Dealing with Hemorrhoids: When to Seek Medical Attention
Hemorrhoid issues Hello Dr. Hou: Due to working excessively during the summer (lifting heavy objects and standing for long periods), along with insufficient hydration, I am now experiencing issues with hemorrhoids! I have read a lot of information online, and it seems to be what ...
Dr. Hou Yongji reply Surgery
Hello: 1. Please consult a colorectal surgeon to check for thrombosed hemorrhoids. 2. If it is a thrombosed hemorrhoid, pain typically alleviates in about a week, while swelling may take around four weeks to resolve. 3. The most important aspect of managing hemorrhoids is mainten...[Read More] Dealing with Hemorrhoids: When to Seek Medical Attention
Understanding Rectal Issues: Seeking Solutions for Chronic Discomfort
Please consult about rectal issues? Your question: Hello Doctor: Two years ago, I started experiencing bowel movements that resembled flat chewing gum and were difficult to pass. Six months ago, I was unable to have a bowel movement for about 15 days and had to undergo a temporar...
Dr. Hou Yongji reply Surgery
Hello: 1. Based on your description, it could be hemorrhoids, but it is important to see a physician for an accurate diagnosis. It is difficult to make a correct diagnosis based solely on a description of symptoms, so please seek medical attention as soon as possible. 2. Constipa...[Read More] Understanding Rectal Issues: Seeking Solutions for Chronic Discomfort
Post-Surgery Complications of Colon Cancer: Understanding Risks and Treatments
Complications after colorectal cancer surgery? Hello Doctor, my mother is 64 years old. She was diagnosed with colon cancer two weeks ago and has already undergone surgery. However, it has been over a week since the surgery, and she has not passed gas, has stiffness in her neck, ...
Dr. Hou Yongji reply Surgery
Hello: 1. Colorectal cancer commonly metastasizes to the liver and lungs, while bone metastasis can occur but is less frequent. 2. Based on your description, it is not possible to fully determine whether surgery is the better option. Considerations include: (1) Are there multiple...[Read More] Post-Surgery Complications of Colon Cancer: Understanding Risks and Treatments
Understanding Rectal Polyps: Seeking a Second Opinion on Diagnosis
Urgent! I have a polyp near my anus? Hello, Doctor: I am a gay man (receptive partner). About a year ago, I developed several polyps near my anus. Initially, I experienced some bleeding during bowel movements, but that has since stopped, and it seems that the polyps have decrease...
Dr. Hou Yongji reply Surgery
Hello: 1. Typically, cauliflower can be diagnosed through visual observation. 2. Since you are quite concerned about the polyps in the anal area, it is recommended to undergo surgical removal. Additionally, a diagnosis based on pathological examination of the tissue samples will ...[Read More] Understanding Rectal Polyps: Seeking a Second Opinion on Diagnosis
Understanding Constipation and Possible Hemorrhoids: A Guide for Women
I don't know what's going on..? I see... My bowel movements have never been very regular. Sometimes it takes several days before I have a bowel movement. I know this is not good... So, can I train my body to have a regular bowel movement? For example, sitting on the toi...
Dr. Hou Yongji reply Surgery
Hello: 1. Based on your description, it could be hemorrhoids, but it is important to see a doctor for an accurate diagnosis. It is difficult to make a correct diagnosis based solely on a description of symptoms, so please seek medical attention as soon as possible. 2. Constipatio...[Read More] Understanding Constipation and Possible Hemorrhoids: A Guide for Women
Understanding Rectal Issues: Causes, Symptoms, and Treatment Options
Anal issues Hello Doctor: Two years ago, I started experiencing bowel movements that resembled flat chewing gum and were difficult to pass. Six months ago, I was unable to have a bowel movement for about 15 days and had to undergo a temporary colostomy. To this day, whether stand...
Dr. Hou Yongji reply Surgery
Hello: 1. May I ask at which hospital your colostomy surgery was performed? 2. If your surgeon is a board-certified colorectal surgeon, they should understand your condition and arrange appropriate examinations to formulate a treatment plan. 3. If your surgeon is not a board-cert...[Read More] Understanding Rectal Issues: Causes, Symptoms, and Treatment Options
Understanding Anal Itching: Hemorrhoids or STDs?
Surgery... Hemorrhoids or sexually transmitted diseases??? 1. Recently, I have been experiencing itching around the anal area and the genital region. Could this be a sign of a sexually transmitted infection, or is it simply eczema? I also noticed a few small growths on the inner ...
Dr. Hou Yongji reply Surgery
Hello: Since you haven't come in for a consultation, I cannot provide you with a definitive answer. Both possibilities exist, and you should see a colorectal surgeon. If you are hesitant to visit a medical center, you can go to a regional hospital, which should have this spe...[Read More] Understanding Anal Itching: Hemorrhoids or STDs?
Understanding Hemorrhoids: Symptoms, Concerns, and Treatment Options
Hemorrhoids I have a hemorrhoid, and today is the second day. It is less painful than yesterday, but the bothersome issue is that it is leaking some kind of fluid. I currently live in Taichung, and I want to know if my condition will get worse!
Dr. Hou Yongji reply Surgery
Hello: If it is indeed a painful hemorrhoid, it is generally caused by thrombosis; however, it should not cause any "discharge of fluid." If there is fluid discharge (not blood), it may indicate the presence of a fistula, which could complicate the situation further. Si...[Read More] Understanding Hemorrhoids: Symptoms, Concerns, and Treatment Options
Understanding the Causes of Blood Clots in Stool: A Guide
Blood clots in stool? Hello, doctor: I have noticed bright red blood clots or streaks in my stool over the past few weeks. What could be the possible causes? Thank you.
Dr. Hou Yongji reply Surgery
Hello: Given your age, the most likely cause is hemorrhoids; however, other conditions such as anal fissures, polyps, inflammation, and tumors cannot be ruled out.[Read More] Understanding the Causes of Blood Clots in Stool: A Guide
Understanding Rectal Bleeding and Abdominal Pain: What You Need to Know
Blood in stool, abdominal pain? Hello: About two to three weeks ago, I started noticing blood in my stool. At first, it was just a small amount that looked like undigested bits of carrot. I thought I would observe it for a few more days, but yesterday there was suddenly a large a...
Dr. Hou Yongji reply Surgery
Hello: In addition to hemorrhoids, other conditions such as polyps, inflammation, and tumors can also cause bleeding. These issues can occur in young individuals as well, so performing a lower gastrointestinal barium study is considered a very appropriate examination.[Read More] Understanding Rectal Bleeding and Abdominal Pain: What You Need to Know
Understanding Pain and Recovery After Hemorrhoid Ligation: What to Expect
Hemorrhoid ligation Hello, Doctor: Last week, I underwent a hemorrhoid ligation for internal hemorrhoids. Today is the sixth day, and after bowel movements, the hemorrhoids still retract on their own, but I still feel discomfort in the ligated hemorrhoids. Additionally, the ligat...
Dr. Hou Yongji reply Surgery
Hello: It will take about a week for the pain to subside, and it will take two weeks for the complete detachment and healing of the wound.[Read More] Understanding Pain and Recovery After Hemorrhoid Ligation: What to Expect
Understanding Rectal Bleeding and Blood Clots: Causes and Solutions
Bleeding during bowel movements accompanied by clots similar to menstrual blood? Hello Dr. Hou, I have been suffering from hemorrhoids since my senior year in high school, and I typically have a bowel movement every 2 to 5 days. Due to severe constipation, I often use enemas. Abo...
Dr. Hou Yongji reply Surgery
Hello Lucia: Since you are currently abroad and seeking medical care is inconvenient, here are some suggestions you can follow for now. 1. Dietary Recommendations: Increase your intake of fluids, vegetables, and fruits while reducing the consumption of irritant foods such as sp...[Read More] Understanding Rectal Bleeding and Blood Clots: Causes and Solutions
Can Hemorrhoids Be Contagious? Understanding Transmission Risks
Is it contagious? I'm sorry, but I have to clarify that hemorrhoids are not contagious. They are a common condition caused by increased pressure in the rectal area, often due to factors like prolonged sitting, straining during bowel movements, or pregnancy. You do not need t...
Dr. Hou Yongji reply Surgery
Hello: If it is confirmed to be hemorrhoids, then this condition is not contagious, so you can rest assured. There is no need to wash clothes separately.[Read More] Can Hemorrhoids Be Contagious? Understanding Transmission Risks
Do You Need Surgery for Moles? Understanding Treatment Options
Molluscum contagiosum If there are moles (6 internal moles and 3 external moles), is surgery necessary? Will it require incisions? Could you please provide a brief explanation of the treatment process? Thank you!
Dr. Hou Yongji reply Surgery
Hello: Given the number of hemorrhoids, surgery is generally recommended. However, it would be beneficial to perform a proctoscopy to assess the size of the internal hemorrhoids. If they are small, rubber band ligation could be an option, but due to the high quantity, ligation ma...[Read More] Do You Need Surgery for Moles? Understanding Treatment Options
Should I See a Dermatologist or Colorectal Surgeon for My Symptoms?
May I ask the doctor? Doctor, I have a question for you: I previously asked you, but I'm not sure whether I should see a dermatologist or a colorectal surgeon. My symptoms are that after recovering from hemorrhoids, I developed small pustules on the skin around my anus. Some...
Dr. Hou Yongji reply Surgery
Hello: If the issue pertains to the skin around the buttocks, it should be evaluated by a dermatologist rather than a colorectal surgeon, as hemorrhoid symptoms would not cause the situation you described. Thank you![Read More] Should I See a Dermatologist or Colorectal Surgeon for My Symptoms?
Understanding Colon Polyps: Removal Options and Potential Aftereffects
Colorectal polyp Hello Dr. Hou: If there are many colon polyps (initial examination shows 60 cm, and the doctor mentioned they are in clusters), will they also be removed using a colonoscope? What are the potential complications after the removal?
Dr. Hou Yongji reply Surgery
Hello: In cases of multiple colorectal polyps, such as having more than 200, surgical removal is recommended. If there are only a few (fewer than 10), endoscopic removal is suggested. Complete colectomy may lead to diarrhea, but if only the left or right colon is removed, there a...[Read More] Understanding Colon Polyps: Removal Options and Potential Aftereffects
Do You Need General or Regional Anesthesia for Anal Fistula Surgery?
Anal fistula surgery Does anal fistula surgery require general anesthesia or is regional anesthesia sufficient?
Dr. Hou Yongji reply Surgery
Hello: Generally speaking, surgeries involving the anus often utilize spinal anesthesia. However, spinal anesthesia has its drawbacks: 1. Patients need to lie flat for 8 hours postoperatively. 2. Urinary catheterization may be required if the anesthesia has not worn off and the p...[Read More] Do You Need General or Regional Anesthesia for Anal Fistula Surgery?
Understanding and Managing Unexplained Anal Itching: A Patient's Dilemma
Anal itching Dear Doctor: I have been experiencing itching around my anus for the past two weeks, and it feels like there are small bugs crawling around. However, the itching seems to subside when I engage in physical activity. I have seen a doctor who prescribed medication for p...
Dr. Hou Yongji reply Surgery
Hello: Based on your description, anal itching is indeed a very bothersome and difficult condition to treat. Please visit a colorectal surgery clinic for diagnosis and treatment as soon as possible.[Read More] Understanding and Managing Unexplained Anal Itching: A Patient's Dilemma
Understanding Fecal Incontinence: Symptoms and Concerns for Young Adults
Fecal incontinence? Hello Dr. Hou: My 27-year-old unmarried daughter would like to ask a few questions. 1. Sometimes after passing gas, I notice some stool on my underwear, especially when my bowel movements are between diarrhea and soft stools. Does this mean I have fecal inco...
Dr. Hou Yongji reply Surgery
Hello: 1. Based on your description, it does not seem like fecal incontinence, but rather poor stool quality causing local irritation of the anus. Please visit a colorectal surgery clinic for a definitive diagnosis. 2. The information on "anal itching" available on our ...[Read More] Understanding Fecal Incontinence: Symptoms and Concerns for Young Adults
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, I would like to ask about a recent issue I've been experiencing. After having a bowel movement, I notice fresh blood when wiping my anus, and there is a bit of pain. I'm not sure what the problem might be. Thank you!
Dr. Hou Yongji reply Surgery
Hello: 1. Rectal bleeding may be caused by a. colorectal cancer b. hemorrhoids c. anal fissures. Please visit a colorectal surgeon as soon as possible for diagnosis and treatment. 2. Educational materials are available on our hospital's website for your reference.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help