Colorectal cancer, Surgery FAQ - Page 3

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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


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


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


Post-Chemotherapy Management for Stage IIB Breast Cancer Patients

Post-Chemotherapy Management Right breast cancer, with complete mastectomy and axillary lymph node dissection performed. The pathology report is as follows: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: metastasis present (2, 11), Distant metastasis: none. Tumor type: IDC ER: 90%,...


Dr. Chen Ronghong Reply:
Hello, Pang Pang. Currently, in Taiwan, the indications for Atezolizumab are limited to pancreatic cancer, gastric cancer, colorectal cancer, and lung cancer. In Japan, it can be used for unresectable or recurrent breast cancer, but that is different from your situation. Therefor...

[Read More] Post-Chemotherapy Management for Stage IIB Breast Cancer Patients


Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects

Post-operative issues following fistula surgery? Hello, I had a fistula surgery last September and have been living normally for a while. Recently, due to increased stress, I noticed that my stools have become thinner (I have been observing this for two days). I also feel a sense...


Dr. Ke Fangxu Reply:
It should not be the case, as it has been quite a while. The probability of developing colorectal cancer at the age of 25, while not zero, is generally very low. Based on your description, it seems more like hemorrhoidal swelling. I recommend starting with a light diet and mainta...

[Read More] Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects


Is Brownish Stool with Blood a Sign of Colon Cancer?

Is yellow-brown stool with a bit of blood a sign of colon cancer? Previously, I experienced a sharp pain in the anus during bowel movements, accompanied by a small amount of bright red blood upon wiping. I thought it was just due to hard stools causing anal fissures. However, aft...


Dr. Zhang Shuhao Reply:
If there is sharp pain accompanied by a small amount of bleeding during bowel movements, it is consistent with the symptoms of anal fissure. It is recommended to take warm sitz baths and use anti-inflammatory ointments, as well as to increase fluid intake to avoid constipation. I...

[Read More] Is Brownish Stool with Blood a Sign of Colon Cancer?


Understanding Rectal Bleeding: When to Seek Medical Advice

Rectal bleeding Hello Doctor, I am 29 years old and have been experiencing constipation issues. I usually have a bowel movement every 3 to 5 days. However, except during my menstrual period when my stools are normal and I feel completely empty, my regular bowel movements are ofte...


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 hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritat...

[Read More] Understanding Rectal Bleeding: When to Seek Medical Advice


Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?

Blood in the stool? Previously, I had an episode of acute gastritis, and after it resolved, I experienced a week of bowel movements that were accompanied by a significant amount of fresh blood. My bowel movement schedule is every three days, and during the times I had blood, my b...


Dr. Zhang Shuhao Reply:
Based on your age, the likelihood of bleeding related to colorectal cancer is relatively low. It is more probable that the bleeding is caused by hemorrhoids triggered by irritation from gastroenteritis. Enlarged hemorrhoidal tissue can easily bleed due to friction, and if deeper ...

[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?


Blood in Stool: Is It a Sign of Colon Cancer or Hemorrhoids?

Blood in the stool? Hello doctor, I have hemorrhoids and recently I've been experiencing some constipation. My stools are hard and flat; two of them do not have any blood, but one has blood mixed with the stool. I am concerned about the possibility of colon cancer.


Dr. Zhang Shuhao Reply:
The risk of colorectal cancer increases with age, family history, and exposure to carcinogens. If there is no significant family history, the likelihood of developing colorectal cancer before the age of 20 is extremely low. When stools are harder, bleeding during bowel movements ...

[Read More] Blood in Stool: Is It a Sign of Colon Cancer or Hemorrhoids?


Understanding Rectal Discomfort: Symptoms and Cancer Risks

In the middle of the night, there is a sensation of soreness and fullness in the anal area (distal rectum)? Thank you! Please help me address my concerns. (1) I have experienced two episodes (separated by a long time). Both occurred at night when I felt a dull, bloated sensation ...


Dr. Ke Fangxu Reply:
Rectal lesions or diverticula may exhibit this phenomenon. If there are colorectal polyps and a family history, it is advisable to undergo a colonoscopy for better evaluation.

[Read More] Understanding Rectal Discomfort: Symptoms and Cancer Risks


Concerns and Confusions About Bowel Issues in Young Adults

Concerns and doubts regarding certain bowel movement issues? Hello, doctor. First, let me provide my age and other information: I am currently 20 years old, 167 cm tall, and weigh 110 lbs. I plan to lose weight, but due to academic pressure, my diet and sleep have been very irreg...


Dr. Zhang Shuhao Reply:
At your age, the risk of colorectal cancer is low. Some cases of early-onset colorectal cancer are associated with genetic history or strong environmental factors, but lifestyle habits have a greater impact on bowel movements. Irregular bowel habits are related to diet, daily rou...

[Read More] Concerns and Confusions About Bowel Issues in Young Adults


Is It Hemorrhoids or Colon Cancer? Understanding Blood in Stool

Is it hemorrhoids or colorectal cancer? I would like to ask the doctor about having blood in the stool. The toilet bowl does not have red blood, but there is blood when wiping. Could this be hemorrhoids or colorectal cancer?


Dr. Yu Mingchang Reply:
If you have a higher likelihood of hemorrhoids, it's advisable to consult a colorectal specialist.

[Read More] Is It Hemorrhoids or Colon Cancer? Understanding Blood in Stool


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 Pencil-Thin Stool: Should You Be Concerned?

Bowel issues? Hello Doctor, I came across information online suggesting that stool resembling a pencil could be a sign of colorectal cancer, and I'm a bit worried. Recently, I've noticed that my stool has been thick at the front and tapers to a point about 1 cm at the e...


Dr. Zhang Shuhao Reply:
It appears that there are no major issues. Lower rectal cancer can be examined in the clinic through digital rectal examination or rigid sigmoidoscopy. If there are any concerns, it is advisable to consult a colorectal surgeon for further evaluation.

[Read More] Understanding Pencil-Thin Stool: Should You Be Concerned?


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?


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 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


Understanding Unusual Stool Colors: Should You Worry About Colon Cancer?

Bowel issues Hello, two Saturdays ago, after using the restroom, I noticed that the water in the toilet had a dark coffee color with a hint of red, resembling coffee with a reddish tint (not clots, but seemed mixed together). Could this be a symptom of colorectal cancer or other ...


Dr. Chen Mingzhi Reply:
Your family history is of low risk; however, since the presence of blood in your stool persists, it is recommended that you see a colorectal specialist for an examination. A sigmoidoscopy should be sufficient for diagnosis. As for whether you need to undergo another colonoscopy, ...

[Read More] Understanding Unusual Stool Colors: Should You Worry About Colon Cancer?


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