Understanding and Treating Unnoticed Growths on the Buttocks
There is a growth on the buttock? It has been several years since a lump the size of a ten-dollar coin has been protruding from the flesh on my buttocks. It has been painless and itchless, and I don't feel anything when I pinch it, so I haven't paid much attention to it...
Dr. Xu Kaixi reply Surgery
Hello: Common tumors in the buttocks include subcutaneous cysts and lipomas. It is recommended that you visit a surgical outpatient clinic for examination.[Read More] Understanding and Treating Unnoticed Growths on the Buttocks
Post-Surgery Concerns After Colon Polyp Removal: What to Expect
Postoperative Issues Related to Polyps in the Sigmoid Colon Hello Dr. Hsu: I discovered a polyp in my sigmoid colon at the end of July, which was found to be malignant after testing. I underwent surgery in early August to remove the affected segment of the intestine. Post-surgery...
Dr. Xu Kaixi reply Surgery
Hello: After a partial colectomy, pain may occur due to wound healing, and the surgery and anastomosis can have varying effects on gastrointestinal function, which will improve over time. As for the growth on your face, it is unlikely to be related to colorectal cancer. It is rec...[Read More] Post-Surgery Concerns After Colon Polyp Removal: What to Expect
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, Doctor. I usually have regular bowel movements (once a day), and my stools are not hard. However, for the past week, I have been experiencing blood in my stool every day since last week. The blood appears along with the stool, and it disappears after wiping...
Dr. Xu Kaixi reply Surgery
Hello: Blood in the stool, along with changes in bowel habits or other accompanying symptoms, can indicate a range of possible diagnoses, from common hemorrhoids to more serious gastrointestinal conditions such as inflammatory bowel disease or tumors. However, if you have describ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Managing Hemorrhoids: Expert Advice for Effective Relief
Hello, Dr. Hsu! On the evening of October 30, 2016, I accidentally exerted too much force during a bowel movement, resulting in a large hemorrhoid. During this period, I tried sitting in warm water to push it back, but I was unsuccessful. Until yesterday, November 3, 2016, I went...
Dr. Xu Kaixi reply Surgery
Hello: If hemorrhoids are frequently protruding, causing difficulties in hygiene and daily life, it is indeed necessary to consider the need for surgery. I recommend that you visit a hospital for examination and evaluation.[Read More] Managing Hemorrhoids: Expert Advice for Effective Relief
Post-Appendectomy Pain: Understanding Recovery After Laparoscopic Surgery
Postoperative abdominal pain after appendectomy (laparoscopic surgery) Hello, Doctor. I was diagnosed with appendicitis on the evening of November 4th and immediately underwent laparoscopic surgery. After the surgery, I felt significant discomfort at the umbilical incision site, ...
Dr. Xu Kaixi reply Surgery
Hello: Based on your description, the pain at the umbilical wound and the intermittent cramping caused by gastrointestinal motility are normal phenomena in the early postoperative period. If there is an infection at the wound site, you may notice redness, swelling, and discharge....[Read More] Post-Appendectomy Pain: Understanding Recovery After Laparoscopic Surgery
Signs of Healing from Anal Fissures: What to Expect and When to Worry
What are the symptoms of a healing anal fissure? This is the second time I have experienced an anal fissure. Each time I have a bowel movement, the front part of the stool feels very hard, but it becomes soft afterward. Sometimes, the amount of stool is very small, only one or tw...
Dr. Xu Kaixi reply Surgery
Hello: Bowel habits can be influenced by factors such as diet and lifestyle. If irregularities persist for a long time, it is advisable to seek further medical evaluation. If the anal fissure is causing less pain and symptoms are decreasing, it indicates improvement and may heal ...[Read More] Signs of Healing from Anal Fissures: What to Expect and When to Worry
Understanding Pellet-Like Stool: When to Seek Medical Attention
There may be a string-like connection between stools? Hello doctor, I have recently been experiencing bowel movements that are grainy in texture. Sometimes there are also thin, elongated strands connecting the pieces of stool, or there may be some at the end of the stool. However...
Dr. Xu Kaixi reply Surgery
Hello: This situation may be due to undigested fiber in the food, and there is no need to worry.[Read More] Understanding Pellet-Like Stool: When to Seek Medical Attention
Understanding Toe Flesh Cracks: Risks of Infection and Treatment
Cracked toe flesh? Hello, I recently came home from school and noticed that the skin next to my toenail has cracked, and there is some pus. Could this area next to my toenail get infected?
Dr. Xu Kaixi reply Surgery
Hello: This is paronychia of the toenail. In mild cases, treatment primarily involves medication, while in severe cases, toenail removal may be necessary.[Read More] Understanding Toe Flesh Cracks: Risks of Infection and Treatment
Understanding Anal Issues: Causes of Pain, Bleeding, and Itching
Anal issues I have a habit of wiping very thoroughly after using the restroom, often wiping three to four times and applying a lot of pressure to ensure cleanliness. Could this be the reason for the skin around my anus being damaged? It feels painful, almost like it’s cracked, an...
Dr. Xu Kaixi reply Surgery
Hello: As you described, the pain and slight bleeding from the anal area are likely caused by excessive force during wiping, which can lead to local skin and mucosal abrasions. It is recommended to wash the anal area with warm water after bowel movements and to avoid vigorous wip...[Read More] Understanding Anal Issues: Causes of Pain, Bleeding, and Itching
Is Chemotherapy Necessary for Stage II Colon Cancer Patients?
Is chemotherapy mandatory for stage II colon cancer? Hello, Dr. Hsu. I am a stage II colorectal cancer patient. I have already undergone surgery to remove the tumor and have had a PET scan, which showed normal results. Could you please explain the difference regarding chemotherap...
Dr. Xu Kaixi reply Surgery
Hello: Generally, stage II colorectal cancer does not require adjuvant chemotherapy after surgery, unless the surgeon identifies a high risk of recurrence, such as in cases of large tumor size causing bowel obstruction or a low number of examined lymph nodes. It is advisable to d...[Read More] Is Chemotherapy Necessary for Stage II Colon Cancer Patients?
Blood on Toilet Paper: Should You See a Doctor?
Blood streaks on toilet paper after bowel movements? Having bowel movements every two days with the stool being in small pieces, and noticing a bit of blood on the toilet paper when wiping, resembling streaks of blood, but not in the stool itself, may warrant a visit to a doctor....
Dr. Xu Kaixi reply Surgery
Hello: Based on your description, this situation is more indicative of hemorrhoids (internal or external). It is recommended to visit a surgical outpatient clinic for further examination and diagnosis.[Read More] Blood on Toilet Paper: Should You See a Doctor?
Bleeding After Bowel Movements: Should You Be Concerned?
Bleeding after wiping the anus following a bowel movement? Hello, I would like to ask about an issue I experienced. Two weeks ago, after having a bowel movement, there was blood in the toilet, but I didn't have any further issues afterward. However, today it happened again t...
Dr. Xu Kaixi reply Surgery
Hello: Blood in the stool is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, hemorrhoids are the most likely cause of the bleeding. It is recommended that you visit a hospit...[Read More] Bleeding After Bowel Movements: Should You Be Concerned?
Post-Surgery Concerns: Managing Discomfort After Hemorrhoid Surgery
Hemorrhoids remain the same after surgery? Hello Doctor, in early June, I felt a foreign body sensation while walking. I went to the hospital, and they said it was an anal fistula. However, after undergoing surgery under spinal anesthesia, they informed me it was a mixed hemorrho...
Dr. Xu Kaixi reply Surgery
Hello, it has been two months since your hemorrhoid and fistula surgery. Theoretically, the wound should have healed unless there is an infection or other issues. The sensation of a foreign body may stem from scar tissue at the healing site, and the discharge could be from the in...[Read More] Post-Surgery Concerns: Managing Discomfort After Hemorrhoid Surgery
Post-Banding Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Today, I underwent rubber band ligation for hemorrhoids? Hello doctor, I would like to inquire. I underwent rubber band ligation for hemorrhoids today, and the ligature will fall off in 7-10 days. As a gay man, how long should I wait before engaging in anal intercourse?
Dr. Xu Kaixi reply Surgery
Hello: After rubber band ligation surgery for hemorrhoids, the wound typically heals in about two weeks. If you wish to engage in sexual activity, it is recommended to wait at least three to four weeks to avoid causing harm to the healing wound. However, since there is no specifi...[Read More] Post-Banding Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Understanding Complications After Fistula Surgery: A Patient's Journey
Questions about anal fistula surgery? Hello, Dr. Hsu. I would like to ask you some questions. My family member underwent anal fistula excision surgery on July 19 under spinal anesthesia. The surgeon sutured the wound in three layers, both internally and externally. Before the sur...
Dr. Xu Kaixi reply Surgery
The surgical approach for anal fistulas is determined preoperatively based on various factors such as complexity, depth, and the presence of associated infections or abscesses. Most simple fistulas, like the one your family member has, are treated with fistulotomy, while those wi...[Read More] Understanding Complications After Fistula Surgery: A Patient's Journey
Understanding Transparent Mucus and Blood Clots After Bowel Movements
Presence of transparent mucus and blood clots after bowel movement? Hello Doctor: I previously experienced bleeding from an internal hemorrhoid, and after my first pregnancy, the bleeding became more severe and external hemorrhoids developed, occasionally bleeding with bright red...
Dr. Xu Kaixi reply Surgery
Hemorrhoids can worsen during pregnancy due to increased pressure in the abdominal cavity, and they typically improve over time after delivery. Therefore, it is expected that there may be bleeding from hemorrhoids during the postpartum recovery period. However, if the bleeding pe...[Read More] Understanding Transparent Mucus and Blood Clots After Bowel Movements
Understanding Anal Itching: Causes and When to See a Doctor
Anal itching? Doctor, I have been experiencing itching around my anus recently. While showering, I noticed a small bump near the anus that feels like a flesh-colored growth, but it doesn't hurt; it's just the skin around the anus that is very itchy. Which specialist sho...
Dr. Xu Kaixi reply Surgery
Based on your description, it may be anal polyps, hemorrhoids, or other skin tumors. It is recommended to visit a surgical outpatient clinic for further examination and diagnosis.[Read More] Understanding Anal Itching: Causes and When to See a Doctor
Understanding Constipation and Anal Issues: Solutions for Relief
Bowel movement issues? Hello, Director Hsu: Every time I have a bowel movement, I experience constipation and have to strain to pass stool, which comes out in hard, pellet-like pieces. Afterward, my anus often cracks, and sometimes the stool is so large that the toilet water turn...
Dr. Xu Kaixi reply Surgery
Based on your description, this situation is more indicative of hemorrhoids (internal or external). It is recommended to visit a surgical outpatient clinic for further examination and diagnosis.[Read More] Understanding Constipation and Anal Issues: Solutions for Relief
Should You See a Colorectal Specialist or Get a Colonoscopy First?
Should I first schedule an appointment with a colorectal specialist, or can I go directly for a colonoscopy? Hello Doctor: Recently, I noticed blood sediment at the bottom of the toilet after using it. I hadn't had a bowel movement for the past two days, and my stool was a b...
Dr. Xu Kaixi reply Surgery
Hello: Blood in the stool is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal bleeding is the highest. It is recommended that you visit a hospi...[Read More] Should You See a Colorectal Specialist or Get a Colonoscopy First?
Persistent Bruising and Pain After Car Accident: What to Do?
Bruising on the lower leg that does not resolve after a car accident? Hello Doctor, I had a car accident on June 9, where my left calf sustained a severe impact. Since there were no serious external injuries, I did not seek medical attention. Initially, I did not pay much attenti...
Dr. Xu Kaixi reply Surgery
Hello: After a blunt contusion to the calf, localized bruising and inflammatory responses may occur, leading to swelling and discoloration due to pigment deposition. These are normal phenomena that will improve over time. If you are concerned or if it does not improve over an ext...[Read More] Persistent Bruising and Pain After Car Accident: What to Do?