Subscribe
166
Chen Tian Jing
Colorectal Surgery
About me
Master's degree, specializing in research and treatment of colorectal surgery.
Proficient in diseases
Mixed hemorrhoids, internal hemorrhoids, external hemorrhoids, anal papillitis, perianal abscess, anal fistula, anal sinusitis, anal fissure, perianal abscess, pruritus ani.
Voices
How many days does the skin around an anal abscess fall off?
During the acute phase of a perianal abscess, if rubber band ligation surgery is performed, the duration of the rubber band falling off generally depends on the location of the lesion. For superficial local perianal abscesses, the rubber band typically falls off within one to ten days. For high-position complex perianal abscesses or those accompanied by anal fistulas, the falling off of the rubber band might take about ten days. In some cases where the rubber band falls off slowly, it may require a doctor's dressing change and assistance to weaken or detach the local rubber band. Do not pull off the rubber band yourself to avoid injuring the local sphincter, which could lead to decreased or abnormal tightness around the anus.
How long will it take for a fallen anal fistula seton to heal?
The primary surgical method for anal fistulas is the fistulotomy with seton placement. The duration for which the seton, made of elastic band, remains in place largely depends on the severity of the anal fistula and the amount of sphincter muscle tied. If the fistula is a simple superficial one, the seton usually falls out around seven days. In cases of high, complex anal fistulas, or those with multiple branching fistula tracts and multiple sphincters tied, the seton may take slightly longer to fall out, generally about ten days. If the seton has not fallen out after the local sphincter muscle has fully regenerated, it can be cut by a professional proctologist. However, it is important to note that postoperative care mainly involves dressing changes until the seton falls out, indicating that the wound has largely healed.
Is the recurrence rate of perianal abscess high?
Perianal abscess is an acute infectious disease localized around the anus. If a perianal abscess acutely erupts, it requires prompt surgical treatment. Without surgery, there is a possibility of recurrent episodes of perianal abscesses or the formation of anal fistulas due to the rupture of the abscess. After surgery for a perianal abscess, it is also important to pay attention to a light diet and regular bowel movements. It is crucial not to allow the stool to become too dry, nor to experience diarrhea. Recurrent diarrhea can lead to infection of the anal crypts, thereby causing perianal abscesses and local infections. Therefore, the care of a perianal abscess is very important; maintaining good dietary and bowel habits is essential to prevent recurrence of the abscess.
Can you breastfeed during intestinal colic?
If an infant experiences colic, during an episode, the child will exhibit localized pain causing crying and irritability, generally making it difficult to feed. Firstly, it is necessary to alleviate the symptoms of colic. This can be done by choosing to massage the abdomen clockwise to promote intestinal gas expulsion. Additionally, it is appropriate to orally administer probiotics or simethicone to aid intestinal motility. Applying heat to the infant’s abdomen and ensuring it is kept warm are also beneficial. As colic episodes usually involve severe crying, using the "airplane hold" can help alleviate localized symptoms. Once the child's symptoms subside, feeding can then be resumed, ensuring the quality of feeding is not compromised by pain, which could otherwise lead to insufficient feeding and consequently cause the next hunger episode to occur sooner.
Is pediatric tuina massage effective for intestinal colic?
When infants experience intestinal colic, it is generally due to excessive gas accumulation in the intestinal cavity, where the gas cannot be normally expelled from the body, leading to abdominal pain. Appropriate use of pediatric massage techniques can be employed to treat this condition, which can effectively alleviate the symptoms. Especially, clockwise massaging the abdomen of the affected child has a very clear clinical effect in promoting intestinal peristalsis and gas expulsion. In addition, assisting children with some lower limb exercises can also promote gastrointestinal motility and gas expulsion. If there is abnormal stool, combining oral probiotics to regulate and maintain the intestinal flora can be beneficial. If necessary, medications that promote gastrointestinal motility can also be taken orally to help with gas expulsion.
Can people with anal fistula drink alcohol?
Patients with anal fistula are advised not to drink alcohol. As an anal fistula already features distinct external and internal openings as well as a fistulous tract, excessive or chronic alcohol consumption can stimulate recurrent local inflammatory episodes. This can cause an increase in the secretions from both openings, leading to varying degrees of anal pain and itching for the patient, worsening the condition, potentially increasing the branches of the fistula, or causing it to spread deeper or to other areas. Therefore, not only should patients with anal fistula abstain from alcohol, but they should also maintain a light diet rich in green vegetables and fruits. Once diagnosed, it is crucial for patients with anal fistula to undergo surgical treatment promptly. The primary surgical approach involves fistulotomy with seton placement. Postoperatively, attention must be paid to the dressing of the local wound to avoid pseudo-healing and infection.
Can rectal prolapse cause rectal bleeding?
If it is a recurrent case of rectal prolapse, as the prolapsed mucosa appears at the anus and rubs against it repeatedly when the patient walks or moves, it can lead to mucosal rupture and bleeding. Therefore, in severe cases of rectal prolapse or when a complete prolapse occurs, there might be bleeding during defecation. The diagnosis of rectal prolapse requires an examination with an anoscope and defecography to make a definitive diagnosis. For mild rectal prolapse, one can treat it with oral medications that supplement and boost the body's vital energy, and this can be supplemented with herbal enemas. For severe cases of internal mucosal rectal prolapse or complete mucosal prolapse, it is advisable to undergo surgical removal of the excess mucosa through excision or suturing. This surgery can alleviate symptoms of discomfort and prevent other complications.
How is internal hemorrhoids treated? Is there a way?
There are many treatment methods for internal hemorrhoids, the most common being medication. If the internal hemorrhoids repeatedly prolapse or bleed significantly, direct surgical removal can also be considered. Conservative treatments primarily involve the local use of hemorrhoid suppositories, combined with oral hemostatic and anti-swelling traditional Chinese medicine. If surgical criteria are met, direct surgical removal can be performed. Surgical methods mainly include injection of sclerosing agents into the mucosa of internal hemorrhoids, internal hemorrhoid banding, and internal hemorrhoid ligation and excision. To prevent recurrence after surgery, patients should maintain good dietary and bowel habits postoperatively, avoid overly spicy and stimulating foods, and try to keep bowel movements under ten minutes without straining excessively.
How to eliminate the flesh balls of external hemorrhoids
External hemorrhoids primarily manifest as local skin tags or connective tissue protrusions, which may also be due to transient congestion and edema caused by acute episodes. If the hemorrhoids are skin tag-type or connective tissue-type and do not present any clinical symptoms or affect the patient's normal life, excessive treatment is generally not required. It is only necessary to maintain good dietary and defecation habits to prevent the condition from worsening. If the external hemorrhoids involve congestion, edema, or pain caused by thrombosis, complete removal can only be achieved through surgical excision. Merely using topical medications, applying heat, or using hemorrhoid creams can only reduce the size of the masses or alleviate symptoms, but cannot completely remove the masses.
How to reduce swelling of thrombosed external hemorrhoids
During the acute flare of thrombotic external hemorrhoids, the primary issue is the filling of the hemorrhoidal nucleus with blood clots, leading to congestion and swelling of the hemorrhoids. Due to edema or excessive pressure inside the hemorrhoidal nucleus, the patient may experience local discomfort or even severe pain. Therefore, the treatment of thrombotic external hemorrhoids first needs to reduce swelling. The methods mainly include local hot compresses, along with the oral administration of medicines that cool the blood, reduce swelling, and relieve pain. However, in some cases of thrombotic external hemorrhoids, where the blood clots are large or cannot be absorbed on their own after repeated attacks, surgery to excise the clots may be necessary to achieve the purpose of reducing swelling. During the acute flare of thrombotic external hemorrhoids, it is recommended that the patient seek medical attention as soon as possible to avoid complications such as repeated attacks or local blood supply disturbances, which could lead to necrosis of the external hemorrhoids.