Post-Surgery Concerns for Hemorrhoid Patients: Managing Pain and Diet
Postoperative Issues Related to Hemorrhoid Surgery Hello, doctor. The information above is about my father. He is one day post-operative from hemorrhoid surgery, and he is eating very little because he is afraid of pain during bowel movements. What should I do? I have researched ...
Dr. Zhang Shuhao Reply:
After hemorrhoid surgery, you can start to increase your fluid intake and maintain a light diet within a few days, focusing on eating enough to avoid hunger. When experiencing pain, it is advisable to take warm sitz baths and to use oral anti-inflammatory and pain relief medicati...[Read More] Post-Surgery Concerns for Hemorrhoid Patients: Managing Pain and Diet
Understanding Hemorrhoids: Symptoms, Types, and When to Seek Help
Hemorrhoids Hello, doctor. I would like to ask: Recently, I noticed a soft lump near the anal opening, about the size of a coin, with a purple and slightly black color. It is not painful, itchy, or bleeding, and there is no foreign body sensation. Occasionally, I experience const...
Dr. Zhang Shuhao Reply:
After bowel movements, hemorrhoids may occasionally protrude slightly, which could indicate first to second-degree internal hemorrhoids. The purple protrusion is mostly caused by thrombosis, indicating that the blood vessels within the hemorrhoid have been compressed, leading to ...[Read More] Understanding Hemorrhoids: Symptoms, Types, and When to Seek Help
Managing External Hemorrhoids: Symptoms and Treatment Options
Suspected hemorrhoids protruding? Hello, Dr. Chang. Recently, I've been experiencing harder stools, and it seems like an external hemorrhoid is protruding. It feels soft to the touch and is leaking fluid. When my anus retracts, I feel something unusual in that area, and it t...
Dr. Zhang Shuhao Reply:
Based on your description, it seems that after straining during a bowel movement, the internal hemorrhoid may slightly protrude, which is referred to as hemorrhoidal prolapse. At this time, intestinal fluid or watery stools may be more likely to leak out. It is recommended to tak...[Read More] Managing External Hemorrhoids: Symptoms and Treatment Options
Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Anal abscess: Inquiry about diarrhea issues during the recovery period? Hello Doctor: I underwent incision and drainage of an anal abscess on April 1st, and during my follow-up visit on April 8th, it was confirmed that the incision site was healing. During this period, I was trea...
Dr. Zhang Shuhao Reply:
1: The glands in the surgical area will be removed along with the fistula, so recent diarrhea will not affect the outcome of the surgery. Additionally, while diarrhea is theoretically related to inflammation of the anal glands, there is no clear causal relationship between the tw...[Read More] Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Understanding Chronic Anal Fissures: Treatment Options and Concerns
Inquiry about anal fissure issues? Hello, doctor. A few months ago, I visited a clinic due to an anal fissure, and after the physician prescribed me a suppository, I recovered quite well. However, a few weeks ago, I experienced another anal fissure, possibly due to constipation. ...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissures are generally defined as symptoms persisting for more than eight weeks and are difficult to relieve with conservative treatment. 2. Improving constipation symptoms can be achieved by increasing fluid and dietary fiber intake, reducing time spent on the to...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Concerns
Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Should I Be Concerned About a Growing Lump on My Right Arm?
Doctor, I have a tumor on my right arm? Dear Doctor, I have had a lump on my right arm for a long time, but I didn't pay much attention to it until recently when I noticed it has grown larger. Please refer to the image at this link: https://i.imgur.com/arT4fws.jpg. Should I ...
Dr. Chen Bingze Reply:
Hello, if there is an increase in size, it is recommended to undergo surgical removal and biopsy to determine what it is.[Read More] Should I Be Concerned About a Growing Lump on My Right Arm?
Soft Bump Near Anus: Is It a Mild Hemorrhoid?
A soft lump outside the anus? Hello, doctor. I would like to ask: In the past two weeks, while cleaning my anus, I noticed a soft protrusion on the inner layer of the skin on the right side of the anal opening. It is located at the entrance, not inside the anus, and it is neither...
Dr. Zhang Shuhao Reply:
This may be a mild hemorrhoid or a skin tag, especially considering that it is soft, has not caused pain or itching, and shows no signs of redness or swelling. It is recommended to maintain cleanliness in the anal area, avoid constipation or diarrhea, increase dietary fiber intak...[Read More] Soft Bump Near Anus: Is It a Mild Hemorrhoid?
Blood on Toilet Paper After Appendectomy: What You Need to Know
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello Doctor, I recently underwent an appendectomy a week ago and I have fully recovered. However, for the first few days after the s...
Dr. Zhang Shuhao Reply:
Appendectomy itself does not affect rectal bleeding; however, if there is intestinal inflammation accompanied by diarrhea, it may sometimes lead to swelling and bleeding of internal hemorrhoids. In such cases, taking warm sitz baths, staying hydrated, and increasing dietary fiber...[Read More] Blood on Toilet Paper After Appendectomy: What You Need to Know
Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent anal fistula surgery on March 14. During my follow-up appointment on March 22, it was confirmed that the external wound was healing well. However, starting from the night of March 23, I developed a fever of about 38.7°C and began exp...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, if the wound is in an open state, the risk of infection is low. Pain associated with anal inflammation and abscess is usually quite pronounced. If there are symptoms such as fever and diarrhea, along with cold-like symptoms, it may indicate a viral inf...[Read More] Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery
Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?
Is it abnormal to have symptoms after hemorrhoid ligation? Hello, doctor. I had a third-degree hemorrhoidectomy on March 12, and it has been extremely painful for many days, but I managed to endure it. Currently, it is about day 10-11 post-surgery. Starting from around day 8, I n...
Dr. Zhang Shuhao Reply:
Internal hemorrhoid ligation usually does not cause significant pain. Based on your description, it is possible that the external hemorrhoid has become swollen after the ligation of the internal hemorrhoid. You can start by taking warm sitz baths and using anti-inflammatory and s...[Read More] Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?
Managing Head Injuries in Children: Ice or Heat for Swelling?
A child fell down? If a young child accidentally bumps their head while playing and initially cries but is comforted, it is important to monitor them for 72 hours. If there are no symptoms such as vomiting, excessive sleepiness, fainting, and they are eating and drinking normally...
Dr. Zhang Junwei Reply:
Typically, apply ice for the first three days, then switch to warm compresses.[Read More] Managing Head Injuries in Children: Ice or Heat for Swelling?
Persistent Pain from Anal Fissure: When to Seek Medical Attention?
I have had an anal fissure for 5 days, but there has been no improvement? Hello Doctor, five days ago I experienced a slight tear in my anus due to harder stools. I bought some ointment to apply and have been doing warm sitz baths. Based on my previous experiences with anal fissu...
Dr. Zhang Shuhao Reply:
It is recommended to visit a colorectal clinic for examination. When anal fissure wounds do not heal easily, it may be associated with excessive sphincter tension or local ulcers, which may require surgical treatment. During the waiting period for medical attention, it is importa...[Read More] Persistent Pain from Anal Fissure: When to Seek Medical Attention?
Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Unexplained itching sensation? Hello Doctor, in the past few days, I have been experiencing a sudden and frequent sensation of unexplained swelling or itching deep in my intestines, rectum, or pelvic area. It feels like there is a spasm, and I constantly feel the urge to tighten ...
Dr. Zhang Shuhao Reply:
This sensation may originate from the gastrointestinal tract, pelvic floor muscles, or gynecological issues. It is advisable to consult a colorectal specialist and a gynecologist for a physical examination and ultrasound to rule out any organ-related problems. If the organs are f...[Read More] Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Itching around the anal area? Hello Doctor, I have been experiencing itching around the anal area for a month. A few days ago, I visited a colorectal surgeon who examined me with a digital exam and an anoscope, but he did not clearly inform me whether I have hemorrhoids (nor whet...
Dr. Zhang Shuhao Reply:
Itching may be an early symptom of hemorrhoids. If evaluated by a physician, skin allergies and other issues should be ruled out. It is advisable to follow the doctor's recommendations for the use of suppositories and ointments for hemorrhoids, as well as to take warm sitz b...[Read More] Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Understanding Rectal Pressure During Exercise: Causes and Concerns
Feeling of anal heaviness or prolapse? Hello, doctor. Due to my exercise routine, I experience a sensation of anal heaviness while jumping rope, but I do not have this feeling when running or during daily activities. I have a history of anal fissures and hemorrhoids. Last Septemb...
Dr. Zhang Shuhao Reply:
A feeling of anal heaviness is a common symptom of anorectal disorders, as the area above the dentate line is innervated by visceral nerves, resulting in less pronounced pain but a sensation of heaviness below that line. Common causes include intestinal inflammation, internal hem...[Read More] Understanding Rectal Pressure During Exercise: Causes and Concerns
Understanding Mid-Back and Peripheral Numbness: Causes and Solutions
Mid-back numbness and peripheral numbness? Hello Doctor, in the past week or two, I have been experiencing a tingling sensation, similar to an electric shock, in the middle right part of my back. This usually occurs when I extend my right arm forward, lean forward, grip something...
Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that 1. your hand symptoms may be due to nerve compression from the cervical spine or upper limbs. Corresponding nerve examinations can be arranged for evaluation. 2. The back symptoms may be related to thoracic nerve issues, which should al...[Read More] Understanding Mid-Back and Peripheral Numbness: Causes and Solutions
Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Thrombotic external hemorrhoid On March 1st, I visited a clinic due to anal pain, and the doctor diagnosed me with thrombosed external hemorrhoids. An outpatient procedure was performed to evacuate the thrombus, and I was prescribed a topical ointment. However, on March 3rd, I st...
Dr. Zhang Shuhao Reply:
After squeezing, if swelling occurs again, it may be due to the swelling of the hemorrhoids themselves, not necessarily caused by a thrombosis. It is advisable to take warm sitz baths, along with the use of ointments and anti-inflammatory pain relievers, which can help alleviate ...[Read More] Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures