Understanding Bowel Issues: When Constipation and Blood Occur
Experiencing the urge to defecate but being unable to do so? Dear Dr. Ko, For the past two to three days, my bowel movements have been unusual. Initially, I noticed blood in my stool. I consulted a doctor who prescribed hemorrhoid cream for my anus. After the first application,...
Dr. Ke Fangxu Reply:
The issue with irritable bowel syndrome (IBS) is that its symptoms are very similar to those of colorectal cancer. If symptoms do not improve after medication, it is appropriate to undergo further colonoscopy. As long as bowel motility is normal and you have regular meals with da...[Read More] Understanding Bowel Issues: When Constipation and Blood Occur
Understanding Rectal Granules: Treatment Options and Concerns
Anal granules I initially thought everything was resolved after the last electrosurgery, but I discovered two small lesions that were not treated while taking a shower (there were two doctors assisting during the procedure that day... sigh!!). I had felt these before; they did no...
Dr. Ke Fangxu Reply:
1. Since both electrosurgery and cryotherapy have been performed, the best course of action now is to simply observe, as the wound is still healing and it is not appropriate to undertake any further procedures at this time. 2. Malignant tumors can often be assessed through a di...[Read More] Understanding Rectal Granules: Treatment Options and Concerns
Persistent Urge to Defecate: Is It a Sign of Colon Cancer?
Persistent urge to defecate? For the past two weeks, after using the restroom in the morning (the stool appears normal, there is no bleeding or pain in the anus, and there is no abdominal pain), I have been experiencing a persistent urge to have a bowel movement (sometimes a smal...
Dr. Xu Kaixi Reply:
Based on your description, there could be many potential causes for the changes in gastrointestinal function. It is recommended that you visit a hospital outpatient clinic for further examination.[Read More] Persistent Urge to Defecate: Is It a Sign of Colon Cancer?
Understanding Blood in Stool: When to Seek Colonoscopy and What to Expect
Blood in the stool? I often experience flatulence, which is quite foul-smelling. I have both internal and external hemorrhoids. For the past few days, I have noticed fresh red blood in my stool each time I have a bowel movement. Initially, there was a small amount of blood on the...
Dr. Ke Fangxu Reply:
Although colorectal cancer is more common in individuals aged 50 and older, there is still a possibility of developing colorectal cancer at younger ages, albeit at a lower probability. If there are persistent symptoms of bleeding, individuals of any age can undergo a colonoscopy ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy and What to Expect
Understanding Gastrointestinal Issues: Bloating, Bowel Movements, and Colonoscopy
Gastrointestinal issues If persistent abdominal bloating occurs with difficulty in bowel movements and only gas is being passed, could this be a sign of colorectal cancer? Additionally, how is the colonoscope disinfected after a colonoscopy in a typical hospital? When hospitals r...
Dr. Ke Fangxu Reply:
1. Persistent constipation in young women is common and cannot be solely judged as colorectal cancer based on this symptom alone. 2. Colonoscopes are equipped with specialized cleaning machines and disinfectants, and after the examination, they are disinfected for 30-45 minutes...[Read More] Understanding Gastrointestinal Issues: Bloating, Bowel Movements, and Colonoscopy
Understanding Constipation and Blood in Stool: Causes and Solutions
Constipation with blood in the stool? I have been experiencing constipation issues, and in the past two weeks, I have noticed blood in the toilet after three bowel movements. There is a slight pain in my anus during bowel movements, but the bleeding almost stops after wiping with...
Dr. Ke Fangxu Reply:
More than 90% of rectal bleeding is due to hemorrhoids, and at the age of 19, the likelihood of colorectal cancer is extremely low. It is advisable to improve your lifestyle and bowel habits, which should help resolve the bleeding. If the bleeding persists, it would be wise to co...[Read More] Understanding Constipation and Blood in Stool: Causes and Solutions
Understanding Blood in Stool: Causes and When to Seek Help
Occasional blood in the stool? Hello, Doctor. I have been troubled by bowel movement issues for a long time. My bowel movement conditions are as follows: 1. Sometimes there is blood, sometimes there isn't. 2. Sometimes there is transparent mucus, sometimes there isn't. ...
Dr. Ke Fangxu Reply:
A 32-year-old individual with bowel-related issues has undergone a colorectal cancer screening, which returned normal results. In this case, the likelihood of colorectal cancer should not be suspected. However, if you are still concerned, undergoing a colonoscopy could help allev...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Anal Discomfort: Hemorrhoids or Something More Serious?
Anus..? Dr. Ke experiences some discomfort during bowel movements; after wiping, he noticed a bit of blood on the toilet paper. Subsequently, he has experienced some anal pain. A few days ago, he may have caused some skin tearing and bleeding due to vigorous wiping. Is this relat...
Dr. Ke Fangxu Reply:
Hello: In response to your question. 1. Both may not be able to determine without a personal examination. 2. No.[Read More] Understanding Anal Discomfort: Hemorrhoids or Something More Serious?
Understanding Anal Fistulas: When to Consider Surgery and Risks Involved
Regarding anal fistulas? Hello Dr. Ke: If I have been diagnosed with an anal fistula but only experience mild pain when using the restroom and occasionally have a small amount of discharge, can I choose not to undergo surgery if it does not significantly affect my daily life? Wha...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the only definitive treatment for an anal fistula is surgery. If the symptoms are not severe, medication can help manage the symptoms without surgery. However, the issue with non-surgical treatment is that symptoms may recur, and there is a sm...[Read More] Understanding Anal Fistulas: When to Consider Surgery and Risks Involved
Understanding Bowel Issues: When to Worry About Symptoms and Normalcy
Bowel issues Hello Doctor, I usually have bowel movements at a fixed time in the morning, and I don't feel a strong urge to go before eating. However, after I eat or drink water, the urge to go comes. Is this normal? Also, recently when I have a bowel movement, I feel like m...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is a normal physiological response for the intestines to stimulate peristalsis after humans eat or drink, which promotes digestion. However, if the peristalsis is too strong, it can trigger the urge to defecate, which is known as "irri...[Read More] Understanding Bowel Issues: When to Worry About Symptoms and Normalcy
Understanding Rectal Bleeding: When to Consider a Colonoscopy
Blood after bowel movements? Hello Doctor: After changing jobs (about two and a half years ago), I have been sitting more often and have started experiencing intermittent rectal bleeding, mostly when my stools are harder. I feel a sharp pain near the anus as the stool passes, and...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the presence of blood in the stool before the age of 40 is often related to anal disorders. If both the digital rectal examination and the fecal occult blood test show no abnormalities, and there are no other symptoms of colorectal cancer or f...[Read More] Understanding Rectal Bleeding: When to Consider a Colonoscopy
Blood in Stool: Should You Worry About Colon Cancer or Hemorrhoids?
Blood in the stool? Hello, doctor. This afternoon at 4 PM, I experienced abdominal pain, and after having a bowel movement (the color and shape were normal), the pain subsided. At 8 PM, I felt the urge to have another bowel movement, and my abdomen was slightly painful again. Dur...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the likelihood of developing colorectal cancer at the age of 28 is relatively low. It is generally advised to observe for a few days; if there is no further bleeding, it should be fine. However, if bleeding persists, you should seek medical at...[Read More] Blood in Stool: Should You Worry About Colon Cancer or Hemorrhoids?
Understanding Blood in Stool: IBS, Hemorrhoids, or Colorectal Cancer?
Blood in stool / Irritable bowel syndrome / Internal hemorrhoids / Colorectal cancer / Colitis? Dear Doctor, I have been very worried about my condition, so I am writing in detail and hope you can patiently read through it. Thank you! Over the past few months, I have experienced...
Dr. Ke Fangxu Reply:
Indeed, young people have a lower probability of developing colorectal cancer, and ulcerative colitis is more common among younger individuals. However, what you may not know is that the incidence of ulcerative colitis is significantly lower than that of colorectal cancer in East...[Read More] Understanding Blood in Stool: IBS, Hemorrhoids, or Colorectal Cancer?
Understanding Occasional Blood in Stool: Causes and Concerns
Blood in the stool once a week? Dear Doctor, I would like to consult you regarding the issue of blood in my stool. Symptoms: I often notice blood on my stool after diarrhea (either from holding it too long or having multiple bowel movements at once). The blood is usually just ...
Dr. Ke Fangxu Reply:
1. Essentially, the presence of blood in the stool is not a normal phenomenon, so any occurrence of this should be addressed by identifying the underlying cause. 2. Diarrhea can also lead to hemorrhoidal bleeding; based on your description, this possibility seems more likely. 3...[Read More] Understanding Occasional Blood in Stool: Causes and Concerns
Understanding Unformed Stool: Causes, Concerns, and Treatment Options
Loose stools? Hello Doctor: For the past month, my bowel movements have been soft and unformed, occurring two to four times a day. I feel anxious just thinking about it, and whenever I get anxious, I have the urge to go, but there is no abdominal pain—just the urge. Occasionally,...
Dr. Ke Fangxu Reply:
Loose stools combined with irregular bowel movements are typical symptoms of Irritable Bowel Syndrome (IBS), also known as Irritable Bowel Disorder. Reducing fat intake and increasing dietary fiber can help improve symptoms. If these measures are ineffective, medications are avai...[Read More] Understanding Unformed Stool: Causes, Concerns, and Treatment Options
Understanding Rectal Pain: Causes and Concerns for Young Adults
Anal pain Hello Dr. Ke, I have been troubled by these symptoms for about a year. I feel some pain when sitting and during anal contraction (but not when standing), and also while riding a bicycle. However, I don't feel any pain when touching the external area of the anus, bu...
Dr. Ke Fangxu Reply:
At the age of 22, individuals generally do not consider the likelihood of malignant diseases, which is not zero but extremely low. These symptoms appear to be related to anal conditions and gastrointestinal function issues, and there should not be any major concerns. If there is ...[Read More] Understanding Rectal Pain: Causes and Concerns for Young Adults
Post-Surgery Weight Loss After Rectal Cancer Treatment: Causes and Solutions
Significant weight loss after rectal cancer surgery? Hello, doctor. My family member was diagnosed with rectal cancer in May of this year and subsequently underwent surgery for resection. After the surgery, they received radiation therapy and chemotherapy, with radiation therapy ...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Surgical Department at Tainan Hospital, Ministry of Health and Welfare: The surgical and chemotherapy or radiotherapy processes for colorectal cancer can lead to significant physical and nutritional depletion. Additionally, treatment side effects, inc...[Read More] Post-Surgery Weight Loss After Rectal Cancer Treatment: Causes and Solutions
Understanding Puborectal Muscle Spasm Syndrome: Symptoms and Management
Regarding "levator ani syndrome." Hello, Dr. Yu. I have a daily bowel movement habit, but I suffer from irritable bowel syndrome, which often leaves me feeling incomplete after a bowel movement. As a result, I sometimes try to fully empty my bowels in one go, causing my...
Dr. Yu Mingchang Reply:
Hello! Irritable bowel syndrome (IBS) is not a problem with the colon itself, but rather a psychosomatic disorder, classified as a lifestyle disease. I suggest you don't put too much pressure on yourself; if one bowel movement isn't enough, just go multiple times![Read More] Understanding Puborectal Muscle Spasm Syndrome: Symptoms and Management
Understanding Colorectal Polyps: Family Risk and Management Questions
Questions related to intestinal polyps? Hello, doctor. My husband and I underwent a colonoscopy after 8 years of marriage. Our child is 7 years old. I am 28 years old, and my husband is 32. He has three polyps, two of which are hyperplastic, and one has been removed and tested, a...
Dr. Ke Fangxu Reply:
Hello, in response to your questions: (1) Hyperplastic polyps are a type of benign polyp found among various colorectal polyps. They are generally believed to be caused by the proliferation of mucosal cells, hence the name "hyperplastic polyp." Hyperplastic polyps are...[Read More] Understanding Colorectal Polyps: Family Risk and Management Questions
Blood During Bowel Movements: Causes and When to See a Doctor
Blood in the stool? Hello, Doctor! I seem to be experiencing constipation, as I have infrequent bowel movements. Each time I have a bowel movement, I feel pain around the anal area, and sometimes there is a little bit of blood. My stools are also quite small. Today, after finishi...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if a young person in their twenties experiences both constipation and bleeding, it is almost certainly due to hemorrhoidal bleeding. The general recommendation is that improving the constipation should resolve the bleeding. Of course, this doe...[Read More] Blood During Bowel Movements: Causes and When to See a Doctor