Understanding Flat Stool: Causes and When to Seek Medical Advice
Flat-shaped stools? Hello, several years ago I had a colonoscopy that revealed a 0.8 cm colorectal adenoma, which was removed. The doctor advised follow-up in one year to check for a propensity to develop polyps. During the follow-up, no new polyps were found. Subsequently, durin...
Dr. Zhang Shuhao Reply:
Changes in stool shape caused by colorectal tumors are due to a narrowing of the intestinal lumen, which leads to the stool being squeezed through the constricted area, resulting in thinner stools. If the obstruction becomes more severe, symptoms such as abdominal pain and diarrh...[Read More] Understanding Flat Stool: Causes and When to Seek Medical Advice
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 Anal Lumps: Symptoms, Diagnosis, and Treatment Options
Anal mass Hello Dr. Chang, I would like to describe my condition in detail to help you make a better assessment. I hope you don't mind: About a month ago, after using the restroom, I noticed a protrusion on the left side of my anus that feels like a soft, elastic mass, measu...
Dr. Zhang Shuhao Reply:
1. Based on the description, the likelihood of internal hemorrhoids is high. They may become more swollen due to straining during bowel movements, staying up late, or drinking alcohol, but may not be noticeable during regular activities. In the clinic, their appearance can vary d...[Read More] Understanding Anal Lumps: Symptoms, Diagnosis, and Treatment Options
Understanding Rectal Bleeding: Is It Hemorrhoids Again?
Hello doctor, I would like to inquire about rectal bleeding after bowel movements? Hello doctor, I would like to ask about a situation where I haven't had a bowel movement for two days, and when I finally did, there was a sudden loss of sensation and the toilet was filled wi...
Dr. Zhang Shuhao Reply:
During bowel movements, straining can lead to moderate amounts of bright red blood, often due to the rupture of hemorrhoidal thrombosis. If this occurs frequently and affects your quality of life, surgical intervention is recommended. Rubber band ligation for internal hemorrhoids...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids Again?
Understanding Anal Masses: Symptoms, Causes, and When to Seek Help
External anal mass Yesterday, after using the restroom, I felt a lump about 0.5 centimeters in diameter near the anal area. It is black in color, painful to touch, and feels uncomfortable as if something is there when not touched. I also experience some pain when the anal sphinct...
Dr. Zhang Shuhao Reply:
Young people commonly experience thrombosed hemorrhoids, which occur when the subcutaneous hemorrhoidal tissue bleeds and forms small blood clots. Soaking in warm water can help the clots to be reabsorbed. During this time, it is advisable to reduce the intake of irritating foods...[Read More] Understanding Anal Masses: Symptoms, Causes, and When to Seek Help
Understanding Painful Anal Masses: Causes, Treatments, and When to See a Doctor
Perianal mass Yesterday, after using the restroom, I noticed a lump about 0.5 centimeters in diameter near the anal area. It is black in color, painful to touch, and feels uncomfortable as if something is there when not touched. I also experience some pain when the anal sphincter...
Dr. Zhang Shuhao Reply:
In young individuals, thrombosed hemorrhoids are more commonly seen. The cause is bleeding from the subcutaneous hemorrhoidal tissue, which forms small blood clots. Soaking in warm water can help with absorption, and during this time, it is advisable to reduce the intake of irrit...[Read More] Understanding Painful Anal Masses: Causes, Treatments, and When to See a Doctor
Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Polyps on internal hemorrhoids? Hello, doctor. Recently, I noticed a small amount of blood when having a bowel movement due to straining. I went to see a colorectal surgeon and was diagnosed with internal hemorrhoids and a polyp approximately 0.3 cm in size, which is located on t...
Dr. Zhang Shuhao Reply:
Internal hemorrhoids and polyps are different conditions. Sometimes, rectal polyps located near the anus are difficult to remove using a colonoscope, and it is usually recommended to excise them via the anus using electrocautery or similar methods. If rubber band ligation is to b...[Read More] Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Can the External Anal Sphincter Be Reconstructed After Fistula Surgery?
Sphincterotomy Doctor, after undergoing fistula excision surgery, if the external anal sphincter has been severed, can the sphincter be reconstructed?
Dr. Zhou Hongzhang Reply:
Is it an anal fistula excision? You should consult a colorectal surgeon.[Read More] Can the External Anal Sphincter Be Reconstructed After Fistula Surgery?
Understanding Painful Bowel Movements and Blood in Stool: What to Do?
Pain during bowel movements and blood in the stool? Hello, two months ago I went to a major hospital for a check-up due to blood in my stool. At that time, the doctor said it might be an anal fissure and prescribed medication, suggesting that improving my routine should help. How...
Dr. Zhang Shuhao Reply:
In young individuals, aside from acute anal fissures, another common cause of fresh blood in the stool is bleeding from a ruptured thrombosed hemorrhoid. In this case, the pain may not be significant, but the volume of blood can be somewhat more substantial, and the stool color r...[Read More] Understanding Painful Bowel Movements and Blood in Stool: What to Do?
Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Hemorrhoid issues Hello Dr. Ke: Since September 2020, I have been experiencing anal pain, which has been diagnosed by several colorectal specialists as mild internal hemorrhoids and a small external hemorrhoid. I have undergone ligation surgery, a flexible sigmoidoscopy, and an M...
Dr. Ke Fangxu Reply:
If a colonoscopy has not been performed, it is advisable to schedule an examination of the entire colon to check for any issues. If the colon is found to be normal, at this age, it is also possible that the pain could be due to sacral nerve pain or pelvic pain syndrome. You may c...[Read More] Understanding Anal Pain: Insights on Hemorrhoids and Treatment Options
Understanding Cellulitis and Anal Abscess: Surgical Insights
Cellulitis & Anal Abscess Several years ago, I experienced bleeding in the early stages of pregnancy and consulted an obstetrician-gynecologist. At that time, I was given an injection of oil-based progesterone and was advised to massage the area to prevent the formation of a ...
Dr. Zhang Shuhao Reply:
Cellulitis is a bacterial infection of the skin and subcutaneous tissue. An anal abscess, on the other hand, originates from an infection of the anal glands, and the two are completely different conditions. Based on the described location, it appears to be cellulitis of the butto...[Read More] Understanding Cellulitis and Anal Abscess: Surgical Insights
Understanding Small Holes Near the Anus: When to Seek Medical Advice
There is a small hole near the anus? Hello, doctor. A month ago, I noticed a lump at the anal opening, and after visiting a clinic, I was diagnosed with an external hemorrhoid. After applying the medication, the swelling has subsided and there is no pain. However, during the trea...
Dr. Zhang Shuhao Reply:
An anal abscess can potentially lead to subsequent fistula issues, meaning that a small hole in the skin may be connected to the rectum. However, external hemorrhoids generally have no direct relationship with fistulas. If there is no swelling or pain and no purulent discharge up...[Read More] Understanding Small Holes Near the Anus: When to Seek Medical Advice
Understanding Small Growths Near the Anus: When to Seek Treatment
A small flesh-colored bump has developed on the outer side of the anal fold? Hello Doctor, as per the subject, I have noticed this lump (circled in the attached photo) for about two months. It has not been painful and does not have much presence; it feels like a small bump that i...
Dr. Zhang Shuhao Reply:
The protrusion in the image appears to be small and could possibly be a skin tag or a remnant from an inflamed sebaceous gland, with a very low likelihood of being a malignant lesion. If it is not painful and shows no changes, it can be left alone. If you are concerned, you may s...[Read More] Understanding Small Growths Near the Anus: When to Seek Treatment
Understanding Symptoms of a Hard Lump Near the Anus: Causes and Concerns
Anal mass There is a noticeable feeling of a hard lump internally near the posterior side of the anus (close to the coccyx). It hurts when walking, sitting, squatting, and during bowel movements, but there is no blood in the stool. What could this symptom indicate?
Dr. Zhang Shuhao Reply:
The most common causes of a painful hard lump on the posterior side of the anus are anal abscess or fistula. Sometimes, if the abscess is deeper, there may not be any visible skin changes, and in more severe cases, it can lead to fever. It is recommended to visit a colorectal cli...[Read More] Understanding Symptoms of a Hard Lump Near the Anus: Causes and Concerns
Understanding Changes in Stool: When to Worry About Rectal Cancer
Fecal-related issues - Correction Hello Doctor, I am #177400. I apologize for the inconvenience caused by my previous unsuccessful upload of the image file, so I am uploading it again. I would like to ask you about the issue of stool becoming thinner due to rectal cancer. I came ...
Dr. Zhang Shuhao Reply:
It appears to be normal, but changes in bowel habits are also an indication for a colonoscopy. If you are still concerned, you can ask your doctor to arrange for a colonoscopy to definitively rule out any issues related to colorectal tumors.[Read More] Understanding Changes in Stool: When to Worry About Rectal Cancer
Understanding Anal Abscesses and Fistulas: Symptoms and Treatment Options
Anal abscess or anal fistula? Two weeks ago, after my menstrual period ended, I developed a lump near my anus that resembled a boil. I suspect it might be an anal abscess. A few days later, after applying medication, it healed within a day. I have a history of constipation, so my...
Dr. Zhang Shuhao Reply:
There is approximately a 40% chance that an anal abscess may develop into an anal fistula. Deeper anal abscesses may sometimes present with subtle surface symptoms, but they can still cause fever. To confirm the diagnosis, an examination in an outpatient setting is necessary. If ...[Read More] Understanding Anal Abscesses and Fistulas: Symptoms and Treatment Options
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?
Understanding Pencil-Thin Stool: A Guide to Rectal Cancer Concerns
Bowel Issues - Continued Hello Doctor, I am the one who asked about <a href="https://adoctor.tw/article/177179">#177179</a> the day before yesterday. I would like to inquire whether in the case of rectal cancer, the stool should appear consistently thin like...
Dr. Zhang Shuhao Reply:
The shape of stool may change as it passes through the rectum and anus due to compression, so slight variations are considered normal. If there are no other symptoms such as blood in the stool, abdominal pain, bloating, or weight loss, and there is no relevant family history, the...[Read More] Understanding Pencil-Thin Stool: A Guide to Rectal Cancer Concerns
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?