Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Can anal intercourse be performed after anal fissure surgery? Dear Doctor, I hope this message finds you well. As a gay man, I often experience issues such as constipation and anal intercourse, which have led to anal fissures. During a previous examination, my doctor mentioned t...
Dr. Zhang Shuhao Reply:
Hello: If it is a simple acute anal fissure, it can be managed with topical ointments, warm sitz baths, and plenty of rest to allow the wound to heal completely. Afterward, before engaging in anal intercourse, it is important to gradually dilate the anus and ensure adequate lubri...[Read More] Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Understanding Post-Bowel Movement Red Water: Is It Blood?
Bowel issues Recently, after having a bowel movement, I sometimes forget to flush the toilet. When I go back to flush, I often notice light red water around the stool. I'm not sure if it's blood, but when I wipe, I don't see any traces of blood.
Dr. Li Qinglong Reply:
Ms. Yun: Hello, it could possibly be caused by internal hemorrhoids or an anal fissure, but a clinical examination at the outpatient department is necessary to confirm the diagnosis. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Post-Bowel Movement Red Water: Is It Blood?
Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Is it a symptom of anal fissure? How can it be prevented? Hello, I have an adequate water intake in my daily life, and my bowel movements are smooth with no hard stools. However, I notice a very small amount of blood (less than a normal drop) almost every time I wipe after a bowe...
Dr. Chen Ronghong Reply:
Hello KB, given your age, the presence of blood in your stool is more likely related to anal fissures or hemorrhoids. You mentioned that there is usually no pain, and bleeding and pain only occur after wiping post-defecation, which strongly suggests the possibility of an anal fis...[Read More] Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Can You Use Vaseline After Warm Sitz Baths for Anal Fissures?
Warm sitz bath for anal fissures? Is it okay to apply petroleum jelly to the anal area after a sitz bath for anal fissures if I experience itching? If I apply it too often, will it lead to dependency, causing itching when I don't use it?
Dr. Xu Kaixi Reply:
It is normal to experience itching during the healing process of an anal fissure. Vaseline primarily serves as a moisturizer, and its use is not directly related to the itching sensation.[Read More] Can You Use Vaseline After Warm Sitz Baths for Anal Fissures?
Understanding Anal Pain While Walking: Causes and Solutions
Anal pain while walking? Hello doctor, in November 2021, I sought medical attention due to blood in my stool and severe pain in my anus. The doctor diagnosed me with an anal fissure after performing a rectal examination, stating that it would heal on its own and did not prescribe...
Dr. Xu Kaixi Reply:
It is possible that the pain is due to nerve pain from scar tissue after the healing of an anal fissure. Theoretically, this should improve over time, so it would be advisable to monitor the situation for a while longer.[Read More] Understanding Anal Pain While Walking: Causes and Solutions
Understanding Anal Fissures and Skin Tags: Causes and Treatments
Anal fissure, a small piece of tissue between the perineum and the anus? Hello Doctor, I have recently experienced a tearing sensation in the perineal area after bowel movements, particularly around the anus (it hurts when it comes into contact with water or urine). However, ther...
Dr. Zhang Shuhao Reply:
The tearing pain sensation is mostly caused by anal fissures. If anal fissures recur, they can lead to the formation of a skin tag (sentinel tag) on the outer side of the wound, which is a benign skin growth. Typically, it does not cause discomfort unless it leads to pain or conc...[Read More] Understanding Anal Fissures and Skin Tags: Causes and Treatments
Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Difficulty in bowel movements and bleeding four months after hemorrhoid surgery? I underwent a self-funded minimally invasive ligature surgery at the beginning of January this year, and I am still experiencing difficulties with bowel movements and bleeding. I feel weakness in the...
Dr. Chen Ronghong Reply:
Hello Becky, some patients experience postoperative anal stenosis, which can lead to difficulty in bowel movements. However, since you mentioned using your fingers to dig out stool, if your fingers can enter the anus, it is less likely to be anal stenosis. Hard and dry stools can...[Read More] Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Please inquire about the recovery situation after anal fissure surgery? Hello Doctor, I underwent anal fissure surgery (LIS) and HET hemorrhoid coagulation surgery on February 17 of this year. It has been two months, and I still occasionally experience some discomfort in the anal...
Dr. Ke Fangxu Reply:
1. There have been case reports of poor wound healing associated with the use of energy devices in anal surgeries. If you are considering changing doctors, it would be more appropriate to choose one who has experience performing such procedures. 2. An anoscope is not necessary;...[Read More] Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Blood in Stool: Is It a Sign of Colon Cancer or Hemorrhoids?
Blood in the stool? Hello doctor, I have hemorrhoids and recently I've been experiencing some constipation. My stools are hard and flat; two of them do not have any blood, but one has blood mixed with the stool. I am concerned about the possibility of colon cancer.
Dr. Zhang Shuhao Reply:
The risk of colorectal cancer increases with age, family history, and exposure to carcinogens. If there is no significant family history, the likelihood of developing colorectal cancer before the age of 20 is extremely low. When stools are harder, bleeding during bowel movements ...[Read More] Blood in Stool: Is It a Sign of Colon Cancer or Hemorrhoids?
Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment
Treatment of Internal Hemorrhoids Hello, Doctor: Since experiencing rectal bleeding after bowel movements, I've noticed some blood on the toilet paper, but it doesn't flow continuously. I waited about six months before seeing a doctor. After a digital rectal exam, I exp...
Dr. Zhang Shuhao Reply:
Simple internal hemorrhoids are not painful; however, if there is significant pain during bowel movements or upon palpation, it is usually associated with external hemorrhoids or anal fissures. After the suppository melts, it may appear as white granules. If the pain relief is in...[Read More] Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding There was a segment of my stool that was red. I don't recall eating anything like dragon fruit during those days. After that, I didn't experience any similar symptoms for two to three weeks. Should I see a doctor? I'm afraid that if I tell my family...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements should raise concerns about lesions around the anus or within the intestines; however, food can also alter the color of the stool. If there are concerns, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Black Spots in Stool: Causes and Concerns
Black spots in the stool? In the past two days, I have experienced difficulty with bowel movements. Today, I had a bowel movement with a normal amount, but the surface of the stool is covered with small black spots. What could this indicate? (I have never undergone a colonoscopy,...
Dr. Zhang Shuhao Reply:
Changes in stool color are mostly related to food, but bleeding in the gastrointestinal tract can also present as black stools. If concerned, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or anal fissures, and then perform a fecal occ...[Read More] Understanding Black Spots in Stool: Causes and Concerns
Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
After walking, there is anal itching, and wiping the anus reveals yellowish fecal mucus with a small amount of light red blood streaks? Hello Doctor, I usually have normal bowel movements in terms of frequency and shape, and I have not noticed any visible blood in my stool or toi...
Dr. Zhang Shuhao Reply:
There are many causes of anal itching, including the prolapse of internal hemorrhoids, which can lead to a sensation of mucus due to the eversion of the mucosa, minor anal fissures, allergies, and even less common causes such as parasites. If there are no accompanying abdominal o...[Read More] Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Rubber band ligation for hemorrhoids? Hello Dr. Ke, I underwent rubber band ligation for hemorrhoids (stage II hemorrhoids) on March 15. On March 19, I noticed that the rubber band had fallen off while using the restroom. Q1: Will this render the procedure ineffective? Q2: Af...
Dr. Ke Fangxu Reply:
1. The detachment of the rubber band is inevitable and does not require excessive concern. 2. If the ligation of hemorrhoids is too superficial, it may cause pain; however, if oral pain relievers can alleviate it, then it is not a problem. It is recommended to take warm sitz bath...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Blood on Toilet Paper: Causes and Solutions for Anal Discomfort
Blood stains on toilet paper after a bowel movement? Hello Doctor, recently after having a bowel movement, I noticed some bright red blood on the toilet paper (similar to the blood from popping a pimple). At first, I thought it was due to hard stools causing an anal fissure, so I...
Dr. Zhang Shuhao Reply:
Anal fissures often present with bleeding, accompanied by sharp pain during and after bowel movements. If the pain is not severe, it is usually due to the rupture of a thrombosed hemorrhoid. It is recommended to increase fluid and dietary fiber intake, take warm sitz baths, engag...[Read More] Blood on Toilet Paper: Causes and Solutions for Anal Discomfort
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure issues? Hello Doctor, I have a few questions to ask you: I have been experiencing anal fissures for about a month now. At first, during bowel movements, the initial part of the stool was hard and required some effort to pass. The front part resembled small, dark, pel...
Dr. Ke Fangxu Reply:
1. If you want to avoid relying on stool softeners, it's important to increase your intake of dietary fiber and fluids. 2. The typical symptoms of anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometime...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Anal Fissures: Causes, Treatments, and Relief Options
Anal fissures and anal problems? Hello, Doctor. I have been experiencing anal fissures since last year. I visited a doctor and received medication (at Mackay Memorial Hospital). It improved somewhat, but I have been having recurrent episodes. Later, I took Laxative, which helped....
Dr. Zhang Shuhao Reply:
Anal fissures are primarily caused by tight anal muscles combined with straining during bowel movements. Laxatives can help supplement dietary fiber, but it is essential to drink plenty of water to avoid adverse effects. It is recommended to consume more fruits and vegetables to ...[Read More] Understanding Anal Fissures: Causes, Treatments, and Relief Options
Effective Remedies for Anal Fissures: Beyond Hemorrhoid Ointments
Hemorrhoid ointment for anal fissures? Hello, doctor. Every time I have a bowel movement, I feel a sensation as if my anus is about to裂傷, and it feels like the anal wall is very thin. I apply hemorrhoid cream daily, but there is no improvement. I would like to ask if you have any...
Dr. Zhang Shuhao Reply:
Anal fissures are primarily caused by tight anal sphincter muscles combined with straining during bowel movements. It is recommended to increase fluid intake and consume more fruits and vegetables to prevent constipation. Taking warm sitz baths two to three times a day, gently pa...[Read More] Effective Remedies for Anal Fissures: Beyond Hemorrhoid Ointments
Understanding Blood in Stool: When to Consider a Colonoscopy
Blood in the stool? Hello Doctor, I have been experiencing constipation issues, having bowel movements every 3 to 5 days. During college, I had some bleeding during bowel movements and consulted a doctor who diagnosed me with anal fissures. I also had a history of internal hemorr...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 29 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like bleeding from an anal fissure. I recommend starting with a light diet and maintaining a good lifestyle. You sho...[Read More] Understanding Blood in Stool: When to Consider a Colonoscopy