Surgical Treatments for Grade 2 to 4 Hemorrhoids: What to Expect
Hemorrhoid treatment? What surgical treatments does your hospital offer for grade II to IV hemorrhoids?
Dr. Hou Yongji reply Surgery
Typically, hemorrhoids classified as grade II to IV refer to internal hemorrhoids. The treatment approach should be determined based on the patient's condition and symptoms rather than solely on examination results. Clinically, there are instances where hemorrhoids may be as...[Read More] Surgical Treatments for Grade 2 to 4 Hemorrhoids: What to Expect
Is It Folliculitis? Understanding Symptoms and Treatment Options
Is it folliculitis? Hello Doctor: A few days ago, I noticed a small lump in my left armpit that hurts when pressed. I previously had folliculitis in my right armpit, so I suspect it might be a similar condition. However, in this case, when I push the surrounding tissue outward, a...
Dr. Hou Yongji reply Surgery
Hello: Based on your description, it is highly likely that you have folliculitis with an abscess. Please seek medical attention at a nearby plastic surgery or general surgery clinic as soon as possible. Dr. Hou Yong-ji, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Is It Folliculitis? Understanding Symptoms and Treatment Options
Understanding the Signs of Hemorrhoids vs. Skin Issues: A Guide
What are the signs of hemorrhoids? Or is it just too humid? I noticed a bubble-like growth on the outside of my buttocks. It was small when I first discovered it, but it grew a bit larger by the next day. I'm unsure if this is due to eczema from sitting too long, a sign of e...
Dr. Hou Yongji reply Surgery
Based on your description, a correct diagnosis cannot be made, as colorectal surgery evaluation includes not only the medical history but also visual inspection, palpation, and possibly further examinations such as colonoscopy. Therefore, please consult a nearby colorectal specia...[Read More] Understanding the Signs of Hemorrhoids vs. Skin Issues: A Guide
Understanding Phantom Pain After Surgery: Seeking Solutions for Recovery
Phantom pain Hello Doctor, I underwent surgery for an anal fistula in February of this year. Two months post-surgery, I still haven't fully recovered. I've been attending regular follow-up appointments, and my doctor keeps assuring me that I will get better and that I s...
Dr. Hou Yongji reply Surgery
1. Currently, medical specialties are highly refined, so please consult a colorectal surgeon for diagnosis and treatment. 2. Based on your description, it is difficult to ascertain the exact issue. Please find a nearby colorectal specialist for consultation. Here is a list of sp...[Read More] Understanding Phantom Pain After Surgery: Seeking Solutions for Recovery
Understanding Anal Fistula Surgery: Risks and Anesthesia Options Explained
Anal fistula Dr. Gao has diagnosed an anal fistula and recommends surgery. I would like to ask: 1. What are the risks associated with this surgery? 2. The doctor advocates for general anesthesia, but my research indicates that spinal or local anesthesia is commonly used. Is there...
Dr. Hou Yongji reply Surgery
1. Anorectal surgeries (such as hemorrhoidectomy or fistulotomy) are generally considered minor procedures; however, due to the involvement of structures that control bowel function, careful attention to anatomical details is essential. Therefore, it is advisable to seek treatmen...[Read More] Understanding Anal Fistula Surgery: Risks and Anesthesia Options Explained
Understanding the Impact of External Moles on Your Health
Question Dear Doctor: What effects do external moles have on the body?
Dr. Hou Yongji reply Surgery
Hemorrhoids are a part of the body's tissue that become swollen due to the stagnation of venous blood, often caused by lifestyle and bowel habits. If the function of bowel movements is not affected and there is no bleeding or pain, you can coexist with them peacefully withou...[Read More] Understanding the Impact of External Moles on Your Health
Which Medical Specialty Should I See for Anal Growth Concerns?
Unsure which department to visit? I recently discovered a strange protrusion near my anus that appears to be somewhat white. I'm not sure if I have genital warts. Which department should I visit at the hospital: Urology, Surgery, or Colorectal Surgery?
Dr. Hou Yongji reply Surgery
Based on your description, a correct diagnosis cannot be made. Please consult a nearby dermatologist or a specialist in colorectal surgery for evaluation. Dr. Hou Yong-ji.[Read More] Which Medical Specialty Should I See for Anal Growth Concerns?
Understanding Rectal Bleeding: Causes, Symptoms, and Solutions
Rectal bleeding Dear Dr. Hou, I have been experiencing bowel movements only once a week, and I have to exert a lot of effort to do so. When I examine my anus with my hand while straining, I notice that the anus does not open, seemingly blocked by the mucosa, which may be causing...
Dr. Hou Yongji reply Surgery
Based on your description, a correct diagnosis cannot be made because, in addition to the medical history, a detailed physical examination is necessary, along with some tests such as a colon X-ray or colonoscopy. Please consult a colorectal surgeon for further evaluation. Here is...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Solutions
Understanding the Causes and Implications of Anal Bumps During Bowel Movements
excuse me? Dear Doctor: When I squat or sit on the toilet for too long, I sometimes feel a small lump near my anus, at the junction where it connects to my lower body. This symptom has been present for quite a while, but the lump only appears during those situations. Could you pl...
Dr. Hou Yongji reply Surgery
Based on your description, this is the precursor to hemorrhoids. The external hemorrhoidal plexus can become engorged due to your posture, leading to blood stagnation and the formation of a mass. If this condition persists, the elasticity of the veins may be lost, resulting in a ...[Read More] Understanding the Causes and Implications of Anal Bumps During Bowel Movements
Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Postoperative chemotherapy for colorectal cancer? Hello, my aunt underwent surgery for stage IV colorectal cancer on July 4th, about a month ago, and had her second chemotherapy session last Thursday. On the first day after the treatment, she felt very good, but starting Saturday...
Dr. Hou Yongji reply Surgery
Based on your description, it is likely a symptom of chemotherapy or progressive cancer. Therefore, please discuss the condition with your aunt's attending physician, especially if there are any discomforts (particularly related to any specific treatments such as chemotherap...[Read More] Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Understanding Anal Growths: Hemorrhoids or Warts?
Hemorrhoids? Warts? Doctor, I noticed a small lump at the anal area (perineum) about a week ago. It feels hard to the touch and is approximately the size of a red bean, with a color similar to my skin tone. Sometimes it feels like it is hidden beneath the skin and not very notice...
Dr. Hou Yongji reply Surgery
Based on your description, it is most similar to hemorrhoids. However, in the diagnosis of colorectal surgery, in addition to the medical history, visual inspection and digital examination are necessary, and further procedures such as anoscopy, sigmoidoscopy, or ultrasound may be...[Read More] Understanding Anal Growths: Hemorrhoids or Warts?
Understanding Chronic Anal Fissures: Do They Always Require Surgery?
Regarding the issue of chronic anal fissures? Hello Doctor, I am 16 years old, and for the past month, I have been experiencing anal fissures when using the restroom. I noticed that the area of the fissure has started to appear white or light flesh-colored (not sure if this is fi...
Dr. Hou Yongji reply Surgery
Based on your description, it is possible that granulation tissue or fibrosis is forming during the wound healing process. Please consult a colorectal surgeon for diagnosis and treatment. Thank you. (Attached is the list of specialists) D:\2F\Taiwan Society of Colon and Rectal Su...[Read More] Understanding Chronic Anal Fissures: Do They Always Require Surgery?
Understanding Circular Excision Surgery for Hemorrhoids: Pros and Cons
Circumferential resection surgery Hello Doctor, I have a history of hemorrhoids for about 4 to 5 years, and they have recently worsened, so I am considering surgery for a permanent solution. I have researched information about circular resection online, which seems to have more a...
Dr. Hou Yongji reply Surgery
1. Hemorrhoids are generally classified into internal, external, and mixed types. Circular excision surgery can only address internal hemorrhoids and is not suitable for external hemorrhoids. Therefore, patients must be evaluated by a physician to ensure the best possible outcome...[Read More] Understanding Circular Excision Surgery for Hemorrhoids: Pros and Cons
Understanding Internal Hemorrhoids: Treatment Options and When to Consider Surgery
Hemorrhoidal bleeding I recently experienced rectal bleeding (without pain) and after seeing a doctor, I learned that it was due to internal hemorrhoids. I have been using suppositories and ointments, and since then, there has been no more bleeding. Should I continue using the me...
Dr. Hou Yongji reply Surgery
Hemorrhoids are classified into internal and external types, and their severity can vary. Whether surgical treatment is necessary typically depends on the severity of the patient's symptoms. It is advisable to consult a colorectal surgeon for diagnosis and treatment. Attache...[Read More] Understanding Internal Hemorrhoids: Treatment Options and When to Consider Surgery
Understanding Rectal Bleeding and Skin Tags: When to Seek Medical Help
~External genitalia~ If there is a small amount of blood on the toilet paper after using the restroom, and there are excess granulation tissue around the anus, should the affected area be examined during the consultation? (Considering that the doctors are all male.) Additionally,...
Dr. Hou Yongji reply Surgery
Based on your description, a definitive diagnosis of hemorrhoids cannot be made, and therefore it is not possible to determine if surgery is necessary. Please consult a colorectal surgeon for further evaluation. Dr. Hou Yong-ji.[Read More] Understanding Rectal Bleeding and Skin Tags: When to Seek Medical Help
Managing Discomfort from External Hemorrhoids and Drainage Issues
External hemorrhoids and fistula? On April 1, I underwent a fistula excision surgery. On April 15, I noticed yellow discharge on my dressing, and during a follow-up visit, the doctor said it was normal. However, the daily discharge has been uncomfortable. On May 1, during another...
Dr. Hou Yongji reply Surgery
Based on your description, it is common in clinical practice to encounter differing opinions on the same condition. Please consult a colorectal surgeon for further evaluation. It is usually normal to have some discharge two to three weeks post-surgery, so please seek detailed med...[Read More] Managing Discomfort from External Hemorrhoids and Drainage Issues
Understanding Concerns About Anomalies Near the Anus
Concerns Around the Anorectal Area Hello Doctor: Recently, after using the restroom, I noticed what seems to be some small protrusions around my anal sphincter. I'm not sure what they are, and I'm feeling a bit scared. I identify as bisexual and have been with men, so I...
Dr. Hou Yongji reply Surgery
Based on your description, a definitive diagnosis cannot be made. Having photos would certainly be helpful. Please go to the hospital to check for HIV. If you are diagnosed with HIV, regardless of whether you have genital warts, you should seek further diagnosis or treatment at a...[Read More] Understanding Concerns About Anomalies Near the Anus
Understanding Relaxed Sphincter Muscles: Causes and Solutions
Excessive relaxation of the sphincter muscle? Since childhood, I have felt that my sphincter muscles are overly relaxed; I pass gas without any sound, and when I have diarrhea, I sometimes lose control without realizing it. It seems like they are in a completely relaxed state, an...
Dr. Hou Yongji reply Surgery
Based on your description, a definitive diagnosis cannot be made. Please seek consultation with a colorectal surgeon as soon as possible. Dr. Hou Yong-ji.[Read More] Understanding Relaxed Sphincter Muscles: Causes and Solutions
Understanding Hemorrhoid Surgery: Options, Recovery, and Risks
I want to have hemorrhoids? Last year, I went to the hospital for hemorrhoids. Initially, there was just a small polyp at the anus. I asked the doctor if I needed surgery to remove it, but the doctor said it wasn't necessary and advised me to apply medication and do Kegel ex...
Dr. Hou Yongji reply Surgery
Based on your description, a definitive diagnosis cannot be made. It is recommended to promptly consult a colorectal specialist for diagnosis and treatment. Dr. Hou Yong-ji.[Read More] Understanding Hemorrhoid Surgery: Options, Recovery, and Risks
Can Laser Treatment Effectively Address Anal Fistulas?
Can anal fistulas be treated with laser therapy? Can anal fistulas be treated with laser therapy? If laser treatment is used, will there be any side effects?
Dr. Hou Yongji reply Surgery
Basically, lasers are surgical tools, specifically for cutting or coagulating, and there is nothing particularly special or different about laser surgery. From my understanding, there is no inherent issue with using laser surgery; however, many hospitals believe that it simply in...[Read More] Can Laser Treatment Effectively Address Anal Fistulas?