Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Blood-stained toilet? Hello, doctor. Two to three years ago, I had an issue with rectal bleeding and underwent a colonoscopy, which showed no abnormalities. The doctor at that time suggested that the bleeding might be related to hemorrhoids and advised me to schedule a separate a...
Dr. Yu Mingchang Reply:
Hello: It is likely hemorrhoidal bleeding. Please visit the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare when you have the opportunity. We care about you.[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More?
Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Postoperative Issues After Hemorrhoid Laser Surgery Hello Dr. Ke: I had laser surgery for hemorrhoids at the clinic on the evening of April 23 (Friday) and was not hospitalized. One external hemorrhoid and one mixed hemorrhoid were removed. As of now, April 25 (Sunday), it is the...
Dr. Ke Fangxu Reply:
1. It may be difficult to make a judgment without a personal examination. 2. Generally, standard hemorrhoid surgeries require hospitalization to manage postoperative pain and swelling, which are common phenomena. Whether the wound will reopen depends on the surgical method used....[Read More] Post-Operative Concerns After Laser Hemorrhoid Surgery: What to Expect
Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Folliculitis & Prevention of Anal Abscess and Fistula Hello, Doctor Ko. I often develop what looks like acne around my anus, which I believe is folliculitis. Typically, these bumps heal within 2 to 3 weeks. However, I tend to worry excessively, especially since I come from a ...
Dr. Ke Fangxu Reply:
1. Folliculitis and anal abscess are different conditions with no correlation, so there is no possibility of one worsening the other. 2. It is impossible to make an accurate diagnosis without a physician's direct examination; conditions such as anal fissures, hemorrhoids, f...[Read More] Understanding Folliculitis and Preventing Anal Abscesses and Fistulas
Understanding Complications After Hemorrhoid Ligation: Pain and Urinary Issues
The process of hemorrhoid ligation? I experienced a sudden pain in my right flank during a hemorrhoid ligation. What could be the issue? Currently, I have urinary difficulties, with a slow stream and sometimes needing to strain to urinate, feeling like there's a backflow to ...
Dr. Yu Mingchang Reply:
Hello: There are no issues. When you have time, please visit the colorectal clinic at Changhua Hospital for a check-up.[Read More] Understanding Complications After Hemorrhoid Ligation: Pain and Urinary Issues
Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Hard mass in the anus? Hello Doctor, I have recently (within the past two weeks) felt a small, movable lump about the size of a grain of rice inside my anus (near the bend) while showering. I would like to know if this could be an internal hemorrhoid, as it seems to be located a ...
Dr. Chen Jiaming Reply:
It is not possible to confirm the diagnosis through online consultation. It is recommended to visit a colorectal surgery clinic for a physical examination by a physician to determine the nature of the lump you have felt.[Read More] Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Understanding Post-Surgery Anal Pain: When to See a Specialist
Anal issues Hello Doctor, I underwent electrosurgery for a papilloma near the anus on February 8, which included excision. Two weeks post-surgery, I experienced hard stools that felt like they were cutting me. I returned to my gynecologist, who prescribed an ointment and advised ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Post-Surgery Anal Pain: When to See a Specialist
Understanding Thrombosed External Hemorrhoids: Symptoms and Home Remedies
Thrombosed external hemorrhoid Today, I noticed a lump outside my anus while taking a shower. I think it's quite large, swollen, and feels soft yet somewhat hard to the touch. I'm not sure if it's related to my frequent trips to the bathroom and abdominal pain (sus...
Dr. Yu Mingchang Reply:
Hello: Please consult a colorectal specialist for external hemorrhoids.[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Home Remedies
Understanding Adhesive Intestinal Obstruction: When to Seek Specialized Care
Intestinal adhesions troubles? I would like to ask the director, last year I underwent surgery for intestinal obstruction, but since the surgery, I have been suffering daily with bloating and can only eat 1-2 meals a day. When I return to the outpatient clinic, the doctors are di...
Dr. Xu Kaixi Reply:
If you continue to experience these gastrointestinal symptoms after surgery, it is recommended that you undergo further examinations to identify the cause and receive targeted treatment.[Read More] Understanding Adhesive Intestinal Obstruction: When to Seek Specialized Care
Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Unable to distinguish between acne and an anal abscess (has sought medical attention)? Hello, Dr. Ke. Last week, perhaps due to prolonged sitting, I developed a bump near my anus that resembles a pimple. The location is not very close to the anus, but it is also not far, approxim...
Dr. Ke Fangxu Reply:
1. If so many professional physicians believe it is not a fistula, I cannot simply overturn their diagnosis based on a unclear photograph. The key elements for diagnosing a fistula, aside from the external opening, include palpating a firm tract, which cannot be achieved through ...[Read More] Understanding Anal Skin Issues: Pimples vs. Abscesses Explained
Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Suspected fistula? Hello doctor, I would like to ask if this is an anal fistula? If so, I would like to know about the urgency of surgery. Thank you.
Dr. Ke Fangxu Reply:
Based solely on photos, it is not possible to definitively diagnose an anal fistula. A necessary condition for diagnosis is the physical examination to feel for a hard fistula tract. It is advisable to consult a colorectal specialist for a thorough examination. While the urgency ...[Read More] Is It an Anal Fistula? Understanding Urgency for Surgical Treatment
Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Anal fissure, tight internal anal sphincter? Hello Dr. Ke, I have seen four colorectal surgeons, all of whom diagnosed me with chronic anal fissures. As the fissures have become more frequent, I have been experiencing significant pressure and a bloated feeling in my anus. However...
Dr. Ke Fangxu Reply:
1. Increased pressure in the internal anal sphincter is usually of unknown origin and should not be related to uterine fibroids, nor would incontinence be caused by anal fissure surgery or fibroid surgery. 2. The standard procedure for anal fissure surgery involves removing any p...[Read More] Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Hard Bump Near Anus: Is It a Pimple or Something Else?
Acne near the anal area? I have a hard lump near my anus. It doesn't feel very irregular when I touch it, and there is no whitehead. Could this be a pimple, or something else? If you need a picture, I have taken one.
Dr. Yu Mingchang Reply:
Hello: The likelihood of external hemorrhoids is low; it would be good to consult a colorectal specialist when you have time.[Read More] Hard Bump Near Anus: Is It a Pimple or Something Else?
Understanding and Treating External Anal Masses: A Comprehensive Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming Reply:
Based on your description, it could possibly be a skin sebaceous cyst or an anal abscess. It is recommended to visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate treatment recommendations.[Read More] Understanding and Treating External Anal Masses: A Comprehensive Guide
Understanding and Treating External Anal Masses: A Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming Reply:
Based on your description, it could be a skin sebaceous cyst or an anal abscess. It is recommended that you visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate management.[Read More] Understanding and Treating External Anal Masses: A Guide
Understanding Painless Growths Near the Anus: What You Need to Know
There is a small flesh-colored bump outside the anus? Hello doctor, today while taking a shower, I noticed a small flesh-colored bump outside my anus. It doesn't hurt when I press on it, and I don't feel any pain while walking. Could this be an external hemorrhoid?
Dr. Yu Mingchang Reply:
Hello, could you take a look at the colorectal department when you have time?[Read More] Understanding Painless Growths Near the Anus: What You Need to Know
Understanding Changes in Stool Color: When to Seek Medical Advice
Feces In the past six months, my stool has sometimes been black, and at other times it appears to be a clay color with flecks of bright red. I'm not sure if the red is blood. Sometimes my stool looks normal, but I have experienced abdominal pain. However, I don't feel d...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 20, while not zero, is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to maintain a light diet and good lifestyle habits, avoiding spicy, irritating, and greas...[Read More] Understanding Changes in Stool Color: When to Seek Medical Advice
Understanding Chronic Anal Fissures: Causes and Symptoms Explained
Chronic anal fissure Anal fissures have recently caused constipation, and when I feel the urge to defecate, I go to the bathroom but have no urge, only passing a small amount. I also experience chest pain at night while sleeping. What could be the cause?
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the colorectal department to schedule a colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Chronic Anal Fissures: Causes and Symptoms Explained
Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Postoperative wound issues after anal fistula surgery? 1. I'm sorry, doctor. I feel that I may not have expressed my concerns clearly during my last visit. I am providing a photo of my discharge for your reference: https://drive.google.com/file/d/1npjn2MuEsOAoZh3qwvAvKpzP8S1...
Dr. Ke Fangxu Reply:
1. It's difficult to assess just by looking at the photo, but if the wound appears as shown in your picture, it should just be normal exudate. 2. The redness indicates that granulation tissue is beginning to form, which is a normal part of the wound healing process. 3. Diffe...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Furunculosis or Anal Abscess: Understanding Your Symptoms
Folliculitis or perianal abscess? Hello Doctor, I noticed a bump near my anus that resembles a pimple while showering on the evening of January 20th. It only hurts when pressed. I visited a dermatology clinic on January 21st, where it was diagnosed as folliculitis, and I underwen...
Dr. Ke Fangxu Reply:
Although an accurate diagnosis cannot be made solely based on photos, it appears to be a simple case of folliculitis. However, a definitive diagnosis should be made by a physician through examination. For now, it may be advisable to continue monitoring the situation.[Read More] Furunculosis or Anal Abscess: Understanding Your Symptoms
Understanding Rectal Bleeding: Causes and Emergency Response
Rectal bleeding Sudden rectal bleeding during a shower, which continues to drip and is not associated with a bowel movement, along with some lower abdominal bloating and pain, and persistent bleeding for 14 hours, could indicate several potential conditions. These may include hem...
Dr. Chen Jiaming Reply:
If the bleeding has persisted for too long, it is advisable to seek medical attention as soon as possible. If there is no appropriate specialty available (such as colorectal surgery to confirm if it is rectal bleeding), then go directly to the emergency department.[Read More] Understanding Rectal Bleeding: Causes and Emergency Response