Understanding Rectal Bleeding: Causes, Diagnosis, and Next Steps
Recurrent hematochezia? Two weeks ago, I started experiencing blood in my stool, and there was blood on the toilet paper when I wiped. I went to the hospital for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum an...
Dr. Yang Zhichao Reply:
Hello Mr. VC, please complete the colonoscopy to confirm that there are no tumors or other bleeding phenomena. The majority of bleeding causes are still internal hemorrhoids or anal fissures.[Read More] Understanding Rectal Bleeding: Causes, Diagnosis, and Next Steps
Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Blood in stool issue? Hello doctor, I noticed pink blood on the toilet paper after having a bowel movement one day, and I do not have hemorrhoids. On that day, I went to the bathroom three times, and there was blood on the stool's surface, but when I opened the stool, there ...
Dr. Lin Minghui Reply:
Possible causes of bloody stools include hemorrhoids, anal fissures, inflammation, polyps, tumors, and cancer. A colonoscopy revealed a 0.6 cm tubular adenoma in the rectum, which may be the cause of the bloody stools. If there are any other concerns, it is recommended to follow ...[Read More] Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Understanding Anal Pain and Discomfort: Possible Causes and Solutions
Pain in the buttocks accompanied by slight swelling? My usual bowel habit is to have a bowel movement every two to three days, which has been the case since high school. Although I do eat some vegetables, I don't consume them in large quantities, so my stools are often hard,...
Dr. Lin Minghui Reply:
Prolonged sitting or standing can lead to varicose veins and hemorrhoids. It is recommended to eat more fruits and vegetables, drink plenty of water, establish good bowel habits, avoid prolonged sitting or standing, and engage in moderate exercise. If there are concerns about gro...[Read More] Understanding Anal Pain and Discomfort: Possible Causes and Solutions
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure issues? Hello, doctor. This past week (starting from June 10), I have been having bowel movements every day, but the stools have been hard, and I have to exert a lot of effort to pass them. In the previous days, I only needed to push, and there was no pain in the anu...
Dr. Chen Shidian Reply:
Short-term use of oral laxatives (such as magnesium oxide) can be combined with topical ointments. During bowel movements, try to control the force, and consider passing smaller amounts in multiple attempts. Afterward, clean the area and apply medication.[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding the Circular Structure Inside the Anus: Is It the Sphincter?
When inserting a finger into the anus, there is a ring-like structure that can be felt approximately one finger's length in? I previously experienced constipation and anal fissures, so I bought hemorrhoid cream to apply. While applying the cream, I noticed a ring-like struct...
Dr. Chen Shidian Reply:
The anal canal and sphincter tissue should not be subjected to excessive manipulation.[Read More] Understanding the Circular Structure Inside the Anus: Is It the Sphincter?
Understanding Tumor Markers: CA 19-9 and Gastrointestinal Health
Tumor markers Hello, on May 25th, I had a check-up with a colorectal specialist due to blood in my stool, and the cause of the bleeding was identified as an anal fissure. I also requested a colonoscopy, which is scheduled for June 14th. On May 25th, I had blood tests and an X-ray...
Dr. Chen Shidian Reply:
The accuracy of CA 19-9 is low (with many false positives), making it unsuitable for screening or diagnosis; it should only be used for postoperative monitoring, so there is no need to worry at this time. You can proceed with the endoscopy first and then schedule an appointment w...[Read More] Understanding Tumor Markers: CA 19-9 and Gastrointestinal Health
Understanding False Negative Results in Fecal Occult Blood Tests
Negative occult blood issue Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if blood is visible? I have also been experiencing frequent left a...
Dr. Lin Minghui Reply:
(1) Regarding fecal occult blood sampling, the general purpose of the occult blood test is to detect blood that is not visible to the naked eye. The most common causes of visible blood after a bowel movement are hemorrhoids and anal fissures. If there is significant bleeding, it ...[Read More] Understanding False Negative Results in Fecal Occult Blood Tests
Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Hemorrhage in stool with negative fecal occult blood test? Recently, I had a fecal occult blood test that showed visible blood, but the results came back negative. 1. Could this be due to hemorrhoids or anal fissures, and how can it be negative if there is visible blood? I have a...
Dr. Hu Guozheng Reply:
It is recommended to discuss further treatment or examinations with your attending physician. Thank you.[Read More] Understanding Negative Fecal Occult Blood Tests: Causes and Next Steps
Understanding Blood in Stool: Should You Worry About Colon Cancer?
Blood in the stool? Hello Doctor: I am twenty years old, and since September of last year, I have noticed occasional bright red streaks of blood in my stool. The amount is small each time; although I can see a few spots on the stool, there is no discoloration in the toilet water....
Dr. Chen Shidian Reply:
It is possible that weight loss may occur. If it is not due to dietary changes, it is advisable to visit a gastroenterology clinic for evaluation. Please inform them about the weight loss.[Read More] Understanding Blood in Stool: Should You Worry About Colon Cancer?
What Are the White Strands Next to Your Stool? Common Concerns Explained
What is the white substance next to the stool? Last September, I visited three hospitals for gastroenterology, and they all diagnosed me with anal fissures. I have recovered somewhat since then, but I feel like it has relapsed. Occasionally, when I have a bowel movement and clean...
Dr. Hu Guozheng Reply:
Online consultations cannot replace in-person diagnoses. Please visit a colorectal surgery clinic for medical attention. Thank you.[Read More] What Are the White Strands Next to Your Stool? Common Concerns Explained
Understanding Blood in Stool: Causes and Dietary Recommendations for Teens
Blood in the stool? Hello doctor, I am an 18-year-old high school student. Recently, I have experienced blood in my stool, which has occurred twice. Both times, the bleeding happened after I had been holding in my urge to defecate for a while. The blood is located towards the end...
Dr. Chen Shidian Reply:
Observe any changes; if there is persistent bleeding or worsening symptoms, seek medical evaluation. Limit spicy foods and establish a regular bowel routine.[Read More] Understanding Blood in Stool: Causes and Dietary Recommendations for Teens
Understanding Long-Term Hard Stool and Rectal Bleeding: Causes and Concerns
Chronic hard stool with bleeding? I am concerned that I might have hemorrhoids, anal fissures, or even cancer. 1. I have been experiencing constipation with hard stools that are often pellet-like, and sometimes I have a large, hard stool without any diarrhea issues. 2. Bowel move...
Dr. Yang Zhichao Reply:
You can visit a hepatobiliary and gastroenterology department for a detailed examination and assessment.[Read More] Understanding Long-Term Hard Stool and Rectal Bleeding: Causes and Concerns
Understanding Changes in Stool Shape: Causes and Concerns
Bowel issues? Recently, I have noticed that my stools feel like a long strip when passing, but they actually come out in segments (about the length of a banana) and appear to be more loose on the surface. Previously, my stools would come out as one long piece without any breaks. ...
Dr. Chen Shidian Reply:
Still within normal limits, can be monitored further.[Read More] Understanding Changes in Stool Shape: Causes and Concerns
Understanding Changes in Stool Shape: Causes and Concerns
Bowel issues? Recently, I have noticed that my bowel movements appear to be in long strips, but they are actually broken into shorter pieces (about the length of a banana) and seem to be more loose on the surface. Previously, my stools were consistently formed into one long piece...
Dr. Chen Shidian Reply:
Still within normal limits, can be monitored further.[Read More] Understanding Changes in Stool Shape: Causes and Concerns
Managing Anal Fissures and Hemorrhoids: Your Questions Answered
Anal fissure hemorrhoid suppository Hello Doctor: A few days ago, due to being busy with work in the southern part of the country, I was unable to eat properly, which caused constipation and harder stools. After having a bowel movement, I noticed some blood when wiping. After see...
Dr. Yang Zhichao Reply:
Hello, Zhixuan. 1. If your symptoms have improved, you may not need to continue using the medication. The remaining suppositories can be used if needed in the near future. 2. It is normal to experience a feeling of urgency to defecate when using suppositories, and some odor an...[Read More] Managing Anal Fissures and Hemorrhoids: Your Questions Answered
Understanding Weight Loss and Digestive Health Concerns at 22
Digestive issues Hello Doctor, on August 25th, I weighed 92.8 kg (which was the fourth day of my menstrual period). On August 28th, my weight was 91.5 kg (the seventh day of my menstrual period), and today, August 29th, my weight is 90.9 kg. I have recently been controlling my di...
Dr. Chen Shidian Reply:
Sustainable observation, the correct way to lose weight.[Read More] Understanding Weight Loss and Digestive Health Concerns at 22
Understanding Anal Fissures: Symptoms, Treatment, and Care Tips
Anal fissure issues? Previously, I experienced rectal bleeding. In March, I was diagnosed with an anal fissure, and by July, it had recurred with bleeding. Upon further examination, it was confirmed that the fissure had not healed. Currently, my bowel movements require slight str...
Dr. Chen Shidian Reply:
I don't understand Traditional Chinese Medicine. Western medicine allows for the application of anal ointments (which come with applicators, but can also be applied with a finger) and the use of stool softeners.[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Care Tips
Understanding Digestive Issues: When to Seek Help for Bowel Problems
Bowel issues? Hello Doctor, I am an eighteen-year-old high school student. I have been experiencing gastrointestinal issues, often feeling bloated and having abdominal sounds. Sometimes I suffer from constipation, while at other times my stools are loose. Recently, I have noticed...
Dr. Cai Jinji Reply:
Hello Mr. Weng: It is recommended that you go to the hospital for an in-person evaluation and treatment by a physician. Director Cai JinjI of the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.[Read More] Understanding Digestive Issues: When to Seek Help for Bowel Problems
Understanding Anal Fissures: Symptoms, Treatments, and Concerns
Anal fissure issues? I previously experienced rectal bleeding and consulted a colorectal surgeon about 34 months ago. The examination indicated that I had an anal fissure, and since then, I have intermittently experienced bleeding symptoms, even though my stools are soft. Sometim...
Dr. Chen Shidian Reply:
Confirmation through rectal examination.[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Concerns
Persistent Anal Discomfort After Excessive Enema Use: What to Do?
There is a burning and aching sensation on the inside of the anus? Hello, doctor. I engage in anal intercourse, and two months ago, I overused an enema for an hour and strained a lot. The next day, I experienced significant itching near the prostate area. I consulted a doctor who...
Dr. Chen Shidian Reply:
With limited experience in handling such situations, it is advisable to consult a colorectal surgeon for further guidance.[Read More] Persistent Anal Discomfort After Excessive Enema Use: What to Do?