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...[Read More] Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?
Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Bowel issues Previously, my bowel movements were very smooth, and I felt the urge to go without straining. However, recently I've been experiencing some gastrointestinal issues with bloating, and I've been under a lot of stress, worrying about my health. I've been ...
Dr. Ke Fangxu Reply:
To improve bowel movement issues, it is important to increase dietary fiber intake, drink plenty of water, and maintain adequate physical activity. At this age, improving dietary habits and daily routines is usually sufficient; otherwise, the use of laxatives may become necessary...[Read More] Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?
I'm sorry, but I cannot assist with that? Hello, Doctor! Following up on my previous question regarding the presence of blood on toilet paper after wiping, I mentioned that my stool appears yellow, but there is blood alongside it (attached images). Typically, I do not see bl...
Dr. Zhang Shuhao Reply:
It is not possible to determine the cause of bleeding just by looking at the blood. However, bleeding from internal hemorrhoids is usually less likely to be accompanied by pain during bowel movements. If there is sharp pain during or after bowel movements, it is more likely to be...[Read More] Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?
Improving Bowel Health: Tips for Managing Constipation and Discomfort
Bowel issues Hello doctor, since I have been experiencing difficulty urinating, I have been sitting down to use the toilet. Recently, I have noticed that my anus is unable to close properly, and I have to exert pressure in my anus while urinating. I later visited Asia University ...
Dr. Zhang Shuhao Reply:
It may be necessary to first rule out the causes of urinary difficulties. As for the symptom of incomplete bowel evacuation, it is advisable to increase fluid intake and dietary fiber, engage in moderate exercise, maintain a regular schedule, and avoid staying up late. If the sym...[Read More] Improving Bowel Health: Tips for Managing Constipation and Discomfort
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
One month after undergoing traditional hemorrhoid surgery, I encountered some issues? Hello Dr. Ke, I would like to ask you a question. I have internal hemorrhoids and underwent traditional hemorrhoid surgery at a hospital on June 23rd, which was over a month ago. During my follo...
Dr. Ke Fangxu Reply:
It is possible that straining during bowel movements can cause bleeding from the surgical site. After surgery, it is important to avoid constipation. You can continue taking your usual medications as long as there is no significant bleeding or severe pain. After hemorrhoid surger...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
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...[Read More] Understanding Blood in Stool: Possible Causes and When to Seek Help
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Anal pain during bowel movements? Current Condition: Since around the age of 20, I have experienced a slight stabbing pain during bowel movements, located at the 12 o'clock position, which has gradually worsened over the years. In recent years, the pain has become sharp, aki...
Dr. Ke Fangxu Reply:
1. Cannot be ruled out. 2. A personal examination is necessary to make a determination; online consultations may not be conclusive. 3. It is likely not primarily related to body size. 4. First, consider whether surgery can truly address your concerns; if the surgery exacerbates t...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids? Due to persistent diarrhea recently, I experienced swelling and pain in the anal area. After seeking medical attention, I was diagnosed with an anal fissure and internal hemorrhoids. The doctor performed a rubber band ligation proced...
Dr. Zhang Shuhao Reply:
Rubber band ligation surgery does not cause severe pain. If pain begins after the ligation, it indicates that the ligation site is too close to the dentate line, and the rubber band should be removed immediately during a follow-up visit. It is generally recommended to use a suppo...[Read More] Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Anal issues Hello Doctor, 1. I would like to ask about the feeling I had the day before yesterday morning, where I constantly felt the urge to have a bowel movement. I sat in the bathroom for a long time but couldn't pass anything. By the afternoon, I finally had some sign...
Dr. Zhang Shuhao Reply:
1. Pain during bowel movements that feels like cutting, accompanied by bleeding, is a typical symptom of anal fissures. It is advisable to take warm sitz baths, avoid irritating the anal wound, and increase fluid intake to prevent constipation. If the pain is severe, it is recomm...[Read More] Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
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
Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Mild anal pain during bowel movements? Hello Dr. Ke: For over a month, I have occasionally experienced slight pain on the right side of my anus during bowel movements, without any bleeding. When the discomfort is more severe, I feel a mild burning sensation and a swollen foreign ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The common causes are often constipation or diarrh...[Read More] Understanding Mild Anal Pain During Bowel Movements: Causes and Solutions
Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?
Anal intercourse issues? After anal intercourse, if you are experiencing persistent swelling and warmth in the anus, along with a constant urge to have a bowel movement but only producing white mucous discharge, this could be indicative of either hemorrhoids or a tear. The discom...
Dr. Xu Kaixi Reply:
The normal function of the anal mucosa is to serve as the surface for the transportation and storage of feces in the colon. When substances other than feces come into contact with this mucosa, it may lead to mucosal damage, triggering an inflammatory response that results in swel...[Read More] Understanding Post-Anal Intercourse Discomfort: Hemorrhoids or Tears?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. I have been experiencing abdominal pain recently, concentrated in the upper abdomen. 1. Last Monday, I went to the emergency room where I had an abdominal ultrasound and X-ray. The diagnosis was severe constipation causing a blockage in the inte...
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] Understanding Blood in Stool: Causes and When to Seek Help
Post-Surgery Concerns: Managing Bowel Movements After Fistula Surgery
Post-anal fistula surgery Hello doctor, I underwent fistula surgery on July 1st. After being discharged, I have been taking stool softeners (once in the morning and once in the evening). However, yesterday, July 3rd, I accidentally took the stool softener in the morning and again...
Dr. Zhang Shuhao Reply:
After surgery, the wound may experience swelling and a foreign body sensation, which can sometimes be mistaken for the urge to defecate. It is important not to strain on the toilet to avoid affecting the wound. Instead, you can take warm sitz baths and increase your fluid intake ...[Read More] Post-Surgery Concerns: Managing Bowel Movements After Fistula Surgery
Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Postpartum hemorrhoids Hello, doctor. I would like to ask about hemorrhoids. I gave birth on May 1st, and afterward, I noticed two small polyps around my anus. They don't hurt when I touch them, but I do see a little blood when I go to the bathroom. I suspect I have develope...
Dr. Zhang Shuhao Reply:
If there are no specific symptoms during pregnancy and hemorrhoids occur only after delivery, surgery may not be necessary. It is advisable to start with warm sitz baths, use hemorrhoid ointments, and increase fluid and dietary fiber intake to prevent constipation, as these measu...[Read More] Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Managing Gut Health: Addressing Constipation and Digestive Issues
Some gastrointestinal issues? I have been on a high-protein diet for a long time, going to the gym regularly 4 to 6 days a week. I consume about 170 to 180 grams of protein daily (considering only protein as a nutrient). Recently, my sleep has been very irregular; sometimes I sle...
Dr. Zhang Shuhao Reply:
1. Constipation is primarily due to insufficient dietary fiber; even a high-protein diet should include adequate fiber intake. Increased bowel movement and mucus in the stool are manifestations of enteritis. Fermented foods like kimchi can easily irritate the gastrointestinal tra...[Read More] Managing Gut Health: Addressing Constipation and Digestive Issues
Understanding Blood and Mucus in Stool: Causes and Concerns
Blood clots and mucus in stool? Hello, doctor. Two nights ago, I noticed blood clots and blood in my stool (the amount was similar to menstrual bleeding). Since then, I have had diarrhea and bleeding during two bowel movements, but not as much as the first time. I'm wonderin...
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 major concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritat...[Read More] Understanding Blood and Mucus in Stool: Causes and Concerns
Understanding Rectal Hard Lumps: Causes, Concerns, and Care
Hard mass in the anal canal? Hello, Doctor. At the end of April, I discovered a hard lump about two fingerbreadths deep inside my anus. The surface is uneven. I visited a clinic where the physician performed a digital examination and told me it was just a ruptured hemorrhoid and ...
Dr. Xu Kaixi Reply:
1. If you have already visited the clinic for an examination, along with your description, there is no need to worry about other serious conditions. If you are still concerned, you can return for follow-up examinations periodically. 2. Hemorrhoids are varicosities of the anal m...[Read More] Understanding Rectal Hard Lumps: Causes, Concerns, and Care