Understanding Painful Anal Growths: Causes and Treatment Options
Prolapse or protrusion at the anal opening? I have a protrusion about 1 cm outside my anus, measuring approximately 0.5 to 1 cm. It causes pain during bowel movements and also when touched. The pain is more intense after I finish a bowel movement and usually subsides gradually ov...
Dr. Zhang Shuhao Reply:
Based on the description, the protrusion may be related to an anal fistula. The fistula connects to the interior of the anus and can cause pain and purulent discharge when inflamed. It is not necessarily related to hemorrhoidectomy. It is recommended to visit a colorectal clinic ...[Read More] Understanding Painful Anal Growths: Causes and Treatment Options
Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Is it anal fissure, hemorrhoids, or another condition? I previously experienced severe itching near the anus, and after a digital rectal examination, the doctor diagnosed me with an anal fissure. I underwent treatment for two months and consulted multiple doctors, but my conditio...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a case of anal fissure combined with a small thrombosed hemorrhoid. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The comm...[Read More] Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Persistent Wound in Groin After Surgery: Concerns and Next Steps
Wound in the groin that is not healing? Hello Doctor, I underwent a fistula surgery on January 3rd this year, and there is a small wound in the gluteal cleft, between the coccyx and the anal area, that has not healed. According to the surgeon, the wound is very small, similar to ...
Dr. Ke Fangxu Reply:
If the wound is located at the surgical site and has not healed after six months, it is important to consider the possibility of recurrence. However, erosion of the coccyx is unlikely to occur. It is advisable to have a colorectal surgeon reassess the situation.[Read More] Persistent Wound in Groin After Surgery: Concerns and Next Steps
Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Cauliflower infection It has been over a year since engaging in sexual activity, but I have developed warts around the anus. Why could I have been infected, and can it extend to the genital area? Will the doctor treat it as well?
Dr. Zhang Shuhao Reply:
Warts, commonly known as cauliflower warts, are viral lesions caused by human papillomavirus (HPV) infection of the skin and mucous membranes. They may not manifest immediately upon contact and can remain dormant for a period of time, often reactivating when the immune system is ...[Read More] Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Understanding Perianal Folliculitis: Symptoms, Treatment, and Care
Perianal folliculitis Hello Doctor: Recently, I developed a bump about 0.7 cm in size around 1.5 cm from my anus. It is not painful when pressed or touched, but there is redness, swelling, and pus. I visited a colorectal surgeon on Monday, who confirmed that it is just a bump. On...
Dr. Zhang Shuhao Reply:
Keep the wound clean, apply topical erythromycin or tetracycline ointment, take oral anti-inflammatory medication, avoid smoking and irritating foods, and increase fluid intake, all of which can promote swelling reduction and healing of the wound.[Read More] Understanding Perianal Folliculitis: Symptoms, Treatment, and Care
Understanding Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
Is there a "hidden fistula"? Is it true that a fistula must first have an abscess or injury to form? Is there always a specific color of discharge associated with it? I experienced pain for a long time while using the restroom, without any external wounds, abscesses, or...
Dr. Ke Fangxu Reply:
A fistula is a sequela of an infection that has not completely healed; it does not occur without reason. The discharge is typically yellowish-white, and some individuals may experience bleeding. Regarding anal fistulas, I personally recommend consulting a colorectal surgeon for e...[Read More] Understanding Hidden Fistulas: Symptoms, Causes, and Treatment Options
Understanding Changes in Stool: When to Worry About Your Health
Stools that are thin or irregularly shaped, resembling small pellets? During my senior year of high school, I noticed that my stools became increasingly thin and sticky, and this has continued until now. However, there has been no blood in my stools. Last summer, I visited a doct...
Dr. Zhang Shuhao Reply:
It is recommended to increase fluid and dietary fiber intake, along with moderate exercise to enhance bowel motility. If concerns persist, you may consult a gastroenterologist or a colorectal specialist to evaluate whether medication or further testing is necessary.[Read More] Understanding Changes in Stool: When to Worry About Your Health
Understanding Folliculitis Near the Anus: Symptoms and Treatment
Suspected folliculitis near the anus? Hello: In the past two days, I have developed two bumps near the anal area, approximately 1.5 cm in size (at the 5 o'clock and 11 o'clock positions). One is about 1 x 0.5 cm, while the other appears to be a raised area resembling fo...
Dr. Zhang Shuhao Reply:
An anal abscess or fistula is caused by inflammation of the anal glands, while folliculitis originates from inflammation of the dermis. Your condition is more consistent with folliculitis caused by friction and heat. A colorectal surgeon can differentiate this through physical ex...[Read More] Understanding Folliculitis Near the Anus: Symptoms and Treatment
Red Spots in Stool: Food or Serious Health Concern?
Stool with red spots? Hello doctor, I just went to the bathroom and noticed some red spots in my stool, along with a small red dot. The toilet water was not stained red and the rest of the stool appeared normal in color. I'm not sure if this is due to food residue or blood. ...
Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to check for bleedin...[Read More] Red Spots in Stool: Food or Serious Health Concern?
Understanding Blood After Bowel Movements: Causes and Concerns
Blood on toilet paper after wiping can indicate several potential issues, including hemorrhoids, anal fissures, or other gastrointestinal conditions? Recently, after having a bowel movement, I noticed that sometimes there are small red specks in my stool. I think it might be remn...
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 injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger...[Read More] Understanding Blood After Bowel Movements: Causes and Concerns
Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Perianal mass Hello Dr. Chang, Recently, I noticed a small soft and elastic lump at the anal opening while taking a shower. It is asymptomatic, does not hurt when pressed, and is located only on one side of the anus. There has been no bleeding with bowel movements, and I have a ...
Dr. Zhang Shuhao Reply:
The image is not very clear, but it is likely hemorrhoids. You can start by taking warm sitz baths and maintaining smooth bowel movements. If the symptoms become bothersome, please visit a colorectal specialist.[Read More] Understanding Soft Anal Masses: Is It Hemorrhoids or Something Else?
Understanding Black Stools and Blood in Bowel Movements: What to Know
Constipation with black stools and some blood streaks? Hello Doctor, two weeks ago I experienced some constipation, mostly with pellet-like stools, but the stool color was brown. Occasionally, when I drink more water, the stools are normal and tubular. I have observed that there ...
Dr. Xu Kaixi Reply:
Blood in the stool is not normal and can have various causes, ranging from hemorrhoids to colorectal tumors. Based on your description, the source of the blood in your stool is more likely related to internal hemorrhoids caused by constipation. If you have returned to normal bowe...[Read More] Understanding Black Stools and Blood in Bowel Movements: What to Know
Understanding White Bumps Around the Anus: Causes and Treatments
White spots around the anal area? Hello Dr. Chang, It seems like I have keratosis pilaris; the surface of the skin appears red and resembles papules. When I squeeze it, a white, elongated substance comes out, which does not look like pus but more like comedones. There are many ...
Dr. Zhang Shuhao Reply:
Based on your description, it seems more like folliculitis around the anus, which originates from the subcutaneous glands rather than the anal glands. It is recommended to maintain local cleanliness and ventilation, supplemented with oral medication and antibiotic ointment. It is...[Read More] Understanding White Bumps Around the Anus: Causes and Treatments
Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
The issues of anal fissures and hemorrhoids and their relationship with candidiasis infection? 1. I have been experiencing constipation since I was about 9 years old, and it continues to this day. I usually have a bowel movement every 3 to 5 days, with occasional soft stools or d...
Dr. Zhang Shuhao Reply:
1. If the area around the anus is swollen and resembles symptoms of hemorrhoids, chronic constipation and straining can lead to the enlargement and prolapse of hemorrhoidal tissue. Anal fissures typically do not extend to the perineum, but recurrent anal fissures may result in de...[Read More] Understanding Anal Fissures, Hemorrhoids, and Their Link to Candida Infections
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-anal fistula surgery Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site ...
Dr. Zhang Shuhao Reply:
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Understanding Anal Heaviness: Causes, Symptoms, and Treatment Options
Anal heaviness sensation Hello, Doctor. I previously visited a colorectal clinic due to a lump and a feeling of heaviness in my anus. After an examination, the doctor indicated that it was hemorrhoids and advised me not to worry. The feeling of heaviness was attributed to mild he...
Dr. Ke Fangxu Reply:
1. It will absorb on its own. 2. Ointments or suppositories can help alleviate symptoms, and some anti-inflammatory medications may also be beneficial. The key point is to avoid prolonged straining during bowel movements to prevent poor blood circulation, which can lead to hemorr...[Read More] Understanding Anal Heaviness: Causes, Symptoms, and Treatment Options
Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Light pink blood on toilet paper after wiping? Hello, doctor. I've been experiencing hemorrhoid flare-ups lately, which are painful and swollen. I've applied a topical treatment called Yizhi Kang during this period. On two occasions, when wiping, I noticed a small amoun...
Dr. Zhang Shuhao Reply:
Hemorrhoids can cause swelling, pain, and bleeding during flare-ups. It is advisable to increase fluid intake, avoid alcohol, tobacco, and spicy foods, use hemorrhoid ointments, and take warm sitz baths. If symptoms gradually improve, there is generally no need for excessive conc...[Read More] Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Understanding Anal Fissures and Polyps: Concerns and Care
Anal fissures and polyps that do not heal? A month ago, I noticed some blood after having a bowel movement. Although it was only a drop or two, I was very worried and decided to see a doctor. During the examination, the doctor said that there was nothing unusual on the exterior o...
Dr. Zhang Shuhao Reply:
Polyps can develop into cancer, specifically referring to adenomatous polyps that form in the colorectal mucosa, which is why they are typically removed upon detection. Recurrent anal fissures are often accompanied by sentinel piles on the lateral side of the anus and hypertrophi...[Read More] Understanding Anal Fissures and Polyps: Concerns and Care
Understanding Lipomas: When to Consider Surgical Removal and Costs
Hello, I would like to inquire about lipomas? I apologize, but one day in high school while taking a shower, I felt a small, slightly soft lump on the right side of my buttocks, close to the anus. I didn't think much of it until I got to college, when I realized it seemed to...
Dr. Chen Bingze Reply:
Hello, may I ask if I have not already replied to you?[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs