Bleeding from the Anus Without Bowel Movement: What to Do?
Bleeding from the anus without having a bowel movement? Hello Doctor: I have a chronic anal fissure issue. This morning, I had a hard bowel movement, and my anus was a bit painful, but there was no bleeding. I thought I would apply some hemorrhoid cream in the evening. However, w...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Bleeding from the Anus Without Bowel Movement: What to Do?
Understanding Recurrent Anal Fissures and Skin Tags: What You Need to Know
Recurrent anal fissures, flesh-colored papules? I rarely experience constipation, but sometimes when my stool is hard, it causes bleeding. When it’s severe, it can also be itchy. Recently, I noticed a skin-colored papule about the size of a grain of rice located next to the fissu...
Dr. Ke Fangxu Reply:
Chronic anal fissures are often accompanied by surrounding papillomas, referred to as "satellite polyps" or "sentinel polyps," which result from the recurrent occurrence of fissures. These polyps do not undergo malignant transformation. If there are no signifi...[Read More] Understanding Recurrent Anal Fissures and Skin Tags: What You Need to Know
Understanding Chronic Anal Fissures and Potential Abscesses
Anal issues Hello Doctor: I have a chronic anal fissure issue. On September 2nd, I noticed a red swelling near the vaginal opening, so I went to see a doctor. The doctor performed a digital rectal examination and said it was just a pimple, and that the anal issue is related to my...
Dr. Ke Fangxu Reply:
It could be an anal abscess or a skin infection, and a physician should examine it in person for a proper diagnosis. You can apply an antibiotic ointment to see if the symptoms improve; if they do not, you should consult a doctor. Be cautious with acne medication, as it often con...[Read More] Understanding Chronic Anal Fissures and Potential Abscesses
Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Post-operative issues after hemorrhoid ligation? Hello Doctor: On August 5th, I visited a colorectal surgeon due to some pain in my anus, and the diagnosis was internal hemorrhoids. I underwent a hemorrhoid ligation procedure, and for the following week, I used suppositories. Aft...
Dr. Ke Fangxu Reply:
1. Mild pain after bowel movements is usually not a serious issue; sometimes it can occur with either hard or loose stools. A warm water sitz bath should help alleviate the discomfort. If symptoms do not improve or if there is severe pain, it is important to consult a physician f...[Read More] Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery
Understanding Chronic Anal Fissures: Symptoms, Treatment, and Concerns
Anal issues, chronic anal fissure? Hello Doctor, I have a chronic anal fissure issue. Three weeks ago, I had a recurrence due to hard stools, which caused bleeding for several days. I went to see a doctor and underwent treatment for two weeks. After my last follow-up appointment ...
Dr. Ke Fangxu Reply:
1. Chronic anal fissures may potentially develop into a subcutaneous fistula over a long period, but this typically takes several years. 2. If there is no pain or bleeding, chronic anal fissures indeed do not require specific treatment; it is sufficient to pay attention to life...[Read More] Understanding Chronic Anal Fissures: Symptoms, Treatment, and Concerns
Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Chronic anal fissure post-hemorrhoidectomy? Hello, Director Ke! I underwent surgery for chronic anal fissure and hemorrhoids on July 1. Currently, I still experience pain during bowel movements and need to take sitz baths to relieve the discomfort. On July 18, I noticed a lump ne...
Dr. Ke Fangxu Reply:
Mild pain after chronic anal fissure surgery for 1-2 weeks is considered normal; however, if it persists beyond one month, it may indicate an issue. Light bleeding and minor discharge from the wound are also normal, but a small number of patients may experience complications such...[Read More] Managing Pain After Chronic Anal Fissure and Hemorrhoid Surgery
Understanding Chronic Anal Fissures: Pain Management and Treatment Options
Anal fissure pain, chronic anal fissure? Hello Doctor: I have a problem with chronic anal fissures. After seeing a doctor and adjusting my diet on December 25th last year, I have not experienced any bleeding. However, sometimes when my stools are too hard, the wound still causes ...
Dr. Ke Fangxu Reply:
1. Anal fissures and fistulas are two different conditions; however, a small number of chronic anal fissures can lead to the formation of a subcutaneous fistula, which is different from a typical fistula. 2. Anal fissures usually occur symmetrically, so it is possible for them ...[Read More] Understanding Chronic Anal Fissures: Pain Management and Treatment Options
Understanding Chronic Anal Fissures: Symptoms, Healing, and Concerns
Anal fissure pain, chronic anal fissure? Hello Doctor: I have a chronic anal fissure issue. Previously, I experienced bleeding during bowel movements. On December 25 of last year, after visiting a hemorrhoid clinic, the doctor prescribed me an ointment to care for the wound, stat...
Dr. Ke Fangxu Reply:
1. If there is no pain or bleeding, it can be considered healed. Given your situation, it seems to have improved significantly, and there should still be room for further progress in the future. 2. Chronic anal fissures that do not heal, combined with recurrent acute episodes, ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Healing, and Concerns
Understanding Chronic Anal Fissures: Causes, Symptoms, and Treatment
Anal fissure issues? Hello doctor, I have been dealing with anal fissures for a year now. During my intermittent visits to the clinic, the doctors have consistently diagnosed it as anal fissures. In February of this year, I underwent a colonoscopy which diagnosed me with nonspeci...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often related to constipation or diarrhea, and recurrent episodes are a frequent occurrence. The fundamental treatment is to improve bowel habits, along...[Read More] Understanding Chronic Anal Fissures: Causes, Symptoms, and Treatment
Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Anal issues, chronic anal fissure? Hello Doctor: Two months ago, I underwent a hemorrhoid ligation procedure, and I have a history of chronic anal fissures. However, since my last visit to the doctor, I haven't experienced any bleeding for a while. Recently, I've been e...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. Chronic anal fissures can lead to the formation of a fistula due to repeated tearing and healing of the wound; however...[Read More] Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Understanding Anal Fissures: Treatment Options and Recovery Insights
Anal fissure issues? I started experiencing symptoms of anal fissures two to three years ago. Previously, my stools were quite hard, and after a few episodes of fissures, I realized that if my stool was even slightly hard, it could lead to tearing. I later began taking probiotics...
Dr. Ke Fangxu Reply:
Answer: Hemorrhoid ointments do contain steroids, but they do not make it easier to develop anal fissures. Recovery after surgery typically takes about 2-4 weeks, and complications such as anal incontinence are unlikely to occur. Chronic anal fissures can be treated using self-di...[Read More] Understanding Anal Fissures: Treatment Options and Recovery Insights
Understanding Chronic Anal Fissures: Causes, Symptoms, and Risks
Anal fissure issues? Hello, about a month ago I experienced an anal fissure, which healed in about a week. However, after a month, I developed another fissure due to hard stools. Doctor, does this count as a chronic anal fissure? Additionally, will these recurrent episodes lead t...
Dr. Ke Fangxu Reply:
Answer: This is not considered a chronic anal fissure; it is generally recognized that a fissure is classified as chronic if it has not healed for more than six months. While it may cause significant discomfort, it does not typically lead to serious complications.[Read More] Understanding Chronic Anal Fissures: Causes, Symptoms, and Risks
Understanding Changes in Bowel Habits and Mucus in Stool
Changes in bowel habits with mucus present? Hello, doctor! I am 20 years old, and I have noticed that for about a year, my stools have been accompanied by mucus, which seems to occur only after drinking alcohol. However, in the past three weeks, I have observed that every bowel m...
Dr. Ke Fangxu Reply:
1. There is a possibility of false negatives in fecal occult blood tests. Although the risk of developing colorectal cancer at the age of 20 is not zero, it is generally very low. Based on your description, it seems more likely to be hemorrhoids. It is recommended to maintain a l...[Read More] Understanding Changes in Bowel Habits and Mucus in Stool
Understanding Chronic Anal Fissures and External Hemorrhoids: Symptoms and Treatment
Internal and external hemorrhoids, chronic anal fissure? I have been experiencing anal fissures for the past three years, with recurrent episodes. Every day, I feel pain during bowel movements, which varies in intensity but does not last long. I would like to ask the doctor: 1. R...
Dr. Ke Fangxu Reply:
1. Yes. 2. If it retracts, then it is an internal hemorrhoid. 3. Normal. 4. Young people can often heal by improving their bowel habits and diet. 5. No, but warm sitz baths are generally more effective than ointments.[Read More] Understanding Chronic Anal Fissures and External Hemorrhoids: Symptoms and Treatment
Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Anal issues Hello, Dr. Ko: Last month, I visited a doctor due to anal pain and rectal bleeding. At that time, the doctor diagnosed me with anal fissures and internal hemorrhoids. 1. I later noticed a long lump between my anus and perineum that feels soft and is not very painful w...
Dr. Ke Fangxu Reply:
1. If the anal fissure is located in the anterior region, it is indeed possible for inflammation to cause this phenomenon; however, anal fistulas are generally not the case, but a physician should be consulted for a definitive diagnosis. 2. The progression of chronic anal fissure...[Read More] Understanding Anal Issues: Fissures, Hemorrhoids, and Treatment Options
Managing Chronic Anal Fissures: Treatment Options and Lifestyle Tips
Chronic anal fissure Hello Doctor: Previously, I experienced bleeding from my anus due to hard stools, but I didn't see a doctor until two months ago when I realized something was wrong. I visited a colorectal surgeon who diagnosed me with an anal fissure and prescribed an o...
Dr. Ke Fangxu Reply:
Answer: Persistent constipation in young women is quite common and is often related to lifestyle and dietary habits. For these patients, increasing fluid intake and dietary fiber can improve symptoms, and anal fissures will gradually heal as well; surgery is not necessarily requi...[Read More] Managing Chronic Anal Fissures: Treatment Options and Lifestyle Tips
Understanding Anal Fissures: Causes and Management for Persistent Pain
Anal fissure Hello Doctor, two years ago I experienced an anal fissure due to constipation. Since then, every 1-2 months, if my stool is slightly hard, I would experience another fissure. However, in the past month, even with soft stools, I have been experiencing skin tears. Ther...
Dr. Ke Fangxu Reply:
If a digital rectal examination causes severe pain, it may indicate an anal fissure. Since I cannot perform a physical examination, I cannot determine the exact nature of the "skin breakdown" you mentioned. If there is no bleeding and only mild pain, I recommend taking ...[Read More] Understanding Anal Fissures: Causes and Management for Persistent Pain
Understanding Anal Fissure Surgery: Key Questions for Your Doctor
I would like to ask Dr. Ke about issues related to anal fissure surgery? 1. The doctor mentioned that my anal fissure is caused by the excessive scarring from recent surgeries for hemorrhoids, fistulas, and skin tags. I do not have an external anal tear; the fissure is located in...
Dr. Ke Fangxu Reply:
1. Incising the internal anal sphincter is appropriate because the internal sphincter is circular, allowing for incision; this is fundamental to anal fissure surgery. 2. It will not cause incontinence; the cause of anal fissures is excessive anal pressure. Incision of the sphin...[Read More] Understanding Anal Fissure Surgery: Key Questions for Your Doctor
Struggling with Chronic Anal Fissures After Laser Surgery: What to Do?
After the laser treatment, the anal fissure wound has not healed? I underwent laser surgery on October 29th of last year and thought my anal issues were resolved until December. I started experiencing significant pain again, possibly due to fatigue or prolonged standing while usi...
Dr. Ke Fangxu Reply:
Answer: Since I am not familiar with the type of laser surgery you are referring to, I cannot comment on how your anal fissure surgery is performed. Many procedures marketed as laser surgeries do not actually use lasers (Light Amplification by Stimulated Emission of Radiation) bu...[Read More] Struggling with Chronic Anal Fissures After Laser Surgery: What to Do?
Acute vs. Chronic Anal Fissures: Understanding Your Symptoms and Treatment Options
Is it an acute or chronic anal fissure? Hello, Dr. Ke. I have a hemorrhoid, but it has never been painful so far. I usually take warm sitz baths when I have time. However, I have a problem with anal fissures that I would like to ask you about: (1) I drink at least 2000 cc of wate...
Dr. Ke Fangxu Reply:
1. Drinking olive oil is unlikely to improve constipation; it is recommended to increase your intake of dietary fiber, or you may ask your physician to prescribe a stool softener. 2. It can be considered. 3. If symptoms can be controlled through medication and lifestyle adjustm...[Read More] Acute vs. Chronic Anal Fissures: Understanding Your Symptoms and Treatment Options