Understanding Rectal Bleeding: Causes and Concerns for Your Health
Blood on toilet paper after wiping can be a sign of several conditions, including hemorrhoids, anal fissures, or gastrointestinal issues Hello doctor, I have been experiencing blood on the toilet paper after wiping for many years. The blood is bright red, but there is not much pa...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Health
Understanding Anal Polyps: Symptoms, Treatment Options, and Specialist Guidance
Anal polyps I discovered a growth that resembles a skin tag around my anus while showering, and it has been there for about four years. It is not painful or itchy, and I don't feel much discomfort, nor has it enlarged. I'm unsure which specialty to consult and find it d...
Dr. Peng Xianwen Reply:
Dear Miss Yang: It is recommended to consult a colorectal surgeon for an examination to identify the issue and determine the appropriate treatment. Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.[Read More] Understanding Anal Polyps: Symptoms, Treatment Options, and Specialist Guidance
Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Bowel issues, sensation of anal foreign body, gastrointestinal problems? Hello Doctor, about two weeks ago, I started experiencing diarrhea every morning for six consecutive days. On some days, I also had to go after meals, but there were no accompanying symptoms like fever or vo...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 18 can be considered negligible. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods shoul...[Read More] Understanding Gastrointestinal Issues: Anxiety, Bowel Changes, and Symptoms
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding Hello Dr. Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps. The bowel preparation for the colonoscopy was rated as good. Recently, during a bowel movement, I noti...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Choosing Between Traditional and Minimally Invasive Fistula Surgery
Options for Fistula Surgery Hello Doctor, I previously asked you about anal fistulas. Last Saturday, I visited the colorectal surgery department at the hospital, and the doctor offered me two surgical options: traditional electrosurgery and minimally invasive surgery. He mentione...
Dr. Ke Fangxu Reply:
Simply stating "minimally invasive" is too vague; it is necessary for the physician to explain what specific instruments or surgical techniques are used to achieve minimally invasive results. This information is essential for making an informed decision. Additionally, d...[Read More] Choosing Between Traditional and Minimally Invasive Fistula Surgery
Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Blood in stool with mucus? Hello Doctor, for a while I had no sensation when having a bowel movement, but afterwards there was blood in the toilet water (the wiping was also bright red, as if it was dripping while I was going). Occasionally, I also experienced diarrhea. Recently,...
Dr. Ke Fangxu Reply:
Indeed, blood in the stool along with mucus is one of the symptoms of colorectal cancer. However, the likelihood of developing colon cancer at the age of 20, while not zero, is generally very low. Based on your description, it seems more indicative of hemorrhoidal bleeding. Prolo...[Read More] Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Blood in Stool and Urine: Should You Worry About Colon Cancer?
Blood in the stool, along with blood in the urine on the same day? That day, my stool was hard and appeared golden yellow, but the toilet was filled with blood, and the toilet paper was also stained with blood. I also noticed blood in my urine that day. Later in the evening, the ...
Dr. Xu Kaixi Reply:
Blood in the stool or the presence of blood is considered an abnormal symptom. Possible diagnoses range from common hemorrhoids to various gastrointestinal diseases. Given your age, the likelihood of colorectal cancer is low; it is more probable that the bleeding is caused by hem...[Read More] Blood in Stool and Urine: Should You Worry About Colon Cancer?
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Unexplained Anal Pain: Exploring Causes and Treatment Options
Anal pain, etiology unknown? Hello, doctor! I have been experiencing anal pain accompanied by a sensation of incomplete evacuation since April of this year, lasting for 7 months. The pain is located between the coccyx and the anus, and it is triggered by straining during bowel mo...
Dr. Ke Fangxu Reply:
This phenomenon is often not caused by hemorrhoids but rather by nerve root symptoms in the coccyx or sacrum. You may consult a neurologist to explore effective treatment options. As nerve block procedures are not my area of expertise, I apologize for not being able to provide pr...[Read More] Unexplained Anal Pain: Exploring Causes and Treatment Options
Managing Hemorrhoids: Tips Before Your Doctor Visit
Hemorrhoids protruding? Recently, I noticed a lump near my anus. At first, there was blood in my stool, and I could feel a soft lump at the anal opening, but this week it seems to have disappeared, and there hasn't been any bleeding. However, today while showering, I acciden...
Dr. Yu Mingchang Reply:
Hello: Please consult a colorectal specialist to check for hemorrhoids. The Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Managing Hemorrhoids: Tips Before Your Doctor Visit
Understanding Anal Flesh Bumps: Symptoms, Causes, and When to See a Doctor
Small flesh-like growths around the anus? Hello Doctor, about five months ago I experienced a thrombosis at the anal area due to constipation (as the doctor said), but it was not serious. Since then, my bowel movements have been quite smooth, and I spend no more than five minutes...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] Understanding Anal Flesh Bumps: Symptoms, Causes, and When to See a Doctor
Understanding Diarrhea and Bowel Issues: When to Seek Medical Advice
Diarrhea and bowel issues? Hello Doctor, I sometimes have bowel movements three times a day and sometimes just once a day. The shape of my stools is also unusual; sometimes they are thick and normal, other times they are soft and curved, and sometimes the front is normal but the ...
Dr. Yu Mingchang Reply:
Hello; eating more vegetables and fruits is beneficial. Please take some time to check the colorectal health resources from the Changhua Hospital, Ministry of Health and Welfare, which cares about your well-being.[Read More] Understanding Diarrhea and Bowel Issues: When to Seek Medical Advice
Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Constipation is characterized by the presence of small, pellet-like stools as well as thin, ribbon-like stools? I have been experiencing constipation recently. I went to the hospital and received laxatives. After taking the medication, I was able to pass some stool, but I am stil...
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the colorectal department and schedule a colonoscopy. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Constipation: Signs, Symptoms, and Cancer Concerns
Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Surgical treatment for anal fistula? Hello Doctor, I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a risk of damaging the sphincter, so a third s...
Dr. Yu Mingchang Reply:
Hello: When you have time, please consider seeking a second opinion from another colorectal specialist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Surgery for anal fistula? Hello, doctor. I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a concern about damaging the sphincter, so a third surge...
Dr. Yu Mingchang Reply:
Hello: When you have time, please consider seeking a second opinion from another colorectal specialist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention
Understanding Hemorrhoid Color and Shape Changes: Signs of Healing?
The color and shape of hemorrhoids? Hello, Doctor: I am the patient of case #162025. The pain during bowel movements has almost disappeared, but the protrusion seems to have increased in size and its color has lightened. Could this be a sign of healing, or is there a possibility ...
Dr. Ke Fangxu Reply:
Due to cybersecurity issues, the imaging link cannot be accessed this time. However, the images from November 8 do not appear to resemble typical external hemorrhoids. It is advisable to consult a physician for a proper examination. If necessary, a biopsy can also be performed to...[Read More] Understanding Hemorrhoid Color and Shape Changes: Signs of Healing?
Understanding Anal Masses: Causes, Symptoms, and Treatment Options
External anal mass There is a small lump next to the anus that appears slightly dark when photographed. It causes some discomfort in the buttocks, feeling swollen and painful, but not extremely painful.
Dr. Yu Mingchang Reply:
Hello: It should be external hemorrhoids complicated by a full screening. Please take some time to consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare. We care about you.[Read More] Understanding Anal Masses: Causes, Symptoms, and Treatment Options
Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Should anticoagulants be discontinued after hemorrhoid ligation? My father underwent a colonoscopy and was found to have multiple large internal hemorrhoids. The gastroenterologist advised that no treatment was necessary, but due to severe pain, he consulted a colorectal speciali...
Dr. Ke Fangxu Reply:
In fact, for patients taking anticoagulants, we generally adopt a more conservative approach, avoiding ligation if possible. If ligation is absolutely necessary, we still recommend discontinuing the anticoagulants, as there is a very small risk of postoperative bleeding associate...[Read More] Should Anticoagulants Be Stopped After Hemorrhoid Ligation?
Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Coccygeal pain triggered by the urge to defecate? Hello, Dr. Ke! Last month, I underwent a colonoscopy at the hospital, which revealed an issue with internal hemorrhoids. However, since there was no pain and very little bleeding, the doctor said no special treatment was necessary...
Dr. Ke Fangxu Reply:
1. It should not be related to hemorrhoids. If there is no improvement after consulting a rehabilitation specialist, you may consider having a gynecologist examine for possible pelvic inflammatory disease. 2. If it is an anal or rectal abscess, these symptoms may indeed occur in...[Read More] Understanding Tailbone Pain Associated with Bowel Urgency: Causes and Solutions
Managing Painful Redness Around the Anus: Causes and Treatments
Perianal redness and swelling issue? Recently, I have been experiencing frequent diarrhea due to gastroenteritis and have noticed that the skin around my anus appears to be severely red and swollen, possibly due to frequent wiping with toilet paper or other unknown reasons (funga...
Dr. Ke Fangxu Reply:
If inflammation of the skin around the anus occurs due to frequent wiping from diarrhea, there are corresponding ointments that can be applied. However, it is essential to consult a physician for an accurate diagnosis before prescribing the appropriate medication. In the meantime...[Read More] Managing Painful Redness Around the Anus: Causes and Treatments