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Understanding Post-Defecation Bleeding: Causes and Treatments

Bleeding after bowel movements? Hello, Dr. Hou: 1. About 10 years ago, I had surgery for anal fistula and hemorrhoids. 2. I believe I still have some hemorrhoids, and I have seen a doctor who said it was not serious and there were no signs of fistula. 3. However, I seem to exper...


Dr. Hou Yongji reply Surgery
Please consult a colorectal surgeon for diagnosis and treatment. An anoscopy can be performed in the outpatient clinic, or a colonoscopy can be arranged. Thank you.

[Read More] Understanding Post-Defecation Bleeding: Causes and Treatments


Bleeding from the Anus During Urination: Possible Causes and Next Steps

Bleeding from the anus during urination? Hello Doctor: Since last night, I have been experiencing bleeding from the anus during both urination and defecation, with the bleeding occurring more frequently during urination. However, my stool appears to be normal, and there is no pai...


Dr. Hou Yongji reply Surgery
Based on your description, a correct diagnosis cannot be made. Please consult a colorectal surgeon for evaluation and treatment. Thank you.

[Read More] Bleeding from the Anus During Urination: Possible Causes and Next Steps


Understanding Mucus in Stool: Causes and When to Seek Help

Stool with mucus? Hello Doctor: I previously experienced pain in the lower right abdomen that lasted for almost two to three months. A colorectal surgeon arranged for a barium study, but the results showed no issues. Later, I consulted a gastroenterologist who performed an endosc...


Dr. Hou Yongji reply Surgery
Based on your description, a proper diagnosis cannot be made. Please consult a colorectal surgeon for evaluation (remember to bring copies of your examination reports, and it’s best to include photos or imaging). Thank you.

[Read More] Understanding Mucus in Stool: Causes and When to Seek Help


Understanding External Hemorrhoids: When to Seek Medical Advice

Hemorrhoids I apologize for the interruption, doctor. My boyfriend recently discovered a small growth near his anus. I have looked it up and it seems to be an external hemorrhoid. However, he is reluctant to see a doctor due to concerns about his image. Fortunately, it is just a ...


Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to provide clear and accurate treatment recommendations. Please seek a nearby colorectal surgeon for evaluation and treatment as soon as possible. Thank you, and here is a list of specialists.

[Read More] Understanding External Hemorrhoids: When to Seek Medical Advice


Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions

Re-ask about the fallopian tubes? Doctor, thank you for your response. I have been diagnosed at a larger hospital in the city, and I found significant differences in the opinions of three doctors. The first doctor (Mackay) stated after a colonoscopy that the fistula is severe, cr...


Dr. Hou Yongji reply Surgery
Based on your description, a correct diagnosis cannot be made. The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even endoscopy (anoscopy, sigmoidoscopy). If you still cannot agree with the previous physician's diagnosis, y...

[Read More] Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions


Post-Colonoscopy Polyp Removal: Addressing Bowel Issues and Fistula Concerns

After polypectomy during colonoscopy Hello, doctor. I recently underwent a colonoscopy and polypectomy at a hospital in Hsinchu, and I have been experiencing difficulty with bowel movements for over a week now. The discomfort has increased, and my hemorrhoids have worsened (I did...


Dr. Hou Yongji reply Surgery
1. A colonoscopy itself does not worsen hemorrhoids; it is likely the preparatory steps before the procedure (such as taking laxatives the day before to clear the bowel) that cause multiple bowel movements (diarrhea), leading to swelling and pain of the hemorrhoids. 2. There are ...

[Read More] Post-Colonoscopy Polyp Removal: Addressing Bowel Issues and Fistula Concerns


Post-Appendectomy: Understanding Abdominal Bloating and Recovery

Post-appendiceal cancer surgery? Hello Doctor, I would like to ask about my condition. I was diagnosed with acute appendicitis on March 15th of this year. I underwent laparoscopic surgery at Cathay General Hospital in Da'an District around 8 PM. After the surgery, I was able...


Dr. Hou Yongji reply Surgery
There are many uncertainties regarding the post-operative condition. If you experience any unusual reactions, please return for a follow-up appointment immediately. It is advisable to return to the original surgeon's clinic as soon as possible. Thank you.

[Read More] Post-Appendectomy: Understanding Abdominal Bloating and Recovery


Post-Surgery Care Tips for External Hemorrhoid Removal

Post-operative care following hemorrhoidectomy for external hemorrhoids? Hello Dr. Hou, I have been experiencing symptoms of internal hemorrhoids combined with external hemorrhoids for a long time. Recently, I underwent a ligation procedure to address the internal hemorrhoids, a...


Dr. Hou Yongji reply Surgery
Hello: The detailed precautions are related to the type of surgery you will undergo. You should discuss this with your surgeon. Generally, it is advised to avoid running and cycling for 3-4 weeks.

[Read More] Post-Surgery Care Tips for External Hemorrhoid Removal


Understanding Endoscopic Hemorrhoid Ligation: Key Questions Answered

excuse me? I would like to ask about [endoscopic hemorrhoid ligation surgery]. 1. My condition is stage three [requiring manual reduction of the hemorrhoid back into the anal canal], with both internal and external hemorrhoids. 2. I have had hemorrhoids for 10 years and often e...


Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to provide clear and accurate treatment recommendations. Please seek out a colorectal surgeon for evaluation and treatment as soon as possible. Thank you, and here is a list of specialists.

[Read More] Understanding Endoscopic Hemorrhoid Ligation: Key Questions Answered


Laparoscopic vs. Traditional Surgery: Which is Better for Colon Resection?

Laparoscopic surgery or traditional surgery? Dear Doctor: My physician has advised me to undergo a colectomy because I have had three colonoscopies to remove polyps, and they keep recurring. However, this hospital does not perform laparoscopic surgery, only traditional open surge...


Dr. Hou Yongji reply Surgery
Surgery is a matter that requires careful consideration. If your surgery is performed without any prior examinations or assessments, can you feel at ease? Therefore, if you switch to another hospital, it is the responsibility of a good physician to conduct further evaluations unl...

[Read More] Laparoscopic vs. Traditional Surgery: Which is Better for Colon Resection?


Understanding Internal and External Hemorrhoids: Treatment Options and Concerns

Hemorrhoidal issues (internal and external hemorrhoids) Hello Dr. Hou, I have both internal and external hemorrhoids. In the past, I would occasionally experience rectal bleeding, but it usually resolved within a week with medication. Recently, for the past month, I have been exp...


Dr. Hou Yongji reply Surgery
1. Based on your description, it is difficult to clearly understand your condition. Please seek a consultation with a colorectal surgeon nearby. 2. Pressure ulcers are not caused by bacterial or viral infections, so there is no issue with antibiotic resistance.

[Read More] Understanding Internal and External Hemorrhoids: Treatment Options and Concerns


Understanding Chronic Abdominal Pain and Changes in Bowel Habits

Frequent abdominal pain and changes in bowel habits? Hello Dr. Hou: Since April 2009, I have been experiencing intermittent dull pain in my left abdomen, occasionally near the lower left abdomen, and sometimes I have inexplicable cramping pain in my abdomen, which I can still tol...


Dr. Hou Yongji reply Surgery
Based on your description, I am unable to provide accurate advice. Please consult a colorectal surgeon for further evaluation. Thank you.

[Read More] Understanding Chronic Abdominal Pain and Changes in Bowel Habits


Understanding Hemorrhoids: Symptoms, Self-Care, and When to Seek Help

Could you please provide more details regarding the issue of hemorrhoids? Hello, doctor. I would like to inquire about my condition: I have had a bowel movement habit of about every 2-3 days since childhood, which is considered habitual constipation. For over a year, I have felt ...


Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to provide clear and accurate treatment recommendations. Please seek a nearby colorectal surgeon for evaluation and treatment as soon as possible. Thank you, and here is a list of specialists.

[Read More] Understanding Hemorrhoids: Symptoms, Self-Care, and When to Seek Help


Understanding Anal Fistula Recovery: Is Ongoing Discharge Normal?

Anal fistula Hello Doctor: After discovering an anal fistula last October, I delayed surgery until July of this year due to work commitments. I followed the post-operative care instructions after the surgery, and during my follow-up appointment in early September, the attending p...


Dr. Hou Yongji reply Surgery
Hello: If you still have concerns, it is recommended that you return to the outpatient clinic for a follow-up examination to assess the current healing status of the wound. Wishing you safety.

[Read More] Understanding Anal Fistula Recovery: Is Ongoing Discharge Normal?


Managing Thrombotic External Hemangiomas: Concerns and Care Tips

Thrombotic external hemorrhoids Hello, doctor. A few days ago, I had a thrombosed external hemorrhoid treated at China Medical University. The doctor incised it and drained the blood clot. However, three days later, the affected area is still swollen and hard, although it is some...


Dr. Hou Yongji reply Surgery
Based on your description, it is difficult to clearly understand and make an accurate assessment. It is recommended that you return for a follow-up appointment to discuss your condition in detail with your physician.

[Read More] Managing Thrombotic External Hemangiomas: Concerns and Care Tips


Understanding Anal Pain: Causes and When to Seek Help

Anal pain Hello Doctor: A few days ago, I suddenly experienced a pain in my anus while using the restroom. Initially, I thought it was caused by constipation, but after a few days, my bowel movements became regular. However, the pain in my anus has not decreased; in fact, it has ...


Dr. Hou Yongji reply Surgery
Hello: This situation may be an acute flare-up of a fistula, or it could be an anal abscess or anal fissure. Please visit the outpatient clinic for further examination. Wishing you good health.

[Read More] Understanding Anal Pain: Causes and When to Seek Help


Optimal Sitz Bath Frequency and Post-Diarrhea Wound Care Guidelines

Frequency of sitz baths and wound care after diarrhea? Hello Doctor, About eight or nine days ago, I noticed that there was a small amount of white discharge at one end of my stool. Since there was no pain, swelling, or itching, I originally scheduled an appointment to see a doc...


Dr. Hou Yongji reply Surgery
Hello: Question 1: There is no limit to the number of sitz baths, but it is not necessary to add povidone-iodine each time to avoid causing perineal itching. 2. There is no need to worry too much about diarrhea as long as you remember to rinse the anus with clean water after bowe...

[Read More] Optimal Sitz Bath Frequency and Post-Diarrhea Wound Care Guidelines


Understanding Rectal Bleeding: Causes, Treatments, and Recovery Tips

Rectal wall injury with bleeding? Last week, I noticed blood in my stool, and there was a white discharge that seemed to come from the area of the wound (which is about five centimeters inside the anus). I have already shown it to a doctor, but the digital examination and anoscop...


Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to make an accurate diagnosis and provide recommendations. Please return for a follow-up visit to discuss your condition and subsequent treatment with Dr. Hou Yong-ji.

[Read More] Understanding Rectal Bleeding: Causes, Treatments, and Recovery Tips


Understanding Anal Fistulas: Symptoms, Treatments, and Pressure Tests

Anal fistula I have experienced anal fistula flare-ups four times, each time requiring surgical excision under spinal anesthesia. Recently, I have noticed that I feel incomplete evacuation after bowel movements and an increased frequency of bowel movements. In simple terms, I can...


Dr. Hou Yongji reply Surgery
1. Based on your description, a precise diagnosis cannot be made. Please consult a nearby colorectal surgeon, especially one who has previously performed surgery on you, as they will have a better understanding of your condition. 2. An anal physiological examination primarily ass...

[Read More] Understanding Anal Fistulas: Symptoms, Treatments, and Pressure Tests


Post-Electrosurgery Concerns: Managing Anal Warts and Bleeding

After electrosurgical treatment for anal warts? Hello Dr. Hou, I underwent electrosurgery to remove warts in February of this year. Four weeks after the surgery, I had sexual intercourse with a friend, and during anal intercourse, there was a significant amount of bleeding (this ...


Dr. Hou Yongji reply Surgery
1. Regarding bleeding after anal intercourse, it may be related to previous electrosurgical procedures or a prolonged absence of anal intercourse, necessitating further examination for a definitive diagnosis. It is recommended to have the surgeon who performed your procedure cond...

[Read More] Post-Electrosurgery Concerns: Managing Anal Warts and Bleeding


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