Understanding Hemorrhoid Surgery: Options, Pain Management, and Costs
Please ask questions regarding hemorrhoid surgery? Dear Dr. Hou, I would like to ask Dr. Zhuang a few questions. 1. What are the common surgical methods for hemorrhoid surgery? Which method tends to be less painful during and after the procedure? How much do patients need to p...
Dr. Hou Yongji reply Surgery
1. Currently, there is only one type of surgery for hemorrhoids, which is hemorrhoidectomy. The ultrasound knife, laser knife, or coagulation device you mentioned are actually tools used during the surgery. Traditional hemorrhoid surgery employs knives, scissors, and electrocaute...[Read More] Understanding Hemorrhoid Surgery: Options, Pain Management, and Costs
Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
What should be done if there is an intestinal obstruction after rectal cancer surgery? Dear Doctor, My father is in the terminal stage of rectal cancer. Initially, he received radiation and chemotherapy at Kaohsiung Medical University for a period of time. Later, the doctor info...
Dr. Hou Yongji reply Surgery
Hello: 1. Colorectal cancer can be classified into stages I, II, III, and IV. The term "end-stage" refers to stage IV, where the treatment outcomes are typically not 90%. Generally, the success rate for a cure in stage IV colorectal cancer is less than 40%. 2. Kaohsiung...[Read More] Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
Understanding Advanced Hemorrhoids: When Surgery is Necessary and Treatment Options
The term "瘡" translates to "ulcer" in English? I have had hemorrhoids for several years, and I believe they are currently at stage four. However, I have not experienced any bleeding issues; sometimes, I notice blood when wiping after a bowel movement, and I of...
Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to make an accurate assessment, as the treatment for hemorrhoids should be determined through an examination. This examination includes medical history, symptoms, visual inspection, digital examination, and even endoscopic evaluation....[Read More] Understanding Advanced Hemorrhoids: When Surgery is Necessary and Treatment Options
Concerns About STD Exposure During a Rectal Exam: What You Should Know
Regarding digital examination? Hello, a few days ago I visited a colorectal department at a hospital in Taipei. When I entered, the nurse called my name and opened the door. I noticed she was cleaning the doorknob, and there was still a patient inside. Eventually, the nurse asked...
Dr. Hou Yongji reply Surgery
According to the hospital's infection control regulations, necessary infection prevention measures should be in place. Additionally, syphilis is a sexually transmitted infection that is transmitted through sexual contact, so the medical history is not a means of transmission...[Read More] Concerns About STD Exposure During a Rectal Exam: What You Should Know
Understanding Hemorrhoids: Symptoms, Causes, and Treatment Options
Hemorrhoids Can hemorrhoids cause difficulty in wiping clean after a bowel movement? Additionally, there is a growth near the anus that I am unsure about; some say it is anal skin tags. Is it hemorrhoids? If so, what are the treatment options?
Dr. Hou Yongji reply Surgery
The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even anoscopy, along with endoscopy, blood tests, and X-ray examinations. Therefore, it is not possible to make an accurate diagnosis and treatment recommendation based solely on...[Read More] Understanding Hemorrhoids: Symptoms, Causes, and Treatment Options
Understanding Anal Itching: Causes and Solutions for Relief
Anal itching? Hello Doctor: Recently, I have been experiencing itching around the anus, and the more I scratch, the more it itches. Could you please help me understand what this situation might be? Thank you.
Dr. Hou Yongji reply Surgery
The diagnosis of anal diseases includes medical history, visual examination, digital rectal examination, and even endoscopic examination. Therefore, please consult a colorectal specialist for diagnosis and treatment. Dr. Hou Yong-ji.[Read More] Understanding Anal Itching: Causes and Solutions for Relief
Understanding Anal Pain: Is It a Hemorrhoid or Something Else?
There is a growth at the anal opening, approximately the size of a grain of rice? Hello Dr. Hou: A couple of days ago, I woke up and noticed a painful sensation around my anus. I didn't pay much attention to it, but I felt uncomfortable throughout the day. When I took a show...
Dr. Hou Yongji reply Surgery
The diagnosis of anal diseases includes medical history, visual examination, and digital examination, as well as possible endoscopy or ultrasound examinations. Please consult a colorectal specialist for treatment. Thank you. Attached is the list of colorectal specialists: D:\2F\T...[Read More] Understanding Anal Pain: Is It a Hemorrhoid or Something Else?
Which Medical Specialty Should I See for Suspected Intestinal Adhesions?
If you suspect intestinal adhesions, you should consult a gastroenterologist or a surgeon? Hello Doctor: I have been experiencing chronic abdominal pain, and I have not been able to find relief at the clinic. The doctor mentioned that I might have intestinal adhesions (as I had a...
Dr. Hou Yongji reply Surgery
Please schedule an appointment with the gastrointestinal surgery outpatient clinic and discuss in detail with your physician. Intestinal adhesions are not easy to diagnose and treat. Thank you. Dr. Hou Yong-ji.[Read More] Which Medical Specialty Should I See for Suspected Intestinal Adhesions?
Understanding External Hemorrhoids: Treatment Options and Costs
External hemorrhoids Hello Dr. Hou, last year I had a fissure that caused bleeding every time I had a bowel movement. After a while, a small piece of tissue appeared at the anal opening, but I didn't pay much attention to it since it didn't hurt or bleed anymore. Howeve...
Dr. Hou Yongji reply Surgery
Based on your description, an accurate diagnosis cannot be made. Please seek a colorectal surgeon for diagnosis and treatment as soon as possible. Thank you, Dr. Hou Yong-chi.[Read More] Understanding External Hemorrhoids: Treatment Options and Costs
Understanding Unusual Sensations Around the Anus: Possible Causes
Anomalies of the anal region? Recently, I have been feeling a sensation of a foreign body at the anal opening. Upon examining myself with a mirror, I noticed a depressed area near the anal opening extending towards the perineum. When I contract my anus or close my legs, this area...
Dr. Hou Yongji reply Surgery
Based on your description, it is possible that you have an anal fistula; however, a proper diagnosis can only be made through an in-person examination. Please seek out a colorectal surgeon for evaluation and treatment as soon as possible. Thank you. Dr. Hou Yong-chi.[Read More] Understanding Unusual Sensations Around the Anus: Possible Causes
Managing Recurring Hemorrhoids: Expert Advice and Treatment Options
Inquiry about hemorrhoid treatment? Hello, Dr. Hou. Several years ago, I underwent surgery for hemorrhoids, but in recent years, they have recurred. Two years ago, I was diagnosed at Zhongxiao Hospital in Taipei as not suitable for surgery (circumferential surgery) due to a narro...
Dr. Hou Yongji reply Surgery
Based on your description, it is not possible to make a definitive diagnosis. Please consult a colorectal surgeon for evaluation and treatment at Chang Gung Memorial Hospital or Taoyuan General Hospital. Dr. Hou Yong-ji.[Read More] Managing Recurring Hemorrhoids: Expert Advice and Treatment Options
Understanding Pilonidal Cysts: Causes, Treatment, and Recurrence Risks
Pilar cyst Hello, I have developed a pilonidal cyst above the cleft of my buttocks. I have thick hair in that area and tend to sweat a lot. I have already undergone surgery, and it has mostly healed, but there is a small hole at the surgical site that won't heal (about the s...
Dr. Hou Yongji reply Surgery
Pilonidal cysts are indeed challenging to treat, as they are prone to recurrence and the healing of the wound can be difficult. Therefore, please consult a colorectal surgeon or a plastic surgeon to discuss your condition in detail and formulate a treatment plan. Dr. Hou Yong-ji.[Read More] Understanding Pilonidal Cysts: Causes, Treatment, and Recurrence Risks
Understanding Post-Surgery Symptoms: Is My Hemorrhoid Fully Healed?
Hemorrhoids Hello, I underwent hemorrhoid surgery at the beginning of last year. Recently, my bowel movements have been normal, but a few days before my menstrual period, I experienced slight swelling and itching around the anus. Could this indicate that my hemorrhoids have not b...
Dr. Hou Yongji reply Surgery
Based on your description, it seems that the issue is not related to hemorrhoids, but rather dermatitis caused by the use of non-breathable sanitary pads combined with scarring from surgery. Please consult a colorectal surgeon or your surgical physician for a detailed discussion....[Read More] Understanding Post-Surgery Symptoms: Is My Hemorrhoid Fully Healed?
Urgent Bowel Movements After Gallbladder Surgery: Causes and Solutions
Cannot wait? Dear Dr. Hou, Hello, and thank you in advance! I am 58 years old and underwent traditional cholecystectomy in July 2005. For over a year now, I have been troubled by the following issue: when I feel the urge to have a bowel movement (which occurs infrequently post-s...
Dr. Hou Yongji reply Surgery
In general, gallbladder removal surgery does not damage any nerves related to bowel movements. Therefore, please seek treatment from a colorectal specialist as soon as possible. Dr. Hou Yong-ji.[Read More] Urgent Bowel Movements After Gallbladder Surgery: Causes and Solutions
Understanding Pilonidal Sinus: Surgery, Anesthesia, and Risks Explained
Pilonidal sinus Hello, Dr. Hou. I have been suffering from the aforementioned condition for many years. Currently, I am receiving treatment from Dr. Chang Chia-Luo at Chang Gung Memorial Hospital in Kaohsiung. The doctor has recommended surgery and general anesthesia. Based on yo...
Dr. Hou Yongji reply Surgery
1. A pilonidal sinus is essentially a congenital condition that predisposes individuals to recurrent inflammation. Therefore, to achieve a complete cure, surgical excision is necessary. However, since the condition commonly occurs in the sacrococcygeal area and along the midline,...[Read More] Understanding Pilonidal Sinus: Surgery, Anesthesia, and Risks Explained
Understanding Treatment Duration for Internal Hemorrhoids: Is Medication Enough?
What is the approximate treatment duration for an internal mole? Hello Dr. Hou, after giving birth to my second child, I noticed that I often experience bleeding after bowel movements during my postpartum confinement period. The bleeding varies in severity, and at times, I feel s...
Dr. Hou Yongji reply Surgery
1. Because the anus is the organ for defecation, there is a risk of fecal contamination of the wound, which may require a longer duration of medication use. However, the exact duration may need to be determined through regular follow-up visits and confirmed by anoscopic examinati...[Read More] Understanding Treatment Duration for Internal Hemorrhoids: Is Medication Enough?
Understanding Rectal Bleeding: When to Seek Further Medical Attention
There is bleeding with bowel movements? Hello, doctor. I have a question. Recently, I have been experiencing bleeding during bowel movements, but there is only a slight sharp pain in my anus. I visited a doctor a week ago, and they diagnosed me with severe internal hemorrhoids. T...
Dr. Hou Yongji reply Surgery
Based on your description, if medication treatment is not effective, it is advisable to seek a follow-up appointment sooner and consult a colorectal surgeon. Here is the list of specialists: D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm Dr. Hou Yong-ji.[Read More] Understanding Rectal Bleeding: When to Seek Further Medical Attention
Understanding Thin Stool: Causes, Concerns, and When to Seek Help
The stool is very thin? Hello Doctor: For about four months now, I have noticed that I often feel like I cannot completely empty my bowels. Even though I still have the urge to go, I cannot seem to pass anything. I initially thought it was due to stress, as I am often very busy a...
Dr. Hou Yongji reply Surgery
Based on your description, these are actually some nonspecific symptoms. Therefore, to help alleviate your anxiety, I recommend that you undergo a comprehensive health check-up, which should definitely include both an upper gastrointestinal endoscopy and a colonoscopy. This way, ...[Read More] Understanding Thin Stool: Causes, Concerns, and When to Seek Help
Understanding and Treating Calluses: When to See a Specialist
Foot injuries I have a condition commonly known as a "corn" on the sole of my foot. It appears as a small area of thickened skin with a central point that seems to connect the skin to the underlying tissue. Initially, the central point does not hurt, but over time it gr...
Dr. Hou Yongji reply Surgery
Based on your description, it may be a corn. Please schedule an appointment with a general surgeon for electrosurgical excision, but a proper diagnosis must first be made by a physician. Dr. Hou Yong-ji.[Read More] Understanding and Treating Calluses: When to See a Specialist
Understanding Painful Bowel Movements: Is It Hemorrhoids?
Experiencing pain in the buttocks during bowel movements is common? It seems that this condition has been present for a long time, but I just didn't pay attention to it before! Today, while having a bowel movement, I experienced significant pain in my rectum from straining. ...
Dr. Hou Yongji reply Surgery
Based on your description, it may be a chronic anal fissure. Please seek treatment from a nearby colorectal surgeon as soon as possible. Here is a list of colorectal surgeons: D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm Dr. Hou Yong-ji.[Read More] Understanding Painful Bowel Movements: Is It Hemorrhoids?