Anal bleeding, Surgery FAQ

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Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect

Granulation tissue excision after hemorrhoid surgery? Hello, Doctor. During my follow-up appointment on January 9th, I underwent excision of granulation tissue after hemorrhoid surgery (there was bleeding at the time, and gauze was applied for hemostasis). It has been about 25 da...


Dr. Zhang Shuhao Reply:
Twenty-five days after hemorrhoid surgery, the wound has mostly healed and does not appear to be bleeding like a surgical wound. Granulation tissue removal may occasionally cause some bleeding, but since there are no major blood vessels internally, appropriate pressure for a day ...

[Read More] Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect


Understanding Anal Issues: Causes of Discomfort and Bleeding

Anal issues Hello, Doctor! After having a bowel movement today, I noticed a slight yellowish stain when I wiped. Since then, I've felt like I didn't clean my anus properly, and there's been a bit of itching. About five hours after the bowel movement, when I went to...


Dr. Zhang Shuhao Reply:
The amount of blood shown in the image is very minimal. If there is no pain or discomfort during bowel movements, it is usually just superficial bleeding caused by wiping or friction. Switching to washing with water or using moist wipes after a bowel movement may help improve the...

[Read More] Understanding Anal Issues: Causes of Discomfort and Bleeding


Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery

Rectal bleeding and non-healing wounds after fistula surgery? Hello, Doctor. I would like to ask you a few questions. (1) On March 29, after wiping, I felt a swelling sensation in my buttocks. Although the swelling sensation disappeared the next day, as of today (March 31), I sti...


Dr. Zhang Shuhao Reply:
(1) You can apply hemorrhoid ointment and also take warm sitz baths to help reduce swelling; sitz baths will not affect wound healing. (2) If there is no swelling or pain, and no discharge that disrupts daily life, then it is not a concern. Hyperbaric oxygen therapy is more suita...

[Read More] Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery


Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions

Constipation issues / anal problems / a swollen area near the anus upon palpation? I previously had hemorrhoids, which disappeared, but I have been taking Senokot for about a year due to ongoing constipation. For the past few months, I have felt swelling around the anal area (the...


Dr. Ke Fangxu Reply:
It is essential to have a physician examine the issue for an accurate diagnosis. You may also consider purchasing over-the-counter hemorrhoid ointment to apply. If your daily routine and diet are normal, it is advisable to consult a gastroenterologist to investigate the cause of ...

[Read More] Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions


Understanding Rectal Bleeding: Causes and Concerns for Your Health

I have been experiencing bright red blood in my stool for a while? I have been experiencing a sensation of large or hard stools for quite some time, which has caused anal fissures, resulting in fresh blood when wiping. I also notice blood dripping into the toilet and on the stool...


Dr. Ke Fangxu Reply:
This situation is likely due to hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Warm sitz baths may help alleviate symptoms, and you...

[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Health


Blood on Toilet Paper: Understanding Anal Bleeding Causes

Blood on toilet paper after wiping the anus? Hello, doctor. For the past two to three weeks, I have frequently noticed blood during bowel movements, although it doesn't happen every time. I do not have a habit of constipation, as I have bowel movements at least every two day...


Dr. Ke Fangxu Reply:
Based on your description, it seems more like a typical symptom of an anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, an...

[Read More] Blood on Toilet Paper: Understanding Anal Bleeding Causes


Understanding Surgical Options for Anal Bleeding and Discharge Issues

Rectal bleeding and discharge of pus? Hello Dr. Ke, thank you for answering my previous question. Today I returned to the hospital where I had surgery last year for an examination. The doctor noted that there is pain and discharge when pressing on the surgical site. The doctor me...


Dr. Ke Fangxu Reply:
Without a personal examination, I cannot provide you with a definitive answer. It could be a wound infection or the formation of a fistula. Surgical treatment is a more definitive approach. If you prefer not to undergo surgery, you may consider trying oral antibiotic therapy; how...

[Read More] Understanding Surgical Options for Anal Bleeding and Discharge Issues


Understanding Anal Bleeding: Causes and Solutions for Painful Bowel Movements

Rectal bleeding Hello, doctor. I would like to ask you about a problem I've been experiencing for the past couple of months. I've been having severe pain in my anus during bowel movements, with a tearing sensation. There's also a bit of blood when I wipe. I'm ...


Dr. Ke Fangxu Reply:
Based on your description, it seems to be an anal fissure. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can a...

[Read More] Understanding Anal Bleeding: Causes and Solutions for Painful Bowel Movements


Understanding Blood in Stool: Causes and Concerns for Your Health

Blood in the stool? Hello, I apologize for bothering you. Recently, I have been experiencing rectal bleeding during bowel movements. There have been one or two occasions where the toilet was filled with blood (once it felt like it was spraying). Sometimes, when I wipe with toilet...


Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is indeed possible that it is related to spicy foods and abnormal lifestyle habits. It is recommended to avoid constipation durin...

[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health


Understanding Dark Red Blood in Stool: Causes and Concerns

Rectal bleeding Hello, doctor. Recently, I've been experiencing blood in my stool, which is dark red. Often, after I have a bowel movement, the toilet is filled with red, and there is a significant amount of blood on the toilet paper, enough to soak through it. However, I do...


Dr. Cai Xingzhi Reply:
Hello, if you are experiencing rectal bleeding, it is important to first determine whether the bleeding is from the upper or lower gastrointestinal tract. Upper gastrointestinal bleeding requires an esophagogastroduodenoscopy (EGD), while lower gastrointestinal bleeding necessita...

[Read More] Understanding Dark Red Blood in Stool: Causes and Concerns


Do Internal Hemorrhoids Bleed Only During Bowel Movements?

Does a hemorrhoid only bleed during bowel movements? Is it true that internal hemorrhoids only bleed due to pressure and friction during bowel movements? Can they bleed internally when there is no stool present? I visited a doctor who diagnosed me with internal hemorrhoids and pr...


Dr. Xu Kaixi Reply:
Hemorrhoids are a type of varicose vein, and there are many factors that can influence whether internal hemorrhoids bleed. One common cause is the friction that occurs during bowel movements, which can damage the mucosa and lead to bleeding. More severe bleeding from internal hem...

[Read More] Do Internal Hemorrhoids Bleed Only During Bowel Movements?


Understanding Anal Wounds: Care Tips and Symptoms to Watch For

Anal wound inquiry!? Dr. Ke: 1. After having a bowel movement, in an effort to ensure cleanliness, I sometimes accidentally irritate the skin and cause bleeding while wiping (as seen on the used toilet paper). For the next few days, the area around the anus is painful due to the ...


Dr. Ke Fangxu Reply:
1. After having a bowel movement, please avoid excessive wiping, as this can easily lead to skin damage and infection. If a bidet is not available, moist wipes are also a good cleaning tool. In fact, even without either of these, not deliberately cleaning the anal area typically ...

[Read More] Understanding Anal Wounds: Care Tips and Symptoms to Watch For


Understanding Blood in Stool: Causes and When to Seek Help

The stool has a bloody appearance? I noticed blood after using the restroom today, and I'm not sure what the issue could be.


Dr. Wang Qichao Reply:
After using the restroom, if you notice bright red blood, the most common causes are typically related to the anus and rectum, with hemorrhoids and anal fissures being the most frequent. The former is usually painless, while the latter is often associated with sharp pain at the a...

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