Post-Surgery Bowel Issues After Hemorrhoidectomy: Solutions and Tips
Postoperative bowel issues after hemorrhoid surgery? Hello! I underwent a traditional excision surgery for grade III mixed hemorrhoids five days ago. On the first day post-surgery, I experienced diarrhea-like bowel movements due to taking a stool softener. After stopping the stoo...
Dr. Ke Fangxu Reply:
Postoperative pain and difficulty with bowel movements are common issues after hemorrhoid surgery, so a stool softener is typically prescribed. If diarrhea occurs as directed, the dosage can be adjusted accordingly. Generally, these symptoms improve within a week after surgery. I...[Read More] Post-Surgery Bowel Issues After Hemorrhoidectomy: Solutions and Tips
Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding
Hemorrhoid treatment, breastfeeding, and medication issues? Hello, I have two questions. After giving birth in March, I developed severe internal and external hemorrhoids (3 to 4 swollen areas, with the largest one the size of a ping pong ball, which pops back out immediately aft...
Dr. Ke Fangxu Reply:
1. In this situation, I also recommend undergoing traditional hemorrhoidectomy, as conservative treatments such as ligation are not effective for large hemorrhoids that prolapse. The occurrence of anal stenosis typically happens only under special circumstances, such as acute epi...[Read More] Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding
Will External Hemorrhoids Recur After Surgery?
Will external hemorrhoids recur? Hello, I have an external hemorrhoid located next to my anus, approximately 4 centimeters in size, and it is protruding. I visited the doctor today, and I am hesitant about whether to undergo surgery because people around me say it might grow back...
Dr. Ke Fangxu Reply:
Answer: Large external hemorrhoids are indeed best treated with surgical excision. If postoperative dietary and bowel habits are maintained well, most patients can expect a recurrence-free period of 10 to 20 years. Whether or not to undergo surgery depends on the level of discomf...[Read More] Will External Hemorrhoids Recur After Surgery?
Understanding Anal Abscess: Symptoms, Treatment, and Surgical Options
Anal abscess A few months ago, I developed a lump near my left buttock close to the anus, which was painful to touch (it felt like a large pimple). However, it did not improve over time. In late June, it ruptured and began to ooze blood and some pus, so I made an appointment to s...
Dr. Ke Fangxu Reply:
An anal abscess typically does not last this long; if symptoms have persisted for several months, it may have developed into an anal fistula. If antibiotic treatment does not lead to complete healing, surgical intervention may be necessary to cure the anal fistula. Surgery genera...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Surgical Options
Understanding Hemorrhoid and Polyp Surgery: What to Expect Post-Operation
Hemorrhoid polypectomy? Hello Doctor: After having a bowel movement, I feel a swelling sensation in my anus and have noticed a polyp-like growth. A few days ago, I visited the clinic, and the doctor informed me that I have both internal and external hemorrhoids, as well as a poly...
Dr. Ke Fangxu Reply:
1. Complete excision of internal and external hemorrhoids generally requires a three-day hospital stay, primarily due to postoperative pain. Only procedures such as external hemorrhoid removal or polypectomy may not necessitate hospitalization. 2. Since I have not personally un...[Read More] Understanding Hemorrhoid and Polyp Surgery: What to Expect Post-Operation
Understanding Treatment Options for Lumbar Compression Fractures
Compression fracture of the second lumbar vertebra due to a fall? Hello, my mother, born in 1944, had an accident on June 4th when she accidentally stepped into a gap and fell to the ground, resulting in a crush fracture of her second lumbar vertebra due to gravitational impact, ...
Dr. Lai Zhaokang Reply:
Hello: A. When performing an MRI, in addition to assessing the degree of vertebral collapse, it is also important to evaluate whether there is nerve compression. B. Generally, if the vertebral height is collapsed by 1/2 and there are symptoms of buttock and leg pain due to nerve ...[Read More] Understanding Treatment Options for Lumbar Compression Fractures
Post-Colon Cancer Surgery: Managing Recovery and Dietary Concerns
Postoperative condition after colorectal cancer surgery? Hello, Doctor. My mother recently underwent laparoscopic surgery for colon cancer. Postoperatively, she has been passing gas and consuming about 300cc of water daily. Although she has had rice soup, she occasionally experie...
Dr. Ke Fangxu Reply:
1. It is possible, but undergoing such a major gastrointestinal surgery can itself lead to complications such as stress ulcers; as long as there is no melena, it should be fine. 2. If there is no discomfort when drinking water after the surgery, theoretically, the next step wou...[Read More] Post-Colon Cancer Surgery: Managing Recovery and Dietary Concerns
Post-Surgery Anal Itching and Bleeding: Managing Symptoms Abroad
It has been three months since the hemorrhoid surgery, and I am experiencing post-defecation bleeding and anal itching (currently abroad and unable to seek medical attention)? Three months ago, I specifically flew back to Taiwan for a mixed nevus electrosurgery treatment. At that...
Dr. Ke Fangxu Reply:
I personally have limited knowledge about the treatment of mixed hemorrhoids using electrocautery, and I am unclear about which specific instrument is used. I also do not understand why anal dilation is performed postoperatively, as this is not typically seen in standard surgical...[Read More] Post-Surgery Anal Itching and Bleeding: Managing Symptoms Abroad
Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Appendicitis issues? Hello Doctor, I was diagnosed with appendicitis three days ago. The doctor mentioned that the surgery would only require three incisions, but I ended up with four incisions postoperatively, with an additional drainage tube. I would like to know why this happe...
Dr. Chen Jiaming Reply:
The best way to address clinical questions is to consult your attending physician. My response should only be taken as a reference, as each physician has different considerations and practices. The three incisions are positioned based on the convenience of performing an appendect...[Read More] Understanding Appendicitis Surgery: Drainage Tubes and Adhesion Prevention
Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights
Laparoscopic appendectomy Hello, I underwent laparoscopic surgery for appendicitis at the end of February this year. The doctor mentioned it was a very early stage of appendicitis. Recently, I've been feeling a sensation in my abdomen that feels like the wound is pulsating. ...
Dr. Chen Jiaming Reply:
In general, laparoscopic appendectomy primarily utilizes the umbilicus as the main incision site for the removal of the excised appendiceal tissue. The umbilical incision is closed in two layers: the superficial skin and the deeper muscular fascia. The superficial skin is typical...[Read More] Understanding Post-Laparoscopic Appendectomy: Pain and Recovery Insights
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Challenges
Postoperative Issues Related to Hemorrhoid Surgery Hello Dr. Ke, I underwent a complete excision of internal and external hemorrhoids (using a tissue coagulator) in early January of this year, and it has been almost three months since the surgery. I have been taking magnesium oxi...
Dr. Ke Fangxu Reply:
1. A normal anus should be able to accommodate four fingers under anesthesia, and if not anesthetized, it should be able to accommodate one finger without pain. If normal bowel movements can be achieved, surgery may not be necessary. However, if there are difficulties with bowel ...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Challenges
Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Post-anal fistula surgery Hello, I had anal fistula surgery in early January, and recently I noticed a slight swelling around the surgical area that is not uncomfortable. Could this possibly be a recurrence?
Dr. Ke Fangxu Reply:
Postoperative swelling of the wound can occasionally occur. As long as there is no redness, heat, pain, or abnormal discharge, it is not a cause for concern. To determine whether it is a recurrence, it is necessary to have the surgeon evaluate it.[Read More] Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Post-Surgery Concerns: Healing and Seafood Diet After Lip Injury
Postoperative issues? Hello doctor, I would like to inquire about an incident that occurred on February 14th when I had a car accident. I had stitches on both the inside and outside of my upper lip, and the stitches have now been removed. However, recently when I press on my uppe...
Dr. Xu Kaixi Reply:
Hello: The healing process of postoperative wounds may involve fibrosis, which will improve over time and is less related to diet. You can observe it for a while longer or return to the outpatient clinic for follow-up examination.[Read More] Post-Surgery Concerns: Healing and Seafood Diet After Lip Injury
Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Two and a half months after hemorrhoid surgery? Hello Dr. Ko: 1. Three months ago, after several days of straining during bowel movements, a small lump about the size of a fingernail protruded and was painful. The outpatient physician diagnosed it as a fourth-degree hemorrhoid ...
Dr. Ke Fangxu Reply:
Answer: Neomycin ointment does not need to be applied deep into the anus. Postoperative bleeding may be due to the wound not being fully healed or prolonged bowel movements. As long as the bleeding is not excessive, it is not a major concern. It is somewhat abnormal to have bleed...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Understanding Anal Itching and Irregular Bowel Habits After Surgery
Anal itching I apologize for the oversight in my previous question. (I mentioned that I had a fistula surgery two weeks ago, and postoperatively I experienced itching, which was diagnosed as eczema during my follow-up visit.) Additionally, I would like to ask about my bowel movem...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. For anal itching, please pay attention to three things: 1. Do not scratch...[Read More] Understanding Anal Itching and Irregular Bowel Habits After Surgery
Do You Really Need Surgery for Anal Fistulas? Expert Insights
Is surgery always necessary for anal fistulas? Hello Dr. Ke, Due to a busy lifestyle before the New Year, I developed an anal abscess during the holiday. After the New Year, a doctor used a syringe to drain the pus and prescribed antibiotics. It has been over two weeks (I am st...
Dr. Ke Fangxu Reply:
1. If an anal fistula is not surgically treated, it will not be cured, and symptoms will recur. 2. Yes. 3. Medication is used to control infection symptoms, and it is not related to the recurrence of surgery. The likelihood of recurrence is more closely related to the complexit...[Read More] Do You Really Need Surgery for Anal Fistulas? Expert Insights
Post-Surgery Rectal Bleeding: Should I Worry About New Hemorrhoids?
I have had surgery for resection, but recently I have been experiencing blood in my stool again? Hello, Dr. Ke: I had a traditional excision surgery for a mixed nevus in October of last year, but in the past couple of days, I've been experiencing a lot of blood in my stool, ...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, if good bowel habits are not maintained, hemorrhoidal bleeding can quickly recur. The surgery does not completely remove the hemorrhoidal tissue; some must be left intact to maintain closure for gas and liquid. Therefore, if constipation or prolonged bow...[Read More] Post-Surgery Rectal Bleeding: Should I Worry About New Hemorrhoids?
Post-Surgery Care for Elderly Patients with Abdominal Emergencies
Abdominal emergency surgery Dear Dr. Chen, I would like to inquire about my father, who is 68 years old and was admitted to the hospital on January 5 due to acute abdominal pain. A CT scan revealed an enlarged small intestine, and he underwent surgery to remove 120 centimeters o...
Dr. Chen Jiaming Reply:
I apologize for the delay in responding due to issues with the information system. First of all, the enlargement of the small intestine and the resection of 120 centimeters of the small intestine is not a definitive disease diagnosis. Therefore, it is unclear why 120 centimeters ...[Read More] Post-Surgery Care for Elderly Patients with Abdominal Emergencies
Understanding Post-Surgery Bowel Issues: Is Anal Stenosis the Cause?
Could it be anal stenosis? Hello Doctor, I underwent hemorrhoid electrosurgical excision in early December last year. Postoperatively, I followed the doctor's advice for warm sitz baths (5-6 times a day) and initially took stool softeners, drank plenty of water, and consumed...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] Understanding Post-Surgery Bowel Issues: Is Anal Stenosis the Cause?
Post-Surgery Concerns: Yellow Mucus and Blood After Hemorrhoidectomy
After hemorrhoidectomy, there is still yellowish mucous discharge and a small amount of blood one month postoperatively? Hello Dr. Ke, I underwent a combined internal and external hemorrhoidectomy at the beginning of December. On the seventh postoperative day, I experienced signi...
Dr. Ke Fangxu Reply:
Generally, the wounds from hemorrhoid surgery heal completely within a month. However, patients who have undergone surgery using a tissue coagulation device have reported slower wound healing. You may be experiencing a similar situation. If there is no redness, swelling, heat, or...[Read More] Post-Surgery Concerns: Yellow Mucus and Blood After Hemorrhoidectomy