Post-Hemorrhoid Injection: Anal Pain, Groin Discomfort, and Urination Issues
Post-injection pain in the anus and groin, along with difficulty urinating, following hemorrhoid treatment? Hello doctor, I went to see a colorectal specialist this morning because I had bleeding during bowel movements. The doctor diagnosed me with internal hemorrhoids and asked ...
Dr. Zhang Shuhao Reply:
Abnormalities in hemorrhoid injection can lead to varying degrees of inflammatory reactions depending on the medication used, the injection site, and the dosage; however, it rarely causes symptoms throughout the entire pelvic cavity. It is recommended to return to the original ho...[Read More] Post-Hemorrhoid Injection: Anal Pain, Groin Discomfort, and Urination Issues
Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Anal itching, timing for sitz baths? Hello, doctor. I am a university student and have been experiencing symptoms of anxiety and obsessive cleanliness, which become particularly severe during stressful times. Recently, due to midterm exams, my compulsive cleaning behaviors intens...
Dr. Zhang Shuhao Reply:
1. When the anus itches due to excessive cleaning, a sitz bath is not necessary; rinsing with cold water is sufficient. 2. The use of medication three to four years ago is less related to current symptoms; anal pruritus is more associated with allergies, environmental factors, ...[Read More] Understanding Anal Itching: Causes, Treatments, and Bathing Tips
How to Prevent and Manage Anal Fissures and Related Symptoms
How to improve or prevent anal fissure bleeding? Hello, Doctor. (1) A few years ago, I had anal fissures and hemorrhoids and received treatment at the hospital, and I have since recovered. However, I have noticed that during anal intercourse with my partner, there is a high likel...
Dr. Zhang Shuhao Reply:
1. If you have previously experienced anal fissures, it is essential to use ample lubrication and gradually dilate the anus before anal intercourse. Insertion should only occur when the anal sphincter is completely relaxed. If you experience sharp pain during the process (the pai...[Read More] How to Prevent and Manage Anal Fissures and Related Symptoms
Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
There is blood when wiping after a bowel movement? Hello, I have a history of lung adenocarcinoma and just had surgery on November 2. Today, I noticed blood when wiping after a bowel movement, but there is no pain in the rectum, and the stool itself does not have blood. I have no...
Dr. Zhang Shuhao Reply:
You can first observe the amount and color of the bleeding, checking for the presence of black or brick-red stools, as well as any accompanying symptoms of abdominal distension or pain. Additionally, note any changes in bowel habits. If any of these conditions are present, a colo...[Read More] Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Regarding fecal occult blood testing? Hello, Doctor: I would like to ask you a few questions: 1. I often experience constipation and have difficulty with bowel movements. Therefore, around July of this year, I paid out of pocket for a fecal occult blood test. However, I was takin...
Dr. Zhang Shuhao Reply:
1. A positive fecal occult blood test indicates a high likelihood of polyps or colorectal lesions, but it should only be used as a screening tool and not as a diagnostic instrument. 2. It is not recommended to repeat the fecal occult blood test; if gastrointestinal symptoms are p...[Read More] Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu Reply:
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Understanding Rectal Bleeding: When to Seek Medical Attention
Blood after bowel movement? During high school, I experienced bright red blood on my stool, thinking it was my menstrual period and not paying much attention to it; I only remember that the stool was loose. In my freshman year of college, I also noticed bright red blood on my sto...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic for an examination to check for common causes of bleeding, such as hemorrhoids, to assess whether a colonoscopy is necessary. Unless your grandfather has a young-onset colorectal cancer, the likelihood of developing cancer at the age of 20 ...[Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Understanding the Concerns of Genital Warts and Rectal Health
Concern about cauliflower issues? Hello, doctor. I apologize for bothering you. I am a gay man, and I have been in a relationship with my partner for almost a year. Two weeks ago, he was diagnosed with genital warts. I understand that he had some small growths before we started d...
Dr. Zhang Shuhao Reply:
During the training of a colorectal surgeon, distinguishing between internal hemorrhoids and genital warts is typically straightforward, minimizing the risk of misdiagnosis. However, limited exposure to the virus can still lead to asymptomatic infections. At this stage, there may...[Read More] Understanding the Concerns of Genital Warts and Rectal Health
Understanding Anal Sphincter Issues After Hemorrhoid Surgery
Sphincter issues Hello, doctor. I am the patient from case #188320 regarding post-operative hemorrhoids and anal sphincter weakness. I had my hemorrhoid surgery at Taichung Medical Center, where the surgeon informed me after reviewing my MRI that one side of my anal sphincter is ...
Dr. Zhang Shuhao Reply:
1. The perineal nerve is responsible for the sensory and motor functions of the sphincter muscles and the anal canal. To diagnose incontinence caused by sphincter dysfunction, it is essential to rule out any issues related to nerve sensory abnormalities. 2. You can consult other ...[Read More] Understanding Anal Sphincter Issues After Hemorrhoid Surgery
Understanding Discomfort Around the Anus: Causes and Solutions
There is a soreness in a specific area around the anus? Yesterday, after having a bowel movement, I didn't feel much. However, after sitting in my room, I started to feel a soreness around the area near my anus. When I pressed on it, I found a point that felt sore when press...
Dr. Zhang Shuhao Reply:
The cause of localized soreness may be due to injury or fatigue of the sphincter muscle. A small percentage may be attributed to deeper anal abscesses, which may not be visible externally but present as soreness. It is recommended to take warm sitz baths to help relax, avoid cons...[Read More] Understanding Discomfort Around the Anus: Causes and Solutions
Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Rectal bleeding, with a history of hemorrhoids and previous diagnosis of genital warts? In the past week, I have noticed blood stains on the toilet paper after wiping. Although I have experienced this before, it usually resolves within one or two days. This time, however, it has ...
Dr. Zhang Shuhao Reply:
Anal fissures and internal hemorrhoids can cause rectal bleeding, and it is not necessarily related to condyloma. Recurrences of condyloma in the anal canal are usually difficult to self-detect, so it is recommended to visit a colorectal clinic for diagnosis via anoscopy.[Read More] Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Rectal bleeding, with a history of hemorrhoids and previous genital warts? In the past week, I've noticed blood stains on the toilet paper after wiping. Although I've experienced this before, it usually resolves within a day or two. This time, however, it has persisted ...
Dr. Zhang Shuhao Reply:
Anal fissures and internal hemorrhoids can cause rectal bleeding, which is not necessarily related to warts. Recurrences of warts in the anal canal are often difficult to self-detect, so it is recommended to visit a colorectal clinic for diagnosis using an anoscope.[Read More] Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Recurrence of hemorrhoids after surgery? Hello Dr. Ke: My husband underwent hemorrhoid surgery at National Taiwan University several years ago. Initially, everything was normal post-surgery, but due to severe anxiety over the past six months, he has experienced a loss of appetite...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is generally possible to remain symptom-free for up to ten years. However, if good bowel habits and dietary practices are not maintained, recurrence of symptoms within 1-2 years is also a common occurrence. Aiofuro is a type of venous constrictor and ...[Read More] Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Understanding Changes in Bowel Movements: When to See a Specialist
Colorectal issues Hello Doctor, for the past two months, my stools have been consistently thin, about 1.5 cm in width, and they are mostly short, around 8 cm long. Previously, my stools were thicker and longer, and I would often have multiple stools at once, including some that w...
Dr. Zhang Shuhao Reply:
For issues related to constipation and bowel movements, you can consult either a colorectal specialist or a gastroenterologist, as both specialties can perform colonoscopies. Rectal lesions can sometimes cause changes in stool shape, but most cases are related to dietary and func...[Read More] Understanding Changes in Bowel Movements: When to See a Specialist
Understanding Anal Itching and Folliculitis: Treatment and Care
Anal itching Folliculitis Hello, Doctor! Recently, for the past month, I have been experiencing anal itching after bowel movements. Whether I wash with water or wipe with toilet paper, it is very itchy, and there is a slight stinging sensation when applying medication. Therefore,...
Dr. Zhang Shuhao Reply:
The treatment methods for folliculitis and pruritus ani are different. If the itching is indeed caused by inflammation, medication should show improvement within a week. However, if the itching is similar to an allergic reaction, topical ointments may sometimes exacerbate the sym...[Read More] Understanding Anal Itching and Folliculitis: Treatment and Care
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel issues Doctor, here are my symptoms: Since the summer vacation, I have been experiencing frequent diarrhea that has lasted a long time. Even as school was about to start, my diarrhea changed to constipation. Although the frequency of my bowel movements hasn't changed, ...
Dr. Chen Bingze Reply:
Hello, I understand that this may make you very anxious. The likelihood of developing colorectal cancer at your age is indeed very low. Experiencing both constipation and diarrhea is more indicative of irritable bowel syndrome. The presence of blood after a bowel movement may be ...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
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 Post-Surgery Rectal Issues: Is Residual Stool Normal?
Residual stool in the rectum? Hello, doctor. A year ago, I underwent a tissue coagulation hemorrhoid surgery, and since then, my anus has become narrow. I have to exert a lot of effort to pass stool, and even when I insert my finger into the anus to clean, there is still residual...
Dr. Yu Mingchang Reply:
Take some stool softeners and check in with the colorectal department at Changhua Hospital when you have the chance. We care about your health.[Read More] Understanding Post-Surgery Rectal Issues: Is Residual Stool Normal?
Understanding Rectal Discomfort: Risks and Surgical Options
Bowel movement issues Hello Doctor: Recently, I have been experiencing discomfort in my anus after having a bowel movement (it doesn't hurt, but it feels like there's something at the anal opening). I later realized that I had pulled my anal sphincter out, and I managed...
Dr. Zhang Shuhao Reply:
The tissue that protrudes after bowel movements is a prolapsed internal hemorrhoid, which can be manually pushed back into place. Sometimes, taking warm sitz baths can help reduce swelling and improve the condition. If this occurs frequently and causes distress, it is advisable t...[Read More] Understanding Rectal Discomfort: Risks and Surgical Options
Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments
Irritable bowel syndrome, anal fissures, and hemorrhoid ointment? I have been using hemorrhoid cream for 5 months due to anal fissures, and now the protective layer around my anus (hemorrhoids) is gone. I experience pain in my buttocks when riding a motorcycle or bicycle, and I&#...
Dr. Zhang Shuhao Reply:
It may be caused by excessive use of steroid-containing ointments. First, stop using hemorrhoid treatments and avoid excessive cleaning of the anal and perineal area. You can use simple moisturizing products such as lotions. If symptoms do not improve, you should visit a dermatol...[Read More] Managing Pain from Anal Fissures and Hemorrhoids: Effective Treatments