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 Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-operative bowel issues after anal electrosurgery? At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal. The area of skin burned around the anus was relatively la...
Dr. Zhang Shuhao Reply:
If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed. Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements. If the surgery did ...[Read More] Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Understanding Urinary and Fecal Incontinence in Older Men
Urinary incontinence and fecal incontinence? An elderly male in his 60s has recently experienced issues with urinary and fecal incontinence, which he has not encountered before. He feels an urgent need to use the restroom as soon as he has the urge, or he fears he will not make i...
Dr. Ke Fangxu Reply:
This phenomenon is often due to insufficient sphincter strength, and a minor stroke could also potentially cause this situation. It is advisable to first consult a neurologist for evaluation. If it is solely a sphincter issue, oral medications combined with Kegel exercises can ge...[Read More] Understanding Urinary and Fecal Incontinence in Older Men
Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Post-operative swelling and difficulty in bowel movements after mole removal? Hello Doctor, I underwent minimally invasive excision of external moles two months ago and have been attending regular follow-up appointments (three visits so far). Two months post-surgery, I have notic...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is common to experience abnormal sensations for a short period, but typically, these should return to normal within about two weeks. If you are still experiencing these sensations after such a long time, it may be considered unusual. Whether this is r...[Read More] Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Anal Fistulas: Treatment Options and Recovery Insights
Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...
Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights
Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Post-operative discharge issues after anal surgery? Hello, Director. I underwent an anal fistula incision and drainage surgery at the end of August last year, and then had another surgery at the end of February this year. This time, the surgery was a bit more complex, involving h...
Dr. Ke Fangxu Reply:
The healing period for complex anal surgeries can be quite lengthy. However, if there is still discharge after three months, it may not be normal. If the surgeon has examined the area and found no issues, it is likely not a recurrence. Additionally, if a flap surgery was performe...[Read More] Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Postoperative wounds from hemorrhoid surgery? Hello Doctor: Almost three months ago, I underwent laser surgery for hemorrhoids, as the hemorrhoids had prolapsed outside the anus, and the doctor also excised the prolapsed portion. However, I feel that the wound has not fully heale...
Dr. Zhang Shuhao Reply:
If there is a fan-shaped wound, it indicates that the anally internal mucosal sutures have not healed and are in an open state. This is a common postoperative condition; as long as the wound is kept clean and not overly stimulated, it will gradually heal over time. The symptoms y...[Read More] Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with part of it prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. It has been n...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
Difficult wound healing after hemorrhoid surgery? Hello, Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. Nearly two m...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. On March 8 of this year, I underwent laser hemorrhoidectomy combined with partial excision. Nearly two months have pass...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even two...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Can a Fistula Heal After Swelling Reduces? Expert Insights
Will the necrotic tissue regenerate after the fistula has reduced in size? Hello, Doctor. My abscess started to appear in mid-January and has now developed into a fistula. During this time, I initially managed to reduce it with medication, but in March, I switched to taking cold ...
Dr. Xu Kaixi Reply:
The "fistula" you mentioned "affecting" other bodily structures or tissues refers to the damage caused by the extension and spread of the fistula. Theoretically, if a fistula becomes severely infected and is left untreated, along with a decline in the body...[Read More] Can a Fistula Heal After Swelling Reduces? Expert Insights
Understanding Chronic Anal Fissures: Treatment Options and Concerns
Inquiry about anal fissure issues? Hello, doctor. A few months ago, I visited a clinic due to an anal fissure, and after the physician prescribed me a suppository, I recovered quite well. However, a few weeks ago, I experienced another anal fissure, possibly due to constipation. ...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissures are generally defined as symptoms persisting for more than eight weeks and are difficult to relieve with conservative treatment. 2. Improving constipation symptoms can be achieved by increasing fluid and dietary fiber intake, reducing time spent on the to...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Concerns
Understanding Botox Treatment for Anal Fissures: What to Expect
Botulinum toxin treatment for anal fissures I would like to ask the doctor if you have heard of this treatment method? How is it typically performed? Is the injection administered from the outside or inside of the anus? What is the level of pain during the injection? Can a bowel ...
Dr. Zhang Shuhao Reply:
Chronic anal fissures can sometimes be caused by excessive tension in the anal sphincter. In such cases, botulinum toxin can be injected near the sphincter to relax the muscle and facilitate the healing of the fissure. The injection can be administered directly from the lateral s...[Read More] Understanding Botox Treatment for Anal Fissures: What to Expect
Persistent Pain from Anal Fissure: When to Seek Medical Attention?
I have had an anal fissure for 5 days, but there has been no improvement? Hello Doctor, five days ago I experienced a slight tear in my anus due to harder stools. I bought some ointment to apply and have been doing warm sitz baths. Based on my previous experiences with anal fissu...
Dr. Zhang Shuhao Reply:
It is recommended to visit a colorectal clinic for examination. When anal fissure wounds do not heal easily, it may be associated with excessive sphincter tension or local ulcers, which may require surgical treatment. During the waiting period for medical attention, it is importa...[Read More] Persistent Pain from Anal Fissure: When to Seek Medical Attention?
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey