Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Appendicitis pain in the location of the appendix? Hello doctor, my boyfriend and I are currently living abroad. My boyfriend started experiencing abdominal pain and diarrhea on Thursday, October 28, 2010. Initially, he felt discomfort and had to go to the bathroom five times in ...
Dr. Lai Jihong Reply:
Hello Ms. Amy: How is your boyfriend doing? I wish him a speedy recovery. Generally speaking, acute abdominal pain can have many causes, including: 1. Infectious causes (such as food poisoning, gastrointestinal upset, upper respiratory infections, and colds), 2. Infections of int...[Read More] Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Understanding Hemorrhoids: Surgery, Hospital Stay, and Cancer Risks
Hemorrhoids Hello Dr. Ke: I would like to ask if surgery for internal hemorrhoids and polyps requires hospitalization, and if so, for how many days? A fecal occult blood test result is positive with a value over 500; is it possible that this indicates early-stage colorectal cance...
Dr. Ke Fangxu Reply:
Hello, in response to your questions: 1. Hemorrhoid surgery typically requires a hospital stay of three to four days. 2. For patients aged 40 and above, if fecal occult blood test results are positive, the probability of being diagnosed with colorectal cancer, based on our hosp...[Read More] Understanding Hemorrhoids: Surgery, Hospital Stay, and Cancer Risks
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Blood in the stool, with a significant amount? Doctor, I currently have a situation with rectal bleeding. I've had some blood when wiping after using the bathroom for a while, and I've also experienced swelling and pain around the anal area. However, for the past couple...
Dr. Ke Fangxu Reply:
Hello: In response to your question, anal pain accompanied by blood during wiping is generally a symptom of anal fissure. In contrast, hemorrhoidal bleeding typically involves a larger volume of blood. Considering your age of 24, the likelihood of colorectal cancer is very low, a...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Could Blood After Bowel Movements Indicate Colon or Rectal Cancer?
Could this situation indicate colon cancer or rectal cancer? I sometimes notice blood when I wipe after having a bowel movement. This has been happening for about six months to a year, but it’s not very frequent—around three times. There’s no pain, and the stool color seems norma...
Dr. Ke Fangxu Reply:
Hello Lisa, at the age of 18, rectal bleeding is generally not first suspected to be colorectal cancer, as the typical age group for colorectal cancer is over 50 years old. While the probability of developing colorectal cancer at this age is not zero, it is indeed low to the poin...[Read More] Could Blood After Bowel Movements Indicate Colon or Rectal Cancer?
Understanding Colorectal Cancer: Lymph Node and Liver Metastasis Insights
What is colorectal cancer? If a patient has colon cancer with lymphatic metastasis and the liver already has metastases, is it possible that cancer cells will be found in biopsy samples from other parts of the colon?
Dr. Ke Fangxu Reply:
Hello: In response to your question, if colorectal cancer has already metastasized to the lymph nodes and liver, it is classified as stage IV colorectal cancer, indicating that cancer cells have spread beyond the colon. Whether cancer cells are present in the colon itself is a se...[Read More] Understanding Colorectal Cancer: Lymph Node and Liver Metastasis Insights
Post-Surgery Care: Managing Bowel Issues After Hemorrhoid Surgery
Postoperative care Hello, Doctor: I underwent a complete excision of internal and external hemorrhoids using an ultrasonic scalpel on May 12, 2010. My recovery has been relatively good, and after two follow-up visits, the doctor said there were no issues with the wound and that I...
Dr. Ke Fangxu Reply:
Hello: In response to your questions: 1. It is generally recommended that if there is no longer any discharge from the anus, it indicates that the surgical wound has completely healed, and you can return to your pre-surgery lifestyle. If there are no issues with constipation, s...[Read More] Post-Surgery Care: Managing Bowel Issues After Hemorrhoid Surgery
Understanding Recurring Hemorrhoids: When Surgery is Necessary
Hemorrhoid issues Hello, Dr. Ko: Thank you for your response. I have some additional questions to ask. My situation is that I had hemorrhoid surgery 10 years ago, and in mid-March, the hemorrhoids recurred. I applied topical medication and used suppositories for a while, but ther...
Dr. Ke Fangxu Reply:
Hello Qianqian: In response to your questions: 1. After hemorrhoid surgery, there is a possibility of recurrence in 10 to 20 years. As long as the first surgery did not cause damage to the sphincter muscle, a second surgery is unlikely to result in anal sphincter dysfunction. ...[Read More] Understanding Recurring Hemorrhoids: When Surgery is Necessary
How to Prevent Hemorrhoids and Related Health Issues
How to prevent hemorrhoids? What can be done to prevent hemorrhoids and inflammation around the anal area? Are individuals who are prone to hemorrhoids also at a higher risk for colorectal cancer? Thank you.
Dr. Ke Fangxu Reply:
Hello, regarding your question, if hemorrhoids have already developed, there is no longer a matter of prevention, only maintenance considerations. It is generally advised to ensure adequate sleep, avoid constipation, and refrain from spicy and irritating foods. Additionally, one ...[Read More] How to Prevent Hemorrhoids and Related Health Issues
Is It Colon Cancer? Understanding Symptoms and When to Seek Help
Is this colorectal cancer? In the past couple of days, I have noticed blood in my stool, but the amount is small, just a few drops. About two to three weeks ago, I experienced sudden abdominal cramping in the middle of the night, but the pain went away when I got up. I would like...
Dr. Ke Fangxu Reply:
Hello: In response to your question, at the age of 27, rectal bleeding is generally not first suspected to be colorectal cancer, as the likelihood of developing colorectal cancer at this age, while not zero, is extremely low. It is usually caused by hemorrhoidal bleeding. If ther...[Read More] Is It Colon Cancer? Understanding Symptoms and When to Seek Help
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding Hello, doctor. I would like to ask about a concern I have. Previously, I noticed blood on the toilet paper after wiping, but I didn't see any blood in my stool. Initially, this was not a frequent occurrence, but recently it has happened almost every time. How...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if there is only a small amount of rectal bleeding, it is commonly due to mild hemorrhoidal bleeding or anal fissure bleeding. The former is usually painless, while the latter may cause pain or a sensation of foreign body. If the condition is ...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Hemorrhagic stool First, I would like to describe my recent health condition. At the beginning of October, I experienced rectal bleeding due to hard stools for about two weeks. After improving my diet, this issue resolved. On the evening of October 23, I suddenly developed a feve...
Dr. Ke Fangxu Reply:
Hello: Generally speaking, blood in the stool is a fairly common issue, and whether further examination is needed depends on several related factors: 1. Age: If the patient is over 50 years old, as this is the age group where colorectal cancer is more prevalent, a colonoscopy is ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Understanding Colonoscopy: Concerns About Positive Fecal Blood Test
Colonoscopy examination Hello, doctor: Last week, I noticed a discharge resembling yogurt during bowel movements, so I underwent a stool test. The results indicated a trace of occult blood (+1), and I am very worried. Since February of this year until August, I have been taking m...
Dr. Ke Fangxu Reply:
Hello: A fecal occult blood test result of +1 indicates that it is a chemical method of testing, which has a higher sensitivity but can also be influenced by certain foods, medications, and upper gastrointestinal bleeding. Generally, the likelihood of developing colorectal cancer...[Read More] Understanding Colonoscopy: Concerns About Positive Fecal Blood Test
Understanding Abnormal Stool: White Mucus and Dietary Impact
Bowel issues Hello, doctor: Today, I noticed a whitish secretion at the end of my stool, about the size of a coin, and it was sticky, resembling the color of yogurt. I have never experienced anything like this before, and I'm unsure what it could be. For the past month, I ha...
Dr. Lin Kecheng Reply:
Dear Sir/Madam: Based on your statement, "Bowel habits are normal, with daily bowel movements at almost the same time, and the color is brown without constipation," it seems to indicate a very normal condition. For the past month, I have been drinking one to two bottles...[Read More] Understanding Abnormal Stool: White Mucus and Dietary Impact
Do All Colorectal Cancer Surgeries Require a Colostomy?
Questions about colorectal surgery? Hello, doctor: In general, does surgery for colorectal cancer require the creation of a colostomy? If a colostomy is not performed, will the patient be able to have normal bowel movements? Thank you.
Dr. Ke Fangxu Reply:
Hello: Generally, colorectal cancer surgery may require a colostomy, which is typically needed for low rectal cancer surgeries. Low rectal cancer refers to tumors located within 20 centimeters of the anal opening. Such surgeries may result in a temporary colostomy, which can be r...[Read More] Do All Colorectal Cancer Surgeries Require a Colostomy?
Concerns About Surgery for Colon Cancer: Risks and Complications
Could you please provide more details about your questions regarding surgical issues? 1. If a patient undergoes surgery for colorectal cancer and does not have a colostomy during the first operation, and then experiences a leak requiring a second surgery, is there a possibility t...
Dr. Hou Yongji Reply:
According to your description, it pertains to surgical-related details. Unless the surgical physician is present in the situation, it is not possible to make hypothetical assumptions. Therefore, please discuss this in detail with the attending surgeon. Thank you, Dr. Hou Yong-ji.[Read More] Concerns About Surgery for Colon Cancer: Risks and Complications
Should You Consider Further Colonoscopy for Ongoing Rectal Bleeding?
Is there a need to proceed with a colonoscopy? Hello… Last October, I experienced rectal bleeding and consulted a doctor. At that time, the doctor performed a sigmoidoscopy and diagnosed me with internal and external hemorrhoids, which were causing the bleeding. Since then, I hav...
Dr. Ke Fangxu Reply:
Hello: In response to your question, at the age of 31, we generally do not consider the possibility of colorectal cancer, although it cannot be completely ruled out. However, the likelihood of hemorrhoidal bleeding is higher. If the bleeding is not severe and occurs repeatedly, i...[Read More] Should You Consider Further Colonoscopy for Ongoing Rectal Bleeding?
Causes of Splenic Bleeding After Colorectal Surgery: Expert Insights
Colorectal surgery Hello, doctor: My elder had surgery for colon cancer but experienced splenic bleeding. What are the possible causes of splenic bleeding? Please provide an analysis. Thank you.
Dr. Hou Yongji Reply:
The spleen is one of the most vulnerable organs within the abdominal cavity, and it is typically the most common organ to sustain injury resulting in internal bleeding, particularly from a splenic rupture. Regarding the bleeding from the spleen during colorectal cancer surgery, i...[Read More] Causes of Splenic Bleeding After Colorectal Surgery: Expert Insights
Laparoscopic Surgery for Rectal Tumors: What You Need to Know
Laparoscopic Surgery for Sigmoid Colon Tumor Hello Dr. Hou, my mother is 54 years old and has been experiencing bloody stools for many years. She underwent a colonoscopy at a clinic, and a non-regular tumor was found approximately 15 cm from the anus in the sigmoid colon, measuri...
Dr. Hou Yongji Reply:
1. Currently, the staging of colorectal cancer is based on the depth of tumor invasion into the bowel wall, the involvement of surrounding lymph nodes, and whether there is distant metastasis (to the liver or lungs). Therefore, if staging is determined solely by endoscopic diagno...[Read More] Laparoscopic Surgery for Rectal Tumors: What You Need to Know
Understanding Urgency with Incomplete Evacuation in Parkinson's Patients
Urgency with a feeling of incomplete evacuation? Hello Doctor: Is the term "urgency with a feeling of incomplete evacuation" referring to the sensation of not being able to fully empty the bowels? My father has a sense of urgency, but once he sits on the toilet, that ur...
Dr. Xu Kaixi Reply:
Dear Pig Sister, Dr. Hsu Kai-Hsi from the Tainan Hospital of the Department of Health, Executive Yuan, would like to address your concerns. The sensation of urgency with incomplete evacuation indeed refers to the feeling of not being able to fully empty the bowels, while a lack ...[Read More] Understanding Urgency with Incomplete Evacuation in Parkinson's Patients
Understanding Abdominal Surgery: Adhesions, Colonic Weakness, and Bowel Issues
Inquiry 1. Is it true that abdominal surgery always leads to intestinal adhesions? What exactly is this condition? Are individuals with chronic constipation more severely affected? 2. Can colonic inertia truly be diagnosed through instrumentation? 3. If softening agents are added...
Dr. Ke Fangxu Reply:
Hello Mr. Lin: 1. It is indeed common to have some degree of intestinal adhesions after abdominal surgery, which refers to the intestines sticking to each other or to the abdominal wall. However, this does not always result in symptoms. When symptoms do occur, they typically in...[Read More] Understanding Abdominal Surgery: Adhesions, Colonic Weakness, and Bowel Issues