Colorectal, Surgery FAQ

Can I Just Remove a Thrombosed Hemorrhoid Without Surgery?

Can a thrombosed hemorrhoid be simply excised? I have a large hemorrhoid located near the vaginal opening on the left side of my anus, and there is a small thrombosis on top of this large hemorrhoid (it has been there for over a month and does not hurt much when pressed). Initial...

Dr. Ke Fangxu Reply:
Small thrombosed hemorrhoids can be excised under local anesthesia in an outpatient setting; however, whether your condition is suitable for this procedure should be evaluated by a physician. It is recommended that you schedule an appointment with a colorectal surgeon for further...

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 ...

Understanding Anal Itching: Common Causes and Treatment Options

Anal itching issues? Hello, doctor. I have an issue with anal itching. Whenever I experience itching, there is a small amount of fecal residue when I wipe with toilet paper. The area around my anus is usually a bit moist and has an unpleasant odor. I previously consulted a colore...

Dr. Ke Fangxu Reply:
Hello! Anal itching can be alleviated through warm water sitz baths, but if the symptoms do not improve post-surgery, it is advisable to return for a follow-up consultation. Thank you.

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.

Dealing with Unusual Gas and Bowel Issues: When to Seek Help

Flatulence issues? About half a month ago, I had diarrhea, and now my bowel movements have been irregular (small amounts, mushy consistency) every day. However, every time I need to pass gas, I feel a wetness (sticky) around the anus. When I go to the bathroom to wipe, I end up w...

Dr. Zhang Shuhao Reply:
Feeling of incomplete bowel movements or difficulty cleaning after wiping can sometimes be caused by hemorrhoidal prolapse. Diarrhea may also exacerbate the symptoms of hemorrhoids. It is recommended to consult a colorectal specialist for an examination.

Understanding Blood in Stool: When to Seek Medical Attention

Rectal bleeding There was a segment of my stool that was red. I don't recall eating anything like dragon fruit during those days. After that, I didn't experience any similar symptoms for two to three weeks. Should I see a doctor? I'm afraid that if I tell my family...

Dr. Zhang Shuhao Reply:
Bleeding during bowel movements should raise concerns about lesions around the anus or within the intestines; however, food can also alter the color of the stool. If there are concerns, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or...

Understanding Black Spots in Stool: Causes and Concerns

Black spots in the stool? In the past two days, I have experienced difficulty with bowel movements. Today, I had a bowel movement with a normal amount, but the surface of the stool is covered with small black spots. What could this indicate? (I have never undergone a colonoscopy,...

Dr. Zhang Shuhao Reply:
Changes in stool color are mostly related to food, but bleeding in the gastrointestinal tract can also present as black stools. If concerned, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or anal fissures, and then perform a fecal occ...

Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options

Anal fistula? Anal abscess? The polyp is still present? Hello Doctor, regarding the consultation case you submitted <a href="https://adoctor.tw/article/180079">#180079</a>, there are two symptoms. I apologize for the lengthy description (I have already sough...

Dr. Chen Ronghong Reply:
The most likely diagnosis for this lesion is an anal fistula. If it is only incised and drained without excising the fistula, it is likely to recur easily. Whether a complete surgical excision is necessary depends on the frequency and severity of the symptoms. It is recommended t...

Post-Surgery Concerns: Swelling and Frequent Urges After Hemorrhoid Surgery

Postoperative swelling and frequent urge to defecate after minimally invasive hemorrhoid surgery? Hello, Doctor. I previously asked about the issue of persistent swelling after minimally invasive hemorrhoid surgery (#179274). It has now been 42 days post-surgery, and the swelling...

Dr. Zhang Shuhao Reply:
You can use Xylocaine gel, but try to avoid applying it directly on the wound. If you have a persistent urge to defecate, first determine whether it is due to incomplete rectal evacuation or an illusion caused by swelling at the wound site. Generally, swelling should not signific...

Anal Itching and Blood After Walking: Should You Get a Colonoscopy?

After walking, there is anal itching, and wiping the anus reveals yellowish fecal mucus with a small amount of light red blood streaks? Hello Doctor, I usually have normal bowel movements in terms of frequency and shape, and I have not noticed any visible blood in my stool or toi...

Dr. Zhang Shuhao Reply:
There are many causes of anal itching, including the prolapse of internal hemorrhoids, which can lead to a sensation of mucus due to the eversion of the mucosa, minor anal fissures, allergies, and even less common causes such as parasites. If there are no accompanying abdominal o...

Understanding Anal Abscess: Symptoms, Treatment, and Recovery

Anal abscess Hello, doctor. This week, I developed a cyst the size of a ping pong ball near my anus. It was so painful that I went to the emergency room on Friday night. The inflammation markers were very high, and the cyst was large, so the emergency physician decided to perform...

Dr. Zhang Shuhao Reply:
If an anal abscess causes a significantly elevated inflammatory index, it indicates a systemic infection. If fever persists after returning home, it may suggest incomplete drainage or a severe infection, necessitating intravenous antibiotics. It is advisable to return for a follo...

Persistent Discharge and Blood Two Months After Fistula Surgery: What to Do?

Two months after the fistula surgery, there is still discharge and blood? It has been two months since the fistula surgery, and I have been taking sitz baths four times a day during this period. However, I still have discharge and some blood. It has been confirmed that the extern...

Dr. Zhang Shuhao Reply:
In general, fistula surgery creates an open wound both inside and outside the anus. In addition to completely excising the fistula tissue, the goal is for the wound to heal from the inside out, preventing the skin from healing over while leaving a cavity inside. Therefore, based ...

Post-Fistula Surgery: Persistent Discharge and Blood After Two Months

Two months after the fistula surgery, there is still discharge and blood? It has been two months since the fistula surgery, and I have been maintaining sitz baths four times a day. However, I still have discharge and some blood. It has been confirmed that the external wound has h...

Dr. Zhang Shuhao Reply:
In general, fistula surgery creates an open wound both inside and outside the anus. In addition to completely excising the fistulous tissue, the goal is for the wound to heal from the inside out, preventing the skin from closing over a cavity that remains internally. Therefore, b...

Frequent Diarrhea and Painful Bump: Is It Hemorrhoids or Something Else?

One day, there was frequent diarrhea, and that night a protrusion was discovered around the anal area? On the evening of March 22, 2022, I suddenly started experiencing frequent bowel movements, with each stool being watery. Due to using toilet paper for wiping, I began to feel i...

Dr. Zhang Shuhao Reply:
After frequent bowel movements, the hemorrhoidal tissue, which is rich in blood vessels, may become swollen. If there is subcutaneous bleeding, a hemorrhoidal thrombosis may form, commonly referred to as a hemorrhoidal flare-up. At this time, a warm sitz bath can be performed, al...

Understanding White Spots Around the Anus: Causes and When to Seek Help

Anal white spots issue? Hello doctor, I have recently been feeling a persistent wet and itchy sensation around my anal area. I was wondering if there might be a skin issue, so out of curiosity, I took a few pictures to observe. To my surprise, I noticed a white spot on the anus (...

Dr. Ke Fangxu Reply:
1. The white spots in the photo are likely just follicular elevations and are not related to anal itching. 2. Upon initial examination, there does not appear to be any significant issues. Anal itching may be caused by excessive wiping. There are three important points to pay spec...

Can Xiliao Yu Be Used to Treat Hemorrhoids Effectively?

Can Xie Liao Yu be used for hemorrhoids? Hello, Doctor. Recently, for the past week, I have had a hemorrhoid about the size of a soybean at the anal area. Initially, it was painful, but now it does not bleed or hurt. When I examine the area, I can see a "dark blue" swol...

Dr. Ke Fangxu Reply:
Based on your description, it is likely that you are experiencing acute thrombosed hemorrhoids. This type of hemorrhoid can cause swelling and pain for 1-2 weeks, and complete resolution may take anywhere from 4 to 6 weeks, depending on the size of the thrombus. Applying topical ...

Blood on Toilet Paper: Causes and Solutions for Anal Discomfort

Blood stains on toilet paper after a bowel movement? Hello Doctor, recently after having a bowel movement, I noticed some bright red blood on the toilet paper (similar to the blood from popping a pimple). At first, I thought it was due to hard stools causing an anal fissure, so I...

Dr. Zhang Shuhao Reply:
Anal fissures often present with bleeding, accompanied by sharp pain during and after bowel movements. If the pain is not severe, it is usually due to the rupture of a thrombosed hemorrhoid. It is recommended to increase fluid and dietary fiber intake, take warm sitz baths, engag...

Can Digital Rectal Examination Accurately Diagnose Anal Fistulas?

Digital rectal examination (DRE) of the anus? Dear Doctor, can a digital rectal examination be sufficient for diagnosing anal conditions? Is the result from a digital examination always accurate, or is it safer to get checked at a larger hospital?

Dr. Zhang Shuhao Reply:
Experienced colorectal surgeons can diagnose anal fistulas in the clinic based on the location of the external opening, palpation, and anoscopy, achieving a high degree of accuracy that can serve as a basis for surgical intervention. Highly complex or recurrent fistulas may requi...

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...

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.

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