Understanding Surgical Options for Thrombosed External Hemorrhoids
Thrombosed external hemorrhoid excision surgery Hello, Doctor. I developed a large thrombosed external hemorrhoid during my pregnancy. At that time, the doctor only prescribed an ointment to see if it would resolve on its own. Now, three years after giving birth, the thrombosed h...
Dr. Ke Fangxu Reply:
External hemorrhoids caused by pregnancy are quite common. If there is only mild swelling and pain, surgery may not be necessary. However, if you wish to have the excess skin removed, the most effective method is traditional excision. If there is only a single external hemorrhoid...[Read More] Understanding Surgical Options for Thrombosed External Hemorrhoids
Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Anal fissure Hello, in February, I noticed some red spots in my stool on two occasions. In April and May, there was one instance each month as well. However, I may have consumed some red foods like tomatoes or strawberries before that. The fecal occult blood test was negative. Af...
Dr. Ke Fangxu Reply:
It is impossible for a finger examination to cause an anal fissure because feces are several times thicker than a finger. The typical causes are often constipation or diarrhea. The classic symptoms include pain during bowel movements accompanied by slight bleeding. The fundamenta...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Healing Time
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello doctor, this morning I experienced some constipation and had to exert a lot of effort to pass a stool, which came out in a single piece. I felt a slight tearing sensation and noticed a coin-sized spot of bright red blood on the toilet paper after wiping. Aft...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello Doctor: Yesterday, I experienced significant pain while having a bowel movement and noticed some blood, both on the toilet paper and in the toilet. I had a warm sitz bath yesterday and used the suppository that the doctor prescribed earlier. Today, there was...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel movement issues...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Acute thrombosed hemorrhoids Hello, Dr. Ke. Thank you for taking the time to answer questions regarding thrombosed hemorrhoids. 1. In the case of acute thrombosed hemorrhoids, prior to the onset of the condition, using an anoscope to dilate the anus would not reveal any signifi...
Dr. Ke Fangxu Reply:
1. Most patients experience this, but some can push back the prolapsed tissue during normal times, while during an acute episode, they are unable to do so. 2. Smaller blood clots may not completely disappear, while larger ones may leave residual tissue after absorption. 3. Ye...[Read More] Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Understanding Painful Anal Masses: Causes and When to Seek Help
External anal mass Hello Doctor, recently I have noticed a swollen hard lump on the left posterior side of my anus. I can clearly feel it when I press on the inner layer of the skin, and it is painful to touch. I also feel pain while sitting, and there is an itching sensation aro...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delaying treatment, which could lead to worsening of...[Read More] Understanding Painful Anal Masses: Causes and When to Seek Help
Understanding Anal Pain: Causes and When to Seek Medical Help
Anal pain or discomfort? Hello, doctor. At the beginning of June, I suddenly experienced a mild, prickling discomfort around the anus, occurring about 5-6 times a day without a specific time or action triggering it. It wasn't just after bowel movements; it felt like a sudden...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with warm sitz baths. Warm sitz baths can help alleviate pai...[Read More] Understanding Anal Pain: Causes and When to Seek Medical Help
Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery
After surgery for a fistula and hemorrhoids, it feels like hemorrhoids are protruding from the anus, and it is very painful! Hello, Dr. Ke. I had surgery for a fistula and also had an external hemorrhoid removed. It is now the fourth day post-surgery, and I was discharged the day...
Dr. Ke Fangxu Reply:
After fistula surgery, if diarrhea occurs, it may lead to wound pain and bleeding. It is recommended to increase the frequency of sitz baths. If the pain does not improve, you should consult your physician for an examination and medication.[Read More] Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery
Understanding Rectal Discomfort After Bowel Movements: Causes and Solutions
Feeling of foreign body sensation after using the restroom? Hello Doctor: I have suffered from constipation since childhood. Recently, I often do not have the urge to have a bowel movement and do not go every day, but when I do feel the urge, the bowel movement is smooth. I haven...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Rectal Discomfort After Bowel Movements: Causes and Solutions
Is That a Polyp or Hemorrhoid? When to See a Doctor
Is there a polyp in the anus? Recently, after eating spicy hot pot, I experienced diarrhea 4-5 times within two days, and later noticed some slight blood in my stool. Recently, there has been no more bleeding, but I occasionally feel a slight itch around the anus, which is not pa...
Dr. Ke Fangxu Reply:
This situation is more indicative of hemorrhoidal swelling. You can first purchase over-the-counter ointments for application. If there is no pain, bleeding, or fever, you can continue to monitor the condition. However, if you experience any discomfort, you should consult a physi...[Read More] Is That a Polyp or Hemorrhoid? When to See a Doctor
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Rectal bleeding This Wednesday, I experienced diarrhea and noticed a stool that had a jelly-like blood resembling strawberry jam. There was a bit of blood on the toilet paper, and I felt a burning sensation after bowel movements. On Thursday, my stool was soft, and I did not noti...
Dr. Ke Fangxu Reply:
This situation is likely indicative of 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. Increasing dieta...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in stool? Hello, Doctor Ke. Last night I experienced abdominal pain and diarrhea. After having a bowel movement, I felt some relief, but I still have a dull ache in my left abdomen. This morning, my stool was thin and long, and there was a piece of bloody mucus attached to ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome with mild bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing the intake of dietary fiber can also be...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Bowel Issues: Symptoms and Concerns About Colon Health
Bowel issues Hello doctor, I have previously experienced several episodes of constipation where my stools were very large, causing blood in the toilet and significant pain in my rectum, but this has not occurred recently. Currently, I have bowel movements every two days, but I st...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Bowel Issues: Symptoms and Concerns About Colon Health
Bleeding During Bowel Movements: Causes and Solutions
Bleeding during wiping after a bowel movement? Hello Doctor: Recently, due to taking antibiotics for a cold, I have been experiencing frequent diarrhea, about five times a day, which has led to significant pain in my anus. Today, I even noticed some bleeding. After having a bowel...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Bleeding During Bowel Movements: Causes and Solutions
Understanding Abdominal Pain and Bowel Issues: Common Surgical Concerns
Seeking clarification on confusion? I would like to ask the doctor the following questions: 1. Is it normal to experience abdominal pain before a bowel movement? I never had this issue before, but recently it has occurred. 2. Is it possible to have blood in the stool during ...
Dr. Ke Fangxu Reply:
1. It is normal to experience brief abdominal pain due to intestinal peristalsis before bowel movements. 2. It is possible that the bleeding is related to menstrual blood contamination during your period. 3. Based on your description, it seems more likely to be hemorrhoidal ble...[Read More] Understanding Abdominal Pain and Bowel Issues: Common Surgical Concerns
Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Colonoscopy issues? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion in my stomach (but not to the level of an ulcer) and mild inflammation in the duodenum. The doctor prescribed Omeprazole (20 mg), Magnesium Ox...
Dr. Ke Fangxu Reply:
1. Gastroesophageal reflux is not related to the intestines; it may be influenced by magnesium oxide. If diarrhea occurs, magnesium oxide can be discontinued. 2. If a polypectomy was performed this time, a follow-up colonoscopy should be done in 1-2 years to check for new polyps...[Read More] Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Post-fistula surgery Hello, Director Ke: I underwent a fistula surgery on April 8, 2020. However, while taking a shower, I touched the area around the wound and noticed a small lump that resembles an external hemorrhoid, approximately the size of a small fingertip. The doctor exa...
Dr. Ke Fangxu Reply:
This is a common phenomenon, and as long as there is no bleeding or pain, it should be fine. Since your doctor has examined you and believes it is a blood clot, I think their opinion is more accurate than mine, as I have not personally examined you. Swelling and pain after surger...[Read More] Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure - burning sensation in the buttocks? Hello Doctor: Since March 17, I have been experiencing bleeding when using the restroom, along with swelling and pain in the anal area, and I noticed some protrusions. I visited Mackay Memorial Hospital, where the doctor performed...
Dr. Ke Fangxu Reply:
1. Although there is no longer any bleeding, if there is still pain, you may apply ointment again. 2. The cause of anal fissures is often due to constipation or diarrhea. The fundamental treatment is to improve bowel movements, along with warm sitz baths. Warm sitz baths can hel...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Abdominal Pain Before Bowel Movements: Causes and Concerns
Abdominal pain before bowel movements? Recently, I have been experiencing abdominal pain before bowel movements. It's not the type of cramping pain, but I also have some bowel issues, such as feeling the urge to go but having difficulty passing stool, requiring some effort. ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, along with ...[Read More] Understanding Abdominal Pain Before Bowel Movements: Causes and Concerns
Understanding Changes in Stool: When to Seek Medical Attention
Bowel issue: stool suddenly becomes thin? Hello, doctor: About three days ago, I had an upset stomach, and my stool was loose. By the previous day, my stool had returned to a normal banana shape. However, after breakfast today, I felt a bit uncomfortable in my stomach, and when I...
Dr. Ke Fangxu Reply:
The warning sign of thinner stools is indicative of rectal cancer causing intestinal obstruction, which is already a late-stage symptom. In younger individuals, this phenomenon is mostly caused by swollen hemorrhoids. If diarrhea improves and normal stool consistency returns, the...[Read More] Understanding Changes in Stool: When to Seek Medical Attention