed the polyps caused by excessive straining during bowel movements, which are actually anal skin tags commonly associated with anal fissures. They typically do not present any symptoms, but may occasionally become swollen and painful due to external ...[Read More] Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
Post-Surgery Complications: Stitch Issues After Fistula Procedure
The stitches came loose on the second day post-surgery? Dear Dr. Chang, I returned home to rest the day after my fistula surgery, but on the morning of the second day post-operation, I noticed some of the sutures had come loose (some have fallen off, while others are still attac...
Dr. Zhang Shuhao Reply:
Fistula surgery will use absorbable sutures, which may come loose if there is significant tension on the wound; this is normal as long as there is no excessive bleeding. No urgent intervention is required. If the suture is hanging outside, avoid pulling on it. You can carefully t...[Read More] Post-Surgery Complications: Stitch Issues After Fistula Procedure
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess In recent years, I have occasionally noticed a lump on my buttocks in different locations, at least five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and left it alone, believing it would resolve on its own since I couldn't feel i...
Dr. Zhang Shuhao Reply:
1. In addition to considering sebaceous cysts or anal abscesses, it is important to evaluate for the presence of a subcutaneous fistula, which can only be diagnosed through a physician's examination. 2. Avoid diarrhea and smoking, and enhance skin hygiene; if there is swel...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair
It has been six months since the fistula surgery, and the wound is painful and bleeding? I had anal fistula surgery in January of this year. Recently, when wiping after a bowel movement, I've noticed a small amount of blood near the surgical site. Sometimes, if I sit for too...
Dr. Zhang Shuhao Reply:
During anal fistula surgery, when the wound is larger, it is possible to encounter a situation where the doctor mentions that the skin has not fully healed. At this time, the fragile epithelium and granulation tissue may experience slight bleeding due to friction. Fistulas rarely...[Read More] Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair
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
Managing Pain After Internal Hemorrhoid Banding: What to Do?
Internal hemorrhoid ligation Hello Doctor, I would like to ask a question. Yesterday, on August 17th, I visited the doctor who treated my internal hemorrhoids. Initially, I only wanted to address the pain and bleeding from an anal fissure, but the doctor went ahead and treated th...
Dr. Xu Kaixi Reply:
Since the procedure was just completed on August 17, the pain may be a response to the wound. If taking pain medication does not improve the situation, it is advisable to return to the original treating physician for an examination to rule out any other issues.[Read More] Managing Pain After Internal Hemorrhoid Banding: What to Do?
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
Persistent Bowel Urgency: Understanding Symptoms and Solutions
Persistent urge to defecate (for 9 consecutive days) Hello, Doctor! Since last Thursday, I have been experiencing abnormal symptoms in my anus. After bowel movements, the urge to defecate does not go away; instead, it persists throughout the day. Most of the time, the urge is mil...
Dr. Chen Bingze Reply:
If you had an examination six months ago, you can be relatively assured that there is likely no issue with colorectal cancer. However, if the persistent urge to defecate continues, it is advisable to undergo another colonoscopy and consult your physician to check for any issues i...[Read More] Persistent Bowel Urgency: Understanding Symptoms and Solutions
Do Kids Need Tetanus Shots After Being Hooked by a Fish?
If a child gets punctured by a fish hook, is a tetanus shot necessary? The child is currently 12 years old and accidentally got pricked by a fish hook while participating in a fishing activity on a farm (there was no barbed hook, so it was removed immediately). The wound feels a ...
Dr. Chen Bingze Reply:
The "pentavalent vaccine" for preventive immunization includes tetanus toxoid, with the vaccination schedule at 2, 4, 6, and 18 months of age. The "quadrivalent vaccine" also contains tetanus toxoid, with the vaccination schedule at five years of age. Therefor...[Read More] Do Kids Need Tetanus Shots After Being Hooked by a Fish?
Understanding a Small Lump Near the Anus: Causes and Concerns
There is a small lump in the anal area? Hello Doctor, recently while showering, I suddenly felt a lump at the anal area, which seems to be stuck at the anal opening. It hasn't gone back in after a few days. I suspect it might be a thrombosed hemorrhoid, but it doesn't h...
Dr. Zhang Shuhao Reply:
Based on the description, it appears to be a thrombosed hemorrhoid, which occurs when subcutaneous blood vessels are compressed, leading to bleeding and the formation of a blood clot. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to pre...[Read More] Understanding a Small Lump Near the Anus: Causes and Concerns
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello Doctor: A few days ago, I noticed some black specks in my stool. After a few days, when I went to the bathroom, I saw some black specks along with a yellowish stool and some watery stool. Today, the stool is not as dark, only two pieces, but I noticed blood ...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding in young people are hemorrhoids or anal fissures. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also avoiding staying up late and drinking alcohol. If symptoms persist, a v...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Can Urine Splash on a Surgical Wound Cause Infection Risks?
The anal wound was splashed with urine? Hello Dr. Ke, I have a somewhat unusual question. Yesterday, I urgently needed to use the restroom, and I noticed that someone in my household had not flushed the toilet. In my haste, I didn't flush and ended up getting splashed by the...
Dr. Ke Fangxu Reply:
If a person infected with HPV undergoes electrosurgery and their urine splashes onto a healthy individual, why would the healthy person become infected? Aren't they already infected? The anal wound is not in a sterile state; maintaining basic cleanliness is sufficient, and t...[Read More] Can Urine Splash on a Surgical Wound Cause Infection Risks?
Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Bowel issues Previously, my bowel movements were very smooth, and I felt the urge to go without straining. However, recently I've been experiencing some gastrointestinal issues with bloating, and I've been under a lot of stress, worrying about my health. I've been ...
Dr. Ke Fangxu Reply:
To improve bowel movement issues, it is important to increase dietary fiber intake, drink plenty of water, and maintain adequate physical activity. At this age, improving dietary habits and daily routines is usually sufficient; otherwise, the use of laxatives may become necessary...[Read More] Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Managing Infected Lipoma During Pregnancy: When to Consider Surgery?
Inflammation and pus discharge from a sebaceous cyst during pregnancy? Hello Doctor, I am currently in my second trimester of pregnancy and have developed a sebaceous cyst near my thigh close to my private area that is inflamed and discharging pus. I have been prescribed antibiot...
Dr. Chen Bingze Reply:
If the cyst is not large, performing a local excision under local anesthesia with lidocaine would be preferable. During the procedure, the physician will inject a local anesthetic, typically a medication like lidocaine, which is classified as a Category B safety drug, so its appr...[Read More] Managing Infected Lipoma During Pregnancy: When to Consider Surgery?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, Doctor. About three weeks ago (around July 17), I noticed blood on the toilet paper after having a bowel movement. I went to see a colorectal surgeon, who performed a digital examination and diagnosed me with an acute anal fissure. After that, I applied oin...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is anal fissure bleeding. If the location of pain and the results of the physician's digital examination are consistent, and there are no abnormalities found during the rectal examination, treatment for the anal f...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help