Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Recurrence of hemorrhoids after surgery? Hello Dr. Ke: My husband underwent hemorrhoid surgery at National Taiwan University several years ago. Initially, everything was normal post-surgery, but due to severe anxiety over the past six months, he has experienced a loss of appetite...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is generally possible to remain symptom-free for up to ten years. However, if good bowel habits and dietary practices are not maintained, recurrence of symptoms within 1-2 years is also a common occurrence. Aiofuro is a type of venous constrictor and ...[Read More] Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Understanding Changes in Bowel Movements: When to See a Specialist
Colorectal issues Hello Doctor, for the past two months, my stools have been consistently thin, about 1.5 cm in width, and they are mostly short, around 8 cm long. Previously, my stools were thicker and longer, and I would often have multiple stools at once, including some that w...
Dr. Zhang Shuhao Reply:
For issues related to constipation and bowel movements, you can consult either a colorectal specialist or a gastroenterologist, as both specialties can perform colonoscopies. Rectal lesions can sometimes cause changes in stool shape, but most cases are related to dietary and func...[Read More] Understanding Changes in Bowel Movements: When to See a Specialist
Asymptomatic Anal Polyps: Should You Be Concerned?
Asymptomatic anal polyps? I noticed two small protrusions, approximately 0.2 to 0.3 centimeters in size, at the anal opening (when slightly spread apart). They are oval-shaped and have the same flesh-pink color as the surrounding anal tissue, and they are not painful. Currently, ...
Dr. Zhang Shuhao Reply:
A small protrusion that closely resembles the color of the mucosa is likely an anal papilla, while one that is closer to the color of the skin may resemble an anal skin tag. If there are no symptoms, treatment is not necessary. However, if symptoms such as pain, enlargement, pigm...[Read More] Asymptomatic Anal Polyps: Should You Be Concerned?
Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Post-banding bleeding after hemorrhoid banding? Hello, Doctor. I had a hemorrhoid ligation on October 11, and since then, I have not had a bowel movement until today, October 13. However, during today's bowel movement, there was some bleeding. Unlike the previous bleeding fr...
Dr. Ke Fangxu Reply:
After hemorrhoid ligation, it is indeed possible to experience slight bleeding. As long as there is no significant or continuous bleeding, it should not be a concern. If the stool is too hard after the procedure, this may exacerbate the issue. A follow-up visit is generally not n...[Read More] Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Understanding Rectal Bleeding: Is It Anal Fissure?
Blood in the stool? Hello, Doctor: I have previously experienced pain and bleeding from the anus due to hard stools. However, in the past few days, even when my stools are soft or loose, I still feel a sharp pain in the anus, and there is bright red blood on the toilet paper afte...
Dr. Zhang Shuhao Reply:
The sharp pain during and after bowel movements, accompanied by bleeding, is a typical symptom of anal fissure. It is advisable to take warm sitz baths, use topical ointments, and adjust your diet to prevent constipation. If you are concerned, you can seek medical attention for a...[Read More] Understanding Rectal Bleeding: Is It Anal Fissure?
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel issues Doctor, here are my symptoms: Since the summer vacation, I have been experiencing frequent diarrhea that has lasted a long time. Even as school was about to start, my diarrhea changed to constipation. Although the frequency of my bowel movements hasn't changed, ...
Dr. Chen Bingze Reply:
Hello, I understand that this may make you very anxious. The likelihood of developing colorectal cancer at your age is indeed very low. Experiencing both constipation and diarrhea is more indicative of irritable bowel syndrome. The presence of blood after a bowel movement may be ...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Understanding Your Symptoms: When to Consult a Neurosurgeon
Medical consultation Hello, I have been feeling persistently lethargic, primarily starting with a dizzy sensation from the back of my neck. I also experience chest pain, numbness in my big toe, occasional facial twitching (similar to eyelid twitching), frequent tinnitus, stomach ...
Dr. Zhang Junwei Reply:
You can schedule an appointment with the neurology department.[Read More] Understanding Your Symptoms: When to Consult a Neurosurgeon
Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
After undergoing a colonoscopy two weeks ago, the doctor diagnosed it as irritable bowel syndrome (IBS)? Two weeks ago, after my colonoscopy, the doctor said there were no abnormalities, no tumors or polyps, so he advised me not to worry too much. He suggested that I might have i...
Dr. Zhang Shuhao Reply:
If you have a higher intake of dietary fiber, your bowel movements may increase as well, which is fine as long as you don't experience abdominal discomfort. If you feel the urge to have a bowel movement shortly after finishing, it may be due to increased colonic motility, al...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Is pain during bowel movements a sign of anal fissure? Hello, doctor. I have both internal and external moles, and I have coexisted with them peacefully for a long time. However, after experiencing constipation and passing hard stools, I now have sharp pain during each bowel move...
Dr. Zhang Shuhao Reply:
Pain during or after bowel movements that feels like a knife cutting is a typical symptom of anal fissures. This is caused by tension in the sphincter muscle or excessive straining during defecation, leading to a tear. Some anal fissures may be accompanied by symptoms such as ana...[Read More] Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Perianal mass Hello Doctor, I have recently noticed a small hard lump at the very front of my anus (closest to the genital area). I'm not sure what it is. I don't feel any pain when standing or sitting, as long as I don't touch it, but I do feel some discomfort whe...
Dr. Zhang Shuhao Reply:
A sudden lump appearing at the anus is most commonly a thrombosed hemorrhoid, which is generally referred to as an exacerbation of hemorrhoids. This condition arises when the blood vessels within the hemorrhoid become compressed, leading to subcutaneous bleeding and swelling, whi...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Should You See a Surgeon for a Lump Near the Anus?
Spherical mass near the anus? About a month ago, I discovered a round lump while taking a shower, approximately 1.2 centimeters in diameter. I have a habit of sitting for long periods, and it usually doesn't hurt. However, sometimes when I sit on a hard chair and accidentall...
Dr. Zhang Shuhao Reply:
A sudden appearance of a round, hard lump is most commonly associated with a thrombosed hemorrhoid, which is commonly referred to as an exacerbation of hemorrhoids. This condition arises from subcutaneous bleeding due to the compression of blood vessels within the hemorrhoid. It ...[Read More] Should You See a Surgeon for a Lump Near the Anus?
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Is It a Thrombosed External Hemorrhoid or Another Issue?
I'm not sure if it's a thrombosed external hemorrhoid? Hello, Doctor. Last month, I underwent rubber band ligation for internal hemorrhoids at the hospital, and they mentioned that I would have another procedure for a different internal hemorrhoid next month. A few days...
Dr. Ke Fangxu Reply:
1. Based on the photo, it is possible that it is a small thrombosed external hemorrhoid, which may occur after ligation. 2. Anal fissures are located inside the anal canal and cannot be seen with the naked eye from the outside; they require a digital rectal examination or anoscop...[Read More] Is It a Thrombosed External Hemorrhoid or Another Issue?
Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Hello, Dr. Chang, I would like to ask some questions? I am the one sending these two images: https://imgur.com/a/u4AZ5bq and https://imgur.com/a/Xm8FuM4. I would like to ask the following: 1. Regarding the hemorrhoids shown, can second-degree hemorrhoids be caused by my incorrec...
Dr. Zhang Shuhao Reply:
1. Enlarged hemorrhoids almost always have thrombosis due to bleeding, which is caused by straining during bowel movements. Therefore, it is recommended to minimize the duration of straining. Severe swelling of hemorrhoids can also lead to a sensation of urgency. 2. Improving l...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Hello, Dr. Chang. I have already visited the large hospital? The situation has become more severe. I always thought I had hard stools, but it turns out I have hemorrhoids. Can hemorrhoids really become that swollen? Did I mistakenly think it was due to hard stools and excessive p...
Dr. Zhang Shuhao Reply:
The image appears to show a prolapsed hemorrhoid, and at this stage, surgical intervention is usually recommended. If you are still hesitant about surgery, it is advisable to perform warm sitz baths, along with the use of topical ointments and oral anti-inflammatory medications, ...[Read More] Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Understanding Rectal Discomfort: Symptoms and Possible Causes
Hello, Dr. Chang. I have been experiencing discomfort in the anal area since September 3rd until today? On September 3rd, I experienced a sensation where I felt like I couldn't fully empty my bowels, even though I had already passed some stool. Suddenly, I had a feeling simi...
Dr. Zhang Shuhao Reply:
The photo appears to show a prolapsed hemorrhoid, which can cause a persistent sensation of foreign body in the anal area and may lead to the feeling of incomplete bowel movements when swollen. It is recommended to start with warm sitz baths, gently pushing the hemorrhoid back du...[Read More] Understanding Rectal Discomfort: Symptoms and Possible Causes
Understanding Unusual Stool Colors: When to Worry About Health Risks
Abnormal stool color? Hello Doctor, I used to have poor eating and sleeping habits, which often led to constipation. About a month ago, I noticed fresh blood on the toilet paper and went to see a doctor. The doctor suggested it might be an anal fissure and prescribed some fiber s...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, 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 slightly more blo...[Read More] Understanding Unusual Stool Colors: When to Worry About Health Risks
Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong Reply:
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Post-operative pain during bowel movements after mole removal? Hello doctor, I underwent a third-degree hemorrhoidectomy and anal fissure surgery on July 26, and I opted for self-paid ultrasonic scalpel treatment. Postoperatively, the wound is not very painful, but I experience s...
Dr. Zhang Shuhao Reply:
Early hemorrhoid surgery often resulted in anal stenosis due to injury to the sphincter muscle. However, with advancements in current hemorrhoid surgical techniques, the occurrence of anal stenosis has significantly decreased. Based on your description, it seems that the wound ha...[Read More] Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Dealing with Minor Blood After Bowel Movements: What You Should Know
There is a small amount of blood when wiping after using the bathroom? Today, after using the restroom and wiping, I noticed a small amount of blood that appeared to be diluted by water. My stool was a bit hard due to being constipated, but I didn't experience any pain while...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, 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 slightly more blo...[Read More] Dealing with Minor Blood After Bowel Movements: What You Should Know