Understanding Flat Stool: Causes and When to Seek Medical Advice
Flat-shaped stools? Hello, several years ago I had a colonoscopy that revealed a 0.8 cm colorectal adenoma, which was removed. The doctor advised follow-up in one year to check for a propensity to develop polyps. During the follow-up, no new polyps were found. Subsequently, durin...
Dr. Zhang Shuhao Reply:
Changes in stool shape caused by colorectal tumors are due to a narrowing of the intestinal lumen, which leads to the stool being squeezed through the constricted area, resulting in thinner stools. If the obstruction becomes more severe, symptoms such as abdominal pain and diarrh...[Read More] Understanding Flat Stool: Causes and When to Seek Medical Advice
Understanding Colorectal Polyps: Risks and Follow-Up Care
Colorectal polyps Doctor: Hello! A colonoscopy was performed on May 2019, revealing one 0.2 cm adenomatous polyp, which was removed. The initial medical advice was to follow up with another colonoscopy in 4-5 years. A fecal occult blood test was also conducted in May 2020, which ...
Dr. Ke Fangxu Reply:
The possibility of malignancy can never be completely ruled out; however, if a colonoscopy was performed two years ago, even if it is malignant, it is most likely in the early stages. This is the purpose of regular colonoscopy screenings.[Read More] Understanding Colorectal Polyps: Risks and Follow-Up Care
Understanding Blood in Stool: When to Consider a Colonoscopy
Blood in the stool? Hello Doctor, I have been experiencing constipation issues, having bowel movements every 3 to 5 days. During college, I had some bleeding during bowel movements and consulted a doctor who diagnosed me with anal fissures. I also had a history of internal hemorr...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 29 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like bleeding from an anal fissure. I recommend starting with a light diet and maintaining a good lifestyle. You sho...[Read More] Understanding Blood in Stool: When to Consider a Colonoscopy
Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Hemorrhoid issues Hello Dr. Ke: Since September 2020, I have been experiencing anal pain, which has been diagnosed by several colorectal specialists as mild internal hemorrhoids and a small external hemorrhoid. I have undergone ligation surgery, a flexible sigmoidoscopy, and an M...
Dr. Ke Fangxu Reply:
If a colonoscopy has not been performed, it is advisable to schedule an examination of the entire colon to check for any issues. If the colon is found to be normal, at this age, it is also possible that the pain could be due to sacral nerve pain or pelvic pain syndrome. You may c...[Read More] Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Understanding Changes in Stool: When to Worry About Rectal Cancer
Fecal-related issues I would like to ask the doctor about the issue of stool becoming thinner due to rectal cancer. I came across an article that made me a bit anxious. If the thinning of stool is caused by rectal cancer, it should be a consistent and progressively thinner change...
Dr. Zhang Shuhao Reply:
It seems there are no major issues. If you're concerned, you can ask your doctor to arrange a colonoscopy. Once it's done, you won't have to worry anymore.[Read More] Understanding Changes in Stool: When to Worry About Rectal Cancer
Understanding Changes in Stool: When to Worry About Rectal Cancer
Fecal-related issues - Correction Hello Doctor, I am #177400. I apologize for the inconvenience caused by my previous unsuccessful upload of the image file, so I am uploading it again. I would like to ask you about the issue of stool becoming thinner due to rectal cancer. I came ...
Dr. Zhang Shuhao Reply:
It appears to be normal, but changes in bowel habits are also an indication for a colonoscopy. If you are still concerned, you can ask your doctor to arrange for a colonoscopy to definitively rule out any issues related to colorectal tumors.[Read More] Understanding Changes in Stool: When to Worry About Rectal Cancer
Should My Mom Undergo Surgery for Stage IV Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, the source of the infect...
Dr. Xu Kaixi Reply:
If diagnosed with colorectal cancer with near obstruction, and if the patient's condition permits, after an anesthetic preoperative assessment indicating acceptable surgical risks, it is still recommended to undergo colorectal cancer surgery at a major hospital as soon as po...[Read More] Should My Mom Undergo Surgery for Stage IV Colon Cancer?
Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, they investigated the so...
Dr. Xu Kaixi Reply:
If a diagnosis of colorectal cancer with near obstruction has been confirmed, and if the patient's condition permits, with an acceptable surgical risk after anesthesia preoperative assessment, it is still recommended to undergo colorectal cancer surgery at a major hospital a...[Read More] Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
Can Colonoscopy and Skin Lesion Removal Be Done Together?
Regarding colonoscopy examination? Can a colonoscopy and the treatment of moles be performed together at the same time?
Dr. Ke Fangxu Reply:
Hemorrhoidectomy cannot be performed without a colonoscopy.[Read More] Can Colonoscopy and Skin Lesion Removal Be Done Together?
Post-Surgery Concerns: Understanding Pain and Healing After Fistula Removal
Post-fistula surgery Hello doctor, I had a fistula excision surgery in mid-November, located from the anal opening up to the perineum. The physician mentioned it was a superficial fistula. It has been over five weeks since the surgery, and there has been no discharge, but I occas...
Dr. Ke Fangxu Reply:
1. A slight tingling sensation is normal. 2. It should be scar tissue formed after the wound has healed. 3. Whether it develops into a high anal fistula is related to the position of the internal opening of the fistula and the pathway it follows; it does not necessarily evolv...[Read More] Post-Surgery Concerns: Understanding Pain and Healing After Fistula Removal
Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Blood in stool issue? Hello doctor, I am a 33-year-old male. In May, I underwent a fecal occult blood test, and the results were normal. Over the past couple of years, I have experienced anal pain after bowel movements, occasionally with a few drops of blood, but not frequently. ...
Dr. Zhang Shuhao Reply:
Based on age and symptoms, it is more likely to be anal fissure or hemorrhoidal bleeding. In addition to medication, you can take warm sitz baths to promote wound healing, increase fluid and dietary fiber intake, and avoid straining during bowel movements. If symptoms gradually i...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something Else?
Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Blood streaks in stool? I do not have a habit of constipation and usually have a smooth bowel movement once a day. On November 2nd, I had a stool test for occult blood, which came back negative and normal. On December 10th, I noticed a small amount of blood at the front end of my...
Dr. Chen Ronghong Reply:
Hello, Xiao Wei. If a colonoscopy causes a bowel perforation, there will be severe abdominal pain; therefore, if there is no abdominal pain, you can monitor your condition for a while. For internal hemorrhoids, it is recommended to follow your doctor's instructions regarding...[Read More] Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello, doctor. Since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Positive Fecal Occult Blood Test After Clear Colonoscopy: What to Do?
Seven months after a normal colonoscopy... fecal occult blood test positive? Hello Dr. Chen, 1. As mentioned, the colonoscopy on April 9 was normal, but the fecal occult blood test on November 17 was positive. 2. My family medicine physician advised me to undergo another colon...
Dr. Chen Bingze Reply:
Hello, the majority of colonoscopies are performed personally by the attending physician, unless the physician is unavailable, in which case another physician may assist. Regarding colonoscopy, the chance of missing a significant malignant tumor is quite low. However, there is a ...[Read More] Positive Fecal Occult Blood Test After Clear Colonoscopy: What to Do?
Understanding Unusual Rectal Vibrations: Causes and Concerns
A tingling or vibrating sensation in the anal area? Hello Doctor, in the past week or two, I have been experiencing a slight tingling vibration sensation inside my anus (sometimes it occurs, sometimes it doesn't). This feeling is similar to the vibration of a phone placed ne...
Dr. Zhang Shuhao Reply:
There are many causes of anal sensory abnormalities. Based on your situation, the first step is to rule out any vascular or neurological lesions around the anus. Next, a proctoscopy or sigmoidoscopy should be performed to check for any foreign bodies or parasitic issues. Only aft...[Read More] Understanding Unusual Rectal Vibrations: Causes and Concerns
Understanding Blood in Stool: Causes and When to Seek Help
I have blood in my stool? Hello, doctor: Today I had three bowel movements, and one of them had dark red color. There was bright red blood when I wiped. The toilet water was light red.
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 constipation during this period and to shorten the time spent on the toilet. Spicy and irritating foods s...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Can You Undergo a Colonoscopy with Hemorrhoids and Anal Fissures?
Can hemorrhoids and anal fissures undergo colonoscopy? Can hemorrhoids and anal fissures undergo a colonoscopy? I have some hemorrhoids and hard stools have caused an anal fissure. I visited a doctor and have a colonoscopy scheduled for next week. However, will taking the laxativ...
Dr. Yu Mingchang Reply:
Hello: Can hemorrhoids and anal fissures undergo a colonoscopy? Answer: Yes, a colonoscopy can be performed. Will taking laxatives and experiencing diarrhea worsen hemorrhoids and anal fissures? Answer: No, it will not worsen them. Changhua Hospital cares about your health.[Read More] Can You Undergo a Colonoscopy with Hemorrhoids and Anal Fissures?
Understanding Blood-Streaked Mucus After Bowel Movements: What to Know
There is fresh blood in the mucus after a bowel movement? Hello, Doctor. Since giving birth to my first child in 2018, over the past six months to a year (my memory is quite vague), I've noticed that after having a bowel movement, when I go to urinate, I sometimes expel a sm...
Dr. Ke Fangxu Reply:
Internal hemorrhoids are common in adults, but the difference lies in whether symptoms are present. Bright red blood is mostly caused by internal hemorrhoids. If there is a family history, it is appropriate to undergo a colonoscopy. After the colonoscopy, we can determine the sub...[Read More] Understanding Blood-Streaked Mucus After Bowel Movements: What to Know
Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks
Bowel issues Hello, doctor! Today, during a bowel movement, the stool appeared to be a coffee color with a slight reddish hue. The texture was somewhat soft and coarse. When wiping, I noticed some pinkish color on the toilet paper along with the stool. My bowel movements have bee...
Dr. Zhang Shuhao Reply:
Bleeding from internal hemorrhoids typically occurs during bowel movements due to excessive straining or the rupture of a thrombosis, resulting in moderate bleeding. Commonly, this presents as fresh blood at the end of normal-colored stools. In cases of gastrointestinal bleeding,...[Read More] Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks