Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Postoperative care for colorectal cancer? In March and April of 2023, I noticed mucus during bowel movements. Considering that my father had suffered from colon cancer, I carefully decided to visit a gastroenterologist near my home. Following the doctor's advice, I scheduled...
Dr. Yu Mingchang Reply:
You can visit the outpatient clinic for evaluation.[Read More] Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Postoperative bowel movements after Modified Ferguson with Ligasure? Hello, doctor. I had hemorrhoid surgery on Thursday afternoon. I took two softening agents in the evening, and I did not have a bowel movement before being discharged the next day. After returning home, I had wa...
Dr. Zhang Shuhao Reply:
If there is loose stool, Sennosides and Magnesium Oxide can be temporarily discontinued. If there are no severe constipation issues before the surgery, there is no need to take stool softeners after the procedure. Increase fluid intake, continue warm sitz baths, and if there is n...[Read More] Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
I would like to ask if this is hemorrhoids? Hello Doctor, a couple of days ago I woke up and suddenly noticed a slight pain during bowel movements. Upon examination, I found a soft lump. For the past few days, I've experienced pain when sitting down and straining. However, I...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids. If they do not occur frequently, taking warm sitz baths regularly, along with the use of ointments and anti-inflammatory medications, should suffice. Surgery is only necessary for hemorrhoids when they severely impact the quality of life.[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips
The anal wound has not healed? Hello Doctor, since my hemorrhoid surgery on December 27, 2023, I have been using moist wipes to clean myself after bowel movements, followed by washing with warm water and taking sitz baths. I'm not sure if I have been rubbing too hard, but I ...
Dr. Zhang Shuhao Reply:
After surgery, try to minimize irritation to the anus. If the wound is not swollen, you may temporarily stop sitz baths. Povidone-iodine ointment is an antibiotic ointment that can be used. If symptoms do not improve, it is advisable to return for a follow-up examination of the w...[Read More] Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips
Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
If you experience bleeding after wiping, it's important to ensure proper wiping technique to minimize irritation. Here are some guidelines for correct wiping: 1. **Wipe from front to back**: Always wipe from the front of the body towards the back to prevent the spread of ba...
Dr. Zhang Shuhao Reply:
1. Everyone has different cleaning habits; if your original method has not caused eczema, you can continue using it. 2. Clotrimazole ointment does not lead to drug resistance, but long-term use should be monitored for any skin allergies.[Read More] Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...
Dr. Ke Fangxu Reply:
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-hemorrhoidectomy Hello, doctor. It has been 43 days since my hemorrhoid surgery. I only had a follow-up appointment 7 days post-surgery, and currently, there are no significant issues with the wound. However, I have a question: since there has been no discharge from the woun...
Dr. Zhang Shuhao Reply:
If the wound has healed and is not painful, there is no need to use ointment. When the wound feels slightly itchy or uncomfortable due to contraction, a warm water sitz bath can be helpful. Hemorrhoid ointments can alleviate symptoms, but after surgery, it is advisable to choose ...[Read More] Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Understanding Blood in Stool: Causes and When to Seek Help
The stool is all blood and water? Hello doctor, yesterday morning I experienced low blood sugar and discomfort in my stomach. When I went to the bathroom, my diarrhea was of normal color, but a few hours later it was just blood. Today, it is still bright red. However, I have a co...
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 diarrhea during this period and to shorten the time spent on bowel movements. Spicy and irritating foods ...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Questions about hemorrhoid suppositories? Hello, doctor. I have been using suppositories and medication (vasoconstrictors and antidiarrheals) for my mixed hemorrhoids. I have used the suppositories for two days (twice), but they are expelled by noon the following day, remaining i...
Dr. Zhang Shuhao Reply:
For the treatment of hemorrhoids, if there is no diarrhea, there is no need to take antidiarrheal medications. Suppositories are usually used before bedtime; after slight lubrication, they should be inserted deep enough to pass beyond the sphincter. Once inside the rectum, there ...[Read More] Understanding Suppository Use for Hemorrhoids: Common Concerns and Solutions
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort
Bowel issues? Hello Doctor, I am the one who previously asked about <a href="https://adoctor.tw/article/203598">#203598</a>. I am 20 years old, 186 cm tall, and weigh around 77-80 kg. Yesterday, my stool was normal in color at the front but darker and softer...
Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to check for bleedin...[Read More] Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort
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
Why Do Patients with Colostomy Still Feel Urgency at the Anus?
Why does a person with a colostomy still experience the urge to defecate from the original anus? Hello, doctor. I had surgery on December 1st to remove a tumor near my anus, but it was attached to a blood vessel, so it couldn't be removed. Instead, I had a colostomy (on the ...
Dr. Zhang Shuhao Reply:
It is normal to still experience the urge to defecate after undergoing ostomy surgery. This is because the effectiveness of the ostomy in diverting stool can vary depending on posture or the size of the stoma. Additionally, the remaining segment of the intestine continues to secr...[Read More] Why Do Patients with Colostomy Still Feel Urgency at the Anus?