Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Symptoms
Post-hemorrhoid surgery Hello Doctor, I had hemorrhoid surgery last December. The severity of my hemorrhoids was classified as grade III. It has been over two months since the surgery, and I have had a follow-up appointment where the doctor said the wound is healing well. However...
Dr. Xu Kaixi Reply:
If you had a colonoscopy last year and no abnormalities were found, you can preliminarily rule out issues with the colon itself. Additionally, since you have recently undergone hemorrhoid surgery about two months ago, it is normal for the healing wounds to produce typical postope...[Read More] Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Symptoms
Post-Surgery Effects on Sexual Function: Understanding Ejaculation Changes
Will surgery affect sexual function? Hello doctor, I would like to ask about my condition. It has been three days since my fistula surgery, and I have a sexual desire. The process was normal, but during ejaculation, I experienced orgasm without any semen being released. Is this a...
Dr. Ke Fangxu Reply:
Answer: Non-anal surgeries do not cause sexual dysfunction.[Read More] Post-Surgery Effects on Sexual Function: Understanding Ejaculation Changes
Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Sensitivity
Post-hemorrhoid surgery Hello Doctor, I would like to ask about my condition. I had hemorrhoid surgery on December 20, and the severity of my hemorrhoids was classified as grade III. It has been over two months since the surgery, and I have had a follow-up appointment. The doctor...
Dr. Ke Fangxu Reply:
Hemorrhoid surgery generally does not damage the sphincter muscle, and it is common to experience slight abnormal sensations postoperatively. Taking warm sitz baths or applying topical ointments can help alleviate symptoms. A follow-up colonoscopy is indeed not necessary. It is r...[Read More] Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Sensitivity
Post-Hemorrhoidectomy Concerns: Is It a Recurrence or Scar Tissue?
Post-operative issues after hemorrhoidectomy? I had hemorrhoid surgery on January 17th, and my last follow-up appointment was on February 6th. Since then, I have experienced occasional constipation, which has caused me to strain (sometimes resulting in bleeding). Recently, while ...
Dr. Ke Fangxu Reply:
Surgical removal of hemorrhoids does not treat constipation, so it is essential to avoid constipation postoperatively to prevent symptom recurrence. Generally, recurrence does not happen quickly; it is likely due to congestion and swelling of the wound.[Read More] Post-Hemorrhoidectomy Concerns: Is It a Recurrence or Scar Tissue?
Post-Surgery Recovery: Understanding Care After Fistula Surgery
Postoperative recovery after fistula surgery? Hello, I had a fistula surgery a week ago, and during my hospital stay, the nursing staff provided me with ointment to apply. However, when I returned for a follow-up appointment a week later and asked the doctor if I could get more o...
Dr. Ke Fangxu Reply:
The size of the wound is generally not related to whether or not to apply an ointment. It is commonly believed that the key is to keep the wound clean rather than the application of ointment being necessary. Personally, I do not apply ointment in the early postoperative period be...[Read More] Post-Surgery Recovery: Understanding Care After Fistula Surgery
Post-Surgery Recovery: Do You Need Ointment After Fistula Surgery?
Recovery after fistula surgery? Hello, I had a fistula surgery a week ago, and the nursing staff at the hospital provided me with ointment to apply. However, when I returned for a follow-up appointment a week later and asked the doctor if I could get some ointment, he said that o...
Dr. Ke Fangxu Reply:
The size of the wound is generally not related to the necessity of applying ointment. It is commonly believed that whether or not to apply ointment is not essential; the key is to keep the wound clean. Personally, I do not apply ointment in the early postoperative period because ...[Read More] Post-Surgery Recovery: Do You Need Ointment After Fistula Surgery?
Post-Surgery Concerns: Understanding Hemorrhoid Treatment and Recovery
Postoperative issues related to hemorrhoid surgery? Hello Dr. Ke: Seven years ago, I had a hemorrhoid protruding from my anus during a bowel movement. I visited a clinic where the doctor inserted a finger into my anus and said there were several hemorrhoids inside that needed to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoidal ligation primarily targets internal hemorrhoids. I have heard that some people perform ligation for external hemorrhoids, but I have not personally undergone this procedure, so I cannot comment on it. 2. The anal resting pressure needs to be measured with specia...[Read More] Post-Surgery Concerns: Understanding Hemorrhoid Treatment and Recovery
Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus Surgery Evaluation My father suffered multiple fractures due to a car accident and is experiencing issues such as double vision and hydrocephalus. Although his overall health is gradually improving, the symptoms of hydrocephalus are becoming increasingly severe. We ...
Dr. Zhang Junwei Reply:
Before hydrocephalus surgery, a brain CT scan is essential to confirm the presence of hydrocephalus. As for whether a detailed evaluation is necessary prior to the surgery, it is theoretically required. This is because it relates to whether the patient's neurological deficit...[Read More] Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Post-Laparoscopic Appendectomy: Understanding Pain After 5 Weeks
Persistent pain five weeks after laparoscopic surgery? Hello, doctor. I would like to ask about my condition. I had laparoscopic surgery for appendicitis five weeks ago. In the fourth week, I occasionally experienced sharp pain in my abdomen. Three days ago, I started feeling pai...
Dr. Chen Jiaming Reply:
Scar tissue from postoperative wounds can disrupt local nerves and alter sensory responses due to the incision. As a result, it is common to experience sharp pain during changes in weather. Generally, diet does not have an impact on this type of pain. Typically, touching the area...[Read More] Post-Laparoscopic Appendectomy: Understanding Pain After 5 Weeks
Post-Operative Concerns: Understanding Swelling After Inguinal Hernia Surgery
Post-hernia surgery Dear Doctor, Two weeks after undergoing total extraperitoneal laparoscopic inguinal hernia repair, the area remains swollen regardless of whether I am lying down or standing. The skin color appears normal, with no bruising, and when gently touched, it feels ...
Dr. Xu Kaixi Reply:
Based on your description, this is considered a normal postoperative change. If there were fluid accumulation or a hematoma, you would experience localized swelling and pain. In the case of a recurrence, the swelling would be more pronounced. It is recommended that you continue t...[Read More] Post-Operative Concerns: Understanding Swelling After Inguinal Hernia Surgery
Post-Surgery Concerns: Understanding Hemorrhoid Surgery Recovery
Postoperative issues after hemorrhoid surgery? Hello, doctor. 1. How is a large amount of postoperative bleeding defined? I experienced bleeding that flowed down like a stream towards my feet, and since I haven't experienced this before, I'm unsure if it's normal...
Dr. Ke Fangxu Reply:
1. The amount of bleeding is somewhat excessive; if it does not continue, it should not be a concern. However, if there are multiple instances of bleeding within a day, it is important to seek medical attention promptly. 2. First, remove the dressing and then take a sitz bath. ...[Read More] Post-Surgery Concerns: Understanding Hemorrhoid Surgery Recovery
Understanding Hemorrhoids: When to Consider Surgery for Relief
Hemorrhoid issues Hello, Dr. Ke. About six months ago, I visited a doctor and was diagnosed with external hemorrhoids. I would like to address the issue of hemorrhoids. I can see a small lump the size of a soybean when I spread my buttocks. Although I wash with water after using ...
Dr. Ke Fangxu Reply:
1. Surgical intervention is not necessary if there is no persistent bleeding or severe pain. 2. The likelihood of developing complications is relatively low, and there is no correlation between early intervention and the occurrence of such complications. Common postoperative iss...[Read More] Understanding Hemorrhoids: When to Consider Surgery for Relief
Understanding Traditional Hemorrhoid Surgery: Recovery and Risks Explained
Hello, physician? Thank you for your thoughtful response; I truly appreciate it. I would like to ask if the recovery time for traditional external hemorrhoid excision is affected by the severity of the condition. I have external hemorrhoids that hang at the anal opening, causing ...
Dr. Ke Fangxu Reply:
The probability of developing stenosis after hemorrhoidectomy is very low, and incontinence is almost never a concern. Postoperative skin tags are not guaranteed to be absent. Since the invention of the surgery, the anal sphincter has not been affected. Any physician with a color...[Read More] Understanding Traditional Hemorrhoid Surgery: Recovery and Risks Explained
Understanding External Hemorrhoids: Surgical Options and Recovery Insights
Hemorrhoid issues Hello, doctor. I have been troubled by hemorrhoids and would like to ask you about it. Six months ago, I visited a large hospital, Chang Gung, and the doctor said that my hemorrhoids were external thrombosed hemorrhoids. He mentioned that it wasn't too seve...
Dr. Ke Fangxu Reply:
1. If only thrombectomy is performed, hospitalization is not necessary, and there is no need for packing. 2. The ultrasonic scalpel does not reduce pain but can decrease blood loss. 3. I do not understand the main point of the fourth question. I have not heard of "Mackay...[Read More] Understanding External Hemorrhoids: Surgical Options and Recovery Insights
Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Please consult with your physician regarding post-operative issues related to drainage tube placement? I underwent surgery for an anal abscess and a mild fistula at China Medical University in Taichung on November 6th. Today is the fifth day post-operation, and I would like to as...
Dr. Ke Fangxu Reply:
1. Laxatives are prescribed to prevent postoperative constipation; if diarrhea occurs, the dosage should be reduced or the medication should be discontinued. 2. Based on this description alone, it is not possible to determine whether it is related to the surgery; a consultation...[Read More] Post-Surgery Concerns After Anal Abscess and Fistula Procedure: Expert Advice Needed
Slow Recovery After Fistula Surgery: Tips for Faster Healing
The recovery after fistula surgery is very slow? Hello Doctor, I had a fistula surgery in mid-January 2019 at the six o'clock position near the coccyx, with a length of about three to four centimeters. For postoperative care, I found that sitz baths were not very effective f...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is recommended to use sitz baths instead of rinsing, as rinsing may cause anal contractions and could miss deeper areas. Other precautions include avoiding prolonged sitting and constipation, and increasing the frequency of sitz baths, which should ...[Read More] Slow Recovery After Fistula Surgery: Tips for Faster Healing
Managing Post-Surgery Pain and Diarrhea After Hemorrhoidectomy
Postoperative pain Hello Doctor, I underwent a complete excision of internal and external hemorrhoids on October 11th, and today is the fifth day post-surgery. The procedure was performed using an energy device. For the first three days, I took a stool softener with each meal, bu...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is crucial to avoid both constipation and diarrhea, as either condition can affect wound healing and cause discomfort. Regardless of the surgical method used, doctors typically prescribe stool softeners postoperatively. The combination of Western and ...[Read More] Managing Post-Surgery Pain and Diarrhea After Hemorrhoidectomy
Post-Surgery Pain Management: Dealing with Diarrhea After Hemorrhoidectomy
Postoperative pain Hello Doctor, I underwent a complete excision of internal and external hemorrhoids on October 11th, and today is the fifth day post-surgery. The procedure was performed using an energy device. For the first three days, I took a stool softener with each meal, bu...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is crucial to avoid both constipation and diarrhea, as either condition can affect wound healing and cause discomfort. Regardless of the surgical method used, doctors typically prescribe stool softeners postoperatively. If you are using a combination ...[Read More] Post-Surgery Pain Management: Dealing with Diarrhea After Hemorrhoidectomy
Understanding Post-Surgery Indentations After Inguinal Hernia Repair
After hernia surgery, the surgical site may appear sunken when sitting? Hello Doctor: I underwent traditional left inguinal hernia surgery (with a self-funded mesh implant) on the 24th of last month. For the first ten days, the wound site was normal, and the stitches were almost ...
Dr. Chen Jiaming Reply:
In traditional hernia surgery, after making an incision in the skin, the subcutaneous fat layer is separated, and the external oblique fascia is opened to reach the location of the common hernia sac. In patients with a thicker subcutaneous fat layer or larger original hernia sacs...[Read More] Understanding Post-Surgery Indentations After Inguinal Hernia Repair
Addressing Post-Surgery Concerns: Issues with Foreskin Surgery
Prepuce issues Hello Doctor: 1. After the circumcision surgery, a doctor diagnosed me with symptoms of a subcutaneous cyst, but why did the doctor advise me to consult the original surgeon for the procedure? 2. There is too much remaining inner foreskin and frenulum, resulting in...
Dr. Zhou Hongzhang Reply:
1. Postoperative wound issues are best understood by the primary surgeon who performed the procedure. 2. Scar reconstruction can sometimes be quite challenging. Most of the time, new scars replace old ones, and the appearance may not achieve perfection. It is advisable to consul...[Read More] Addressing Post-Surgery Concerns: Issues with Foreskin Surgery