Colorectal, Surgery FAQ - Page 21

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Understanding Anal Fissures, Internal Hemorrhoids, and Fistulas: Key Insights

Anal fissure, internal hemorrhoids, anal fistula? Hello Doctor, I have a few questions: 1. If the anal fistula is located deep inside the anus, will it still cause pain? 2. Could it be that internal hemorrhoids are complicating the anal fissure? 3. When making an appointment with...


Dr. Li Qinglong Reply:
Mr. L: Hello, I am unable to provide an answer without seeing your condition in person. I recommend that you take the time to visit the hospital for a consultation. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

[Read More] Understanding Anal Fissures, Internal Hemorrhoids, and Fistulas: Key Insights


Understanding Bowel Issues: Variations in Stool Consistency and Causes

Bowel movement issues Doctor, I would like to ask about my bowel movements. Sometimes they are loose, sometimes they are narrow and elongated, and at other times they are thicker and more formed. I have noticed that my bowel patterns can change due to emotions and stress. Sometim...


Dr. Ke Fangxu Reply:
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 routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber can also be beneficial. If symptoms pe...

[Read More] Understanding Bowel Issues: Variations in Stool Consistency and Causes


Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery

Post-hemorrhoid surgery Hello, three years ago I had a mole removed, and during the healing process, I experienced inflammation of the sutures. There is excess skin around the anal area, and within a year, I developed pain in the scar tissue that radiates to my left thigh, making...


Dr. Ke Fangxu Reply:
I have never heard of a case of anal keloids, nor have I seen anyone receive steroid injections in the anal area. I recommend that you visit a large hospital and consult a colorectal surgeon for a proper diagnosis before proceeding with any treatment. Personally, I am more inclin...

[Read More] Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery


Can You Use Hemorrhoid Cream Daily for a Month? Expert Advice

Hemorrhoid ointment Hello, Director Ke: A few days ago, I noticed that my external hemorrhoid has become larger and swollen. Today, on October 6th, I visited a colorectal surgeon. The doctor advised me to pay attention to my diet and lifestyle habits, recommended warm water rinse...


Dr. Ke Fangxu Reply:
Since you are unsure about the medication prescribed by your doctor, it is difficult to determine if it can be used for a month. However, long-term use of over-the-counter hemorrhoid creams is generally considered safe. Additionally, taking warm sitz baths can also be beneficial.

[Read More] Can You Use Hemorrhoid Cream Daily for a Month? Expert Advice


Understanding Colorectal Fistulas: Management and Surgical Considerations

Colorectal fistula Hello, doctor. About four to five years ago, I underwent surgery for diverticulitis. The surgeon mentioned that due to severe inflammation, they were unable to resect the affected area and connect the intestines. Additionally, because of my obesity (weighing 11...


Dr. Ke Fangxu Reply:
If the intestinal fistula has not healed for many years and you are still quite young, it is advisable to undergo definitive surgical treatment. If you are tall, a weight of 110 kg is not considered excessively overweight. While weight loss can facilitate the surgery, it is not a...

[Read More] Understanding Colorectal Fistulas: Management and Surgical Considerations


Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps

Chronic anal fissure Hello Doctor: I have been suffering from chronic anal fissures due to frequent constipation for the past 2 to 3 years. Initially, after controlling my diet last December, I stopped bleeding, but in the past two months, I experienced hard stools again, which c...


Dr. Ke Fangxu Reply:
1. Chronic anal fissures typically do not have other complications aside from pain and bleeding. 2. The only definitive solution for chronic anal fissures is surgery, and even after the procedure, proper care is necessary to prevent recurrence. 3. These two medications have s...

[Read More] Managing Chronic Anal Fissures: Concerns, Treatments, and Next Steps


Chronic Pain and Inflammation After Hemorrhoid Surgery: Seeking Relief

Six months after hemorrhoid surgery, recurrent inflammation is causing difficulty in walking and sitting normally? Since undergoing a hemorrhoid ligation surgery at the clinic in early April, I returned for a second surgery (excision of internal and external hemorrhoids) in mid-A...


Dr. Ke Fangxu Reply:
I am unsure how surgery can be performed in a clinic without complete anesthesia, and I do not know whether you underwent a procedure for only external hemorrhoid removal or a complete excision of both internal and external hemorrhoids. However, theoretically, it should not take ...

[Read More] Chronic Pain and Inflammation After Hemorrhoid Surgery: Seeking Relief


Am I Suffering from Hemorrhoids or Anal Fissures?

Am I suffering from hemorrhoids or anal fissures? Hello Doctor, about a week ago I started feeling warmth around my anus, and sometimes it itches. A month ago, I experienced a bowel movement with a significant amount of bright red blood. Two days ago, I developed a fissure near t...


Dr. Yu Mingchang Reply:
Hello; please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, which cares about you.

[Read More] Am I Suffering from Hemorrhoids or Anal Fissures?


Bleeding from the Anus Without Bowel Movement: What to Do?

Bleeding from the anus without having a bowel movement? Hello Doctor: I have a chronic anal fissure issue. This morning, I had a hard bowel movement, and my anus was a bit painful, but there was no bleeding. I thought I would apply some hemorrhoid cream in the evening. However, w...


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] Bleeding from the Anus Without Bowel Movement: What to Do?


Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?

Blood in the stool? Hello Doctor, I have had a history of pellet-like stools since childhood, but I do not experience constipation, as I usually have a bowel movement every one to two days. Recently, I have noticed that when my stools are particularly hard, there is sometimes a s...


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 causes are often related to constipation or diarrhea. The fundamental treatment is to improve bowel habits, along w...

[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?


Understanding Blood in Stool: Hemorrhoids, Anal Fissures, or Cancer?

Rectal bleeding I have been working in an office for about six months now, and prolonged sitting has recently led to blood in my stool. Sometimes the amount of blood is a bit more than just a little, and I experience slight pain in the anus during bowel movements, with a small am...


Dr. Ke Fangxu Reply:
Based on your description, it seems more like typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are usually constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with wa...

[Read More] Understanding Blood in Stool: Hemorrhoids, Anal Fissures, or Cancer?


Understanding Perineal Pain: Causes, Symptoms, and Treatment Options

Anal and perineal pain and numbness? After recently recovering from a urinary tract infection, I began experiencing pain and numbness in the anal and perineal area, which can become severe and radiate to the penis. There are no symptoms while sleeping, but the pain starts a few m...


Dr. Ke Fangxu Reply:
There are many causes of unexplained perineal pain. In addition to urinary tract infections, lesions in the rectum may also cause this phenomenon. However, in most cases, the cause remains unidentified, and symptoms often improve gradually. If symptoms persist, it may be necessar...

[Read More] Understanding Perineal Pain: Causes, Symptoms, and Treatment Options


Understanding Anal Pain and Itching: Is It Hemorrhoids?

Itching and pain around the anal area? Hello, doctor. I would like to ask a few questions. While I was walking around today, I suddenly felt pain and itching in the anal area whenever I exerted myself. Later, while taking a shower, I felt a round lump that seemed to be reducible,...


Dr. Chen Jiaming Reply:
Based solely on your description, the likelihood of hemorrhoids is indeed high. Some individuals may experience internal hemorrhoids that suddenly protrude, while others may develop thrombosed hemorrhoids. If symptoms persist, it is advisable to visit a colorectal surgery clinic ...

[Read More] Understanding Anal Pain and Itching: Is It Hemorrhoids?


Understanding Growth Above the Anus: Causes and Treatment Options

There is a growth above the anus? Hello Doctor, about three to four months ago, I noticed a lump above my anus while showering. It doesn't hurt or itch; the base of the lump is wrinkled and dark, while the top is pink and about one centimeter in size. I have normal bowel mov...


Dr. Yu Mingchang Reply:
Hello: You have swelling and pain from external hemorrhoids. The Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, is concerned about you.

[Read More] Understanding Growth Above the Anus: Causes and Treatment Options


Understanding Anal Growths: Symptoms, Home Remedies, and When to See a Doctor

There is a lump on the anus? Hello, I recently discovered a lump near my anus. On the first day, it was swollen and painful, but after I looked online and tried soaking in warm water, the pain went away the next day, and I don't feel much discomfort anymore. However, the lum...


Dr. Yu Mingchang Reply:
Hello: The external hemorrhoid has swollen. You should see a colorectal surgeon at the Changhua Hospital, Ministry of Health and Welfare. We care about you.

[Read More] Understanding Anal Growths: Symptoms, Home Remedies, and When to See a Doctor


Post-Surgery Narrowing: Seeking Experts for Anal Reconstruction in Northern Taiwan

Postoperative stenosis after hemorrhoid surgery? Could you please ask Dr. Ke if he knows of any physicians or hospitals in the northern region that perform anal reconstruction surgeries, such as the advancement flap technique?


Dr. Ke Fangxu Reply:
Medical centers in the northern region and large regional hospitals should be able to perform procedures as long as there are specialized colorectal surgeons available.

[Read More] Post-Surgery Narrowing: Seeking Experts for Anal Reconstruction in Northern Taiwan


Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery

Post-operative issues after hemorrhoid ligation? Hello Doctor: On August 5th, I visited a colorectal surgeon due to some pain in my anus, and the diagnosis was internal hemorrhoids. I underwent a hemorrhoid ligation procedure, and for the following week, I used suppositories. Aft...


Dr. Ke Fangxu Reply:
1. Mild pain after bowel movements is usually not a serious issue; sometimes it can occur with either hard or loose stools. A warm water sitz bath should help alleviate the discomfort. If symptoms do not improve or if there is severe pain, it is important to consult a physician f...

[Read More] Post-Procedure Concerns After Internal Hemorrhoid Banding Surgery


Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness

Various Surgical Issues 1. I have been experiencing abdominal pain in the upper left quadrant, usually occurring about half an hour to an hour after breakfast. What could be the cause of this? 2. Recently, I have noticed two or three raised, painful areas on my head. I am concer...


Dr. Chen Jiaming Reply:
1. The left upper abdomen primarily corresponds to the location of the stomach, as well as other parts of the intestines. If there is gastrointestinal pain after meals, it is advisable to consult a gastroenterologist or seek an in-person evaluation to determine whether it is a fu...

[Read More] Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness


Understanding Rectal Bleeding: Is It Hemorrhoids or Something More Serious?

I'm very scared about what happened in the past two days? Hello Dr. Yu: I often experience constipation, and yesterday I used an enema. For the past two days, my stool has been accompanied by a lot of fresh blood in the toilet. I'm not sure if this is caused by a rectal...


Dr. Yu Mingchang Reply:
Hello: For hemorrhoids, please note that the Department of Colorectal Surgery has evening clinic hours on Friday. You are welcome to come for a consultation at Changhua Hospital, Ministry of Health and Welfare. We care about you.

[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More Serious?


Understanding Post-Banding Symptoms: When to Consult Your Doctor

After rubber band ligation, the internal hemorrhoid protrudes from the anal opening? Hello, doctor. I underwent a rubber band ligation for internal hemorrhoids on June 20. Since the surgery until today, I have been able to have bowel movements 1-2 times daily without any bleeding...


Dr. Yu Mingchang Reply:
Hello: Please take a moment to review the follow-up for colorectal surgery.

[Read More] Understanding Post-Banding Symptoms: When to Consult Your Doctor


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