Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure - burning sensation in the buttocks? Hello Doctor: Since March 17, I have been experiencing bleeding when using the restroom, along with swelling and pain in the anal area, and I noticed some protrusions. I visited Mackay Memorial Hospital, where the doctor performed...
Dr. Ke Fangxu Reply:
1. Although there is no longer any bleeding, if there is still pain, you may apply ointment again. 2. The cause of anal fissures is often due to constipation or diarrhea. The fundamental treatment is to improve bowel movements, along with warm sitz baths. Warm sitz baths can hel...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Managing External Hemorrhoids: Recovery Tips and Insights
Thrombotic external hemorrhoids Hello Doctor, about two months ago I developed a thrombosed external hemorrhoid. At that time, I went to a clinic for an examination, where they performed a digital rectal exam and an anoscopy, but did not prescribe any anti-inflammatory medication...
Dr. Ke Fangxu Reply:
Answer: Since a personal examination has not been conducted, it is not possible to assess whether the external hemorrhoid will continue to shrink. However, if there is currently no bleeding or pain, it is advisable to maintain the current lifestyle.[Read More] Managing External Hemorrhoids: Recovery Tips and Insights
Understanding Anoscopy and Anal Fissures: Causes, Symptoms, and Treatments
Anoscopy and Anal Fissure Issues Hello doctor, last Thursday I noticed bright red blood when wiping after a bowel movement, so I went to Hsinchu Mackay Memorial Hospital for an examination the next day. The physician performed a rectal examination and diagnosed me with a grade I ...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with warm sitz baths. Topical medications are generally the ...[Read More] Understanding Anoscopy and Anal Fissures: Causes, Symptoms, and Treatments
Post-Surgery Anal Discomfort: Understanding Persistent Pressure and Urgency
Post-hemorrhoidectomy anal fullness and urge to defecate? Dr. Ke: Hello, on August 20, I consulted about persistent anal heaviness and the feeling of urgency four months after hemorrhoid surgery. You suggested seeking a second opinion to check for possible anal stenosis as a comp...
Dr. Ke Fangxu Reply:
1. A rectal pressure test can be performed to check for issues with the sphincter, and a defecography can be done to assess the coordination of the pelvic floor muscles. However, these specialized tests may only be available at larger hospitals. 2. If the symptoms improve with ...[Read More] Post-Surgery Anal Discomfort: Understanding Persistent Pressure and Urgency
Understanding HPV and Its Impact on Anal Health: Your Questions Answered
Cauliflower and colonoscopy? Hello Doctor: Two months ago, I discovered a genital wart infection at the vaginal opening, which has been treated with electrosurgery, and I am currently undergoing regular follow-up visits. I am concerned about a possible infection in the anal area ...
Dr. Ke Fangxu Reply:
1. The anal area may be in a latent phase, but even so, there is nothing that can be done. 2. It is unlikely that a colonoscopy would cause infections in other areas. 3. Recurrences typically occur at the original site of infection and are not found in areas without prior conta...[Read More] Understanding HPV and Its Impact on Anal Health: Your Questions Answered
Understanding Internal Hemorrhoids: Symptoms, Treatments, and Concerns
Symptoms of internal hemorrhoids? Hello Dr. Ke, I am the person who asked question #145510. Thank you for your previous explanation. I have been experiencing symptoms such as swelling, heaviness, blockage, soreness, a feeling of urgency, and dull pain in my rectal area, which hav...
Dr. Ke Fangxu Reply:
1. Theoretically, internal hemorrhoids should not cause pain; however, if they are located near the dentate line, discomfort may occur. 2. The effectiveness of treatment depends on whether symptoms improve; if symptoms improve, it can be considered a successful treatment. 3. Li...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatments, and Concerns
Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
I would like to inquire about the delayed healing of the wound after mole removal surgery and medication issues? Hello Dr. Ke, on March 18 of this year, I underwent surgery for internal hemorrhoids at Hospital A. However, since last September, I have already had three anal surger...
Dr. Ke Fangxu Reply:
1. Anal fissures cannot occur as a result of stretching the anal opening, as there would be no injury present. 2. If the colonoscopy shows no abnormalities, performing a digital rectal examination or anoscopy will not yield new findings, but it can help assess the extent of woun...[Read More] Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
Understanding Persistent Rectal Urgency: Causes and Solutions
Persistent urge to defecate? Hello Dr. Ke, I am the person who asked question #144665. Thank you for your previous response. Currently, what troubles me the most is the persistent urge to defecate for almost three weeks. It started with about 4-5 bowel movements a day for the fir...
Dr. Ke Fangxu Reply:
"Anal heaviness," also known as "tenesmus," refers to the persistent sensation of needing to have a bowel movement, which is usually caused by rectal lesions. Digital rectal examination and anoscopy can only assess up to approximately eight centimeters from th...[Read More] Understanding Persistent Rectal Urgency: Causes and Solutions
Understanding Pain During Anoscopy: Is It Normal or a Cause for Concern?
Anoscopy Hello, I recently suspected that I have hemorrhoids and went to the colorectal surgery department for an examination. I asked experienced individuals and looked online, and many said that an anoscopy is usually not very painful. However, during my examination, the doctor...
Dr. Ke Fangxu Reply:
Pain is a very subjective experience and can be difficult to generalize. Typically, anal stenosis is associated with more severe pain. If the physician believes there is no issue, then there is no need to be overly concerned.[Read More] Understanding Pain During Anoscopy: Is It Normal or a Cause for Concern?
Exploring Treatment Options for Anal Warts: A Patient's Dilemma
Consultation for Treatment Options for Anal Condylomata Acuminata? Hello, Doctor: I have been diagnosed with anal intraepithelial neoplasia (AIN) caused by condylomata acuminata. I have consulted two physicians at a major hospital, and both recommended electrosurgery as the treat...
Dr. Ke Fangxu Reply:
Answer: Since I cannot see your lesion, I cannot assess the severity. If most doctors do not recommend topical medication, it likely indicates a serious condition; otherwise, no physician enjoys performing such surgeries as they are both complicated and prone to recurrence. The N...[Read More] Exploring Treatment Options for Anal Warts: A Patient's Dilemma
Is Digital Rectal Examination Accurate for Diagnosing Hemorrhoids?
Is a digital rectal examination accurate for diagnosing hemorrhoids? In Taiwan, when visiting a doctor for an outpatient consultation, a physician may perform a digital rectal examination (with gloves) and diagnose hemorrhoids. The doctor may advise that surgery should be conside...
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the Department of Colorectal Surgery for an anoscopy examination at Changhua Hospital, Ministry of Health and Welfare. Thank you.[Read More] Is Digital Rectal Examination Accurate for Diagnosing Hemorrhoids?
Understanding External Hemorrhoids: Symptoms, Healing, and Concerns
Anal fissure due to hemorrhoids? Hello Doctor: Recently, I noticed small pink growths and tiny lumps inside my anus, so I visited the colorectal department at the hospital. After a digital examination and anoscopy, the doctor indicated that there were no signs of warts, but I do ...
Dr. Ke Fangxu Reply:
A larger diameter anoscope may cause this situation, but applying ointment for a few days can lead to recovery. What does it mean when we say "the surface of the hemorrhoid appears irregular"? Normally, hemorrhoids do not have a "regular" shape. As long as the...[Read More] Understanding External Hemorrhoids: Symptoms, Healing, and Concerns
Understanding Post-Surgery Pain and Complications After Abscess Removal
Mole excision surgery? One and a half months after surgery for a pilonidal cyst at the end of September, I have been experiencing a persistent pain point inside the anus. Initially, I thought it was due to the wound not healing, but later the pain intensified. Upon self-examinati...
Dr. Ke Fangxu Reply:
Answer: Given that you are still experiencing these issues long after the surgery, I personally believe there is a significant chance that an anal fistula has developed. If the symptoms cannot be completely resolved, it may be necessary to undergo another surgery. I recommend tha...[Read More] Understanding Post-Surgery Pain and Complications After Abscess Removal
Understanding Mucus, Blood in Stool, and Abdominal Pain Symptoms
Blood in stool, mucus, abdominal pain? For about three consecutive weeks, I have experienced symptoms of mucus in my stool, bloody stools, and abdominal pain. I consulted a colorectal specialist who performed a digital rectal exam and an anoscopy. The doctor mentioned that the &q...
Dr. Xu Kaixi Reply:
I apologize for the delayed response due to the email forwarding process. Rectal bleeding is considered an abnormal symptom and may range from common conditions like hemorrhoids to more serious gastrointestinal diseases. However, given that your symptoms are accompanied by persis...[Read More] Understanding Mucus, Blood in Stool, and Abdominal Pain Symptoms
Managing Anal Fissures: Effective Use of Topical Treatments
Application of rectal ointment? Hello, Dr. Ko. Since July of this year, I have been experiencing pain and bleeding during bowel movements, with symptoms that fluctuate. There is a swollen, yellowish lump outside my anus. Initially, I thought it was hemorrhoids, and in August, I p...
Dr. Ke Fangxu Reply:
1 & 2. The main function of this ointment is the petroleum jelly component, which serves as a lubricant. Since petroleum jelly is not classified as a medication, this ointment is eligible for health insurance coverage. Therefore, either option can be applied. 3. It is accepta...[Read More] Managing Anal Fissures: Effective Use of Topical Treatments
Understanding Dark Red Blood in Stool: Causes and Concerns
Rectal bleeding Hello doctor, a couple of days ago I noticed blood streaks and clots when wiping after a bowel movement. I would like to know if there is an issue with my gastrointestinal tract. The color of the blood is dark red.
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a colorectal surgeon for an anoscopy and colonoscopy. Take care! Changhua Hospital cares about you![Read More] Understanding Dark Red Blood in Stool: Causes and Concerns
Understanding Anoscopy: Does It Also Examine the Rectum?
Rectal examination Doctor Ke, I went to the outpatient clinic because I had blood in my stool, and the doctor performed a sigmoidoscopy and diagnosed me with internal hemorrhoids. I would like to ask if the sigmoidoscopy also examines the rectum?
Dr. Ke Fangxu Reply:
The length of the analoscope is approximately 7-8 centimeters, so it primarily examines the anal canal and rectum, allowing visibility of only the lower end.[Read More] Understanding Anoscopy: Does It Also Examine the Rectum?
Understanding Anal Fissures: Pain Management and Treatment Options
Anal fissure or enteritis? Hello Dr. Ke: Since March, I have been experiencing severe pain in my anal area after using the bathroom, feeling like a knife is cutting me, and the pain lasts for a long time. Therefore, I went to a major hospital for consultation. The doctor performe...
Dr. Ke Fangxu Reply:
1. Anal dilation is indeed one of the traditional treatments for anal fissures; however, it is generally considered to be ineffective and painful. If you can tolerate it, you might consider trying it. 2. The typical symptoms of an anal fissure include pain during bowel movement...[Read More] Understanding Anal Fissures: Pain Management and Treatment Options
Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding I have experienced these symptoms before, but I didn't pay much attention to them later (since we have a flush toilet at home). Recently, I have noticed bleeding again and I'm unsure if it is related to my lifestyle (I am currently in my senior year of h...
Dr. Li Zhonghuai Reply:
Hello! If you have bleeding, it is recommended to see a colorectal surgeon and undergo an anoscopy and colonoscopy for the safest evaluation. Take care! Changhua Hospital cares about you![Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding I have noticed that during my last two bowel movements, there was no blood in the stool, but I did see some blood on the toilet paper when wiping. However, after a few wipes, the blood was gone. This has been happening for two consecutive days. I suspect it might ...
Dr. Li Zhonghuai Reply:
Hello! Please visit a colorectal surgeon for an anoscopy and colonoscopy examination. Wishing you well! Changhua Hospital cares about you![Read More] Understanding Rectal Bleeding: When to Seek Medical Attention