Understanding Anal Fissures and Post-Surgery Pain Management
Mole ulceration and lacerations? Hello, Doctor! I previously noticed slight bleeding during bowel movements, but there was no pain. Three days ago, I went to a large hospital for a rectal examination, where the doctor not only performed a digital rectal exam but also used an anos...
Dr. Xu Kaixi Reply:
1. If the mucosa around the anal area is swollen due to inflammation from hemorrhoids, performing a digital rectal examination or anoscopy may cause abrasions or lacerations. 2. If you have been using hemorrhoid ointment for several days and are still experiencing severe pain, i...[Read More] Understanding Anal Fissures and Post-Surgery Pain Management
Understanding Buttock Pimples: Causes and Concerns About Folliculitis
Pimples on the buttocks? Recently, I have developed two to three pimples on both sides of my buttocks that resemble folliculitis, located about 10 cm away from the anal opening. Currently, there is no discharge, and I do not feel any obvious hard lumps or any tubular sensations. ...
Dr. Ke Fangxu Reply:
If you have already consulted a qualified physician, there should be no doubts. Not all skin conditions around the anus are anal fistulas. Ultimately, the clinical diagnosis made by the physician is more accurate than the advice given by online consultants who are not physically ...[Read More] Understanding Buttock Pimples: Causes and Concerns About Folliculitis
Understanding Anal Fistulas: Pain, Symptoms, and Prevention Tips
Anal issues Hello, doctor. I would like to ask if an anal fistula always causes pain, swelling, or discharge? I usually do not experience pain, swelling, or discharge, and there is no external opening. Occasionally, I may cause skin irritation from excessive wiping after using th...
Dr. Ke Fangxu Reply:
Skin damage around the anus itself does not cause anal fistulas; however, if it leads to an infection that results in an anal abscess, it could potentially lead to the formation of an anal fistula. The anal area is not a sterile environment, so even if feces are not cleaned prope...[Read More] Understanding Anal Fistulas: Pain, Symptoms, and Prevention Tips
Understanding Anal Pain: Causes, Treatments, and When to Seek Help
Anal pain or discomfort? Hello Doctor: I used to suffer from constipation frequently, and two years ago, I experienced burning pain and bleeding during bowel movements. After seeing a doctor, I discovered I had both internal and external hemorrhoids, as well as anal ulcers. After...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the common causes of anal pain and bleeding are hemorrhoids, anal fissures, and rectal cancer. The possibility of rectal cancer can be ruled out since a digital rectal examination and anoscopy have already been performed. Hemorrhoids and anal ...[Read More] Understanding Anal Pain: Causes, Treatments, and When to Seek Help
Understanding Rectal Bleeding: When to Consider a Colonoscopy
Blood after bowel movements? Hello Doctor: After changing jobs (about two and a half years ago), I have been sitting more often and have started experiencing intermittent rectal bleeding, mostly when my stools are harder. I feel a sharp pain near the anus as the stool passes, and...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the presence of blood in the stool before the age of 40 is often related to anal disorders. If both the digital rectal examination and the fecal occult blood test show no abnormalities, and there are no other symptoms of colorectal cancer or f...[Read More] Understanding Rectal Bleeding: When to Consider a Colonoscopy
Do You Need a Colonoscopy? Understanding Symptoms and Concerns
Is a colonoscopy necessary? Hello, Dr. Ke! About a year ago, I often experienced hard stools at the beginning of my bowel movements. Sometimes, the stool was soft the day before, but other times, it was very dry the next day, which frequently led to anal fissures with bright red ...
Dr. Ke Fangxu Reply:
Anal fissures can indeed cause a decrease in the diameter of stools, and factors such as the frequency of bowel movements and stool consistency can also affect stool appearance. Prolonged straining during bowel movements can lead to thinner stools as well. In summary, there are m...[Read More] Do You Need a Colonoscopy? Understanding Symptoms and Concerns
Understanding Internal Hemorrhoids: Symptoms, Treatment, and When to Seek Help
There are lumps in the anal canal? I have had a lump in my anus for a while. Recently, I visited a large hospital, and the doctor performed a digital examination, diagnosing me with internal hemorrhoids. He prescribed medication for me to apply, but after two weeks of use, I have...
Dr. Yu Mingchang Reply:
Hello^^ Under normal circumstances, if there are cauliflower-like growths around the anus, small nodules resembling cauliflower should be visible in that area. Based on your description of the symptoms, the likelihood of cauliflower growths is low. If it is simply an internal hem...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Post-Defecation Bleeding: Causes and Treatments
Bleeding after bowel movements? Hello, Dr. Hou: 1. About 10 years ago, I had surgery for anal fistula and hemorrhoids. 2. I believe I still have some hemorrhoids, and I have seen a doctor who said it was not serious and there were no signs of fistula. 3. However, I seem to exper...
Dr. Hou Yongji Reply:
Please consult a colorectal surgeon for diagnosis and treatment. An anoscopy can be performed in the outpatient clinic, or a colonoscopy can be arranged. Thank you.[Read More] Understanding Post-Defecation Bleeding: Causes and Treatments
Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions
Re-ask about the fallopian tubes? Doctor, thank you for your response. I have been diagnosed at a larger hospital in the city, and I found significant differences in the opinions of three doctors. The first doctor (Mackay) stated after a colonoscopy that the fistula is severe, cr...
Dr. Hou Yongji Reply:
Based on your description, a correct diagnosis cannot be made. The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even endoscopy (anoscopy, sigmoidoscopy). If you still cannot agree with the previous physician's diagnosis, y...[Read More] Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions
Understanding Anal Pain During Bowel Movements: Hemorrhoids or Fissures?
Anal pain during bowel movements? Doctor, I have a question: Recently, I experience some pain at the anal opening when having a bowel movement. There is a little bit of blood when I wipe (very small amount). Could this be hemorrhoids or an anal fissure?
Dr. Lin Zhiguang Reply:
Hello, it is possible that you have either hemorrhoids or an anal fissure, but your symptoms are more indicative of an anal fissure. An anoscopy is necessary to confirm the diagnosis. If it is an anal fissure, it often heals on its own, but you should avoid straining during bowel...[Read More] Understanding Anal Pain During Bowel Movements: Hemorrhoids or Fissures?
Understanding Rectal Bleeding: Causes, Treatments, and Recovery Tips
Rectal wall injury with bleeding? Last week, I noticed blood in my stool, and there was a white discharge that seemed to come from the area of the wound (which is about five centimeters inside the anus). I have already shown it to a doctor, but the digital examination and anoscop...
Dr. Hou Yongji Reply:
Based on your description, it is not possible to make an accurate diagnosis and provide recommendations. Please return for a follow-up visit to discuss your condition and subsequent treatment with Dr. Hou Yong-ji.[Read More] Understanding Rectal Bleeding: Causes, Treatments, and Recovery Tips
Understanding Rectal Pain: Is It Hemorrhoids and Should You Treat It?
Anal pain? Doctor, sometimes I feel the urge to have a bowel movement, and occasionally I experience sharp pain in my anus. Could this be hemorrhoids? Is it serious, and should I seek treatment?
Dr. Lai Jihong Reply:
Occasional sharp pain in the anus during bowel movements may be related to hemorrhoids. It is advisable to consult a proctologist or a surgeon for an anoscopy examination to confirm the presence of hemorrhoids or other anal conditions. Wishing you good health.[Read More] Understanding Rectal Pain: Is It Hemorrhoids and Should You Treat It?
Post-Electrosurgery Concerns: Managing Anal Warts and Bleeding
After electrosurgical treatment for anal warts? Hello Dr. Hou, I underwent electrosurgery to remove warts in February of this year. Four weeks after the surgery, I had sexual intercourse with a friend, and during anal intercourse, there was a significant amount of bleeding (this ...
Dr. Hou Yongji Reply:
1. Regarding bleeding after anal intercourse, it may be related to previous electrosurgical procedures or a prolonged absence of anal intercourse, necessitating further examination for a definitive diagnosis. It is recommended to have the surgeon who performed your procedure cond...[Read More] Post-Electrosurgery Concerns: Managing Anal Warts and Bleeding
Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Hemorrhagic stool First, I would like to describe my recent health condition. At the beginning of October, I experienced rectal bleeding due to hard stools for about two weeks. After improving my diet, this issue resolved. On the evening of October 23, I suddenly developed a feve...
Dr. Ke Fangxu Reply:
Hello: Generally speaking, blood in the stool is a fairly common issue, and whether further examination is needed depends on several related factors: 1. Age: If the patient is over 50 years old, as this is the age group where colorectal cancer is more prevalent, a colonoscopy is ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
I have hemorrhoids? I have had hemorrhoids for about four years. I visited a doctor once, and after an examination, the doctor said it was third-degree hemorrhoids and recommended an anoscopy. However, I refused the procedure due to fear of pain. The doctor prescribed oral Normac...
Dr. Ke Fangxu Reply:
Hello: 1. Based on your description and age, it can be preliminarily determined that you may have larger hemorrhoids or possibly mild rectal mucosal prolapse, which might be accompanied by anal fissures. In an outpatient setting, a digital rectal examination is usually sufficie...[Read More] Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Understanding Unexplained Lumps Near the Anus and Vagina: What to Know
Unknown mass I have noticed a lump on the left side of my anal and vaginal opening, and I'm unsure what it could be. Could you please provide some insight? Thank you.
Dr. Hou Yongji Reply:
The diagnosis of a disease includes medical history, physical examination (inspection, palpation), and instrumental examinations (such as anoscopy), and it is not possible to make an accurate diagnosis based solely on your description. Please seek medical attention at a hospital ...[Read More] Understanding Unexplained Lumps Near the Anus and Vagina: What to Know
Is It Hemorrhoids or Folliculitis? Understanding Your Symptoms
Could it be hemorrhoids? Recently, I noticed a small growth near the upper part of my anus. It doesn't hurt or cause discomfort when I'm sitting or standing, but it does hurt when I use the restroom or wipe with toilet paper, and sometimes it bleeds a little when I wipe...
Dr. Hou Yongji Reply:
In addition to taking a medical history, the diagnosis of anal diseases includes visual inspection, palpation, and endoscopic examinations (such as anoscopy, sigmoidoscopy, or even colonoscopy). Therefore, please seek a nearby colorectal specialist for diagnosis and treatment as ...[Read More] Is It Hemorrhoids or Folliculitis? Understanding Your Symptoms
Understanding Anal Burning and Swelling: Causes and Treatments
What are the causes of anal burning sensation and swelling pain? Hello Doctor: For the past two to three months, I have been experiencing pain in the anus after bowel movements, similar to the discomfort from excessive wiping with toilet paper. However, I have been using wet wipe...
Dr. Hou Yongji Reply:
Based on your description, a diagnosis cannot be made accurately. The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even endoscopic examination. It is recommended that you consult a colorectal specialist for a definitive diagnos...[Read More] Understanding Anal Burning and Swelling: Causes and Treatments
Understanding Anal Itching: Causes, Treatments, and When to Seek Help
Anal itching? Hello, I had hemorrhoid surgery three years ago, and recently I've had a recurrence over the past six months. Two days ago, an external hemorrhoid protruded (there are three, which seem to have formed small blood clots), and my anus has started to feel very itc...
Dr. Hou Yongji Reply:
1. The diagnosis of anorectal diseases includes not only the medical history but also visual examination, palpation, endoscopy (colonoscopy, anoscopy), and even stool or biopsy tests. Therefore, please seek treatment from a colorectal surgeon nearby (attached is a list of colorec...[Read More] Understanding Anal Itching: Causes, Treatments, and When to Seek Help
Understanding Hemorrhoids: Symptoms, Causes, and When to See a Doctor
Hemorrhoids A few days ago, I had diarrhea and stayed up late at night, which affected my sleep. Today, when I went to the bathroom, I felt like I hadn't completely emptied my bowels. While I was wiping with toilet paper, I noticed a lump of tissue. In shock, I pushed it bac...
Dr. Hou Yongji Reply:
Based on your description, it could be a hemorrhoid. However, the diagnosis of hemorrhoids relies not only on medical history but also on visual examination, palpation, and even endoscopy (such as anoscopy, sigmoidoscopy, or colonoscopy). Therefore, please seek a colorectal speci...[Read More] Understanding Hemorrhoids: Symptoms, Causes, and When to See a Doctor