Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong Reply:
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Post-operative pain during bowel movements after mole removal? Hello doctor, I underwent a third-degree hemorrhoidectomy and anal fissure surgery on July 26, and I opted for self-paid ultrasonic scalpel treatment. Postoperatively, the wound is not very painful, but I experience s...
Dr. Zhang Shuhao Reply:
Early hemorrhoid surgery often resulted in anal stenosis due to injury to the sphincter muscle. However, with advancements in current hemorrhoid surgical techniques, the occurrence of anal stenosis has significantly decreased. Based on your description, it seems that the wound ha...[Read More] Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Understanding Irregular Stool Shapes: Is It Hemorrhoids?
The stool is flat on one side and round on the other? Hello doctor, my stools have been mostly ribbon-shaped, with one side flat and the other round, for about six months. The thickness varies. Last year, I used a mirror to look at my anus and noticed a soft, round mass protrudin...
Dr. Zhang Shuhao Reply:
Hemorrhoids, unless they cause pain that affects bowel movements, do not change the shape of the stool. The presence of stool that is both flat and round is related to the pressure exerted by the anal sphincter during defecation, rather than being indicative of an obstruction. If...[Read More] Understanding Irregular Stool Shapes: Is It Hemorrhoids?
Post-Surgery Concerns: Managing Symptoms After Hemorrhoid Surgery
Postoperative descent and fecal discharge? Hello Doctor, I am the one who asked question #184914 yesterday. I had a natural delivery and underwent surgery for hemorrhoids. I consulted an obstetrician to inquire if it was related to childbirth, and the obstetrician said I only had...
Dr. Zhang Shuhao Reply:
1. If the anal sphincter is injured during childbirth, performing Kegel exercises can help strengthen the pelvic floor muscles, and one may also consider undergoing sphincter repair surgery. 2. Abnormal sensations after anal surgery may improve over time. 3. It is advisable to mo...[Read More] Post-Surgery Concerns: Managing Symptoms After Hemorrhoid Surgery
Understanding Postpartum Fecal Leakage and Rectal Pressure: Insights and Solutions
Fecal incontinence and a sensation of falling? Hello, doctor. I gave birth on December 1st of last year, and at that time, my hemorrhoid condition was very severe and painful. On December 10th, I underwent a ligasure procedure for the excision of internal and external hemorrhoids...
Dr. Zhang Shuhao Reply:
1. If the hemorrhoids were severe initially and a significant amount of tissue was removed, along with the presence of wounds, some individuals may experience a feeling of incontinence during episodes of bowel urgency. This sensation should improve after a period of recovery when...[Read More] Understanding Postpartum Fecal Leakage and Rectal Pressure: Insights and Solutions
Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Postoperative care for anal abscess? I underwent my third anal surgery yesterday, which was for an anal abscess. The first surgery for an anal abscess was in 2020, followed by a fistula surgery seven months later (likely due to the first surgery). I thought I was completely heale...
Dr. Ke Fangxu Reply:
1. If the condition occurs in the same location, it should be considered a recurrence. 2. Approximately half of the patients with anal abscesses will develop into fistulas after healing. There is also a certain probability of recurrence in the same location after fistula surgery,...[Read More] Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
It has been about six months since the anal fissure surgery (internal sphincterotomy), and I am experiencing soreness and a twitching sensation near the surgical site? Hello, I had an anal fissure and underwent an internal sphincterotomy in mid-February of this year. The wound sh...
Dr. Zhang Shuhao Reply:
During the wound healing process, it is common to experience abnormal sensations. If a physical examination shows no signs of inflammation or infection, the standard treatment includes warm sitz baths and muscle relaxants. These abnormal sensations typically improve over time, po...[Read More] Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
Post-Surgery Anal Sphincter Concerns After Fistula Surgery
Sphincter after fistula surgery Hello, doctor. I had a fistula surgery on July 22, and I have not experienced any pain during bowel movements post-surgery. However, when I feel the urge to go, I find it difficult to hold it in while walking from my room to the bathroom (about 5 m...
Dr. Zhang Shuhao Reply:
After undergoing a fistula surgery, due to the resection of a portion of the external anal sphincter, there may occasionally be a sensation of incontinence during episodes of bowel urgency, which is more pronounced when the wound has not yet healed. This will improve once the wou...[Read More] Post-Surgery Anal Sphincter Concerns After Fistula Surgery
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Can Chronic Anal Fissures Heal with Proper Care?
Can chronic old anal fissures heal? I have had an anal fissure for five years. I feel like it's a small wound, but it keeps getting injured repeatedly. Now, having a bowel movement is painful, but there is no bleeding. I irrationally and unscientifically wonder if the wound ...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal on their own; however, if the same area is repeatedly injured, it can lead to a chronic ulcer that is difficult to heal spontaneously. In such cases, surgical intervention is required to excise the ulcer and slightly relax the anal sphincter, al...[Read More] Can Chronic Anal Fissures Heal with Proper Care?
Post-Surgery Exercise Guidelines After Anal Fistula Surgery
After anal fistula surgery, resuming exercise habits? Hello Doctor, I underwent an anal fistula incision surgery on May 19th, and during my second follow-up appointment on June 2nd, the attending physician informed me that my recovery was progressing well and that I did not need...
Dr. Zhang Shuhao Reply:
1. Based on the wound, it appears that only a portion of the external anal sphincter has been cut, and the function of the internal anal sphincter is not significantly affected. After healing, the external sphincter will scar, losing some elasticity, but it generally does not imp...[Read More] Post-Surgery Exercise Guidelines After Anal Fistula Surgery
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Understanding Anal Pain: Causes and Treatments for Fissures and Hemorrhoids
Anal pain Hello doctor, two months ago I experienced severe pain in my anus after bowel movements, which lasted about 12 hours before gradually easing. After seeing a doctor, I was diagnosed with an anal fissure. I have stage three hemorrhoids, and when the stool protrudes, it ca...
Dr. Zhang Shuhao Reply:
Straining during bowel movements and pain after defecation are typically caused by anal fissures. Pain associated with internal hemorrhoids can occur in two situations: one is in the case of mixed hemorrhoids, which occur alongside external hemorrhoids; since the boundary between...[Read More] Understanding Anal Pain: Causes and Treatments for Fissures and Hemorrhoids
Understanding Anal Swelling and Discomfort After Intimacy: Causes and Remedies
After the procedure, I noticed a lump in the anus and have been experiencing abdominal discomfort and pain? 1: I am male, and after being intimate with my boyfriend, I noticed a lump around my anus. The area from the outside to a little bit inside feels soft. This is the first ti...
Dr. Zhang Shuhao Reply:
1. The most likely cause of a reducible mass is hemorrhoids. Frequent straining during bowel cleansing and insufficient lubrication can easily lead to the swelling of hemorrhoids. If symptoms occur, it is advisable to take warm sitz baths, use hemorrhoid ointments, and take anti-...[Read More] Understanding Anal Swelling and Discomfort After Intimacy: Causes and Remedies
Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Can anal intercourse be performed after anal fissure surgery? Dear Doctor, I hope this message finds you well. As a gay man, I often experience issues such as constipation and anal intercourse, which have led to anal fissures. During a previous examination, my doctor mentioned t...
Dr. Zhang Shuhao Reply:
Hello: If it is a simple acute anal fissure, it can be managed with topical ointments, warm sitz baths, and plenty of rest to allow the wound to heal completely. Afterward, before engaging in anal intercourse, it is important to gradually dilate the anus and ensure adequate lubri...[Read More] Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu Reply:
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Anorectal foreign body sensation Hello Dr. Ke: About a week ago, after experiencing diarrhea for two consecutive days, I began to feel a noticeable sensation of a foreign body in my anus (which I have never felt before). At the same time, I experienced a burning sensation after b...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal swelling. The photo appears to show only mild external hemorrhoids. If there is no severe pain or bleeding, specific treatment is not necessary. It is advisable to avoid constipation during this period and short...[Read More] Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Anal fistula Hello, Doctor. 1. I had anal fistula surgery on March 16, and the wound size is approximately 2x21 cm. It's been almost a week, but there is still fecal matter coming out of the wound. Is this normal? 2. The doctor prescribed a stool softener, but I have bee...
Dr. Ke Fangxu Reply:
1. If the wound is larger, it is indeed possible for this phenomenon to occur; if the amount is not significant, it is not a concern. 2. If the stool is too soft, the dosage should be reduced or the medication should be stopped, as this may also be a cause of issue one. 3. No...[Read More] Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Post-anal fistula surgery Hello Doctor, I have undergone four fistula surgeries, and the fourth one was finally successful. Now, nine months post-operation, the wound has healed, but I still occasionally notice a small amount of yellow discharge from my anus daily, which resemble...
Dr. Ke Fangxu Reply:
If an anal fistula has undergone four surgeries, some degree of sphincter damage is inevitable. Mild bleeding is not a concern and may be caused by internal hemorrhoids. If there is yellow discharge, it could possibly be rectal mucus or fecal matter. If the amount is small, it ca...[Read More] Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery