Understanding Rectal Bleeding: Causes and Solutions for Patients
Rectal bleeding Hello Doctor, I had a medical visit in April 2021 due to blood in my stool, during which I underwent a colonoscopy. The doctor informed me that there were no polyps in my intestines and recommended that I have another colonoscopy in 3-5 years. The final diagnosis ...
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 Solutions for Patients
How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
For chronic anal fissures, it is generally recommended to take sitz baths several times a day, typically 2 to 3 times. Each sitz bath should last about 10 to 15 minutes. This practice can help alleviate discomfort and promote Currently, I have a chronic anal fissure. When I visit...
Dr. Ke Fangxu Reply:
Warm sitz baths can help relieve pain, maintain cleanliness, and promote blood circulation. It is generally recommended to take a sitz bath at least four times a day (morning, noon, evening, and before bed). If it is inconvenient during work hours, you can skip the midday bath. I...[Read More] How Many Sitz Baths Are Ideal for Chronic Anal Fissures?
Can You Swim in the Ocean with Suspected Anal Fissures?
If you suspect you have an anal fissure, it is generally advisable to avoid swimming in seawater until the condition improves. Saltwater can irritate the sensitive tissue and may exacerbate discomfort or delay healing. It's best to consult with a healthcare professional for ...
Dr. Xu Kaixi Reply:
Based on your description, it is likely that you have a hemorrhoid with a possible skin tear. Unless there is significant pain or persistent bleeding, theoretically, it should not affect water activities.[Read More] Can You Swim in the Ocean with Suspected Anal Fissures?
Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
It has been about six months since the anal fissure surgery (internal sphincterotomy), and I am experiencing soreness and a twitching sensation near the surgical site? Hello, I had an anal fissure and underwent an internal sphincterotomy in mid-February of this year. The wound sh...
Dr. Zhang Shuhao Reply:
During the wound healing process, it is common to experience abnormal sensations. If a physical examination shows no signs of inflammation or infection, the standard treatment includes warm sitz baths and muscle relaxants. These abnormal sensations typically improve over time, po...[Read More] Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
Understanding Chronic Anal Fissures: Pain Management and Healing Options
Issues with anal fissures lasting over two months? For the past two months, I have experienced pain every time I use the restroom. I have tried soaking in warm water and using topical ointments and suppositories, and I have been mindful of my diet, with no issues of constipation....
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel m...[Read More] Understanding Chronic Anal Fissures: Pain Management and Healing Options
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Occasional Blood in Stool After Hemorrhoid Surgery
Two months after hemorrhoid surgery, there are occasional instances of bloody stools? Hello doctor, I underwent a hemorrhoidectomy for mixed hemorrhoids in early May. During my follow-up appointment, the doctor mentioned that the wound has healed, but recently I have occasionally...
Dr. Zhang Shuhao Reply:
Two months after the surgery, the wound should be fully healed, and a recurrence within such a short time is unlikely. At this point, bleeding may be due to residual hemorrhoidal tissue that was not completely excised during the procedure, or it could originate from the rectum or...[Read More] Understanding Occasional Blood in Stool After Hemorrhoid Surgery
Understanding Rectal Bleeding: Causes and When to Seek Help
Frequent bleeding during bowel movements? Hello, doctor. During one bowel movement, my stool was quite dry and hard, which seemed to have scraped the mucosa or aggravated my hemorrhoids. Since that painful incident, I haven't experienced pain again, but I have been noticing ...
Dr. Chen Ronghong Reply:
Hello Huan, based on your description, both anal fissures and hemorrhoids are possible. If even soft stools cause bleeding, you should be cautious about whether you are straining too much while wiping after a bowel movement. If you frequently have hard stools, it is important to ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Anal Papillae: Common Questions and Concerns Explained
Please provide the content you would like me to translate into English? Dear Dr. Chang, Thank you very much for your responses and guidance regarding inquiries #183646, #183613, and #183580. I apologize for bothering you again with further questions, as there is very little info...
Dr. Zhang Shuhao Reply:
The anal papillomas that protrude during bowel movements are mostly caused by internal hemorrhoids. Based on your description, it aligns with the symptoms of internal hemorrhoids. You can visit a clinic for a digital rectal examination or an anoscopy to obtain a definitive diagno...[Read More] Understanding Anal Papillae: Common Questions and Concerns Explained
Understanding Rectal Bleeding: Causes, Symptoms, and When to See a Doctor
Rectal bleeding? Around March, I developed an anal fissure due to hard stools, which led to the formation of a skin tag at the anal opening. The doctor mentioned that the fissure caused the hemorrhoids to become more pronounced. I experienced significant pain and bleeding after b...
Dr. Yu Mingchang Reply:
Hello: The issue is not significant; just wait for the colonoscopy.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to See a Doctor
Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Is an ulcer the same as an anal fissure? I have irritable bowel syndrome with frequent diarrhea. Recently, for over a month, I've experienced some pain after using the restroom. I used a suppository for nearly a month, thinking it had improved, but then the pain became notic...
Dr. Ke Fangxu Reply:
Anal fissures can present with ulcerative lesions, but the presence of an ulcer does not necessarily indicate an anal fissure. Your condition is likely caused by a localized issue leading to anal trauma. You can apply ointment inside the affected area; it is acceptable to apply i...[Read More] Are Ulcers the Same as Anal Fissures? Understanding Your Symptoms
Understanding Chronic Anal Fissures: When to Consider Surgery?
I would like to consult a doctor regarding a suspected case of chronic anal fissure? I have had both external and internal hemorrhoids for about four years, and after treatment, I have been managing my internal hemorrhoids over the past two years, with no external hemorrhoids rem...
Dr. Ke Fangxu Reply:
1. This needs to be examined; it cannot be determined solely based on a written description. 2. Surgery for anal fissures is generally only recommended if there is severe pain that affects daily activities; if there is no significant pain, surgery is not necessary. 3. Please ...[Read More] Understanding Chronic Anal Fissures: When to Consider Surgery?
Understanding Painful Red Bumps Near the Anus: Causes and Concerns
A red swollen mass near the anus? Hello, Doctor: About a week ago, after experiencing diarrhea, I felt discomfort in my buttocks the following afternoon. Upon examination, I discovered a red, swollen bump near my anus. There was a sharp pain when I strained, squatted, or touched ...
Dr. Yu Mingchang Reply:
Hello: The anal fissure has ruptured, and it has now turned into an anal fistula. Changhua Hospital is concerned about your well-being.[Read More] Understanding Painful Red Bumps Near the Anus: Causes and Concerns
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello, doctor. I have a question. I originally had hemorrhoids and every time I have a bowel movement, I need to use my finger to push the hemorrhoids back in. Recently, I have been experiencing rectal bleeding for a month. The blood does not fill the toilet; it o...
Dr. Zhang Shuhao Reply:
If there is no pain and bowel movements do not require much effort, it is less likely to be an anal fissure and more indicative of symptoms related to internal hemorrhoids. It is recommended to drink plenty of water during the episode, maintain a light diet, and take warm sitz ba...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Can Chronic Anal Fissures Heal with Proper Care?
Can chronic old anal fissures heal? I have had an anal fissure for five years. I feel like it's a small wound, but it keeps getting injured repeatedly. Now, having a bowel movement is painful, but there is no bleeding. I irrationally and unscientifically wonder if the wound ...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal on their own; however, if the same area is repeatedly injured, it can lead to a chronic ulcer that is difficult to heal spontaneously. In such cases, surgical intervention is required to excise the ulcer and slightly relax the anal sphincter, al...[Read More] Can Chronic Anal Fissures Heal with Proper Care?
Blood on Toilet Paper After Bowel Movement: What You Should Know
There is blood after wiping following a bowel movement? Hello, doctor. Today, after having a bowel movement, I noticed a small amount of brick-red blood on the toilet paper, along with some mucus. However, after wiping a second time, it appeared normal. My stool was long and some...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young people is often associated with hemorrhoids and anal fissures. Hemorrhoids are more likely to occur with irregular schedules and constipation. It is recommended to drink plenty of water, increase dietary fiber intake, avoid staying up late...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Understanding Anal Pain: Causes and Treatments for Fissures and Hemorrhoids
Anal pain Hello doctor, two months ago I experienced severe pain in my anus after bowel movements, which lasted about 12 hours before gradually easing. After seeing a doctor, I was diagnosed with an anal fissure. I have stage three hemorrhoids, and when the stool protrudes, it ca...
Dr. Zhang Shuhao Reply:
Straining during bowel movements and pain after defecation are typically caused by anal fissures. Pain associated with internal hemorrhoids can occur in two situations: one is in the case of mixed hemorrhoids, which occur alongside external hemorrhoids; since the boundary between...[Read More] Understanding Anal Pain: Causes and Treatments for Fissures and Hemorrhoids
Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
There is a small white spot on the inner wall of the anus? Due to issues with constipation and bloating, I have been using glycerin suppositories to relieve constipation and gas. Recently, after using the suppositories twice with too much force, I noticed that I was digging into ...
Dr. Zhang Shuhao Reply:
The small white spots may be papillomas formed after anal fissures or injuries to the rectum. If they are painful, they could be ulcers. It is recommended to reduce the frequency of self-administered enemas and to improve dietary habits to aid bowel movements. The likelihood of m...[Read More] Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
Is Brownish Stool with Blood a Sign of Colon Cancer?
Is yellow-brown stool with a bit of blood a sign of colon cancer? Previously, I experienced a sharp pain in the anus during bowel movements, accompanied by a small amount of bright red blood upon wiping. I thought it was just due to hard stools causing anal fissures. However, aft...
Dr. Zhang Shuhao Reply:
If there is sharp pain accompanied by a small amount of bleeding during bowel movements, it is consistent with the symptoms of anal fissure. It is recommended to take warm sitz baths and use anti-inflammatory ointments, as well as to increase fluid intake to avoid constipation. I...[Read More] Is Brownish Stool with Blood a Sign of Colon Cancer?