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 showering, I noticed a slightly soft small lump on the right side of my buttocks near the anus. I didn't think much of it until I got to college, when I realized it seemed to be getti...
Dr. Chen Bingze Reply:
Hello, this location is quite special; it could be a lipoma, an epidermoid cyst, or something else. It needs to be excised and examined to determine what it is. Allowing it to grow larger could lead to more complications. Any surgery will leave a scar, but most of these procedure...[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs
Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is rectal bleeding due to hemorrhoids or colon cancer? Recently, I have noticed some changes in my bowel habits; sometimes I have a bowel movement, and sometimes I don't (possibly due to not eating vegetables?). I do not have a regular schedule for bowel movements, but I als...
Dr. Zhang Shuhao Reply:
Rectal bleeding in young individuals is often due to hemorrhoids or anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal clinic for evaluation. A digital rectal e...[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Is rectal bleeding from hemorrhoids or colorectal cancer? Recently, my bowel habits have changed; sometimes I have a bowel movement and sometimes I don't (possibly due to not eating vegetables?). I don't have a regular bowel schedule, but I don't experience the urg...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young individuals is often due to anal conditions such as hemorrhoids and anal fissures; however, colorectal cancer can also present with similar symptoms, making it difficult to distinguish between them. It is recommended to visit a colorectal ...[Read More] Is Rectal Bleeding a Sign of Hemorrhoids or Colon Cancer?
Understanding Lipomas: When to Consider Surgical Removal and Costs
Hello, I would like to inquire about lipomas? I apologize, but I discovered a small, slightly soft lump on the right side of my buttocks, near the anus, while showering in high school. I didn't think much of it until I got to college, when I realized it seemed to be getting ...
Dr. Chen Bingze Reply:
Hello, this location is quite special; it could be a lipoma, an epidermoid cyst, or something else. It needs to be excised and examined to determine what it is. Allowing it to grow could lead to more complications. Any surgery will leave a scar, but most of these procedures are c...[Read More] Understanding Lipomas: When to Consider Surgical Removal and Costs
Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
It has been over a year since the hemorrhoid surgery, and I am experiencing difficulty with bowel movements and a lack of sensation during defecation? Hello Doctor, after my hemorrhoid surgery last year following the Lunar New Year (the doctor mentioned that a significant amount ...
Dr. Zhang Shuhao Reply:
Postoperative difficulty in bowel movements after hemorrhoid surgery may be due to sensory or structural abnormalities. Sensory abnormalities occur when nerve endings are damaged, leading to an inability to accurately perceive the urge to defecate, which typically improves gradua...[Read More] Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
Sudden Increase in Hemorrhoid Size: What You Need to Know
The hemorrhoid suddenly increased in size by four times? I have a spinal cord injury and am paralyzed with no sensation in my body. I have stage 4 mixed hemorrhoids, and after a bowel movement, there was a swelling about the size of a thumb. Once, I had a hard stool that got stuc...
Dr. Yu Mingchang Reply:
Hello: The Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, is concerned about you regarding hemorrhoid surgery.[Read More] Sudden Increase in Hemorrhoid Size: What You Need to Know
Understanding Dizziness and Bright Red Blood in Stool: When to Seek Further Evaluation
Dizziness, hematochezia? Hello, Dr. Chang. I usually have a daily bowel movement. One night, I suddenly experienced mild dizziness without abdominal pain or other symptoms. The next morning, I had a bowel movement (soft stool) that was accompanied by bright red blood, which was e...
Dr. Zhang Shuhao Reply:
The bleeding point of bright red blood in the stool may exceed the detection range of a digital rectal exam and colonoscopy. However, given your age, the likelihood of colorectal lesions is lower. If you have internal hemorrhoids, the treatment for that condition should be priori...[Read More] Understanding Dizziness and Bright Red Blood in Stool: When to Seek Further Evaluation
Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Black protruding soft tissue near the anus? Hello, I noticed a protruding soft tissue near my anus while showering. It is black in color, and I can push it inward with my hand, but it pops out again when I release it. It causes a sharp pain when sitting for a long time. I would l...
Dr. Zhang Shuhao Reply:
1. At the moment of pain, you can take a warm sitz bath, ensuring that the entire pelvic area is submerged, which can promote blood circulation and help reduce swelling more quickly. 2. If you need to go to the pharmacy for medication, you can purchase hemorrhoid ointment and ora...[Read More] Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu Reply:
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Blood in the stool Hello, Doctor. Recently, I experienced blood in my stool and consulted a colorectal surgeon. Through a digital rectal exam and anoscopy, it was determined that I have mild internal hemorrhoid bleeding. I am currently using an ointment and suppositories, and I a...
Dr. Ke Fangxu Reply:
1. If there is no bleeding, it is not necessary to continue using it. 2. A small amount of bleeding can also be monitored; it does not necessarily require daily use. 3, 4. An anal fistula is a complication of an anal abscess and is not related to hemorrhoids.[Read More] Understanding Rectal Bleeding: Treatment and Infection Risks of Hemorrhoids
Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Perianal mass Hello, doctor. I have a hard lump about 4 cm outside the anus that has been present for about a year. Last month, it suddenly became a bit red and swollen, but after a week, it returned to being a smooth hard lump. I did not experience any symptoms of an abscess, so...
Dr. Zhang Shuhao Reply:
A sebaceous cyst originates from inflammation of the sebaceous glands and subcutaneous tissue, while an anal fistula arises from inflammation of the anal glands. Therefore, an anal fistula is connected to the rectum, and as long as the connecting passage is not excised, recurrenc...[Read More] Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Liver abscess due to bacterial infection of the colon? Hello, Dr. Hsu: I would like to ask if having a history of bacterial infection in the colon and rectum, which led to the bacteria spreading to the liver and resulting in an amoebic liver abscess that required drainage surgery...
Dr. Xu Kaixi Reply:
Currently, there is no significant evidence showing a correlation between amoebic liver abscess and colorectal cancer.[Read More] Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Can You Get Genital Warts from Contaminated Exam Tables?
Cauliflower infection Hello, doctor. I have a problem with anal polyps and went to see a colorectal surgeon. However, during the examination, I noticed that there was fluid left by a previous patient on the examination table where there was no paper covering. The nurse also did n...
Dr. Ke Fangxu Reply:
It should be fine. First, the previous patient may not necessarily have had genital warts. Second, such brief contact is not likely to lead to transmission. Third, the fluid you observed may not necessarily be bodily fluid left by the previous patient, so there is no need to worr...[Read More] Can You Get Genital Warts from Contaminated Exam Tables?
Understanding Fistula Issues: When to Observe or Consider Surgery?
Fistula issues, inquiry supplement 192905? Hello, doctor (the previous inquiry number is 192905). Today, a general surgical ultrasound was performed on the elongated mass extending from the area beside the anus to the thigh and perineal angle down to below the scrotum. The hard m...
Dr. Ke Fangxu Reply:
If it is not connected to any cavities, it may not be an anal fistula. If there is no pain, swelling, or inflammation, it can indeed be observed further. However, if you want to completely resolve this issue, surgical intervention may be necessary. If it is a fistula, it would re...[Read More] Understanding Fistula Issues: When to Observe or Consider Surgery?
Understanding Anal Itching: When to See a Specialist for Relief
Occasional itching in the anal area? The symptoms have persisted for nearly a month. Initially, I thought it was due to irregular sleep patterns, dietary issues, and some stress, so I made adjustments and changes. Although the frequency of itching has decreased, it still occurs o...
Dr. Zhang Shuhao Reply:
Anal itching accompanied by discharge requires the exclusion of issues such as hemorrhoids or fistulas. It is recommended to visit a colorectal clinic for examination. During this time, avoid high water temperatures while bathing, and refrain from using bath products containing f...[Read More] Understanding Anal Itching: When to See a Specialist for Relief
Understanding Anal Fistulas: When to Seek Medical Attention
Fistula inquiry Hello, doctor. I found a case similar to mine on a Chinese medical website... I would like to consult with you. I also have an elongated hard mass, approximately 6mm in diameter and about 30mm in length. It can be felt extending from the area next to the anus, fro...
Dr. Ke Fangxu Reply:
Due to the hospital's IP restrictions, I cannot access the information you provided. However, each patient is unique, and whether your issue is a fistula can only be determined by a physician's examination. Based on your description, it does seem quite similar. I recomm...[Read More] Understanding Anal Fistulas: When to Seek Medical Attention
Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Hemorrhoid issues Hello Dr. Chang, I consulted you yesterday regarding the sharp pain and itching after bowel movements, along with a discharge of slightly yellow fluid. Today, I visited the outpatient clinic, and the doctor performed a digital examination, stating that it does n...
Dr. Zhang Shuhao Reply:
If you had a colonoscopy last year, there is no need to repeat it this year. You can start with the medications prescribed by your doctor, and also perform warm sitz baths, reduce the use of irritating bathing products, and increase your intake of fluids and dietary fiber. Genera...[Read More] Understanding Hemorrhoids: Symptoms, Diagnosis, and Treatment Options
Understanding Anal Masses: When to Seek Medical Attention
Anal mass Doctor, for the past couple of months, I've been experiencing severe diarrhea, and a day or two afterward, I feel pain in an area about two finger widths from the anus when sitting down. When I touch it, there seems to be a hard lump, but there is no noticeable red...
Dr. Zhang Shuhao Reply:
A lump near the anus after diarrhea, aside from hemorrhoids, can sometimes be caused by an inflamed fistula or an abscess. During an episode, it is advisable to take warm sitz baths and apply ointment. If there is no improvement, it is recommended to visit a colorectal clinic for...[Read More] Understanding Anal Masses: When to Seek Medical Attention
Understanding Rough Bumps Around the Anus: Causes and Solutions
There are rough nodules in the anal canal? After using the restroom, I wash with clean water and recently noticed some tissue protruding from the anal area. I felt several rough, sesame-sized bumps, about 4 to 5 of them lined up in a row. They are neither painful nor itchy. When ...
Dr. Zhang Shuhao Reply:
If the lesions are the size of rough sesame seeds, it is important to first assess for any concerns regarding contact infections, as viral infections can easily lead to clustered nodular lesions. If there is no infection, consider allergies, inflammation, or simple epidermal hype...[Read More] Understanding Rough Bumps Around the Anus: Causes and Solutions
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. For the past three days, I have been experiencing blood in my stool. The blood is separate from the stool, and it drips into the toilet when I have a bowel movement. What could be the issue? Do I need further examination?
Dr. Chen Jiaming Reply:
Based on your description, it is possible that hard stools are causing internal hemorrhoids or mucosal friction bleeding, and it may also lead to anal fissures. It is recommended to visit a colorectal surgery clinic for further evaluation. Additionally, increasing fluid intake (y...[Read More] Understanding Blood in Stool: Causes and When to Seek Help