Post-Surgery Concerns: Understanding Symptoms After Hemorrhoid Laser Treatment
Post-hemorrhoid surgery Hello, doctor. I would like to ask you about my laser minimally invasive surgery that I had in April of last year for internal and external hemorrhoids. During this time, I have occasionally experienced slight bleeding when wiping after a bowel movement. I...
Dr. Zhang Shuhao Reply:
If there is pain during or after bowel movements, it is mostly related to anal fissures. Any injury can cause slight bleeding and tissue fluid, but it does not necessarily indicate an infection or inflammation. It is recommended to take warm sitz baths and use ointments, as well ...[Read More] Post-Surgery Concerns: Understanding Symptoms After Hemorrhoid Laser Treatment
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. For the past three days, I have been experiencing blood in my stool. The blood is separate from the stool, and it drips into the toilet when I have a bowel movement. What could be the issue? Do I need further examination?
Dr. Chen Jiaming Reply:
Based on your description, it is possible that hard stools are causing internal hemorrhoids or mucosal friction bleeding, and it may also lead to anal fissures. It is recommended to visit a colorectal surgery clinic for further evaluation. Additionally, increasing fluid intake (y...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continued Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small red object in my stool, which is more pronounced than yesterday (the link below has a picture). I would like to know if this is related to ...
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 Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continuation Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small piece of red in my stool, which is more noticeable than yesterday (the link below has a picture). I would like to know if this could be ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation causing minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly mor...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Hemorrhoids or Something More Serious?
Bowel issues Hello doctor, today when I went to the bathroom, I noticed a thin red line about 0.5 cm long in my stool (the part circled in the image in the link). I have previously been diagnosed with internal hemorrhoids and a mild anal fissure. Additionally, I ate some carrots ...
Dr. Zhang Shuhao Reply:
These two photos do not appear to show signs of gastrointestinal bleeding, but intestinal bleeding can sometimes be undetectable to the naked eye. Therefore, a fecal occult blood test is conducted to identify microscopic bleeding that is not visible. If there are concerns, you ca...[Read More] Understanding Blood in Stool: Hemorrhoids or Something More Serious?
Understanding Painful Bowel Movements: Causes and Treatments
Recurrent sharp pain and bleeding during bowel movements? I had been taking weight loss pills for 2-3 years, which led to constipation. Recently, when I had a bowel movement, my stool seemed very hard, and the moment I exerted myself, it felt like I was being cut with a knife, ca...
Dr. Yu Mingchang Reply:
There is a higher possibility of anal fissures, so it is advisable to consult a colorectal specialist.[Read More] Understanding Painful Bowel Movements: Causes and Treatments
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? A few days ago, the doctor noticed that the stool was harder than usual, and there was blood when wiping afterward. In recent days, there has also been blood on the tissue after bowel movements. The blood is bright red but not mixed in with the stool; it is on...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Hemorrhoid issues Doctor, I’ve heard that everyone has hemorrhoids to varying degrees, and asymptomatic hemorrhoids are considered normal physiological tissue. I previously experienced constipation and anal fissures, but they were not severe enough to require treatment. A few day...
Dr. Ke Fangxu Reply:
If hemorrhoids are not accompanied by bleeding or pain, there is generally no reason for aggressive treatment. Swelling is often related to prolonged bowel movements. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Spicy and...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Depression of the perianal skin after healing? Previously, I had an anal fissure that led to prolonged sitz baths and the use of hemorrhoid ointments for several months, which resulted in severe dermatitis and skin breakdown. When I visited the hospital, they advised me to discon...
Dr. Ke Fangxu Reply:
In theory, once an anal fissure heals, there should be no pain unless it is due to pre-existing chronic fissures caused by excessive sphincter contraction. If the pain is intolerable and affects daily activities, one can try using rectal suppositories for a period of time. Otherw...[Read More] Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I have a daily bowel habit, averaging once a day and not exceeding twice, with normal stools consisting of two to three pieces (without abdominal pain). I usually monitor my stools, and today, as usual, my bowel movement was normal, smooth, and quick (taking about...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Painful Bowel Movements and Possible Anal Fissures
Bowel movement issues Hello Doctor, I have been experiencing pain during bowel movements for the past few months, and I have noticed bright red blood at the end of my stool, in the toilet, and on the toilet paper. Could this be an anal fissure? Additionally, a few years ago, I no...
Dr. Zhang Shuhao Reply:
Pain and bleeding during and after bowel movements are typical symptoms of anal fissures, which are caused by hard stools, straining during defecation, and increased tension in the anal sphincter. Over time, the fissure can lead to the formation of a sentinel pile at the anal ope...[Read More] Understanding Painful Bowel Movements and Possible Anal Fissures
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello Doctor, from last Thursday to Saturday, I experienced bleeding during bowel movements, but it wasn't blood in the stool. There was blood on the toilet paper when I wiped, but I didn't feel any discomfort, just a little irritation from possibly wipi...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Hemorrhoid issues Hello, Director Ke. I would like to ask: 1. I currently have some tissue around the anal area that looks like hemorrhoids. There is no significant swelling, pain, prolapse, or bleeding, and the sensation of a foreign body is mild. I only experience occasional an...
Dr. Ke Fangxu Reply:
1. Surgery is not necessary for hemorrhoids if there is no persistent bleeding, severe pain, or significant prolapse; most cases can be improved through lifestyle modifications and changes in bowel habits. 2. Hemorrhoids do not progress to rectal prolapse or rectal prolapse. If...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Understanding Hemorrhoids and Anal Issues: When to Seek Medical Advice
Intestinal and anal issues? Hello, doctor. I would like to ask: (1) If I discover several hemorrhoids both inside and outside my anus, but there is no significant pain, prolapse, or bleeding, do I need to seek medical attention? If left untreated, could it worsen? (2) Occasionall...
Dr. Zhang Shuhao Reply:
(1) Hemorrhoids that do not present with significant pain, prolapse, or bleeding may not require treatment and are unlikely to undergo malignant transformation. Surgery is only necessary when they affect the quality of life. However, it is recommended to cultivate good dietary an...[Read More] Understanding Hemorrhoids and Anal Issues: When to Seek Medical Advice
Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery
MgO and Broen-C medication issues? Hello, doctor. Last Sunday, I experienced an acute anal fissure and started taking 250 mg of magnesium oxide (MgO) with meals at noon and in the evening, while also taking 3 to 4 tablets of Broen-C (enteric-coated bromelain and L-cysteine) daily...
Dr. Zhang Shuhao Reply:
1. MgO can be discontinued immediately, as this medication is not habit-forming. 2. Long-term use of Broen C does not pose significant harm, and it can be stopped when there is no discomfort. 3. It is normal for the healing wound to itch, but if there is redness or allergic react...[Read More] Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery
Blood When Wiping: Should You See a Doctor for Anal Pain?
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions In the morning, there was a strong urge to have a bowel movement. While using the toilet, I noticed a small amount of bright red bloo...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Blood When Wiping: Should You See a Doctor for Anal Pain?
Understanding Anal Pain: Could It Be Hemorrhoids?
Anal pain A few days ago, after doing squats, I initially thought it was just muscle soreness, but later I discovered that there is a painful spot near the anus that hurts when pressed. There doesn't seem to be any visible abnormalities, but it hurts a lot when I sneeze or d...
Dr. Zhang Shuhao Reply:
Pain around the anus may be caused by anal fissures, skin wounds, abscesses due to inflammatory infections, hemorrhoids, and other reasons. Squatting can obstruct pelvic venous return, potentially exacerbating hemorrhoid symptoms. Straining during bowel movements can cause sharp,...[Read More] Understanding Anal Pain: Could It Be Hemorrhoids?
Understanding Blood in Stool: Causes and When to Seek Medical Help
Rectal bleeding Hello Doctor: After using the restroom, I noticed blood in my stool, as the toilet water was stained red. I couldn't determine if there was blood mixed in with the stool, but I did see some thick blood on the toilet bowl, and there was blood on the toilet pap...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger...[Read More] Understanding Blood in Stool: Causes and When to Seek Medical Help
Understanding Anal Hygiene and Stool Consistency Issues
Anal hygiene and stool consistency issues? Hello, doctor. I have been struggling with anxiety and obsessive cleanliness, particularly regarding anal hygiene. Recently, due to the stress of midterm exams, my obsessive-compulsive symptoms worsened, and I felt the need to clean exce...
Dr. Chen Bingze Reply:
Hello, for questions 1 and 2, I suggest using more water for cleansing, as it will be cleaner than just wiping. 3. This is indeed a more troublesome issue, but taking a sitz bath once a day for fifteen minutes should be manageable. 4. You can also consider using suppositories, as...[Read More] Understanding Anal Hygiene and Stool Consistency Issues
Understanding Anal Fissures: Causes, Treatment, and Dietary Tips
Management of Anal Fissures Hello, doctor. I apologize for bothering you again. I didn't get to ask a few questions yesterday: 1. What could be the possible reasons for having hard, bulky stools at the front but smooth at the back, and how can this be improved? 2. Under co...
Dr. Zhang Shuhao Reply:
1. There may be insufficient hydration and dietary fiber, leading to slower colonic motility or prolonged retention of stool in the rectum. Improving dietary habits, increasing physical activity, and establishing regular bowel habits can help. 2. Maintaining a regular schedule ...[Read More] Understanding Anal Fissures: Causes, Treatment, and Dietary Tips