Is It Appropriate to See a Gastroenterologist for Anal Issues?
Continuing from #200748? Hello Doctor, regarding the small amount of blood I mentioned yesterday near the anus area of my underwear, I went to see a doctor immediately. However, I consulted a hepatobiliary and gastroenterology specialist (since I noticed that the clinic performs ...
Dr. Chen Bingze Reply:
Of course, if you have any concerns, you can also consult a colorectal surgeon.[Read More] Is It Appropriate to See a Gastroenterologist for Anal Issues?
When Is Rectal Bleeding a Concern Beyond Bowel Movements?
Anal issues Hello, doctor. I would like to ask under what circumstances the anus might bleed when not having a bowel movement? Could it possibly be a gastrointestinal issue? Thank you for your response, doctor.
Dr. Chen Bingze Reply:
Hemorrhoids and anal fissures can occur, and while the likelihood of developing colorectal cancer at your age is relatively low, if you are truly concerned, it is advisable to undergo a colonoscopy for peace of mind.[Read More] When Is Rectal Bleeding a Concern Beyond Bowel Movements?
Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
A hard lump the size of a half green bean felt inside the anus? Recently, I felt a hard lump about the size of a fingertip in the anal area. It doesn't feel like a surface protrusion but rather a firm mass beneath the skin that is not painful and does not feel like a foreign...
Dr. Zhang Shuhao Reply:
1. Based on your description, it is most likely a thrombosed hemorrhoid, which is a lump formed by bleeding from the hemorrhoidal vessels under the skin. Warts typically present with localized lesions; tumors are very rare at your age. 2. Applying medication, taking warm sitz b...[Read More] Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
Understanding Dark Spots in Hemorrhoids: Causes and Concerns
Hemorrhoids with a dark purple color in the center? 1. Can hemorrhoids develop moles or melanoma? (I am not referring to the area around the anus, but whether the hemorrhoids themselves can develop melanoma?) 2. There is redness around the hemorrhoids with a bit of blackish-purp...
Dr. Zhang Shuhao Reply:
1. Hemorrhoids do not cause moles or lead to melanoma; skin cancer originates from the squamous epithelium of the skin and is not closely related to hemorrhoids. 2. The dark purple color in the middle of hemorrhoids indicates the presence of a blood clot, which is known as a thro...[Read More] Understanding Dark Spots in Hemorrhoids: Causes and Concerns
Is Dark Skin Around the Anus a Common and Normal Condition?
The skin around the anus is dark? Doctor, is it normal to have a darker ring of skin around the anus? Thank you, doctor.
Dr. Zhang Shuhao Reply:
The darker ring of skin around the anus is often due to genetic factors and is a common normal occurrence.[Read More] Is Dark Skin Around the Anus a Common and Normal Condition?
Understanding Movable Hard Nodules Around the Anus: HPV or Hemorrhoids?
There are 1 to 2 movable hard nodules subcutaneously around the anal area? Because I had HPV in the past, and my last treatment (for genital warts) was at the end of April, everything has been normal until recently. A few days ago, I felt a large (slightly smaller than a mung bea...
Dr. Zhang Shuhao Reply:
Cauliflower lesions appear on the surface of the skin and are unlikely to form subcutaneous nodules. If there are no abnormalities on the skin surface, it may simply be a thrombosed hemorrhoid or subcutaneous inflammation. If a consultation is sought, a physician's examinati...[Read More] Understanding Movable Hard Nodules Around the Anus: HPV or Hemorrhoids?
Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anal area. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor mentioned that I only had hemorrhoids and some redness and swelli...
Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anus. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor said I only had hemorrhoids and some redness and swelling around the b...
Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Small Hard Lumps Near the Anus: When to Worry?
Small hard lump near the anus? Hello, doctor. At the beginning of August, I discovered a small hard lump next to my anus. It is not painful, does not appear swollen, and the surface of the skin is flat; I can only feel it when I press on it. At that time, I saw a doctor who diagn...
Dr. Zhang Shuhao Reply:
If it is an external hemorrhoid, medication can alleviate symptoms, but the protrusion may not completely disappear. Taking warm sitz baths can help, and improving lifestyle habits to avoid constipation is recommended. If discomfort persists, seek medical attention.[Read More] Understanding Small Hard Lumps Near the Anus: When to Worry?
Understanding Narrow Stools: Causes and When to Seek Help
Stool becomes thin? Hello, doctor. About a month ago, I experienced a very large bowel movement that was difficult to pass, resulting in a tear in my anus that bled significantly. I didn't think much of it at the time, but I became afraid of the pain and avoided going to the...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic to check if straining during bowel movements is causing bleeding around the anus. If there is a noticeable area of bleeding, treatment for anal fissures can be initiated, along with addressing the constipation issue. If there are no bleedin...[Read More] Understanding Narrow Stools: Causes and When to Seek Help
Post-Operative Care and Recovery from Anal Abscess Surgery
Postoperative care for anal abscess? Hello Dr. Ke, on August 28, I developed a cyst near my anus that was swollen and painful. I went to the hospital and consulted with a colorectal surgeon, who diagnosed it as an anal abscess after a physical examination. On the same day, I unde...
Dr. Ke Fangxu Reply:
1. It's difficult to determine whether it will develop into a fistula; continuous observation is necessary to find out. 2. Generally, wound healing takes about 2-3 weeks. 3. If there is redness, swelling, heat, pain, or if the wound has purulent or bloody discharge, you ...[Read More] Post-Operative Care and Recovery from Anal Abscess Surgery
Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Wound healing issues It has been three months since my anal fistula surgery, and there is still serous fluid draining from my anus. I underwent another debridement on August 11, and as of the 24th, the serous fluid is still present, and I feel no improvement. After debridement, h...
Dr. Yu Mingchang Reply:
You can return to the outpatient clinic for consultation.[Read More] Understanding Wound Healing Issues After Fistula Surgery: When to Seek Help
Understanding Discomfort Around the Anus: Causes and Concerns
Discomfort around the anal area? Hello Doctor, I recently took medication for my stomach which caused constipation. I then visited a colorectal surgeon who performed a digital examination and informed me that I only had a small tear. They provided me with three suppositories, and...
Dr. Xu Kaixi Reply:
Based on your description, these anal discomforts may be symptoms caused by hemorrhoids. If you have already visited three hospitals for examination and there are no specific recommendations for further testing, the lack of improvement in anal symptoms may be due to anxiety or st...[Read More] Understanding Discomfort Around the Anus: Causes and Concerns
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess Over the past few years, I have occasionally noticed a lump on my buttocks in different locations, more than five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and that it would resolve on its own since I couldn't feel it. Later, a...
Dr. Ke Fangxu Reply:
It is necessary to conduct a physical examination to differentiate between an anal abscess and a sebaceous cyst. Please consult a physician for an accurate diagnosis, as different conditions will require different recommendations and management strategies. Without a confirmed dia...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Understanding Rectal Bleeding: Possible Causes and Solutions
I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...
Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions
Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
External anal skin tag Hello Doctor, about two years ago, I felt a small lump between my anus and vagina. There was no bleeding after bowel movements, but it felt a bit itchy when touched. I have already consulted a colorectal surgeon at the hospital, who performed a physical exa...
Dr. Zhang Shuhao Reply:
The colorectal surgeon diagnosed the polyps caused by excessive straining during bowel movements, which are actually anal skin tags commonly associated with anal fissures. They typically do not present any symptoms, but may occasionally become swollen and painful due to external ...[Read More] Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess In recent years, I have occasionally noticed a lump on my buttocks in different locations, at least five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and left it alone, believing it would resolve on its own since I couldn't feel i...
Dr. Zhang Shuhao Reply:
1. In addition to considering sebaceous cysts or anal abscesses, it is important to evaluate for the presence of a subcutaneous fistula, which can only be diagnosed through a physician's examination. 2. Avoid diarrhea and smoking, and enhance skin hygiene; if there is swel...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Soft Lump Near Anus: What You Need to Know and Do
Perianal mass Hello doctor, in the past day or two, I have felt a lump near my anus. It feels soft, is about 1 centimeter in size, appears to be a normal skin color, and is not painful to the touch. I have a slight sensation of pressure when having a bowel movement, but there is ...
Dr. Zhang Shuhao Reply:
A sudden appearance of a soft, painless lump near the anus, along with a slight sensation of pressure during bowel movements, is more likely to be due to swollen hemorrhoids, which can result from bleeding and inflammation of the subcutaneous hemorrhoidal tissue. It is advisable ...[Read More] Soft Lump Near Anus: What You Need to Know and Do
Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort
Post-hemorrhoid surgery, there may be leakage of mucus and fecal matter? Hello, doctor. I had hemorrhoid surgery on the ninth day postpartum, and it has been one year and eight months since then. Besides discomfort in the anal area, I have been experiencing leakage of intestinal ...
Dr. Ke Fangxu Reply:
If you have already visited so many medical centers and undergone all the examinations, then I may not be able to help much. 1. It could be scar tissue. 2. It may soften over time. 3. Leakage issues after hemorrhoid surgery typically only last for a month; once the wound has comp...[Read More] Post-Hemorrhoid Surgery: Managing Persistent Leakage and Discomfort