Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
After hemorrhoid surgery, what is the string-like substance in the anal canal? Hello, Dr. Ke. Last weekend, I underwent fistula and hemorrhoid surgery at China Medical University. The nurse informed me that I need to insert my finger about one finger's breadth into the anus ...
Dr. Ke Fangxu Reply:
A fistula can indeed occur within the anus, so during surgery, the incision may extend into the anal canal. As for the so-called tubular structure you felt, I cannot determine what it is. If the surgeon indicates that it is scar tissue from the wound, then there should be no issu...[Read More] Understanding Post-Surgery Symptoms: What to Expect After Fistula and Hemorrhoid Surgery
Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Rubber band ligation for internal hemorrhoids? Dear Doctor: I underwent a hemorrhoid ligation on August 27, and I have been experiencing a feeling of fullness in the anal area ever since. My bowel movements are normal, and there has been no bleeding. Given that it has been about ...
Dr. Ke Fangxu Reply:
After rubber band ligation for internal hemorrhoids, do not worry about whether the rubber band has fallen off. As long as there is no severe pain or significant bleeding postoperatively, there is no cause for concern. A feeling of swelling in the anal area is normal. If you must...[Read More] Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Will anal fistula surgery damage the anus? Dr. Ko: Hello! The surgeon who performed my operation is very quiet and serious, making it difficult for me to ask him questions, so I’m here to consult you. Thank you! 1. The surgeon mentioned that my fistula can only be resolved thro...
Dr. Ke Fangxu Reply:
1. Postoperative pain after anal fistula surgery is a normal phenomenon, and the pain typically lasts for 1-2 weeks. If the pain is severe, you can ask your physician to prescribe pain medication. Taking warm sitz baths can also be helpful. 2. It should be possible, but without...[Read More] Understanding Post-Surgery Pain and Care for Anal Fistula Repair
Post-Discectomy Recovery: Understanding Symptoms and Timeline for Healing
Postoperative care for herniated disc surgery? I have a problem with disc compression, experiencing lower back pain, tightness in my left leg, and numbness in my left toes. Six months ago, I underwent a lumbar disc decompression surgery (L5-S1) without fixation or implant, just p...
Dr. Lai Zhaokang Reply:
Hello: As you mentioned, it has been six months. If there is limited improvement, please ask the physician to arrange another MRI evaluation. Best wishes, Dr. Lai Chao-Kang, Director of Spine Surgery, Changhua Hospital.[Read More] Post-Discectomy Recovery: Understanding Symptoms and Timeline for Healing
Understanding Hard Skin Around Surgical Wounds After Fistula Surgery
The wound after fistula surgery has surrounding skin that is very firm? Hello, Doctor. I had a fistula surgery a month ago, and I currently have four wounds, one of which has not healed yet. Is this normal? Additionally, I would like to ask about the surrounding skin of the wound...
Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a rather complex surgery, likely involving a complicated fistula procedure. Due to the extensive debridement required, the postoperative recovery may be slower. During the healing process, scar tissue will form, which is why it feels firm to t...[Read More] Understanding Hard Skin Around Surgical Wounds After Fistula Surgery
Understanding Recurrence of External Hemorrhoids After Surgery
Post-hemorrhoid surgery Hello Dr. Ke, I would like to ask you about my situation. Three days after undergoing an external hemorrhoid excision in the outpatient clinic, I developed a thrombosed external hemorrhoid at the same location. I have been taking sitz baths, avoiding strai...
Dr. Ke Fangxu Reply:
Outpatient thrombectomy does have a chance of recurrence because it is not a complete hemorrhoidectomy. If there are still post-operative bowel issues (such as constipation, diarrhea, or prolonged straining during bowel movements), the likelihood of recurrence increases. In such ...[Read More] Understanding Recurrence of External Hemorrhoids After Surgery
Understanding Post-Surgery Issues After Fibroid Removal: Recovery and Concerns
Issues Six Months After Fibroid Removal Hello, Doctor: In February of this year, I had three fibromas removed, each approximately 1.5 to 2 centimeters in size, all of which were benign. The doctor mentioned that I have a tendency to develop fibromas, so I need to have regular fol...
Dr. Chen Jiaming Reply:
Recovery time varies for each individual, but most people will experience improvement, which does not necessarily mean a complete return to normal. The deeper the incision, the more vertical and three-dimensional scar tissue accumulates, leading to a prolonged sensation of hardne...[Read More] Understanding Post-Surgery Issues After Fibroid Removal: Recovery and Concerns
Understanding Endoscopic Nerve Resection for Spinal Arthritis Relief
Endoscopic Spinal Nerve Resection Surgery I was diagnosed with degenerative arthritis in my spine. The doctor informed me that undergoing this surgery could improve my condition by about 80%. However, since it is an out-of-pocket procedure and quite expensive, I cannot afford the...
Dr. Lai Zhaokang Reply:
Hello: 1. First, let me correct your statement; it is not "nerve resection," but rather "nerve decompression." The endoscopic spine surgery involves a smaller incision and uses an endoscope as a visual and working channel to remove the structures that compre...[Read More] Understanding Endoscopic Nerve Resection for Spinal Arthritis Relief
Post-Hemorrhoid Surgery: Understanding Symptoms and Concerns
Symptoms after infrared surgery for hemorrhoids? I have undergone hemorrhoid surgery twice. 1. During sitz baths, I can feel three lumps (I'm not sure if they are hemorrhoids), as the doctor has been avoiding my questions. 2. After the treatment, there is a small flesh-like ...
Dr. Ke Fangxu Reply:
It could be postoperative skin tags or residual external hemorrhoids; if there is no pain or bleeding, they can be disregarded.[Read More] Post-Hemorrhoid Surgery: Understanding Symptoms and Concerns
Understanding Postoperative Pain After Minimally Invasive Hemorrhoid Surgery
Postoperative Care for Minimally Invasive Hemorrhoid Surgery Hello Dr. Ke, I am a patient with grade IV hemorrhoids with internal and mixed hemorrhoids (three locations). It has been 27 days since I underwent minimally invasive surgery. I have normal bowel movements twice a day w...
Dr. Ke Fangxu Reply:
There are various methods for minimally invasive hemorrhoid surgery available in the market. Without specific information about the instruments and techniques used, it is difficult to provide an answer. Traditional surgery typically results in pain subsiding after about two weeks...[Read More] Understanding Postoperative Pain After Minimally Invasive Hemorrhoid Surgery
Understanding the Differences in Male Gynecomastia Surgery Techniques
Differences in Surgery for Gynecomastia in Males Hello, doctor. I have been planning to undergo surgery for gynecomastia, which is classified as grade 1-2. I consulted several clinics and learned about two surgical techniques. The first technique involves making an inverted Ω inc...
Dr. Zhou Hongzhang Reply:
1. In most cases, the postoperative appearance and scar care are quite similar, differing mainly in the surgical technique used. 2. The choice of surgical technique varies based on each physician's experience, as well as the patient's preferences and physical conditio...[Read More] Understanding the Differences in Male Gynecomastia Surgery Techniques
Can I Remove an External Hemorrhoid Under Local Anesthesia?
I would like to have an external mole excised? Hello Dr. Ke: I would like to ask about a thrombosed external hemorrhoid I had previously. The thrombosis has resolved, but now there is a residual external tag remaining after one month. Can Dr. Ke remove it under local anesthesia i...
Dr. Ke Fangxu Reply:
If the external hemorrhoid tissue left after the resolution of a thrombosed external hemorrhoid is generally small and rarely causes pain or bleeding, I personally do not recommend performing a surgical excision, as it may not be very meaningful. If one wishes to have it excised ...[Read More] Can I Remove an External Hemorrhoid Under Local Anesthesia?
Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Coma after surgery for intracerebral hemorrhage? Hello doctor, my father had an accident at work on June 22nd where he slipped and hit his head. He was taken to the hospital for examination and was diagnosed with a brain hemorrhage. An emergency surgery was performed, and the ope...
Dr. Zhang Junwei Reply:
The location and size of the intracerebral hemorrhage, as well as the level of consciousness, will all affect the postoperative recovery of the patient. Without detailed medical history and imaging, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care
Hemorrhoid ligation and external hemorrhoid surgery? I have been experiencing rectal bleeding after bowel movements for over four months, along with occasional anal itching. Is it still possible to improve my condition using only suppositories and warm sitz baths? After being exa...
Dr. Ke Fangxu Reply:
The goal of hemorrhoid treatment is to control symptoms. If the symptoms are not severe and do not affect daily life, ignoring them is also an option. 1. The frequency of suppository use can be increased to twice a day; however, sitz baths may worsen itching. Generally, combini...[Read More] Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care
Regulating Hyaluronic Acid: Medical vs. Health Use in Taiwan
How is hyaluronic acid classified as either medical use or health care use? Hello, doctor. I would like to inquire about how to differentiate between medical and health uses of hyaluronic acid under regulation. There are many commercially available skincare products and oral muco...
Dr. Lu Daokuan Reply:
What you are actually asking about is the issue of drug certification. Whether it is natural or synthetic hyaluronic acid, it can be ingested as long as it meets food safety regulations. However, for medical use, it must comply with pharmaceutical standards, and to be injected in...[Read More] Regulating Hyaluronic Acid: Medical vs. Health Use in Taiwan
Post-Laser Varicose Vein Surgery: Addressing Hard Lumps and Complications
After undergoing laser treatment for varicose veins in the right leg, a lump has developed? Hello, Dr. Li. I have had varicose veins in my right calf for about two years, and earlier this year I discovered that I also have varicose veins in my thigh. There is no pain, and my dail...
Dr. Li Zhonghuai Reply:
Hello! Both laser treatment and traditional surgery address great saphenous and small saphenous veins, with the main difference being that laser treatment does not require the removal of the veins. The incisions are just a few small holes at the ends of the veins, and other local...[Read More] Post-Laser Varicose Vein Surgery: Addressing Hard Lumps and Complications
Post-Surgery Concerns: Abnormalities After Laser Removal of Anal Warts
Abnormal sensations upon touching the wound inside the anus after mole removal surgery? Hello, Dr. Ko. After undergoing laser surgery for the removal of internal and external moles, I discovered a series of swollen areas along the inner wall of the anus when I touched it with my ...
Dr. Ke Fangxu Reply:
The term "laser" can refer to various types of procedures such as circumferential excision, harmonic scalpel, green light laser, or low-power laser. If the instruments and surgical methods are not clearly specified, it may be difficult to provide a definitive answer. ...[Read More] Post-Surgery Concerns: Abnormalities After Laser Removal of Anal Warts
Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Incomplete healing after anal fistula surgery? Hello Dr. Ke: I underwent anal fistula surgery at the end of January this year. After the surgery, I returned for follow-up appointments to check the wound, and my attending physician confirmed that the healing process was progressi...
Dr. Ke Fangxu Reply:
1. If the wound continues to reopen after such a long time post-surgery, it is advisable to have the surgeon check for the possibility of a fistula recurrence. 2. External hemorrhoids can indeed affect cleanliness; however, it is not possible to determine whether the issue is due...[Read More] Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Postoperative Issues After Hemorrhoid Laser Surgery Hello Dr. Ke: I had laser surgery for hemorrhoids at the clinic on the evening of April 23 (Friday) and was not hospitalized. One external hemorrhoid and one mixed hemorrhoid were removed. As of now, April 25 (Sunday), it is the...
Dr. Ke Fangxu Reply:
1. It may be difficult to make a judgment without a personal examination. 2. Generally, standard hemorrhoid surgeries require hospitalization to manage postoperative pain and swelling, which are common phenomena. Whether the wound will reopen depends on the surgical method used....[Read More] Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns
More than four months after hemorrhoid surgery? I underwent traditional mixed hemorrhoidectomy on November 24 of last year. During my follow-up appointment on December 22, granulation tissue was removed. On December 25, I experienced sudden severe pain from a swelling that had pe...
Dr. Ke Fangxu Reply:
It is impossible to determine the formation of a fistula without a personal examination. After hemorrhoid surgery, there will always be residual hemorrhoidal tissue, and if bowel habits are poor, bleeding may still occur. It is recommended to shorten the time spent on bowel movem...[Read More] Understanding Post-Surgery Bleeding After Hemorrhoidectomy: Causes and Concerns