Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Sphincter muscle weakness or injury Hello Doctor, I have been experiencing scar pain, a foreign body sensation, fecal incontinence, and leakage after bowel movements since undergoing hemorrhoid surgery postpartum. After undergoing anorectal manometry and anal ultrasound, the do...
Dr. Zhang Shuhao Reply:
1. Training the pelvic floor muscles and conservative treatments such as physical therapy have about a 60% chance of improvement. 2. If conservative treatments are ineffective, sphincter repair surgery is still recommended. Even if the remaining muscle strength is insufficient,...[Read More] Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Understanding Anal Sphincter Issues After Hemorrhoid Surgery
Sphincter issues Hello, doctor. I am the patient from case #188320 regarding post-operative hemorrhoids and anal sphincter weakness. I had my hemorrhoid surgery at Taichung Medical Center, where the surgeon informed me after reviewing my MRI that one side of my anal sphincter is ...
Dr. Zhang Shuhao Reply:
1. The perineal nerve is responsible for the sensory and motor functions of the sphincter muscles and the anal canal. To diagnose incontinence caused by sphincter dysfunction, it is essential to rule out any issues related to nerve sensory abnormalities. 2. You can consult other ...[Read More] Understanding Anal Sphincter Issues After Hemorrhoid Surgery
Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments
Irritable bowel syndrome, anal fissures, and hemorrhoid ointment? I have been using hemorrhoid cream for 5 months due to anal fissures, and now the protective layer around my anus (hemorrhoids) is gone. I experience pain in my buttocks when riding a motorcycle or bicycle, and I&#...
Dr. Zhang Shuhao Reply:
It may be caused by excessive use of steroid-containing ointments. First, stop using hemorrhoid treatments and avoid excessive cleaning of the anal and perineal area. You can use simple moisturizing products such as lotions. If symptoms do not improve, you should visit a dermatol...[Read More] Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments
Should I Seek Immediate Medical Attention for My Rectal Lump?
Am I suffering from thrombosed external hemorrhoids or varicose veins? A week ago, a lump the size of a five-dollar coin appeared on the left side outside the anus. Over the past three days, it has grown larger to the point of rubbing against my right buttock, causing significant...
Dr. Ke Fangxu Reply:
If the lump gradually increases in size, it may not be a hemorrhoid; the possibility of an anal abscess is higher. It is recommended that you seek medical attention promptly for a physician to examine you to prevent serious conditions such as sepsis or perineal abscess.[Read More] Should I Seek Immediate Medical Attention for My Rectal Lump?
Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns
Postoperative care for anal fistula surgery? Hello, doctor. I previously underwent anal fistula surgery on March 18, with the wound located in the perineal area, approximately 8 cm in length and about one finger's depth. After two months, the wound has healed, and I just sta...
Dr. Ke Fangxu Reply:
1. Larger wound management may result in a longer healing time, and mild pain caused by pressure or prolonged sitting is considered normal. 2. If the wound has completely healed, no special treatment is necessary, and applying ointment is not required. 3. If there is redness,...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns
Understanding Anal Fissures and Skin Tags: Causes and Treatments
Anal fissure, a small piece of tissue between the perineum and the anus? Hello Doctor, I have recently experienced a tearing sensation in the perineal area after bowel movements, particularly around the anus (it hurts when it comes into contact with water or urine). However, ther...
Dr. Zhang Shuhao Reply:
The tearing pain sensation is mostly caused by anal fissures. If anal fissures recur, they can lead to the formation of a skin tag (sentinel tag) on the outer side of the wound, which is a benign skin growth. Typically, it does not cause discomfort unless it leads to pain or conc...[Read More] Understanding Anal Fissures and Skin Tags: Causes and Treatments
Understanding Small Perineal Wounds: Causes and When to Seek Help
There is a small wound in the male perineal area? About two weeks ago, I noticed a stinging sensation when water hit my perineum while showering. There appears to be a small pink wound located about 1 to 2 centimeters from the anus, between the scrotum and the anus, measuring app...
Dr. Zhang Shuhao Reply:
This symptom is usually due to inflammation of the sebaceous glands. Proper cleaning or the application of ointments may allow for natural healing. If there are recurrent inflammations or purulent blood-like discharge, it indicates the formation of a subcutaneous fistula, and sur...[Read More] Understanding Small Perineal Wounds: Causes and When to Seek Help
Understanding Perineal Swelling: When to See a Gastroenterologist
Perineal mass I am a junior in college, and about two weeks ago, due to irregular eating and sleeping patterns along with high stress, my bowel movements changed from once every three days to two to three times a day. I often experience bloating, and my stools have become thinner...
Dr. Chen Ronghong Reply:
Hello, if the swollen area is at the anal opening, the likelihood of hemorrhoids is higher. Typically, increasing water intake and fiber consumption, while avoiding constipation and spicy foods, can alleviate symptoms. If the lump is not at the anal opening, it may be an anal abs...[Read More] Understanding Perineal Swelling: When to See a Gastroenterologist
Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Cauliflower and fistula? Hello Doctor, I have developed genital warts and have been actively applying medication for treatment. I also received the HPV vaccine immediately to prevent reinfection. However, I may not have applied the medication properly, which led to significant sk...
Dr. Ke Fangxu Reply:
Based on the photo, it appears that excessive application of the ointment has caused skin ulceration. I recommend temporarily discontinuing the use of Lede Mei and applying an antibiotic ointment instead. If the perineum is very painful, you should consult a physician to determin...[Read More] Understanding HPV, Warts, and Fistula Surgery: Your Questions Answered
Understanding Perineal Polyps: When to Seek Medical Advice
Polyp on the perineum Hello, I recently had intercourse with my boyfriend and we tried anal sex. Afterward, I immediately noticed a small piece of flesh appearing between the vaginal opening and the anus. It is not painful or itchy, and it has slightly reduced in size, but the sm...
Dr. Chen Bingze Reply:
Hello, the protruding tissue is something that needs to be excised and then examined by a pathology lab to determine what it is. Basically, you can visit a nearby medical facility to have a physician evaluate it.[Read More] Understanding Perineal Polyps: When to Seek Medical Advice
Understanding Hemorrhoids and Anal Fissures: Surgical Options and Relief
Hemorrhoid surgery and anal fissure issues? Hello, doctor. Over five months ago, I experienced constipation and hard stools for two consecutive weeks. After wiping, I noticed excessive bleeding and itching, which led me to seek medical attention. I was informed for the first time...
Dr. Ke Fangxu Reply:
1. Both external hemorrhoids and anal fissures can cause itching, but pain is mostly caused by anal fissures. 2. The amount of bleeding from an anal fissure is generally minimal; if there is significant bleeding, the likelihood of hemorrhoidal bleeding is greater. If only exter...[Read More] Understanding Hemorrhoids and Anal Fissures: Surgical Options and Relief
Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Perineal mass Hello, doctor. As stated in the title, I have noticed a lump on the right side of my perineum for several years, which I discovered while wiping after using the restroom. It is slightly painful when pressed and feels like a foreign body, but it has not ruptured, so ...
Dr. Xu Kaixi Reply:
Based on your description, this perineal mass may be a subcutaneous cyst or a lipoma. It is recommended to visit a hospital's surgical outpatient department for further evaluation and confirmation.[Read More] Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Understanding Perineal Mass: Symptoms, Causes, and Treatment Options
Perineal mass Hello, doctor. As stated in the title, I have noticed a lump on the right side of my perineum for many years, which I discovered while wiping after using the restroom. It is slightly painful when pressed and feels like a foreign object, but it has not ruptured, so t...
Dr. Xu Kaixi Reply:
Based on your description, this perineal mass may be a subcutaneous cyst or a lipoma. It is recommended to visit a surgical outpatient clinic for further examination and confirmation.[Read More] Understanding Perineal Mass: Symptoms, Causes, and Treatment Options
Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Perineal mass Hello, doctor. As stated in the title, I have noticed a lump on the right side of my perineum for many years, which I discovered while wiping after using the restroom. It is slightly painful when pressed and feels like a foreign body, but it has not ruptured, so the...
Dr. Xu Kaixi Reply:
Based on your description, this perineal mass may be a subcutaneous cyst or a lipoma. It is recommended to visit a surgical outpatient clinic for further examination and confirmation.[Read More] Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Perineal mass Hello, doctor. As stated in the title, I have noticed a right-sided mass in the perineal area for several years, which I discovered while wiping after using the restroom. It is slightly painful upon pressure and gives a sensation of a foreign body, but it has not ru...
Dr. Xu Kaixi Reply:
Based on your description, this perineal mass may be a subcutaneous cyst or a lipoma. It is recommended to visit a surgical outpatient clinic for further examination and confirmation.[Read More] Understanding Perineal Mass: Causes, Symptoms, and Treatment Options
Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Post-hemorrhoidectomy perineal swelling? I underwent traditional surgery for mixed hemorrhoids on November 24th last year, and it has been approximately 2.5 months since then. I would like to ask the following questions: 1. After the surgery, I experienced swelling in the perine...
Dr. Ke Fangxu Reply:
1. It is necessary to conduct a physical examination to determine the exact issue. Generally, swelling after surgery improves within 2 to 4 weeks. If it persists for three months post-surgery, it is advisable to have the surgeon conduct a follow-up evaluation. 2. Similarly, an ...[Read More] Post-Surgery Concerns: Understanding Perineal Swelling After Hemorrhoid Surgery
Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
The relationship between hemorrhoid surgery and the urethra? Hello! My mother underwent surgery for internal hemorrhoids last Friday, which is generally considered a minor procedure. Therefore, we thought it would be manageable. However, due to her age, she felt uncomfortable ask...
Dr. Xu Kaixi Reply:
Postoperative pain from hemorrhoid surgery can vary depending on the location and severity of the hemorrhoids. During urination, the pelvic cavity, lower abdomen, and perineal muscle groups are engaged, and straining can inadvertently involve the muscles around the anus. As a res...[Read More] Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
Understanding Perineal Pain: Causes, Symptoms, and Treatment Options
Anal and perineal pain and numbness? After recently recovering from a urinary tract infection, I began experiencing pain and numbness in the anal and perineal area, which can become severe and radiate to the penis. There are no symptoms while sleeping, but the pain starts a few m...
Dr. Ke Fangxu Reply:
There are many causes of unexplained perineal pain. In addition to urinary tract infections, lesions in the rectum may also cause this phenomenon. However, in most cases, the cause remains unidentified, and symptoms often improve gradually. If symptoms persist, it may be necessar...[Read More] Understanding Perineal Pain: Causes, Symptoms, and Treatment Options
Understanding Left Leg Nerve Sensitivity: Causes and Solutions
The nerves in the left leg are particularly sensitive? Recently, I have been feeling a lightness in my left leg every day. Compared to my right leg, it feels particularly sensitive, with intermittent sensations that are neither painful nor numb. It feels like my left leg is const...
Dr. Lai Zhaokang Reply:
Hello: It may be a lumbar nerve issue. I recommend consulting with a neurosurgeon. Best wishes to you at Changhua Hospital, Neurosurgery Department, Dr. Lai Chao-Kang.[Read More] Understanding Left Leg Nerve Sensitivity: Causes and Solutions
Post-Surgery Care for Anal Fistula: Challenges and Treatment Options
Postoperative care for anal fistula surgery? Hello, I discovered a perianal abscess and fistula in early April this year. I underwent the first surgery in early April to drain the abscess and remove the fistula. After that, for a month, I soaked the area in medicated water daily,...
Dr. Ke Fangxu Reply:
To completely eradicate an anal abscess and fistula, surgery is the only option. If surgery cannot be performed temporarily, oral antibiotics can be tried to control the infection and inflammation symptoms; however, there is still a possibility of recurrence in the future. As for...[Read More] Post-Surgery Care for Anal Fistula: Challenges and Treatment Options