Managing Anal Fissures: Dietary Tips for Post-Surgery Care
Anal itching, anal fissure? How to care for anal fissures after surgery. I had minimally invasive surgery for internal and external hemorrhoids over four months ago, and I have been experiencing itching and pain after bowel movements for the past four months without improvement. ...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures 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 warm sitz baths. Warm sitz baths can help alleviate pai...[Read More] Managing Anal Fissures: Dietary Tips for Post-Surgery Care
Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
After undergoing surgery for a fistula and hemorrhoids, there is a small amount of blood on the toilet paper after bowel movements? Hello Doctor: I underwent fistula and hemorrhoid surgery on December 25, 2020. After a follow-up visit on January 19, the doctor confirmed that the ...
Dr. Ke Fangxu Reply:
If the incision from the fistula surgery is relatively large, a small amount of bleeding postoperatively is considered normal. However, if constipation occurs, it may affect wound healing. It is recommended to take warm sitz baths and avoid hard stools. If the bleeding does not i...[Read More] Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
Understanding Blood-Like Substances in Stool: Causes and Concerns
Stool with blood-like substances attached? Hello, Dr. Ke. I apologize for bothering you, but I would like to ask for your advice. I am currently taking Biyikui and two weeks ago I sought medical attention due to diarrhea lasting nearly a week, during which I noticed blood streaks...
Dr. Ke Fangxu Reply:
Red-colored stool does not necessarily indicate the presence of blood in the stool. Fecal occult blood testing should be evaluated based on whether it is a chemical method or an immunological method. If it is a chemical method, an immunological test targeting red blood cells can ...[Read More] Understanding Blood-Like Substances in Stool: Causes and Concerns
Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Is a colonoscopy necessary for constipation? I have had constipation issues since childhood, sometimes going up to a week without a bowel movement, and at best, every three days. Therefore, I occasionally use enemas, as I easily experience bloating. Recently, I noticed a small da...
Dr. Ke Fangxu Reply:
The black spots on the lower lip associated with polyps are indicative of Peutz–Jeghers syndrome, which is a rare autosomal dominant genetic disorder. Generally, it is not more prevalent. If the intestinal motility is already slow and there are no significant changes, a colonosco...[Read More] Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Furunculosis or Anal Abscess: Understanding Your Symptoms
Folliculitis or perianal abscess? Hello Doctor, I noticed a bump near my anus that resembles a pimple while showering on the evening of January 20th. It only hurts when pressed. I visited a dermatology clinic on January 21st, where it was diagnosed as folliculitis, and I underwen...
Dr. Ke Fangxu Reply:
Although an accurate diagnosis cannot be made solely based on photos, it appears to be a simple case of folliculitis. However, a definitive diagnosis should be made by a physician through examination. For now, it may be advisable to continue monitoring the situation.[Read More] Furunculosis or Anal Abscess: Understanding Your Symptoms
Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Colonoscopy Dear Director Ke, After cleansing the intestines, is it possible to first arrange for a painless colonoscopy under anesthesia, and then proceed with a barium enema? (Due to right lower abdominal pain and a constant sensation of incomplete evacuation, the outpatient p...
Dr. Ke Fangxu Reply:
Since a colonoscopy has been performed, there is no point in doing a barium study. The reason the physician arranged for a barium study is likely because a colonoscopy was done two years ago. In fact, the accuracy of a colonoscopy is higher than that of a barium study, and patien...[Read More] Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Understanding Rectal Bleeding: Causes and Solutions for Painful Bowel Movements
Issues related to rectal bleeding? I am experiencing sharp pain and friction in the anal area during bowel movements, with a few drops of blood in the toilet. There are several pieces of stool that appear to have fresh blood, and wiping the anal area results in a small amount of ...
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 constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Painful Bowel Movements
Understanding Rectal Bleeding: Causes and Concerns for Your Health
Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues Hello doctor, I have been experiencing blood on the toilet paper after wiping for many years. The blood is bright red, but there is not much pa...
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 constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Health
Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Bowel issues, sensation of anal foreign body, gastrointestinal problems? Hello Doctor, about two weeks ago, I started experiencing diarrhea every morning for six consecutive days. On some days, I also had to go after meals, but there were no accompanying symptoms like fever or vo...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 18 can be considered negligible. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods shoul...[Read More] Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding Hello Dr. Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps. The bowel preparation for the colonoscopy was rated as good. Recently, during a bowel movement, I noti...
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 constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Blood in stool with mucus? Hello Doctor, for a while I had no sensation when having a bowel movement, but afterwards there was blood in the toilet water (the wiping was also bright red, as if it was dripping while I was going). Occasionally, I also experienced diarrhea. Recently,...
Dr. Ke Fangxu Reply:
Indeed, blood in the stool along with mucus is one of the symptoms of colorectal cancer. However, the likelihood of developing colon cancer at the age of 20, while not zero, is generally very low. Based on your description, it seems more indicative of hemorrhoidal bleeding. Prolo...[Read More] Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
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 constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Persistent dull pain in the lower right abdomen? Dear Dr. Ke, I have been experiencing persistent pain in my lower right abdomen, along with a constant sensation of incomplete bowel evacuation. My gastroenterologist has arranged for a lower gastrointestinal (GI) series, but I ha...
Dr. Ke Fangxu Reply:
1. If a colonoscopy was performed two years ago without any abnormalities, then a lower gastrointestinal imaging may not be necessary. It is advisable to first conduct a fecal occult blood test, and if the result is positive, then consider proceeding with lower gastrointestinal i...[Read More] Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming Reply:
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management
Unexplained Anal Pain: Exploring Causes and Treatment Options
Anal pain, etiology unknown? Hello, doctor! I have been experiencing anal pain accompanied by a sensation of incomplete evacuation since April of this year, lasting for 7 months. The pain is located between the coccyx and the anus, and it is triggered by straining during bowel mo...
Dr. Ke Fangxu Reply:
This phenomenon is often not caused by hemorrhoids but rather by nerve root symptoms in the coccyx or sacrum. You may consult a neurologist to explore effective treatment options. As nerve block procedures are not my area of expertise, I apologize for not being able to provide pr...[Read More] Unexplained Anal Pain: Exploring Causes and Treatment Options
Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Constipation is characterized by the presence of small, pellet-like stools as well as thin, ribbon-like stools? I have been experiencing constipation recently. I went to the hospital and received laxatives. After taking the medication, I was able to pass some stool, but I am stil...
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the colorectal department and schedule a colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Should anticoagulants be discontinued after hemorrhoid ligation? My father underwent a colonoscopy and was found to have multiple large internal hemorrhoids. The gastroenterologist advised that no treatment was necessary, but due to severe pain, he consulted a colorectal speciali...
Dr. Ke Fangxu Reply:
In fact, for patients taking anticoagulants, we generally adopt a more conservative approach, avoiding ligation if possible. If ligation is absolutely necessary, we still recommend discontinuing the anticoagulants, as there is a very small risk of postoperative bleeding associate...[Read More] Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Elder brother has been suffering from chronic stomach pain? Hello Dr. Chen, my brother is 32 years old. He has a smoking habit and an unhealthy diet (he enjoys fried foods and late-night snacks). For the past two years, he has been experiencing "stomach pain (severe enough t...
Dr. Chen Jiaming Reply:
Based solely on your description, it seems that you often experience pain while "sleeping." If the pain symptoms resemble gastroesophageal reflux (such as chest discomfort, nausea, and burning sensations), you might consider trying antacids or acid reducers to see if th...[Read More] Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Coccygeal pain triggered by the urge to defecate? Hello, Dr. Ke! Last month, I underwent a colonoscopy at the hospital, which revealed an issue with internal hemorrhoids. However, since there was no pain and very little bleeding, the doctor said no special treatment was necessary...
Dr. Ke Fangxu Reply:
1. It should not be related to hemorrhoids. If there is no improvement after consulting a rehabilitation specialist, you may consider having a gynecologist examine for possible pelvic inflammatory disease. 2. If it is an anal or rectal abscess, these symptoms may indeed occur in...[Read More] Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Understanding Bowel Issues: Variations in Stool Consistency and Causes
Bowel movement issues Doctor, I would like to ask about my bowel movements. Sometimes they are loose, sometimes they are narrow and elongated, and at other times they are thicker and more formed. I have noticed that my bowel patterns can change due to emotions and stress. Sometim...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like Irritable Bowel Syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber can also be beneficial. If symptoms pe...[Read More] Understanding Bowel Issues: Variations in Stool Consistency and Causes