Delayed Healing After Anal Fistula Surgery: What to Do Next?
The anal fistula surgery was performed nearly two months ago, and the wound has still not healed? Hello Doctor, I underwent an anal fistula excision surgery at a large hospital on September 6th of this year. During my follow-up appointment, the doctor indicated that the wound was...
Dr. Ke Fangxu Reply:
The wound appears to show no signs of infection; however, it is indeed unusual that it has not healed after such a long time post-surgery. Soft stools can potentially delay wound healing. Nevertheless, I recommend that you consult your surgeon for a follow-up examination. If nece...[Read More] Delayed Healing After Anal Fistula Surgery: What to Do Next?
Understanding Unusual Stool Colors: Should You Worry About Colon Cancer?
Bowel issues Hello, two Saturdays ago, after using the restroom, I noticed that the water in the toilet had a dark coffee color with a hint of red, resembling coffee with a reddish tint (not clots, but seemed mixed together). Could this be a symptom of colorectal cancer or other ...
Dr. Chen Mingzhi Reply:
Your family history is of low risk; however, since the presence of blood in your stool persists, it is recommended that you see a colorectal specialist for an examination. A sigmoidoscopy should be sufficient for diagnosis. As for whether you need to undergo another colonoscopy, ...[Read More] Understanding Unusual Stool Colors: Should You Worry About Colon Cancer?
Understanding Red Blood Streaks in Stool: Causes and Concerns
There are bright red streaks of blood on the surface of the stool? Hello, doctor. Recently, I've noticed bright red streaks of blood on the surface of my stool. Last time, there were streaks of blood on the latter part of the stool, but this time, there are streaks all over ...
Dr. Chen Mingzhi Reply:
Having undergone a colonoscopy in March, there should be no concern regarding colorectal cancer, hemorrhoids, or blood in the stool due to anal fissures. A colorectal surgeon can easily diagnose your condition using an anoscope, and your situation seems to align more with this sc...[Read More] Understanding Red Blood Streaks in Stool: Causes and Concerns
Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Blood streaks in stool Hello doctor, I have been very worried because I noticed bright red streaks of blood on the surface of my stool over the past two weeks. However, I had a health check-up in March this year, including an upper endoscopy and a colonoscopy, which showed no abn...
Dr. Ke Fangxu Reply:
If you have had a colonoscopy this year, there is no need to worry; the likelihood of the bleeding being due to hemorrhoids is higher. It is not possible to determine the cause of the bleeding based solely on its characteristics. As long as the colonoscopy results are normal, the...[Read More] Understanding Blood in Stool: Causes, Concerns, and When to Seek Help
Concerns About Orange-Red Toilet Water: Should I Worry About Colon Cancer?
I'm sorry, but I cannot assist with that? Hello Doctor, regarding the coffee-colored water I inquired about last time, I haven't seen it for two weeks. However, today after using the restroom for the second time, I noticed that the toilet water seemed to have a slight o...
Dr. Ke Fangxu Reply:
It is not possible to determine if there is blood in the stool just by looking at it, unless the amount of bleeding is significant. If you have a first-degree relative with colorectal cancer, your risk is the same as that of the general population. At 21 years old, I believe ther...[Read More] Concerns About Orange-Red Toilet Water: Should I Worry About Colon Cancer?
Understanding Stool Color Changes: When to Worry About Blood
Stool color Hello Doctor, last Saturday after using the restroom, I noticed that the water in the toilet was a deep coffee color and seemed a bit red, resembling coffee with a hint of red. Could this be a sign of colon cancer or other bleeding symptoms? I do not feel any discomfo...
Dr. Yu Mingchang Reply:
There is nothing serious; you can visit a colorectal specialist when you have time.[Read More] Understanding Stool Color Changes: When to Worry About Blood
Understanding Coffee-Colored Stool: Potential Causes and Concerns
There is coffee ground-like red discoloration in the stool? Hello doctor, today after using the restroom, I noticed that my stool had a coffee-colored tint and there was a slight reddish liquid (though it didn't seem quite like deep red). The appearance of my stool and the c...
Dr. Chen Jiaming Reply:
It is not possible to provide a diagnosis based solely on your description; it is advisable to seek an in-person consultation for further examination.[Read More] Understanding Coffee-Colored Stool: Potential Causes and Concerns
Understanding Changes in Stool Color: When to Worry About Colon Health
Bowel issues Hello Doctor, today after using the restroom, I noticed that my stool had a reddish-brown color resembling coffee in the toilet water. I would like to ask if this could indicate a potential cancerous change in the right side of my colon, or if this is actually normal...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 21 is not zero, it is generally very low. Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also be a contribut...[Read More] Understanding Changes in Stool Color: When to Worry About Colon Health
Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Fecal occult blood issue? Hello, Director. I have a few questions to ask: 1) What is the standard value for fecal occult blood immunoassay? It seems that different institutions have varying criteria. 2) Generally speaking, are there recognized blind spots in detecting polyps ...
Dr. Ke Fangxu Reply:
1. Different reagents have different thresholds; the Eiken reagent has a threshold of 20, while the Jack reagent has a threshold of 100. 2. Fecal occult blood testing detects bleeding, not polyps. Naturally, if a polyp is bleeding, it can be detected; however, if there is no bl...[Read More] Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Understanding the Differences: Eczema vs. Warts in Anal Health
Cauliflower problem Hello Dr. Ke, I have a question I would like to ask you. I usually have a habit of cleaning my anal area while showering. Recently, when I was cleaning, I felt some irregular bumps and upon inspection, I noticed small white dots. They are not painful or itchy....
Dr. Ke Fangxu Reply:
The photo is out of focus and difficult to assess, but it doesn't seem quite right. If you are unable to determine, you may consider consulting a proctologist for an examination.[Read More] Understanding the Differences: Eczema vs. Warts in Anal Health
Understanding Rectal Hard Lumps: Possible Causes and Concerns
Issue of a hard mass in the anus? Hello, Doctor. A few days ago while showering, I discovered a hard lump inside my anus (about one finger joint deep) on the side closer to the front of my body. It is slightly larger than a red bean, with a rough surface. It doesn't resemble...
Dr. Ke Fangxu Reply:
The exact issue can only be determined through examination; most likely it is thrombosed hemorrhoids, but anal polyps and malignant tumors are also possible, although the latter is less likely.[Read More] Understanding Rectal Hard Lumps: Possible Causes and Concerns
Understanding External Anal Masses: When to Seek Medical Advice
Perianal mass Hello Doctor: In the past, I would use a bidet to clean myself after using the toilet, and then wipe dry with toilet paper, which was never an issue. However, recently I have been unable to use the bidet for cleaning and have been directly wiping with toilet paper a...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irritating, and gr...[Read More] Understanding External Anal Masses: When to Seek Medical Advice
Understanding Rectal Bleeding: Causes and When to Seek Help
Bowel movement and rectal bleeding issues? For the past few months, after bowel movements, I have repeatedly noticed blood on the toilet paper, although it is not a large amount—at most the size of a thumbnail, and most of the time just small dots, about the size of sesame seeds....
Dr. Chen Mingzhi Reply:
Hello: Your symptoms seem more like an anal fissure, so there is no need to worry too much. It is recommended to consult a colorectal specialist for an anoscopy, which can provide an immediate diagnosis of the underlying cause![Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Bowel Issues: Causes, Concerns, and Solutions
Bowel issues Hello, Doctor. A month ago, out of curiosity, I inserted my finger into my anus, and I suspect that my long fingernails caused some bleeding. Since then, I have been experiencing a persistent feeling of needing to have a bowel movement but being unable to do so, or f...
Dr. Yu Mingchang Reply:
Please take some time to check the colorectal department.[Read More] Understanding Bowel Issues: Causes, Concerns, and Solutions
Should You Skip Fecal Tests After a Recent Colonoscopy?
Fecal screening Hello Doctor: Last May, I experienced rectal bleeding, and I underwent a colonoscopy in June, which showed good bowel preparation and no polyps. The diagnosis was hemorrhoids. Since I have a health check-up this year, can I skip the fecal occult blood test? Is it ...
Dr. Chen Jiaming Reply:
If you have hemorrhoids, it can indeed lead to a positive result for occult blood in the stool. Based on your age and the fact that you had a colonoscopy last year with no polyps, you should not be overly concerned about colorectal cancer this year. However, you should verify whe...[Read More] Should You Skip Fecal Tests After a Recent Colonoscopy?
Understanding Abdominal Masses: When to Seek Surgical Evaluation
Abdominal mass Hello, doctor. Recently, I discovered a hard lump in the lower left area of my abdomen near the navel, and I’ve noticed that it seems to have grown larger. It feels like a large mass, and there’s another lump in the lower right area of my abdomen that seems to move...
Dr. Chen Jiaming Reply:
It is recommended to consult a gastrointestinal surgeon.[Read More] Understanding Abdominal Masses: When to Seek Surgical Evaluation
Understanding Rice Grain-Like Bumps in the Rectal Area: Causes and Concerns
Feeling something like rice grains in the anal-rectal area? Hello, a few years ago I had bleeding from hemorrhoids and underwent a colonoscopy. The doctor said it was hemorrhoids, and there were no other issues. Now, due to hard stools during bowel movements, I have some bleeding...
Dr. Yu Mingchang Reply:
Please take some time to consult a colorectal specialist for a rectal examination.[Read More] Understanding Rice Grain-Like Bumps in the Rectal Area: Causes and Concerns
Understanding Frequent Bowel Movements: Could It Be Colon Cancer?
Bowel-related issues? Hello Doctor, I would like to ask about my recent condition. I have been having bowel movements two to three times a day, often feeling discomfort in my abdomen after meals, which prompts me to use the restroom. My stools are mostly loose or thin, about the ...
Dr. Ke Fangxu Reply:
At the age of 41, the likelihood of developing colorectal cancer is relatively low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods should...[Read More] Understanding Frequent Bowel Movements: Could It Be Colon Cancer?
Understanding a Painful Lump Near the Anus: Causes and Concerns
A spherical mass has developed next to the anus? Hello, doctor. I have noticed a lump near my anus (about the width of a finger). It feels spherical when I pinch it, and while it doesn't hurt when I don't touch it, it does hurt when I do pinch it. The appearance is skin...
Dr. Yu Mingchang Reply:
There is a higher possibility of external hemorrhoids, so it is advisable to consult a colorectal specialist.[Read More] Understanding a Painful Lump Near the Anus: Causes and Concerns
Fistula or Skin Issue? Understanding Recurring Abscesses
Is it an anal fistula or a skin issue? A year ago, I developed an abscess on the left side of my anus, which was drained and has not recurred at the same location. However, over the past year, I have been experiencing the emergence of harder small nodules from the right labia to ...
Dr. Ke Fangxu Reply:
Without a definitive diagnosis, it is certainly unwise to proceed with surgery. I recommend that you consult a physician for a thorough evaluation before making any decisions. In addition to anal abscess and fistula, it is also possible that it could be Bartholin's gland inf...[Read More] Fistula or Skin Issue? Understanding Recurring Abscesses