Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...
Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
Understanding Rectal Issues: Causes, Symptoms, and Solutions
Anal issues? I am a sophomore in high school. During middle school, I used to forcefully open my buttocks with my hands while having a bowel movement. Since I started my first year of high school, I have been experiencing bleeding and pain during bowel movements, which has contin...
Dr. Zhang Shuhao Reply:
Pain and bleeding during bowel movements in young individuals are most likely due to anal fissures, which are often related to straining during defecation and tension in the anal sphincter. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber ...[Read More] Understanding Rectal Issues: Causes, Symptoms, and Solutions
Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
There is a small protrusion located below the anus? Hello Doctor, I am currently 17 years old. Recently, I have been experiencing a tearing sensation around the anal area. I do not feel any pain during bowel movements, but it is very painful when I wipe with toilet paper. Upon se...
Dr. Zhang Shuhao Reply:
Based on your description, it is more likely to be an anal fissure accompanied by an external skin tag, rather than hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also minimizing the time spent...[Read More] Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
Understanding Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Pink Spots in Stool: Is It Blood?
In the past week, there have been pink spots in the stool? As mentioned in the question, I have recently noticed one or two pink spots at the beginning of my bowel movements. Could this be blood in my stool?
Dr. Zhang Shuhao Reply:
If there are only one or two points of concern, you may want to review your recent diet to see if food residue is the cause. If there is accompanying pain during bowel movements or if you need to strain to pass stool, it could be an anal fissure. You can start by taking warm sitz...[Read More] Understanding Pink Spots in Stool: Is It Blood?
Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Blood in stool, mucus, and gastrointestinal issues? Hello, Doctor. I would like to ask you three questions. 1. In the past, my bowel movements were mostly unformed and diarrhea-like. However, in the last 2-3 months, they have suddenly become more formed, and at the beginning of...
Dr. Zhang Shuhao Reply:
1. Bowel habits are often influenced by diet, exercise, lifestyle, and even psychological stress. Increasing dietary fiber intake can help form more regular stools, and if it does not cause any significant disruption to daily life, it may not be a concern. 2. If there are sympt...[Read More] Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Post-Anal Intercourse Bleeding: Pain, Mucus, and Possible Causes
Bleeding after anal intercourse, followed by pain and white mucus a few days later? Hello Doctor, Medical History: After engaging in anal intercourse with a male partner without using lubricant, I experienced bleeding. A few days later, I developed pain at the anal opening, fre...
Dr. Zhang Shuhao Reply:
If anal intercourse is performed without lubrication, it can easily lead to anal fissures, resulting in bleeding, pain during bowel movements, localized sensory abnormalities, and discharge. It is recommended to take warm sitz baths, increase fluid intake, and consume dietary fib...[Read More] Post-Anal Intercourse Bleeding: Pain, Mucus, and Possible Causes
Understanding Blood in Stool: Hemorrhoids, Anal Fissures, or Cancer?
Rectal bleeding Hello, I would like to ask about a recent issue. For about a week now, I've noticed light red blood when wiping after a bowel movement. The amount of blood is not significant, but I experience pain at the beginning of the bowel movement, which subsides after ...
Dr. Zhang Shuhao Reply:
Based on your description, it is most likely caused by an anal fissure. It is recommended to increase fluid intake to prevent constipation, perform warm sitz baths, and use topical ointments and anti-inflammatory medications. If there is no significant family history or other abd...[Read More] Understanding Blood in Stool: Hemorrhoids, Anal Fissures, or Cancer?
Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions
Difficulty in bowel movements, long-term use of laxatives? Hello, doctor. I have been experiencing recurrent anal fissures for the past five years, approximately once a month. The pain usually subsides after about a week, but I have been consistently applying ointment (because my...
Dr. Zhang Shuhao Reply:
1. The use of topical ointments containing steroids for an extended period can make the mucous membranes more susceptible to injury and wounds may heal more slowly; it is recommended to use them in a phased manner. 2. Traditional Chinese medicine prescribed by a licensed practiti...[Read More] Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions
Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Diarrhea with anal pain? Hello, Doctor: I have hemorrhoids and recently gave birth. My obstetrician helped to reduce them. During this time, I had no issues with normal bowel movements and experienced no pain. However, in the past few days, I have suddenly developed diarrhea, and...
Dr. Zhang Shuhao Reply:
Hemorrhoids typically cause pain due to thrombosis or when a prolapsed hemorrhoid becomes trapped, leading to impaired blood circulation. Based on your description, it seems more like anal fissures causing pain during bowel movements. In addition to warm sitz baths, topical ointm...[Read More] Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Understanding Anal Fissures: Healing Time and Care Tips
Unsure if it is an anal fissure? Hello Doctor, on August 24th, I had hard stools that caused an anal fissure, resulting in bleeding. I immediately went to see a doctor, who confirmed it was an anal fissure. I also used the suppositories prescribed by the doctor for 14 days. I sto...
Dr. Xu Kaixi Reply:
After 14 days of treatment, the anal fissure has largely healed, and a slight stinging sensation is normal. To prevent future fissures, it is recommended to increase fluid intake and consume more fiber from fruits and vegetables to improve constipation, including issues with hard...[Read More] Understanding Anal Fissures: Healing Time and Care Tips
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Bowel issues Hello Doctor, this morning I had a bowel movement that was normal. However, later I experienced some discomfort in my abdomen, which felt crampy and rolling, and then I had diarrhea. After the diarrhea, when I wiped for the fourth or fifth time, I noticed very tiny r...
Dr. Chen Bingze Reply:
Hello, it is recommended that you consult a colorectal surgeon in person to get the most accurate answers to your questions.[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
When Is Rectal Bleeding a Concern Beyond Bowel Movements?
Anal issues Hello, doctor. I would like to ask under what circumstances the anus might bleed when not having a bowel movement? Could it possibly be a gastrointestinal issue? Thank you for your response, doctor.
Dr. Chen Bingze Reply:
Hemorrhoids and anal fissures can occur, and while the likelihood of developing colorectal cancer at your age is relatively low, if you are truly concerned, it is advisable to undergo a colonoscopy for peace of mind.[Read More] When Is Rectal Bleeding a Concern Beyond Bowel Movements?
Understanding Narrow Stools: Causes and When to Seek Help
Stool becomes thin? Hello, doctor. About a month ago, I experienced a very large bowel movement that was difficult to pass, resulting in a tear in my anus that bled significantly. I didn't think much of it at the time, but I became afraid of the pain and avoided going to the...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic to check if straining during bowel movements is causing bleeding around the anus. If there is a noticeable area of bleeding, treatment for anal fissures can be initiated, along with addressing the constipation issue. If there are no bleedin...[Read More] Understanding Narrow Stools: Causes and When to Seek Help
Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper when wiping after a bowel movement, so I consulted a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently visited the doctor 2-3 more times. After performi...
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 recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Understanding Pink Blood in Stool: Possible Causes and Concerns
Bowel issues? Hello doctor, this morning when I wiped after having a bowel movement, I noticed pink blood on the front of the toilet paper, but the stool itself was a normal golden color and there was no blood in the toilet. Later, when I wiped my vaginal area, I also found blood...
Dr. Ke Fangxu Reply:
It seems there isn't much difference from the last photo. If you're this concerned, it might be a good idea to schedule a colonoscopy.[Read More] Understanding Pink Blood in Stool: Possible Causes and Concerns
Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper while wiping after a bowel movement, so I visited a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently went back for 2-3 more visits, and after a digital...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, an...[Read More] Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Understanding Rectal Bleeding: Possible Causes and Solutions
I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...
Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions
Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
External anal skin tag Hello Doctor, about two years ago, I felt a small lump between my anus and vagina. There was no bleeding after bowel movements, but it felt a bit itchy when touched. I have already consulted a colorectal surgeon at the hospital, who performed a physical exa...
Dr. Zhang Shuhao Reply:
The colorectal surgeon diagnosed the polyps caused by excessive straining during bowel movements, which are actually anal skin tags commonly associated with anal fissures. They typically do not present any symptoms, but may occasionally become swollen and painful due to external ...[Read More] Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help