Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Bleeding during bowel movements? Hello, I experience bleeding during bowel movements (every time, without pain). In June, I had a colonoscopy, which revealed a small hemorrhoid located less than two centimeters inside the anal canal. I was advised to apply an ointment, but my con...
Dr. Zhang Shuhao Reply:
First, take warm sitz baths regularly, increase your intake of water and fruits and vegetables to prevent constipation, and avoid spicy and irritating foods. Refrain from smoking, drinking alcohol, and staying up late. Start by changing your lifestyle habits. When applying ointme...[Read More] Bleeding During Bowel Movements: Next Steps for Hemorrhoid Relief
Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Post-fistula surgery I'm sorry, doctor. I had a fistula surgery and hemorrhoid surgery on August 5th, and today, August 9th, I have an involuntary urge to push at my anus, feeling like I need to have a bowel movement, but I don't actually need to go. Even after having a...
Dr. Zhang Shuhao Reply:
1. Postoperatively, swelling around the wound may cause a persistent urge to defecate, but this does not necessarily indicate the presence of stool. If squatting yields no results, avoid straining and try again later. Taking warm sitz baths can help reduce swelling around the wou...[Read More] Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation
Post-hemorrhoid surgery Hello Doctor: I am on the seventh day after undergoing minimally invasive surgery for hemorrhoids. Prior to this, my bowel movements were very smooth. However, in the last two days, I have been feeling tightness and swelling at the surgical site, and the p...
Dr. Ke Fangxu Reply:
There are many types of minimally invasive surgeries for hemorrhoids, and without detailed information, it is difficult to determine which specific procedure was performed, making it hard to assess the issue. It is recommended that you consult your surgeon as soon as possible. Po...[Read More] Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation
Can You Swim in the Ocean with Suspected Anal Fissures?
If you suspect you have an anal fissure, it is generally advisable to avoid swimming in seawater until the condition improves. Saltwater can irritate the sensitive tissue and may exacerbate discomfort or delay healing. It's best to consult with a healthcare professional for ...
Dr. Xu Kaixi Reply:
Based on your description, it is likely that you have a hemorrhoid with a possible skin tear. Unless there is significant pain or persistent bleeding, theoretically, it should not affect water activities.[Read More] Can You Swim in the Ocean with Suspected Anal Fissures?
Post-Surgery Concerns After Fistula Treatment: Common Questions Answered
Post-fistula surgery Hello Doctor, I underwent a fistula treatment surgery on June 27, and I have some questions that I hope you can take the time to answer. Thank you. 1. It has been a month since the surgery, and I still experience pain at the wound site (for example, when sit...
Dr. Ke Fangxu Reply:
1. Mild pain within one month post-surgery is normal, and a lump may be scar tissue from the healing process. To determine if it is a recurrence, please consult your surgeon; however, generally, it does not occur this quickly. 2. It does not affect the ability to rinse with a h...[Read More] Post-Surgery Concerns After Fistula Treatment: Common Questions Answered
Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Bleeding from internal and external hemorrhoids? Hello, doctor. I would like to ask you a few questions. I have both internal and external hemorrhoids. Previously, when I had frequent bowel movements or constipation, my external hemorrhoids would protrude, and there would be bloo...
Dr. Zhang Shuhao Reply:
1. If the gastroscopy shows no issues, medication may not be necessary. Doctors may prescribe medication based on gastrointestinal symptoms, but usually, treatment for Helicobacter pylori is not required. 2. It is generally unrelated to rectal polyps. 3. It is not necessarily rel...[Read More] Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Do I Need Surgery for My Hemorrhoids? Expert Insights
Is surgery necessary? Hello, Dr. Chen. I have been experiencing small hemorrhoidal lumps around the anal area. Recently, after a long flight, I developed constipation which aggravated the hemorrhoids, resulting in an additional lump. Although it is not painful, there is a sensati...
Dr. Chen Ronghong Reply:
Hello, external hemorrhoids form due to the dilation and descent of blood vessels, and they do not always involve thrombosis; however, if thrombosis occurs, it can lead to pain. Warm sitz baths may help improve your condition, and you can try this for a month. If there is no impr...[Read More] Do I Need Surgery for My Hemorrhoids? Expert Insights
Understanding Chronic Anal Fissures: Pain Management and Healing Options
Issues with anal fissures lasting over two months? For the past two months, I have experienced pain every time I use the restroom. I have tried soaking in warm water and using topical ointments and suppositories, and I have been mindful of my diet, with no issues of constipation....
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel m...[Read More] Understanding Chronic Anal Fissures: Pain Management and Healing Options
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Chronic Anal Fissures: When to Consider Surgery?
I would like to consult a doctor regarding a suspected case of chronic anal fissure? I have had both external and internal hemorrhoids for about four years, and after treatment, I have been managing my internal hemorrhoids over the past two years, with no external hemorrhoids rem...
Dr. Ke Fangxu Reply:
1. This needs to be examined; it cannot be determined solely based on a written description. 2. Surgery for anal fissures is generally only recommended if there is severe pain that affects daily activities; if there is no significant pain, surgery is not necessary. 3. Please ...[Read More] Understanding Chronic Anal Fissures: When to Consider Surgery?
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello, doctor. I have a question. I originally had hemorrhoids and every time I have a bowel movement, I need to use my finger to push the hemorrhoids back in. Recently, I have been experiencing rectal bleeding for a month. The blood does not fill the toilet; it o...
Dr. Zhang Shuhao Reply:
If there is no pain and bowel movements do not require much effort, it is less likely to be an anal fissure and more indicative of symptoms related to internal hemorrhoids. It is recommended to drink plenty of water during the episode, maintain a light diet, and take warm sitz ba...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Blood on Toilet Paper After Bowel Movement: What You Should Know
There is blood after wiping following a bowel movement? Hello, doctor. Today, after having a bowel movement, I noticed a small amount of brick-red blood on the toilet paper, along with some mucus. However, after wiping a second time, it appeared normal. My stool was long and some...
Dr. Zhang Shuhao Reply:
Bleeding during bowel movements in young people is often associated with hemorrhoids and anal fissures. Hemorrhoids are more likely to occur with irregular schedules and constipation. It is recommended to drink plenty of water, increase dietary fiber intake, avoid staying up late...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Postoperative bleeding issues after hemorrhoid surgery? Traditional surgery for both internal and external hemorrhoids was performed on May 10. I have been taking stool softeners regularly, but I might not be drinking enough water. During the recovery process, I often feel the ur...
Dr. Zhang Shuhao Reply:
During the healing process of the surgical wound, the tissue is more prone to friction and bleeding. Therefore, there may still be a small amount of bleeding after bowel movements or wiping. If there are no other symptoms (such as fever or severe pain), you can continue with sitz...[Read More] Post-Surgery Bleeding After Hemorrhoid Surgery: What to Expect
Post-Surgery Concerns: Fresh Blood and Clots After Hemorrhoidectomy
Post-hemorrhoid surgery Hello Doctor, I underwent an external hemorrhoidectomy on May 14th. During each follow-up appointment, the doctor has mentioned that the wound is healing well, except for a bit of eczema (which has been treated with medication). However, in the past two da...
Dr. Chen Bingze Reply:
Hello, it is possible that you may have internal hemorrhoids. If you really want to know, you should inform the surgeon who will be performing your procedure and ask them to take a look for a more accurate assessment.[Read More] Post-Surgery Concerns: Fresh Blood and Clots After Hemorrhoidectomy
Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
There is a small white spot on the inner wall of the anus? Due to issues with constipation and bloating, I have been using glycerin suppositories to relieve constipation and gas. Recently, after using the suppositories twice with too much force, I noticed that I was digging into ...
Dr. Zhang Shuhao Reply:
The small white spots may be papillomas formed after anal fissures or injuries to the rectum. If they are painful, they could be ulcers. It is recommended to reduce the frequency of self-administered enemas and to improve dietary habits to aid bowel movements. The likelihood of m...[Read More] Understanding a Small White Bump Inside the Anus: Symptoms and Treatment
Is Brownish Stool with Blood a Sign of Colon Cancer?
Is yellow-brown stool with a bit of blood a sign of colon cancer? Previously, I experienced a sharp pain in the anus during bowel movements, accompanied by a small amount of bright red blood upon wiping. I thought it was just due to hard stools causing anal fissures. However, aft...
Dr. Zhang Shuhao Reply:
If there is sharp pain accompanied by a small amount of bleeding during bowel movements, it is consistent with the symptoms of anal fissure. It is recommended to take warm sitz baths and use anti-inflammatory ointments, as well as to increase fluid intake to avoid constipation. I...[Read More] Is Brownish Stool with Blood a Sign of Colon Cancer?
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I was abl...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back, it is classified as a grade IV hemorrhoid. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with lifestyle changes to avo...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any abnormal symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could ...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, as well as to modify lifestyle ha...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could p...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with changing lifestyle hab...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men
Can anal intercourse be performed after anal fissure surgery? Dear Doctor, I hope this message finds you well. As a gay man, I often experience issues such as constipation and anal intercourse, which have led to anal fissures. During a previous examination, my doctor mentioned t...
Dr. Zhang Shuhao Reply:
Hello: If it is a simple acute anal fissure, it can be managed with topical ointments, warm sitz baths, and plenty of rest to allow the wound to heal completely. Afterward, before engaging in anal intercourse, it is important to gradually dilate the anus and ensure adequate lubri...[Read More] Can You Have Anal Sex After Fissure Surgery? A Guide for Gay Men