Understanding Anal Fissures: Treatment, Recovery, and Common Concerns
Inquiry about anal fissure issues? Hello, Director Ke. I have had an anal fissure for five weeks. Although there has been some improvement, it has not yet healed. Since I am currently abroad, it is not convenient for me to see a doctor. I have a few questions I would like to ask:...
Dr. Ke Fangxu Reply:
1. Applying petroleum jelly can facilitate smoother bowel movements due to its lubricating properties. As long as there are no allergic reactions, there is no contraindication for its use. 2. Suppositories have hemostatic, analgesic, and anti-inflammatory effects, making them s...[Read More] Understanding Anal Fissures: Treatment, Recovery, and Common Concerns
Understanding Anal Pain and Bleeding: Causes and Solutions
Anal pain and bleeding? I couldn't find a restroom outside and held in my bowel movement for about 25 minutes. After I got home and had a bowel movement, I noticed that my anus was very painful! This has been ongoing for three days! What should I do? Doctor, please help me. ...
Dr. Ke Fangxu Reply:
Prolonged retention of stool can lead to anal fissures due to excessive pressure in the anal canal. Common symptoms include pain during defecation accompanied by mild bleeding. Treatment primarily involves topical ointments and suppositories, along with warm sitz baths, which can...[Read More] Understanding Anal Pain and Bleeding: Causes and Solutions
Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Blood in stool I had a colonoscopy about two years ago, but it only examined around 60 cm and there were no significant issues found, except for mild internal hemorrhoids. Last year, I had an anal examination, which also indicated the presence of internal hemorrhoids. Recently, I...
Dr. Ke Fangxu Reply:
Based on your description, it seems likely that you are experiencing an anal fissure combined with hemorrhoidal bleeding. Common symptoms include pain during bowel movements accompanied by slight bleeding, often following a history of constipation or diarrhea. Treatment primarily...[Read More] Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Understanding Chronic Anal Fissures: Causes and Management Tips
Anal fissure issues? Hello, doctor. Recently, I have been experiencing anal fissures due to hard stools before bowel movements. They usually heal in about 3 to 7 days, but after some time, I may experience anal fissures again due to hard stools. Since this keeps recurring, would ...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the likelihood of an anal fissure is higher. Common symptoms include pain during bowel movements accompanied by slight bleeding, often preceded by issues such as constipation or diarrhea. Treatment primarily involves topical ointments and ...[Read More] Understanding Chronic Anal Fissures: Causes and Management Tips
Understanding Anal Pain: Is It a Fissure or Hemorrhoids?
I am not sure if it is an anal fissure or hemorrhoids? A few days ago, I experienced a sharp pain in my anal area while having a bowel movement. I usually have a bowel movement every day, but the pain has gradually decreased over the past few days. Initially, the pain was widespr...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the likelihood of an anal fissure is higher. Common symptoms include pain during bowel movements accompanied by slight bleeding, often with a history of constipation or diarrhea. Treatment primarily involves topical ointments and supposito...[Read More] Understanding Anal Pain: Is It a Fissure or Hemorrhoids?
Understanding Rectal Bleeding: Causes and Solutions for Painful Bowel Movements
Blood in the anus? Hello doctor, I would like to ask about a situation I've been experiencing. A few weeks ago, I was eating spicy food almost every day, and I've been having diarrhea almost every time I go to the bathroom. Afterward, my anus hurts a lot. This week, I&#...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the likelihood of an anal fissure is higher. Common symptoms include pain during bowel movements accompanied by slight bleeding, often with a history of constipation or diarrhea. Treatment primarily involves topical ointments and rectal su...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Painful Bowel Movements
Understanding Rectal Bleeding: Causes and When to Seek Help
Recently, there has been blood in the stool? Hello, I would like to ask about an issue I experienced about four or five years ago. I had a situation where I held in my bowel movement, and when I finally went, there was bleeding (I distinctly felt the stool cutting through the are...
Dr. Ke Fangxu Reply:
Based on your description, it seems likely that you are experiencing an anal fissure. Common symptoms include pain during bowel movements accompanied by slight bleeding, often with a history of constipation or diarrhea. Treatment primarily involves topical ointments and supposito...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Chronic Anal Fissures: Surgical Options for Lasting Relief
Anal fissure non-healing? Hello Doctor, my condition has persisted for 6 months. Symptoms include anal itching, a sensation of fissures inside the anus, and I can feel polyps on the inner wall when I insert my finger. A previous doctor diagnosed me with anal fissures and internal...
Dr. Xu Kaixi Reply:
Based on your description, this is an internal hemorrhoid combined with anal fissure, which has recurrent flare-ups and healing, making it difficult to fully recover. It is recommended that you identify contributing factors such as constipation and irregular bowel habits that may...[Read More] Chronic Anal Fissures: Surgical Options for Lasting Relief
Understanding Rectal Bleeding: Causes, Symptoms, and Solutions
Rectal bleeding Hello Doctor: Previously, I experienced some pain in the anal area during bowel movements, but it went away. However, in the past two to three days, I have started to feel pain in the anal area again during bowel movements, and I noticed bright red blood around th...
Dr. Ke Fangxu Reply:
If you really want to confirm what the issue is, the only way is to have a physician conduct a personal examination. Online consultations can only make the most likely inferences based on the information you provide, but without a physical examination, it is impossible to provide...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Solutions
Understanding Rectal Bleeding: Causes, Treatments, and When to Seek Help
Blood in the stool? Hello Doctor, for the past two weeks, I have been experiencing a tearing sensation in my anus during bowel movements. I purchased over-the-counter suppositories for treating anal fissures and hemorrhoids, which have anti-inflammatory properties, promote blood ...
Dr. Ke Fangxu Reply:
Lower gastrointestinal bleeding refers to bleeding occurring below the duodenum, which includes bleeding around the anal area. Based on your description, it seems more likely that you are experiencing an anal fissure, which commonly presents with pain during bowel movements accom...[Read More] Understanding Rectal Bleeding: Causes, Treatments, and When to Seek Help
Understanding Chronic Hemorrhoids: Pain, Treatment, and Recovery Insights
The troubles of hemorrhoids? Thank you, Dr. Ko, for taking the time to respond to my lengthy questions. I had a tubal ligation via ultrasound approximately 2.3 years ago (how does this differ from rubber band ligation?). After the procedure, I experienced significant pain during ...
Dr. Ke Fangxu Reply:
1. I have not heard of ultrasound ligation, but the principle of ligation is to achieve hemostasis by obstructing blood flow to the internal hemorrhoids. Ultrasound ligation likely uses a harmonic scalpel instead of rubber bands, but this could lead to issues with out-of-pocket e...[Read More] Understanding Chronic Hemorrhoids: Pain, Treatment, and Recovery Insights
Understanding Surgery for Chronic Anal Fissures and Hemorrhoids
Anal fissure surgery issues? Hello, doctor. I previously visited a large hospital where the doctor diagnosed me with chronic anal fissure. Although surgery was not highly recommended, I was advised that if my symptoms do not improve, surgery might be necessary. Recently, I have e...
Dr. Ke Fangxu Reply:
1. If an anal fissure is accompanied by internal and external hemorrhoids, they are generally excised together. 2. Post-surgery, there are typically no severe complications aside from pain and minor bleeding. 3. If bowel habits and dietary practices are irregular, symptoms ma...[Read More] Understanding Surgery for Chronic Anal Fissures and Hemorrhoids
Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Chronic anal fissure Chronic anal fissure is defined as a fissure that has not healed for three months. In your case, if you occasionally experience hard stools that cause anal fissures that bleed for two to three days but then heal without pain or further bleeding, it may not be...
Dr. Ke Fangxu Reply:
Not including recurrent acute anal fissures.[Read More] Understanding Chronic Anal Fissures: Symptoms and Treatment Options
Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
Blood in stool Hello, doctor. I have a history of internal hemorrhoids and anal fissures, which have been intermittent. Recently, I've noticed that during bowel movements, the stool is harder at the beginning, causing a brief sharp pain and a tearing sensation in the anus. A...
Dr. Ke Fangxu Reply:
1. Although you have only undergone a sigmoidoscopy, in individuals under 40, this condition is often caused by anal fissures. If you are concerned about other possibilities, a complete colonoscopy can be performed. 2. If an anal fissure persists for more than three months with...[Read More] Understanding Blood in Stool: Causes and Concerns for Hemorrhoids and Anal Fissures
Understanding Recurring Anal Fissures: Symptoms and Treatment Options
Recurrent anal fissures? Hello Doctor, I previously asked whether a fissure is healed if there is no pain or bleeding. However, after experiencing no pain or bleeding, I have encountered a situation where my stools are harder and there is bleeding again. This time, the bleeding c...
Dr. Ke Fangxu Reply:
1. Yes. 2. It is not an anal fissure; it is not serious but can be quite bothersome. It is difficult to heal and has a high tendency to recur. It is recommended to avoid constipation and improve lifestyle habits.[Read More] Understanding Recurring Anal Fissures: Symptoms and Treatment Options
Managing Anal Fissures: Dietary Tips and Healing Timeline
I have another anal fissure? Hello Dr. Ke, a few weeks ago I experienced anal fissures due to constipation. This week, I adjusted my diet, and my bowel movements have become softer. I haven't had any bleeding or fissures for a week, but today, due to a sudden urge to defecat...
Dr. Ke Fangxu Reply:
1. Constipation can indeed cause anal fissures due to hard stools, while diarrhea may lead to anal fissures due to frequent anal contractions. It is recommended to increase dietary fiber intake and to take warm sitz baths. 2. If there is no pain during bowel movements, the anal...[Read More] Managing Anal Fissures: Dietary Tips and Healing Timeline
Understanding Anal Fissures: Causes, Treatment, and Concerns
Please inquire about anal fissure issues? Hello Dr. Ke: I have maintained a relatively stable bowel habit, with normal stool quality and frequency. However, in February of this year, I experienced a more severe episode of hard stool (after not having a bowel movement for two days...
Dr. Ke Fangxu Reply:
1. The reason Normacol plus has "plus" in its name is that it contains a small amount of a stool softener. Initially, a version of Normacol without the stool softener was introduced, but the National Health Insurance Administration deemed that without any medicinal ingr...[Read More] Understanding Anal Fissures: Causes, Treatment, and Concerns
Fistula or Anal Fissure: Understanding Your Symptoms and Diagnosis
Anal fistula or fissure? Hello Dr. Ke, over two years ago, I felt a swelling sensation near my coccyx, and sometimes I experienced sharp pain in my anus. I went to Hsinchu Mackay Memorial Hospital to see a colorectal surgeon, who noted a hard area near my coccyx that was somewhat...
Dr. Ke Fangxu Reply:
The most accurate method for examining anal fistulas is digital rectal examination, as it allows for precise palpation of the fistula's course and opening. Not all high-tech diagnostic methods are necessarily more accurate. Chronic anal fissures may lead to the formation of ...[Read More] Fistula or Anal Fissure: Understanding Your Symptoms and Diagnosis
Understanding Anal Fissures: Symptoms, Causes, and Healing Time
Anal fissure issues? Hello, Director Ke: I have internal hemorrhoids. Two days ago, I had difficulty passing stool, which got stuck at the anal opening. I had to strain for 7 to 8 minutes to get it out; the stool was hard, large, and foul-smelling. I did not see any blood at that...
Dr. Ke Fangxu Reply:
Answer: The significant bleeding that occurs after constipation is mostly caused by hemorrhoidal bleeding. Generally, anal fissure bleeding is less common, but it cannot be completely ruled out. It is also quite common for both conditions to coexist. The key is to improve bowel h...[Read More] Understanding Anal Fissures: Symptoms, Causes, and Healing Time
Understanding Chronic Anal Fissures: Treatment Options and Dietary Tips
Anal fissures are difficult to heal? I have been suffering from an anal fissure for six months now (I also have mild internal hemorrhoids). During this time, I have visited two hospitals and a clinic, but I still haven't seen improvement. I have been consuming enough fluids ...
Dr. Ke Fangxu Reply:
The user described many symptoms but did not mention any pain, which is actually the main characteristic of anal fissures. If there is no pain, it is likely not an issue of anal fissure bleeding, but rather a problem with internal hemorrhoids. Most cases can be managed with medic...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Dietary Tips