Understanding Blood Clots in Stool: Causes and When to Seek Help
Blood clots in stool? Hello, doctor. I noticed some blood clots and blood symptoms after straining during a bowel movement. I usually don't have blood clots, but I sometimes see blood when I have a bowel movement. After a while, the bleeding usually stops. I also drink very ...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a colorectal surgeon and undergo both an anoscopy and a colonoscopy. Take care! Changhua Hospital cares about you![Read More] Understanding Blood Clots in Stool: Causes and When to Seek Help
Understanding Anal Mucosal Tension: Causes and Treatment Options
Anal mucosal tension Dear Dr. Ke, I have undergone six rubber band ligation surgeries for hemorrhoids at two different hospitals over the past two years. Recently, I experienced painful and bloody bowel movements, prompting me to seek treatment at a third hospital. After a phys...
Dr. Ke Fangxu Reply:
Indeed, multiple rubber band ligations may lead to your current situation due to the surrounding scar tissue. If the bleeding from hemorrhoids is not severe, it is generally recommended to use topical medications for treatment. However, if the bleeding is severe and cannot be con...[Read More] Understanding Anal Mucosal Tension: Causes and Treatment Options
Understanding Invasive Anal Exams: What to Expect and Antibiotic Needs
Questions regarding anal examinations? I would like to ask the doctor about a situation where I have a feeling of fullness in my anus. I went to a surgical clinic, and the doctor asked me to lie on my side for a digital examination. I am unsure if it was done with a machine or a ...
Dr. Ke Fangxu Reply:
Both digital rectal examination and anoscopy are considered invasive procedures; however, the National Health Insurance Administration does not reimburse for digital rectal examinations. Such examinations do not require the use of antibiotics unless the results indicate the prese...[Read More] Understanding Invasive Anal Exams: What to Expect and Antibiotic Needs
Can Colonoscopy Detect Anal Warts If You're Unaware of Them?
Cauliflower If you are unaware of the presence of cauliflower-like growths (which may refer to anal warts or condyloma) in the anal area, can they potentially be detected through a colonoscopy? Thank you.
Dr. Ke Fangxu Reply:
The presence of cauliflower-like lesions in the anus can be diagnosed through a digital rectal examination. Anoscopy can also provide visual evidence, and a colonoscopy can certainly be used as well. However, generally speaking, unless specifically focused on, a colonoscopy may m...[Read More] Can Colonoscopy Detect Anal Warts If You're Unaware of Them?
Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
The anal fissure has healed, but it feels strange? Hello, Dr. Ko! I had a follow-up appointment on May 2nd, where the doctor used an anoscope to examine me closely and said that my anal fissure had healed. However, I still feel discomfort in the deeper mucosal tissue; sometimes t...
Dr. Ke Fangxu Reply:
If the pain and bleeding caused by anal fissures are not severe, it is generally not recommended to continuously use medications or undergo procedures such as ligation. Maintaining good lifestyle and bowel habits is sufficient. For mild discomfort, warm sitz baths can be helpful....[Read More] Understanding Post-Anal Fissure Discomfort: When to Seek Further Evaluation
Understanding Right-Sided Anal Pain: Causes and Treatment Options
Pain and swelling on the right side of the anus? Hello, Dr. Ke. Recently, I've been experiencing pain on the right side of my anus. When I touch the right side, it feels a bit swollen, but I can't see any lumps with my eyes in the mirror. I feel discomfort when walking,...
Dr. Ke Fangxu Reply:
1. Anal fissures typically occur at the anterior and posterior positions, but they can also occur in other locations, although the probability is lower. 2. Anal abscesses are often misdiagnosed as hemorrhoids or anal fissures in the early stages, and sometimes even experienced p...[Read More] Understanding Right-Sided Anal Pain: Causes and Treatment Options
Blood When Wiping After Bowel Movements: Should I Worry About Colon Cancer?
There is blood when wiping after a bowel movement? Hello doctor, I have been experiencing constipation for a long time, but recently my bowel movements have become more regular and the stool consistency is normal. However, I notice blood when wiping, which occurs for a couple of ...
Dr. Li Zhonghuai Reply:
Hello! The likelihood of your age is very low, but it is still recommended to consult a general surgeon or a colorectal surgeon for an anoscopy. Take care! Changhua Hospital cares about you![Read More] Blood When Wiping After Bowel Movements: Should I Worry About Colon Cancer?
Understanding Anal Fissures: Causes, Treatments, and Recovery Tips
Anal fissure issues? Hello, Dr. Ke! Mid-month, I experienced diarrhea that caused a fissure on the right side internally. I have been doing sitz baths and applying medication, and it has gradually improved. Recently, my mother heard someone mention a traditional Chinese medicine ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be an anal fissure. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can a...[Read More] Understanding Anal Fissures: Causes, Treatments, and Recovery Tips
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I have been experiencing gastrointestinal issues and have been having frequent diarrhea recently. However, when I previously consulted a doctor, they said everything was fine. A couple of days ago, I noticed a small amount of blood in my stool. Last night, I drank...
Dr. Li Zhonghuai Reply:
Hello! It is recommended that you see a general surgeon or a colorectal specialist. First, an anoscopy should be performed to rule out any anal issues, followed by a colonoscopy. Although your age makes the likelihood of colorectal cancer very low, it is still advisable to procee...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Hemorrhoids: When to Worry About Blood in Stool
Bowel movement issues Hello, I have had external hemorrhoids since childhood. Previously, I noticed bright red blood in the toilet bowl after bowel movements, but the stool itself was normal in color (yellow-brown and tubular). The toilet paper also had bright red blood. I consul...
Dr. Li Zhonghuai Reply:
Hello! Please visit the colorectal surgery or general surgery outpatient clinic for an anoscopy. If you continue to experience intermittent rectal bleeding, it is advisable to undergo a colonoscopy, as the incidence of colorectal cancer is decreasing in younger age groups. Having...[Read More] Understanding Hemorrhoids: When to Worry About Blood in Stool
Understanding Anoscopy: Do You Need Anesthesia for Outpatient Procedures?
Questions regarding examination during a medical consultation? Is anesthesia required for a sigmoidoscopy, or can it be performed in the outpatient clinic without it? If I want to undergo the procedure, should I just bring it up with the doctor? Is it true that outpatient visits ...
Dr. Ke Fangxu Reply:
1. An anoscopy does not require anesthesia and can be performed in an outpatient setting. 2. You should explain your symptoms and the reasons for wanting an anoscopy to your physician; if necessary, the physician will proceed with the examination. 3. In my opinion, a digital ...[Read More] Understanding Anoscopy: Do You Need Anesthesia for Outpatient Procedures?
Blood on Toilet Paper: Is It Hemorrhoids or a Gut Issue?
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello Dr. Ke, I have been experiencing loose and soft stools for a long time, often accompanied by abdominal cramping before bowel mo...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to minimize the time spent on bowel movements during this period. Warm sitz baths may also help alleviate symptoms...[Read More] Blood on Toilet Paper: Is It Hemorrhoids or a Gut Issue?
Understanding Blood When Wiping: Causes and Next Steps
No blood in stool? Hello doctor, I have recently noticed that my groin area feels damp, so I have been using toilet paper to wipe it. However, I have found blood while wiping, and this has been happening for several days. What should I do? I previously had gastroenteritis, and I&...
Dr. Li Zhonghuai Reply:
Hello! Please visit the general surgery or colorectal department for a digital rectal examination and anoscopy. Changhua Hospital cares about you![Read More] Understanding Blood When Wiping: Causes and Next Steps
Seeking Guidance for Persistent Anal Warts: Which Specialist to Consult?
Regarding the treatment specialties for cauliflower? Hello doctor, I discovered a cauliflower-like growth near my anus at the end of November and immediately consulted a colorectal surgeon who performed an anoscopy. The internal examination showed no growth, so I was scheduled fo...
Dr. Ke Fangxu Reply:
Lederme is not a controlled substance, so it can be purchased at pharmacies. However, if the cauliflower-like lesions are extensive, the effectiveness of topical ointments may be limited. The preferred treatment for anal warts is electrosurgery. It is advisable to consult a diffe...[Read More] Seeking Guidance for Persistent Anal Warts: Which Specialist to Consult?
Post-Banding Care for Internal Hemorrhoids: What to Expect and When to Seek Help
Rubber band ligation for internal hemorrhoids? Hello, doctor. It has been two days since my internal hemorrhoid ligation. I did not experience any bleeding yesterday, but today I noticed some bleeding, which is only a few drops. Is this normal? Additionally, how can I determine i...
Dr. Ke Fangxu Reply:
Mild bleeding may occur 3 to 7 days after hemorrhoid ligation, and as long as there is no significant bleeding, this is considered normal. Regarding whether the internal hemorrhoid has fallen off or been expelled, it cannot be determined without an anoscopy or digital rectal exam...[Read More] Post-Banding Care for Internal Hemorrhoids: What to Expect and When to Seek Help
Understanding Blood in Toilet Water: Causes and When to Seek Help
The toilet water appears slightly red during bowel movements? I have not experienced diarrhea in the past few instances. On September 2nd, I had a bowel movement, and the stool was black, shaped like a thick log. Since it was the first time I encountered this situation, I felt a ...
Dr. Huang Zhihui Reply:
Based on your age and your description, it is likely that you have mild hemorrhoids, which could be causing the slight rectal bleeding. However, for safety reasons, it is recommended that you visit a specialist for an anoscopy to confirm the diagnosis. If the physician suspects a...[Read More] Understanding Blood in Toilet Water: Causes and When to Seek Help
Blood in Stool: Should You Worry About Colon Cancer?
Blood in the stool? Hello: Two years ago, I had a very alarming experience where after a bowel movement, the entire toilet was filled with blood, bright red, and it lasted for several days. Every time I had a bowel movement, there was a lot of blood. Eventually, it returned to no...
Dr. Huang Zhihui Reply:
If bright red blood is confirmed to be coming from the anus, it is generally indicative of an issue at the anal region, with hemorrhoids (internal hemorrhoids) being the most common cause of bleeding. However, bleeding from higher up in the gastrointestinal tract, such as tumors,...[Read More] Blood in Stool: Should You Worry About Colon Cancer?
Red Mucus in Stool: What It Could Mean for Your Health
More than half of the stool contains red mucus? Hello, I am 21 years old, but I have had a habit of constipation since middle school. At its worst, I would only have a bowel movement once a month and needed medication to relieve it. Three years ago, I underwent a colonoscopy, and...
Dr. Huang Zhihui Reply:
Based on your description, the presence of bright red blood from the anus is generally indicative of issues at the anal region, with hemorrhoids (internal hemorrhoids) being the most common cause of bleeding. However, bleeding may also originate from higher up in the gastrointest...[Read More] Red Mucus in Stool: What It Could Mean for Your Health
Understanding Pain and Complications After Rubber Band Ligation
Why does tying with rubber bands hurt so much?! Hello, Doctor. I have some questions I would like to ask: 1. After undergoing rubber band ligation, I experience significant pain, especially during bowel movements, which feels like a sharp cutting pain. The pain persists for seve...
Dr. Yang Yaokun Reply:
Hello: 1. Internal hemorrhoids typically do not cause pain. The purpose of rubber band ligation is to obstruct blood flow to the internal hemorrhoid, leading to thrombosis and subsequent detachment. Common complications after rubber band ligation include: pain (occurring in about...[Read More] Understanding Pain and Complications After Rubber Band Ligation
Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights
Hemorrhoids or anal fissure? I previously sought medical attention due to severe pain during bowel movements, which the doctor diagnosed as hemorrhoids rather than anal fissures. I underwent rubber band ligation. After the procedure, I experienced some improvement, but almost eve...
Dr. Cai Xingzhi Reply:
1. Tissue necrosis and shedding after ligation may cause localized itching, which is normal; please take medication as prescribed by your physician. 2. Anoscopy can easily cause bleeding due to the underlying condition (such as hemorrhoids), making bleeding more likely. 3. An...[Read More] Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights