Understanding External Anal Bumps: Causes and Treatment Options
Small growths or lumps around the anus? Hello doctor, I have a lump located about one centimeter from my anus. It is colorless, and it doesn't hurt when I touch it, but I feel significant pain when wiping or applying pressure. It feels and looks similar to a mosquito bite. A...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of requiring surgery afterward is quite high. It is important to observe the surrounding skin tissue for any redness, swelling, heat, pain, or discharge. ...[Read More] Understanding External Anal Bumps: Causes and Treatment Options
Understanding Black Stool After Surgery: Causes and Concerns
Postoperative black stools? Hello Doctor, I underwent traditional hemorrhoid surgery on September 28, and it has been 12 days since then. I have been taking a laxative called Lacto for constipation, 20ml once a day, but my stools have been consistently dark. On October 4, I had a...
Dr. Zhang Shuhao Reply:
1. If there is black stool without obvious bright red blood, it is likely caused by upper gastrointestinal bleeding, with the most common reason being bleeding from a gastric ulcer due to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In this case, taking magnesium oxi...[Read More] Understanding Black Stool After Surgery: Causes and Concerns
Understanding External Anal Growths: Causes and Treatment Options
External anal skin tag? Hello doctor, I have a lump about one centimeter from my anus that is colorless. It doesn't hurt when I touch it, but I feel significant pain when I wipe or apply pressure. It feels and looks similar to a mosquito bite. About two weeks before the lump...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for redness, swelling, heat, pain, and any discharge. T...[Read More] Understanding External Anal Growths: Causes and Treatment Options
Understanding External Anal Bumps: Causes and Treatment Options
A small growth or lump outside the anus? Hello doctor, I have a lump located about one centimeter from my anus. It is colorless, not painful to touch, but I feel significant pain when wiping or applying pressure. It feels and looks similar to a mosquito bite. About two weeks befo...
Dr. Zhang Shuhao Reply:
If it is hemorrhoids or skin tags, surgery may not be necessary. However, if it is an anal abscess or fistula, the likelihood of needing surgery afterward is quite high. It is important to observe the surrounding skin tissue for redness, swelling, heat, pain, and any discharge. F...[Read More] Understanding External Anal Bumps: Causes and Treatment Options
Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Bilateral S2 cysts Hello Dr. Lai: The MRI examination revealed cysts on both sides of S2, and I am experiencing symptoms such as perineal pain, which worsens when sitting (around the labia and urethral opening), lower back pain, pain in the buttocks on both sides of the groin, an...
Dr. Lai Zhaokang Reply:
Hello: 1. Cysts of the sacrum, predominantly affect females (85%). Most cases do not require surgery. Symptoms include pain in the corresponding lumbar, sacral, gluteal, and perineal regions, weakness, numbness, restlessness, and relief when lying flat or on the side. There may...[Read More] Understanding S2 Bilateral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Anal Swellings: Causes, Symptoms, and Treatment Options
External anal swelling? Hello doctor, I have a lump about one centimeter from my anus that is colorless and feels and looks similar to a mosquito bite. About two weeks before the lump appeared, I experienced constipation and some bleeding from the anus, but the lump was not prese...
Dr. Yu Mingchang Reply:
You can visit the outpatient clinic for evaluation.[Read More] Understanding Anal Swellings: Causes, Symptoms, and Treatment Options
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
Understanding Anal Fissures: Healing Time and Care Tips
Unsure if it is an anal fissure? Hello Doctor, on August 24th, I had hard stools that caused an anal fissure, resulting in bleeding. I immediately went to see a doctor, who confirmed it was an anal fissure. I also used the suppositories prescribed by the doctor for 14 days. I sto...
Dr. Xu Kaixi Reply:
After 14 days of treatment, the anal fissure has largely healed, and a slight stinging sensation is normal. To prevent future fissures, it is recommended to increase fluid intake and consume more fiber from fruits and vegetables to improve constipation, including issues with hard...[Read More] Understanding Anal Fissures: Healing Time and Care Tips
Recurring Hemorrhoids: When to Consider Surgery and Causes Explained
Recently, hemorrhoids have been recurring? Hello, doctor. For the past month, I've been experiencing hemorrhoids that keep changing positions; first at the 12 o'clock position, and then at the 6 o'clock position. Each time, the location is different. I've been...
Dr. Zhang Shuhao Reply:
The occurrence of hemorrhoids is related to lifestyle habits, diet, and individual constitution. Warm sitz baths and topical or oral medications can only alleviate symptoms; if the hemorrhoidal tissue is significantly enlarged, recurrence is inevitable. If hemorrhoid symptoms aff...[Read More] Recurring Hemorrhoids: When to Consider Surgery and Causes Explained
Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
A hard lump the size of a half green bean felt inside the anus? Recently, I felt a hard lump about the size of a fingertip in the anal area. It doesn't feel like a surface protrusion but rather a firm mass beneath the skin that is not painful and does not feel like a foreign...
Dr. Zhang Shuhao Reply:
1. Based on your description, it is most likely a thrombosed hemorrhoid, which is a lump formed by bleeding from the hemorrhoidal vessels under the skin. Warts typically present with localized lesions; tumors are very rare at your age. 2. Applying medication, taking warm sitz b...[Read More] Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Small Hard Lumps Near the Anus: When to Worry?
Small hard lump near the anus? Hello, doctor. At the beginning of August, I discovered a small hard lump next to my anus. It is not painful, does not appear swollen, and the surface of the skin is flat; I can only feel it when I press on it. At that time, I saw a doctor who diagn...
Dr. Zhang Shuhao Reply:
If it is an external hemorrhoid, medication can alleviate symptoms, but the protrusion may not completely disappear. Taking warm sitz baths can help, and improving lifestyle habits to avoid constipation is recommended. If discomfort persists, seek medical attention.[Read More] Understanding Small Hard Lumps Near the Anus: When to Worry?
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?
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 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
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...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
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 ...[Read More] Soft Lump Near Anus: What You Need to Know and Do
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...[Read More] Understanding a Small Lump Near the Anus: Causes and Concerns
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello Doctor: A few days ago, I noticed some black specks in my stool. After a few days, when I went to the bathroom, I saw some black specks along with a yellowish stool and some watery stool. Today, the stool is not as dark, only two pieces, but I noticed blood ...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding in young people are hemorrhoids or anal fissures. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also avoiding staying up late and drinking alcohol. If symptoms persist, a v...[Read More] Understanding Blood in Stool: Causes and When to Seek Help