Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Understanding Blood in Stool: Causes and Concerns for Patients
Blood in stool issue? In the morning, the stool is drier and harder; the shape is sausage-like with a bumpy surface. It requires straining during bowel movements, resulting in blood streaks on the stool. Subsequent bowel movements are normal without blood. What could be the cause...
Dr. Zhang Shuhao Reply:
Since you had a colonoscopy last year, there is not much to worry about regarding intestinal tumors. If your stools are hard and dry, straining during bowel movements can lead to hemorrhoid irritation or anal fissures with bleeding. It is recommended to take warm sitz baths, incr...[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu Reply:
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Hemorrhoid surgery Hello, doctor. May I ask if the difference between minimally invasive hemorrhoid surgery using a coagulation knife and traditional hemorrhoid surgery is just the instruments used, but the postoperative pain and recovery periods are about the same? Because the d...
Dr. Zhang Shuhao Reply:
For severe grade IV hemorrhoids, traditional surgery is the standard procedure. The use of a tissue coagulator can reduce surgical bleeding and slightly decrease pain, which is worth considering; however, there is still a significant gap compared to the advertised minimally invas...[Read More] Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu Reply:
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...
Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Laxative dependence, anal fissure? Hello, Doctor. My problem is as follows: Whenever my stool is hard (but not rock-like), it causes anal fissures. I previously tried drinking Uni-President high-fiber soy milk (chicory fiber) to maintain softer stools, but sometimes my stool is s...
Dr. Zhang Shuhao Reply:
The ingredients and mechanisms of traditional Chinese medicine are unclear, but if you have been taking it for five years and have only recently experienced weight loss, it may not necessarily be related to the herbal medicine. If you are concerned about gastrointestinal issues, ...[Read More] Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Post-operative discharge issues after anal surgery? Hello, Director. I underwent an anal fistula incision and drainage surgery at the end of August last year, and then had another surgery at the end of February this year. This time, the surgery was a bit more complex, involving h...
Dr. Ke Fangxu Reply:
The healing period for complex anal surgeries can be quite lengthy. However, if there is still discharge after three months, it may not be normal. If the surgeon has examined the area and found no issues, it is likely not a recurrence. Additionally, if a flap surgery was performe...[Read More] Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Rectal bleeding Hello doctor, I would like to ask about a situation I've been experiencing for about a week. After having a bowel movement, I sometimes notice blood dripping from my anus, but usually, it stops as soon as I leave the toilet. I've also observed that somet...
Dr. Zhang Shuhao Reply:
Anal fissures are typically associated with pain during or after bowel movements; internal hemorrhoids may cause more significant bleeding but are not necessarily painful. During the acute phase, it is advisable to take warm sitz baths, reduce the time spent in the bathroom, avoi...[Read More] Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Understanding Chronic Anal Fissures: Treatment Options and Concerns
Inquiry about anal fissure issues? Hello, doctor. A few months ago, I visited a clinic due to an anal fissure, and after the physician prescribed me a suppository, I recovered quite well. However, a few weeks ago, I experienced another anal fissure, possibly due to constipation. ...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissures are generally defined as symptoms persisting for more than eight weeks and are difficult to relieve with conservative treatment. 2. Improving constipation symptoms can be achieved by increasing fluid and dietary fiber intake, reducing time spent on the to...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Concerns
Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Post-operative itching and bleeding from the anus after hemorrhoid surgery? Hello Doctor, I underwent rubber band ligation for internal hemorrhoids at the beginning of March. Although I no longer feel a sensation of obstruction during bowel movements, I still notice significant b...
Dr. Zhang Shuhao Reply:
After rubber band ligation for internal hemorrhoids, it typically does not cause symptoms such as itching or tearing sensations. If itching persists, you can follow your doctor's instructions to use ointments, wear loose-fitting clothing, and keep the perineal area dry. Avoi...[Read More] Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Understanding Botox Treatment for Anal Fissures: What to Expect
Botulinum toxin treatment for anal fissures I would like to ask the doctor if you have heard of this treatment method? How is it typically performed? Is the injection administered from the outside or inside of the anus? What is the level of pain during the injection? Can a bowel ...
Dr. Zhang Shuhao Reply:
Chronic anal fissures can sometimes be caused by excessive tension in the anal sphincter. In such cases, botulinum toxin can be injected near the sphincter to relax the muscle and facilitate the healing of the fissure. The injection can be administered directly from the lateral s...[Read More] Understanding Botox Treatment for Anal Fissures: What to Expect
Understanding Anal Constriction Pain: Causes and Solutions
Anal sphincter pain Hello doctor, for the past two days, I have been experiencing a cramping pain around the anal area, which feels like it is tightening and causing a blockage pain.
Dr. Ke Fangxu Reply:
Anal pain is often due to anal fissures or thrombosed hemorrhoids. If constipation is present, it should be addressed. If symptoms persist without improvement, it is important to consult a physician for a proper diagnosis.[Read More] Understanding Anal Constriction Pain: Causes and Solutions
Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Diarrhea and constipation? Hello doctor, I underwent a colonoscopy around May to July last year due to frequent diarrhea, which had a yellow, muddy consistency and lasted for over six months. After the colonoscopy, the doctor said there were no issues, but the diarrhea persisted....
Dr. Xu Kaixi Reply:
The characteristics of stool can vary with diet and lifestyle habits. If you had a colonoscopy last year that showed no abnormalities, there is no need to worry about changes in stool characteristics being related to colon issues. However, it cannot be ruled out that these change...[Read More] Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
More than four months post-surgery? Hello Doctor, I underwent minimally invasive surgery for anal fissures and hemorrhoids over four months ago, and I am still experiencing discomfort. This week, the symptoms have become more pronounced. The discomfort feels like a sharp pain o...
Dr. Zhang Shuhao Reply:
1. You can gently touch the area while applying medication or during a sitz bath to distinguish between pain from the skin at the wound site and deeper pain from the contraction of the levator ani muscle. It is advisable to discuss your concerns in detail with the original surgeo...[Read More] Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain