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?
Post-Hemorrhoid Injection: Anal Pain, Groin Discomfort, and Urination Issues
Post-injection pain in the anus and groin, along with difficulty urinating, following hemorrhoid treatment? Hello doctor, I went to see a colorectal specialist this morning because I had bleeding during bowel movements. The doctor diagnosed me with internal hemorrhoids and asked ...
Dr. Zhang Shuhao Reply:
Abnormalities in hemorrhoid injection can lead to varying degrees of inflammatory reactions depending on the medication used, the injection site, and the dosage; however, it rarely causes symptoms throughout the entire pelvic cavity. It is recommended to return to the original ho...[Read More] Post-Hemorrhoid Injection: Anal Pain, Groin Discomfort, and Urination Issues
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 Mucus in Stool After Anal Intercourse: Causes and Concerns
Anal intercourse issues: Mucus in stool? Hello doctor, I would like to ask why, after having anal intercourse with my girlfriend (with sufficient lubrication and anal dilation) and ejaculation, sometimes on the same day or even a week later, her bowel movements occasionally have ...
Dr. Chen Bingze Reply:
Hello, the mucosa in the colon naturally secretes some mucus, and the stimulation from anal intercourse may increase the secretion of mucus.[Read More] Understanding Mucus in Stool After Anal Intercourse: Causes and Concerns
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements, as well as pain when wiping, can indicate conditions such as anal fissures, hemorrhoids, or other anal disorders. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? I expe...
Dr. Zhang Shuhao Reply:
Pain in the anus that feels like being cut with a knife during and after bowel movements is a typical symptom of anal fissures. This condition is often caused by excessive straining during defecation, leading to tears in the anal canal. Taking warm sitz baths and applying topical...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu Reply:
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Understanding Recovery Time After Mole Removal Surgery
Recovery time after mole removal surgery? Hello, doctor. I have read that using an ultrasound knife may lead to slower wound healing. What is the reason for this? I underwent a self-paid ultrasound knife procedure to remove a pilonidal cyst on July 26. Since my first bowel moveme...
Dr. Ke Fangxu Reply:
Not all patients who undergo ultrasonic scalpel surgery experience delayed healing; in fact, the majority of patients typically heal normally. I am not sure why this is the case. However, if there is still discharge and pain one month after surgery, that is indeed unusual. I reco...[Read More] Understanding Recovery Time After Mole Removal Surgery
Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Dull pain in the lower left abdomen after anoscopy? On August 26, I went to the hospital due to anal pain. The doctor performed a sigmoidoscopy and concluded that there was no major issue, just some skin irritation. However, during the procedure, it seemed to irritate my intestin...
Dr. Zhang Shuhao Reply:
In-office anal or rectal examinations rarely cause direct damage to the intestinal wall; most often, they result in mild inflammation or mucosal abrasions. It is advisable to increase fluid intake, enhance the proportion of a liquid diet, and reduce vigorous activities. If abdomi...[Read More] Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Understanding Anal Abscess: Symptoms, Treatment, and Recovery
Anal abscess Reason: On July 19, I experienced anal pain and went to the hospital to see a colorectal surgeon. After examination, the doctor diagnosed me with an anal abscess, approximately 1 cm in size. The doctor prescribed Curam 1000 mg and Acetaminophen to be taken for one we...
Dr. Zhang Shuhao Reply:
1. If the inflammation is mild or it is an early-stage abscess, antibiotics and anti-inflammatory medications can be used for treatment; however, most cases still require incision and drainage, especially when there is significant swelling and pain. 2. If the stool is formed, it ...[Read More] Understanding Anal Abscess: Symptoms, Treatment, and Recovery
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
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Postoperative Pain Issues After Hemorrhoid Surgery I had a hemorrhoidectomy with a tissue coagulation device five days ago. The doctor mentioned that the pain would subside after three days, but it is still very painful after five days. Is this normal? Also, I would like to know ...
Dr. Zhang Shuhao Reply:
Tissue adhesive devices can reduce surgical time and the use of sutures, thereby alleviating postoperative pain. However, the primary impact is still on the size of the external hemorrhoid wound and the tension of the sutures, with some patients experiencing pain for more than tw...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Understanding Anal Pain While Walking: Causes and Solutions
Anal pain while walking? Hello doctor, in November 2021, I sought medical attention due to blood in my stool and severe pain in my anus. The doctor diagnosed me with an anal fissure after performing a rectal examination, stating that it would heal on its own and did not prescribe...
Dr. Xu Kaixi Reply:
It is possible that the pain is due to nerve pain from scar tissue after the healing of an anal fissure. Theoretically, this should improve over time, so it would be advisable to monitor the situation for a while longer.[Read More] Understanding Anal Pain While Walking: Causes and Solutions
Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Rubber band ligation for hemorrhoids? Hello Dr. Ke, I underwent rubber band ligation for hemorrhoids (stage II hemorrhoids) on March 15. On March 19, I noticed that the rubber band had fallen off while using the restroom. Q1: Will this render the procedure ineffective? Q2: Af...
Dr. Ke Fangxu Reply:
1. The detachment of the rubber band is inevitable and does not require excessive concern. 2. If the ligation of hemorrhoids is too superficial, it may cause pain; however, if oral pain relievers can alleviate it, then it is not a problem. It is recommended to take warm sitz bath...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: Common Concerns
Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Hemorrhoid issues Hello Dr. Ke: Since September 2020, I have been experiencing anal pain, which has been diagnosed by several colorectal specialists as mild internal hemorrhoids and a small external hemorrhoid. I have undergone ligation surgery, a flexible sigmoidoscopy, and an M...
Dr. Ke Fangxu Reply:
If a colonoscopy has not been performed, it is advisable to schedule an examination of the entire colon to check for any issues. If the colon is found to be normal, at this age, it is also possible that the pain could be due to sacral nerve pain or pelvic pain syndrome. You may c...[Read More] Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Blood in stool issue? Hello doctor, I am a 33-year-old male. In May, I underwent a fecal occult blood test, and the results were normal. Over the past couple of years, I have experienced anal pain after bowel movements, occasionally with a few drops of blood, but not frequently. ...
Dr. Zhang Shuhao Reply:
Based on age and symptoms, it is more likely to be anal fissure or hemorrhoidal bleeding. In addition to medication, you can take warm sitz baths to promote wound healing, increase fluid and dietary fiber intake, and avoid straining during bowel movements. If symptoms gradually i...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Post-Surgery Recovery: Managing Pain and Bleeding After Hemorrhoid Surgery
Postoperative recovery status after hemorrhoid surgery? Hello, Doctor. I underwent a mole removal surgery on October 19 using a tissue coagulation device. After a month, I experienced minor bleeding from the wound and anal pain during bowel movements. I returned for a follow-up o...
Dr. Zhang Shuhao Reply:
When the hemorrhoid wound has just healed, it is more prone to friction and bleeding, so it is important to avoid straining during bowel movements. In addition to taking stool softeners, it is advisable to drink plenty of water and take warm sitz baths. If the pain and bleeding g...[Read More] Post-Surgery Recovery: Managing Pain and Bleeding After Hemorrhoid Surgery
Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Prolapse & Anal Hygiene Two months ago, I experienced anal pain without any bleeding. My first bowel movement in the morning was normal, but the second and third were loose stools. After three bowel movements, I soaked in warm water, but the pain persisted. I did not have con...
Dr. Xu Kaixi Reply:
Based on your description, the diagnoses during your visits include hemorrhoids and anal fissures, which can coexist and both may cause bleeding and pain during bowel movements. Prolapse refers to the rectum protruding through the anus, with the tissue that comes out being the re...[Read More] Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements? Hello Doctor, a few days ago I experienced pain while having a bowel movement, specifically discomfort at the anal opening, but the discomfort goes away after I finish in the restroom. Today, I checked my stool and there was n...
Dr. Xu Kaixi Reply:
Based on your description, hard stools can indeed be classified as a form of constipation. Hard feces can potentially cause tears in the anal mucosa, known as anal fissures. If the fissures are mild, they may heal on their own. It is recommended that you start by addressing the c...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Fissures and Mixed Hemorrhoids: Symptoms and Treatment Options
Anal fissure, mixed hemorrhoids? Hello Dr. Ke, I apologize for the disturbance. I have issues with internal hemorrhoids and mixed hemorrhoids. Previously, I had internal hemorrhoids that bled, so I underwent rubber band ligation treatment about 3-4 times. One of the hemorrhoids ...
Dr. Ke Fangxu Reply:
1. It is possible that the larger amount of bleeding is due to a combination of anal fissures and hemorrhoids. 2. According to health insurance regulations, a patient can only undergo ligation four times a year; if it exceeds four times, further procedures cannot be performed. A...[Read More] Understanding Anal Fissures and Mixed Hemorrhoids: Symptoms and Treatment Options
Understanding Anal Pain: Causes and Connections to Digestive Issues
Anal pain Hello doctor, I have a history of gastrointestinal issues and often experience abdominal pain. Recently, I have been experiencing abdominal pain, possibly due to my diet and exposure to air conditioning. This time, the abdominal pain is accompanied by a dull ache around...
Dr. Ke Fangxu Reply:
Without imaging references and a personal examination, it is impossible to determine what the issue is. Additionally, since it has now resolved, it is even more difficult to ascertain the cause. Based on your description, it is more likely to be an acute episode of hemorrhoids; h...[Read More] Understanding Anal Pain: Causes and Connections to Digestive Issues