Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Understanding HPV Warts: Surgical Options and Recovery Insights
Cauliflower and pointed warts? Hello, doctor. I have some follow-up questions regarding the previous discussion (#206522): 1. (Original response) If both the obstetrician-gynecologist and the colorectal surgeon confirm the presence of warts, both doctors can participate in the ...
Dr. Zhang Shuhao Reply:
1. Community clinics or hospitals above the district level can typically arrange for surgeons from different specialties to perform surgeries simultaneously. They may also conduct surgeries in stages by specialty or have the same surgeon address lesions in both the vulvar and ana...[Read More] Understanding HPV Warts: Surgical Options and Recovery Insights
Understanding Rectal Pressure During Exercise: Causes and Concerns
Feeling of anal heaviness or prolapse? Hello, doctor. Due to my exercise routine, I experience a sensation of anal heaviness while jumping rope, but I do not have this feeling when running or during daily activities. I have a history of anal fissures and hemorrhoids. Last Septemb...
Dr. Zhang Shuhao Reply:
A feeling of anal heaviness is a common symptom of anorectal disorders, as the area above the dentate line is innervated by visceral nerves, resulting in less pronounced pain but a sensation of heaviness below that line. Common causes include intestinal inflammation, internal hem...[Read More] Understanding Rectal Pressure During Exercise: Causes and Concerns
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Understanding Mucus in Stool: When to Seek Medical Advice
Bowel issues Hello Doctor, I would like to ask if it is normal to see a translucent white, slightly yellowish mucus on toilet paper after having a bowel movement (similar to nasal mucus). I have experienced this condition before, and it lasted for about 4-5 days before resolving....
Dr. Chen Bingze Reply:
Occasionally, this should be fine. I recommend that if you are concerned, you should undergo a health check-up and have a colonoscopy under anesthesia for peace of mind.[Read More] Understanding Mucus in Stool: When to Seek Medical Advice
Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper while wiping after a bowel movement, so I visited a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently went back for 2-3 more visits, and after a digital...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, an...[Read More] Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Understanding Rectal Bleeding: Possible Causes and Solutions
I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...
Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions
Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
I'm sorry, but I cannot assist with that? Hello, doctor! Today, like the previous two days, I noticed a faint yellow stain when I wiped after using the restroom. Later, I experienced itching around the anus and a feeling of not being completely clean. After about an hour, wh...
Dr. Zhang Shuhao Reply:
1. Minor bleeding may originate from skin abrasions or hemorrhoidal friction, and can be treated with hemorrhoid ointment. 2. If you have already undergone a digital rectal examination and anoscopy by a colorectal surgeon, given your age, it is highly likely that rectal issues ca...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Continuing from #199688? Hello, doctor. I would like to ask if the accuracy rates for digital rectal examination and anoscopy are high. If both of these examinations show no significant issues, does that indicate that there is likely not a major problem? Also, I am currently 22 y...
Dr. Zhang Shuhao Reply:
Digital rectal examination and anoscopy are accurate for diagnosing hemorrhoids and anal fissures. If these two examinations reveal signs of bleeding, it is almost certain that the bleeding originates from the anal area, and a colonoscopy is not necessary. At 22 years old, if the...[Read More] Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Understanding Internal Hemorrhoids: Insights from a Recent Rectal Exam
I'm sorry, but I cannot provide a translation without the specific content you would Hello, Doctor. I visited the colorectal surgery outpatient clinic today, where the doctor performed a digital rectal examination and an anoscopy. After the examination, the doctor mentioned ...
Dr. Zhang Shuhao Reply:
It could be due to friction causing a tear in the anal epithelium, or it may be slight bleeding from internal hemorrhoids. Following the doctor's instructions, sitz baths and applying medication should suffice.[Read More] Understanding Internal Hemorrhoids: Insights from a Recent Rectal Exam
Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
There are red, swollen lumps near the anus? Hello, Doctor. On August 8, while bathing and cleaning my anal area, I noticed a small swollen area on the adjacent skin (which I hadn't noticed before). It feels itchy, and while sitting normally is fine, any significant movement ...
Dr. Zhang Shuhao Reply:
Folliculitis is caused by inflammation of the hair follicles and sebaceous glands in the dermis; anal fistulas originate from the anal glands, which may connect to the rectum or the internal anal canal. Most cases can be diagnosed through detailed palpation and anoscopy. If it is...[Read More] Understanding Red Swelling Near the Anus: Fistula or Folliculitis?
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
One month after undergoing traditional hemorrhoid surgery, I encountered some issues? Hello Dr. Ke, I would like to ask you a question. I have internal hemorrhoids and underwent traditional hemorrhoid surgery at a hospital on June 23rd, which was over a month ago. During my follo...
Dr. Ke Fangxu Reply:
It is possible that straining during bowel movements can cause bleeding from the surgical site. After surgery, it is important to avoid constipation. You can continue taking your usual medications as long as there is no significant bleeding or severe pain. After hemorrhoid surger...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Inquire whether it is related to fistula issues? Recently, I have been experiencing a painful sensation near the anus that feels like a skin tear (it's not very painful, but it affects my mood). When I rinse with hot water, it feels like there is a painful wound similar to a...
Dr. Ke Fangxu Reply:
1. Is it necessary to personally examine the fistula to confirm that it generally needs to meet the three conditions of an internal opening, external opening, and the tract? However, it is not always guaranteed that all three can be identified. 2. Maintain cleanliness and avoid...[Read More] Understanding Anal Fistula Symptoms and Management: Your Questions Answered
Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is rectal bleeding due to hemorrhoids or colon cancer? Recently, I have noticed some changes in my bowel habits; sometimes I have a bowel movement, and sometimes I don't (possibly due to not eating vegetables?). I do not have a regular schedule for bowel movements, but I als...
Dr. Zhang Shuhao Reply:
Rectal bleeding in young individuals is often due to hemorrhoids or anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal clinic for evaluation. A digital rectal e...[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is rectal bleeding from hemorrhoids or colorectal cancer? Recently, my bowel habits have changed; sometimes I have a bowel movement and sometimes I don't (possibly due to not eating vegetables?). I don't have a regular bowel schedule, but I don't experience the urg...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young individuals is often due to anal conditions such as hemorrhoids and anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal ...[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Blood in the stool Hello, Doctor. Recently, I experienced blood in my stool and consulted a colorectal surgeon. Through a digital rectal exam and anoscopy, it was determined that I have mild internal hemorrhoid bleeding. I am currently using an ointment and suppositories, and I a...
Dr. Ke Fangxu Reply:
1. If there is no bleeding, it is not necessary to continue using it. 2. A small amount of bleeding can also be monitored; it does not necessarily require daily use. 3, 4. An anal fistula is a complication of an anal abscess and is not related to hemorrhoids.[Read More] Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids