Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Fecal incontinence after fistula surgery? Hello, doctor. Today is the 9th day since I had my fistula surgery. Since the surgery, whenever I sit for a longer period, I feel something coming out from my anus. Each time I remove the dressing to check, I notice that not only is there...
Dr. Zhang Shuhao Reply:
After the fistula surgery, pain and swelling at the surgical site may affect the sensation of bowel movements. If the stool is relatively loose at this time, there may be a feeling of incontinence. If the patient does not typically experience constipation, there is no need for st...[Read More] Post-Surgery Concerns: Understanding Fecal Incontinence After Fistula Repair
Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
How can we prevent or check for the formation of a fistula in cases of chronic anal fissures lasting more than five years? I understand that chronic anal fissures, which can lead to the formation of fistulas, are considered a high-risk factor. However, before making the decision ...
Dr. Zhang Shuhao Reply:
If there is no swelling, pain, bleeding, or purulent discharge from the anus, there is no need for a special internal examination. It is advisable to increase fluid intake and dietary fiber to prevent constipation, reduce the time spent in the restroom, and if there is pain after...[Read More] Preventing Fistula Formation in Chronic Anal Fissures: Self-Check Tips
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 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
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?
Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Severe anal spasms and constipation after hemorrhoid surgery? Hello Doctor, I just had a hemorrhoidectomy on Thursday, and until today, Sunday, I have had no urge to have a bowel movement and cannot pass stool. I have been using sitz baths before attempting to have a bowel moveme...
Dr. Ke Fangxu Reply:
In theory, the use of a tissue coagulator should not result in such phenomena. It is advisable for you to consult the surgeon again without worrying about the appointment time and to seek medical attention promptly. Regardless of the type of surgery, it is essential to avoid cons...[Read More] Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
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
Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Blood in the stool with a sensation of anal discomfort? Today at home, I felt the urge to have a bowel movement while watching a video. I decided to stand up and hold it in. About ten minutes later, I noticed blood running down my thigh. When I checked, my buttocks were covered i...
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] Blood in Stool: Should You Seek Medical Attention for Rectal Bleeding?
Blood After Wiping: Understanding Causes and Precautions
There is blood when wiping after using the toilet? Hello Doctor: I have undergone hemorrhoid surgery three times and often experience anal fissures, but I haven't had an episode for a while. However, after using the restroom these past two days, I wiped twice without any blo...
Dr. Zhang Shuhao Reply:
Bleeding during a rotational wipe may be due to friction against the surface of hemorrhoids, causing minor bleeding, or it could be that the rotation is more likely to irritate internal hemorrhoids, leading to bleeding. If there are no other discomforts, it should be fine; you ca...[Read More] Blood After Wiping: Understanding Causes and Precautions
Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Can chronic anal fissures lead to the formation of ulcers or fistulas? I have had an anal fissure for five years, and it has never been excruciating. Recently, I visited a major hospital and noticed the issue of a fistula. 1. I would like to know if a chronic anal fissure can lea...
Dr. Xu Kaixi Reply:
1. Chronic anal fissures and fistulas do not have a direct causal relationship. 2. The management of anal fissures primarily involves maintaining a regular lifestyle, adopting good dietary habits to prevent constipation, and using warm sitz baths. If there is no improvement over ...[Read More] Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Managing Anal Pain: Understanding Fissures and Hemorrhoids
Anal fissure Three months ago, I had an anal fissure (with blood when wiping after using the restroom). It finally improved a bit by mid-February (but there is still some sharp pain when using the restroom, no blood, just not in pain all day). However, recently, for some unknown ...
Dr. Ke Fangxu Reply:
If hemorrhoids are large enough that they need to be manually pushed back in, surgical treatment is generally recommended as it tends to yield better results. If there is no improvement with medication, it is best to consult a physician to discuss the necessity of surgery.[Read More] Managing Anal Pain: Understanding Fissures and Hemorrhoids
Soft Swelling Near Anus During Bowel Movements: Causes and Solutions
Soft lumps on both sides of the anus during straining? Recently, I have been experiencing a feeling of constipation when using the restroom. When I looked in the mirror, I noticed that the areas around my anus appeared swollen and felt soft to the touch; they retract when I relax...
Dr. Ke Fangxu Reply:
This situation is likely due to hemorrhoidal swelling, which can be caused not only by constipation but also by diarrhea. It is recommended to avoid both constipation and diarrhea by increasing your intake of dietary fiber and shortening the time spent on the toilet. This can hel...[Read More] Soft Swelling Near Anus During Bowel Movements: Causes and Solutions
Understanding Painful Bowel Movements: Causes and Treatments
Recurrent sharp pain and bleeding during bowel movements? I had been taking weight loss pills for 2-3 years, which led to constipation. Recently, when I had a bowel movement, my stool seemed very hard, and the moment I exerted myself, it felt like I was being cut with a knife, ca...
Dr. Yu Mingchang Reply:
There is a higher possibility of anal fissures, so it is advisable to consult a colorectal specialist.[Read More] Understanding Painful Bowel Movements: Causes and Treatments
Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Stool mixed with blood? Hello, doctor. I usually experience constipation, having a bowel movement every 3-4 days, and the stools are typically hard and pellet-like. I have had internal hemorrhoids for a long time, and my bowel habits have not changed significantly. However, I rec...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 26 is not zero, but generally, it is very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and grea...[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?
How to Differentiate Between Fistula and Hemorrhoids Symptoms
How to differentiate between a fistula and hemorrhoids? Hello, doctor. Recently, I have been experiencing a small amount of foul-smelling liquid leaking from my anus. However, upon examining my anus with a mirror, I did not notice any signs of a fistula (there is no redness, swel...
Dr. Zhang Shuhao Reply:
Anal fistulas and hemorrhoids can occur simultaneously, but the presence of foul-smelling discharge from the anus is not necessarily caused by a fistula. Fistulas typically form after inflammation and swelling, and there may be an external opening on the skin, often accompanied b...[Read More] How to Differentiate Between Fistula and Hemorrhoids Symptoms
Soft Growth Near Anus: Causes and When to Seek Surgery
There are small lumps near the anus? Hello Doctor, I have been experiencing constipation for a long time, and recently I noticed a soft lump near my anus, approximately 0.5 to 1 cm in size. It is very soft, and there is no sensation when I press or touch it. There is no bleeding ...
Dr. Zhang Shuhao Reply:
A painless lump near the anus is most commonly hemorrhoids or skin tags. If there are no symptoms, treatment may not be necessary. However, if there is bleeding, discharge, swelling, hard lumps, or noticeable changes in size, it is advisable to seek medical evaluation. If the ben...[Read More] Soft Growth Near Anus: Causes and When to Seek Surgery
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? A few days ago, the doctor noticed that the stool was harder than usual, and there was blood when wiping afterward. In recent days, there has also been blood on the tissue after bowel movements. The blood is bright red but not mixed in with the stool; it is on...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, 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 volume of blood, usu...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Hemorrhoid issues Doctor, I’ve heard that everyone has hemorrhoids to varying degrees, and asymptomatic hemorrhoids are considered normal physiological tissue. I previously experienced constipation and anal fissures, but they were not severe enough to require treatment. A few day...
Dr. Ke Fangxu Reply:
If hemorrhoids are not accompanied by bleeding or pain, there is generally no reason for aggressive treatment. Swelling is often related to prolonged bowel movements. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Spicy and...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Management Tips
Understanding Rectal Issues: Blood in Stool or Digestive Problems?
Colorectal issues In recent weeks, I have noticed that my stool contains something resembling red chili flakes after bowel movements. I usually experience constipation, and my bowel habits have not changed significantly. Occasionally, I feel a dull sensation in my lower left abdo...
Dr. Zhang Shuhao Reply:
If the red, flat lesions are mostly related to food residues, you can observe whether there is black stool or brick-red stool, and whether there is accompanying anal pain during bowel movements, as well as symptoms like bloating or abdominal pain. If these symptoms persist, it is...[Read More] Understanding Rectal Issues: Blood in Stool or Digestive Problems?