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 Anal Abscess: Treatment Options and Risks
Anal abscess Recently, I have been experiencing recurrent fevers. I later visited a colorectal surgeon who diagnosed me with an abscess in the anal area. However, the doctor did not address it immediately and only prescribed antibiotics. I was initially going to ask the doctor if...
Dr. Zhang Shuhao Reply:
An anal abscess causing fever usually requires incision and drainage, as oral antibiotics are often ineffective at this stage. If the abscess cannot be controlled, it may lead to more complicated fistulas later on. However, the severity of the condition can vary among individuals...[Read More] Understanding Anal Abscess: Treatment Options and Risks
Understanding Rectal Bleeding: Causes and When to Seek Help
Anal issues Today, I noticed blood and blood clots when using the restroom, and there was also a significant amount of blood when I was straining at the anus without having a bowel movement.
Dr. Yu Mingchang Reply:
There is a higher possibility of internal hemorrhoids. It is advisable to consult a colorectal specialist.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that feels a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small, round, soft yet firm marble. I took a picture and noticed that the outer area is a bit red, bu...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness with a lump are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment or even abscess drainage. For thrombosed hemorrhoids, warm si...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Rectal Bumps: Possible Causes and When to Seek Help
The presence of small growths or lumps around the anus could indicate several conditions, such as hemorrhoids, anal warts, or skin tags. It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment? Hello Doctor: About this time last ye...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids or anal skin tags (often associated with anal fissures), and the likelihood of malignancy is low. If there are no symptoms, treatment may not be necessary. However, if you are still concerned, you can visit a colorectal surgeon for an examination. Wishing ...[Read More] Understanding Rectal Bumps: Possible Causes and When to Seek Help
Understanding Post-Surgery Pain and Recovery After Ectopic Pregnancy
Ectopic pregnancy Hello, I underwent laparoscopic surgery for an ectopic pregnancy on November 20 and was discharged on November 25. I had a follow-up appointment on November 29 to remove the stitches. The wound appeared red and swollen, but the doctor did not prescribe any medic...
Dr. Zhang Shuhao Reply:
Laparoscopic wounds typically heal within about a week. If there is persistent redness, swelling, warmth, or pain, it may indicate an infection or fluid accumulation beneath the wound, which sometimes requires incision and drainage. In addition to obstetrics and gynecology, gener...[Read More] Understanding Post-Surgery Pain and Recovery After Ectopic Pregnancy
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that felt a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small, round, soft yet firm marble. I took a picture and noticed that the outer area is a bit red, but...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness with swelling are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment or even abscess drainage. For thrombosed hemorrhoids, warm ...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Anal Vibration Sensations: Causes and When to Seek Help
Anal vibration sensation issue? Hello doctor, I previously inquired about the tingling and vibrating sensation in my anus. Thank you very much for your response. If it is related to vascular or nerve issues, will there be other accompanying symptoms? Which specialty should I cons...
Dr. Zhang Shuhao Reply:
Vascular nerve issues are often associated with prolonged pressure, poor posture, and diabetic neuropathy. If symptoms persist, it is advisable to consult a colorectal surgeon to rule out any conditions that require immediate attention. Wishing you a speedy recovery.[Read More] Understanding Anal Vibration Sensations: Causes and When to Seek Help
Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Perianal mass Hello Doctor: Two weeks ago, I noticed a lump near my anus that felt a bit swollen and painful. Recently, it seems to have reduced in size, and now it feels like a small round, soft, and firm marble. I took a picture and noticed that the outer area is a bit red, but...
Dr. Zhang Shuhao Reply:
The most common causes of perianal tenderness and swelling are thrombosed hemorrhoids and anal abscesses. If there is redness, swelling, heat, and pain, it is necessary to seek medical attention for antibiotic treatment and possibly abscess drainage. For thrombosed hemorrhoids, w...[Read More] Understanding Anal Lumps: Causes, Symptoms, and When to See a Doctor
Understanding Growth Near the Anus: Causes and Treatment Options
There is a growth of flesh next to the buttocks? I previously had surgery with a nail, and now there is a depression in that area. Recently, it became inflamed, and I have been taking anti-inflammatory medication. There is now a growth of tissue next to the depression near the an...
Dr. Zhang Shuhao Reply:
It is possible that the tissue growing around the wound is granulation tissue, or it could be caused by hemorrhoids. If there is bleeding, you can apply ointment (if you had surgery previously). You may want to consult a colorectal surgeon. Wishing you a speedy recovery.[Read More] Understanding Growth Near the Anus: Causes and Treatment Options
Heavy Bleeding During Bowel Movements: What You Need to Know
There is a lot of blood when wiping after a bowel movement? If you notice a lot of blood when wiping after a bowel movement, but do not experience pain, and you find a significant amount of blood on the ground, it is important to seek medical attention promptly. This could indica...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is the rupture of a thrombosed hemorrhoid; however, a small number of cases may be due to colorectal lesions. It is recommended to consult a colorectal surgeon for further evaluation. Wishing you a speedy recovery.[Read More] Heavy Bleeding During Bowel Movements: What You Need to Know
Heavy Bleeding During Bowel Movements: What You Need to Know
There is a lot of blood when wiping after a bowel movement? If you notice a lot of blood when wiping after a bowel movement but do not experience pain, and you find that there is a significant amount of blood on the ground, it is important to seek medical attention as soon as pos...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is the rupture of a thrombosed hemorrhoid; however, a small number of cases may be due to colorectal lesions. It is recommended to consult a colorectal surgeon for further examination. Wishing you a speedy recovery.[Read More] Heavy Bleeding During Bowel Movements: What You Need to Know
Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
Postoperative wound expansion and difficulty healing after external hemorrhoid ultrasound knife surgery! Hello, Doctor! Thank you for taking the time to respond to my message! The situation is as follows: My husband, who is 48 years old, has diabetes and hyperlipidemia. Recently,...
Dr. Ke Fangxu Reply:
It may be caused by a rupture of the wound from the ultrasound knife. At this time, the only options are to enhance sitz baths and apply topical medications. If there is pain or inflammation, oral medications can also be added for treatment while waiting for the wound to heal. At...[Read More] Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
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 Stool Color Changes: When to Worry About Bleeding
Bowel Issues - Continuation Hello, doctor! I am the one who asked yesterday about the following link: https://sp1.hso.mohw.gov.tw/doctor/All/ShowDetail.php?sat=1&q_no=175944. If the stool appears with these characteristics, could it be something other than hemorrhoidal bleedi...
Dr. Zhang Shuhao Reply:
It seems there are no major issues, but if you are still concerned, it is recommended to consult a gastroenterologist or a colorectal specialist for a comprehensive evaluation.[Read More] Understanding Stool Color Changes: When to Worry About Bleeding
Understanding Small Perineal Wounds: Causes and When to Seek Help
There is a small wound in the male perineal area? About two weeks ago, I noticed a stinging sensation when water hit my perineum while showering. There appears to be a small pink wound located about 1 to 2 centimeters from the anus, between the scrotum and the anus, measuring app...
Dr. Zhang Shuhao Reply:
This symptom is usually due to inflammation of the sebaceous glands. Proper cleaning or the application of ointments may allow for natural healing. If there are recurrent inflammations or purulent blood-like discharge, it indicates the formation of a subcutaneous fistula, and sur...[Read More] Understanding Small Perineal Wounds: Causes and When to Seek Help
Understanding Stool Color Changes: Food Effects and Health Concerns
Bowel issues Hello Doctor, I previously inquired about orange-red or coffee-red water in my stool. Subsequently, I underwent a fecal occult blood test at the end of October (two types, one for gastrointestinal bleeding which cost an additional $250, and one for colorectal bleedin...
Dr. Ke Fangxu Reply:
Food coloring may affect the results of a stool occult blood test for more than one day. If there are no persistent color abnormalities, a colonoscopy may not be necessary.[Read More] Understanding Stool Color Changes: Food Effects and Health Concerns
Understanding Perineal Swelling: When to See a Gastroenterologist
Perineal mass I am a junior in college, and about two weeks ago, due to irregular eating and sleeping patterns along with high stress, my bowel movements changed from once every three days to two to three times a day. I often experience bloating, and my stools have become thinner...
Dr. Chen Ronghong Reply:
Hello, if the swollen area is at the anal opening, the likelihood of hemorrhoids is higher. Typically, increasing water intake and fiber consumption, while avoiding constipation and spicy foods, can alleviate symptoms. If the lump is not at the anal opening, it may be an anal abs...[Read More] Understanding Perineal Swelling: When to See a Gastroenterologist
Understanding Blood in Stool: Is It a Sign of Hemorrhoid Recurrence?
After the stool sits for a while, the surrounding water turns light red? Hello Dr. Chang, I have some questions regarding suspected recurrence of hemorrhoids that I would like to ask you, thank you: I am a 47-year-old male. In early April 2021, I developed internal hemorrhoids, w...
Dr. Zhang Shuhao Reply:
Isolated internal hemorrhoids can cause bleeding, but it is more common to see bright red blood mixed with normal-colored stool or a larger amount of bleeding due to the rupture of a hemorrhoid during straining. Depending on the severity of the hemorrhoids, symptoms such as prola...[Read More] Understanding Blood in Stool: Is It a Sign of Hemorrhoid Recurrence?