Understanding Anal Sphincter Issues: Causes and Solutions
Anal sphincter issues? Doctor: When I have a bowel movement, I often feel that when I exert myself, my anus tends to protrude slightly. Additionally, it feels like my anus tightens completely, making it difficult to pass stool, and I have to pause to let it relax before I can con...
Dr. Hou Yongji reply Surgery
Based on your description, there may be an issue with rectal prolapse. Please consult a colorectal surgeon for diagnosis and treatment. Thank you.[Read More] Understanding Anal Sphincter Issues: Causes and Solutions
Do I Need Further Treatment for My Hemorrhoid Concerns?
Do I still need treatment? Hello Doctor, I had an injection of sclerotherapy and a rubber band ligation for internal hemorrhoids at the end of June due to bleeding. However, today when I went to the bathroom, I noticed some spotty bleeding after wiping, which was not very noticea...
Dr. Hou Yongji reply Surgery
1. It is recommended to consult with your original colorectal surgeon for diagnosis and treatment. The purpose of the consultation includes examination and diagnosis, not just medication or treatment. 2. The diagnostic rate of colonoscopy is 95%, but there may still be some pol...[Read More] Do I Need Further Treatment for My Hemorrhoid Concerns?
Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Could you please provide the content you would like me to translate? Recently, due to changes in my work and lifestyle, I've been going to bed around 2 or 3 AM. My last menstrual period was about 17 days ago, and I've noticed an increase in vaginal discharge during this...
Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to accurately interpret and diagnose your condition; however, it is more likely to be related to a gynecological issue. Please consult a nearby obstetrician-gynecologist for evaluation. If there is no improvement, then consider seekin...[Read More] Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Understanding Anal Itching and Bleeding in Young Children: When to Seek Help
Anal issues Hello Doctor: I have a 5-year-old boy who frequently complains of itching in his buttocks. After he has a bowel movement, if he feels itchy, he requests to be washed with water, which alleviates the discomfort. Recently, I noticed that after he wipes his bottom, there...
Dr. Hou Yongji reply Surgery
It is advisable to schedule an appointment for a consultation with either the colorectal surgery or pediatric surgery outpatient clinic.[Read More] Understanding Anal Itching and Bleeding in Young Children: When to Seek Help
Dealing with Hemorrhoids: Can They Resolve Without Surgery?
What should I do if hemorrhoids cannot be pushed back in? Hello Dr. Hou, I am currently studying in Italy and will return to Taiwan in July next year. I have been experiencing hemorrhoids for about three to four years. I have a history of hepatitis B, and sometimes I notice bleed...
Dr. Hou Yongji reply Surgery
Dear John: Based on your description, it is likely an acute episode of external hemorrhoids, which typically remain outside. Therefore, there is no need to repeatedly push it back in, as this may lead to increased inflammation and prolong the healing process. Usually, it will res...[Read More] Dealing with Hemorrhoids: Can They Resolve Without Surgery?
Do I Need Treatment for My Hemorrhoids? Expert Advice on Symptoms
Regarding hemorrhoids? Hello Dr. Hou, I have noticed that I have hemorrhoids since high school, and it has been over ten years now. Usually, there is no pain, but whenever I have a harder or bulkier stool, there will be bleeding, and if I wipe too hard with toilet paper, there w...
Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to provide a definitive diagnosis or treatment recommendations. Anorectal disorders require a thorough evaluation, including medical history, visual inspection, palpation, and possibly endoscopic examinations (such as anoscopy or colo...[Read More] Do I Need Treatment for My Hemorrhoids? Expert Advice on Symptoms
Understanding Persistent Foamy Urine After Childbirth: Causes and Next Steps
Foamy urine? Hello Doctor, I would like to ask about a situation I have been experiencing. After giving birth, I suddenly noticed foam in my urine, consisting of very small and dense white bubbles that do not dissipate after a few minutes. This condition has persisted for over a ...
Dr. Hou Yongji reply Surgery
1. Due to the increasing specialization in medical fields, I am a colorectal surgeon. Therefore, if there is a connection between the intestinal and urinary systems, it may lead to a condition known as pneumaturia. The potential causes for this connection could include tumors, in...[Read More] Understanding Persistent Foamy Urine After Childbirth: Causes and Next Steps
Understanding Rectal Carcinoid Tumors: When to Seek Surgical Intervention
Rectal carcinoid tumor issues In May, I underwent a health check-up where a 0.4 cm polyp was found in my colon. The biopsy results indicated it was a neuroendocrine tumor. After a series of outpatient examinations, including a CT scan, the doctor assured me that I could just moni...
Dr. Hou Yongji reply Surgery
Rectal carcinoids are relatively benign tumors; however, the postoperative management of the tumor depends on factors such as tumor size, degree of cellular differentiation, and whether complete resection was achieved. Therefore, please discuss in detail with your physician regar...[Read More] Understanding Rectal Carcinoid Tumors: When to Seek Surgical Intervention
Post-Banding Surgery Concerns: Understanding Symptoms and Recovery
After undergoing rubber band ligation? Hello, Doctor. I have a concern. On June 28, I underwent a rubber band ligation procedure at E-Da Hospital. After the outpatient procedure, the doctor prescribed a sedative, an anti-flatulence medication, and a suppository. The doctor did no...
Dr. Hou Yongji reply Surgery
1. Attached are the precautions for hemorrhoid ligation at our hospital. 2. Regarding abdominal pain and improvement after passing gas, the colonoscopy performed in February of this year was normal, so it is likely a functional issue. Please relax, as this should help improve y...[Read More] Post-Banding Surgery Concerns: Understanding Symptoms and Recovery
Do You Need Hospitalization for Hemorrhoid Surgery? New Minimally Invasive Options
Hemorrhoids Do patients need to be hospitalized for hemorrhoidectomy, and are there any new surgical methods that allow for outpatient procedures?
Dr. Hou Yongji reply Surgery
Hemorrhoidectomy is currently required to be performed as an inpatient procedure according to health insurance regulations. However, whether surgery is necessary for hemorrhoids should be determined by a specialist. Therefore, it is recommended to seek consultation with a colorec...[Read More] Do You Need Hospitalization for Hemorrhoid Surgery? New Minimally Invasive Options
Understanding Hemorrhoids: Treatment Options and Concerns Explained
Please provide the content you would like me to translate? Hello, Doctor. A few days ago, I experienced sudden rectal bleeding while having a bowel movement. Whenever I exert myself, bright red blood flows out. For two consecutive days, oral and topical medications, as well as su...
Dr. Hou Yongji reply Surgery
Dear Patient, 1. The diagnosis and treatment of diseases typically require not only a medical history and symptom description but also physical examination, palpation, and even colonoscopy. Based on your description, a definitive diagnosis cannot be made. Please ensure that you ...[Read More] Understanding Hemorrhoids: Treatment Options and Concerns Explained
Laser vs. Electrocautery for Cauliflower Wart Treatment: Pros and Cons
Cauliflower treatment issues..? Hello Doctor: I would like to ask about the differences between laser treatment and electrosurgery for treating warts. What are the advantages and disadvantages of each? Also, what is the recurrence rate? If the warts are located at the anal openin...
Dr. Hou Yongji reply Surgery
Dear Anonymous Patient: 1. The treatment of warts (condyloma) is primarily within the expertise of dermatologists or urologists. I am not an expert in this field, but based on my personal understanding (not a professional medical opinion), the advantages and disadvantages of la...[Read More] Laser vs. Electrocautery for Cauliflower Wart Treatment: Pros and Cons
Understanding Anal Fistulas: Symptoms, Treatment, and Female Doctors
Anal fistula There is a hard, straight line from the anus to the vaginal opening that sometimes causes sharp pain, along with yellowish discharge. Is this what is referred to as an anal fistula? How can I alleviate the pain? Is it necessary to see a doctor? Are there female docto...
Dr. Hou Yongji reply Surgery
Hello: Based on the symptoms you described, an anal fistula is one possible cause. Please visit a colorectal surgery outpatient clinic for an examination. Currently, there are four female colorectal surgeons in Taiwan. You can check the Colorectal Surgery Medical Association webs...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Female Doctors
Persistent Rectal Bleeding: When to Seek Further Medical Evaluation
Doctor, I have been experiencing rectal bleeding for the past three months? Hello, Doctor. I have been experiencing rectal bleeding for three months now. Previously, I underwent a sigmoidoscopy and a colonoscopy, each once. The sigmoidoscopy was done first, and the doctor said th...
Dr. Hou Yongji reply Surgery
Based on your description, it is difficult to fully understand your condition. Please return to the original hospital for a more detailed consultation regarding your condition. If you still cannot obtain appropriate treatment, please copy your report and seek out a nearby colorec...[Read More] Persistent Rectal Bleeding: When to Seek Further Medical Evaluation
Understanding Uncomfortable Growths Near the Anus: What You Need to Know
I have a growth inside my anus? Hello Doctor: I would like to ask you a question. For the past few days, I've been feeling something unusual around my anus. It feels uncomfortable when I sit down or when I perform Kegel exercises (but it doesn't hurt), just a strange se...
Dr. Hou Yongji reply Surgery
Based on your description, a definitive diagnosis cannot be made. The diagnosis of anal diseases, in addition to visual examination, medical history, and digital examination, may sometimes require anoscopy or even endoscopy. Therefore, it is recommended to consult a nearby colore...[Read More] Understanding Uncomfortable Growths Near the Anus: What You Need to Know
Understanding Hemorrhoids: Symptoms, Causes, and Management Tips
Hemorrhoids. Difficulty with bowel movements? I have a routine of having a bowel movement before my daily shower. After I finish, I rinse off immediately. I cannot exert any effort during bowel movements; if I do, my anus protrudes, and I can feel small lumps. Could this be hemor...
Dr. Hou Yongji reply Surgery
Based on your description, in addition to internal hemorrhoids, it could also be rectal prolapse. However, the diagnosis of colorectal disorders requires not only a history of symptoms but also includes visual inspection, palpation, and possibly further examinations such as endos...[Read More] Understanding Hemorrhoids: Symptoms, Causes, and Management Tips
Understanding Pelvic Floor Tightening and Kegel Exercises After Surgery
Question Dr. Hou: Hello, are the pelvic floor tightening exercises the same as Kegel exercises? I have a history of colon polyp removal; how long should I wait before undergoing another colonoscopy? Thank you.
Dr. Hou Yongji reply Surgery
1. The pelvic floor contraction exercises are indeed similar to Kegel exercises, both aimed at strengthening the supportive muscles of the pelvic floor. 2. Typically, after the first colon polyp removal, it is recommended to undergo a follow-up colonoscopy in 6 to 12 months. If i...[Read More] Understanding Pelvic Floor Tightening and Kegel Exercises After Surgery
Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Distinguishing between internal and external hemorrhoids, and medication precautions? Hello Dr. Hou, I have some questions for you. About three months ago, I experienced severe abdominal pain and developed hemorrhoids after a bowel movement, which gradually resolved after the wee...
Dr. Hou Yongji reply Surgery
Hello: 1. Anoscopy may be necessary for differential diagnosis, as relying solely on medical history cannot provide an accurate diagnosis. 2. You may consult with Deputy Director Dr. Chuang Yuan-Chiang at Taoyuan General Hospital, or search for qualified specialists on the Taiwan...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Constipation and Abdominal Pain: Causes and Solutions
Constipation and stomach pain? During bowel movements, I experience a transparent, white, sticky substance, and sometimes there is blood. Additionally, I cannot exert any effort while defecating; if I do, my anus feels like it is slightly protruding. There is a hard area about 1 ...
Dr. Hou Yongji reply Surgery
Hello: 1. Please visit the colorectal surgery outpatient clinic nearby and inform them how long you have been experiencing the above symptoms. Before your visit, it is recommended to adjust your dietary habits by increasing fiber intake and hydration (eat more fruits and vegetabl...[Read More] Understanding Constipation and Abdominal Pain: Causes and Solutions
Comparing Costs and Benefits of Standard vs. Pain-Free Colonoscopy
Standard colonoscopy and painless colonoscopy? Hello! Could you please tell me what the costs are for both options? Generally speaking, which one is considered better? Thank you.
Dr. Hou Yongji reply Surgery
1. There is no definitive answer to which type of colonoscopy is better; it should be assessed based on the patient's condition and indications rather than being treated as a commodity where price determines quality. 2. The cost of a colonoscopy is based on the indications...[Read More] Comparing Costs and Benefits of Standard vs. Pain-Free Colonoscopy