Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments
Irritable bowel syndrome, anal fissures, and hemorrhoid ointment? I have been using hemorrhoid cream for 5 months due to anal fissures, and now the protective layer around my anus (hemorrhoids) is gone. I experience pain in my buttocks when riding a motorcycle or bicycle, and I&#...
Dr. Zhang Shuhao Reply:
It may be caused by excessive use of steroid-containing ointments. First, stop using hemorrhoid treatments and avoid excessive cleaning of the anal and perineal area. You can use simple moisturizing products such as lotions. If symptoms do not improve, you should visit a dermatol...[Read More] Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments
Over-Cleansing the Anus: A Surgeon’s Advice on Proper Care
For several years, there has been excessive cleaning of the anus? The doctor told me that my anus looks like that of an old man. After each bowel movement, washing with water has resulted in my anus having no secretions. He instructed me not to wash my butt for two weeks and to o...
Dr. Xu Kaixi Reply:
According to your physician's current advice, it is believed that your issues will gradually improve.[Read More] Over-Cleansing the Anus: A Surgeon’s Advice on Proper Care
Should You See a Surgeon for a Lump Near the Anus?
Spherical mass near the anus? About a month ago, I discovered a round lump while taking a shower, approximately 1.2 centimeters in diameter. I have a habit of sitting for long periods, and it usually doesn't hurt. However, sometimes when I sit on a hard chair and accidentall...
Dr. Zhang Shuhao Reply:
A sudden appearance of a round, hard lump is most commonly associated with a thrombosed hemorrhoid, which is commonly referred to as an exacerbation of hemorrhoids. This condition arises from subcutaneous bleeding due to the compression of blood vessels within the hemorrhoid. It ...[Read More] Should You See a Surgeon for a Lump Near the Anus?
Post-Surgery Pain and Swelling After Glass Puncture: What to Expect
After glass puncture wound debridement and suturing, there is swelling and pain near the healed wound? Hello, I sustained a deep wound from a glass puncture at the end of July. At that time, my family medicine physician advised me to let it heal on its own and administered a teta...
Dr. Li Zhonghuai Reply:
Hello! Since the depth of the glass fragments is unknown and may have penetrated into the subfascial fat layer, a more extensive debridement is recommended. However, this may result in a longer healing time. Wishing you a safe recovery! Changhua Hospital cares about you![Read More] Post-Surgery Pain and Swelling After Glass Puncture: What to Expect
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
Sudden onset of a lump? Hello doctor, yesterday while I was showering, I felt a lump between my left testicle and anus, closer to the testicle. It is hard and does not move. I am not sure what could be causing it, but recently I have been experiencing bleeding during bowel moveme...
Dr. Zhang Shuhao Reply:
If there is a hard lump in the perineum, first check if it is painful. If it is painful, it is more likely related to inflammation, which may include sebaceous gland inflammation, epididymitis, lymphadenitis, anal abscess, or fistula. If the symptoms are significant and there is ...[Read More] Understanding Sudden Testicular and Rectal Area Lumps: Causes and Concerns
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?
Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Possible anal abscess encountered during menstruation? A few days ago, I noticed something unusual with my buttocks, and within two days, the area on the left side near the anus became red, swollen, and painful, developing a bump. I looked it up online, and the symptoms seem to m...
Dr. Zhang Shuhao Reply:
If the affected area continues to swell, you may try using oral antibiotics and anti-inflammatory medications to manage the symptoms, but it is still recommended to use them under the guidance of a physician. You can also seek medical attention and explain your condition to the d...[Read More] Dealing with Anal Abscess Symptoms During Menstruation: What to Do?
Should I Seek Immediate Medical Attention for My Rectal Lump?
Am I suffering from thrombosed external hemorrhoids or varicose veins? A week ago, a lump the size of a five-dollar coin appeared on the left side outside the anus. Over the past three days, it has grown larger to the point of rubbing against my right buttock, causing significant...
Dr. Ke Fangxu Reply:
If the lump gradually increases in size, it may not be a hemorrhoid; the possibility of an anal abscess is higher. It is recommended that you seek medical attention promptly for a physician to examine you to prevent serious conditions such as sepsis or perineal abscess.[Read More] Should I Seek Immediate Medical Attention for My Rectal Lump?
Understanding Rectal Discomfort: Symptoms and Possible Causes
Hello, Dr. Chang. I have been experiencing discomfort in the anal area since September 3rd until today? On September 3rd, I experienced a sensation where I felt like I couldn't fully empty my bowels, even though I had already passed some stool. Suddenly, I had a feeling simi...
Dr. Zhang Shuhao Reply:
The photo appears to show a prolapsed hemorrhoid, which can cause a persistent sensation of foreign body in the anal area and may lead to the feeling of incomplete bowel movements when swollen. It is recommended to start with warm sitz baths, gently pushing the hemorrhoid back du...[Read More] Understanding Rectal Discomfort: Symptoms and Possible Causes
Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong Reply:
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Understanding Rectal Bleeding: Causes and Solutions for Patients
Rectal bleeding Hello Doctor, I had a medical visit in April 2021 due to blood in my stool, during which I underwent a colonoscopy. The doctor informed me that there were no polyps in my intestines and recommended that I have another colonoscopy in 3-5 years. The final diagnosis ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Patients
Do I Need a Tetanus Shot After a Dog Bite Injury?
Do I need a tetanus shot? Hello, Doctor. Today while playing with my dog, we accidentally bumped into each other, and its teeth hit my mouth, causing my gums to tear and bleed. I immediately rinsed my mouth, but I'm unsure if I need a tetanus shot since it was an injury from...
Dr. Chen Bingze Reply:
Hello, the tetanus bacteria are found in soil and animal feces, and they can invade the human body through broken skin surfaces (such as cuts, puncture wounds, or even very minor injuries). Tetanus can also be contracted after burns or animal bites, but the tetanus bacteria are n...[Read More] Do I Need a Tetanus Shot After a Dog Bite Injury?
Understanding Bowel Issues: Causes and Concerns About Hemorrhoids
Bowel movement issues Hello doctor, a few months ago I was having bowel movements every 2 to 3 days, but this past week I've been having daily bowel movements. Each time, the stool comes out in small pieces but is not hard. Towards the end, I have to exert a lot of effort to...
Dr. Ke Fangxu Reply:
If bowel movements require excessive straining, it can lead to swelling of the hemorrhoidal tissue, which may create a sensation of incomplete evacuation. This feeling is not due to retained stool but rather an illusion caused by the swelling of the hemorrhoids. It is recommended...[Read More] Understanding Bowel Issues: Causes and Concerns About Hemorrhoids
Do You Need a Tetanus Shot After a Bike Accident?
Tetanus issues? Hello, doctor. I would like to ask if I need a tetanus shot for a wound from a bicycle accident. I found online that tetanus has a 10-year protection period, and I received a shot 6 years ago. I'm not sure if I need a booster.
Dr. Ke Fangxu Reply:
Tetanus is caused by an infection with Clostridium tetani. Since Clostridium tetani is an anaerobic bacterium, infection occurs only when the bacteria are introduced into a deep, complex wound that creates an oxygen-deprived environment. Superficial wounds do not lead to tetanus,...[Read More] Do You Need a Tetanus Shot After a Bike Accident?
Understanding Irregular Stool Shapes: Is It Hemorrhoids?
The stool is flat on one side and round on the other? Hello doctor, my stools have been mostly ribbon-shaped, with one side flat and the other round, for about six months. The thickness varies. Last year, I used a mirror to look at my anus and noticed a soft, round mass protrudin...
Dr. Zhang Shuhao Reply:
Hemorrhoids, unless they cause pain that affects bowel movements, do not change the shape of the stool. The presence of stool that is both flat and round is related to the pressure exerted by the anal sphincter during defecation, rather than being indicative of an obstruction. If...[Read More] Understanding Irregular Stool Shapes: Is It Hemorrhoids?
Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Bleeding during bowel movements? Hello, I experience bleeding during bowel movements (every time, without pain). In June, I had a colonoscopy, which revealed a small hemorrhoid located less than two centimeters inside the anal canal. I was advised to apply an ointment, but my con...
Dr. Zhang Shuhao Reply:
First, take warm sitz baths regularly, increase your intake of water and fruits and vegetables to prevent constipation, and avoid spicy and irritating foods. Refrain from smoking, drinking alcohol, and staying up late. Start by changing your lifestyle habits. When applying ointme...[Read More] Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Understanding Tetanus Infection Risks: Common Questions Answered
Questions related to tetanus infection? Hello Doctor: I apologize for asking about some questions related to tetanus. The day before yesterday, while I was on the balcony, I accidentally bumped my head against an air conditioning bracket, which had some slight rust on it. After m...
Dr. Ke Fangxu Reply:
1. Yes. 2. No. 3. Yes, tetanus is caused by an infection with Clostridium tetani. Since Clostridium tetani is an anaerobic bacterium, it can only cause infection when it enters a deep, complex wound that provides an oxygen-deprived environment. Superficial wounds do not lead to t...[Read More] Understanding Tetanus Infection Risks: Common Questions Answered
Understanding Rectal Hard Lumps: Causes and Concerns
There is something in the rectal area of the anus? Today, when I felt a blockage in my stomach, I performed a mild enema with water and used my finger to gently explore inside my anus. I applied lubricant, and as my finger went deeper, around the second knuckle of my middle finge...
Dr. Yu Mingchang Reply:
Take a look at colorectal surgery.[Read More] Understanding Rectal Hard Lumps: Causes and Concerns
Understanding Tetanus Risks from Minor Scrapes and Wounds
Wound issues Hello, doctor: About five days ago, I fell off my bicycle while it was raining. I have a scrape about 2 centimeters long below my knee. The wound is not very deep but did bleed. Later, I went to the pharmacy to buy saline solution and antiseptic to clean it, and the ...
Dr. Chen Bingze Reply:
Hello, it sounds like this injury is more likely a soft tissue injury caused by a fall, which has a low risk of tetanus. However, if you are really concerned, I recommend visiting a nearby medical facility to receive a tetanus shot for your peace of mind.[Read More] Understanding Tetanus Risks from Minor Scrapes and Wounds