Understanding Changes in Stool Shape: Causes and Concerns
Concerns about having a narrow and short stool? Hello Doctor: I had a colonoscopy in 2021, which diagnosed me with intestinal adhesions. I also have a history of internal hemorrhoids and anal fissures. Recently, I noticed that the end of my stool is narrower while the front is th...
Dr. Zhang Shuhao Reply:
Internal hemorrhoids themselves do not affect the shape of bowel movements, but discomfort from hemorrhoids may influence straining, which can further alter the shape of stool. Intestinal adhesions, if they do not cause bowel obstruction, will not affect the shape of stool. If a ...[Read More] Understanding Changes in Stool Shape: Causes and Concerns
Blood After Wiping: Understanding Causes and Precautions
There is blood when wiping after using the toilet? Hello Doctor: I have undergone hemorrhoid surgery three times and often experience anal fissures, but I haven't had an episode for a while. However, after using the restroom these past two days, I wiped twice without any blo...
Dr. Zhang Shuhao Reply:
Bleeding during a rotational wipe may be due to friction against the surface of hemorrhoids, causing minor bleeding, or it could be that the rotation is more likely to irritate internal hemorrhoids, leading to bleeding. If there are no other discomforts, it should be fine; you ca...[Read More] Blood After Wiping: Understanding Causes and Precautions
Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Hemorrhoid issues Hello Dr. Chang, I consulted you yesterday regarding the sharp pain and itching after bowel movements, along with a discharge of slightly yellow fluid. Today, I visited the outpatient clinic, and the doctor performed a digital examination, stating that it does n...
Dr. Zhang Shuhao Reply:
If you had a colonoscopy last year, there is no need to repeat it this year. You can start with the medications prescribed by your doctor, and also perform warm sitz baths, reduce the use of irritating bathing products, and increase your intake of fluids and dietary fiber. Genera...[Read More] Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns
Thrombosed external hemorrhoid Hello, doctor. Thank you for your quick response. Today, I couldn't help but rush to the hospital thinking I could squeeze out the blood clot from my external hemorrhoid, as I was very worried it wouldn't go back in and would get stuck. Ho...
Dr. Ke Fangxu Reply:
Small thrombosed external hemorrhoids typically get absorbed and do not remain protruding. If the acute phase has passed, it is not suitable for thrombectomy, as some of the thrombus has likely already been absorbed. Therefore, surgical removal may not be necessary.[Read More] Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns
Understanding Red Spots in Stool: Food or Hemorrhoids?
Bowel issues Hello Doctor, yesterday when I went to the bathroom, I noticed a small red spot on my stool (there's a picture in the link below). I'm not sure if it's due to food coloring or a blood clot. A couple of days ago, I ate some shredded carrots and mildly s...
Dr. Ke Fangxu Reply:
This situation is more likely caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is recommended to temporarily suspend the intake of dark-colored foods. If there is no improvement, a physician may perform a colonoscopy for fur...[Read More] Understanding Red Spots in Stool: Food or Hemorrhoids?
Understanding Changes in Stool Size and Shape: What You Need to Know
Decreased stool frequency and thinner, elongated stools? Hello Doctor: I underwent a colonoscopy in May 2021, and the physician mentioned that I have intestinal adhesions. Due to my difficulty with bowel movements, I take 3 capsules of MGO daily. Recently, I caught a cold and too...
Dr. Ke Fangxu Reply:
This situation is likely related to diet and cold medication. As long as there is no further bleeding, it should be fine. It is recommended to increase the intake of dietary fiber during this period and to shorten the time spent on bowel movements. If symptoms persist, it is advi...[Read More] Understanding Changes in Stool Size and Shape: What You Need to Know
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continued Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small red object in my stool, which is more pronounced than yesterday (the link below has a picture). I would like to know if this is related to ...
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 Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continuation Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small piece of red in my stool, which is more noticeable than yesterday (the link below has a picture). I would like to know if this could be ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation causing 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 result in slightly mor...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Stool mixed with blood? Hello, doctor. I usually experience constipation, having a bowel movement every 3-4 days, and the stools are typically hard and pellet-like. I have had internal hemorrhoids for a long time, and my bowel habits have not changed significantly. However, I rec...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 26 is not zero, but generally, it is 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 grea...[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello Doctor, from last Thursday to Saturday, I experienced bleeding during bowel movements, but it wasn't blood in the stool. There was blood on the toilet paper when I wiped, but I didn't feel any discomfort, just a little irritation from possibly wipi...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Hemorrhoids and Anal Issues: When to Seek Medical Advice
Intestinal and anal issues? Hello, doctor. I would like to ask: (1) If I discover several hemorrhoids both inside and outside my anus, but there is no significant pain, prolapse, or bleeding, do I need to seek medical attention? If left untreated, could it worsen? (2) Occasionall...
Dr. Zhang Shuhao Reply:
(1) Hemorrhoids that do not present with significant pain, prolapse, or bleeding may not require treatment and are unlikely to undergo malignant transformation. Surgery is only necessary when they affect the quality of life. However, it is recommended to cultivate good dietary an...[Read More] Understanding Hemorrhoids and Anal Issues: When to Seek Medical Advice
Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Feeling of fullness in the anus? Hello doctor, the academic exam is approaching, so I've been staying up late recently. I have a habit of using my phone while having a bowel movement. A few days ago, I suddenly started feeling a fullness in my anus and the urge to defecate, ...
Dr. Zhang Shuhao Reply:
Staying up late and spending excessive time in the bathroom can exacerbate hemorrhoid symptoms and should be avoided. It is advisable to take warm sitz baths, increase fluid intake, and consume more dietary fiber, while also changing the habit of prolonged bathroom use. If concer...[Read More] Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Can Stool Softeners Cause Abdominal Pain or Hemorrhoids?
Please provide the content you would like me to translate? Could the recent use of stool softeners be causing my abdominal pain? Does my situation resemble hemorrhoids more closely? I found information online that suggests it might be colon cancer. Could you please provide more d...
Dr. Zhang Shuhao Reply:
The use of laxatives that promote intestinal motility may sometimes cause mild abdominal cramping. Hemorrhoidal bleeding and certain bowel issues can be difficult to distinguish from colorectal cancer. If there are concerns, it is advisable to visit an outpatient clinic for a dig...[Read More] Can Stool Softeners Cause Abdominal Pain or Hemorrhoids?
Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
There is blood when wiping after a bowel movement? Hello, I have a history of lung adenocarcinoma and just had surgery on November 2. Today, I noticed blood when wiping after a bowel movement, but there is no pain in the rectum, and the stool itself does not have blood. I have no...
Dr. Zhang Shuhao Reply:
You can first observe the amount and color of the bleeding, checking for the presence of black or brick-red stools, as well as any accompanying symptoms of abdominal distension or pain. Additionally, note any changes in bowel habits. If any of these conditions are present, a colo...[Read More] Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Regarding fecal occult blood testing? Hello, Doctor: I would like to ask you a few questions: 1. I often experience constipation and have difficulty with bowel movements. Therefore, around July of this year, I paid out of pocket for a fecal occult blood test. However, I was takin...
Dr. Zhang Shuhao Reply:
1. A positive fecal occult blood test indicates a high likelihood of polyps or colorectal lesions, but it should only be used as a screening tool and not as a diagnostic instrument. 2. It is not recommended to repeat the fecal occult blood test; if gastrointestinal symptoms are p...[Read More] Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...
Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...[Read More] Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu Reply:
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Understanding Rectal Bleeding: When to Seek Medical Attention
Blood after bowel movement? During high school, I experienced bright red blood on my stool, thinking it was my menstrual period and not paying much attention to it; I only remember that the stool was loose. In my freshman year of college, I also noticed bright red blood on my sto...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic for an examination to check for common causes of bleeding, such as hemorrhoids, to assess whether a colonoscopy is necessary. Unless your grandfather has a young-onset colorectal cancer, the likelihood of developing cancer at the age of 20 ...[Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Abdominal hard tissue Hello, doctor. I would like to ask if it is necessary for me to undergo further examinations. At the beginning of September, I sought medical attention due to persistent dull pain in the lower right abdomen, which was not very severe—about 1/10 of the pain o...
Dr. Ke Fangxu Reply:
The so-called hardened tissue cannot provide a possible answer without a personal examination. However, at this age, it is mostly likely a benign subcutaneous tumor. Abdominal ultrasound generally does not pay much attention to subcutaneous tissue. Malignant tumors do not necessa...[Read More] Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Understanding Changes in Bowel Movements: When to See a Specialist
Colorectal issues Hello Doctor, for the past two months, my stools have been consistently thin, about 1.5 cm in width, and they are mostly short, around 8 cm long. Previously, my stools were thicker and longer, and I would often have multiple stools at once, including some that w...
Dr. Zhang Shuhao Reply:
For issues related to constipation and bowel movements, you can consult either a colorectal specialist or a gastroenterologist, as both specialties can perform colonoscopies. Rectal lesions can sometimes cause changes in stool shape, but most cases are related to dietary and func...[Read More] Understanding Changes in Bowel Movements: When to See a Specialist