Understanding Internal Hemorrhoids: Causes, Symptoms, and Treatment Options
Internal hemorrhoid bleeding Hello, Dr. Ko. A while ago, I noticed blood on the surface of my stool, so I underwent a colonoscopy. The results showed that I have internal hemorrhoids, and the doctor prescribed some ointments and medications for me to take and apply. About a month...
Dr. Ke Fangxu Reply:
This situation likely indicates mild 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 the toilet. Increasing dietary fiber intake can also be ben...[Read More] Understanding Internal Hemorrhoids: Causes, Symptoms, and Treatment Options
Understanding Bowel Habits: Why Are My Stools Thin Despite a Healthy Diet?
Bowel movement inquiries? Doctor, regarding my bowel condition: My family has a history of colorectal cancer, so I paid for a fecal occult blood test, and the results showed no issues. However, my stool varies in thickness, sometimes being thin like a pinky finger. Recently, I&#x...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check the colorectal department regarding your colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Bowel Habits: Why Are My Stools Thin Despite a Healthy Diet?
Understanding Fresh Blood in Stool: When to See a Specialist
Diarrhea with fresh blood in the stool? Hello Doctor, today I had two bowel movements. The first one was around noon, and after using the toilet, I noticed bright red blood in the toilet bowl (not attached to the stool). There was also a significant amount of blood when I wiped m...
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 Fresh Blood in Stool: When to See a Specialist
Understanding Anoscopy and Its Role in Diagnosing Internal Hemorrhoids
Anoscopy issues? I am the one with question #158700. I apologize for bothering you, but I have more questions. Before my colonoscopy, my doctor performed an anoscopy and a digital rectal exam but did not detect the possibility of internal hemorrhoids. Is it possible that they wer...
Dr. Ke Fangxu Reply:
First, it is important to clarify that hemorrhoids are not a pathological tissue; they have a normal physiological function, which is to maintain the closure of liquids and gases. Therefore, everyone has hemorrhoidal tissue, and if there is no bleeding, prolapse, or pain, treatme...[Read More] Understanding Anoscopy and Its Role in Diagnosing Internal Hemorrhoids
Changes in Bowel Habits: When to Seek Medical Attention
Changes in bowel habits I have always had a good bowel habit; after eating, I usually feel the urge to go to the bathroom without any abdominal pain, and it typically takes less than two minutes to finish. However, during a trip abroad from late last year to January, my eating ha...
Dr. Ke Fangxu Reply:
In this situation, you should see a doctor and avoid self-medicating with over-the-counter medications. A colonoscopy may not be necessary, but it is important to have a physician evaluate and make a determination.[Read More] Changes in Bowel Habits: When to Seek Medical Attention
Understanding Hemorrhoids: Can Colonoscopy Misdiagnose Internal Issues?
Hemorrhoids discovered after colonoscopy? Hello doctor, I recently underwent a colonoscopy because I noticed blood in my stool. After the procedure, I was diagnosed with internal hemorrhoids. I would like to ask if there is a possibility that the colonoscopy could have made an in...
Dr. Ke Fangxu Reply:
There are two anatomical locations in the structure of the anus that need to be clarified. The first is the anal glands, which are located at the junction of the anus and the external environment. The second is the dentate line, which marks the boundary between the rectal mucosa ...[Read More] Understanding Hemorrhoids: Can Colonoscopy Misdiagnose Internal Issues?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool, blood on wiping? Hello Doctor, I would like to ask you about something. I have regular bowel movements every day, and the color is normal. This morning, I had two bowel movements, both with normal color, but when I wiped, there was blood. After wiping two or t...
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 Blood in Stool: Causes and When to Seek Help
Understanding Recurring Acute External Hemorrhoids: Causes and Solutions
Acute external hemorrhoids Dear Director Ke, A few months ago, I discovered a lump in my anal area (flesh-colored, slightly painful). After examination, the doctor diagnosed it as acute external hemorrhoids and prescribed me a topical medication, suggesting that it would resolve...
Dr. Ke Fangxu Reply:
1. It is not related to jogging but is related to diarrhea. 2. To address the swelling of hemorrhoids, one should first improve the issue of diarrhea while also shortening the time spent on bowel movements. If there is still no improvement, then consider surgery. 3. Based on yo...[Read More] Understanding Recurring Acute External Hemorrhoids: Causes and Solutions
Understanding Bowel Issues: When to Consider a Colonoscopy
Bowel issues Hello Doctor, I have noticed that for the past two to three weeks, my stools have become thinner and have indentations. Sometimes I also experience diarrhea and some mucus in my stool. Do you think I need to get a colonoscopy? Thank you.
Dr. Ke Fangxu Reply:
There is no need to worry at 19 years old; such conditions are caused by hemorrhoids. It is advisable to avoid constipation and shorten the time spent during bowel movements. If you are still concerned, you may consult a physician for a digital rectal examination.[Read More] Understanding Bowel Issues: When to Consider a Colonoscopy
Post-Hemorrhoid Surgery: Understanding Persistent Bowel Urges and Discomfort
Post-hemorrhoid surgery Hello Dr. Ke, I am the patient with consultation number 153303. I had hemorrhoid surgery last December, and it has been six months since then. During this time, I constantly feel the urge to have a bowel movement, and it feels like something is stuck in my...
Dr. Ke Fangxu Reply:
The sensation of urgency and heaviness in the rectum can be caused not only by rectal lesions but also by pelvic tumors or uterine pressure on the rectum. If a colonoscopy has not been performed, it is advisable to undergo this examination first. If the colon and rectum are found...[Read More] Post-Hemorrhoid Surgery: Understanding Persistent Bowel Urges and Discomfort
Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Anal fissure Hello, in February, I noticed some red spots in my stool on two occasions. In April and May, there was one instance each month as well. However, I may have consumed some red foods like tomatoes or strawberries before that. The fecal occult blood test was negative. Af...
Dr. Ke Fangxu Reply:
It is impossible for a finger examination to cause an anal fissure because feces are several times thicker than a finger. The typical causes are often constipation or diarrhea. The classic symptoms include pain during bowel movements accompanied by slight bleeding. The fundamenta...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello Doctor: Yesterday, I experienced significant pain while having a bowel movement and noticed some blood, both on the toilet paper and in the toilet. I had a warm sitz bath yesterday and used the suppository that the doctor prescribed earlier. Today, there was...
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 address the bowel movement issues...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Understanding Rectal Discomfort: Causes of Incomplete Cleaning After Bowel Movements
Discharge and difficulty cleaning after bowel movements? Hello Dr. Ke, I would like to ask about a situation I have been experiencing. Approximately nine months ago, I visited the colorectal surgery department at Tainan Hsin-Lou Hospital. At that time, I did not mention that I ha...
Dr. Ke Fangxu Reply:
The anal area is not a sterile environment, and excessive cleaning can lead to certain skin complications. Common issues include skin inflammation or itching. Some individuals even wash inside the anus, which can result in rectal inflammation and increased secretions. It is recom...[Read More] Understanding Rectal Discomfort: Causes of Incomplete Cleaning After Bowel Movements
Understanding Biopsy Results After Colonoscopy and Endoscopy
After colonoscopy and gastroscopy Hello, if the reports after a colonoscopy and gastroscopy show no abnormalities, does that mean the biopsy results are unlikely to reveal significant pathology?
Dr. Ke Fangxu Reply:
If there are no abnormalities, why is a biopsy necessary? Is the biopsy taken from a polyp, tumor, ulcer, or for a Helicobacter pylori test? Please clarify these questions with your physician, as an online consultation may not be able to provide detailed explanations.[Read More] Understanding Biopsy Results After Colonoscopy and Endoscopy
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Rectal bleeding This Wednesday, I experienced diarrhea and noticed a stool that had a jelly-like blood resembling strawberry jam. There was a bit of blood on the toilet paper, and I felt a burning sensation after bowel movements. On Thursday, my stool was soft, and I did not noti...
Dr. Ke Fangxu Reply:
This situation is likely indicative of 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 dieta...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in stool? Hello, Doctor Ke. Last night I experienced abdominal pain and diarrhea. After having a bowel movement, I felt some relief, but I still have a dull ache in my left abdomen. This morning, my stool was thin and long, and there was a piece of bloody mucus attached to ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome with mild bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing the intake of dietary fiber can also be...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Bowel Issues: When to See a Gastroenterologist or Colorectal Surgeon
Bowel movement issues Hello doctor, I had a colonoscopy a year ago, and the results showed mild irritable bowel syndrome and small hemorrhoids. However, for the past six months, I have intermittently noticed that after having a bowel movement, even though I clean myself thoroughl...
Dr. Ke Fangxu Reply:
If the colonoscopy results are normal, there is no need to worry; it is likely just a functional issue with the intestines. You may consider supplementing with probiotics, or you can consult a gastroenterologist for a prescription medication.[Read More] Understanding Bowel Issues: When to See a Gastroenterologist or Colorectal Surgeon
Managing Colon Tumors in Elderly Patients with Parkinson's Disease
Colorectal tumor + Parkinson's disease + elderly age Dear Dr. Ke, My mother is 83 years old and has a history of Parkinson's disease for about 20 years. She has lost her ability to move independently and requires assistance with feeding (not via a nasogastric tube). Re...
Dr. Ke Fangxu Reply:
The issue of colorectal tumors is quite complicated because if surgery is not performed, it can lead to bowel obstruction, resulting in an inability to eat. Of course, if the patient is elderly and has underlying health issues, the physician should understand the decision not to ...[Read More] Managing Colon Tumors in Elderly Patients with Parkinson's Disease
Blood on Toilet Paper: Understanding Possible Causes and Next Steps
Stool issues, blood on toilet paper? Hello Doctor, I would like to inquire about the following information: @Symptoms: Occasionally (1-2 times a month, noticed for about 4 months), I notice blood when having a bowel movement, but it only appears on the toilet paper and not on t...
Dr. Yu Mingchang Reply:
Hello, please schedule a colonoscopy at the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare. We care about your health.[Read More] Blood on Toilet Paper: Understanding Possible Causes and Next Steps
Understanding Red-Brown Stool: Causes and When to Seek Help
The stool color is reddish-brown? I apologize for the inconvenience, but I am unable to view images. Based on your description, it sounds like you are experiencing changes in your stool color, which can be concerning. The presence of red or pink discoloration on the surface of yo...
Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by dietary factors. It is recommended to avoid consuming dark or red fruits and vegetables for a few days and observe any changes. If there is a suspicion of bleeding, a fecal occult blood test can be performed. A negative result indicates tha...[Read More] Understanding Red-Brown Stool: Causes and When to Seek Help