Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Understanding Anal Leakage: Causes and When to Seek Help
Anal discharge I have not been diagnosed with hemorrhoids, nor do I feel like I have them. Sometimes when I pass gas or accidentally, there is a watery discharge from my anus, but it has no odor. Recently, I've also experienced issues with incomplete bowel movements and a co...
Dr. Zhang Shuhao Reply:
Based on your description, it may be a functional gastrointestinal issue. You can start by increasing your fluid intake and dietary fiber, engaging in moderate exercise, and relaxing your mind. If symptoms persist, consider visiting a gastroenterologist or a family medicine clini...[Read More] Understanding Anal Leakage: Causes and When to Seek Help
Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-operative bowel issues after anal electrosurgery? At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal. The area of skin burned around the anus was relatively la...
Dr. Zhang Shuhao Reply:
If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed. Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements. If the surgery did ...[Read More] Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Two months after hemorrhoid surgery, there is still blood when wiping? Hello, I would like to ask if a patient has experienced bleeding during bowel movements two months after hemorrhoid surgery, could this indicate that internal hemorrhoids have reoccurred, or could there be ano...
Dr. Zhang Shuhao Reply:
If the wound from hemorrhoid surgery has not yet healed, there may be bleeding during bowel movements due to friction and straining, which will gradually improve as the wound heals. If hemorrhoids are surgically removed, they are unlikely to recur in a short period. If there are ...[Read More] Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Blood in Stool: Causes and Concerns for Patients
Blood in stool issue? In the morning, the stool is drier and harder; the shape is sausage-like with a bumpy surface. It requires straining during bowel movements, resulting in blood streaks on the stool. Subsequent bowel movements are normal without blood. What could be the cause...
Dr. Zhang Shuhao Reply:
Since you had a colonoscopy last year, there is not much to worry about regarding intestinal tumors. If your stools are hard and dry, straining during bowel movements can lead to hemorrhoid irritation or anal fissures with bleeding. It is recommended to take warm sitz baths, incr...[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Excessive reliance on rectal ointments? Hello, doctor. I have been using hemorrhoid ointment for nearly 8 years without stopping, specifically Hiyu ointment. Whenever I stop using it, I feel very uncomfortable in my anus (burning sensation, almost like it's about to crack), ...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments can alleviate the symptoms of acute hemorrhoid flare-ups, but they do not improve the severity of hemorrhoids, so short-term use is recommended. These ointments often contain corticosteroids, and prolonged use can lead to skin sensitivity and anal itching. It...[Read More] Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Experiencing Discomfort Around the Anus: When to See a Doctor?
There is a sensation of a foreign body in the anal area? The main issues are pain during bowel movements, pain while sitting, and occasional dull abdominal pain, but there is no bleeding. Should I see a doctor, or is it okay to wait for now since the pain is not severe?
Dr. Chen Jiaming Reply:
It is recommended to visit the colorectal surgery outpatient clinic for further evaluation and treatment.[Read More] Experiencing Discomfort Around the Anus: When to See a Doctor?
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Post-hemorrhoid surgery Hello Dr. Chang, I underwent laser minimally invasive surgery for hemorrhoids under spinal anesthesia on July 10 at the Taoyuan General Hospital and was discharged on July 11. It has now been four days. I can only lie down or stay in bed. When lying down, ...
Dr. Zhang Shuhao Reply:
Laser minimally invasive hemorrhoid surgery generally refers to laser ablation surgery. The wound typically heals within three to five days post-operation, and while there may still be some localized swelling, it rarely affects gas or bowel movements. It is advisable to take warm...[Read More] Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Blood in Stool: Understanding Causes and When to Seek Help
Blood in the stool? Recently, I have been experiencing blood in my stool. Two days ago, I went for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum and proceeded to perform a rubber band ligation for my internal h...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Blood in Stool: Understanding Causes and When to Seek Help
Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Is it possible to feel a hard lump inside the anus with hemorrhoids? I would like to ask the doctor if hemorrhoids can be very hard. Are there hemorrhoids that do not bleed? I read online that hemorrhoids are soft and do not obstruct bowel movements. I have felt a large hard lump...
Dr. Zhang Shuhao Reply:
If hemorrhoids develop a thrombosis, they may feel firmer than usual hemorrhoidal tissue, but they will not reach the hardness of a lump and will not obstruct bowel movements. A colonoscopy can usually rule out tumor-related lesions. It is recommended to first visit a colorectal ...[Read More] Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Ten days after hemorrhoid ligation, there is a significant amount of blood when wiping, but no pain or itching? For the past six months, I've been experiencing itching in my buttocks and a sharp pain during bowel movements. Ten days ago, I underwent surgery for internal hemo...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, the hemorrhoidal tissue will undergo ischemia and eventually slough off, which may result in bleeding. If there are no other discomforts, it is advisable to monitor the situation. However, if there is persistent heavy bleeding or the fo...[Read More] Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu Reply:
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu Reply:
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Understanding Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Anal stenosis My mother is 91 years old. About 40 years ago, she underwent a hemorrhoidectomy, which resulted in anal stenosis. Since then, she has been using her hands to assist with bowel movements. It was only 8 years ago that we discovered her condition and consulted a doctor...
Dr. Zhang Shuhao Reply:
The surgical risks for a 91-year-old patient are relatively high, including risks associated with anesthesia and delayed wound healing. It is recommended to first visit a hospital for an evaluation to determine if the patient's physical condition is suitable for surgery. As ...[Read More] Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Thrombosed Hemorrhoid Excision Surgery Hello, doctor. I had a surgical excision of a thrombosed external hemorrhoid on June 21. About five days post-operation, my bowel movements started to become less painful, and I felt that the wound was gradually improving. However, by the ei...
Dr. Zhang Shuhao Reply:
If a new protrusion appears on the opposite side of the wound, it may be a new thrombosed external hemorrhoid. Here are some recommendations: 1. Monitor symptoms: Continue to observe any changes in pain and the new protrusion, paying attention to any further swelling, discolorati...[Read More] Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Red Streaks in Stool: Is It Blood or Food Residue?
There is red in the stool, and I'm not sure if it's bleeding? There is red in the stool, and I'm not sure if it's bleeding, but only one segment has some red stool, which does not dissolve into red in the water. Could this possibly be food residue? I ate a lot...
Dr. Zhang Shuhao Reply:
The image cannot be displayed, but red stools can indeed be caused by food, such as red foods like chili peppers, tomatoes, or beets. The residue from these foods may not be completely broken down during digestion, resulting in red coloration in the stool. However, to rule out ot...[Read More] Red Streaks in Stool: Is It Blood or Food Residue?