Colonoscopy, Surgery FAQ - Page 3

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Understanding Blood in Stool: Causes and When to Seek Help

The stool is all blood and water? Hello doctor, yesterday morning I experienced low blood sugar and discomfort in my stomach. When I went to the bathroom, my diarrhea was of normal color, but a few hours later it was just blood. Today, it is still bright red. However, I have a co...


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 diarrhea during this period and to shorten the time spent on bowel movements. Spicy and irritating foods ...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect

Granulation tissue excision after hemorrhoid surgery? Hello, Doctor. During my follow-up appointment on January 9th, I underwent excision of granulation tissue after hemorrhoid surgery (there was bleeding at the time, and gauze was applied for hemostasis). It has been about 25 da...


Dr. Zhang Shuhao Reply:
Twenty-five days after hemorrhoid surgery, the wound has mostly healed and does not appear to be bleeding like a surgical wound. Granulation tissue removal may occasionally cause some bleeding, but since there are no major blood vessels internally, appropriate pressure for a day ...

[Read More] Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect


Understanding Post-Laser Treatment: Why Are Warts White After Surgery?

The area treated with cauliflower laser may appear white? 1: Hello, doctor. I recently went to the colorectal surgery department to get a colonoscopy, but I was informed that I have warts in the anal area and cannot proceed until I receive treatment first. 2: I was quite anxious,...


Dr. Zhang Shuhao Reply:
After cauliflower is burned, it may appear white, which is a normal phenomenon. A positive fecal occult blood test does not necessarily indicate a problem with the colon; generally, it is reasonable to schedule a follow-up examination within three months after notification. You c...

[Read More] Understanding Post-Laser Treatment: Why Are Warts White After Surgery?


Understanding Blood in Stool: Possible Causes and Concerns

Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...


Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...

[Read More] Understanding Blood in Stool: Possible Causes and Concerns


Can You Undergo Colonoscopy with Recent Wart Diagnosis?

Can a person with cauliflower (or warts) undergo a colonoscopy? 1: I recently discovered that I have genital warts around my anus, and the next day I underwent minimally invasive laser surgery and received a vaccine. 2: At the same time, I received a call from the hospital regard...


Dr. Zhang Shuhao Reply:
1. If you have recently been diagnosed with condyloma acuminatum and have undergone surgery, you should discuss with your doctor when it is appropriate to undergo a colonoscopy. It is advisable to have the procedure done when there are no condyloma lesions present and no wounds a...

[Read More] Can You Undergo Colonoscopy with Recent Wart Diagnosis?


Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort

Bowel issues? Hello Doctor, I am the one who previously asked about <a href="https://adoctor.tw/article/203598">#203598</a>. I am 20 years old, 186 cm tall, and weigh around 77-80 kg. Yesterday, my stool was normal in color at the front but darker and softer...


Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to check for bleedin...

[Read More] Understanding Bowel Issues: Causes of Abnormal Stool and Discomfort


Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon

Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...


Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...

[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon


Why Do Patients with Colostomy Still Feel Urgency at the Anus?

Why does a person with a colostomy still experience the urge to defecate from the original anus? Hello, doctor. I had surgery on December 1st to remove a tumor near my anus, but it was attached to a blood vessel, so it couldn't be removed. Instead, I had a colostomy (on the ...


Dr. Zhang Shuhao Reply:
It is normal to still experience the urge to defecate after undergoing ostomy surgery. This is because the effectiveness of the ostomy in diverting stool can vary depending on posture or the size of the stoma. Additionally, the remaining segment of the intestine continues to secr...

[Read More] Why Do Patients with Colostomy Still Feel Urgency at the Anus?


Understanding Rectal Bleeding: Causes and Concerns for Young Adults

Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...


Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly mo...

[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults


Understanding Rectal Pain and Bleeding: Causes and Solutions

Itching a few hours before and after bowel movements, sharp pain during defecation, and occasionally noticing a small amount of blood when wiping? Five or six years ago, I underwent a colonoscopy and gastroscopy, both of which showed no issues. However, in the past six months, I&...


Dr. Zhang Shuhao Reply:
Hard stools that are difficult to pass can cause straining and result in bleeding and pain. It is recommended to increase fluid and dietary fiber intake, engage in regular exercise, and supplement with probiotics. If symptoms persist, it is advisable to seek medical evaluation fo...

[Read More] Understanding Rectal Pain and Bleeding: Causes and Solutions


Long-Term Use of Magnesium and Senna: Health Implications

Regarding some medications for constipation? Hello, doctor. I would like to ask if taking two 250mg magnesium oxide tablets after each meal and three 20mg Senna (Sennosides) tablets before bedtime for a long time, and recently switching to four 12.5mg Senna A+B tablets before bed...


Dr. Zhang Shuhao Reply:
After each meal, take two 250 mg tablets of magnesium oxide, and take four 12.5 mg tablets of Sennoside A+B (Senna) before bedtime, which is the maximum dosage for these two medications. Long-term use of magnesium oxide or use in individuals with impaired kidney function can lead...

[Read More] Long-Term Use of Magnesium and Senna: Health Implications


Can You Safely Undergo Colonoscopy with a Chocolate Cyst?

Can a chocolate cyst condition undergo a colonoscopy? Hello, doctor. I recently experienced lower abdominal pain and went for a gynecological examination, where I was diagnosed with a chocolate cyst and a 5 cm serous cyst. Given my current condition, is it safe to undergo a colon...


Dr. Zhang Shuhao Reply:
Generally, chocolate cysts or ovarian cysts do not affect colonoscopy, unless they are significantly large and cause compression. If there are concerns, it is advisable to consult with a gynecologist to determine if any ovarian treatment is necessary beforehand.

[Read More] Can You Safely Undergo Colonoscopy with a Chocolate Cyst?


Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery

What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...


Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.

[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery


Understanding Small Red Dots on Toilet Paper: A Surgical Perspective

Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...


Dr. Ke Fangxu Reply:
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...

[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective


Understanding Blood in Stool: When to Seek Medical Attention

Rectal bleeding Hello, Doctor. Since I am in a rural area with limited medical resources, I would like to consult online before deciding whether to go to the hospital. Here’s the situation: about five months ago, I noticed blood in my stool. It wasn't completely red but conc...


Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low. 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...

[Read More] Understanding Blood in Stool: When to Seek Medical Attention


Understanding Bowel and Gas Issues After Colorectal Surgery

Bowel and flatulence issues? Hello Dr. Chang, I would like to consult you regarding my mother. She underwent surgery for stage 2B colon cancer in August of last year, specifically in the area of the transverse colon near the descending colon, using laparoscopic minimally invasiv...


Dr. Zhang Shuhao Reply:
Post-operative follow-up with gastroscopy and colonoscopy showed no issues, and both the CT scan and blood tests were normal, indicating a low likelihood of tumor metastasis. The surgery on the left half of the colon should not affect the sciatic nerve; therefore, it is likely du...

[Read More] Understanding Bowel and Gas Issues After Colorectal Surgery


Post-Surgical Complications: Managing Rectal Abscess and Sepsis

Postoperative issues related to rectal abscess leading to sepsis? Hello, doctor. My mother underwent Da Vinci surgery for low rectal cancer about two years ago. After a temporary colostomy, it was reversed, but she has been experiencing fecal incontinence since the surgery. Recen...


Dr. Zhang Shuhao Reply:
Postoperative rectal abscess in low rectal cancer requires exclusion of anastomotic leakage or local recurrence. Emergency management includes the current colostomy along with abscess drainage, and arranging for a computed tomography scan and colonoscopy to check for recurrence. ...

[Read More] Post-Surgical Complications: Managing Rectal Abscess and Sepsis


Understanding Rectal Bleeding: Causes and Concerns

Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...


Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...

[Read More] Understanding Rectal Bleeding: Causes and Concerns


Understanding Rectal Discomfort: Causes and Solutions for Relief

Anal issues Recently, I have been feeling a sense of fullness in my anus, but my bowel function is normal. Last month, I visited the hospital, and the doctor performed a digital examination and felt a small mass. However, the doctor mentioned that both sides had this condition, w...


Dr. Zhang Shuhao Reply:
If a small lump is felt during a digital rectal examination on both sides but later disappears, it is most likely caused by hemorrhoids. However, hemorrhoids do not cause a sensation of abdominal bloating. It is advisable to first use medications that relieve bloating and promote...

[Read More] Understanding Rectal Discomfort: Causes and Solutions for Relief


Is a Colonoscopy Necessary After Experiencing Blood in Stool?

Do I need to undergo a colonoscopy? Hello doctor, in the past six months, I have experienced two instances of bright red blood after bowel movements. The most alarming incident occurred while I was squatting to wash my hair, resulting in a pool of fresh blood on the floor. I susp...


Dr. Zhang Shuhao Reply:
The presence of fresh blood in the stool may be caused by hemorrhoids; therefore, it is advisable to first examine the anal and rectal area for any obvious sources of bleeding. If no clear cause of bleeding is identified, a colonoscopy should be performed. Generally, individuals ...

[Read More] Is a Colonoscopy Necessary After Experiencing Blood in Stool?


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