Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
Soft tissue of the anal region Hello Doctor: While showering, I clean the anal area. Previously, everything felt normal, but in the past two days, I noticed a small, soft lump on the right side of the anal opening, smaller than a marble. I looked in the mirror and gently pulled a...
Dr. Yu Mingchang Reply:
Hello: You can schedule an outpatient appointment.[Read More] Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
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 Dark Red Stool: Causes and When to Seek Help
Dark red stool? I am a student and I don't eat fruits very often, so I've been experiencing constipation for one to two months. In recent months, I've noticed that the color of my stool is dark red, and there is a white, mucus-like substance. My bowel movements don...
Dr. Chen Bingze Reply:
Hello, it is recommended that you undergo a stool examination or have a physician prescribe some medications to promote bowel movements. If necessary, the physician may suggest a colonoscopy.[Read More] Understanding Dark Red Stool: Causes and When to Seek Help
Understanding HPV Warts: Concerns After Treatment and Recovery
Cauliflower, anal warts, hemorrhoids? Hello, Doctor. I underwent electrosurgical treatment for genital warts on February 17, which affected the labia, vaginal opening, and anal area. During my visit to the obstetrics and gynecology department, the doctor mentioned that warts migh...
Dr. Zhang Shuhao Reply:
1. The growth rate of warts varies from person to person, typically depending on the individual's immune system status and the viral load and activity of the virus. Each person's response to HPV is different, so it is uncertain whether warts will enlarge or worsen while...[Read More] Understanding HPV Warts: Concerns After Treatment and Recovery
Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...
Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...
Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
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
Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Regarding colonoscopy examination? Hello Dr. Chang, I would like to ask you about something. I underwent traditional hemorrhoid surgery for both internal and external hemorrhoids in June of last year. Now, I am planning to have a colonoscopy in May of this year. I am wondering if...
Dr. Zhang Shuhao Reply:
After undergoing traditional internal and external hemorrhoid surgery, it is still possible to have a colonoscopy. Typically, six to eight weeks post-surgery, it will not significantly affect the surgical site, so you can safely schedule a colonoscopy if needed.[Read More] Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
Bowel movements after fistula surgery? Hello doctor, I had a fistula surgery on February 19, and I noticed that the wound is close to the anus. Every time I have a bowel movement, a lot of feces gets on it. I first wipe with toilet paper, then use wet wipes, and finally rinse wit...
Dr. Zhang Shuhao Reply:
The wound from a fistula surgery has irregular edges, making it difficult to clean thoroughly, and vigorous scrubbing is not recommended. It is generally advised to rinse with water and use moist wipes for assistance in cleaning. A small amount of residual stool is acceptable and...[Read More] Post-Fistula Surgery: Managing Bowel Movements and Infection Risks
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
Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...
Dr. Ke Fangxu Reply:
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...[Read More] Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
Endoscopic submucosal dissection for tumor removal and rectal bleeding? On January 30th of this year, I underwent endoscopic submucosal dissection (ESD) for a rectal submucosal lesion, and the pathology report indicated a grade 1 neuroendocrine tumor measuring 0.7 cm, which was b...
Dr. Zhang Shuhao Reply:
1. Rectal wounds, unless very close to the anus, typically do not affect the shape of stools. If examinations show no strictures and there is no recurrence of tumors, the absence of persistent urgency or tenesmus is not a concern. 2. Postoperative bowel movements may result in ...[Read More] Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care
Buttock mass Hello, doctor. Two days ago, I noticed a bump on the right side of my buttocks around the anal area. It's about 1.5 centimeters in size, slightly red in color, feels hard to the touch, and is somewhat painful. The symptoms have not changed since then. I would li...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, this could be one of the common anal issues such as anal warts, anal abscess, or hemorrhoids. A medical examination is necessary to confirm the diagnosis, as these conditions may require professional treatment. While waiting to see a healthcare pr...[Read More] Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care
Post-Banding Pain and Symptoms After Internal Hemorrhoid Treatment
Post-banding pain and no improvement of symptoms after internal hemorrhoid ligation? After undergoing rubber band ligation for prolapsed internal hemorrhoids and bleeding, I felt the rubber band fall off the day after the procedure (no longer feeling tight). However, I have since...
Dr. Zhang Shuhao Reply:
After a rubber band falls off, there is generally no persistent discomfort. However, if swelling, tingling, and pain upon pressing the bruised area occur, it is important to consider the possibility of an infected abscess or a recurrence of internal hemorrhoids. It is advisable t...[Read More] Post-Banding Pain and Symptoms After Internal Hemorrhoid Treatment
Understanding Blood in Stool: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, I am 21 years old. In the past few months, I have often felt that my stool is hard during bowel movements, and there is significant pain when passing it. Sometimes, there is also bleeding, and after bowel movements, I feel like there are minor tears ...
Dr. Zhang Shuhao Reply:
Based on the described situation, it is more likely to be a case of constipation and anal fissures. An anal fissure is a small tear around the anus, usually caused by hard stools, which can result in pain and bleeding during bowel movements. The presence of bright red blood in th...[Read More] Understanding Blood in Stool: Causes and Concerns for Young Adults
Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...
Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions