Bowel movements, Surgery FAQ - Page 2

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Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?

Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...


Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...

[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?


Is It Hemorrhoids? Understanding Symptoms and When to Seek Help

Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...


Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...

[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help


Chronic Anal Pain: Understanding Symptoms and Treatment Options

Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...


Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...

[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options


Understanding Nerve Repair After Flap Surgery: Recovery Timeline and Pain Management

Postoperative nerve repair of flaps? Hello doctor, about three months ago I underwent a flap surgery for anal issues due to difficulty in bowel movements. Now, after approximately three months, I still experience a pulling pain around the anal area. I would like to know if this i...


Dr. Zhang Shuhao Reply:
Typically, nerve repair after surgery may take several months, with observation lasting from three to six months. During this period, occasional sharp pain or discomfort is normal. If you experience persistent pain or worsening pain, or if you have other concerning symptoms such ...

[Read More] Understanding Nerve Repair After Flap Surgery: Recovery Timeline and Pain Management


Understanding Hemorrhoids: Pain Management and Recovery Insights

Internal and external hemorrhoids issues? Hello Doctor: I recently underwent a rubber band ligation for internal hemorrhoids (which were originally expected to be mixed hemorrhoids), but the rubber band fell off two days early, resulting in painful swelling of the external hemorr...


Dr. Yu Mingchang Reply:
External hemorrhoids cannot be treated with rubber band ligation for internal hemorrhoids. It is advisable to consult a colorectal specialist.

[Read More] Understanding Hemorrhoids: Pain Management and Recovery Insights


Understanding Anal Fistulas: Treatment Options and Recovery Insights

Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...


Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...

[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights


Post-Surgery Concerns: Three Months After Anal Fistula Procedure

Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...


Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...

[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure


Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options

Colorectal issues, Irritable Bowel Syndrome (IBS) In the past, I often experienced diarrhea due to exam-related anxiety during my school years. Later, in my early twenties, I underwent a colostomy due to rectal cancer, with the stoma located approximately between the ascending co...


Dr. Ke Fangxu Reply:
It is normal to experience frequent bowel movements as a postoperative complication after rectal cancer surgery. This is due to the shortening of the rectum, which reduces the capacity for stool storage. Besides taking medications to control the frequency of bowel movements, ther...

[Read More] Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options


Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns

Postoperative Wound Care for Hemorrhoid Surgery Hello Doctor: I apologize for bothering you again. I have two additional questions regarding the issue I previously inquired about (#208283). 1. The open wound has not healed for almost three months. I have been continuously apply...


Dr. Zhang Shuhao Reply:
1. It is relatively uncommon for a surgical wound to remain unhealed for three months; a follow-up appointment is necessary to check for any abnormal inflammation or infection, or other factors that may be causing delayed healing. Granulation tissue that forms during the healing ...

[Read More] Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns


Understanding Painful Bumps Inside the Anus: Causes and Concerns

There are bump-like lesions on the inner wall of the anus? Hello Doctor, I apologize for bothering you. Yesterday, I discovered a raised, ball-like mass on the inner wall of my anus (about 1 centimeter deep). It is painful when pressed, but I don't notice it during my daily ...


Dr. Zhang Shuhao Reply:
The most common causes of protrusions and pain in the anal canal are hemorrhoids and fistulas, while less common causes include inflammation and infectious diseases. However, self-examination is usually difficult to assess. It is advisable to take warm sitz baths, increase fluid ...

[Read More] Understanding Painful Bumps Inside the Anus: Causes and Concerns


Risks of Using the Wrong Ointment for Anal Issues: What to Watch For

Applying the wrong medication to the anus (using Lemeiyan instead of Leyu Zhi) can lead to several potential harms, including irritation, allergic reactions, or worsening of the condition being treated. It is important to monitor for any adverse effects such as increased pain, sw...


Dr. Zhang Shuhao Reply:
Applying the wrong ointment may cause a short-term burning sensation or discomfort. It is recommended to take warm sitz baths and monitor for any skin rashes or swelling. The dosage of topical ointments is usually small, so it is unlikely to cause severe consequences. If symptoms...

[Read More] Risks of Using the Wrong Ointment for Anal Issues: What to Watch For


Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids

Postoperative care after rubber band ligation for hemorrhoids? Hello Doctor: I underwent rubber band ligation for internal hemorrhoids on May 24. After it prematurely loosened on May 26, an external hemorrhoid appeared near the anus. During my follow-up visit on May 27, the docto...


Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, there may be yellow discharge while the wound is still healing, but severe pain is uncommon. It is recommended to continue warm sitz baths, and doctors usually prescribe medication to relieve symptoms. If there is fever or severe swelli...

[Read More] Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids


Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective

Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I eat some vegetables, I don't consume the...


Dr. Zhang Shuhao Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/208806">#208806</a>.

[Read More] Understanding Occasional Anal Pain and Nighttime Urgency: A Surgical Perspective


Is It Normal for External Hemorrhoid Surgery Wound to Take a Year to Heal?

External hemorrhoid surgery It has been nearly a year since my external hemorrhoid surgery, and the wound has not yet healed. I previously consulted my doctor, who mentioned that my stools are too hard and provided me with a tube of the same topical ointment I used post-surgery, ...


Dr. Yu Mingchang Reply:
You can return to the outpatient clinic to have the doctor examine your wound.

[Read More] Is It Normal for External Hemorrhoid Surgery Wound to Take a Year to Heal?


Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity

Swimming issues Hello, Dr. Zhang. I would like to ask if having a small injury in the anal area, without being aware of it, and then going swimming could lead to the formation of an anal abscess and subsequently develop into an anal fistula? Additionally, I mostly have bowel move...


Dr. Zhang Shuhao Reply:
Anal abscesses or fistulas are caused by inflammation and infection of the glands located within the anal canal. Therefore, even if there are small external wounds, swimming will not lead to the development of anal fistulas. The skin around the anus is quite sensitive, so in addi...

[Read More] Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity


Post-Hemorrhoid Surgery: Managing Painful Bowel Movements and Frequency

Post-operative issues with bowel movements after hemorrhoid surgery? I underwent a hemorrhoid surgery using a tissue coagulation knife on May 9th, and now it's the 8th day. I have been having bowel movements more than 6 or 7 times a day, and each time is very painful. I cons...


Dr. Zhang Shuhao Reply:
Post-operative difficulty in bowel movements after hemorrhoid surgery is mostly caused by pain preventing relaxation. Adjusting pain medication, taking warm sitz baths, maintaining a light diet, and increasing fluid intake can help. Improvement is typically seen about two weeks a...

[Read More] Post-Hemorrhoid Surgery: Managing Painful Bowel Movements and Frequency


Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips

After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...


Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...

[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips


Soft Pink Bump Near Anus: Should You Be Concerned?

A small painless lump has developed outside the anus? Today, I felt a slight sharp pain in my anus and discovered a small pink soft lump on the outer edge of the anus when I looked in the mirror. It doesn't hurt and there is no bleeding. My bowel movements are generally smoo...


Dr. Zhang Shuhao Reply:
A sudden appearance of a pink small lump at the anal margin is most commonly associated with thrombosed hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, along with the use of hemorrhoid ointments to al...

[Read More] Soft Pink Bump Near Anus: Should You Be Concerned?


Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience

Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts protruding outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. Nearly two mo...


Dr. Zhang Shuhao Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/208202">#208202</a>.

[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience


Post-Operative Symptoms After Umbilical Hernia Surgery: What to Expect

Symptoms after umbilical hernia surgery? Hello, doctor. I have some questions to ask you. I underwent umbilical hernia surgery due to a 0.6 mm wide hernia (with no small intestine involved). It has been five days since the surgery. The surgeon who performed the operation used a m...


Dr. Chen Jiaming Reply:
Based on your description, "making an incision below the navel and then performing a repair using laparoscopy" refers to a minimally invasive laparoscopic repair method. It is normal for the intestines to move within the abdominal cavity according to body posture. Howev...

[Read More] Post-Operative Symptoms After Umbilical Hernia Surgery: What to Expect


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