Understanding Rectal Ulcers: Causes, Treatment, and Cancer Risks
Colorectal ulcer Hello Doctor, my mother is 63 years old. In January of this year, she underwent a colonoscopy and a rectal ulcer measuring approximately 3-4 cm was found. In March, she had another sigmoidoscopy, and the ulcer showed little change. The doctor only prescribed a st...
Dr. Zhang Shuhao Reply:
This pathology report indicates rectal ulceration with chronic inflammation and no malignant cells. However, the pathology report must be interpreted in conjunction with clinical information and endoscopic images to be accurately understood. The report alone does not provide insi...[Read More] Understanding Rectal Ulcers: Causes, Treatment, and Cancer Risks
Understanding Rectal Ulcers: Common Causes and Cancer Risks
Rectal ulcer for two months? Doctor, my mother had a colonoscopy on January 31, where an ulcer was found. She returned on February 21 to review the biopsy report, and the doctor prescribed blood tests and a stool softener, stating that she would need another sigmoidoscopy next mo...
Dr. Chen Bingze Reply:
Hello, it seems that both your attending physician and the pathologist cannot completely rule out the possibility of malignancy, which is why they are requesting that you continue to be closely monitored. You may need to cooperate with your attending physician's follow-up pl...[Read More] Understanding Rectal Ulcers: Common Causes and Cancer Risks
Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Understanding Dark Red Stool: Causes and When to Seek Help
Dark red stool? I am a student and I don't eat fruits very often, so I've been experiencing constipation for one to two months. In recent months, I've noticed that the color of my stool is dark red, and there is a white, mucus-like substance. My bowel movements don...
Dr. Chen Bingze Reply:
Hello, it is recommended that you undergo a stool examination or have a physician prescribe some medications to promote bowel movements. If necessary, the physician may suggest a colonoscopy.[Read More] Understanding Dark Red Stool: Causes and When to Seek Help
Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...
Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...
Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding? If a 63-year-old woman experiences rectal bleeding after wiping, it is important to determine whether it is due to hemorrhoids or another cause. Since this is her first occurrence, and considering that she had a colonoscopy last month where the doctor noted ulcer...
Dr. Zhang Shuhao Reply:
For the situation of bleeding when wiping, the following recommendations are suggested: 1. Bleeding characteristics: It is important to observe the color, amount, and nature of the bleeding. If the blood is bright red, it is usually associated with hemorrhoids; if the color is da...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Regarding colonoscopy examination? Hello Dr. Chang, I would like to ask you about something. I underwent traditional hemorrhoid surgery for both internal and external hemorrhoids in June of last year. Now, I am planning to have a colonoscopy in May of this year. I am wondering if...
Dr. Zhang Shuhao Reply:
After undergoing traditional internal and external hemorrhoid surgery, it is still possible to have a colonoscopy. Typically, six to eight weeks post-surgery, it will not significantly affect the surgical site, so you can safely schedule a colonoscopy if needed.[Read More] Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
Rectal bleeding Hello, doctor. In January, I had a positive fecal occult blood test and went to the hospital for a colonoscopy. I recently reviewed the report, which indicates rectal bleeding (the biopsy report showed no issues). I need to undergo another sigmoidoscopy in a month...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding include rectal polyps, anal conditions (such as hemorrhoids or anal fissures), rectal inflammation (such as ulcerative colitis or ischemic colitis), and rectal cancer. The doctor has prescribed laxatives and stool softeners, likely to alleviate yo...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
Endoscopic submucosal dissection for tumor removal and rectal bleeding? On January 30th of this year, I underwent endoscopic submucosal dissection (ESD) for a rectal submucosal lesion, and the pathology report indicated a grade 1 neuroendocrine tumor measuring 0.7 cm, which was b...
Dr. Zhang Shuhao Reply:
1. Rectal wounds, unless very close to the anus, typically do not affect the shape of stools. If examinations show no strictures and there is no recurrence of tumors, the absence of persistent urgency or tenesmus is not a concern. 2. Postoperative bowel movements may result in ...[Read More] Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits
How Long Should I Use Ointment for Internal Moles?
How long should the internal mole ointment be applied? Hello, I would like to ask about the initial bleeding from an internal hemorrhoid. The doctor prescribed three suppositories and an ointment. How long should I apply the ointment? I stopped the medication after using the supp...
Dr. Zhang Shuhao Reply:
The most effective treatments for internal hemorrhoids include increasing fluid intake and dietary fiber, taking warm sitz baths, and using oral medications for hemorrhoid relief and anti-inflammation. Suppositories and ointments primarily alleviate swelling and pain, typically u...[Read More] How Long Should I Use Ointment for Internal Moles?
Understanding Blood in Stool: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, I am 21 years old. In the past few months, I have often felt that my stool is hard during bowel movements, and there is significant pain when passing it. Sometimes, there is also bleeding, and after bowel movements, I feel like there are minor tears ...
Dr. Zhang Shuhao Reply:
Based on the described situation, it is more likely to be a case of constipation and anal fissures. An anal fissure is a small tear around the anus, usually caused by hard stools, which can result in pain and bleeding during bowel movements. The presence of bright red blood in th...[Read More] Understanding Blood in Stool: Causes and Concerns for Young Adults
Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Understanding Mixed Nevi and Prolapse: What You Need to Know
Mixed nevi and prolapse? Hello doctor, I have a mixed nevus and a prolapse. Two weeks ago, I had a stool test, and the result was 104. The health department contacted me to schedule a rectal examination. My mixed nevus and prolapse are not painful and do not affect my daily life,...
Dr. Chen Bingze Reply:
This may allow the colorectal surgeon to assess whether it is appropriate to proceed with rubber band ligation, and then arrange for a follow-up colonoscopy.[Read More] Understanding Mixed Nevi and Prolapse: What You Need to Know
Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Postoperative care for colorectal cancer? In March and April of 2023, I noticed mucus during bowel movements. Considering that my father had suffered from colon cancer, I carefully decided to visit a gastroenterologist near my home. Following the doctor's advice, I scheduled...
Dr. Yu Mingchang Reply:
You can visit the outpatient clinic for evaluation.[Read More] Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Red Residue on Toilet Paper: Is It Tomato or Blood?
Red residue when wiping after a bowel movement? Today, while wiping after a bowel movement, I noticed red residue on the toilet paper about 4-5 times. The stool color was normal brownish-yellow. I picked up the residue (see image), and in the past two days, I have eaten tomatoes ...
Dr. Yu Mingchang Reply:
Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] Red Residue on Toilet Paper: Is It Tomato or Blood?