Post-Surgery Concerns: Understanding Recovery After Hemorrhoid Surgery
Postoperative Consultation for Hemorrhoids Surgery Dear Dr. Ke, I underwent minimally invasive surgery for internal and external hemorrhoids on the morning of March 1, 2018. The hospital informed me that the surgical fee would be NT$30,000, which I agreed to pay after the doctor...
Dr. Ke Fangxu Reply:
According to my knowledge, there are no minimally invasive techniques for hemorrhoid surgery available on the market. What is often referred to as minimally invasive is typically just an alternative name for two types of surgeries, both of which are usually out-of-pocket expenses...[Read More] Post-Surgery Concerns: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Stitch Concerns: What to Do If a Stitch Falls Out?
Postoperative suture issues? Dr. Li: Hello, about a week ago I had a wound on my calf that was sutured with eight stitches after debridement. Yesterday, during a dressing change, I noticed that only seven stitches remain, and I am unsure when one of them fell out. I would like to...
Dr. Li Zhonghuai Reply:
Hello! Unless the suture ends are very short, they should be detectable; if not found, they will gradually be expelled. Take care! Changhua Hospital cares about you![Read More] Post-Surgery Stitch Concerns: What to Do If a Stitch Falls Out?
Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Fistula surgery postoperative wound Today is the 21st day post-surgery. The wound feels numb and is no longer painful, but there is an unusual odor on my underwear. Is this normal? Is it also normal for the wound to occasionally feel itchy?
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes over a month to fully heal. During this time, it is normal for the wound to have some discharge, which may cause staining of underwear. It is recommended to use feminine pads to absorb the discharge. Mild itching at the wound si...[Read More] Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Is Post-Bowel Movement Bleeding a Sign of Anal Fissure?
Is bleeding after bowel movements indicative of an anal fissure? Several years ago, I underwent surgery for internal hemorrhoids, but it seems that I did not fully recover. Occasionally, due to rapid bowel movements, I experience hematomas or a tearing sensation around the anus, ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. However, some patients undergoing chemotherapy may also experienc...[Read More] Is Post-Bowel Movement Bleeding a Sign of Anal Fissure?
Post-Cellulitis Wound Healing: Addressing Knee Discomfort and Concerns
Issues After Wound Healing from Cellulitis Hello, doctor. Previously, after falling on my knee, the wound was diagnosed as cellulitis by doctors at another hospital. The wound has since healed, and the outpatient clinic said I do not need to return for follow-up. However, recentl...
Dr. Li Zhonghuai Reply:
Hello! If you're feeling uneasy, you can get an X-ray. If the joints are fine, it’s just a simple wound issue. After the wound heals, it may feel hard for about a year. The pain can sometimes last for up to six months! Take care! Changhua Hospital cares about you![Read More] Post-Cellulitis Wound Healing: Addressing Knee Discomfort and Concerns
Early Suture Loss: Concerns and Solutions for Wound Healing
The issue of premature suture removal? Hello Dr. Lee, I have a wound on my left calf that has not healed for over two months. Four days ago, I underwent debridement surgery in the plastic surgery department and received nine stitches. However, during a dressing change yesterday,...
Dr. Li Zhonghuai Reply:
Hello! Please come in for a follow-up appointment; the doctor will take good care of you. Take care![Read More] Early Suture Loss: Concerns and Solutions for Wound Healing
Understanding Anal Stenosis: Causes, Symptoms, and Treatment Options
Anal stenosis Hello, Director Ke. My husband had surgery to remove internal hemorrhoids a month ago, but he is still experiencing pain in the anal area. There is excess skin at the anal opening, and his stools have become as thin as a finger. He is still taking stool softeners. A...
Dr. Ke Fangxu Reply:
Of course, everyone's finger thickness varies, but the differences are not significant. However, this serves as a convenient guideline for assessment. If an objective criterion is required, the insertion of a one-centimeter diameter anal dilator causing pain can also be a me...[Read More] Understanding Anal Stenosis: Causes, Symptoms, and Treatment Options
When Will Bleeding Stop After Thrombosed External Hemorrhoid Surgery?
After a thrombectomy, when can I expect the bleeding to stop, and what medications can I apply to help reduce the bleeding? Hello, on Saturday morning at the clinic, I was diagnosed with a thrombosed external hemorrhoid. The doctor treated it at that time, and since the hemorrhoi...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids are typically treated in an outpatient setting with thrombectomy. After the procedure, it is common to experience some bleeding for one or two days, which usually does not require excessive concern. If the wound stops bleeding, there is no need to ...[Read More] When Will Bleeding Stop After Thrombosed External Hemorrhoid Surgery?
Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Postoperative discharge after anal fissure surgery? Dear Dr. Ko, I underwent surgery for an acute thrombosis on October 31. Less than ten days later, I developed a granulation tissue that was larger than the thrombosis itself, and it was very painful during those days. During m...
Dr. Ke Fangxu Reply:
There are two different surgical methods for thrombosed hemorrhoids: incision and excision. It is unclear which one you underwent, but generally, only excision surgery can lead to the complication of granuloma. Postoperative pain may be due to anal stenosis caused by surgical sut...[Read More] Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Post-operative issues following fistula surgery? Hello, Director Hsu: I underwent a fistula surgery in Taipei on December 29. After the anal packing was removed on the 30th, I have been experiencing a discharge of blood-tinged fluid, and today, the 31st, I still have this fluid s...
Dr. Xu Kaixi Reply:
The recovery of the wound after fistula surgery typically takes about one to two weeks. During this period, some bleeding or discharge is normal. It is not recommended to rinse the wound directly with warm water, as this can be more irritating than sitz baths and may not be benef...[Read More] Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
The wound from the anal fistula surgery has reopened? Hello Dr. Ke, I just had a fistula excision surgery last month. Yesterday (exactly four weeks post-op), I had a follow-up appointment with my doctor, and the wound looked good, healing well, with no signs of infection. The doc...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a recurrence of a fistula. However, to determine the exact issue, you will need to have a physician examine you. Please consult with your surgeon for a detailed examination and to discuss the subsequent treatment plan.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Understanding Post-Surgery Scarring and Pain After Hemorrhoid Surgery
Postoperative scarring after hemorrhoid surgery? Hello Doctor: It has been two months since my mixed hemorrhoid surgery. The original surgeon mentioned that the remaining skin tags have caused similar skin protrusions (like pimples?), and one of them seems to have pus. The stitch...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, the pain at the wound site typically improves within about a month. If the wound is located inside the anus, suppositories can be used to alleviate symptoms. To determine whether it is a scar or poor wound healing, a personal examination by a physician i...[Read More] Understanding Post-Surgery Scarring and Pain After Hemorrhoid Surgery
Understanding Post-Surgery Complications: Insights on Hemorrhoid Surgery Recovery
Hemorrhoidectomy for Internal Hemorrhoids The surgical procedure for internal hemorrhoids, known as hemorrhoidectomy, involves the removal of the hemorrhoidal tissue. This procedure is typically indicated for patients who experience significant symptoms such as bleeding, pain, o...
Dr. Ke Fangxu Reply:
After surgery, it is possible to develop skin tags around the anal area, which are remnants of skin after wound healing and do not require excessive concern. Ulcers may indicate slower wound healing; as long as there is no redness, swelling, heat, or pain, it should not be a majo...[Read More] Understanding Post-Surgery Complications: Insights on Hemorrhoid Surgery Recovery
When is the Best Time for Scar Treatment After Injury?
Scars that make me feel very insecure and lose confidence~ I kindly ask for the doctor's advice (includes images)? When is the most appropriate time to undergo cosmetic treatment after a scar has formed? I've heard that treatments can be done one to two months after the...
Dr. Lin Zhemin Reply:
Approximately three months after wound healing, aesthetic treatments such as laser resurfacing can be considered to improve scars. Currently, re-excision and suturing of the scars is not recommended.[Read More] When is the Best Time for Scar Treatment After Injury?
Post-Surgery Care for Hemorrhoid Patients: Healing and Concerns
Postoperative anal sphincter after hemorrhoid surgery? Hello, it has been a month and a half since my hemorrhoidectomy, and I am still using gauze as there is a small amount of fluid. Does this indicate that the wound inside the anus has not healed yet? Urination is also affected...
Dr. Ke Fangxu Reply:
1. If there is still discharge or pain from the anus, it indicates that the wound has not fully healed. 2. Topical ointments can alleviate discomfort from the wound, but there is no conclusive evidence that they aid in wound healing. 3. The so-called protrusion may need to be...[Read More] Post-Surgery Care for Hemorrhoid Patients: Healing and Concerns
Post-Hemorrhoid Banding Concerns: What to Expect After Surgery
Questions about hemorrhoids? Hello Doctor: I experienced the rubber band ligation procedure for hemorrhoids, and on the fourth day, the rubber band fell off. Upon touching, I noticed that the hemorrhoid has indeed shrunk, but it is still present and did not fall off with the rubb...
Dr. Ke Fangxu Reply:
1. The rubber band ligation will typically fall off about a week later, but it is common for it to detach within 3-4 days. Over time, the ligated hemorrhoids will naturally shrink or detach, and there is no need for an immediate follow-up appointment. 2. Mild pain or bleeding a...[Read More] Post-Hemorrhoid Banding Concerns: What to Expect After Surgery
Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Non-healing wounds after minimally invasive hemorrhoidectomy? Hello, Dr. Ko. Three months ago, I underwent a dry minimally invasive treatment for hemorrhoids at a specialized clinic in Kaohsiung. This involved injecting a drying agent into the base of the hemorrhoid to allow it t...
Dr. Ke Fangxu Reply:
Based on your description, it seems that this is a traditional sclerotherapy treatment, just referred to by a different name. Typically, the wound heals within two to four weeks after the injection. This type of treatment is less commonly performed by physicians now due to the di...[Read More] Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Post-Fistula Surgery: When to Seek Medical Attention?
Questions after fistula surgery two months later? I had a fistula surgery in mid-August, and after a month of warm water therapy, the external wound has healed, leaving a wound the size of a mung bean on the inside. The doctor said I didn't need to return for a follow-up, ju...
Dr. Ke Fangxu Reply:
If there is still bleeding after such a long time post-surgery, it is best to return to the doctor for a check-up. It could be a sign of wound infection or symptom recurrence. If it is just slow wound healing, it is generally not a concern. However, if it is the former, it could ...[Read More] Post-Fistula Surgery: When to Seek Medical Attention?
Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Concerns
Post-operative issues related to hemorrhoid ointment? I had hemorrhoidectomy 16 years ago without pain or issues with urination and defecation, but after undergoing a mixed hemorrhoidectomy on October 6, I am experiencing severe pain and problems with urination and defecation. Wh...
Dr. Ke Fangxu Reply:
Answer: Since I am unaware of the specifics of the surgery performed 16 years ago, I cannot respond to that. However, it is generally unavoidable to experience pain after hemorrhoidectomy, and this is not related to age. Postoperative bowel movements should ideally consist of for...[Read More] Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Concerns
Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Explained
Post-operative issues related to hemorrhoid ointment? I had hemorrhoid surgery 16 years ago, and it was painless with no issues with urination or bowel movements. However, after undergoing a mixed hemorrhoidectomy on October 6, I am experiencing severe pain and problems with urin...
Dr. Ke Fangxu Reply:
Answer: Since I am unaware of the surgery that was performed 16 years ago, I cannot respond specifically to that. However, it is generally unavoidable to experience pain after hemorrhoidectomy, and this is not related to age. Postoperatively, it is better for bowel movements to b...[Read More] Post-Surgery Issues After Hemorrhoidectomy: Pain and Recovery Explained