Understanding Anal Swelling: Causes and When to Seek Help
A lump in the anal area? Two days ago, after having a bowel movement, a lump appeared the next day. Today, when I touch it, it goes back in for a few seconds but then pops out again.
Dr. Chen Jiaming reply Surgery
It feels very much like hemorrhoids or swelling of the anal mucosa after contact, but it is still recommended to see a colorectal surgeon for further evaluation and treatment.[Read More] Understanding Anal Swelling: Causes and When to Seek Help
Can Polyps Be Removed During a Colonoscopy Without Anesthesia?
Colorectal polyp Hello, doctor. I would like to ask if polyps can be removed during a colonoscopy. Can polyps be removed during a colonoscopy without anesthesia? Also, will removing polyps during a colonoscopy affect my ability to work? Do I need to rest afterward?
Dr. Chen Jiaming reply Surgery
During a colonoscopy, if polyps are found, they are typically removed during the same procedure, unless the polyps have specific characteristics (for example, if they are too large and require special instruments). Generally, polypectomy does not cause additional pain (it can als...[Read More] Can Polyps Be Removed During a Colonoscopy Without Anesthesia?
Blood When Wiping: Should You See a Doctor for Your Symptoms?
Noticing blood when wiping after a bowel movement? A few days ago, I had a bowel movement and had to exert a lot of force. I noticed blood when wiping, but there was no blood in the stool. That day, I had to wipe multiple times, and it felt watery or sticky. The water in the toil...
Dr. Chen Jiaming reply Surgery
Based solely on your description, it is difficult to determine whether your issue stems from hemorrhoids, anal mucosal tears, or other causes. It is recommended that you visit a colorectal surgery or gastroenterology clinic or hospital for further examination. Additionally, adjus...[Read More] Blood When Wiping: Should You See a Doctor for Your Symptoms?
Abdominal Impact: Should You Worry About Internal Bleeding?
Abdominal trauma I accidentally bumped into the edge of a table while operating a chair yesterday, and now I have a persistent feeling of bloating and pain in my abdomen (similar to the sensation of drinking too much water). However, I do not have any symptoms such as blood in ur...
Dr. Chen Jiaming reply Surgery
Abdominal contusion can commonly lead to intra-abdominal bleeding. Aside from high-speed, high-energy impacts (such as in car accidents), everyday household items typically require sharper or pointed impacts to have a higher chance of causing such injuries (like hitting a corner ...[Read More] Abdominal Impact: Should You Worry About Internal Bleeding?
Understanding Blood in Stool: Causes and When to Seek Help
There is slight bleeding in the stool? Hello Doctor: In the past two days, I have noticed a small amount of blood in my stool, not a lot. The stool is neither too soft nor too hard, and the color is a normal yellow-brown. There is a little bit of blood on the stool, and after wip...
Dr. Chen Jiaming reply Surgery
Based solely on your symptom description, it is possible that you may have internal hemorrhoids. However, a thorough examination by a colorectal surgeon or a gastroenterologist is necessary for confirmation. Since your bowel movements are no longer hard stools, attempting to alte...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Gastrointestinal Issues: Blood in Stool Concerns
Gastrointestinal issues Hello doctor, on Monday I noticed a small amount of blood in my stool. At that time, the stool was hard and yellow, and there was no pain in my anus, nor was there any bleeding when wiping. Then on Tuesday and Wednesday, there was no blood in my stool. Is ...
Dr. Chen Jiaming reply Surgery
Since there are concerns about various possibilities, let's check them one by one in order. First, consult a colorectal surgeon to see if there are any issues with hemorrhoids, and at the same time, modify your diet and daily routine to help soften your stools. Once stable (...[Read More] Understanding Gastrointestinal Issues: Blood in Stool Concerns
Understanding Bowel Issues: Causes of Blood in Stool and Pain
Bowel movement issues? Both times I had a bowel movement, there was a similar issue: the stool was initially hard and difficult to pass, but then it became easier to eliminate (the initial phase was somewhat painful, but the pain subsided afterward). After finishing, when I wiped...
Dr. Chen Jiaming reply Surgery
It is recommended to change your daily routine and dietary habits. If you only have a bowel movement every 2-3 days, the hard stools can cause abrasion and bleeding of the anal mucosa. Dietary suggestions can be found in abundance online, so I will not elaborate further.[Read More] Understanding Bowel Issues: Causes of Blood in Stool and Pain
Understanding Bowel Issues: Gas, Blood, and Gastrointestinal Health Concerns
Bowel movement issues? Recently, due to the stress from exams, I have been staying up late and my weight has remained around 50 kilograms, similar to the past few years. I rarely exercise and usually eat out. Since last year, I have been experiencing frequent flatulence, which is...
Dr. Chen Jiaming reply Surgery
Based on your description, it does not appear to be indicative of colorectal cancer or irritable bowel syndrome. As for whether it is hemorrhoids or bleeding due to damage to the anal mucosa from excessive wiping, further examination by a gastroenterologist or colorectal surgeon ...[Read More] Understanding Bowel Issues: Gas, Blood, and Gastrointestinal Health Concerns
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding I have been experiencing rectal bleeding for the past week or two. Initially, I noticed bright red blood on the toilet paper when wiping. In the last couple of days, I have seen drops of blood while sitting on the toilet, and today, my bowel movement was accompani...
Dr. Chen Jiaming reply Surgery
Based on your description, the likelihood of this condition being caused by hemorrhoids (external hemorrhoids) is higher; however, the possibility of cancer cannot be completely ruled out. It is recommended to first consult a colorectal surgeon or a gastroenterologist to further ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Is the likelihood of recurrence high if appendicitis is not treated surgically? Doctor, I visited a nearby clinic on March 15th due to upper abdominal pain, and I was diagnosed with gastroenteritis. Three days later, as the pain shifted to my lower right abdomen, I went to a larg...
Dr. Chen Jiaming reply Surgery
Basically, if acute appendicitis is diagnosed and there are no specific reasons that make anesthesia and surgery inappropriate, such as poor cardiopulmonary status in the elderly or severe coagulopathy, it is generally recommended to arrange for an appendectomy as the appropriate...[Read More] Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Post-Surgery Care for Elderly Patients with Abdominal Emergencies
Abdominal emergency surgery Dear Dr. Chen, I would like to inquire about my father, who is 68 years old and was admitted to the hospital on January 5 due to acute abdominal pain. A CT scan revealed an enlarged small intestine, and he underwent surgery to remove 120 centimeters o...
Dr. Chen Jiaming reply Surgery
I apologize for the delay in responding due to issues with the information system. First of all, the enlargement of the small intestine and the resection of 120 centimeters of the small intestine is not a definitive disease diagnosis. Therefore, it is unclear why 120 centimeters ...[Read More] Post-Surgery Care for Elderly Patients with Abdominal Emergencies
Understanding SMA Syndrome: Symptoms, Diagnosis, and Treatment Options
Suspected SMA syndrome? Dear Dr. Chen, I previously consulted you about some abdominal issues. I have been experiencing persistent abdominal discomfort (bloating and pain) for almost a year now. Despite taking medication and actively seeking medical attention, there has been lit...
Dr. Chen Jiaming reply Surgery
I apologize for the delay in responding to your inquiry due to issues with our information system. Firstly, I do not believe that your original symptoms align with the typical clinical presentation of Superior Mesenteric Artery (SMA) syndrome. Of course, as your condition worsens...[Read More] Understanding SMA Syndrome: Symptoms, Diagnosis, and Treatment Options
Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?
Regarding Vitamin D3 supplementation? My mother was hospitalized for examination (not at your hospital) in early December, where she was diagnosed with severe malnutrition, acute pancreatitis, and mild issues with her kidneys and liver. She has undergone surgery and returned home...
Dr. Chen Jiaming reply Surgery
First, you need to confirm that your mother's cramping symptoms are due to "hypocalcemia." It is rare for this to be the cause in most individuals, but you mentioned that your mother has severe malnutrition, acute pancreatitis, and kidney issues, all of which could...[Read More] Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?
Abdominal Pain and Blood in Stool: When to Seek Colonoscopy?
Abdominal pain with blood in the stool? Hello Doctor: Over the past month, I have frequently experienced abdominal pain and often pass gas. The pain is not localized and does not feel like the kind that makes me want to rush to the bathroom. Additionally, my stools are somewhat s...
Dr. Chen Jiaming reply Surgery
Medical care does not have a standard answer; it varies based on each individual's clinical condition and concerns. Looking purely at the changes in bowel habits this month, whether in frequency or the presence of blood, since you are worried about the possibility of colorec...[Read More] Abdominal Pain and Blood in Stool: When to Seek Colonoscopy?
Bright Red Blood When Wiping: Causes and When to See a Doctor
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello doctor, this morning when I had a bowel movement, I noticed bright red blood on the toilet paper, but there was no blood in the...
Dr. Chen Jiaming reply Surgery
Although the most common causes of blood on wiping after a bowel movement are hemorrhoids or damage to the intestinal mucosa (such as after multiple episodes of diarrhea), it is important to rule out the possibility of benign or malignant tumors in the intestines or other lesions...[Read More] Bright Red Blood When Wiping: Causes and When to See a Doctor
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort I tend to get nervous easily and have been experiencing gastrointestinal discomfort. Sometimes, I have to rush to the bathroom to have diarrhea right after breakfast. Last year, I noticed blood in my stool, but I didn't see any blood when wiping. ...
Dr. Chen Jiaming reply Surgery
The most common cause of symptoms is actually gastroenteritis, which is often managed with oral medications that control some of the symptoms. Most cases of gastroenteritis will resolve on their own. If you are very concerned about conditions such as intestinal tumors, you should...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Rectal Bleeding with Clots: When to Seek Medical Attention
Blood in stool with blood clots? I previously had a gastric ulcer. For the past five days, I have been experiencing blood in my stool every time I have a bowel movement, with a volume similar to menstrual bleeding, and I have also noticed blood clots. I have a bowel movement almo...
Dr. Chen Jiaming reply Surgery
The presence of blood in the stool is most commonly caused by hemorrhoids or damage to the intestinal mucosa (such as after multiple episodes of diarrhea). However, it is important to rule out the possibility of benign or malignant tumors in the intestines or other lesions. If sy...[Read More] Understanding Rectal Bleeding with Clots: When to Seek Medical Attention
Understanding Nocturnal Left Upper Abdominal Pain After Peritoneal Dialysis
Persistent left upper abdominal pain for one and a half months? Hello Doctor, my father has been on automated peritoneal dialysis (APD) for over two years. After experiencing a dislodged peritoneal dialysis catheter last September, he underwent laparoscopic surgery for fixation. ...
Dr. Chen Jiaming reply Surgery
Based on your description, there are too many potential influencing factors. Pain at a specific point in time may sometimes relate to the recent medication status, such as whether pain relief medications have been used. For gastrointestinal and hepatobiliary issues, endoscopy and...[Read More] Understanding Nocturnal Left Upper Abdominal Pain After Peritoneal Dialysis
Understanding Hernia Surgery and Subcutaneous Mass Evaluation
Regarding hernias and subcutaneous masses of unknown origin? Hello Doctor, I would like to ask about hernia surgery. I was recently diagnosed with a hernia in the left inguinal region, but there are no symptoms on the right side. The doctor mentioned two surgical options: traditi...
Dr. Chen Jiaming reply Surgery
In the context of laparoscopic hernia surgery, although the technical methods are quite clear, both domestic and international academic circles still recommend that laparoscopic hernia repair should only be directly suggested if the hernia is bilateral from the outset. For unilat...[Read More] Understanding Hernia Surgery and Subcutaneous Mass Evaluation
Understanding Black Stool with Red Edges: What It Could Mean
Black stool with faint red edges? Hello, doctor. Recently, I've been feeling a sense of heaviness in my lower abdomen, and occasionally my stool appears black with faint red edges. After flushing, the red color becomes more pronounced, but there is no blood when I wipe. My d...
Dr. Chen Jiaming reply Surgery
There is no blood when wiping, but the stool has a bloody coloration. The two main common causes are dietary intake of certain pigments and bleeding due to internal hemorrhoids. However, other gastrointestinal disorders cannot be completely ruled out. It is advisable to consult a...[Read More] Understanding Black Stool with Red Edges: What It Could Mean