Understanding Blood in Stool: Symptoms and Causes Explained
Rectal bleeding Hello, doctor. On July 26 (Friday) afternoon, I experienced abdominal pain and went to the bathroom three times. Initially, my stools were normal, but eventually, it progressed to diarrhea. Towards the end, I noticed blood and mucus in my stool. I would like to as...
Dr. Zhang Shuhao Reply:
Severe diarrhea may be accompanied by mucus with blood, indicating that the intestines are in an inflammatory state. A light diet should be adopted, with an emphasis on hydration to allow the intestines to rest. In severe cases, it is advisable to visit a gastroenterology clinic ...[Read More] Understanding Blood in Stool: Symptoms and Causes Explained
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Excessive reliance on rectal ointments? Hello, doctor. I have been using hemorrhoid ointment for nearly 8 years without stopping, specifically Hiyu ointment. Whenever I stop using it, I feel very uncomfortable in my anus (burning sensation, almost like it's about to crack), ...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments can alleviate the symptoms of acute hemorrhoid flare-ups, but they do not improve the severity of hemorrhoids, so short-term use is recommended. These ointments often contain corticosteroids, and prolonged use can lead to skin sensitivity and anal itching. It...[Read More] Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Navigating Disability Claims for Multiple Health Issues: A Guide
Please consult regarding the application for disability due to multiple conditions such as scoliosis, temporomandibular joint disorder (TMJ), and psychological issues, along with related recommendations? # Medical History Summary Scoliosis: 58 degrees, unable to sit or stand for...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, 1. It may be possible to assess the applicability of the "Disability Assessment Form," specifically Category I or Category VII. However, it is necessary to have a fixed long-term follow-up for a certain period before a specialist physic...[Read More] Navigating Disability Claims for Multiple Health Issues: A Guide
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu Reply:
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu Reply:
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Understanding Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Procedure for Hemorrhoidal Plication (PPH) Hello, doctor. I underwent a circumferential hemorrhoidectomy (PPH) in mid-June, and I noticed some fecal leakage from the anus in the morning. I am very concerned about my recovery. Is this anal incontinence?
Dr. Zhang Shuhao Reply:
Since mid-June, it hasn't been too long since the PPH surgery. The muscles and tissues around the anus require time to recover, and there may be temporary issues with fecal urgency and incontinence. This is usually transient and will gradually improve over time. During this ...[Read More] Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...
Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Anal Fistulas: Treatment Options and Recovery Insights
Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...
Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Colorectal issues, Irritable Bowel Syndrome (IBS) In the past, I often experienced diarrhea due to exam-related anxiety during my school years. Later, in my early twenties, I underwent a colostomy due to rectal cancer, with the stoma located approximately between the ascending co...
Dr. Ke Fangxu Reply:
It is normal to experience frequent bowel movements as a postoperative complication after rectal cancer surgery. This is due to the shortening of the rectum, which reduces the capacity for stool storage. Besides taking medications to control the frequency of bowel movements, ther...[Read More] Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Understanding Anxiety-Related Issues from Bowel Movements
Anxiety-related issues caused by bowel movements? Hello Dr. Chang, thank you for taking the time to address my concerns despite your busy schedule. Here is my current situation: 1. My father has esophageal cancer, and there are no other cases within the third-degree relatives. 2...
Dr. Zhang Shuhao Reply:
1. Black or orange-red residue is usually related to food and is completely normal, with no bleeding involved. 2. If there is suspected bleeding, it may present as black stools, brick-red stools, or stools with blood streaks. For cases where blood is not visible to the naked ey...[Read More] Understanding Anxiety-Related Issues from Bowel Movements
Understanding Anal Itching: Causes and Solutions for Discomfort
Anal issues, anal itching? Recently, I've been experiencing alternating constipation and diarrhea. After using the restroom, I feel like I haven't completely emptied my bowels, and every time I wipe, I end up with skin irritation. I also have itching around the anal are...
Dr. Zhang Shuhao Reply:
The situation you described is known as pruritus ani. The skin in the perianal area is very sensitive. Excessive wiping or cleaning with hot water and bath products can irritate the skin, stripping away too much sebum and causing itching. It is recommended to avoid excessive clea...[Read More] Understanding Anal Itching: Causes and Solutions for Discomfort
Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Anal abscess: Inquiry about diarrhea issues during the recovery period? Hello Doctor: I underwent incision and drainage of an anal abscess on April 1st, and during my follow-up visit on April 8th, it was confirmed that the incision site was healing. During this period, I was trea...
Dr. Zhang Shuhao Reply:
1: The glands in the surgical area will be removed along with the fistula, so recent diarrhea will not affect the outcome of the surgery. Additionally, while diarrhea is theoretically related to inflammation of the anal glands, there is no clear causal relationship between the tw...[Read More] Managing Diarrhea After Anal Abscess Surgery: Key Recovery Insights
Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Understanding Red Residue in Stool: Causes and Concerns
Red residue in stool? Hello Doctor: I had a normal bowel movement yesterday morning, but later in the evening, I might have eaten something too oily. Shortly after taking probiotics, I experienced diarrhea. Since I had diarrhea once before bed the previous night, I didn't fe...
Dr. Zhang Shuhao Reply:
Given your age, unless there is a significant family history of cancer, your risk of cancer is quite low. The symptoms you described are more likely related to dietary issues. It is advisable to continue monitoring for any blood in the stool or other abdominal discomfort. You may...[Read More] Understanding Red Residue in Stool: Causes and Concerns