Dr. Mohammed Hatem AlsubaihComplex and recurrent anal fistula: understanding the map and next steps
When a fistula recurs, the important questions concern anatomy, bowel control and what previous procedures addressed. This guide helps you discuss the plan rather than choose by a technique’s name alone.
Haemorrhoids: choosing between conservative care, procedures and surgery
Grade describes prolapse, but does not by itself describe symptom burden or select treatment. Examination, symptoms, internal and external components, and bowel habits all matter.
Anal fissure: persistent pain, treatment response and surgical decisions
Treatment starts by confirming the cause of pain and understanding what has actually been tried. Comparing topical treatment, botulinum toxin and surgery involves both healing and continence.
Difficult evacuation despite soft stool: symptoms and pelvic floor assessment
Stool softness and frequency alone do not describe effective evacuation. Assessing muscle coordination is different from simply increasing laxatives.
Blood in the stool: understanding the pattern and assessment
Blood colour, location and associated symptoms help describe bleeding but do not establish its cause. Understand when care is urgent and what an examination or endoscopy needs to answer.
Rectal prolapse: diagnosis, bowel function and treatment choices
Distinguishing rectal prolapse from haemorrhoids comes before choosing an operation. Constipation, continence and other pelvic floor symptoms help shape realistic expectations.
Faecal incontinence: leakage, urgency and options to improve control
Leakage is not a single symptom with one treatment. Its pattern, stool consistency, sensation, ability to defer and previous procedures guide assessment.
Colon cancer: from biopsy and staging to a treatment plan
Biopsy establishes tissue diagnosis, staging describes disease extent, and molecular tests may influence treatment options. Understanding each report’s role makes the plan easier to discuss.
Rectal cancer: treatment sequence, function and organ-preservation options
Tumour location in the pelvis, extent and treatment response affect planning. Rectal preservation and temporary or permanent stomas are discussed within a complete assessment.
Pilonidal disease: abscess, recurrence and care after treatment
Pilonidal disease and anal fistula are different conditions. Care depends on an active abscess versus recurrent disease, its extent and wound-care requirements.
My reading list
Only guides you choose to save on this device appear here.
From learning to a useful visit
All guides and pathways
Choose a topic, then open the guide that answers your question.
Pathways and tools (14)
- Anal pain analysis
- Cancer-concern symptom analysis
- Complex & recurrent fistula analysis
- Evacuation & pelvic floor analysis
- Fecal incontinence analysis
- Fistula MRI Decoder
- Hemorrhoid symptom assessment
- Pilonidal disease assessment
- Postoperative symptom analysis
- Prolapse & hemorrhoid analysis
- Rectal bleeding analysis
- Smart clinical tools
- Start from symptom
- What is my next step?
Fistula, abscess and MRI (46)
- Abscess or collection on fistula MRI
- Closing a fistula opening with a flap: assessing the option
- Painful swelling near the anus: assessing an abscess
- A draining opening near the anus: mapping a fistula
- Anal fistula or abscess? Different problems and next steps
- Can an anal fistula heal without surgery?
- Planning complex fistula treatment while protecting continence
- Crohn’s fistula vs cryptoglandular fistula: why etiology changes management
- Drainage after fistula surgery: when does it need review?
- Fistula after previous surgery
- Horseshoe extension in a fistula MRI report
- Horseshoe fistula: plain-language explanation
- I have a seton: what should I ask about the plan?
- Intersphincteric fistula: plain-language explanation
- Ligation between the sphincters: could LIFT suit my fistula?
- LIFT vs advancement flap: why there is no single fistula operation for everyone
- Reading a fistula MRI map: what matters in the report?
- MRI vs clinical examination for anal fistula: the role of each
- My fistula came back after surgery: what matters before another treatment?
- My fistula seton fell out: what should I do?
- Parks classification in a fistula MRI report
- Crohn’s disease and a fistula: combining medicine and procedures
- Preparing for LIFT: questions, records and recovery planning
- Choosing fistula surgery when continence is a priority
- After a LIFT procedure: what to monitor at home
- Caring for a fistula wound: drainage, pain and follow-up
- Daily life with a seton: hygiene, drainage and follow-up
- Before treating a recurrent fistula: reviewing its history and anatomy
- Recurrent fistula after two operations: how thinking changes
- Second opinion for complex fistula
- Secondary tract on fistula MRI: what does it mean?
- Why leave a seton in a fistula tract?
- Seton on fistula MRI
- Seton: plain-language explanation
- Sphincter integrity on fistula MRI
- Supralevator extension on fistula MRI
- Teaching case: recurrent fistula where MRI changes the decision map
- The internal opening in fistula MRI
- Transsphincteric fistula: plain-language explanation
- Types of seton in anal fistula and why their roles differ
- VAAFT for anal fistula: what the scope adds
- What should you bring to a complex or recurrent fistula appointment?
- When does anal fistula need MRI?
- Drainage returning after fistula healing: what are the possibilities?
- Persistent or recurrent fistula: factors to review before treatment
- Why recurrent fistula needs a map, not a random operation
Haemorrhoids, fissure and pain (26)
- A prolapsing lump is not always hemorrhoids
- Pain with a bowel movement: understanding fissure treatment
- Pain during bowel movements or sitting: finding the source
- Bleeding after haemorrhoidectomy: what can be expected and when should I worry?
- Bleeding attributed to hemorrhoids: checking the source
- What can Botox muscle relaxation do for an anal fissure?
- Can grade IV hemorrhoids improve without surgery?
- Causes of anal pain: fissure, abscess or thrombosed hemorrhoid?
- A fissure that will not heal: what changes the treatment plan?
- Hemorrhoids needing manual reduction: understanding grade three
- Grade III–IV haemorrhoids: how are options considered?
- Hemorrhoids that stay outside: assessing grade four
- Tissue protruding during a bowel movement: hemorrhoids or rectum?
- The decision for hemorrhoid surgery: choosing an appropriate procedure
- Understanding hemorrhoid prolapse and bleeding before treatment
- Hemorrhoids or anal fissure? Differences in pain and bleeding
- Does laser treatment suit my hemorrhoid grade?
- Laser hemorrhoid treatment vs hemorrhoidectomy: start with the case, not the device
- When is surgical muscle relaxation considered for a chronic fissure?
- Not every bleed or lump is haemorrhoids: video note
- After fissure surgery: bowel movements, care and signs of progress
- The first days after hemorrhoidectomy: managing recovery
- Should evacuation dysfunction be assessed before hemorrhoid surgery?
- Teaching case: persistent bleeding assumed to be haemorrhoids
- A sudden painful lump: could it be a thrombosed hemorrhoid?
- When do hemorrhoids need surgery?
Evacuation, continence and pelvic floor (15)
- Anorectal manometry
- Anorectal manometry: what does the test measure?
- Balloon expulsion test: what the result can and cannot show
- Assessing constipation: from bowel habits to tests
- Constipation not improving with laxatives: when to think pelvic floor
- Dyssynergic defecation
- Stool leakage: identifying the cause and choosing treatment
- Fecal incontinence: plain-language explanation
- Obstructed defecation
- Pelvic floor biofeedback
- Emptying difficulty or leakage: when to assess the pelvic floor
- Rectal prolapse during bowel movements: assessment and repair options
- A rectal wall pouch: when does it explain emptying difficulty?
- Rectocele: plain-language explanation
- Why does constipation not improve despite laxatives?
Bowel conditions, endoscopy and cancer (6)
- From a colon cancer diagnosis to a treatment plan
- Bleeding and bowel changes: assessing possible cancer
- Perianal Crohn’s disease: inflammation, abscess and fistula
- Rectal cancer: how does the stage shape the treatment sequence?
- When medication is not enough for ulcerative colitis: surgical discussions
- Colonoscopy for screening or symptoms: how do they differ?
Symptoms, visits, recovery and more (41)
- A lump near the anus: what changes the assessment?
- Anal discharge: what do its pattern and persistence mean?
- Anal stenosis: plain-language explanation
- Causes of rectal bleeding: when hemorrhoids are not the whole answer
- A change in your usual bowel pattern: what matters for assessment?
- Clinical comparisons
- Colorectal glossary
- Colorectal procedures guide
- Visiting Dr. Mohammed Hatem Alsubaih in Riyadh
- Colorectal symptom library
- Common colorectal patient questions
- De-identified educational cases
- Dyssynergic defecation: plain-language explanation
- Masarat ownership and medical content standards
- Laying open a fistula: balancing healing and continence
- For referring clinicians
- How can I talk about embarrassing symptoms?
- Masarat sources and information structure
- How should I organise records for a second opinion?
- Can colon surgery be performed through small incisions?
- Mucus discharge from the anus: causes worth evaluating
- My treatment discussion worksheet
- Perianal itching: common causes and what not to overlook
- Openings and inflammation in the natal cleft: pilonidal disease
- Prepare your second-opinion dossier
- Proctalgia: plain-language explanation
- An open wound after fistulotomy: following healing
- Recovery journeys: what should I track after surgery?
- Rectal bleeding
- Research interests of Dr. Mohammed Hatem Alsubaih
- When is robotic surgery considered for rectal disease?
- Rubber band ligation for hemorrhoids: who is it for?
- Tenesmus: plain-language explanation
- Tenesmus: the persistent urge to pass stool
- A change in stool width: interpreting it alongside other symptoms
- Travelling to Riyadh? Prepare before you travel
- Two different treatment plans: what should I ask?
- Useful resources for you and those you care for
- Video library
- When is rectal bleeding dangerous?
- Which symptoms call for a colorectal specialist assessment?