Understanding Hemorrhoids: Infection Risks and Management Tips
Hemorrhoid-related issues? Hello Doctor, I have been experiencing discomfort due to swelling and pain from hemorrhoids, and there is some skin breakdown, so I am paying more attention to cleanliness in that area. I am also concerned about the possibility of infection. I would lik...
Dr. Zhang Shuhao Reply:
1. The broken skin of hemorrhoids is not easily infected by direct contact with bacteria. It is understandable that feces contain bacteria, but even with broken skin or bleeding from hemorrhoids, there are typically no signs of infection following bowel movements. 2. Similarly,...[Read More] Understanding Hemorrhoids: Infection Risks and Management Tips
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming Reply:
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Suspected rectal prolapse? A small piece of tissue about 2 centimeters in size protrudes during bowel movements, but it disappears after a while. There is no pain or bleeding, and I am not straining during bowel movements, but it occurs every time I have a bowel movement.
Dr. Chen Ronghong Reply:
Hello RURU, the likelihood of young people experiencing rectal prolapse is low. Given your age and description, it is more likely that you are experiencing internal hemorrhoid prolapse. Conservative treatment includes increasing fluid and fiber intake to avoid constipation, and w...[Read More] Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
The anal area resembles hemorrhoids? Hello doctor, there is a swollen tissue outside my anus, and I'm not sure if it's hemorrhoids. It protrudes when I relax, but it doesn't hurt and there is no bleeding. I also haven't experienced any bleeding after bowel mov...
Dr. Zhang Shuhao Reply:
The image shows a mixed hemorrhoid (with a milder external hemorrhoid, primarily consisting of internal hemorrhoids). After bowel movements, there may be slight prolapse. If there is no acute onset of swelling, pain, or bleeding, no special treatment is necessary. Regular care ca...[Read More] Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
Blood When Wiping: Should You See a Doctor for Anal Pain?
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions In the morning, there was a strong urge to have a bowel movement. While using the toilet, I noticed a small amount of bright red bloo...
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] Blood When Wiping: Should You See a Doctor for Anal Pain?
Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoid issues Hello Doctor, about a year ago I noticed a lump at the anal opening. At that time, I was experiencing severe constipation and it would bleed. Over the past year, I have slightly improved my constipation habits, and I haven't had any bleeding since. However,...
Dr. Zhang Shuhao Reply:
If internal hemorrhoids prolapse and require manual reduction, it is classified as grade III hemorrhoids. Conditions such as constipation, diarrhea, staying up late, and consuming spicy foods or alcohol can exacerbate hemorrhoid symptoms, making bleeding, swelling, and pain more ...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements, as well as pain when wiping, can indicate conditions such as anal fissures, hemorrhoids, or other anal disorders. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? I expe...
Dr. Zhang Shuhao Reply:
Pain in the anus that feels like being cut with a knife during and after bowel movements is a typical symptom of anal fissures. This condition is often caused by excessive straining during defecation, leading to tears in the anal canal. Taking warm sitz baths and applying topical...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Anal itching, timing for sitz baths? Hello, doctor. I am a university student and have been experiencing symptoms of anxiety and obsessive cleanliness, which become particularly severe during stressful times. Recently, due to midterm exams, my compulsive cleaning behaviors intens...
Dr. Zhang Shuhao Reply:
1. When the anus itches due to excessive cleaning, a sitz bath is not necessary; rinsing with cold water is sufficient. 2. The use of medication three to four years ago is less related to current symptoms; anal pruritus is more associated with allergies, environmental factors, ...[Read More] Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Essential Tips for Post-Surgery Sitz Baths and Bowel Habits
Continuation of question #189135? Thank you for your response, Doctor. I still have some questions to ask: 1. Do I need to add any medications to the warm water sitz bath? What are the recommended frequency and duration? Today, I used warm water, taking a sitz bath in the mornin...
Dr. Zhang Shuhao Reply:
1. Warm water sitz baths do not require the addition of any medications; each session can last 5-10 minutes, and it is recommended to take 2-3 baths a day, with the option to take more if time allows. 2. The main goal is to shorten the time spent in the restroom and to avoid stra...[Read More] Essential Tips for Post-Surgery Sitz Baths and Bowel Habits
Managing Chronic Anal Fissures: Effective Solutions and Concerns
Recurrent anal fissures? I have been experiencing recurrent anal fissures for almost two years now. Each time they occur, they heal within a few days, averaging about once a month. They usually happen when my stools are relatively large and hard, and seeing them makes me feel ver...
Dr. Zhang Shuhao Reply:
1. The best way to improve the situation is to avoid constipation, allowing the wound to heal completely. Increasing fluid and dietary fiber intake, taking warm sitz baths, and avoiding excessive straining during bowel movements can help. 2. If the wound has not healed after eigh...[Read More] Managing Chronic Anal Fissures: Effective Solutions and Concerns
How to Prevent and Manage Anal Fissures and Related Symptoms
How to improve or prevent anal fissure bleeding? Hello, Doctor. (1) A few years ago, I had anal fissures and hemorrhoids and received treatment at the hospital, and I have since recovered. However, I have noticed that during anal intercourse with my partner, there is a high likel...
Dr. Zhang Shuhao Reply:
1. If you have previously experienced anal fissures, it is essential to use ample lubrication and gradually dilate the anus before anal intercourse. Insertion should only occur when the anal sphincter is completely relaxed. If you experience sharp pain during the process (the pai...[Read More] How to Prevent and Manage Anal Fissures and Related Symptoms
Understanding Hemorrhoids: When to Seek Surgical Intervention
Hemorrhoid issues Hello Dr. Chang: I have had hemorrhoids since childhood due to constipation, but I only feel discomfort during times of staying up late or when I have a lot of heat in my body. It usually resolves itself within a day or two. Occasionally, I experience bleeding d...
Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can provide relief. It is important to maintain good lifestyle habits to prevent recurre...[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention
Understanding Hemorrhoids: When to Seek Surgical Intervention
Hemorrhoid issues Hello Dr. Chang, I have had hemorrhoids since childhood due to chronic constipation, but I only feel discomfort during times of staying up late or experiencing stress, which usually resolves on its own within a day or two. Occasionally, I experience rectal blee...
Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can help alleviate the symptoms. It is important to maintain good lifestyle habits to pr...[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention
Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Regarding fecal occult blood testing? Hello, Doctor: I would like to ask you a few questions: 1. I often experience constipation and have difficulty with bowel movements. Therefore, around July of this year, I paid out of pocket for a fecal occult blood test. However, I was takin...
Dr. Zhang Shuhao Reply:
1. A positive fecal occult blood test indicates a high likelihood of polyps or colorectal lesions, but it should only be used as a screening tool and not as a diagnostic instrument. 2. It is not recommended to repeat the fecal occult blood test; if gastrointestinal symptoms are p...[Read More] Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Understanding Stage 2 Hemorrhoids: Treatment Options and Concerns
Treatment of Internal Hemorrhoids Symptoms: Grade 2 internal hemorrhoids, no bleeding, but during bowel movements, if prolonged (2-3 minutes), a small portion may protrude and then retract. However, if the bowel movement is smooth, it does not protrude. Question 1: After the co...
Dr. Chen Ronghong Reply:
Hello Brian, Question 1: Second-degree hemorrhoids have already experienced mucosal and vascular prolapse. Conservative treatment can improve symptoms and severity, but it is difficult to revert to first-degree. Question 2: You can still engage in weight training; just rememb...[Read More] Understanding Stage 2 Hemorrhoids: Treatment Options and Concerns
Understanding Stool Shape Changes: Is It Hemorrhoids or Something More?
Stool shape? Hello, doctor. I have a history of both internal and external hemorrhoids. Recently, about three weeks ago, I experienced some constipation, which made me pay more attention to my condition. I noticed that after bowel movements, there is swelling at the anal opening ...
Dr. Chen Ronghong Reply:
Hello, Lao Wu. You mentioned that the shape of the stool has grooves. The most direct way to assess this is through a digital rectal examination performed by a physician, which can help detect any tumors or internal hemorrhoids in the lower rectum. Additionally, a fecal occult bl...[Read More] Understanding Stool Shape Changes: Is It Hemorrhoids or Something More?
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Could you please tell me if it is hemorrhoids? Hello, doctor: I would like to ask about my bowel habits, which are usually normal. I eat spicy food about once a week. Sometimes, to keep clean, I wipe my bottom and notice some blood on the toilet paper. One day, I had abdominal pa...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a small thrombosed external hemorrhoid. If it has gradually decreased in size, no special treatment is necessary. It is recommended to temporarily avoid spicy and irritating foods and to prevent constipation. Warm sitz baths can also ...[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Understanding Discomfort Around the Anus: Causes and Solutions
There is a soreness in a specific area around the anus? Yesterday, after having a bowel movement, I didn't feel much. However, after sitting in my room, I started to feel a soreness around the area near my anus. When I pressed on it, I found a point that felt sore when press...
Dr. Zhang Shuhao Reply:
The cause of localized soreness may be due to injury or fatigue of the sphincter muscle. A small percentage may be attributed to deeper anal abscesses, which may not be visible externally but present as soreness. It is recommended to take warm sitz baths to help relax, avoid cons...[Read More] Understanding Discomfort Around the Anus: Causes and Solutions
Chronic Anal Fissures: Impact on Bowel Health and Healing
Anal fissure. Bowel habits? 1. Based on your description, it sounds like you may be experiencing chronic anal fissures. Chronic anal fissures are defined as fissures that persist for more than eight weeks and can cause recurring pain and discomfort. 2. If the fissures have not h...
Dr. Zhang Shuhao Reply:
Acute anal fissures typically heal within about a week if the wound is allowed to rest properly. However, if the affected area is repeatedly injured and symptoms persist for more than six weeks, it is classified as a chronic anal fissure. This may be due to tight anal sphincter m...[Read More] Chronic Anal Fissures: Impact on Bowel Health and Healing
Blood in Stool: Is It Related to My Recent Hemorrhoid Banding?
Blood in the stool? Hello Doctor, I have been experiencing bowel movements with blood for four consecutive days this week. One day, the blood was at the front of the stool, and today it was in the middle of the stool, both times just a small amount that seemed to be attached to t...
Dr. Ke Fangxu Reply:
Mild bleeding after hemorrhoid ligation is a normal occurrence; as long as there is no significant bleeding, there is no need to rush back for a follow-up appointment. The rubber band has likely already fallen off, but even if it hasn't, there is no need to worry excessively...[Read More] Blood in Stool: Is It Related to My Recent Hemorrhoid Banding?