Understanding Changes in Symptoms of Diarrhea-Predominant IBS
Irritable Bowel Syndrome (IBS) Issues Hello Dr. Ke: I have diarrhea-predominant irritable bowel syndrome (IBS-D). My stools used to be loose and unformed, but recently, after taking medication to improve my IBS and adjusting my lifestyle (quitting alcohol), my stools have become ...
Dr. Ke Fangxu Reply:
This indicates that there has been an improvement. If a colonoscopy was performed four years ago, it should be possible to undergo a follow-up examination next year.[Read More] Understanding Changes in Symptoms of Diarrhea-Predominant IBS
Understanding IBS: Discomfort After Bowel Movements and Treatment Options
Irritable bowel syndrome (IBS) can cause discomfort after bowel movements, including feelings of unease or irritation after wiping? Hello, doctor. Recently, my irritable bowel syndrome has become more severe, but I still manage to have a bowel movement once a day. After using the...
Dr. Ke Fangxu Reply:
Irritable bowel syndrome (IBS) can commonly present with mucus in the stool, which is not considered particularly unusual. If accompanied by symptoms of anal fissures, it may be beneficial to enhance warm sitz baths and use hemorrhoid-specific ointments. Whether a surgical interv...[Read More] Understanding IBS: Discomfort After Bowel Movements and Treatment Options
Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
I would like to inquire about the delayed healing of the wound after mole removal surgery and medication issues? Hello Dr. Ke, on March 18 of this year, I underwent surgery for internal hemorrhoids at Hospital A. However, since last September, I have already had three anal surger...
Dr. Ke Fangxu Reply:
1. Anal fissures cannot occur as a result of stretching the anal opening, as there would be no injury present. 2. If the colonoscopy shows no abnormalities, performing a digital rectal examination or anoscopy will not yield new findings, but it can help assess the extent of woun...[Read More] Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
Blood on Toilet Paper After Bowel Movements: Causes and Solutions
There is blood on the toilet paper after wiping following a bowel movement? Two nights ago, during a bowel movement, my stool was very hard, and I had to strain to pass it. The stool was larger than usual, and I felt a point near my anus being rubbed, causing a bit of pain that w...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check the colorectal department.[Read More] Blood on Toilet Paper After Bowel Movements: Causes and Solutions
Blood After Bowel Movement: Causes and When to Seek Help
Blood on toilet paper after a bowel movement? Hello doctor, this morning I had a very large bowel movement, and it was extremely painful at the time. After wiping, I noticed a little blood, and I also have a burning sensation around the anus. What could be the problem? Will it re...
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] Blood After Bowel Movement: Causes and When to Seek Help
Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
I don't know what's wrong with me? Hello Doctor, two months ago I experienced discomfort in my body (my heart sometimes races and beats irregularly, I have difficulty breathing, occasional diarrhea, occasional constipation, and a feeling of abdominal bloating. Sometimes...
Dr. Chen Jiaming Reply:
You have described too many nonspecific symptoms, making it difficult to provide a clear direction for diagnosis and treatment (it's not just a single organ issue). However, "staying up late" itself can lead to various systemic disorders and changes in constitution...[Read More] Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
Understanding Changes in Bowel Habits: When to Seek Medical Attention
Change in bowel habits I am 20 years old, and my bowel movements used to be quite normal and smooth, as I would eat a lot and have a large stool volume. However, in the past few weeks, I have been experiencing some constipation, sometimes going 2 to 3 days without a bowel movemen...
Dr. Ke Fangxu Reply:
At the age of 20, the likelihood of developing colorectal cancer can be considered negligible. Based on your description, it does not seem to indicate any issues. I recommend starting with a light diet and maintaining a good lifestyle routine. It is advisable to avoid spicy, irri...[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Attention
Understanding Anal Fissures vs. Hemorrhoids: Symptoms and Solutions
Anal fissure or hemorrhoids? Hello, doctor. I have regular bowel movements and do not often experience constipation, but recently I have noticed blood in my stool (I have had anal fissures in the past). The blood is only present at the end of the stool. What should I do to improv...
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 Anal Fissures vs. Hemorrhoids: Symptoms and Solutions
Blood in Stool: Should You Worry About Colon Cancer?
Blood on toilet paper after wiping can indicate several conditions, such as hemorrhoids, anal fissures, or gastrointestinal issues. It is important to consult a healthcare professional Hello Doctor, I have been troubled by some issues recently. Three years ago, I experienced pers...
Dr. Ke Fangxu Reply:
At the age of 28, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is very low. Based on your description, it seems more like irritable bowel syndrome combined with hemorrhoidal bleeding. It is recommended to start with a light diet and maint...[Read More] Blood in Stool: Should You Worry About Colon Cancer?
Understanding Post-Defecation Pain: Causes and Solutions
Pain during defecation? Hello Doctor: About a week ago, I experienced pain after a bowel movement due to constipation, and I noticed a small amount of blood on the skin around my anus. Upon examining with a mirror, I saw some redness and swelling around the anal area. This issue ...
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 Post-Defecation Pain: Causes and Solutions
Understanding Persistent Rectal Urgency: Causes and Solutions
Persistent urge to defecate? Hello Dr. Ke, I am the person who asked question #144665. Thank you for your previous response. Currently, what troubles me the most is the persistent urge to defecate for almost three weeks. It started with about 4-5 bowel movements a day for the fir...
Dr. Ke Fangxu Reply:
"Anal heaviness," also known as "tenesmus," refers to the persistent sensation of needing to have a bowel movement, which is usually caused by rectal lesions. Digital rectal examination and anoscopy can only assess up to approximately eight centimeters from th...[Read More] Understanding Persistent Rectal Urgency: Causes and Solutions
Understanding Anal Pain: Gastrointestinal Issues or Something More?
Anal pain Hello Doctor: I have adenomyosis and a retroverted uterus. Recently, I have been taking traditional Chinese medicine to regulate my body. I have been having bowel movements about three times a day, and the medicine seems to cause a bit of diarrhea, which the Chinese med...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like gastroenteritis combined with diarrhea. It is recommended to start with a bland diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. Increasing the intake of dietary fiber may also be helpful....[Read More] Understanding Anal Pain: Gastrointestinal Issues or Something More?
Painful Anal Discomfort Without Bleeding: Should You See a Doctor?
There is no bleeding from the anus, but it is very painful? Hello doctor, recently I have been experiencing a sharp pain in my anal area when I rinse it (there is no bleeding, and I do not have spontaneous pain, only when it comes into contact with water and medication). However,...
Dr. Ke Fangxu Reply:
This condition is most likely acute thrombosed hemorrhoids. Warm sitz baths can help alleviate pain, maintain cleanliness, and promote blood circulation. Over-the-counter hemorrhoid suppositories can also be used. If symptoms persist without improvement, it is advisable to consul...[Read More] Painful Anal Discomfort Without Bleeding: Should You See a Doctor?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello doctor, this afternoon, about two to three hours after eating, I experienced cramping abdominal pain. Initially, it was crampy and my abdomen felt hard. After having a bowel movement, I noticed it was loose and watery, resembling diarrhea, but I didn't ...
Dr. Xu Kaixi Reply:
Based on your description, it is possible that food has caused gastroenteritis and diarrhea. However, the presence of blood in the stool is considered an abnormal symptom and could indicate various conditions, ranging from common hemorrhoids to more serious gastrointestinal disea...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Post-Bowel Movement Discomfort and Hygiene Issues
Inadequate cleaning after a bowel movement? Hello Doctor: About six months ago, I experienced a few instances of hard stools while using the restroom, which required me to sit on the toilet for a while and exert some effort to pass them. At that time, I noticed bright red blood s...
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 Post-Bowel Movement Discomfort and Hygiene Issues
Understanding Abnormal Bowel Movements: Symptoms and Concerns
Bowel irregularities Hello, doctor. Recently, I've been experiencing some issues with my bowel movements over the past week. Since a bout of diarrhea a week ago, I've felt a persistent urge to have a bowel movement every day, but the amount is small. The stools are eith...
Dr. Ke Fangxu Reply:
At the age of 20, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and a good lifestyle routine. Spicy,...[Read More] Understanding Abnormal Bowel Movements: Symptoms and Concerns
Understanding Anal Fissure Surgery: Key Questions for Your Doctor
I would like to ask Dr. Ke about issues related to anal fissure surgery? 1. The doctor mentioned that my anal fissure is caused by the excessive scarring from recent surgeries for hemorrhoids, fistulas, and skin tags. I do not have an external anal tear; the fissure is located in...
Dr. Ke Fangxu Reply:
1. Incising the internal anal sphincter is appropriate because the internal sphincter is circular, allowing for incision; this is fundamental to anal fissure surgery. 2. It will not cause incontinence; the cause of anal fissures is excessive anal pressure. Incision of the sphin...[Read More] Understanding Anal Fissure Surgery: Key Questions for Your Doctor
Understanding Blood on Stool: When to Seek Medical Attention
Blood on the surface of the stool? Hello doctor, I first noticed blood streaks on the surface of my stool last September. Over the next few days and occasionally for one to two months, I continued to see this. After consulting a doctor, I was told it was a mild case of internal h...
Dr. Ke Fangxu Reply:
At the age of 27, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding. It is recommended to start with a light die...[Read More] Understanding Blood on Stool: When to Seek Medical Attention
Understanding Painful Bowel Movements: Causes and Solutions
Pain during bowel movements? Hello doctor, recently I have been experiencing pain during bowel movements, feeling a lot of pain as the stool passes through the anus. Sometimes there is a little bleeding, and sometimes there isn't, but I haven't noticed any external hemo...
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, and warm si...[Read More] Understanding Painful Bowel Movements: Causes and Solutions
Understanding Rectal Bleeding: Is It a Fissure Recurrence or Something Else?
Rectal bleeding Hello Doctor, I had an anal fissure issue during my senior year of high school, which healed in a little over a week. It's been nearly a year since then, but recently I've experienced some rectal bleeding during bowel movements. The pain is not very inte...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like an anal fissure or mild hemorrhoidal bleeding. The typical symptoms include pain during bowel movements accompanied by slight bleeding, often caused by constipation or diarrhea. The fundamental treatment is to improve bowel habits, al...[Read More] Understanding Rectal Bleeding: Is It a Fissure Recurrence or Something Else?