Hemorrhoids, Internal Medicine FAQ

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Understanding Gastrointestinal Issues: Causes and Remedies for Stomach Pain

Gastrointestinal issues Hello, doctor. I went to the night market yesterday and ate a lot of food. Around 2 AM, I experienced about 20 minutes of abdominal cramping (some time had passed since I finished eating). I felt the urge to have a bowel movement but couldn't, and the...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you are not experiencing any further cramping, then there is no need for concern. Blood in the stool is more commonly associated with hemorrhoids or anal fissures. Anal fissures tend to be painful, whereas if there is no pain, it is more like...

[Read More] Understanding Gastrointestinal Issues: Causes and Remedies for Stomach Pain


Managing Viral Warts and Hemorrhoids: Key Questions Answered

Having viral warts and hemorrhoids? Hello Doctor, about one or two weeks ago, I noticed something on my buttocks and went to see a dermatologist. The doctor said it was a viral wart, which I believe is genital warts. I have undergone one session of cryotherapy and have some quest...


Dr. Liao Zhongxin Reply:
To encourage men to receive the HPV vaccine, it has been renamed the Papillomavirus vaccine. Generally, adults carry the papillomavirus, but certain strains can lead to cancer or sexually transmitted infections. Therefore, the government encourages both young men and women to get...

[Read More] Managing Viral Warts and Hemorrhoids: Key Questions Answered


Understanding Blood in Stool: Causes and Solutions for IBS Symptoms

Rectal bleeding Recently, I seem to have developed irritable bowel syndrome (IBS). I often go to the bathroom two to three times a day; sometimes I have diarrhea, and other times I just pass gas without having a bowel movement. Most of the time, my stools are somewhat constipated...


Dr. Zhang Shixin Reply:
Hello: If there is bleeding when wiping the anus but no blood is found in the stool, it may be due to hemorrhoids. Contributing factors include a diet low in fiber, frequent diarrhea or constipation, prolonged sitting or standing, and irregular lifestyle habits. If there is persi...

[Read More] Understanding Blood in Stool: Causes and Solutions for IBS Symptoms


Understanding HIV Transmission Risks: Oral and Anal Concerns

Regarding healthcare? Hello, doctor. I would like to ask three questions. 1. If there is a wound in the mouth (such as on the lips or inside the mouth), can I get infected if I eat something that has HIV-infected blood or bodily fluids? 2. Similarly, if I have a wound in my m...


Dr. Lin Wufu Reply:
1. If bodily fluids contain live HIV, there is indeed a risk of infection. 2. All diseases transmitted through bodily fluids or droplets have the potential for infection. 3. Viruses typically die within minutes outside the human body, and public restrooms are unlikely to have bod...

[Read More] Understanding HIV Transmission Risks: Oral and Anal Concerns


Understanding HIV Transmission Risks in Public Spaces: Key Insights

I forgot to ask for additional information? Hello, doctor! I apologize for my question. If someone with anal fissures or hemorrhoids sits on a public chair and comes into contact with HIV-infected blood or bodily fluids, could they be at risk of infection? I also forgot to ask, i...


Dr. Lin Wufu Reply:
Hello, if an open wound comes into contact with body fluids containing the HIV virus, there is indeed a risk of infection. However, the HIV virus dies within minutes once it leaves the human body, so the likelihood of encountering live HIV in a public place is very low. It is adv...

[Read More] Understanding HIV Transmission Risks in Public Spaces: Key Insights


Understanding Blood in Stool: Causes and When to Seek Help

Rectal bleeding Hello Doctor: I was shocked to find blood in my stool tonight. There was about 2cc of blood mixed with the stool in the water. At first, I thought it might be my menstrual period or that I had eaten dragon fruit, but then I realized my period just ended yesterday ...


Dr. Lin Wufu Reply:
Hello: If there is blood covering normal stool, and the bleeding is mostly near the anal opening, the most common cause is a rupture of internal hemorrhoids (which are usually painless), possibly due to a harder stool during a bowel movement. It is advisable to observe if it happ...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


Concerns About Infection Risks from Toilet Use: A Medical Perspective

Infection issues? Hello, Doctor. 1. Is there a concern about contracting sexually transmitted infections (STIs) from using a seated toilet? - It is a home toilet that hasn't been used for a while. - I have wiped the toilet seat but did not disinfect it with alcohol. 2. Is...


Dr. Hong Yuanbin Reply:
Hello, the two conditions you mentioned should not raise concerns about sexually transmitted infections. Thank you for your inquiry.

[Read More] Concerns About Infection Risks from Toilet Use: A Medical Perspective


Concerns About Infection Risks from Toilet Use: A Medical Perspective

Infection issues? Hello, Doctor. 1. Is there a concern about contracting sexually transmitted infections (STIs) from using a sitting toilet? - It is a home toilet that hasn't been used for a while. I have wiped the toilet seat, but I did not use alcohol for disinfection. ...


Dr. Hong Yuanbin Reply:
Hello, the two conditions you mentioned should not raise concerns about sexually transmitted infections. Thank you for your inquiry.

[Read More] Concerns About Infection Risks from Toilet Use: A Medical Perspective


Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns

I have been experiencing issues with frequent loose stools? Hello, doctor. I started experiencing diarrhea and almost daily soft stools (with a slight shape, small lumps) at the beginning of the year. Later, during a health check, I had a positive fecal occult blood test. Followi...


Dr. Xie Rongyuan Reply:
Hello: It may be an issue related to irritable bowel syndrome. Since the colonoscopy results are normal, you might consider starting medication to see if your symptoms improve. If you frequently experience acid reflux, it would also be advisable to undergo an upper endoscopy. Tha...

[Read More] Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns


Understanding Anal Itching: Is It a Sign of Infection or Hemorrhoids?

Anal itching Last week, I accidentally ate several slices of undercooked refrigerated pork while having hot pot with my child. I later observed that neither my child nor I experienced diarrhea or abdominal pain. However, for the past two to three days, I have felt a slight itchin...


Dr. Lin Wufu Reply:
Hello: The chance of contracting parasites in Taiwan is quite low! Most parasites die at low temperatures in the freezer, so the risk of infection is primarily associated with consuming fresh raw meat. If the pork slices have been frozen, the risk is actually very low. Additional...

[Read More] Understanding Anal Itching: Is It a Sign of Infection or Hemorrhoids?


Understanding Side Effects of Celecoxib: Gastrointestinal Concerns and More

Side effects of Xeljanz? Hello Doctor: I am a patient with ankylosing spondylitis, currently 20 years old. I started taking Celebrex a year ago, and recently, four days ago, I began experiencing bloody stools. The colorectal surgeon diagnosed it as hemorrhoids and has prescribed ...


Dr. Zeng Guosen Reply:
Hello, netizen. 1) Yes, but Celecoxib is one of the anti-inflammatory pain medications with relatively low bleeding side effects. 2) An ALT level of 34 is within the normal range, so there is no need to worry as long as it is within normal limits. 3) Generally, the CRP test can d...

[Read More] Understanding Side Effects of Celecoxib: Gastrointestinal Concerns and More


Understanding Side Effects of Medication in Ankylosing Spondylitis Patients

Side effects of medication? Hello Doctor: I am a patient with ankylosing spondylitis, currently 20 years old. I started taking Celebrex a year ago. Recently, four days ago, I began experiencing blood in my stool (bright red, present with every bowel movement), without any blood c...


Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1) Based on the described situation, is the likelihood of lower gastrointestinal bleeding high? --> I believe the probability of lower gastrointestinal bleeding is higher, especially due to hemorrhoids. 2) In the pa...

[Read More] Understanding Side Effects of Medication in Ankylosing Spondylitis Patients


Understanding Blood in Stool: Causes and Concerns After Straining

Rectal bleeding Two days ago, I had difficulty eating due to a tooth extraction, which made it hard for me to have a bowel movement. I spent an hour in the bathroom and eventually managed to pass a stool, but I had to strain a lot, and since the stool was quite large, I experienc...


Dr. Lin Wufu Reply:
Hello: Based on what you described, it does sound like internal hemorrhoid bleeding. Internal hemorrhoids are typically painless, and fresh blood may cover the surface of the stool, while the stool itself remains normal in color. If you have a history of hemorrhoids, it is advisa...

[Read More] Understanding Blood in Stool: Causes and Concerns After Straining


Understanding Anal Fissures and Surrounding Skin Tags

Perianal granulation tissue associated with anal fissure? Doctor, I've been experiencing anal fissures for the past couple of days. Could this be the reason for some itching? Additionally, there are some small white growths around the affected area; is this normal? (See phot...


Dr. Liao Zhongxin Reply:
1. Yes, issues related to the anus may cause mild pain, especially in the case of hemorrhoids or when there are wounds. The sensation we experience is often described as itching. After cleaning the area, applying a thin layer of lotion or ointment should suffice. 2. If you stil...

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Managing Warts and Hemorrhoids: Treatment Options and Concerns

After developing cauliflower-like lesions, the surface looks good, but I have been informed that I have hemorrhoids and need to apply steroids. What should I do? Hello, doctor. My anal warts have been clean for a few days now. The doctor said I don't need to apply phenol and...


Dr. Hong Yuanbin Reply:
Hello, currently your warts have at least been temporarily treated. It is more important to manage your hemorrhoids. It is recommended to use the Liyu hemorrhoid suppository as advised by your physician; this suppository should have a limited impact on your warts. As for Wart Rem...

[Read More] Managing Warts and Hemorrhoids: Treatment Options and Concerns


Managing Warts and Hemorrhoids: Treatment Options and Concerns

After developing cauliflower-like lesions, the surface appears fine, but I have been informed that I have hemorrhoids and need to apply steroids. What should I do? Hello doctor, my anal warts have been clean for a few days. The doctor said I don't need to apply phenol soluti...


Dr. Hong Yuanbin Reply:
Hello, currently your warts have at least been treated temporarily, and it is more important to manage your hemorrhoids. It is recommended to use the Liyu hemorrhoid suppository as advised by your physician; this suppository should have a limited impact on your warts. As for Taiy...

[Read More] Managing Warts and Hemorrhoids: Treatment Options and Concerns


Understanding Orange-Red Water in Toilet: Causes and Concerns

The toilet water is orange-red? Hello Doctor, over the past few months, I've occasionally noticed orange-red liquid next to my stool after having a bowel movement (the stool itself and the color when wiping are normal brownish-yellow). A few days before experiencing this sym...


Dr. Hong Yuanbin Reply:
Hello, it is true that consuming certain food colorings, such as those found in carrots, can cause stool to appear discolored, making it difficult to distinguish from actual blood. However, if there is gastrointestinal bleeding, the color is usually dark red or bright red, rather...

[Read More] Understanding Orange-Red Water in Toilet: Causes and Concerns


Understanding Rectal Concerns: Symptoms, Risks, and Screening Guidelines

Rectal issues Hello Doctor, three years ago I had a colonoscopy, which only showed irritable bowel syndrome and hemorrhoids, with no other issues. For the past six months, while showering, I have been using body wash as a lubricant to insert my finger into my rectum to check for ...


Dr. Hong Yuanbin Reply:
Hello, what you are feeling are the folds and mucosa of the rectum, which is a normal finding. As for polyps, they are usually small and cannot be definitively diagnosed by palpation; a colonoscopy is necessary for diagnosis. Given your age, unless there is a family history of co...

[Read More] Understanding Rectal Concerns: Symptoms, Risks, and Screening Guidelines


Possible Causes of Rectal Bleeding Beyond Colon Cancer: A Guide

I'm sorry, but I cannot assist with that? Hello, Doctor. I would like to inquire about the possible causes of bleeding that are not related to colorectal cancer. I have irritable bowel syndrome, and I experienced diarrhea the day before (with a dark brown color), followed by...


Dr. Hong Yuanbin Reply:
Hello, any inflammation or injury in the gastrointestinal tract can lead to bleeding. Common causes include infections, inflammation, hyperplasia, injuries, and hemorrhoids. It may not be possible to distinguish the source of bleeding solely based on color distribution; actual te...

[Read More] Possible Causes of Rectal Bleeding Beyond Colon Cancer: A Guide


Understanding Orange-Red Toilet Water: Causes and Concerns

The toilet water is orange-red? Hello Doctor, I occasionally notice that the toilet water is slightly orange-red after having a bowel movement (the stool itself is not discolored). However, the orange-red color doesn't seem to resemble blood. I would like to ask if this is r...


Dr. Hong Yuanbin Reply:
Hello, the orange color could be due to bleeding or food coloring. It may not be possible to determine the exact cause solely based on description and observation; it is best to conduct another fecal occult blood test to confirm whether there is bleeding. As for colorectal cancer...

[Read More] Understanding Orange-Red Toilet Water: Causes and Concerns


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