Colorectal, Surgery FAQ - Page 5

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

Rectal bleeding Hello, I would like to ask about a recent issue. For about a week now, I've noticed light red blood when wiping after a bowel movement. The amount of blood is not significant, but I experience pain at the beginning of the bowel movement, which subsides after ...


Dr. Zhang Shuhao Reply:
Based on your description, it is most likely caused by an anal fissure. It is recommended to increase fluid intake to prevent constipation, perform warm sitz baths, and use topical ointments and anti-inflammatory medications. If there is no significant family history or other abd...

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


Understanding Rectal Bleeding: When to Worry and What to Do

Bowel movement issues Hello Doctor, last week I noticed small spots of blood on the toilet paper after having a bowel movement, but the amount was very minimal and the stool color was normal, a yellow-brown. I immediately went to see a colorectal surgeon (once last week and once ...


Dr. Chen Bingze Reply:
Hello, if you have seen both an obstetrician-gynecologist and a colorectal surgeon, you can generally feel reassured. Just keep monitoring for any relief of symptoms.

[Read More] Understanding Rectal Bleeding: When to Worry and What to Do


Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions

Difficulty in bowel movements, long-term use of laxatives? Hello, doctor. I have been experiencing recurrent anal fissures for the past five years, approximately once a month. The pain usually subsides after about a week, but I have been consistently applying ointment (because my...


Dr. Zhang Shuhao Reply:
1. The use of topical ointments containing steroids for an extended period can make the mucous membranes more susceptible to injury and wounds may heal more slowly; it is recommended to use them in a phased manner. 2. Traditional Chinese medicine prescribed by a licensed practiti...

[Read More] Chronic Constipation and Dependence on Laxatives: Seeking Surgical Solutions


Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?

Diarrhea with anal pain? Hello, Doctor: I have hemorrhoids and recently gave birth. My obstetrician helped to reduce them. During this time, I had no issues with normal bowel movements and experienced no pain. However, in the past few days, I have suddenly developed diarrhea, and...


Dr. Zhang Shuhao Reply:
Hemorrhoids typically cause pain due to thrombosis or when a prolapsed hemorrhoid becomes trapped, leading to impaired blood circulation. Based on your description, it seems more like anal fissures causing pain during bowel movements. In addition to warm sitz baths, topical ointm...

[Read More] Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?


Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?

Bowel issues Hello Doctor, this morning I had a bowel movement that was normal. However, later I experienced some discomfort in my abdomen, which felt crampy and rolling, and then I had diarrhea. After the diarrhea, when I wiped for the fourth or fifth time, I noticed very tiny r...


Dr. Chen Bingze Reply:
Hello, it is recommended that you consult a colorectal surgeon in person to get the most accurate answers to your questions.

[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?


Is It Appropriate to See a Gastroenterologist for Anal Issues?

Continuing from #200748? Hello Doctor, regarding the small amount of blood I mentioned yesterday near the anus area of my underwear, I went to see a doctor immediately. However, I consulted a hepatobiliary and gastroenterology specialist (since I noticed that the clinic performs ...


Dr. Chen Bingze Reply:
Of course, if you have any concerns, you can also consult a colorectal surgeon.

[Read More] Is It Appropriate to See a Gastroenterologist for Anal Issues?


When Is Rectal Bleeding a Concern Beyond Bowel Movements?

Anal issues Hello, doctor. I would like to ask under what circumstances the anus might bleed when not having a bowel movement? Could it possibly be a gastrointestinal issue? Thank you for your response, doctor.


Dr. Chen Bingze Reply:
Hemorrhoids and anal fissures can occur, and while the likelihood of developing colorectal cancer at your age is relatively low, if you are truly concerned, it is advisable to undergo a colonoscopy for peace of mind.

[Read More] When Is Rectal Bleeding a Concern Beyond Bowel Movements?


Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids

Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anal area. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor mentioned that I only had hemorrhoids and some redness and swelli...


Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.

[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids


Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids

Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anus. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor said I only had hemorrhoids and some redness and swelling around the b...


Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.

[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids


Understanding Anal Canal Swelling: Causes of Pain, Itching, and White Bumps

Anal canal swelling, pain, itching, and the presence of white granules? Hello doctor, I have recently experienced swelling in the anal canal and difficulty with bowel movements. I have been taking anti-inflammatory medication and applying hemorrhoid cream, and it has gradually re...


Dr. Zhang Shuhao Reply:
The swollen and prolapsed tissue in the image is indicative of hemorrhoidal tissue, but the white granules are unclear and may suggest inflammation with pus accumulation, or other infectious skin lesions. It is recommended to visit a colorectal clinic for examination. If there is...

[Read More] Understanding Anal Canal Swelling: Causes of Pain, Itching, and White Bumps


Sudden Change in Stool Thickness: What to Watch For?

Sudden change in stool caliber to a thinner shape? If you notice that your stool has suddenly become thinner, there are several factors to observe and consider. Pay attention to any accompanying symptoms such as abdominal pain, changes in bowel habits, or the presence of blood in...


Dr. Chen Bingze Reply:
Basically, the risk of colorectal cancer at your age is quite low. However, if you are really concerned, it is advisable to undergo a colonoscopy with sedation.

[Read More] Sudden Change in Stool Thickness: What to Watch For?


Understanding Narrow Stools: Causes and When to Seek Help

Stool becomes thin? Hello, doctor. About a month ago, I experienced a very large bowel movement that was difficult to pass, resulting in a tear in my anus that bled significantly. I didn't think much of it at the time, but I became afraid of the pain and avoided going to the...


Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic to check if straining during bowel movements is causing bleeding around the anus. If there is a noticeable area of bleeding, treatment for anal fissures can be initiated, along with addressing the constipation issue. If there are no bleedin...

[Read More] Understanding Narrow Stools: Causes and When to Seek Help


Should Young Adults Get a Colonoscopy for Rectal Bleeding?

Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper when wiping after a bowel movement, so I consulted a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently visited the doctor 2-3 more times. After performi...


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. Spicy and irritating fo...

[Read More] Should Young Adults Get a Colonoscopy for Rectal Bleeding?


Post-Operative Care and Recovery from Anal Abscess Surgery

Postoperative care for anal abscess? Hello Dr. Ke, on August 28, I developed a cyst near my anus that was swollen and painful. I went to the hospital and consulted with a colorectal surgeon, who diagnosed it as an anal abscess after a physical examination. On the same day, I unde...


Dr. Ke Fangxu Reply:
1. It's difficult to determine whether it will develop into a fistula; continuous observation is necessary to find out. 2. Generally, wound healing takes about 2-3 weeks. 3. If there is redness, swelling, heat, pain, or if the wound has purulent or bloody discharge, you ...

[Read More] Post-Operative Care and Recovery from Anal Abscess Surgery


Understanding Blood in Stool: Is It a Sign of Colon Cancer?

Bowel issues? Hello, doctor. I have noticed blood on the toilet paper after having a bowel movement in the past two weeks. Additionally, my bowel movements have been either diarrhea or thinner stools, and sometimes I experience abdominal pain but only pass a small amount. Could t...


Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 20 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritating, and ...

[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?


Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?

Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper while wiping after a bowel movement, so I visited a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently went back for 2-3 more visits, and after a digital...


Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, 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, an...

[Read More] Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?


Understanding Discomfort Around the Anus: Causes and Concerns

Discomfort around the anal area? Hello Doctor, I recently took medication for my stomach which caused constipation. I then visited a colorectal surgeon who performed a digital examination and informed me that I only had a small tear. They provided me with three suppositories, and...


Dr. Xu Kaixi Reply:
Based on your description, these anal discomforts may be symptoms caused by hemorrhoids. If you have already visited three hospitals for examination and there are no specific recommendations for further testing, the lack of improvement in anal symptoms may be due to anxiety or st...

[Read More] Understanding Discomfort Around the Anus: Causes and Concerns


Understanding Rectal Bleeding: Possible Causes and Solutions

I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...


Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.

[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions


Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help

External anal skin tag Hello Doctor, about two years ago, I felt a small lump between my anus and vagina. There was no bleeding after bowel movements, but it felt a bit itchy when touched. I have already consulted a colorectal surgeon at the hospital, who performed a physical exa...


Dr. Zhang Shuhao Reply:
The colorectal surgeon diagnosed the polyps caused by excessive straining during bowel movements, which are actually anal skin tags commonly associated with anal fissures. They typically do not present any symptoms, but may occasionally become swollen and painful due to external ...

[Read More] Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help


Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair

It has been six months since the fistula surgery, and the wound is painful and bleeding? I had anal fistula surgery in January of this year. Recently, when wiping after a bowel movement, I've noticed a small amount of blood near the surgical site. Sometimes, if I sit for too...


Dr. Zhang Shuhao Reply:
During anal fistula surgery, when the wound is larger, it is possible to encounter a situation where the doctor mentions that the skin has not fully healed. At this time, the fragile epithelium and granulation tissue may experience slight bleeding due to friction. Fistulas rarely...

[Read More] Managing Post-Surgery Anxiety: Understanding Pain and Bleeding After Fistula Repair


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