Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes
Issues related to internal hemorrhoids? Since last week, I have been experiencing occasional sharp pain and a foreign body sensation in my anus. I visited a nearby clinic, where they performed an anoscopy and diagnosed me with internal hemorrhoids. I was prescribed oral medicatio...
Dr. Xu Kaixi Reply:
Hemorrhoids (including internal and external hemorrhoids) are varicosities of the veins around the anus, and theoretically, they cannot be cured but can only be managed to prevent worsening and inflammation. Dietary management includes reducing or avoiding excessive alcohol consu...[Read More] Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes
Can Stool Softeners Cause Abdominal Pain or Hemorrhoids?
Please provide the content you would like me to translate? Could the recent use of stool softeners be causing my abdominal pain? Does my situation resemble hemorrhoids more closely? I found information online that suggests it might be colon cancer. Could you please provide more d...
Dr. Zhang Shuhao Reply:
The use of laxatives that promote intestinal motility may sometimes cause mild abdominal cramping. Hemorrhoidal bleeding and certain bowel issues can be difficult to distinguish from colorectal cancer. If there are concerns, it is advisable to visit an outpatient clinic for a dig...[Read More] Can Stool Softeners Cause Abdominal Pain or Hemorrhoids?
Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Rectal bleeding, with a history of hemorrhoids and previous diagnosis of genital warts? In the past week, I have noticed blood stains on the toilet paper after wiping. Although I have experienced this before, it usually resolves within one or two days. This time, however, it has ...
Dr. Zhang Shuhao Reply:
Anal fissures and internal hemorrhoids can cause rectal bleeding, and it is not necessarily related to condyloma. Recurrences of condyloma in the anal canal are usually difficult to self-detect, so it is recommended to visit a colorectal clinic for diagnosis via anoscopy.[Read More] Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Understanding Rectal Bleeding: Is It Anal Fissure?
Blood in the stool? Hello, Doctor: I have previously experienced pain and bleeding from the anus due to hard stools. However, in the past few days, even when my stools are soft or loose, I still feel a sharp pain in the anus, and there is bright red blood on the toilet paper afte...
Dr. Zhang Shuhao Reply:
The sharp pain during and after bowel movements, accompanied by bleeding, is a typical symptom of anal fissure. It is advisable to take warm sitz baths, use topical ointments, and adjust your diet to prevent constipation. If you are concerned, you can seek medical attention for a...[Read More] Understanding Rectal Bleeding: Is It Anal Fissure?
Is It a Thrombosed External Hemorrhoid or Another Issue?
I'm not sure if it's a thrombosed external hemorrhoid? Hello, Doctor. Last month, I underwent rubber band ligation for internal hemorrhoids at the hospital, and they mentioned that I would have another procedure for a different internal hemorrhoid next month. A few days...
Dr. Ke Fangxu Reply:
1. Based on the photo, it is possible that it is a small thrombosed external hemorrhoid, which may occur after ligation. 2. Anal fissures are located inside the anal canal and cannot be seen with the naked eye from the outside; they require a digital rectal examination or anoscop...[Read More] Is It a Thrombosed External Hemorrhoid or Another Issue?
Understanding Anal Papillae: Common Questions and Concerns Explained
Please provide the content you would like me to translate into English? Dear Dr. Chang, Thank you very much for your responses and guidance regarding inquiries #183646, #183613, and #183580. I apologize for bothering you again with further questions, as there is very little info...
Dr. Zhang Shuhao Reply:
The anal papillomas that protrude during bowel movements are mostly caused by internal hemorrhoids. Based on your description, it aligns with the symptoms of internal hemorrhoids. You can visit a clinic for a digital rectal examination or an anoscopy to obtain a definitive diagno...[Read More] Understanding Anal Papillae: Common Questions and Concerns Explained
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Recently, I have been experiencing rectal bleeding that resembles the amount of blood during my menstrual period. This morning, when I tried to use the bathroom, I passed gas and noticed a significant amount of blood as well, but there is no pain. What could be th...
Dr. Zhang Shuhao Reply:
Painless rectal bleeding with a significant amount of bright red blood is often caused by internal hemorrhoids. A consultation for a flexible sigmoidoscopy or anoscopy can be performed to assess the condition of the hemorrhoids and rule out any potential rectal lesions. Regular w...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Please inquire about the recovery situation after anal fissure surgery? Hello Doctor, I underwent anal fissure surgery (LIS) and HET hemorrhoid coagulation surgery on February 17 of this year. It has been two months, and I still occasionally experience some discomfort in the anal...
Dr. Ke Fangxu Reply:
1. There have been case reports of poor wound healing associated with the use of energy devices in anal surgeries. If you are considering changing doctors, it would be more appropriate to choose one who has experience performing such procedures. 2. An anoscope is not necessary;...[Read More] Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
After walking, there is anal itching, and wiping the anus reveals yellowish fecal mucus with a small amount of light red blood streaks? Hello Doctor, I usually have normal bowel movements in terms of frequency and shape, and I have not noticed any visible blood in my stool or toi...
Dr. Zhang Shuhao Reply:
There are many causes of anal itching, including the prolapse of internal hemorrhoids, which can lead to a sensation of mucus due to the eversion of the mucosa, minor anal fissures, allergies, and even less common causes such as parasites. If there are no accompanying abdominal o...[Read More] Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Can Digital Rectal Examination Accurately Diagnose Anal Fistulas?
Digital rectal examination (DRE) of the anus? Dear Doctor, can a digital rectal examination be sufficient for diagnosing anal conditions? Is the result from a digital examination always accurate, or is it safer to get checked at a larger hospital?
Dr. Zhang Shuhao Reply:
Experienced colorectal surgeons can diagnose anal fistulas in the clinic based on the location of the external opening, palpation, and anoscopy, achieving a high degree of accuracy that can serve as a basis for surgical intervention. Highly complex or recurrent fistulas may requi...[Read More] Can Digital Rectal Examination Accurately Diagnose Anal Fistulas?
Understanding Anal Lumps: Symptoms, Diagnosis, and Treatment Options
Anal mass Hello Dr. Chang, I would like to describe my condition in detail to help you make a better assessment. I hope you don't mind: About a month ago, after using the restroom, I noticed a protrusion on the left side of my anus that feels like a soft, elastic mass, measu...
Dr. Zhang Shuhao Reply:
1. Based on the description, the likelihood of internal hemorrhoids is high. They may become more swollen due to straining during bowel movements, staying up late, or drinking alcohol, but may not be noticeable during regular activities. In the clinic, their appearance can vary d...[Read More] Understanding Anal Lumps: Symptoms, Diagnosis, and Treatment Options
Understanding Anal Fissures: Surgical Options and Management Tips
Please inquire about anal fissure surgery and bowel movement issues? Hello, Doctor. I have been experiencing anal fissures (located at the six o'clock position, towards the back) for about 1 to 2 years, with episodes of healing and recurrence. Typically, I feel discomfort du...
Dr. Ke Fangxu Reply:
1. No. 2. There is no need for sutures; postoperative pain during bowel movements is unavoidable but should be less severe than before the surgery. Wound care can be managed with sitz baths. 3. It is not necessary to remove them; they can heal on their own regardless of wheth...[Read More] Understanding Anal Fissures: Surgical Options and Management Tips
Post-Surgery Granulation Tissue Issues After Anal Fistula Repair
Abnormal granulation tissue formation after anal fistula surgery? Hello Dr. Chang, I apologize for bothering you again. Last week on January 16, I inquired about the healing time after anal fistula surgery (https://adoctor.tw/article/177648). In your response, you mentioned that ...
Dr. Zhang Shuhao Reply:
The formation of granulation tissue is a normal step in the wound healing process, so its growth is a sign of healing. It only needs to be trimmed if it grows excessively; otherwise, it will remodel on its own. Based on the photo, your wound is actually getting smaller and healin...[Read More] Post-Surgery Granulation Tissue Issues After Anal Fistula Repair
Understanding Rectal Bleeding: Causes and When to Seek Help
Bowel movement and rectal bleeding issues? For the past few months, after bowel movements, I have repeatedly noticed blood on the toilet paper, although it is not a large amount—at most the size of a thumbnail, and most of the time just small dots, about the size of sesame seeds....
Dr. Chen Mingzhi Reply:
Hello: Your symptoms seem more like an anal fissure, so there is no need to worry too much. It is recommended to consult a colorectal specialist for an anoscopy, which can provide an immediate diagnosis of the underlying cause![Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Rubber band ligation for internal hemorrhoids? Dear Doctor: I underwent a hemorrhoid ligation on August 27, and I have been experiencing a feeling of fullness in the anal area ever since. My bowel movements are normal, and there has been no bleeding. Given that it has been about ...
Dr. Ke Fangxu Reply:
After rubber band ligation for internal hemorrhoids, do not worry about whether the rubber band has fallen off. As long as there is no severe pain or significant bleeding postoperatively, there is no cause for concern. A feeling of swelling in the anal area is normal. If you must...[Read More] Understanding Post-Procedure Symptoms After Hemorrhoid Ligation
Understanding Rectal Bleeding: Insights for Patients with Cerebral Palsy
Regarding rectal bleeding? Due to my cerebral palsy and being wheelchair-bound, I am unable to exercise regularly. I mentioned previously that my bowel habits began to change when I was 13 years old, and I often experience blood in my stool along with mucus. I also find myself pa...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 24 is not zero, it is generally very low. Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also be a potential...[Read More] Understanding Rectal Bleeding: Insights for Patients with Cerebral Palsy
Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Postcoital bleeding I would like to ask the doctor: I have an internal hemorrhoid. Since mid-last year, after having anal intercourse with my partner (we always prepare with lubrication), I did not experience any anal fissures or bleeding. However, this year, I have been experien...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. Gonorrhea typically involves infection at the urethral location, and I have not heard of cases involving anal infections. An anoscopy can be arranged by a physician, and it should be covered by health ...[Read More] Post-Sexual Bleeding: Causes and When to Seek Medical Advice
Understanding Anoscopy and Its Role in Diagnosing Internal Hemorrhoids
Anoscopy issues? I am the one with question #158700. I apologize for bothering you, but I have more questions. Before my colonoscopy, my doctor performed an anoscopy and a digital rectal exam but did not detect the possibility of internal hemorrhoids. Is it possible that they wer...
Dr. Ke Fangxu Reply:
First, it is important to clarify that hemorrhoids are not a pathological tissue; they have a normal physiological function, which is to maintain the closure of liquids and gases. Therefore, everyone has hemorrhoidal tissue, and if there is no bleeding, prolapse, or pain, treatme...[Read More] Understanding Anoscopy and Its Role in Diagnosing Internal Hemorrhoids
Should I Delay My Surgery Appointment Due to Current Symptoms?
Should I wait to seek medical attention later? The situation is as follows: I have noticed some blood during bowel movements and anal pain. Coincidentally, the hemorrhoid suppositories I had previously were likely thrown away by a family member while cleaning. Given my history of...
Dr. Yu Mingchang Reply:
Hello: You can directly consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Should I Delay My Surgery Appointment Due to Current Symptoms?