Blood on Toilet Paper After Bowel Movement: Is It Hemorrhoids?
Blood on toilet paper after a bowel movement? Recently, due to the hot weather and excessive sweating with insufficient water intake, I have been experiencing difficulty in bowel movements. My stools are hard and pellet-like, and when I exert a lot of effort, I sometimes pass a l...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietar...[Read More] Blood on Toilet Paper After Bowel Movement: Is It Hemorrhoids?
Understanding a Hard, Painless Lump Near the Anus: What Could It Be?
While cleaning the anus, I felt a hard, round mass that is not painful and does not cause any sensation? Hello, doctor. When I was 17, I had my first colonoscopy, and the doctor told me I had hemorrhoids. In May of this year, just two months ago, I had a second check-up, and my c...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a thrombosed external hemorrhoid; however, a formal diagnosis should be made by a physician to confirm. If the lump gradually diminishes and there is no redness, swelling, heat, or pain, you can continue to monitor it. Otherwise, you ...[Read More] Understanding a Hard, Painless Lump Near the Anus: What Could It Be?
Understanding Changes in Bowel Habits After Gastrointestinal Inflammation
Bowel issues Hello Doctor, about a month ago I had mild inflammation of the gastrointestinal tract and took medication for it. Two weeks ago, I experienced pain in my right abdomen when applying light pressure and consulted a doctor, who said it was just a digestive issue. Howeve...
Dr. Ke Fangxu reply Surgery
Gastroenteritis symptoms should not last this long. It is common for patients to avoid normal eating after gastroenteritis, which can lead to abnormal bowel movements. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy fo...[Read More] Understanding Changes in Bowel Habits After Gastrointestinal Inflammation
Understanding IBS: Symptoms, Causes, and Treatment Options
Irritable Bowel Syndrome (IBS) with a sense of urgency and incomplete evacuation? Hello doctor, three days ago I suddenly experienced severe abdominal cramping. After squatting for a long time, I had diarrhea, and since then, I've felt a constant urge to have a bowel movemen...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel movement issues...[Read More] Understanding IBS: Symptoms, Causes, and Treatment Options
Understanding Anal Fistula Surgery: When to Operate and What to Expect
Surgery for anal fistula? Hello Doctor, I was scheduled for surgery to address my anal fistula in May, but it was postponed the day before the surgery due to the pandemic. Now that it is the end of June, I can proceed with the surgery. However, the external wound of my anal fistu...
Dr. Ke Fangxu reply Surgery
1. If there is no redness, swelling, or pain, it is fine to continue monitoring. 2. If a complete cure is desired, surgical treatment is still necessary. 3. If there are no recurring symptoms, it is important to maintain cleanliness and good bowel habits.[Read More] Understanding Anal Fistula Surgery: When to Operate and What to Expect
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel and gastrointestinal digestive issues? I am currently 21 years old and have a habit of staying up late or sleeping only in the morning. A week ago, I started experiencing mild abdominal bloating and constipation, with a persistent feeling of urgency and heaviness in my rect...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 21 is not zero, it is generally very low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irrita...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
There is blood in the stool, and there is bright red blood when wiping? Hello Doctor, I would like to ask about my recent bowel movements which have been accompanied by blood. When there is blood, I apply a topical ointment for anal fissures, but sometimes I notice red spots in m...
Dr. Ke Fangxu reply Surgery
If a colonoscopy has been performed and no malignant disease is found, the issue is likely related to anal fissures or hemorrhoids. The distinction lies in the presence of pain or wounds; however, the treatment is generally the same. As long as there is no ongoing bleeding, there...[Read More] Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Bowel issues, weight loss, and fatigue? Hello Doctor: Recently, I have noticed that my bowel movements are sometimes loose and thin, while at other times they are normal, but there is always mucus present. Previously, I noticed a small amount of blood in the mucus when wiping. Ev...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 17 can be considered negligible. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and uphold a good lifestyle routine. Spicy, irritating, and greas...[Read More] Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Post-Surgery Complications: Managing Fluid Leakage After Hernia Repair
Hernia surgery. Issues after colon repositioning surgery? Three years ago, I had surgery. Three years later, my abdomen has been continuously draining serous fluid. I have an artificial mesh implanted, which is being rejected. I returned to the outpatient clinic, and the response...
Dr. Ke Fangxu reply Surgery
I once encountered a patient who was referred from urology to my clinic. After performing another surgery to remove the artificial mesh, the wound healed. My recommendation is to remove the rejected artificial mesh; otherwise, the patient will remain in a state of chronic inflamm...[Read More] Post-Surgery Complications: Managing Fluid Leakage After Hernia Repair
Post-Surgery Concerns After Fistula Procedure: What to Expect
Postoperative issues following fistula surgery? Hello doctor, I had a fistula surgery on June 15th. Is it normal for it to keep draining fluid? The doctor said I could just wipe it with a wet tissue; is that okay? Does the wound need to be treated with ointment? The doctor told m...
Dr. Ke Fangxu reply Surgery
It is normal to have discharge after fistula surgery, which may sometimes last for up to a month. Using feminine pads can be more convenient during this time. Once the surgical wound heals, the discharge will subside. Generally, it is not recommended to apply ointments to the wou...[Read More] Post-Surgery Concerns After Fistula Procedure: What to Expect
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Anal issues Hello Doctor, recently after having lunch and using the restroom, I have been experiencing a sensation of irritation and pain around the anus while walking, although there is no blood in my stool. After taking some pictures at home, I noticed one or two areas of redne...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like an anal fissure; however, it is impossible to determine the exact issue without a personal examination. I recommend that you consult a colorectal specialist for an evaluation to avoid any delay in treatment.[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Understanding Changes in Bowel Habits: When to Seek Further Evaluation
Consistently passing soft stools? Hello Doctor, I am 178 cm tall and weigh 68 kg. My bowel movements used to be normal and well-formed (once a day consistently), but for the past month, I have suddenly been experiencing soft stools with a decreased volume, and the stools are also...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 28, while not zero, is generally very low. Based on your description, it seems more indicative of irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy...[Read More] Understanding Changes in Bowel Habits: When to Seek Further Evaluation
Painful Bowel Movements and Blood: Understanding Your Symptoms
Experiencing pain during bowel movements and noticing fresh blood? Six months ago, I had a fecal occult blood test, which showed no issues. A few days ago, I experienced some itching around the anal area at night. Subsequently, for several days, I have been experiencing sharp pai...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Painful Bowel Movements and Blood: Understanding Your Symptoms
Chronic Anal Discomfort: Understanding Fissures and Treatment Options
Long-term application of medication for anal discomfort due to anal fissures? Hello Doctor, I have been experiencing recurrent anal fissures for the past five years. Initially, it was caused by hard stools, and typically after applying medication for 5-6 days, I would see improve...
Dr. Ke Fangxu reply Surgery
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with warm sitz baths. Warm sitz baths can help alleviate pai...[Read More] Chronic Anal Discomfort: Understanding Fissures and Treatment Options
Understanding Weak Vibrations in the Anus: Rectal or Hemorrhoid Issues?
Weak vibrating sensation in the anal area? Weak vibrating sensations in the anus—consulting Dr. Ke: Is this an issue related to the rectum or hemorrhoids?
Dr. Ke Fangxu reply Surgery
At the age of 67, if there are any symptoms related to the anal or rectal area, it is strongly recommended to consult a colorectal specialist to avoid misdiagnosing rectal cancer as hemorrhoid issues. Conditions such as prostate enlargement or relaxation of the sphincter muscle c...[Read More] Understanding Weak Vibrations in the Anus: Rectal or Hemorrhoid Issues?
Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Bowel issues Hello, Doctor. I underwent surgery for an anal abscess at the end of September last year, with the incision located at the posterior aspect of the anus. Although the wound has completely healed, I continue to observe that the anal area is usually normal, but occasion...
Dr. Ke Fangxu reply Surgery
This issue requires an examination by a colorectal specialist to determine if it may have developed into an anal fistula post-surgery, or if surgical trauma has caused deformation of the anal sphincter. If increasing dietary fiber can improve the condition, then it can be monitor...[Read More] Post-Surgery Bowel Leakage: Causes and Solutions After Anal Abscess Surgery
Understanding Fistula Healing: Duration, Treatment, and Dietary Impact
Fistula-in-ano issues? Hello, doctor. After the original anal fissure healed, I discovered a small hole at the anal opening. Upon examination, the doctor mentioned it could possibly be a fistula, but the wound is too shallow and there is no pus, so surgery is not necessary. I was...
Dr. Ke Fangxu reply Surgery
Chronic anal fissures can potentially evolve into a subcutaneous fistula, in which case they may not heal completely. If there is persistent swelling and pain, surgical intervention may be necessary. The swelling and pain could be due to infection or re-tearing of the anal fissur...[Read More] Understanding Fistula Healing: Duration, Treatment, and Dietary Impact
Understanding Anal Bumps: When to Seek Medical Attention
Recently, I have noticed a lump outside my anus, and I would like to seek clarification from a doctor? Recently, I noticed a lump around the five o'clock position of my anus while using the restroom. It feels somewhat soft, approximately 0.5 centimeters in size, and appears ...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like a thrombosed external hemorrhoid. If it does not continue to grow or become red, swollen, or painful, there is no need for concern. During this period, it is important to avoid constipation and shorten the time spent on the toilet. If...[Read More] Understanding Anal Bumps: When to Seek Medical Attention
Post-Surgery Concerns for Hemorrhoid Treatment: What to Expect
Hemorrhoid surgery issues Hello, doctor. I would like to ask about post-operative issues related to hemorrhoids. I visited the doctor due to difficulty in bowel movements, blood in my stool, and pain. The doctor diagnosed me with stage IV mixed hemorrhoids and recommended traditi...
Dr. Ke Fangxu reply Surgery
This issue should be addressed by a surgeon to determine if there is anal stenosis, as a personal examination by the physician is necessary for diagnosis. There may be some specific complications after tissue coagulation knife surgery, so please discuss thoroughly with your surge...[Read More] Post-Surgery Concerns for Hemorrhoid Treatment: What to Expect
Understanding Abdominal Pain: When to Consider a Colonoscopy
Abdominal issues? Hello doctor, a few days ago I visited a physician due to blood in my stool. After a digital rectal examination, the doctor indicated it was a tear and prescribed a suppository, after which there was no further bleeding. However, I have started experiencing abdo...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 20 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to maintain a light diet and good lifestyle habits, while avoiding spicy, irrita...[Read More] Understanding Abdominal Pain: When to Consider a Colonoscopy