Patient: in January 07, due to hemorrhoids kc position 6 points 4 points each a hemorrhoid due to bleeding admitted to the hospital for external stripping and internal ligation, swelling and pain until half a year after the formation of internal fistula. In June 2007, the fistula excision, kc position 1-3 points and 4-7 points, each with pus cavity, has been distending pain burning discomfort. 4 months later, do cavity ultrasound, between 5, 6 points in the position of the posterior vaginal wall after about 3.0 * 1.6cm hypoechoic area, the border is not clear, which seems to be visible within the wide 0.5cm slightly strong echo. Determined that there is also a fistula November 07 fistula hanging surgery, the anus to form a ring-shaped scar, only through the food fat. In February 2008, do scar laxation kc position 3 points, during the operation, found kc position 3 points in the scar clip Feng, there are hard cord-like, for hanging line treatment, but do not dare to dig deep. After the operation, she had been suffering from burning and distension. Stool surface, often with pus and blood mucus stool, local hospitals ultrasound showed that kc position 3 point inflammatory mass, suspected that the inner mouth treatment is not complete, but not sure. In November 08 for cavity ultrasound, truncation position 5-6-10 points of the anal margin under the scar 1-1.5cm see flaky echogenic area, see a small amount of liquid dark area, the pipeline leads to 6 points of the tooth line at the inner mouth. Expert advice: two months later, the symptoms did not improve, still need surgery. Now, the distension at kc position 3, is relieved and the distension occurs for 7 to 8 days. But breakthrough-like pain at left kc 7-10 points, frequent. Still have pus and blood mucus stools. Can I confirm the rash further and is there any chance of eradication? DOCTOR: KC position (knee-chest position) and amputation position are two different methods of positioning, and from your description, surgical treatment is still required. In addition, it would be a good idea to have an electronic colonoscopy to rule out inflammatory bowel disease manifesting itself in the anal area. PATIENT: I had a colonoscopy 3 months after my last surgery and there were no problems. Currently, the right surgical area is swollen and painful once every 7-8 days, and the left side is also painful frequently. Is there any way to confirm the diagnosis? Is there a cure? Will there be incontinence? Doctor: Hello: The diagnosis can be made by ultrasound and MRI in addition to ultrasound in the anal cavity. In order to cure the disease, surgery is needed. Because of multiple surgeries, the damage will be more obvious, and there is a possibility of incontinence. Patient: It has been one year and three months since the last surgery, now the left side of the position without surgery still hurts more, but there is no obvious ulceration and redness and swelling, the left side of the position of 2CM from the anus has deep pressure pain, and there is ulceration like pain, so the condition is because of deterioration, or stabilization of the recurring symptoms, when is it appropriate to operate? What are the chances of incontinence? Doctor：Hello：The presence of pain indicates that there is inflammatory activity in the lesion. If you don’t consider surgery for the time being, you can use some antibiotics to treat it, but the effect is not certain. Surgery time can be chosen at your convenience, as for the incontinence rate needs to be looked at specifically, can not be determined. Patient: Hello; do not consider surgery for the time being, with some antibiotic treatment, is it injection or enema? to control. Will it worsen? How much does it cost to come to your hospital for treatment? In addition; ring scar in the anus ultrasound also show low echo? Thank you! Doctor: Hello: Intravenous antibiotics are better, after controlling the inflammatory activity, the condition will not worsen. Most of the scars under ultrasound are higher echoes. Patient: Thank you very much for your help! Okay, I’ll just use antibiotics for a couple days. I feel like as soon as I use the margarine the breakout pain gets better, but the right side of the surgical area is immediately swollen and painful and so on and so forth over and over again, is this a symptom of a fistula? Is this a symptom of a fistula? Is it possible to use ultrasound and MRI to locate the surgical site without an obvious internal or external opening? Doctor：Hello: Ultrasound and MRI can be used as important references to help diagnose and guide surgery. Patient: Hello; I understand, I decided to operate. For the past two days I have been experiencing stabbing pains and throbbing pains towards the perineum, is it running in this direction? Can you wait? Thank you! Doctor：Hello：If you have symptoms, you need to treat them promptly. Patient: I was on antibiotics for a few days and my symptoms subsided, then started again when I stopped taking the antibiotics. The symptoms have been reduced by the use of antibiotics. Your hospital is a national anal and intestinal center, like me such complex patients see a lot, I want to come to your hospital for treatment, you will accept it? How long do I have to stay? Thank you for your answer! DOCTOR: The beds are very tight these days, so you can come to the outpatient clinic first.