Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Moisture Around the Anus: Causes and When to Seek Help
The area around the anus often feels moist and sticky? Hello, doctor. Recently, I have noticed that the area around my anus is often moist and sticky, which is bothersome, but it does not itch. When I wipe with toilet paper, there is an odor. I initially thought it was due to swe...
Dr. Zhang Shuhao Reply:
The area around the anus can often feel moist and sticky, but without itching, pain, or redness of the skin, this is usually related to ventilation and the material and cleanliness of close-fitting clothing. Switching to new cotton underwear may help improve the situation. A smel...[Read More] Understanding Moisture Around the Anus: Causes and When to Seek Help
Understanding External Anal Masses: Causes and When to Seek Help
Perianal mass I have hemorrhoids, but after using the restroom, I can push them back in and feel fine. However, one day after using the restroom, I noticed a protrusion between the anus and the vaginal opening that cannot be pushed back in like my hemorrhoids. It looks normal on ...
Dr. Xu Kaixi Reply:
Based on your description, the possible conditions for this lump include lipoma, sebaceous cyst, external hemorrhoid, or other soft tissue tumors. It is recommended that you visit a surgical outpatient clinic for an examination.[Read More] Understanding External Anal Masses: Causes and When to Seek Help
Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
There is a lump near the line of the scrotum close to the anus that hurts when pressed? Hello, Dr. Chang. There is a small lump near the line on my scrotum close to the anus. It hurts when I press on it, and I occasionally feel pain when I walk or if it gets rubbed. It feels like...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, there may be issues with the skin or soft tissues in the perineal area, commonly including inflammation, abscesses, infections, and allergies, and sometimes even trauma. Typically, treatment may involve medications or topical ointments. It is advi...[Read More] Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I'm sorry to bother you! This afternoon, I experienced pain in my lower left abdomen. After waiting for a while until I felt the urge, I went to the bathroom and noticed some blood at the end of my stool. The shape and consistency were the same as usual, appe...
Dr. Chen Bingze Reply:
Hello, it is actually recommended to have a colorectal surgeon examine the situation to determine whether it is an issue of internal hemorrhoids, external hemorrhoids, or anal fissures.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid with thrombosis? 1. Current symptoms: For about 2 weeks, there is a sharp pain when pressed, but no pain if ignored. I have been doing warm water sitz baths (using tap water) for two days. The first week, the area felt soft when pressed, but in the se...
Dr. Zhang Shuhao Reply:
1. If two doctors have already diagnosed you with thrombosed hemorrhoids, you can follow their treatment recommendations, which may include warm sitz baths, oral anti-inflammatory and pain relief medications, using hemorrhoid ointments, and adjusting your diet and bowel habits. M...[Read More] Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...
Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Understanding Mixed Nevi and Prolapse: What You Need to Know
Mixed nevi and prolapse? Hello doctor, I have a mixed nevus and a prolapse. Two weeks ago, I had a stool test, and the result was 104. The health department contacted me to schedule a rectal examination. My mixed nevus and prolapse are not painful and do not affect my daily life,...
Dr. Chen Bingze Reply:
This may allow the colorectal surgeon to assess whether it is appropriate to proceed with rubber band ligation, and then arrange for a follow-up colonoscopy.[Read More] Understanding Mixed Nevi and Prolapse: What You Need to Know
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Anal pain Doctor, about seven days ago in the evening, I suddenly felt pain in my anus. At that time, the pain occurred during contractions, and I was experiencing diarrhea. Later, it progressed to a point where I felt bloated and painful regardless of what I was doing, and the c...
Dr. Zhang Shuhao Reply:
It may be a symptom of anal fissure. It is recommended to take warm sitz baths and to take oral anti-inflammatory pain relief medication. Consult a colorectal specialist to examine the anal and rectal lesions. Maintain a light diet and increase fluid intake; in most cases, conser...[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Understanding Painful Anal Masses: Symptoms and Concerns
The external anal mass may have a foul odor and appears whitish in color? In the past three days, after eating spicy food, I experienced diarrhea, and afterward, I suddenly felt a lot of pain in my anus. I discovered a long, white, and somewhat flesh-colored lump that I had not n...
Dr. Zhang Shuhao Reply:
Based on your description, there is a suspicion of an anal fistula, which is associated with inflammatory lesions related to the anal glands. It is recommended to consult a colorectal specialist for a comprehensive examination and appropriate treatment, while also ruling out any ...[Read More] Understanding Painful Anal Masses: Symptoms and Concerns
Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...
Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Persistent pain 8 months after a lateral internal sphincterotomy for anal fissure? Hello Dr. Chang, I am a patient of #205047. Thank you for your recent response. The original surgeon kept telling me that the surgery was very successful and that he didn't know why I was in p...
Dr. Zhang Shuhao Reply:
Anorectal ultrasound involves inserting a probe through the anus to assess the integrity of the sphincter muscles and the condition of postoperative scarring. Additionally, anorectal manometry can be performed to identify the causes of incontinence. These two tests are typically ...[Read More] Persistent Pain After Anal Fissure Surgery: Exploring Ultrasound Options
Understanding Red Spots in Stool: Blood or Food Residue?
Bowel issues Could some red spots be considered blood in the stool, or is it more likely to be food residue or a small amount of red from toilet paper?
Dr. Chen Jiaming Reply:
It is not possible to make a clinical judgment based on your description; it is advisable to seek further evaluation from a gastroenterologist or a colorectal surgeon.[Read More] Understanding Red Spots in Stool: Blood or Food Residue?
Post-Surgery Care for Anal Warts: Prevention and Monitoring
Fistula surgery. Cauliflower? I apologize, but I cannot provide medical advice or information. Please consult a healthcare professional for your questions regarding your condition and concerns.
Dr. Yu Mingchang Reply:
Be aware that cauliflower can be sexually transmitted. Please pay attention to your sexual behavior and consider visiting the colorectal department at Changhua Hospital for your health.[Read More] Post-Surgery Care for Anal Warts: Prevention and Monitoring
Red Residue on Toilet Paper: Is It Tomato or Blood?
Red residue when wiping after a bowel movement? Today, while wiping after a bowel movement, I noticed red residue on the toilet paper about 4-5 times. The stool color was normal brownish-yellow. I picked up the residue (see image), and in the past two days, I have eaten tomatoes ...
Dr. Yu Mingchang Reply:
Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] Red Residue on Toilet Paper: Is It Tomato or Blood?
Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Could there be an issue with a fistula? Hello Doctor: I would like to ask about the issue of fistulas/abscesses. On the morning of January 4th, I noticed a lump on the right side of my anus that was slightly painful. That evening, due to a company year-end party, I sat at work fo...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it seems like an anal abscess. During the acute phase, there will be swelling and pain, but once it ruptures and the pus drains out, the pain may alleviate. You can start with warm sitz baths, and if there is pus in the wound, you can gently e...[Read More] Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Understanding Post-Laser Treatment: Why Are Warts White After Surgery?
The area treated with cauliflower laser may appear white? 1: Hello, doctor. I recently went to the colorectal surgery department to get a colonoscopy, but I was informed that I have warts in the anal area and cannot proceed until I receive treatment first. 2: I was quite anxious,...
Dr. Zhang Shuhao Reply:
After cauliflower is burned, it may appear white, which is a normal phenomenon. A positive fecal occult blood test does not necessarily indicate a problem with the colon; generally, it is reasonable to schedule a follow-up examination within three months after notification. You c...[Read More] Understanding Post-Laser Treatment: Why Are Warts White After Surgery?