Understanding Rectal Masses: Symptoms, Concerns, and Diagnosis
Anal mass I have noticed that my stool consistently has grooves, and when I reach about one and a half fingers above my anus, I can feel a hard lump the size of a ten-dollar coin that can be pushed upwards. It feels more like a hard mass pressing from outside the intestines rathe...
Dr. Zhang Shuhao Reply:
The structures located above the anus and below the coccyx are primarily composed of pelvic floor muscles and ligaments. If a painless hard mass is palpated, it is most commonly the tip of the coccyx; however, in rare cases, it may be a presacral tumor of neurogenic or osseous or...[Read More] Understanding Rectal Masses: Symptoms, Concerns, and Diagnosis
Understanding Long-Term Bowel Irregularities: Causes and Concerns
Long-term irregular bowel movements? Hello, doctor. I have been experiencing irregular bowel movements since I was 17 years old, which is now 7 years ago. Although I have a regular daily bowel movement, the stool feels formed when it passes through the anal opening but disintegra...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 24 is not zero, it is generally very low. Based on your description, it seems more likely to be irritable bowel syndrome (IBS), which is often related to diet and stress. It is recommended to start with a ligh...[Read More] Understanding Long-Term Bowel Irregularities: Causes and Concerns
Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
After undergoing a colonoscopy two weeks ago, the doctor diagnosed it as irritable bowel syndrome (IBS)? Two weeks ago, after my colonoscopy, the doctor said there were no abnormalities, no tumors or polyps, so he advised me not to worry too much. He suggested that I might have i...
Dr. Zhang Shuhao Reply:
If you have a higher intake of dietary fiber, your bowel movements may increase as well, which is fine as long as you don't experience abdominal discomfort. If you feel the urge to have a bowel movement shortly after finishing, it may be due to increased colonic motility, al...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Surgical methods During a health check-up, occult blood was detected, leading to a colonoscopy at Minsheng Hospital. A polyp measuring three to five centimeters was found in the colon. I saw it on the screen; it had an elongated shape, matched the color of the intestine, and show...
Dr. Ke Fangxu Reply:
Colon polyps are generally removed directly unless they are difficult to excise or there is suspicion of malignancy, in which case a biopsy may be performed before considering the next steps. If the polyp is benign, surgery is typically not recommended, and efforts will be made t...[Read More] Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Understanding Unusual Stool Colors: When to Worry About Health Risks
Abnormal stool color? Hello Doctor, I used to have poor eating and sleeping habits, which often led to constipation. About a month ago, I noticed fresh blood on the toilet paper and went to see a doctor. The doctor suggested it might be an anal fissure and prescribed some fiber s...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blo...[Read More] Understanding Unusual Stool Colors: When to Worry About Health Risks
Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong Reply:
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Understanding Bowel Issues: When to Seek Medical Advice
Bowel-related issues? Hello Doctor: A few months ago, I had a bowel movement with bright red blood, but it was small pieces of red that could separate from the stool. I was quite anxious about it, and the next day it happened again, which made me even more worried. Additionally, ...
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 Bowel Issues: When to Seek Medical Advice
Understanding Rectal Bleeding: Causes and Solutions for Patients
Rectal bleeding Hello Doctor, I had a medical visit in April 2021 due to blood in my stool, during which I underwent a colonoscopy. The doctor informed me that there were no polyps in my intestines and recommended that I have another colonoscopy in 3-5 years. The final diagnosis ...
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 Solutions for Patients
Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Dull pain in the lower left abdomen after anoscopy? On August 26, I went to the hospital due to anal pain. The doctor performed a sigmoidoscopy and concluded that there was no major issue, just some skin irritation. However, during the procedure, it seemed to irritate my intestin...
Dr. Zhang Shuhao Reply:
In-office anal or rectal examinations rarely cause direct damage to the intestinal wall; most often, they result in mild inflammation or mucosal abrasions. It is advisable to increase fluid intake, enhance the proportion of a liquid diet, and reduce vigorous activities. If abdomi...[Read More] Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Bleeding during bowel movements? Hello, I experience bleeding during bowel movements (every time, without pain). In June, I had a colonoscopy, which revealed a small hemorrhoid located less than two centimeters inside the anal canal. I was advised to apply an ointment, but my con...
Dr. Zhang Shuhao Reply:
First, take warm sitz baths regularly, increase your intake of water and fruits and vegetables to prevent constipation, and avoid spicy and irritating foods. Refrain from smoking, drinking alcohol, and staying up late. Start by changing your lifestyle habits. When applying ointme...[Read More] Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Understanding Symptoms: Anal Discomfort, Pain, and Numbness in Legs
Pain around the anus, soreness in the buttocks, and numbness in the legs? Hello, Dr. Ke. Recently, I have experienced blood in my stool twice over the course of a month. During this time, I noticed that the right side of my anus feels hard and uncomfortable, though not painful. A...
Dr. Ke Fangxu Reply:
This condition may not necessarily be colorectal cancer; it could also be caused by nerve pain from a herniated disc in the lower lumbar or sacral region. However, if you are over 50 years old and have not had a colonoscopy before, it is advisable to ask your physician to arrange...[Read More] Understanding Symptoms: Anal Discomfort, Pain, and Numbness in Legs
Is My Stool Test Accurate If I Didn't Collect a Full Sample?
Recent rectal bleeding has been observed. If the stool sample collected for screening did not include the entire stool, could this affect the accuracy of the screening? Hello, since only my mother passed away from colon cancer in our family, I recently went to the hospital for a ...
Dr. Ke Fangxu Reply:
The likelihood of developing colon cancer at the age of 33 is not zero, but generally speaking, it is very low. Based on your description, it seems more like hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irritating, and gre...[Read More] Is My Stool Test Accurate If I Didn't Collect a Full Sample?
Occasional Blood in Stool: Understanding Symptoms and Concerns
Occasional blood in the stool? Hello: I have been experiencing rectal bleeding during bowel movements for some time now, but the bleeding occurs inconsistently—sometimes there is blood, and sometimes there isn't. The intervals can vary from a couple of days to a few months o...
Dr. Zhang Shuhao Reply:
The incidence of colorectal cancer in young people is lower than in older adults, and there is no need for excessive concern unless there is a specific family history. It is recommended to visit an outpatient clinic to check for obvious causes of bleeding, such as hemorrhoids. If...[Read More] Occasional Blood in Stool: Understanding Symptoms and Concerns
Concerns After Colonoscopy: Should I Get Rechecked for Hemorrhoids or Cancer?
Colon issues Three days ago, I underwent a colonoscopy, and the doctor prescribed medication because my colon was not adequately cleaned. Before the procedure, I informed the doctor about this issue. During the examination, the doctor used a colonoscope while flushing water and c...
Dr. Yu Mingchang Reply:
Do it again in six months.[Read More] Concerns After Colonoscopy: Should I Get Rechecked for Hemorrhoids or Cancer?
Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Bleeding from internal and external hemorrhoids? Hello, doctor. I would like to ask you a few questions. I have both internal and external hemorrhoids. Previously, when I had frequent bowel movements or constipation, my external hemorrhoids would protrude, and there would be bloo...
Dr. Zhang Shuhao Reply:
1. If the gastroscopy shows no issues, medication may not be necessary. Doctors may prescribe medication based on gastrointestinal symptoms, but usually, treatment for Helicobacter pylori is not required. 2. It is generally unrelated to rectal polyps. 3. It is not necessarily rel...[Read More] Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Understanding Rectal Pain: Symptoms, Treatments, and When to Seek Help
Follow-up Inquiry #184284 Dear Dr. Chang, Thank you very much for your response to my inquiry in "<a href='https://adoctor.tw/article/184284'>#184284 Inquiry Consultation</a>". I would like to ask you further questions. This past Monday (July 18),...
Dr. Zhang Shuhao Reply:
1. If there is diarrhea and staying up late, it is most likely an exacerbation of hemorrhoids, specifically the formation of a subcutaneous thrombus due to internal bleeding from the hemorrhoids. 2. It is not advisable to wash directly; instead, a warm sitz bath can be used, su...[Read More] Understanding Rectal Pain: Symptoms, Treatments, and When to Seek Help
Understanding Bowel Issues: When to Seek Medical Help
Bowel issues Hello Doctor, for the past 1 to 2 years, my bowel movements have been inconsistent. Sometimes I go to the bathroom 4 to 5 times a day, and other times I don’t have a bowel movement for a week. Occasionally, I feel the urge to go immediately after eating, which has be...
Dr. Chen Bingze Reply:
Hello, based on the above, it is still recommended to undergo a colonoscopy under general anesthesia to ensure everything is fine, which will give you more peace of mind.[Read More] Understanding Bowel Issues: When to Seek Medical Help
Understanding Colonoscopy: Common Concerns and Questions Answered
Questions related to colonoscopy? Hello, doctor. I previously underwent an endoscopy due to loss of appetite, and my appetite has improved somewhat (although it is still not as good as before). A couple of days ago, after having a bowel movement, I noticed a small amount of blood...
Dr. Ke Fangxu Reply:
The probability of developing colorectal cancer at the age of 24 is not zero, but generally speaking, it is extremely low. If you want to know the exact figures, you can search for age-specific incidence rates. The incidence rate of colorectal cancer in this age group is less tha...[Read More] Understanding Colonoscopy: Common Concerns and Questions Answered
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu Reply:
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing