Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues
Rectal bleeding Doctor: I often experience constipation. Today, I felt a bit of an urge to go, but it took me 3 to 4 minutes of straining to pass one or two hard stools. Afterward, I wasn't sure if my anus hurt or if I didn't fully evacuate. I went to the bathroom four ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues
Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Anal abscess Hello Doctor, I started experiencing pain around my anus on November 30th, which has affected my daily life. On December 1st, I visited my family doctor who suspected it was hemorrhoids and prescribed antibiotics and an ointment. However, on the evening of December 2...
Dr. Zhang Shuhao Reply:
The family medicine physician prescribed antibiotics and ointment, indicating that the doctor also suspects an anal abscess. If it ruptures on its own, it's fine; you can clean and disinfect the area and gently express the pus. Continue applying the ointment to the wound. Af...[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Inquiry Consultation Dear Dr. Chang, Recently, when I sit, I feel a sense of pressure and fullness around the anal area, which is less noticeable when I stand or walk. Additionally, when I try to pass gas, it feels like the gas is trapped at the anal opening and is difficult to ...
Dr. Zhang Shuhao Reply:
1. When internal hemorrhoids are swollen and prolapsed, there may be a feeling of pressure and fullness near the anus, and standing or walking can help venous return, slightly alleviating the congestion and swelling. 2. Swelling of hemorrhoids may cause a different sensation in t...[Read More] Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching
Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...
Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Issues related to the presence of blisters at the anal opening and fistula surgery? Hello, doctor. I underwent anal fistula surgery two years ago, and this year I had two more surgeries at the end of July and the beginning of October. The surgical area is from the anal opening to...
Dr. Zhang Shuhao Reply:
There are no visible wounds on the surface, but as long as the inside of the anus has not fully healed, there may still be some discharge. If ointment is still being used, the discharge may appear to be more abundant. If there is no swelling, pain, or bleeding, there is likely no...[Read More] Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Postoperative massage after anal fistula surgery? Hello, doctor. It has been 4 weeks since my surgery. During my follow-up visit today, the doctor said that my wound is healing well and that I can start massaging it. However, the doctor directly inserted their finger into my anus...
Dr. Ke Fangxu Reply:
1. It is sufficient to take warm sitz baths without the need for massage; personally, I do not recommend massage for patients. 2. For simple fistulas, maintaining cleanliness and waiting for the wound to heal is adequate. If there is no pain or swelling, the application of oint...[Read More] Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Understanding Rectal Issues: Causes, Symptoms, and Solutions
Anal issues? I am a sophomore in high school. During middle school, I used to forcefully open my buttocks with my hands while having a bowel movement. Since I started my first year of high school, I have been experiencing bleeding and pain during bowel movements, which has contin...
Dr. Zhang Shuhao Reply:
Pain and bleeding during bowel movements in young individuals are most likely due to anal fissures, which are often related to straining during defecation and tension in the anal sphincter. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber ...[Read More] Understanding Rectal Issues: Causes, Symptoms, and Solutions
Understanding Painful Anal Bumps: Causes and Treatment Options
Perianal mass Hello, doctor. About five days ago, coinciding with my menstrual period, I noticed a round lump on the outer right side of my anus, approximately the size of a five-dollar coin. It is painful when I move, and the pain seems to be gradually increasing. I recall havin...
Dr. Zhang Shuhao Reply:
A sudden painful lump that is related to the menstrual cycle is most likely a thrombosed external hemorrhoid, though it could also be a sebaceous gland inflammation or an anal abscess in rare cases. It is recommended to take warm sitz baths, increase fluid intake to prevent const...[Read More] Understanding Painful Anal Bumps: Causes and Treatment Options
Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
There is a small protrusion located below the anus? Hello Doctor, I am currently 17 years old. Recently, I have been experiencing a tearing sensation around the anal area. I do not feel any pain during bowel movements, but it is very painful when I wipe with toilet paper. Upon se...
Dr. Zhang Shuhao Reply:
Based on your description, it is more likely to be an anal fissure accompanied by an external skin tag, rather than hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also minimizing the time spent...[Read More] Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
Understanding Anal Masses: Could It Be Hemorrhoids?
Anal mass In recent months, I have noticed a small lump protruding from my anus after bowel movements, which is difficult to pass. This has been happening quite frequently over the past month, and I can only push it back in with my finger. The lump is not large, has a smooth surf...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Understanding Anal Masses: Could It Be Hemorrhoids?
Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Does it look like hemorrhoids? In recent months, I have experienced a situation where a lump protrudes from my anus after each bowel movement, and I have to push it back in with my hand; otherwise, it remains stuck at the anal opening. There is no bleeding, but I have noticed som...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Do I Need a Tetanus Shot After a Cat Scratch?
Cat scratch injury Hello, doctor: I was scratched by a stray cat today. The wound is not deep or large, but there was slight bleeding at the time of the scratch, which stopped quickly. I would like to ask if I need to receive a tetanus vaccine in this situation. Thank you!
Dr. Zhang Shuhao Reply:
If you are scratched by a feral cat and have an open wound, it is essential to receive a tetanus shot and oral antibiotic treatment. However, if it is just a minor abrasion with slight bleeding, treatment may not be necessary. In this case, it is recommended to apply an ointment ...[Read More] Do I Need a Tetanus Shot After a Cat Scratch?
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Dealing with Discharge Near the Anus: When to Seek Medical Help
If there is discharge near the anus, what should I do? Recently, I experienced gastroenteritis with diarrhea, and suddenly I had pain near the anus. Upon examination, I felt a small lump close to the anus that was painful when pressed. Generally, I only felt pain when sitting dow...
Dr. Zhang Shuhao Reply:
After diarrhea, if there is swelling and pain around the anus accompanied by purulent discharge, it may be indicative of an anal fistula. If symptoms persist, it is advisable to seek medical evaluation. An experienced colorectal surgeon can diagnose an anal fistula through a phys...[Read More] Dealing with Discharge Near the Anus: When to Seek Medical Help
Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Suspected thrombosed external hemorrhoid? Hello Doctor, about one or two weeks ago, I noticed some blood when wiping after a bowel movement, which was not mixed with stool or in the toilet. Yesterday, while showering, I felt a soft protrusion located right at the center of the an...
Dr. Zhang Shuhao Reply:
Based on your description, it does sound like a thrombosed hemorrhoid, commonly referred to as an exacerbation of hemorrhoids, which occurs due to the formation of a blood clot from subcutaneous bleeding. When located near the outer side of the anus, the swelling and pain can be ...[Read More] Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
It is difficult to differentiate between an anal fistula and a skin tumor, making it challenging to provide the appropriate treatment? Hello Doctor, my husband has had a hard lump near his anus since April, which has changed color, is painful when pressed, and even affects his wa...
Dr. Zhang Shuhao Reply:
Based on your description of wounds around the anus that are bleeding, discharging pus, and prone to recurrence, there is a high suspicion of an anal fistula. The difference between an anal fistula and a skin tumor is that the fistula is connected to the anal glands, so both the ...[Read More] Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
Understanding Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Rectal Discomfort: Causes and Solutions for Relief
Anal issues Recently, I have been feeling a sense of fullness in my anus, but my bowel function is normal. Last month, I visited the hospital, and the doctor performed a digital examination and felt a small mass. However, the doctor mentioned that both sides had this condition, w...
Dr. Zhang Shuhao Reply:
If a small lump is felt during a digital rectal examination on both sides but later disappears, it is most likely caused by hemorrhoids. However, hemorrhoids do not cause a sensation of abdominal bloating. It is advisable to first use medications that relieve bloating and promote...[Read More] Understanding Rectal Discomfort: Causes and Solutions for Relief