Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Understanding Painful Anal Masses: Symptoms and Concerns
The external anal mass may have a foul odor and appears whitish in color? In the past three days, after eating spicy food, I experienced diarrhea, and afterward, I suddenly felt a lot of pain in my anus. I discovered a long, white, and somewhat flesh-colored lump that I had not n...
Dr. Zhang Shuhao Reply:
Based on your description, there is a suspicion of an anal fistula, which is associated with inflammatory lesions related to the anal glands. It is recommended to consult a colorectal specialist for a comprehensive examination and appropriate treatment, while also ruling out any ...[Read More] Understanding Painful Anal Masses: Symptoms and Concerns
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...
Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...[Read More] Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Questions about hemorrhoid suppositories? Hello, doctor. I have been using suppositories and medication (vasoconstrictors and antidiarrheals) for my mixed hemorrhoids. I have used the suppositories for two days (twice), but they are expelled by noon the following day, remaining i...
Dr. Zhang Shuhao Reply:
For the treatment of hemorrhoids, if there is no diarrhea, there is no need to take antidiarrheal medications. Suppositories are usually used before bedtime; after slight lubrication, they should be inserted deep enough to pass beyond the sphincter. Once inside the rectum, there ...[Read More] Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Postoperative leakage after hemorrhoid surgery? Hello Doctor, I am #203132. Two years after my hemorrhoid surgery, I experience leakage of intestinal fluid and feces after bowel movements. I would like to ask you: 1. I underwent anorectal manometry, and the results showed lower...
Dr. Zhang Shuhao Reply:
1. Rectal pressure measurement should show a resting pressure lower than that of normal individuals. Ultrasound may reveal scarring of the external anal sphincter, but it is not completely torn. If digital examination does not indicate complete relaxation, most physicians would n...[Read More] Post-Hemorrhoid Surgery Leakage: Understanding Causes and Solutions
Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Two years after hemorrhoid surgery, experiencing fecal incontinence? Hello Doctor, it has been nearly two years since my hemorrhoid surgery, and even after cleaning thoroughly after bowel movements, I still experience leakage of fecal fluid and secretions. I have undergone anorec...
Dr. Zhang Shuhao Reply:
1. It is difficult to guarantee whether further improvement is possible without a clear understanding of the actual surgical condition, but if there is no significant damage to the sphincter, the chances of recovery are higher. 2. If there is a noticeable defect in appearance, ...[Read More] Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding Rectal Issues: Causes, Symptoms, and Solutions
Anal issues? I am a sophomore in high school. During middle school, I used to forcefully open my buttocks with my hands while having a bowel movement. Since I started my first year of high school, I have been experiencing bleeding and pain during bowel movements, which has contin...
Dr. Zhang Shuhao Reply:
Pain and bleeding during bowel movements in young individuals are most likely due to anal fissures, which are often related to straining during defecation and tension in the anal sphincter. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber ...[Read More] Understanding Rectal Issues: Causes, Symptoms, and Solutions
Post-Surgery Leakage: Understanding Fistula Repair Complications
Fistula surgery with postoperative leakage after bowel movement? Hello doctor, I had a fistula surgery on September 26, and it has been almost two months since then. I still have some yellowish discharge, and I’ve noticed a small amount of fecal leakage about half an hour after e...
Dr. Zhang Shuhao Reply:
If the wound from the fistula surgery is relatively large, it is common to have some discharge before healing is complete. As long as there are no signs of infection such as redness, swelling, heat, pain, or fever, it can be monitored. It is also quite common to experience a slig...[Read More] Post-Surgery Leakage: Understanding Fistula Repair Complications
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of discomfort in the anus, accompanied by a foul odor resembling that of feces? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that o...
Dr. Ke Fangxu Reply:
At this age, there are usually no significant issues, and sphincter function is generally normal. If there are any discomforting symptoms, topical ointments can be applied, and frequent warm sitz baths may also help alleviate the symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
There is a feeling of heaviness in the anus, accompanied by a fecal odor? I have a question. Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that of feces. This happens alm...
Dr. Ke Fangxu Reply:
At this age, there are usually no significant issues, and sphincter function is generally normal. If discomfort occurs, topical ointments can be applied, and frequent warm sitz baths may also help alleviate symptoms.[Read More] Understanding Discomfort and Odor Near the Anus: Is It Hemorrhoids?
Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions
Difficulty in bowel movements, long-term use of laxatives? Hello, doctor. I have been experiencing recurrent anal fissures for the past five years, approximately once a month. The pain usually subsides after about a week, but I have been consistently applying ointment (because my...
Dr. Zhang Shuhao Reply:
1. The use of topical ointments containing steroids for an extended period can make the mucous membranes more susceptible to injury and wounds may heal more slowly; it is recommended to use them in a phased manner. 2. Traditional Chinese medicine prescribed by a licensed practiti...[Read More] Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions
Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-hemorrhoid surgery, there may be leakage of mucus and fecal matter? Hello, doctor. I had hemorrhoid surgery on the ninth day postpartum, and it has been one year and eight months since then. Besides discomfort in the anal area, I have been experiencing leakage of intestinal ...
Dr. Ke Fangxu Reply:
If you have already visited so many medical centers and undergone all the examinations, then I may not be able to help much. 1. It could be scar tissue. 2. It may soften over time. 3. Leakage issues after hemorrhoid surgery typically only last for a month; once the wound has comp...[Read More] Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Rectal bleeding due to anal fissures? Hello, doctor. I am a patient with ulcerative colitis. At the end of May this year, my colonoscopy results showed that the mucosal tissue has healed. Additionally, I have previously experienced anal fissures due to having stools that are thic...
Dr. Zhang Shuhao Reply:
If there is excessive bleeding from an anal fissure, and it is accompanied by diarrhea or mucus in the stool, it is important to consider whether rectal inflammation is causing the bleeding. In this case, a follow-up appointment for a sigmoidoscopy is necessary, along with ongoin...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Anal fissure issues? Hello Dr. Chang, On July 7th, I experienced an anal fissure after a hard bowel movement. During this time, I took sitz baths for 10 minutes in the morning and evening. After more than a week, I was able to pass stool without pain. However, after a forceful b...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure is defined as a wound that persists for more than eight weeks, typically associated with increased anal sphincter tone and a deeper wound. Based on your description, it is still possible that it is an acute anal fissure. 2. Mixed hemorrhoid prolapse does...[Read More] Understanding Chronic and Acute Anal Fissures: A Patient's Guide