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 part of it prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. It has been n...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
Difficult wound healing after hemorrhoid surgery? Hello, Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. Nearly two m...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
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 prolapsing outside the anus. On March 8 of this year, I underwent laser hemorrhoidectomy combined with partial excision. Nearly two months have pass...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even two...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Understanding Bowel Issues: When to Worry About Symptoms
Bowel issues Hello Doctor: Recently, I've been feeling a bloated sensation in my lower left abdomen, near the bladder, especially when I exert myself. When I have a bowel movement, I need to push a bit, but the stool that comes out is not much and tends to be thin and interm...
Dr. Zhang Shuhao Reply:
The shape of stool can sometimes be related to the way one exerts pressure during bowel movements. If there is no bleeding, you can continue to monitor the situation. Given your age, the likelihood of colorectal cancer is low. If you are concerned, you can consult a gastroenterol...[Read More] Understanding Bowel Issues: When to Worry About Symptoms
Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Rectal bleeding Hello doctor, I would like to ask about a situation I've been experiencing for about a week. After having a bowel movement, I sometimes notice blood dripping from my anus, but usually, it stops as soon as I leave the toilet. I've also observed that somet...
Dr. Zhang Shuhao Reply:
Anal fissures are typically associated with pain during or after bowel movements; internal hemorrhoids may cause more significant bleeding but are not necessarily painful. During the acute phase, it is advisable to take warm sitz baths, reduce the time spent in the bathroom, avoi...[Read More] Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Understanding Anxiety-Related Issues from Bowel Movements
Anxiety-related issues caused by bowel movements? Hello Dr. Chang, thank you for taking the time to address my concerns despite your busy schedule. Here is my current situation: 1. My father has esophageal cancer, and there are no other cases within the third-degree relatives. 2...
Dr. Zhang Shuhao Reply:
1. Black or orange-red residue is usually related to food and is completely normal, with no bleeding involved. 2. If there is suspected bleeding, it may present as black stools, brick-red stools, or stools with blood streaks. For cases where blood is not visible to the naked ey...[Read More] Understanding Anxiety-Related Issues from Bowel Movements
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
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 Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Post-operative itching and bleeding from the anus after hemorrhoid surgery? Hello Doctor, I underwent rubber band ligation for internal hemorrhoids at the beginning of March. Although I no longer feel a sensation of obstruction during bowel movements, I still notice significant b...
Dr. Zhang Shuhao Reply:
After rubber band ligation for internal hemorrhoids, it typically does not cause symptoms such as itching or tearing sensations. If itching persists, you can follow your doctor's instructions to use ointments, wear loose-fitting clothing, and keep the perineal area dry. Avoi...[Read More] Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Understanding Botox Treatment for Anal Fissures: What to Expect
Botulinum toxin treatment for anal fissures I would like to ask the doctor if you have heard of this treatment method? How is it typically performed? Is the injection administered from the outside or inside of the anus? What is the level of pain during the injection? Can a bowel ...
Dr. Zhang Shuhao Reply:
Chronic anal fissures can sometimes be caused by excessive tension in the anal sphincter. In such cases, botulinum toxin can be injected near the sphincter to relax the muscle and facilitate the healing of the fissure. The injection can be administered directly from the lateral s...[Read More] Understanding Botox Treatment for Anal Fissures: What to Expect
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Diarrhea and constipation? Hello doctor, I underwent a colonoscopy around May to July last year due to frequent diarrhea, which had a yellow, muddy consistency and lasted for over six months. After the colonoscopy, the doctor said there were no issues, but the diarrhea persisted....
Dr. Xu Kaixi Reply:
The characteristics of stool can vary with diet and lifestyle habits. If you had a colonoscopy last year that showed no abnormalities, there is no need to worry about changes in stool characteristics being related to colon issues. However, it cannot be ruled out that these change...[Read More] Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
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 Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
More than four months post-surgery? Hello Doctor, I underwent minimally invasive surgery for anal fissures and hemorrhoids over four months ago, and I am still experiencing discomfort. This week, the symptoms have become more pronounced. The discomfort feels like a sharp pain o...
Dr. Zhang Shuhao Reply:
1. You can gently touch the area while applying medication or during a sitz bath to distinguish between pain from the skin at the wound site and deeper pain from the contraction of the levator ani muscle. It is advisable to discuss your concerns in detail with the original surgeo...[Read More] Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
Understanding Fresh Blood in Stool: Causes and Concerns
Blood in the stool? Hello, doctor. Recently, I've noticed fresh blood when I go to the bathroom. I had a period of diarrhea before, and I underwent a colonoscopy last year, which showed no issues except for a small polyp that was removed. However, my diarrhea persisted, and ...
Dr. Zhang Shuhao Reply:
If a colonoscopy has recently been performed, the likelihood of tumors or polyps is lower. If diarrhea is accompanied by mucus in the stool or blood in the stool, inflammatory bowel disease or ulcerative conditions should be considered. If the stool is hard, requires straining, a...[Read More] Understanding Fresh Blood in Stool: Causes and Concerns
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Postoperative discomfort after hemorrhoid surgery? Hello Dr. Ke, I would like to ask about my situation. Three years ago, I underwent a circular excision hemorrhoid surgery at a certain hospital. Last year, due to a recurrence, I went to a gynecology clinic for another hemorrhoid...
Dr. Ke Fangxu Reply:
If the tingling sensation has disappeared, what other issues need to be addressed? It is possible that the staples from the first surgery are causing concerns, and it may depend on how the second surgery was performed or what instruments or materials were used. It is also possibl...[Read More] Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Understanding Persistent Anal Itching: Causes and Relief Strategies
The itching around the anus has been intermittent for several months... (mostly occurring at night, but there are also episodes during the day, and it does not happen every day)? Hello, doctor. I have been experiencing itching around the anal area intermittently for over two to t...
Dr. Zhang Shuhao Reply:
The condition you described is known as pruritus ani. The skin in the perianal area is very sensitive. Skincare products, wet wipes, and ointments may cause allergic reactions. Using rough toilet paper or cleaning with hot water and bath products can also excessively irritate the...[Read More] Understanding Persistent Anal Itching: Causes and Relief Strategies