Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective
Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I eat some vegetables, I don't consume the...
Dr. Zhang Shuhao Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/208806">#208806</a>.[Read More] Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Anal Constriction Pain: Causes and Solutions
Anal sphincter pain Hello doctor, for the past two days, I have been experiencing a cramping pain around the anal area, which feels like it is tightening and causing a blockage pain.
Dr. Ke Fangxu Reply:
Anal pain is often due to anal fissures or thrombosed hemorrhoids. If constipation is present, it should be addressed. If symptoms persist without improvement, it is important to consult a physician for a proper diagnosis.[Read More] Understanding Anal Constriction Pain: Causes and Solutions
Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Thrombotic external hemorrhoid On March 1st, I visited a clinic due to anal pain, and the doctor diagnosed me with thrombosed external hemorrhoids. An outpatient procedure was performed to evacuate the thrombus, and I was prescribed a topical ointment. However, on March 3rd, I st...
Dr. Zhang Shuhao Reply:
After squeezing, if swelling occurs again, it may be due to the swelling of the hemorrhoids themselves, not necessarily caused by a thrombosis. It is advisable to take warm sitz baths, along with the use of ointments and anti-inflammatory pain relievers, which can help alleviate ...[Read More] Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Anal pain Doctor, about seven days ago in the evening, I suddenly felt pain in my anus. At that time, the pain occurred during contractions, and I was experiencing diarrhea. Later, it progressed to a point where I felt bloated and painful regardless of what I was doing, and the c...
Dr. Zhang Shuhao Reply:
It may be a symptom of anal fissure. It is recommended to take warm sitz baths and to take oral anti-inflammatory pain relief medication. Consult a colorectal specialist to examine the anal and rectal lesions. Maintain a light diet and increase fluid intake; in most cases, conser...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu Reply:
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
Rubber band ligation for internal hemorrhoids? Hello, I underwent rubber band ligation for internal hemorrhoids on October 12, 2023. On October 13, I noticed bright red blood during bowel movements, and on October 14, there was both dark red and bright red blood. I would like to ...
Dr. Zhang Shuhao Reply:
After hemorrhoid ligation, it is common to experience a small amount of bleeding for a few days, which is considered normal. You can return for your scheduled follow-up appointment. However, if you experience heavy bleeding, passage of blood clots, feelings of dizziness or palpit...[Read More] Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
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 Pain During Bowel Movements: Causes and Solutions
Anal pain during bowel movements? Current Condition: Since around the age of 20, I have experienced a slight stabbing pain during bowel movements, located at the 12 o'clock position, which has gradually worsened over the years. In recent years, the pain has become sharp, aki...
Dr. Ke Fangxu Reply:
1. Cannot be ruled out. 2. A personal examination is necessary to make a determination; online consultations may not be conclusive. 3. It is likely not primarily related to body size. 4. First, consider whether surgery can truly address your concerns; if the surgery exacerbates t...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
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
Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Mild anal pain during bowel movements? Hello Dr. Ke: For over a month, I have occasionally experienced slight pain on the right side of my anus during bowel movements, without any bleeding. When the discomfort is more severe, I feel a mild burning sensation and a swollen foreign ...
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 usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Pain around the anal area? Hello, doctor. Recently, I visited a clinic due to a feeling of heaviness in my anus. The doctor diagnosed me with symptoms of internal and external hemorrhoids and advised me to pay more attention to improving my lifestyle. However, I have recently exp...
Dr. Ke Fangxu Reply:
1. What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis. Online consultations cannot replace actual medical evaluations. It may be related to hemorrhoids, but other conditions canno...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu Reply:
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Anal wound Hello, doctor. I have been experiencing anal pain after bowel movements for a long time, with slight bleeding (similar to a skin tear) after wiping. I tend to be constipated, and a doctor mentioned that this could be due to hard stools, so I didn't pay much attent...
Dr. Zhang Shuhao Reply:
1. Pain and bleeding from the anus after bowel movements may be symptoms of anal fissures. If anal fissures recur, they can lead to the formation of ulcers in the local area, which are less likely to heal on their own. It is necessary to check for the presence of abscesses or fis...[Read More] Understanding Anal Wounds: Symptoms, Causes, and Treatment Options
Managing Anal Pain: Understanding Fissures and Hemorrhoids
Anal fissure Three months ago, I had an anal fissure (with blood when wiping after using the restroom). It finally improved a bit by mid-February (but there is still some sharp pain when using the restroom, no blood, just not in pain all day). However, recently, for some unknown ...
Dr. Ke Fangxu Reply:
If hemorrhoids are large enough that they need to be manually pushed back in, surgical treatment is generally recommended as it tends to yield better results. If there is no improvement with medication, it is best to consult a physician to discuss the necessity of surgery.[Read More] Managing Anal Pain: Understanding Fissures and Hemorrhoids
Unexplained Anal Pain: Causes and Solutions for Discomfort
It doesn't seem like an anal fissure, hemorrhoids, or an anal fistula, but it hurts a lot? Hello Doctor, recently I've been experiencing a sharp pain near my anus while walking for more than half an hour. It feels like a friction burn, and there have been two or three i...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to wear loose-fitting pants and pure cotton underwear, and to change them frequently. Generally speaking, the blood circulation in the perineal area is good, and small wounds heal quickly, usually just requiring the application of antibiotic ointment. If ...[Read More] Unexplained Anal Pain: Causes and Solutions for Discomfort
Understanding Rectal Issues: Blood in Stool or Digestive Problems?
Colorectal issues In recent weeks, I have noticed that my stool contains something resembling red chili flakes after bowel movements. I usually experience constipation, and my bowel habits have not changed significantly. Occasionally, I feel a dull sensation in my lower left abdo...
Dr. Zhang Shuhao Reply:
If the red, flat lesions are mostly related to food residues, you can observe whether there is black stool or brick-red stool, and whether there is accompanying anal pain during bowel movements, as well as symptoms like bloating or abdominal pain. If these symptoms persist, it is...[Read More] Understanding Rectal Issues: Blood in Stool or Digestive Problems?