Post-Surgery Anal Discomfort: Understanding Persistent Pressure and Urgency
Post-hemorrhoidectomy anal fullness and urge to defecate? Dr. Ke: Hello, on August 20, I consulted about persistent anal heaviness and the feeling of urgency four months after hemorrhoid surgery. You suggested seeking a second opinion to check for possible anal stenosis as a comp...
Dr. Ke Fangxu Reply:
1. A rectal pressure test can be performed to check for issues with the sphincter, and a defecography can be done to assess the coordination of the pelvic floor muscles. However, these specialized tests may only be available at larger hospitals. 2. If the symptoms improve with ...[Read More] Post-Surgery Anal Discomfort: Understanding Persistent Pressure and Urgency
Understanding Asymptomatic Rectal Cancer: Diagnosis and Treatment Options
Asymptomatic colorectal cancer? Hello, I would like to ask about my father. A few weeks ago, he underwent a colonoscopy and a CT scan. This week, we received the report and found out that he has stage IV rectal cancer, which has already metastasized to the liver. However, he has ...
Dr. Xu Kaixi Reply:
If a colonoscopy (which should include biopsy) and a computed tomography scan have been performed and a diagnosis of stage IV rectal cancer has been established, it indicates that the diagnosis is confirmed. The next step is to undergo treatment according to professional recommen...[Read More] Understanding Asymptomatic Rectal Cancer: Diagnosis and Treatment Options
Post-Surgery Complications of Hemorrhoid Surgery: Insights and Solutions
Postoperative issues related to hemorrhoid surgery? Dr. Ke: Hello! I consulted you in June regarding a post-operative external anal mass issue, and I appreciate your detailed response. It has been nearly four months since my surgery for mixed internal and external hemorrhoids, an...
Dr. Ke Fangxu Reply:
1. A troublesome complication after hemorrhoid surgery is anal stenosis. If this occurs, you may need to undergo anal dilation or anal reconstructive surgery. However, based on your description alone, it is difficult to make a judgment. I recommend consulting another physician fo...[Read More] Post-Surgery Complications of Hemorrhoid Surgery: Insights and Solutions
Understanding Blood in Diarrhea: Causes and When to Seek Help
Bloody diarrhea Hello, doctor. Two days ago, I drank avocado milk, and that night I had diarrhea twice. The first stool was formed and had no blood, but the second time there was some mucus mixed with blood. I consulted two doctors; one told me it might not necessarily be blood a...
Dr. Ke Fangxu Reply:
Drinking milk and experiencing diarrhea is generally caused by lactose intolerance. However, at your age, it could also be due to ulcerative colitis or Crohn's disease. Since you had a colonoscopy three years ago, this possibility should be ruled out. I recommend that you av...[Read More] Understanding Blood in Diarrhea: Causes and When to Seek Help
Excessive Gas and Bowel Issues: When to Seek Medical Advice
Bowel movement and flatulence issues? Hello doctor, my father is currently 60 years old, has been a long-term vegetarian, and exercises very little. The most he does is walk in the park after meals. Recently, I've noticed that his flatulence has become quite excessive, to th...
Dr. Ke Fangxu Reply:
If an individual is over 50 years old and has never undergone a colonoscopy while experiencing gastrointestinal symptoms, they can either directly schedule a colonoscopy or first perform a fecal occult blood test. If the result is positive, a colonoscopy should be conducted. If t...[Read More] Excessive Gas and Bowel Issues: When to Seek Medical Advice
Pregnancy at 21 Weeks: Concerns About Abdominal Pain and Blood in Stool
I am 21 weeks pregnant? Hello doctor, I have been experiencing pain on the left side of my abdomen for a month. Today, when I went to the bathroom, I noticed blood in my stool, which was quite frightening. Could this be colon cancer? Also, if I am pregnant, can I undergo a colono...
Dr. Ke Fangxu Reply:
This phenomenon may not necessarily indicate colon cancer; constipation combined with straining during bowel movements can also present in this way. Generally, colonoscopy is not recommended during pregnancy because the procedure may exert pressure on the uterus. It is advisable ...[Read More] Pregnancy at 21 Weeks: Concerns About Abdominal Pain and Blood in Stool
Understanding Rectal Bleeding: Can Sexual Activity Trigger Internal Hemorrhoids?
Hemorrhoidal bleeding caused by sexual intercourse? Hello, doctor. Last month, I experienced a sudden episode of heavy rectal bleeding and was taken to the hospital for treatment. After undergoing a colonoscopy, I was diagnosed with mild internal hemorrhoids and anal swelling. I ...
Dr. Ke Fangxu Reply:
In young individuals, significant bleeding is mostly due to hemorrhoids. If dietary and lifestyle modifications do not stop the bleeding, medication should be used. If medication is ineffective, further examination or invasive treatment may be necessary. There are no restrictions...[Read More] Understanding Rectal Bleeding: Can Sexual Activity Trigger Internal Hemorrhoids?
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Anal pain during bowel movements? Recently, I had an issue with rectal bleeding and was diagnosed with an anal fissure. Later, I underwent a colonoscopy, which indicated non-specific colitis. I have returned for follow-up visits multiple times; initially, it was said that the inf...
Dr. Tang Yuxiong Reply:
Hello, there can be many reasons for blood in the stool, and it may not be possible to determine the cause through a single examination. It is recommended that you seek a consultation with a colorectal specialist as soon as possible.[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Can You Undergo Colonoscopy with External Hemorrhoids?
Can a person with external hemorrhoids undergo a colonoscopy? Doctor, I have a problem with mixed hemorrhoids and have previously sought treatment. There is an external mass that resembles a half of a small toe that is prolapsed; it does not hurt and does not affect my daily life...
Dr. Ke Fangxu Reply:
Answer: Prolapsed hemorrhoids do not affect the ability to undergo a colonoscopy, and they will not worsen after the procedure. It is advisable to inform the medical staff beforehand, but it is generally not necessary. However, during bowel preparation before the examination, it ...[Read More] Can You Undergo Colonoscopy with External Hemorrhoids?
Understanding Blood in Stool: Causes and Concerns for Patients
Rectal bleeding Hello Doctor: I have been experiencing significant rectal bleeding for about ten years, but recently, whether I have hard or soft stools, I notice blood every time I go to the bathroom. The bleeding sometimes appears as a layer of bright red or dark red blood coat...
Dr. Ke Fangxu Reply:
At the age of 26, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irrita...[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
Understanding Blood in Stool: Causes and When to Seek Help
Blood streaks in stool? Last week, I experienced fresh blood in my stool, which had never happened before, so I went to the emergency room to see a doctor. The X-ray and blood tests were normal, and I also had a stool examination (the doctor performed a digital rectal exam). The ...
Dr. Ke Fangxu Reply:
This situation is likely indicative 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 fiber intake can also...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding HPV and Its Impact on Anal Health: Your Questions Answered
Cauliflower and colonoscopy? Hello Doctor: Two months ago, I discovered a genital wart infection at the vaginal opening, which has been treated with electrosurgery, and I am currently undergoing regular follow-up visits. I am concerned about a possible infection in the anal area ...
Dr. Ke Fangxu Reply:
1. The anal area may be in a latent phase, but even so, there is nothing that can be done. 2. It is unlikely that a colonoscopy would cause infections in other areas. 3. Recurrences typically occur at the original site of infection and are not found in areas without prior conta...[Read More] Understanding HPV and Its Impact on Anal Health: Your Questions Answered
Understanding Changes in Symptoms of Diarrhea-Predominant IBS
Irritable Bowel Syndrome (IBS) Issues Hello Dr. Ke: I have diarrhea-predominant irritable bowel syndrome (IBS-D). My stools used to be loose and unformed, but recently, after taking medication to improve my IBS and adjusting my lifestyle (quitting alcohol), my stools have become ...
Dr. Ke Fangxu Reply:
This indicates that there has been an improvement. If a colonoscopy was performed four years ago, it should be possible to undergo a follow-up examination next year.[Read More] Understanding Changes in Symptoms of Diarrhea-Predominant IBS
Understanding Internal Hemorrhoids: Symptoms, Treatments, and Concerns
Symptoms of internal hemorrhoids? Hello Dr. Ke, I am the person who asked question #145510. Thank you for your previous explanation. I have been experiencing symptoms such as swelling, heaviness, blockage, soreness, a feeling of urgency, and dull pain in my rectal area, which hav...
Dr. Ke Fangxu Reply:
1. Theoretically, internal hemorrhoids should not cause pain; however, if they are located near the dentate line, discomfort may occur. 2. The effectiveness of treatment depends on whether symptoms improve; if symptoms improve, it can be considered a successful treatment. 3. Li...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatments, and Concerns
Post-Surgery Concerns: Managing Hemorrhoid Recovery and Treatment Options
Postoperative issues related to hemorrhoid surgery? Hello Dr. Ke, I would like to ask further questions: Previously, I mentioned that there is a lump at the site of the external hemorrhoid that is shrinking at a slower rate. Currently, its dimensions are approximately 1x0.3x0.3 c...
Dr. Ke Fangxu Reply:
If the current lump is not causing any pain or discomfort, further treatment is not necessary and it will not affect your health; it is advisable to ignore its presence. If you frequently experience the urge to have a bowel movement, it is recommended that you consult a gastroent...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Recovery and Treatment Options
Post-Surgery Concerns: Managing Hemorrhoid Recovery Challenges
Postoperative issues related to hemorrhoid surgery? Hello Dr. Ke, on April 10th, I consulted about the issue of frequent urges related to stage IV internal and external hemorrhoids. After discussing with my physician, I opted for an early surgery, which was done a month and a hal...
Dr. Ke Fangxu Reply:
1. If the surgery has been performed for two months, the extent of further reduction will be limited, and the likelihood of infection should also be low. If treatment is desired, excisional surgery can be performed under local anesthesia. 2. If a colonoscopy has not been conduc...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Recovery Challenges
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 Blood After Bowel Movements: Is It Hemorrhoids or Something Else?
There is blood when wiping after a bowel movement, but there is no pain? I am someone who exercises frequently, eats a lot of vegetables, and has regular bowel movements. Although my job often requires me to sit, I make sure to get up and move around. One day, I noticed a signifi...
Dr. Ke Fangxu Reply:
This situation is more likely to be due to hemorrhoidal bleeding. Anal fissures typically accompany pain and skin tearing, and they are not formally defined in medical terms. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipat...[Read More] Understanding Blood After Bowel Movements: Is It Hemorrhoids or Something Else?
Post-Surgery: Persistent Foreign Body Sensation and Swelling After Fistula Repair
Foreign body sensation and swelling after fistula surgery? Hello doctor, I underwent anal fistula and mixed hemorrhoid surgery along with a colonoscopy on April 1st. During my follow-up appointment a little over a month post-surgery, the doctor said I had recovered. However, I st...
Dr. Ke Fangxu Reply:
If there is no pain or discharge, it is considered that the anal fistula has healed. Sometimes, due to a larger wound, the sensation of discomfort may persist for a longer period. If topical medications are not effective, you might try taking warm sitz baths.[Read More] Post-Surgery: Persistent Foreign Body Sensation and Swelling After Fistula Repair
Post-Surgery Bowel Issues: Understanding and Managing Symptoms
Postoperative bowel issues after hemorrhoid surgery? Hello Dr. Ke! Thank you very much for your prompt response regarding the previous granuloma issue! This time, my question is: My wife is nearly a month post-surgery but still frequently experiences the urge to have a bowel move...
Dr. Ke Fangxu Reply:
It is common to experience abnormal sensations during bowel movements after hemorrhoid surgery, and mild bleeding is also considered normal. If a colonoscopy was performed prior to the surgery, there is no need for concern. Otherwise, it is advisable to schedule a colonoscopy aft...[Read More] Post-Surgery Bowel Issues: Understanding and Managing Symptoms