Red Streaks in Toilet Water: Is It Hemorrhoids or Anal Fissures?
There is a slight red color in the toilet water after flushing? Hello, doctor. Recently, I have noticed that after flushing, there are some bright red streaks of residue in my stool (which are not visible before flushing). Occasionally, I feel itching and pain in the anal area wh...
Dr. Zhang Shuhao Reply:
Based on your description, there is a high likelihood of hemorrhoids or anal fissures. It is advisable to take warm sitz baths, increase your fluid intake, and consume more dietary fiber. If symptoms persist, it is recommended to visit a clinic for an examination.[Read More] Red Streaks in Toilet Water: Is It Hemorrhoids or Anal Fissures?
Managing Pain After Internal Hemorrhoid Banding: What to Do?
Internal hemorrhoid ligation Hello Doctor, I would like to ask a question. Yesterday, on August 17th, I visited the doctor who treated my internal hemorrhoids. Initially, I only wanted to address the pain and bleeding from an anal fissure, but the doctor went ahead and treated th...
Dr. Xu Kaixi Reply:
Since the procedure was just completed on August 17, the pain may be a response to the wound. If taking pain medication does not improve the situation, it is advisable to return to the original treating physician for an examination to rule out any other issues.[Read More] Managing Pain After Internal Hemorrhoid Banding: What to Do?
Relieving Anal Itching: Tips and Treatment Options for Comfort
Anal itching Hello, Doctor. 1. I would like to ask if it is okay to apply petroleum jelly to relieve anal itching after a bowel movement? 2. I previously saw a colorectal surgeon for anal fissures, and they prescribed me magnesium oxide as a stool softener. If I finish this m...
Dr. Zhang Shuhao Reply:
1. Vaseline can be applied for relief; if symptoms persist, a topical ointment with antihistamine ingredients should be added. 2. Magnesium oxide is a common medication that is easily obtainable, but long-term use is still recommended under a physician's prescription.[Read More] Relieving Anal Itching: Tips and Treatment Options for Comfort
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Rectal bleeding due to anal fissures? Hello, doctor. I am a patient with ulcerative colitis. At the end of May this year, my colonoscopy results showed that the mucosal tissue has healed. Additionally, I have previously experienced anal fissures due to having stools that are thic...
Dr. Zhang Shuhao Reply:
If there is excessive bleeding from an anal fissure, and it is accompanied by diarrhea or mucus in the stool, it is important to consider whether rectal inflammation is causing the bleeding. In this case, a follow-up appointment for a sigmoidoscopy is necessary, along with ongoin...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Continuing from #199688? Hello, doctor. I would like to ask if the accuracy rates for digital rectal examination and anoscopy are high. If both of these examinations show no significant issues, does that indicate that there is likely not a major problem? Also, I am currently 22 y...
Dr. Zhang Shuhao Reply:
Digital rectal examination and anoscopy are accurate for diagnosing hemorrhoids and anal fissures. If these two examinations reveal signs of bleeding, it is almost certain that the bleeding originates from the anal area, and a colonoscopy is not necessary. At 22 years old, if the...[Read More] Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello Doctor: A few days ago, I noticed some black specks in my stool. After a few days, when I went to the bathroom, I saw some black specks along with a yellowish stool and some watery stool. Today, the stool is not as dark, only two pieces, but I noticed blood ...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding in young people are hemorrhoids or anal fissures. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also avoiding staying up late and drinking alcohol. If symptoms persist, a v...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?
I'm sorry, but I cannot assist with that? Hello, Doctor! Following up on my previous question regarding the presence of blood on toilet paper after wiping, I mentioned that my stool appears yellow, but there is blood alongside it (attached images). Typically, I do not see bl...
Dr. Zhang Shuhao Reply:
It is not possible to determine the cause of bleeding just by looking at the blood. However, bleeding from internal hemorrhoids is usually less likely to be accompanied by pain during bowel movements. If there is sharp pain during or after bowel movements, it is more likely to be...[Read More] Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, Doctor. About three weeks ago (around July 17), I noticed blood on the toilet paper after having a bowel movement. I went to see a colorectal surgeon, who performed a digital examination and diagnosed me with an acute anal fissure. After that, I applied oin...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is anal fissure bleeding. If the location of pain and the results of the physician's digital examination are consistent, and there are no abnormalities found during the rectal examination, treatment for the anal f...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Anal itching and pain? After receiving treatment for hemorrhoids at the clinic, I developed an anal fissure midway through the process, and I have been undergoing repeated treatments for almost three months. Ultimately, both the hemorrhoids and the anal fissure were reported by t...
Dr. Zhang Shuhao Reply:
If hemorrhoids and anal fissures are treated with ointments for too long, it may lead to sensitivity of the skin around the anus, resulting in symptoms such as itching and stinging. In such cases, it is advisable to switch to an antihistamine ointment for treatment. As for the pr...[Read More] Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments
Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Occasional bleeding after hemorrhoid surgery? Thank you for your previous response. The issue of redness, swelling, and itching has improved after changing medication. It has been almost two months since my surgery on June 15. Occasionally, I notice a little blood after bowel mov...
Dr. Zhang Shuhao Reply:
Typically, new anal fissures can occur due to friction at the surgical wound site or from straining during bowel movements. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber. If there is no improvement, further evaluation should be sought.[Read More] Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use
Consultation for Internal Boils Medication Hello, I have anal fissures with bleeding during bowel movements. The doctor prescribed me hemorrhoid suppositories and Yizhi Kang ointment. Should I use one in the morning and one in the evening, or should I finish the suppositories bef...
Dr. Zhang Shuhao Reply:
Apply the ointment once in the morning and once in the evening, using a fingertip or cotton swab to apply it to the swollen and painful area around the anus. Use the suppository once a day, typically before bedtime, and it can be inserted after applying a small amount of ointment...[Read More] Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use
Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Anal fissure issues? Hello Dr. Chang, On July 7th, I experienced an anal fissure after a hard bowel movement. During this time, I took sitz baths for 10 minutes in the morning and evening. After more than a week, I was able to pass stool without pain. However, after a forceful b...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure is defined as a wound that persists for more than eight weeks, typically associated with increased anal sphincter tone and a deeper wound. Based on your description, it is still possible that it is an acute anal fissure. 2. Mixed hemorrhoid prolapse does...[Read More] Understanding Chronic and Acute Anal Fissures: A Patient's Guide
Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids? Due to persistent diarrhea recently, I experienced swelling and pain in the anal area. After seeking medical attention, I was diagnosed with an anal fissure and internal hemorrhoids. The doctor performed a rubber band ligation proced...
Dr. Zhang Shuhao Reply:
Rubber band ligation surgery does not cause severe pain. If pain begins after the ligation, it indicates that the ligation site is too close to the dentate line, and the rubber band should be removed immediately during a follow-up visit. It is generally recommended to use a suppo...[Read More] Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Anal issues Hello Doctor, 1. I would like to ask about the feeling I had the day before yesterday morning, where I constantly felt the urge to have a bowel movement. I sat in the bathroom for a long time but couldn't pass anything. By the afternoon, I finally had some sign...
Dr. Zhang Shuhao Reply:
1. Pain during bowel movements that feels like cutting, accompanied by bleeding, is a typical symptom of anal fissures. It is advisable to take warm sitz baths, avoid irritating the anal wound, and increase fluid intake to prevent constipation. If the pain is severe, it is recomm...[Read More] Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, I previously inquired about experiencing some incontinence after my anal fissure surgery. During my follow-up appointment, the doctor informed me that the sphincter muscle was not excised. Ins...
Dr. Ke Fangxu Reply:
1. All surgeries will leave scars, especially if the surgical area is extensive. Mild tingling is also normal. The scars around the anus will typically heal completely within 1-2 months. Due to the lack of aesthetic concerns, scar removal treatments are generally less common in t...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Skin abrasion from wiping? If you have been experiencing bleeding and pain after wiping too hard, it is possible that you have caused a tear in the anal tissue, commonly known as an anal fissure. This can lead to discomfort, moisture, and bleeding from the anus. It is important t...
Dr. Chen Ronghong Reply:
Hello, if there is a tear around the anus, you can temporarily switch to water washing or moist wipes, but be sure to use gentle pressure. At the same time, avoid consuming spicy foods to prevent irritating the wound. If the wound does not heal over time or keeps recurring, you s...[Read More] Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Is it anal fissure, hemorrhoids, or another condition? I previously experienced severe itching near the anus, and after a digital rectal examination, the doctor diagnosed me with an anal fissure. I underwent treatment for two months and consulted multiple doctors, but my conditio...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a case of anal fissure combined with a small thrombosed hemorrhoid. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The comm...[Read More] Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Understanding Recovery Time After Anal Fissure Surgery: What to Expect
The recovery time for a fissure surgery can vary depending on the individual and the extent of the procedure. Generally, patients can expect the wound to heal within 4 to 6 weeks. However, complete recovery Hello Dr. Zhang, I underwent anal fissure surgery and sentinel mole excis...
Dr. Zhang Shuhao Reply:
1. Anal fissure surgery typically involves the excision of the ulcer and relaxation of the sphincter muscle, with the wound generally healing in about four to six weeks. The terms "sphincter scarring" and "scab formation" usually refer to the same process. 2...[Read More] Understanding Recovery Time After Anal Fissure Surgery: What to Expect