Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Post-Surgery Bleeding on Day 8: Is It Normal?
Postoperative day 8, the wound is oozing blood? Hello, doctor. I underwent a vaginal rejuvenation surgery last Monday (not for cosmetic reasons, but because it was affecting my daily life). During the first week, I followed the doctor's advice and tried to stay in bed as muc...
Dr. Zhang Shuhao Reply:
1. It is possible for old blood to flow out through the incision, typically appearing darker, such as deep red or black. The amount may increase with movement or changes in position. If there are no other symptoms (such as redness, swelling, heat, pain at the wound site, purulent...[Read More] Post-Surgery Bleeding on Day 8: Is It Normal?
Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Post-operative itching and bleeding from the anus after hemorrhoid surgery? Hello Doctor, I underwent rubber band ligation for internal hemorrhoids at the beginning of March. Although I no longer feel a sensation of obstruction during bowel movements, I still notice significant b...
Dr. Zhang Shuhao Reply:
After rubber band ligation for internal hemorrhoids, it typically does not cause symptoms such as itching or tearing sensations. If itching persists, you can follow your doctor's instructions to use ointments, wear loose-fitting clothing, and keep the perineal area dry. Avoi...[Read More] Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Sacral cyst? Hello Doctor: I accidentally had pressure applied to my sacral vertebra, which resulted in a slight numbness in my labia (but there is no pain at all). Later, I consulted an orthopedic doctor who mentioned spinal stenosis and attempted to perform a lumbar traction, b...
Dr. Zhang Junwei Reply:
Most spinal cysts do not have an impact; I can only suggest that you consult a neurosurgeon at a medical center for further evaluation.[Read More] Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
There is a lump near the line of the scrotum close to the anus that hurts when pressed? Hello, Dr. Chang. There is a small lump near the line on my scrotum close to the anus. It hurts when I press on it, and I occasionally feel pain when I walk or if it gets rubbed. It feels like...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, there may be issues with the skin or soft tissues in the perineal area, commonly including inflammation, abscesses, infections, and allergies, and sometimes even trauma. Typically, treatment may involve medications or topical ointments. It is advi...[Read More] Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
Understanding Pink Growths in the Perineal Area: Causes and Concerns
Perineal mass Dear Doctor, there is a pink protrusion in the perineal area, between the anus and the scrotum, that resembles a female clitoris. I am unsure what this could be. Thank you.
Dr. Zhang Shuhao Reply:
A perineal mass may be a subcutaneous lesion or a result of various causes leading to epidermal changes, including viral infections, dermatitis, cysts, skin lesions, and abscesses. It is recommended to seek medical evaluation for a physical examination to determine the correct di...[Read More] Understanding Pink Growths in the Perineal Area: Causes and Concerns
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu Reply:
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...
Dr. Lai Zhaokang Reply:
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Anal Abscesses: When to Seek Medical Attention
Hemorrhoid issues I would like to ask about a large abscess that has developed in the anal and perineal area, causing discomfort. In the morning, I noticed it had burst, and the pain has decreased. I've been taking warm baths at home, but when I examined the wound, I found t...
Dr. Zhang Shuhao Reply:
Wounds can heal naturally. Whether a fistula will form depends on whether the previous abscess was connected to the internal anal canal. If there is a recurrence, it is advisable to visit an outpatient clinic to check for the formation of a fistula.[Read More] Understanding Anal Abscesses: When to Seek Medical Attention
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 Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...
Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...[Read More] Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Understanding Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu Reply:
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
The issues of anal fissures and hemorrhoids and their relationship with candidiasis infection? 1. I have been experiencing constipation since I was about 9 years old, and it continues to this day. I usually have a bowel movement every 3 to 5 days, with occasional soft stools or d...
Dr. Zhang Shuhao Reply:
1. If the area around the anus is swollen and resembles symptoms of hemorrhoids, chronic constipation and straining can lead to the enlargement and prolapse of hemorrhoidal tissue. Anal fissures typically do not extend to the perineum, but recurrent anal fissures may result in de...[Read More] Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
Understanding Fistula Issues: When to Observe or Consider Surgery?
Fistula issues, inquiry supplement 192905? Hello, doctor (the previous inquiry number is 192905). Today, a general surgical ultrasound was performed on the elongated mass extending from the area beside the anus to the thigh and perineal angle down to below the scrotum. The hard m...
Dr. Ke Fangxu Reply:
If it is not connected to any cavities, it may not be an anal fistula. If there is no pain, swelling, or inflammation, it can indeed be observed further. However, if you want to completely resolve this issue, surgical intervention may be necessary. If it is a fistula, it would re...[Read More] Understanding Fistula Issues: When to Observe or Consider Surgery?
Unexplained Anal Pain: Causes and Solutions for Discomfort
It doesn't seem like an anal fissure, hemorrhoids, or an anal fistula, but it hurts a lot? Hello Doctor, recently I've been experiencing a sharp pain near my anus while walking for more than half an hour. It feels like a friction burn, and there have been two or three i...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to wear loose-fitting pants and pure cotton underwear, and to change them frequently. Generally speaking, the blood circulation in the perineal area is good, and small wounds heal quickly, usually just requiring the application of antibiotic ointment. If ...[Read More] Unexplained Anal Pain: Causes and Solutions for Discomfort
Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Supplementary question: Depression of the perianal skin after healing? Hello Dr. Ke: I forgot to mention last time that after using hemorrhoid ointment for several months, I developed inflammation on the skin, resulting in a wound located in the triangular area near the perineal ...
Dr. Ke Fangxu Reply:
If skin inflammation is caused by the excessive use of an ointment, the hemorrhoid cream should no longer be used. The focus should be on treating the dermatitis, which may include both oral and topical medications. It is advisable to consult a physician for evaluation and prescr...[Read More] Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Understanding Anal Itching and Discomfort: Causes and Solutions
Perianal itching and burning? Hello, doctor. I've been struggling with perianal itching for about two weeks. Initially, I thought it was due to exam stress leading to increased hygiene habits, so I started using a bidet and reduced the frequency of wiping and washing. Howeve...
Dr. Ke Fangxu Reply:
1. Winter is a common season for anal itching, similar to the occurrence of dry skin. 2. It is possible. 3. There may always be a small amount of fecal matter or secretions around the anal area, which can cause irritation or result from low anal pressure. Anal itching may also be...[Read More] Understanding Anal Itching and Discomfort: Causes and Solutions
Understanding Complications of L3 Spinal Surgery: A Patient's Journey
Misplacement of L3 pedicle screw in lumbar spine surgery? Hello, doctor. My father is 72 years old. Preoperative X-rays showed signs of scoliosis and spondylolisthesis, with complaints of inability to walk for long periods due to lower back pain and numbness in his legs when sitt...
Dr. Lai Zhaokang Reply:
Hello: 1. Postoperative follow-up shows that the original symptoms have not improved and have worsened after surgery. If imaging reveals that a steel screw has penetrated the nerve canal, there are no other options but to adjust and perform another surgery (unless the patient is ...[Read More] Understanding Complications of L3 Spinal Surgery: A Patient's Journey
Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Excessive cleaning of the anus can lead to itching? I have always had obsessive cleanliness habits, so I tend to wipe until there are no traces left after using the restroom (I know this isn't good, but I often can't help it). Recently, due to the stress of midterms, I ...
Dr. Ke Fangxu Reply:
Excessive cleaning that leads to anal itching is quite common. Aside from medication, the fundamental solution is simple: do not over-clean. Excessive washing and wiping can cause damage and inflammation to the anal skin. Hot water sitz baths can further exacerbate the dermatitis...[Read More] Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits