Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Understanding Complications After Hemorrhoid Ligation: What to Do?
Hemorrhoid ligation issues? Hello, Dr. Ke! I have a question regarding my hemorrhoid ligation issue. I have had external hemorrhoids for 20 years. Initially, they would only protrude after a bowel movement and I could push them back in with my hand. However, after undergoing liga...
Dr. Ke Fangxu Reply:
It is recommended to visit the colorectal surgery outpatient clinic for evaluation. Thank you.[Read More] Understanding Complications After Hemorrhoid Ligation: What to Do?
Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Anal issues Hello Doctor: There is a growth next to the anus (as shown in the picture), resembling a pimple. It is slightly painful when pressed, but there is no pus or blood. Could you please advise what this might be? Thank you.
Dr. Ke Fangxu Reply:
It is recommended to seek evaluation from a colorectal surgeon. Thank you.[Read More] Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...
Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
There is an anal abscess. No internal opening present? Hello Dr. Ke, On December 9th, I noticed mild swelling at the 7 o'clock position of my anus and applied a topical ointment. On December 10th, the swelling became somewhat painful, so I applied the ointment again and to...
Dr. Ke Fangxu Reply:
Based on your description, it seems that the anal abscess has ruptured on its own. If this is the first occurrence of such an event, I would generally recommend observing for a period of time before deciding whether to undergo surgery. An anal fistula is a complication that can a...[Read More] Understanding Anal Abscesses: Symptoms, Diagnosis, and Treatment Options
Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching
Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...
Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
Dealing with Discharge Near the Anus: When to Seek Medical Help
If there is discharge near the anus, what should I do? Recently, I experienced gastroenteritis with diarrhea, and suddenly I had pain near the anus. Upon examination, I felt a small lump close to the anus that was painful when pressed. Generally, I only felt pain when sitting dow...
Dr. Zhang Shuhao Reply:
After diarrhea, if there is swelling and pain around the anus accompanied by purulent discharge, it may be indicative of an anal fistula. If symptoms persist, it is advisable to seek medical evaluation. An experienced colorectal surgeon can diagnose an anal fistula through a phys...[Read More] Dealing with Discharge Near the Anus: When to Seek Medical Help
Understanding Digestive Issues: From Stress to Potential IBS Concerns
Bowel movement issues Hello, doctor! After entering junior high school, I don't know if it's due to increased stress, but I've started experiencing a habit of abdominal pain and diarrhea. It was fine before, but it became uncontrollable after I entered the second y...
Dr. Zhang Shuhao Reply:
Hello, if there is no significant family history of disease, the likelihood of developing colorectal cancer at your age is very low. It is more likely that irregular gastrointestinal motility is caused by stress, which is a symptom of irritable bowel syndrome (IBS). IBS can be ma...[Read More] Understanding Digestive Issues: From Stress to Potential IBS Concerns
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello, Doctor. Since I am in a rural area with limited medical resources, I would like to consult online before deciding whether to go to the hospital. Here’s the situation: about five months ago, I noticed blood in my stool. It wasn't completely red but conc...
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. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
It is difficult to differentiate between an anal fistula and a skin tumor, making it challenging to provide the appropriate treatment? Hello Doctor, my husband has had a hard lump near his anus since April, which has changed color, is painful when pressed, and even affects his wa...
Dr. Zhang Shuhao Reply:
Based on your description of wounds around the anus that are bleeding, discharging pus, and prone to recurrence, there is a high suspicion of an anal fistula. The difference between an anal fistula and a skin tumor is that the fistula is connected to the anal glands, so both the ...[Read More] Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
Understanding Bowel and Gas Issues After Colorectal Surgery
Bowel and flatulence issues? Hello Dr. Chang, I would like to consult you regarding my mother. She underwent surgery for stage 2B colon cancer in August of last year, specifically in the area of the transverse colon near the descending colon, using laparoscopic minimally invasiv...
Dr. Zhang Shuhao Reply:
Post-operative follow-up with gastroscopy and colonoscopy showed no issues, and both the CT scan and blood tests were normal, indicating a low likelihood of tumor metastasis. The surgery on the left half of the colon should not affect the sciatic nerve; therefore, it is likely du...[Read More] Understanding Bowel and Gas Issues After Colorectal Surgery
Understanding Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Anal abscess and fistula? My daughter had her first anal abscess discovered in April, which was treated with incision and drainage at a clinic. In October, it occurred again, and the doctor recommended going to the hospital for further evaluation, as there might be a fistula issu...
Dr. Zhang Shuhao Reply:
In the case of an initial diagnosis of an anal abscess, incision and drainage is typically performed without issues. If a recurrence occurs, it is important to determine whether it is in the same location. If there are multiple recurrences at the same site, a fistula may have for...[Read More] Understanding Anal Abscesses and Fistulas: Diagnosis and Treatment Options
Is a Colonoscopy Necessary After Experiencing Blood in Stool?
Do I need to undergo a colonoscopy? Hello doctor, in the past six months, I have experienced two instances of bright red blood after bowel movements. The most alarming incident occurred while I was squatting to wash my hair, resulting in a pool of fresh blood on the floor. I susp...
Dr. Zhang Shuhao Reply:
The presence of fresh blood in the stool may be caused by hemorrhoids; therefore, it is advisable to first examine the anal and rectal area for any obvious sources of bleeding. If no clear cause of bleeding is identified, a colonoscopy should be performed. Generally, individuals ...[Read More] Is a Colonoscopy Necessary After Experiencing Blood in Stool?
Understanding Mucus in Stool: When to Seek Medical Advice
Bowel issues Hello Doctor, I would like to ask if it is normal to see a translucent white, slightly yellowish mucus on toilet paper after having a bowel movement (similar to nasal mucus). I have experienced this condition before, and it lasted for about 4-5 days before resolving....
Dr. Chen Bingze Reply:
Occasionally, this should be fine. I recommend that if you are concerned, you should undergo a health check-up and have a colonoscopy under anesthesia for peace of mind.[Read More] Understanding Mucus in Stool: When to Seek Medical Advice
Post-Anal Abscess Drainage: Pain and Swelling Management After Surgery
Postoperative care following incision and drainage of an anal abscess? Hello, Doctor. 1. I had an abscess incision and drainage at the colorectal clinic on October 23rd. Today, on the 25th, which is the third day post-surgery, I experience a sharp pain during anal contractions....
Dr. Zhang Shuhao Reply:
It is normal to experience sharp pain at the anal wound on the third day post-surgery. You can take warm sitz baths to keep the wound clean, continue applying ointment and taking oral anti-inflammatory pain relievers, and return for your follow-up appointment as scheduled.[Read More] Post-Anal Abscess Drainage: Pain and Swelling Management After Surgery