Understanding Anal Fistulas: Treatment Options and Risks Explained
Anal fistula, patient with no tolerance? Hello Dr. Tsai: I had an anal abscess that ruptured on its own, and I have been taking antibiotics since then. It has been three months, and the wound is gradually healing, but a fistula has formed next to the anus. It is currently not pai...
Dr. Cai Xingzhi reply Surgery
Hello: We recommend that you visit the surgical outpatient clinic for a physician to conduct a clinical assessment and provide you with advice. Thank you.[Read More] Understanding Anal Fistulas: Treatment Options and Risks Explained
Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Hello, there is blood in the stool! Hello Doctor: Since I gave birth last year, I have been experiencing issues with hemorrhoids. Sometimes there is bleeding during bowel movements or anal fissures! I had an examination three to four months ago, and the doctor diagnosed me with i...
Dr. Cai Xingzhi reply Surgery
Hello, rectal bleeding can be classified into upper gastrointestinal bleeding and lower gastrointestinal bleeding. If the blood is bright red, it is primarily indicative of lower gastrointestinal bleeding. Please visit a colorectal surgery or gastroenterology clinic for evaluatio...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Understanding Post-Surgery Pain and Swelling After Fistula Surgery
Fistula surgery issues I underwent a fistula surgery at the end of June, and my wound has healed. However, in the past two days, I've been experiencing some pain at the site and a feeling of swelling. I'm concerned that it might be a recurrence.
Dr. Cai Xingzhi reply Surgery
Hello: It is recommended that you visit a hospital to have a physician evaluate the healing status of your wound. Thank you.[Read More] Understanding Post-Surgery Pain and Swelling After Fistula Surgery
Post-Surgery Bowel Issues: Managing Pain and Narrowing After Hemorrhoid Surgery
Postoperative constipation after hemorrhoid surgery? Hello, doctor. It has been a week since my surgery, and I feel that my anus has become narrower. I am having a lot of difficulty with bowel movements, and there is a tearing sensation. I have adjusted my diet (increasing vegeta...
Dr. Cai Xingzhi reply Surgery
Hello, regarding your issue, you can enhance pain management for the wound with medication. The wound should heal in about 2-3 weeks, and bowel movements will become smoother. In the meantime, please consult your surgeon. Thank you.[Read More] Post-Surgery Bowel Issues: Managing Pain and Narrowing After Hemorrhoid Surgery
Minimally Invasive Fistula Surgery: Hospitals in Taiwan Offering Options
Fistula Minimally Invasive Surgery Hello! Could you please tell me which hospitals in the country currently offer minimally invasive surgery for fistulas? I'm very afraid of traditional open surgery, and I couldn't find relevant information online. Thank you.
Dr. Cai Xingzhi reply Surgery
Fistula surgery is generally considered a minor procedure, so there is no need to be overly anxious, and it does not require minimally invasive techniques.[Read More] Minimally Invasive Fistula Surgery: Hospitals in Taiwan Offering Options
Blood on Toilet Paper: Understanding Possible Causes and Concerns
There is blood after wiping following a bowel movement? I have had two instances this past week where, after bowel movements, I wiped and found a red, dry, sticky substance. However, when I wiped again, there was no blood. After the bowel movements, I do not experience any signif...
Dr. Cai Xingzhi reply Surgery
Hello, rectal bleeding can be classified into upper gastrointestinal bleeding and lower gastrointestinal bleeding. If the blood is bright red, it is primarily indicative of lower gastrointestinal bleeding. Please visit a colorectal surgery or gastroenterology clinic for consultat...[Read More] Blood on Toilet Paper: Understanding Possible Causes and Concerns
Understanding Blood in Stool: Causes, Symptoms, and Treatments
Blood in the stool? Hello Doctor: A few months ago, I had a hard stool that seemed to injure my anus. It was very painful and there was bleeding at that time, which lasted for two to three days, but then it returned to normal. Could that have been an anal fissure? Two weeks ago, ...
Dr. Cai Xingzhi reply Surgery
Hello, based on the symptoms, it appears that the primary issue is an anal fissure. It is possible that it could be accompanied by an internal hemorrhoid. Given your age, it is unlikely to be colorectal cancer, but I still recommend consulting a colorectal surgeon or a gastroente...[Read More] Understanding Blood in Stool: Causes, Symptoms, and Treatments
Can Surgery Restore Hair Growth After a Forehead Tumor?
Head tumor Hello Dr. Tsai, when I was 8 years old, I sustained a 2 cm injury to my right forehead, which resulted in a soft tumor with a diameter of 4 cm that has not resolved. Over time, it has hardened and I don't feel any discomfort. As I reached my twenties and thirties,...
Dr. Cai Xingzhi reply Surgery
Hello, I recommend that you visit a plastic surgery or dermatology clinic. Thank you.[Read More] Can Surgery Restore Hair Growth After a Forehead Tumor?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, I would like to ask about a situation I've been experiencing. At first, I noticed a slight stinging sensation in my anus when I had a bowel movement, and then I discovered a significant amount of bright red blood when wiping. However, after wiping agai...
Dr. Cai Xingzhi reply Surgery
Hello, Moonlight: Fresh blood after bowel movements from the anus is primarily associated with hemorrhoids around the anal area. At your age, hemorrhoids and anal fissures are the main concerns. Of course, there are other possibilities as well, so please consult a colorectal surg...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in Stool Without Pain: Understanding Hemorrhoids and Other Causes
After having a bowel movement, I noticed blood, but the hemorrhoids are not painful? Hello doctor, last week I had my period and also caught a severe cold. Initially, I took medication prescribed by a local internist, and I have never had any issues with drug allergies. I did not...
Dr. Cai Xingzhi reply Surgery
Hello, Xiaomin: There are many causes of rectal bleeding, and at this age, hemorrhoids are the most common. However, there are also other conditions related to the anal area (bright red blood). Please consult a colorectal surgeon or a gastroenterologist nearby for an early diagno...[Read More] Blood in Stool Without Pain: Understanding Hemorrhoids and Other Causes
Is It Hemorrhoids? Understanding Temporary Anal Bulges After Straining
Suspected hemorrhoids? In the past two weeks, I've noticed that when I strain during bowel movements, a small lump appears around my anus, but it disappears after a while. I don't feel it during normal times. Could this be hemorrhoids?
Dr. Cai Xingzhi reply Surgery
Due to the lack of clarity in your description, it is recommended that you visit a hospital to consult a physician for a proper diagnosis based on your symptoms.[Read More] Is It Hemorrhoids? Understanding Temporary Anal Bulges After Straining
Blood on Toilet Paper: Understanding Painful Bowel Movements
Blood on toilet paper after a bowel movement? Recently, I have been experiencing a sensation of foreign body in my anus, with a feeling of discomfort. When passing stool, I feel a sharp pain, and when wiping, there is a coin-sized amount of bright red blood on the toilet paper. M...
Dr. Cai Xingzhi reply Surgery
It is likely a grade II internal hemorrhoid; please consult a colorectal surgeon or a gastroenterologist nearby.[Read More] Blood on Toilet Paper: Understanding Painful Bowel Movements
Fistula vs. Sinus: Which Term is Correct in Surgery?
"Fistula" or "Sinus tract"? Hello, doctor! I saw both terms "fistula" and "sinus tract" being used on the internet. Which one is correct? Thank you!
Dr. Cai Xingzhi reply Surgery
"The correct term is '&<a href="https://adoctor.tw/article/30267">#30267</a>;管'."[Read More] Fistula vs. Sinus: Which Term is Correct in Surgery?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Recently, I have noticed blood in my stool (I have seen it twice). When I wipe, there is no blood on the tissue, but I see blood at the bottom of the toilet when I flush. Is there something wrong with my body?
Dr. Cai Xingzhi reply Surgery
For anal problems, please consult a colorectal surgeon or a gastroenterologist nearby. (At this age, the most common issues are hemorrhoids or anal fissures.)[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights
Hemorrhoids or anal fissure? I previously sought medical attention due to severe pain during bowel movements, which the doctor diagnosed as hemorrhoids rather than anal fissures. I underwent rubber band ligation. After the procedure, I experienced some improvement, but almost eve...
Dr. Cai Xingzhi reply Surgery
1. Tissue necrosis and shedding after ligation may cause localized itching, which is normal; please take medication as prescribed by your physician. 2. Anoscopy can easily cause bleeding due to the underlying condition (such as hemorrhoids), making bleeding more likely. 3. An...[Read More] Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights
Blood in Stool and Mucus: Possible Causes and Concerns
Blood in the stool and the presence of mucus with blood when wiping can indicate several conditions, such as hemorrhoids, anal fissures, or inflammatory bowel disease. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment? In rec...
Dr. Cai Xingzhi reply Surgery
There are many possible causes. If you have any diseases related to the rectum, colon, or anal area, please visit a nearby hospital's colorectal surgery department for consultation.[Read More] Blood in Stool and Mucus: Possible Causes and Concerns
Understanding Sudden Rectal Bleeding: Causes and Concerns
Rectal bleeding Sudden rectal bleeding that hasn't occurred before can be concerning. It may not be directly related to staying up late, but it's important to consider various factors. I recommend consulting a healthcare professional for a thorough evaluation to determi...
Dr. Cai Xingzhi reply Surgery
Hello, at this age, chronic constipation caused by straining during bowel movements is common. It is advisable to increase your intake of fruits and vegetables and to drink plenty of water. The likelihood of colorectal cancer at this age is generally low, but if there are any con...[Read More] Understanding Sudden Rectal Bleeding: Causes and Concerns
Understanding Blood in Stool: Causes and When to Seek Help
/Blood in stool Hello doctor, yesterday I noticed blood in my stool. It seems like there might be a wound that caused it, as there was also blood on the toilet paper. The blood is bright red, and my stool is normal. I'm not sure if it was caused by straining too hard during ...
Dr. Cai Xingzhi reply Surgery
Hello: Your issue may be anal fissures, which can be caused by tight anal sphincter muscles. Chronic constipation can lead to excessive straining during bowel movements, resulting in mucosal tears. Please increase your vegetable intake and drink plenty of water. If the problem pe...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Red Water in Stool: Is It Blood or Something Else?
The water under the stool is red? I would like to ask about my bowel movements. At the beginning, the stool is soft and does not contain blood, but after sitting in water for a while, I notice that the water underneath the stool is reddish, resembling blood. Does this count as oc...
Dr. Cai Xingzhi reply Surgery
Hello: This is not just occult blood but rather rectal bleeding. At this age, the most common causes are internal hemorrhoids and anal fissures; however, other conditions are also possible. Please consult a gastroenterologist nearby.[Read More] Understanding Red Water in Stool: Is It Blood or Something Else?
Understanding Anal Sphincter Damage: Risks and Recovery After Surgery
Damage to the anal sphincter? Dear Doctor, I am 33 years old and have never given birth. Recently, I underwent surgery for an anal fissure, and the doctor confirmed that I have severe internal and external hemorrhoids that will also be addressed. Prior to the surgery, it was ment...
Dr. Cai Xingzhi reply Surgery
Hello: The surgery for anal fissure involves incising the tight portion of the sphincter muscle (not a complete cut) to approximately one-tenth of the thickness of the sphincter. This will not cause anal incontinence, nor will it lead to urinary leakage, so please rest assured.[Read More] Understanding Anal Sphincter Damage: Risks and Recovery After Surgery