Persistent Anal Itching: Seeking Help for a Year-Long Struggle
Anal itching that has persisted for a year without improvement? Hello Doctor, I have been suffering from anal itching for a year. The symptoms are more pronounced at night, and despite cleaning, I still have a discharge that has a foul odor, similar to water. I can't help bu...
Dr. Ke Fangxu Reply:
Anal itching is a common issue in outpatient clinics. With the use of oral and topical medications, it usually resolves within one to two weeks. However, there are three important precautions to keep in mind: first, avoid scratching; second, limit the intake of spicy foods; and t...[Read More] Persistent Anal Itching: Seeking Help for a Year-Long Struggle
Understanding Hemorrhoids: When to Consider Surgery and Treatment Options
Hemorrhoids are truly concerning? Doctor: Thank you for answering my first question. After considering it, I have decided to forgo the initial plan of surgically removing the external hemorrhoids. I thought leaving the internal hemorrhoids alone wasn't a good idea either. La...
Dr. Ke Fangxu Reply:
The stage of hemorrhoids or the number of hemorrhoids is not particularly important; what matters is whether the symptoms are severe enough to require surgical treatment. If there is currently no bleeding or pain, the benefits of surgery may be minimal. It is advisable to pay mor...[Read More] Understanding Hemorrhoids: When to Consider Surgery and Treatment Options
Understanding Rectal Bleeding: Causes and Treatment Options
Rectal bleeding Hello doctor, today I noticed blood when wiping after a bowel movement, but it only happened the first time and it was very little. This is the second time it has occurred in the past few months, and I usually have issues with constipation. Additionally, I have be...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping. In addition to medication and topical treatments, there are three important considerations: avoid scratching to prevent wound infection, temporarily refrain from consuming spicy foods to prevent capsaicin from irritating the skin, a...[Read More] Understanding Rectal Bleeding: Causes and Treatment Options
Understanding Anal Itching: Causes, Symptoms, and Health Implications
Anal itching? Hello, Director: I have recently been experiencing itching around the anus in the morning or evening. After having a bowel movement in the morning, there is a small amount of blood when I wipe, and sometimes I also experience discomfort. Could this affect my health,...
Dr. Cai Xingzhi Reply:
Dear Ms. Pei-Wen, Thank you for your message. Regarding the issue you raised, we recommend that you schedule an appointment at the surgical outpatient clinic, as a diagnosis can only be made after an evaluation by a physician. The Hualien Hospital of the Ministry of Health and ...[Read More] Understanding Anal Itching: Causes, Symptoms, and Health Implications
Understanding Anal Itching: Causes and When to Seek Help
Anal itching The itching around the anus has persisted for several years, occurring at unpredictable times—sometimes at night and sometimes during the day. It flares up occasionally, but it is not a daily occurrence. However, after each bowel movement, when wiping the anus with t...
Dr. Xu Kaixi Reply:
Based on your description, these white foreign objects could indeed be parasites. It is recommended that you visit a hospital outpatient clinic for further examination.[Read More] Understanding Anal Itching: Causes and When to Seek Help
Understanding Persistent Anal Itching After Fissure and Scar Tissue
Anal itching Hello Doctor, I was diagnosed with anal fissures and mild hemorrhoids at Lixin Hospital in early February this year. I experienced severe pain during bowel movements. After applying ointment and taking warm sitz baths, the pain during bowel movements subsided. Howeve...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping and will not result in swelling due to damage to the sphincter muscle. In addition to medication and topical treatments, there are three important things to keep in mind: avoid scratching to prevent wound infection, temporarily refra...[Read More] Understanding Persistent Anal Itching After Fissure and Scar Tissue
Post-Surgery Anal Itching and Bleeding: Managing Symptoms Abroad
It has been three months since the hemorrhoid surgery, and I am experiencing post-defecation bleeding and anal itching (currently abroad and unable to seek medical attention)? Three months ago, I specifically flew back to Taiwan for a mixed nevus electrosurgery treatment. At that...
Dr. Ke Fangxu Reply:
I personally have limited knowledge about the treatment of mixed hemorrhoids using electrocautery, and I am unclear about which specific instrument is used. I also do not understand why anal dilation is performed postoperatively, as this is not typically seen in standard surgical...[Read More] Post-Surgery Anal Itching and Bleeding: Managing Symptoms Abroad
Understanding Pinworm Treatment and Diarrhea Symptoms: Your Questions Answered
Pinworm medication and diarrhea issues? Hello, I sometimes experience anal itching, and when I wipe with toilet paper, I notice some white, thin, elongated substances on it. I searched online for images and found that they resemble pinworms, so I went to the pharmacy and bought a...
Dr. Ke Fangxu Reply:
1. It is not necessarily the case that in this era, unless one is barefoot farming or traveling to developing countries, one would generally not be at risk of parasitic infections. 2. No issues. 3. This should be addressed by an infectious disease specialist. 4. Lack of flu...[Read More] Understanding Pinworm Treatment and Diarrhea Symptoms: Your Questions Answered
Understanding Rectal Bleeding: Causes, Symptoms, and Recommendations
Rectal bleeding Hello, doctor. I have been experiencing this issue since early March, and it has been about 12 days now. Initially, I had itching around the anus, and then I noticed bright red blood on the toilet paper after each bowel movement. It took three wipes to clean up th...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like anal itching accompanied by slight bleeding. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. In addition to medication and topical treatments for a...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Recommendations
Understanding Anal Lesions: When to Seek Medical Attention
Anal foreign body Recently, I have been experiencing anal itching, which comes and goes. When it itches, it is very intense. I noticed that there seems to be a growth of tissue between the anus and the vagina. The color of this tissue appears different from the surrounding skin, ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be external hemorrhoids accompanied by anal itching. If there is no pain or bleeding, there is no need for concern. In addition to medication and topical treatments for anal itching, you should pay attention to three important things: avoid ...[Read More] Understanding Anal Lesions: When to Seek Medical Attention
Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Two and a half months after hemorrhoid surgery? Hello Dr. Ko: 1. Three months ago, after several days of straining during bowel movements, a small lump about the size of a fingernail protruded and was painful. The outpatient physician diagnosed it as a fourth-degree hemorrhoid ...
Dr. Ke Fangxu Reply:
Answer: Neomycin ointment does not need to be applied deep into the anus. Postoperative bleeding may be due to the wound not being fully healed or prolonged bowel movements. As long as the bleeding is not excessive, it is not a major concern. It is somewhat abnormal to have bleed...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Understanding Anal Itching After Fistula Surgery: Causes and Remedies
Anal itching Two weeks ago, I underwent an anal fistula incision procedure. About a week later, I started experiencing increasing itching around the anal area. During my follow-up appointment today, the doctor diagnosed it as eczema and prescribed a different ointment. I forgot t...
Dr. Ke Fangxu Reply:
1. Post-operative itching at the site of hemorrhoid surgery is often related to the use of povidone-iodine solution during sitz baths. It is recommended that you continue with sitz baths but stop adding povidone-iodine to the water. 2. These issues are likely unrelated to exces...[Read More] Understanding Anal Itching After Fistula Surgery: Causes and Remedies
Understanding Anal Itching and Irregular Bowel Habits After Surgery
Anal itching I apologize for the oversight in my previous question. (I mentioned that I had a fistula surgery two weeks ago, and postoperatively I experienced itching, which was diagnosed as eczema during my follow-up visit.) Additionally, I would like to ask about my bowel movem...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. For anal itching, please pay attention to three things: 1. Do not scratch...[Read More] Understanding Anal Itching and Irregular Bowel Habits After Surgery
Understanding Anal Itching: Causes and When to Seek Help
Anal itching Hello Doctor: Recently, I've been experiencing severe itching around the anus for the past week. I often find myself scratching, and I'm unsure if it's hemorrhoids or an allergic reaction. Due to my busy work schedule, I currently don't have time ...
Dr. Yu Mingchang Reply:
Hello: It is recommended to use less toilet paper and to clean with water instead. The Ministry of Health and Welfare Changhua Hospital cares about your well-being.[Read More] Understanding Anal Itching: Causes and When to Seek Help
Understanding the Necessity of Fistula Surgery: A Patient's Perspective
Fistula surgery Previously, I experienced severe anal itching and visited a proctology clinic before the end of December. The doctor diagnosed me with a fistula but mentioned that my condition was relatively mild (seemingly very minor) and only prescribed anti-inflammatory medica...
Dr. Ke Fangxu Reply:
The anal fistula indeed requires surgical excision for a complete cure; however, this type of surgery cannot be performed in a clinic and must be done in a hospital by a specialist under anesthesia. Therefore, please first visit a colorectal surgery outpatient clinic for a physic...[Read More] Understanding the Necessity of Fistula Surgery: A Patient's Perspective
Understanding Anal Fistula Treatment: When to Seek Surgical Intervention
Treatment of anal fistula Since the first half of last year, I have been experiencing significant itching in my private areas (genital and anal regions). The itching in the genital area was more severe, so I consulted a gynecologist. At that time, I didn't think much about i...
Dr. Ke Fangxu Reply:
Answer: Without a personal examination, it is impossible to definitively determine whether it is a fistula; however, there is no doubt that the condition is anal pruritus. In addition to medication and topical treatments, three important considerations should be noted for managin...[Read More] Understanding Anal Fistula Treatment: When to Seek Surgical Intervention
Understanding Constipation: Causes, Symptoms, and Solutions
Prone to constipation? Hello, doctor. I have had a history of constipation, usually having a bowel movement every two to three days. However, my most recent bowel movement was after four to five days, and it was only a small amount. In the following days, I have only been able to...
Dr. Ke Fangxu Reply:
Constipation can indeed lead to these situations. Young women are generally advised to increase their intake of dietary fiber and maintain a good lifestyle routine. If these measures are ineffective, a physician may prescribe a stool softener. In addition to medication for anal i...[Read More] Understanding Constipation: Causes, Symptoms, and Solutions
Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Anal itching I experienced some hard stools and noticed slight bleeding afterward. I initially thought it would resolve after a while, but I have since experienced pain during bowel movements, even though the stools are not very hard. There have been a few instances of bleeding, ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a typical symptom of anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding. If there is concurrent bleeding from hemorrhoids, the amount of blood may be greater. The primary cause of anal fissu...[Read More] Understanding Anal Itching: Causes, Symptoms, and Treatment Options
Understanding Anal Itching: Causes and When to See a Doctor
Anal itching? Doctor, I have been experiencing itching around my anus recently. While showering, I noticed a small bump near the anus that feels like a flesh-colored growth, but it doesn't hurt; it's just the skin around the anus that is very itchy. Which specialist sho...
Dr. Xu Kaixi Reply:
Based on your description, it may be anal polyps, hemorrhoids, or other skin tumors. It is recommended to visit a surgical outpatient clinic for further examination and diagnosis.[Read More] Understanding Anal Itching: Causes and When to See a Doctor
Understanding Anal Itching: Causes, Symptoms, and Treatments
Anal pruritus Hello doctor, a few days ago I experienced intense itching in my anus. I applied some talcum powder, which provided relief. However, two days later, I started to feel pain in the anal area, and the next day I had difficulty passing stool. I have previously taken ste...
Dr. Ke Fangxu Reply:
Anal itching is a common issue. It is recommended to take warm sitz baths and apply hemorrhoid ointment. If scratching can be avoided, symptoms usually improve within a week. However, if the symptoms are severe and there is skin inflammation, oral medication may be necessary. If ...[Read More] Understanding Anal Itching: Causes, Symptoms, and Treatments