Understanding the Differences Between Internal Hemorrhoids and Anal Papilla Hypertrophy
Inquiry Consultation Dear Dr. Chang, In recent years, I have noticed that occasionally when I exert myself during bowel movements, a piece of tissue protrudes from my anus; after I finish, it retracts back inside. After researching online, I initially thought it was stage II int...
Dr. Zhang Shuhao Reply:
1. The difference between internal hemorrhoids and anal papillae lies in the fact that hemorrhoids contain a rich supply of blood vessels, which can enlarge due to poor blood circulation or inflammatory stimuli. Anal papillae are proliferations of skin and soft tissue that usuall...[Read More] Understanding the Differences Between Internal Hemorrhoids and Anal Papilla Hypertrophy
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
Understanding Rectal Bumps: Possible Causes and Concerns
Issues related to the anal region? Hello, doctor. For the past two years, I have been able to feel lumps inside my anus when I insert my finger. Previously, there were noticeable granules, but now there is just a ring of slightly raised areas. I would like to know what this might...
Dr. Zhang Shuhao Reply:
Painless, granular protrusions around the anus are most commonly hemorrhoids and anal papillae (benign soft tissue growths due to friction or injury). If they do not cause any discomfort in daily life, they are generally not a concern. However, a small percentage may be related t...[Read More] Understanding Rectal Bumps: Possible Causes and Concerns
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello, doctor. I have a question. I originally had hemorrhoids and every time I have a bowel movement, I need to use my finger to push the hemorrhoids back in. Recently, I have been experiencing rectal bleeding for a month. The blood does not fill the toilet; it o...
Dr. Zhang Shuhao Reply:
If there is no pain and bowel movements do not require much effort, it is less likely to be an anal fissure and more indicative of symptoms related to internal hemorrhoids. It is recommended to drink plenty of water during the episode, maintain a light diet, and take warm sitz ba...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Blood on Toilet Paper After Bowel Movement: What You Should Know
There is blood after wiping following a bowel movement? Hello, doctor. Today, after having a bowel movement, I noticed a small amount of brick-red blood on the toilet paper, along with some mucus. However, after wiping a second time, it appeared normal. My stool was long and some...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young people is often associated with hemorrhoids and anal fissures. Hemorrhoids are more likely to occur with irregular schedules and constipation. It is recommended to drink plenty of water, increase dietary fiber intake, avoid staying up late...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Hard Lump Near Anus After Infection: Should I Seek Surgery?
There is swelling and pain near the anus, and after taking anti-inflammatory medication, a hard lump has developed? Hello Doctor, a few days ago I sent this inquiry https://adoctor.tw/article/182559 &sat=1&[email protected]. The next day, I realized it didn'...
Dr. Zhang Shuhao Reply:
Based on the description, it seems that there is some discharge on the surface of the abscess. You can start taking the antibiotics and anti-inflammatory medications prescribed by your doctor. Once the lump softens, you can proceed with incision and drainage. In some cases, it ma...[Read More] Hard Lump Near Anus After Infection: Should I Seek Surgery?
Understanding Dark Spots Around the Anus: Causes and Concerns
There is a large dark spot on the skin near the anus? Recently, I discovered dark spots around my anus while applying medication for hemorrhoids using a mirror. These dark areas are flat, not painful or itchy. Should I be concerned about this?
Dr. Zhang Shuhao Reply:
If a sudden appearance of black spots occurs, most are harmless, but there is a small chance they could be malignant skin tumors (with a prevalence of less than one in a million). It is recommended to first seek evaluation from a dermatologist or colorectal surgeon, and if necess...[Read More] Understanding Dark Spots Around the Anus: Causes and Concerns
Post-Colon Cancer Surgery: Should We Change Hospitals for Lung Tumor Surgery?
Inquiry about lung surgery after colorectal cancer surgery? Hello, doctor. I would like to ask about my family member who has recently undergone surgery for colon cancer and has also developed tumors in the lungs. Despite having received preoperative chemotherapy, new lung tumors...
Dr. Xu Kaixi Reply:
Your family member has a condition of post-colon cancer surgery, with suspected lung tumors that may have metastasized from the colon cancer. If the lung tumors are indeed suspected to be metastatic from the colon cancer and are operable, it is certainly worth considering a surgi...[Read More] Post-Colon Cancer Surgery: Should We Change Hospitals for Lung Tumor Surgery?
Understanding Hemorrhoids: When Surgery is Necessary and What to Expect
Hemorrhoid surgery Hello, Doctor. I went to see a colorectal surgeon because I had a protrusion near my anus along with bleeding during bowel movements. The doctor performed a digital examination and diagnosed me with grade II hemorrhoids, stating that surgery was not necessary. ...
Dr. Zhang Shuhao Reply:
The fleshy lump near the perineum may be an external hemorrhoid or a skin tag, most of which can be addressed during surgery. Hemorrhoids themselves are not life-threatening conditions, so surgery is only recommended when they significantly affect the quality of life. It is advis...[Read More] Understanding Hemorrhoids: When Surgery is Necessary and What to Expect
Understanding Anal Fistulas in Infants: Symptoms and Treatment Options
Anal fistula in infants Hello Doctor: I would like to ask about my child. When my child was a little over two months old, a small hole appeared between the perineum and the anus. Gas is expelled when passing gas, and there is a small amount of seepage of stool. In December of las...
Dr. Zhang Shuhao Reply:
First, observe for symptoms similar to previous fistula, such as discharge or signs of redness and swelling. It is recommended to consult a pediatric surgeon or a colorectal specialist for examination. If it is a simple inflammation, medication can be used for treatment; however,...[Read More] Understanding Anal Fistulas in Infants: Symptoms and Treatment Options
Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
There is a small white spot on the inner wall of the anus? Due to issues with constipation and bloating, I have been using glycerin suppositories to relieve constipation and gas. Recently, after using the suppositories twice with too much force, I noticed that I was digging into ...
Dr. Zhang Shuhao Reply:
The small white spots may be papillomas formed after anal fissures or injuries to the rectum. If they are painful, they could be ulcers. It is recommended to reduce the frequency of self-administered enemas and to improve dietary habits to aid bowel movements. The likelihood of m...[Read More] Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
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 Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I was abl...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back, it is classified as a grade IV hemorrhoid. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with lifestyle changes to avo...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any abnormal symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could ...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, as well as to modify lifestyle ha...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could p...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with changing lifestyle hab...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
Anal polyps Hello Doctor, I always end up with skin irritation and bleeding when I have a bowel movement outside, as I feel clean only after that. At home, I wash after using the toilet. Recently, I have noticed some polyps near my anus. I don't experience pain or bleeding d...
Dr. Zhang Shuhao Reply:
The soft mass you feel could be hemorrhoids or a skin growth. You can start by taking warm sitz baths, increasing your physical activity to promote blood circulation, and drinking plenty of water to prevent constipation. If you are concerned, you may also consult a colorectal spe...[Read More] Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
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
Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu Reply:
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Understanding the Risks of Using Steroid Creams for Hemorrhoids
Hemorrhoid ointment I have developed a skin tear around my anus due to using the restroom, which is painful. After visiting a colorectal surgeon, the doctor prescribed "Luo Yu Zhi" ointment and advised me to apply it twice daily. After researching the ointment online, I...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments primarily serve to relieve pain and reduce inflammation. The dosage of steroids is generally not very high, and even with a month of use, significant side effects are unlikely. It is advisable to apply the ointment only to the swollen areas of the hemorrhoids...[Read More] Understanding the Risks of Using Steroid Creams for Hemorrhoids
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?