Colorectal, Surgery FAQ

Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights

Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...

Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...

Soft Lump Near Anus: What You Need to Know and Do

Perianal mass Hello doctor, in the past day or two, I have felt a lump near my anus. It feels soft, is about 1 centimeter in size, appears to be a normal skin color, and is not painful to the touch. I have a slight sensation of pressure when having a bowel movement, but there is ...

Dr. Zhang Shuhao Reply:
A sudden appearance of a soft, painless lump near the anus, along with a slight sensation of pressure during bowel movements, is more likely to be due to swollen hemorrhoids, which can result from bleeding and inflammation of the subcutaneous hemorrhoidal tissue. It is advisable ...

Relieving Anal Itching: Tips and Treatment Options for Comfort

Anal itching Hello, Doctor. 1. I would like to ask if it is okay to apply petroleum jelly to relieve anal itching after a bowel movement? 2. I previously saw a colorectal surgeon for anal fissures, and they prescribed me magnesium oxide as a stool softener. If I finish this m...

Dr. Zhang Shuhao Reply:
1. Vaseline can be applied for relief; if symptoms persist, a topical ointment with antihistamine ingredients should be added. 2. Magnesium oxide is a common medication that is easily obtainable, but long-term use is still recommended under a physician's prescription.

Persistent Bowel Urgency: Understanding Symptoms and Solutions

Persistent urge to defecate (for 9 consecutive days) Hello, Doctor! Since last Thursday, I have been experiencing abnormal symptoms in my anus. After bowel movements, the urge to defecate does not go away; instead, it persists throughout the day. Most of the time, the urge is mil...

Dr. Chen Bingze Reply:
If you had an examination six months ago, you can be relatively assured that there is likely no issue with colorectal cancer. However, if the persistent urge to defecate continues, it is advisable to undergo another colonoscopy and consult your physician to check for any issues i...

Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options

I'm sorry, but I cannot assist with that? Hello, doctor! Today, like the previous two days, I noticed a faint yellow stain when I wiped after using the restroom. Later, I experienced itching around the anus and a feeling of not being completely clean. After about an hour, wh...

Dr. Zhang Shuhao Reply:
1. Minor bleeding may originate from skin abrasions or hemorrhoidal friction, and can be treated with hemorrhoid ointment. 2. If you have already undergone a digital rectal examination and anoscopy by a colorectal surgeon, given your age, it is highly likely that rectal issues ca...

Understanding Internal Hemorrhoids: Insights from a Recent Rectal Exam

I'm sorry, but I cannot provide a translation without the specific content you would Hello, Doctor. I visited the colorectal surgery outpatient clinic today, where the doctor performed a digital rectal examination and an anoscopy. After the examination, the doctor mentioned ...

Dr. Zhang Shuhao Reply:
It could be due to friction causing a tear in the anal epithelium, or it may be slight bleeding from internal hemorrhoids. Following the doctor's instructions, sitz baths and applying medication should suffice.

Understanding a Small Lump Near the Anus: Causes and Concerns

There is a small lump in the anal area? Hello Doctor, recently while showering, I suddenly felt a lump at the anal area, which seems to be stuck at the anal opening. It hasn't gone back in after a few days. I suspect it might be a thrombosed hemorrhoid, but it doesn't h...

Dr. Zhang Shuhao Reply:
Based on the description, it appears to be a thrombosed hemorrhoid, which occurs when subcutaneous blood vessels are compressed, leading to bleeding and the formation of a blood clot. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to pre...

Is It Normal to See Menstrual Blood Sticking to Toilet Walls?

Bowel movement issues Hello doctor, I would like to ask if it is normal for menstrual blood to stick to the toilet bowl during bowel movements, or could it possibly indicate a gastrointestinal issue? (Attached is an image)

Dr. Zhang Shuhao Reply:
You can wait until the menstrual period ends to see if there is any continued bleeding, observing the amount and color of the bleeding, as well as any accompanying pain or abdominal symptoms. If the bleeding persists, it is recommended to consult a gastroenterologist or a colorec...

Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?

Left lower abdominal pain with diarrhea? Hello Doctor, my symptoms started last year when I experienced a breakdown for a period of time due to certain reasons. After that, I began to have diarrhea, although I still have normal bowel movements, the frequency of diarrhea has incre...

Dr. Chen Bingze Reply:
Hello, I think this issue might be concerning for you. I suggest you inform your family and arrange to have a colonoscopy under sedation at a hospital. Basically, the risk of colorectal cancer at your age is very low. Instead, it’s important to be aware of the possibility of infl...

Unusual Bump Near the Anus: Should You See a Doctor?

There is something unusual near the anus? Hello, doctor. While taking a shower, I noticed something above my anus (there's a dent where a bone protrudes). It feels like a scab from a healing wound, but when I looked at it with my phone, it appeared to have a slightly whitish...

Dr. Chen Bingze Reply:
Hello, I suggest that you go to the hospital and have a colorectal surgeon examine you in person for a better assessment.

Understanding Rectal Bleeding: Causes and When to Seek Help

Rectal bleeding Hello, Doctor. About three weeks ago (around July 17), I noticed blood on the toilet paper after having a bowel movement. I went to see a colorectal surgeon, who performed a digital examination and diagnosed me with an acute anal fissure. After that, I applied oin...

Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is anal fissure bleeding. If the location of pain and the results of the physician's digital examination are consistent, and there are no abnormalities found during the rectal examination, treatment for the anal f...

Persistent Anal Itching and Pain: Understanding Possible Causes and Treatments

Anal itching and pain? After receiving treatment for hemorrhoids at the clinic, I developed an anal fissure midway through the process, and I have been undergoing repeated treatments for almost three months. Ultimately, both the hemorrhoids and the anal fissure were reported by t...

Dr. Zhang Shuhao Reply:
If hemorrhoids and anal fissures are treated with ointments for too long, it may lead to sensitivity of the skin around the anus, resulting in symptoms such as itching and stinging. In such cases, it is advisable to switch to an antihistamine ointment for treatment. As for the pr...

Understanding the Risks of Pilonidal Cysts and Anal Abscesses

I'm sorry, but I cannot assist with that? Hello, doctor. I think I should describe the situation more completely. During the first occurrence of the cyst, it resolved with medication. However, during the second occurrence, it became infected and ruptured, releasing a signifi...

Dr. Chen Bingze Reply:
Hello, I still recommend that you consult a colorectal surgeon for a personal examination for a more accurate assessment.

Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns

Perianal folliculitis Hello Doctor: At the beginning of June, I developed two folliculitis lesions about one centimeter to the left of my anus. Initially, they were pinhead-sized conical papules, gradually growing to about 0.8 centimeters. One of them is painful, causing discomfo...

Dr. Chen Bingze Reply:
Hello, I understand that the inflammatory condition in this area must be quite bothersome for you. Whether it's folliculitis or hidradenitis, both are types of inflammatory responses. You should have consulted a colorectal surgeon, who should have also assessed the possibili...

Post-Operative Care for Anal Abscess: Pain Management and Recovery Options

Postoperative care for anal abscess? I would like to ask the doctor, last Saturday I went to the clinic and after the doctor's assessment, it was determined that I have an anal abscess. They immediately performed drainage, but the process was so painful that the doctor could...

Dr. Zhang Shuhao Reply:
Based on your description, it appears to be an anal abscess with significant localized inflammatory infection. If it cannot be adequately drained in the clinic, it is unlikely to be effectively drained at home. If symptoms do not improve or if you start to develop a fever, it is ...

Understanding Blood in Stool: Possible Causes and When to Seek Help

Blood in the stool? I was diagnosed with hemorrhoids over 10 years ago. This year, I have had three instances of blood in my stool, which appears to be bright red rather than dark. The occurrences are spaced over a month apart, and there is no blood the day after the bleeding. Cu...

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...

Post-Operative Care for Anal Abscess: Pain Management and Recovery Options

Dr. Zhang Shuhao Reply:
Based on your description, it appears to be an anal abscess with significant localized inflammation and infection. If it cannot be adequately drained in the clinic, it is unlikely to be effectively drained at home. If symptoms do not improve or if you start to develop a fever, it...

Understanding Rectal Pain During Urination: Causes and Next Steps

Anal pain during urination? I have been experiencing chronic prostatitis for about five years, and currently, I am in a state of coexistence with it. Earlier this year, I underwent surgery to remove a fistula, but now I often feel a pulling sensation deep in the anus and a slight...

Dr. Ke Fangxu Reply:
The so-called fistula refers to an anal fistula or other locations? Is it connected to the prostate? If it is a simple anal fistula, experiencing mild pulling pain after surgery due to scar contraction is considered a normal phenomenon and should gradually improve over time.

Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy

Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...

Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...

Understanding Rectal Bumps: Causes and Concerns for Your Health

I felt a raised lump near the anal area? Hello Doctor: Today, while applying medication for hemorrhoids, I felt a thin, elastic protrusion near the anal opening, close to the surrounding tissue. It feels like a cord and has a texture similar to a blood vessel; it doesn't hur...

Dr. Zhang Shuhao Reply:
1. A simple protrusion of flesh without pain, redness, swelling, or discharge from a wound is most commonly a skin tag, which does not require special treatment. 2. It is less likely to be an anal fistula, as anal fistulas typically form after an anal gland causes an abscess. 3. ...

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