Understanding Post-Surgery Anal Pain: Is It Hemorrhoids or Infection?
Anal pain and swelling? Hello Doctor, I had surgery for mixed hemorrhoids two months ago. My diet and bowel movements are normal, but sometimes it is difficult to pass stool and it can be painful. Recently, I have felt some swelling and pain inside the anus, and there is some dis...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if there is only mild swelling and pain two months post-surgery, it is likely not an anal abscess. More probable causes could be residual hemorrhoid swelling due to straining during bowel movements or anal fissures. Warm sitz baths combined wi...[Read More] Understanding Post-Surgery Anal Pain: Is It Hemorrhoids or Infection?
Understanding Anal Discomfort: Hemorrhoids or Something More Serious?
Anus..? Dr. Ke experiences some discomfort during bowel movements; after wiping, he noticed a bit of blood on the toilet paper. Subsequently, he has experienced some anal pain. A few days ago, he may have caused some skin tearing and bleeding due to vigorous wiping. Is this relat...
Dr. Ke Fangxu Reply:
Hello: In response to your question. 1. Both may not be able to determine without a personal examination. 2. No.[Read More] Understanding Anal Discomfort: Hemorrhoids or Something More Serious?
Post-Surgery Anal Pain: Understanding Recovery After Rectal Surgery
Postoperative anal pain after rectal surgery? Hello Doctor, my mother is 71 years old. She was diagnosed with rectal cancer in February of this year. In early June, she underwent surgery to remove the rectal tumor and had a colostomy created. In September, she completed the surge...
Dr. Ke Fangxu Reply:
After surgery for low rectal cancer, if a temporary colostomy was performed, there may be a period of symptoms upon reconnection. The lower the tumor's location, the more pronounced the symptoms may be. If radiation therapy was also administered, similar symptoms can occur d...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Rectal Surgery
Understanding Anal Discharge: Causes and Home Remedies
There is discharge from the anus? Hello Dr. Ko, I am currently studying in the UK. My diet and daily routine are normal, and I have not engaged in any inappropriate sexual behavior. About a month ago, I experienced blood in my stool, which I suspect was due to an anal fissure. Si...
Dr. Ke Fangxu Reply:
An anal abscess is often accompanied by symptoms such as fever and anal pain. If left untreated, it may resolve on its own, but in severe cases, it can lead to sepsis and even death. Please do not take this lightly. Most doctors can communicate in English, so you should ask your ...[Read More] Understanding Anal Discharge: Causes and Home Remedies
Understanding Anal Abscess Pain: Is Your Condition Normal?
Anal abscess I went to see a doctor two days ago due to anal pain, and I was diagnosed with an anal abscess. They drained it at that time. I have been taking my medication on schedule, but the pain is getting worse, and I even feel a hard lump near the anus that is extremely pain...
Dr. Ke Fangxu Reply:
Hello: In response to your question, a small anal abscess with limited infection can be treated with incision and drainage in an outpatient setting, along with a week of oral antibiotics for healing. Although there is a 50% chance of developing a fistula as a complication, this i...[Read More] Understanding Anal Abscess Pain: Is Your Condition Normal?
Understanding Anal Pain: Causes, Treatments, and When to Seek Help
Anal pain or discomfort? Hello Doctor: I used to suffer from constipation frequently, and two years ago, I experienced burning pain and bleeding during bowel movements. After seeing a doctor, I discovered I had both internal and external hemorrhoids, as well as anal ulcers. After...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the common causes of anal pain and bleeding are hemorrhoids, anal fissures, and rectal cancer. The possibility of rectal cancer can be ruled out since a digital rectal examination and anoscopy have already been performed. Hemorrhoids and anal ...[Read More] Understanding Anal Pain: Causes, Treatments, and When to Seek Help
Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
Internal hemorrhoid flare-up Hello, Director Ke: Last week, on the first day after using the restroom, I experienced significant bleeding. I started using the ointment and suppositories prescribed by my previous colorectal specialist. For 3-4 consecutive days, there was bleeding,...
Dr. Ke Fangxu Reply:
Hello: In response to your question, based on your description, it seems that the most likely cause is hemorrhoidal bleeding. If self-administered topical medications do not stop the bleeding, you should visit a hospital for a physician's evaluation. Generally, after hemorrh...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
Understanding Anal Pain: Causes and Solutions for Constipation Issues
Anal issues I have been experiencing constipation for a while, and increasing my intake of fruits and vegetables hasn't helped much. Additionally, the amount I pass during bowel movements is not significant. However, in the past few weeks, I have felt pain around the anal ar...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Department of Surgery, Tainan Hospital, Ministry of Health and Welfare: These symptoms are related to constipation, and common conditions around the anal area, such as hemorrhoids, may also present similar symptoms. It is recommended to visit the outpa...[Read More] Understanding Anal Pain: Causes and Solutions for Constipation Issues
Understanding Internal Hemorrhoids: When to Consider a Follow-Up Colonoscopy
Regarding internal hemorrhoids? Hello, doctor. A year and a half ago, I experienced significant bleeding during bowel movements and went to the hospital for an examination. The doctor diagnosed me with internal hemorrhoids and I underwent a rubber band ligation procedure, which i...
Dr. Ke Fangxu Reply:
Mild bleeding after bowel movements is a common occurrence associated with hemorrhoids. Diarrhea and constipation can exacerbate this issue, so it is essential to improve your bowel habits rather than maintaining irregular bowel movements and worrying about bleeding. If the bleed...[Read More] Understanding Internal Hemorrhoids: When to Consider a Follow-Up Colonoscopy
Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Anal issues Hello, Dr. Ke. I discovered I had two internal hemorrhoids and one external hemorrhoid during an examination at a nearby clinic around July or August of this year. Initially, I underwent a ligation procedure for the two internal hemorrhoids, while the external hemorrh...
Dr. Ke Fangxu Reply:
A burning sensation is not necessarily caused by hemorrhoids resulting from treatment; the hemorrhoids themselves can also lead to abnormal sensations in the anal area. However, this does not pose a threat to life. It is recommended to use topical ointments for treatment. If it c...[Read More] Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Understanding Blood in Stool: Causes and Solutions for Anal Discomfort
Blood in the stool? Hello Doctor: Since last Tuesday, I have been experiencing itching in my anus and genital area, which has led me to scratch. For the past few days, my stool has been dark and appears to be in small, sinking pieces rather than floating. This is related to a que...
Dr. Ke Fangxu Reply:
Pain during bowel movements accompanied by blood on wiping is a typical symptom of anal fissure. Given your constipation issues, a diagnosis of anal fissure can be reasonably confirmed at your age. The primary treatment for anal fissures is to improve constipation and diarrhea. I...[Read More] Understanding Blood in Stool: Causes and Solutions for Anal Discomfort
Can Internal Hemorrhoids Cause Abdominal Pain? Expert Insights
Can internal hemorrhoids cause abdominal pain? Hello, Dr. Yu. I went to the emergency room the evening before yesterday due to sudden pain in my anus (accompanied by abdominal pain). The doctor diagnosed me with internal hemorrhoids during the examination, but there was no bleedi...
Dr. Yu Mingchang Reply:
Hello^^ The internal organs are unlikely to cause abdominal pain. I recommend that you see a gastroenterologist or a general surgeon to determine the cause of your abdominal pain. Thank you![Read More] Can Internal Hemorrhoids Cause Abdominal Pain? Expert Insights
Persistent Pain from Hemorrhoids: Seeking Relief Beyond Surgery
Hemorrhoidal pain lasting more than one month? Hello Doctor, I would like to ask about an issue I experienced about a month ago. One morning, after having a bowel movement, I felt particularly strained and as if I couldn't finish. Afterward, a large mass came out, which I pu...
Dr. Ke Fangxu Reply:
Anal pain that does not heal is usually caused by anal fissures. If you have searched previous articles, you may find that many people experience this issue. It is generally recommended to treat it with topical medications, along with warm sitz baths, and to avoid diarrhea or con...[Read More] Persistent Pain from Hemorrhoids: Seeking Relief Beyond Surgery
Understanding Bleeding Diarrhea: Is It Hemorrhoids or Anal Fissures?
Bloody diarrhea Hello Dr. Ke: I started experiencing diarrhea the day before yesterday, with bowel movements approximately every 1 to 2 hours, totaling 4 times. The first time, I had abdominal cramps, and the stool was not much. The second time, I felt some discomfort in the lowe...
Dr. Ke Fangxu Reply:
Whether it's hemorrhoids or anal fissures, the treatment approach typically starts with the use of suppositories, which can be combined with oral medications to control bleeding. If bleeding stops within two to three days, there is usually no cause for concern. However, if t...[Read More] Understanding Bleeding Diarrhea: Is It Hemorrhoids or Anal Fissures?
Fistula or Anal Fissure: Understanding Your Symptoms and Diagnosis
Anal fistula or fissure? Hello Dr. Ke, over two years ago, I felt a swelling sensation near my coccyx, and sometimes I experienced sharp pain in my anus. I went to Hsinchu Mackay Memorial Hospital to see a colorectal surgeon, who noted a hard area near my coccyx that was somewhat...
Dr. Ke Fangxu Reply:
The most accurate method for examining anal fistulas is digital rectal examination, as it allows for precise palpation of the fistula's course and opening. Not all high-tech diagnostic methods are necessarily more accurate. Chronic anal fissures may lead to the formation of ...[Read More] Fistula or Anal Fissure: Understanding Your Symptoms and Diagnosis
Understanding Anal Pain: Possible Causes and Solutions for Discomfort
Anal pain..? Hello Doctor: I have external hemorrhoids, but they are not painful. However, I can feel a hard lump about 0.5 cm in size at the anal sphincter that causes a sharp pain. While it is not unbearable, it is still uncomfortable. Since there is no bleeding or discharge du...
Dr. Ke Fangxu Reply:
If the painful area is not the prostate, then it could be the rectum or the surrounding tissues. Without a personal examination, it is difficult to determine the exact issue, as factors such as the duration of pain, bowel habits, and the presence of fever can all influence the di...[Read More] Understanding Anal Pain: Possible Causes and Solutions for Discomfort
Understanding Anal Fissures: Symptoms, Causes, and Healing Time
Anal fissure issues? Hello, Director Ke: I have internal hemorrhoids. Two days ago, I had difficulty passing stool, which got stuck at the anal opening. I had to strain for 7 to 8 minutes to get it out; the stool was hard, large, and foul-smelling. I did not see any blood at that...
Dr. Ke Fangxu Reply:
Answer: The significant bleeding that occurs after constipation is mostly caused by hemorrhoidal bleeding. Generally, anal fissure bleeding is less common, but it cannot be completely ruled out. It is also quite common for both conditions to coexist. The key is to improve bowel h...[Read More] Understanding Anal Fissures: Symptoms, Causes, and Healing Time
Understanding Symptoms: Is It an Anal Fistula or Something Else?
Are these symptoms related to the anal canal? Hello Dr. Ke: About two to three months ago, I experienced diarrhea, which, combined with my pre-existing internal hemorrhoids, led to an anal fissure with bleeding. For the past two to three months, I have been applying medication an...
Dr. Ke Fangxu Reply:
Chronic anal pain following long-term diarrhea is usually caused by anal fissures rather than fistulas. If the pain persists, it is important to consult a physician for diagnosis and treatment; otherwise, if a fistula is present, there may be complications due to infection. Howev...[Read More] Understanding Symptoms: Is It an Anal Fistula or Something Else?
Understanding Anal Pain: Causes and Treatment Options
Anal pain Hello doctor, I experience swelling and pain in the anal area when I use the restroom. Every time I have a bowel movement, it is very painful. When I touch the area, I can feel two round lumps at the anal opening, and I cannot push them back in. What should I do? Thank ...
Dr. Ke Fangxu Reply:
Hello, based on your description, it seems you may be experiencing a prolapsed hemorrhoid. If you are unable to push it back in with your hand, please do not force it. It is recommended to take warm sitz baths to promote blood circulation and reduce swelling. If the symptoms pers...[Read More] Understanding Anal Pain: Causes and Treatment Options
Understanding Anal Pain: Causes and When to Seek Help
Anal pain Hello Doctor: A few days ago, I suddenly experienced a pain in my anus while using the restroom. Initially, I thought it was caused by constipation, but after a few days, my bowel movements became regular. However, the pain in my anus has not decreased; in fact, it has ...
Dr. Hou Yongji Reply:
Hello: This situation may be an acute flare-up of a fistula, or it could be an anal abscess or anal fissure. Please visit the outpatient clinic for further examination. Wishing you good health.[Read More] Understanding Anal Pain: Causes and When to Seek Help