Rectum, Gastroenterology and Hepatology FAQ

Understanding Blood in Stool: Causes and When to Seek Help

Blood in the stool? I haven't had a bowel movement for four days, and today I felt the urge to go. I noticed blood on the surface of the stool, but there was no blood on the toilet paper. The stool was somewhat thin and yellowish, not very hard. When I had a larger bowel mov...

Dr. Chen Qifeng Reply:
Blood on the surface of the stool indicates bleeding from the anus or rectum, and a consultation with a colorectal surgeon is recommended.

Understanding Anal Discomfort: Symptoms and Solutions for Hemorrhoids

The anus feels unusual? I've recently been dealing with some troubling issues that have caused discomfort in my stomach. After having a bowel movement, I notice blood when I wipe for the first time, but not the second time, although sometimes there is no blood at all. Additi...

Dr. Cai Anshun Reply:
Hello: Most of the symptoms are caused by hemorrhoids; however, it could also be due to anal fissures or skin issues around the anus. It is recommended to avoid straining during bowel movements, and to refrain from sitting or standing for prolonged periods. Increasing the intake ...

Managing Post-Surgery Bowel Issues After Stage 4 Colon Cancer

After colorectal cancer surgery, there has been frequent bowel movements resembling diarrhea for the past six months? In late August 2015, I was diagnosed with stage IV colon cancer due to difficulty in bowel movements and the presence of blood in the stool. Two tumors were found...

Dr. Chen Qifeng Reply:
Consider administering intestinal medications, and probiotics may also be considered.

Understanding Black Specks in Stool: Causes and Concerns

The presence of black specks or clumps in the stool? Five days ago, I experienced severe pain in the lower abdomen just above the pubic bone, accompanied by a feeling of heaviness in the lower abdomen. The pain was so intense that I could only walk bent over. Sitting caused press...

Dr. Lin Minghui Reply:
Inflammation of the intestines can lead to abnormal bowel movements, causing lower abdominal pain. The presence of black specks in the stool may be related to the food consumed, particularly those containing iron, which can result in darker stool color. If there are concerns abou...

Is It Colitis or Colon Cancer? Understanding Your Symptoms

Is it colitis or colorectal cancer? 1. Bowel movements occur twice daily between 5:00 and 7:00 AM, with the second bowel movement sometimes being unformed. 2. The second bowel movement occasionally contains a small amount of white mucus mixed with blood, resembling fish roe. 3. T...

Dr. Chen Shidian Reply:
Hello, if your symptoms persist despite medication adjustments, you may consider checking your stool and undergoing a painless colonoscopy or sigmoidoscopy. Changhua Hospital cares about your health. Chen Shidian.

Post-Surgery Bleeding After Internal Hemorrhoid Ligation: What to Know

Bleeding after the ligation of an internal hemorrhoid? Hello Doctor: I previously underwent a hemorrhoid ligation surgery. Within a week post-surgery, I experienced slight bleeding during bowel movements (there was blood on the toilet paper), but there has been no bleeding since ...

Dr. Yang Zhichao Reply:
Dear Mr. A-Zhi, Based on your description, please return to the medical facility where your mole was previously ligated for a follow-up examination. If there is no bleeding from the wound, please arrange for a colonoscopy. Thank you for your inquiry. Changhua Hospital cares a...

Understanding Unusual Stool: When to Seek Gastrointestinal Care

Abnormal stool? Hello, Doctor: Yesterday afternoon, after finishing my meal, I went to the restroom and noticed that in the toilet, besides some stool, there was also a small amount of dark purple-red substance. This dark purple-red substance felt slightly viscous. Since I have n...

Dr. Cai Anshun Reply:
Hello: If you have been experiencing symptoms for more than two weeks, it is recommended to consult a gastroenterologist or a colorectal specialist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Stool Shape Changes: Insights on Gastrointestinal Health

Stool shape Hello Dr. Tsai, I recently had a fecal occult blood test, and the results were normal. However, I've noticed that during bowel movements, the first stool is thick, but the second one is somewhat thin and elongated. I consulted a doctor at a clinic, and they menti...

Dr. Cai Anshun Reply:
Hello: The stool at the beginning is feces that has accumulated in the rectum, while the subsequent stool is freshly passed from the upper small intestine and colon, which has not yet undergone accumulation, compression, or water absorption. This may appear thinner or more mushy,...

Blood with Gas: Understanding Rectal Bleeding and Hemorrhoids

Passing gas with fresh blood? I was diagnosed with hemorrhoids in the third year of junior high school. Two weeks ago, I experienced fresh blood when passing gas and sought medical attention the next day. The doctor only asked if I had a habit of eating spicy food, drinking alcoh...

Dr. Cai Jinji Reply:
It is recommended to undergo a colorectal and anal examination for confirmation.

Understanding Painful Bowel Movements: Causes and Concerns

Pain in the buttocks during bowel movements? Hello doctor, I would like to ask you about something. For the past two days, I have experienced significant pain in my rectum during bowel movements. The first time I wiped, there was bleeding, but the second time there wasn't. I...

Dr. Lin Minghui Reply:
Painful bowel movements accompanied by bleeding are most commonly caused by hemorrhoids or anal fissures. It is advisable to pay attention to hydration and fiber intake, and to develop good bowel habits. If there is frequent pain or bleeding at the anal area, it is recommended to...

Understanding Changes in Stool Shape: When to Consult a Gastroenterologist

Stool becomes thin and flat? Hello Doctor: Generally speaking, when stool becomes thin and flat, it usually indicates a problem with the anus or rectum. I would like to ask, if I consult a gastroenterologist for a colonoscopy and the examination reaches the ileocecal junction, re...

Dr. Chen Qifeng Reply:
1. The accuracy of the electronic colonoscopy is extremely high; essentially, if the results are normal, it is considered normal. 2. Your issue indicates poorer function of the rectum and anus. 3. For rectal issues, consult a colorectal surgeon.

Understanding Rectal Issues: When to Consult a Gastroenterologist or Colorectal Surgeon

Rectal issues Hello, Doctor: Generally speaking, when stool becomes thin and flat, it usually indicates a problem with the anus or rectum. I would like to ask, if I consult a gastroenterologist for a colonoscopy and the examination reaches the entrance of the small intestine, res...

Dr. Chen Shidian Reply:
Hello, sir: The colonoscopy has also examined the anus/rectum and is the clearest examination, so there is no need to worry. Changhua Hospital cares about your health. Chen Shidian

White Mucus with Blood During Urination: Should You Be Concerned?

During urination, there is a discharge of white mucus with blood from the anus? Hello doctor, a while ago (around mid-last year), I noticed a significant amount of white mucus when I had a bowel movement. It went away after some time, but recently I've been feeling a watery ...

Dr. Yang Zhichao Reply:
Dear Ms. Hsiung, based on your description, you may observe your condition for a while longer. If you have seen a doctor and the treatment has not been effective, we can arrange for a routine stool examination and a colonoscopy. Thank you for your inquiry. Changhua Hospital car...

Understanding Changes in Stool Thickness and Possible Causes

Stool becomes thin? Recently, I noticed that my stool is not as thick as it used to be, but it is not as thin as a pencil either; it resembles the texture of the sweet potato balls sold in supermarkets. Sometimes, after using the restroom, I notice a bit of fresh blood on the toi...

Dr. Lin Minghui Reply:
1. The narrowing of stools is related to the amount of dietary fiber intake and the presence of colorectal lesions. If there is blood in the stool, it is advisable to consult a colorectal specialist to check for issues in the rectum and anus, such as hemorrhoids, anal fissures, p...

Understanding Gastrointestinal and Rectal Issues: When to Seek Help

Gastrointestinal and rectal issues? Hello Doctor: From July to October last year, shortly after dinner, I would feel a strong urge to use the bathroom (with semi-diarrhea) about 4 to 5 times a week. My daily bathroom frequency was once in the morning (normal) and once in the even...

Dr. Cai Anshun Reply:
Hello, (1) it is possible that you have irritable bowel syndrome (IBS). However, it is important to note that the main characteristics of IBS include periodic and recurrent changes, with abdominal pain alleviating after bowel movements, which may be accompanied by constipation or...

Understanding Painful Bowel Movements and Rectal Bleeding: Causes and Solutions

Every bowel movement feels like tearing? In the past, I had a habit of holding in my bowel movements by using the flesh of my perineum to compress my anus, preventing stool from passing. I would only feel a slight tearing sensation during a bowel movement, but there was no bleedi...

Dr. Cai Anshun Reply:
Hello: Based on your description, the likelihood of anal fissure or internal hemorrhoids is higher. It is recommended to have daily bowel movements, and it is not necessary to have a large amount at once. This can reduce the pressure of fecal retention in the rectum, making it le...

Understanding Stomach Pain and Blood in Stool: Causes and Solutions

Stomach discomfort and bloody stools? Hello Dr. Tsai: Recently, for the past 1 to 2 months, I have been experiencing frequent stomach discomfort and pain, particularly at night, with symptoms worsening in cold weather, leading to gastroesophageal reflux. In the past two days, I h...

Dr. Cai Anshun Reply:
Hello: If the stool color is normal, the bleeding is more likely to be related to issues near the anus or rectum, with the majority being hemorrhoids. As for gastroesophageal reflux, it is recommended not to eat too much for dinner, avoid greasy foods, and refrain from eating for...

Understanding Rectal Urgency After Colostomy: Causes and Solutions

Does having a stoma cause the urge to defecate from the anus? Hello Doctor: My mother has had a colostomy for about a year. Previously, she did not have any particular sensations in her rectum, but four days ago, she started feeling a constant urge to have a bowel movement, which...

Dr. Cai Anshun Reply:
Hello: It is recommended to return for a follow-up with the surgeon to clearly understand the length of the preserved bowel at the anal end, as this can help determine the cause of the urgency and tenesmus. If the length of the preserved bowel at the anal end is longer, it may le...

Understanding Bowel Issues: Constipation, Hemorrhoids, and Menstrual Discomfort

Bowel movement issues Hello, Doctor: 1. I have rarely experienced having a bowel movement once a day throughout my life; I usually go every two to three days. My stools are about the size of a banana, brownish-yellow in color, and approximately 15 cm long, with the process takin...

Dr. Cai Anshun Reply:
Hello: (1) Habits vary from person to person; comparing yourself to others, if there is no change and no discomfort, it is considered normal. (2) The cause of hemorrhoids is varicose veins, and if it worsens, it may lead to thrombosis, bleeding, and pain. If there is significant ...

Understanding Clear Liquid During Bowel Movements: Causes and Solutions

Liquid during bowel movements? I have been experiencing gastrointestinal issues lately, including abdominal rumbling. When I have a bowel movement, I initially pass a clear liquid. How can I improve this condition? Do I have a problem with my rectum? Thank you.

Dr. Cai Anshun Reply:
Hello: The colonic mucosa naturally secretes mucus. Just maintain a balanced diet and have regular bowel movements; there is no need to worry too much. Changhua Hospital cares about your health. Dr. Tsai An-shun.

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