Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...
Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Post-Surgery Concerns: Understanding Swelling and Bruising After Breast Cancer Surgery
Postoperative issues? Hello Doctor, I am a stage II breast cancer patient who just underwent surgery on December 20th to remove the tumor and sentinel lymph nodes. The surgical site has been healing well, but I am currently experiencing swelling in my breast and armpit areas, wit...
Dr. Chen Bingze Reply:
Hello, some patients may experience hematoma at the surgical site after the procedure. Generally, it can be monitored, and during your next follow-up appointment, your physician should check for any accumulation of blood or fluid.[Read More] Post-Surgery Concerns: Understanding Swelling and Bruising After Breast Cancer Surgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Inquiry about postoperative pain after tissue coagulation knife procedure? Hello Dr. Chang, I am suffering from grade III internal hemorrhoids and have already undergone surgery at a major hospital. The procedure seemed to involve a tissue coagulation device, not laser treatment....
Dr. Zhang Shuhao Reply:
1. The LigaSure device is a literature-validated surgical method that results in lower levels of pain and bleeding compared to traditional surgery. If the wound has fully healed, antibiotic ointment is not necessary. Strongly applied analgesics can help soothe the wound and relie...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
There is a tingling sensation in the thumb? Recently, I have been experiencing a tingling and electric shock-like sensation in my right thumb when washing my hands with cold water. However, this sensation does not occur when I use warm water during a shower. The tingling and pain...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a peripheral circulation issue, possibly combined with fasciitis or nerve compression, which requires further examination for confirmation. 2. Based on your description, the symptoms are not severe. It is recommended to start with heat therapy or p...[Read More] Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
Understanding Sacral Pain: When to Consult an Orthopedic Specialist
Sacral region pain Five years ago, I had a lipoma in the sacral region, which was surgically removed and confirmed to be a benign tumor. However, there is a specific area in the middle to lower part of the wound that occasionally hurts and sometimes feels warm and painful. This d...
Dr. Lü Mingchuan Reply:
You can return to the surgical consultation for evaluation at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Understanding Sacral Pain: When to Consult an Orthopedic Specialist
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Surgery During Menstruation: What You Need to Know
Surgery during menstruation? Hello Dr. Ke, I am the patient from question #203279 (sorry to ask another question). I was thinking about the surgery date, and it seems it will coincide with my menstrual period. After I left, I remembered this and went back to inform the nurse in t...
Dr. Ke Fangxu Reply:
Menstruation will not affect the surgery; however, if a warm water sitz bath is needed postoperatively, using tampons may be inconvenient. Tampons are the first recommendation. If you are unable to use them, you may consider rescheduling the surgery or taking medication to adjust...[Read More] Surgery During Menstruation: What You Need to Know
Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Cervical and Shoulder Pain MRI Report 2023/11/30 MRI REPORT Summary: The patient has experienced soreness and pain over the right shoulder joint for several months, with recent onset of numbness and pain radiating to the forearm and fingertips. There are noted sleep disturbances...
Dr. Lai Zhaokang Reply:
Hello: 1. Based on the information you provided, there is nerve root compression in the cervical spine, but it does not seem to be severe. 2. To assess the need for surgery, it is important to consider the patient's actual condition, the relevant X-ray and MRI images, and th...[Read More] Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?
Raising hands unconsciously while sleeping? For the past month, I have been unconsciously raising my hands or placing them under my head while sleeping. Initially, it didn't affect my sleep much; I just felt shoulder soreness upon waking, which would subside after a while. H...
Dr. Zhao Shaoqing Reply:
You can see a neurologist.[Read More] Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?
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 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
Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Postoperative Exercise After Spinal Fusion Surgery Doctor, I had spinal fusion surgery a year ago, and my condition is quite good. However, I heard from my neighbor that she had her surgery over three years ago and recently went back to the hospital because the screws became loos...
Dr. Lai Zhaokang Reply:
Hello: 1. Basically, one year after spinal fusion surgery, the fusion should be complete. 2. If you had surgery over three years ago and recently returned to the hospital due to loose screws, this is uncommon but possible. If the patient has poor bone quality, even osteoporosis, ...[Read More] Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
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
Post-Surgery Concerns: Blood After Bowel Movements Explained
Post-fistula surgery After nearly two months post-surgery, if you notice some blood when wiping after a bowel movement, it could be due to hard stools or a wound that hasn't fully healed.
Dr. Zhang Shuhao Reply:
Wound healing after fistula surgery typically takes about four to eight weeks. Initially healed wounds may still be prone to friction and bleeding, but allowing the wound to rest will promote healing. It is recommended to take warm sitz baths, increase fluid intake, and consume d...[Read More] Post-Surgery Concerns: Blood After Bowel Movements Explained
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 Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Mixed hemorrhoidal mass Hello doctor! In the past few months, I have been experiencing thrombosed hemorrhoids. The swelling has decreased significantly after soaking in warm water. However, yesterday, when my wife examined the area, she noticed a wound on the skin tag that appear...
Dr. Zhang Shuhao Reply:
Thrombosed hemorrhoids are similar to areas covered by regular skin; friction can still cause wounds, and sometimes they may rupture, leading to bleeding or even small blood clots. Regular warm sitz baths, along with topical treatments, are usually sufficient for management. If t...[Read More] Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
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
Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
I would like to inquire if fever can occur after hemorrhoid surgery? Hello, I would like to inquire about my father's hemorrhoid banding surgery at the postal hospital on November 18. Is postoperative fever a normal phenomenon, or is it related to individual constitution? Ad...
Dr. Zhang Shuhao Reply:
Generally, rubber band ligation for internal hemorrhoids does not cause fever. However, if fever is accompanied by chills, palpitations, shortness of breath, low blood pressure, or severe anal-rectal pain, immediate medical attention is required. If there is a mild fever without ...[Read More] Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips