Understanding Digestive Issues: From Stress to Potential IBS Concerns
Bowel movement issues Hello, doctor! After entering junior high school, I don't know if it's due to increased stress, but I've started experiencing a habit of abdominal pain and diarrhea. It was fine before, but it became uncontrollable after I entered the second y...
Dr. Zhang Shuhao Reply:
Hello, if there is no significant family history of disease, the likelihood of developing colorectal cancer at your age is very low. It is more likely that irregular gastrointestinal motility is caused by stress, which is a symptom of irritable bowel syndrome (IBS). IBS can be ma...[Read More] Understanding Digestive Issues: From Stress to Potential IBS Concerns
Understanding Anal Fistula Recurrence: Risks and Surgical Options
Recurrence of anal fistula? Hello Doctor, I underwent surgery to remove an anal fistula in January of this year, but the wound has not fully healed. During a follow-up appointment at the end of August, it was determined that the fistula had recurred. The surgeon who initially per...
Dr. Zhang Shuhao Reply:
1. Superficial fistulas, if left untreated temporarily, will not undergo malignant transformation. However, if they are shallow and connected to the anal glands, they may still be prone to inflammation and swelling. 2. Most fistula surgeries do not involve suturing the wound; i...[Read More] Understanding Anal Fistula Recurrence: Risks and Surgical Options
Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Blood in stool, mucus, and gastrointestinal issues? Hello, Doctor. I would like to ask you three questions. 1. In the past, my bowel movements were mostly unformed and diarrhea-like. However, in the last 2-3 months, they have suddenly become more formed, and at the beginning of...
Dr. Zhang Shuhao Reply:
1. Bowel habits are often influenced by diet, exercise, lifestyle, and even psychological stress. Increasing dietary fiber intake can help form more regular stools, and if it does not cause any significant disruption to daily life, it may not be a concern. 2. If there are sympt...[Read More] Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Diarrhea with anal pain? Hello, Doctor: I have hemorrhoids and recently gave birth. My obstetrician helped to reduce them. During this time, I had no issues with normal bowel movements and experienced no pain. However, in the past few days, I have suddenly developed diarrhea, and...
Dr. Zhang Shuhao Reply:
Hemorrhoids typically cause pain due to thrombosis or when a prolapsed hemorrhoid becomes trapped, leading to impaired blood circulation. Based on your description, it seems more like anal fissures causing pain during bowel movements. In addition to warm sitz baths, topical ointm...[Read More] Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Understanding Prolonged Diarrhea: Causes and Recovery Time
I have had diarrhea for 3 to 4 days? Hello doctor, I have been experiencing diarrhea for the past 3 to 4 days, with no other symptoms. I have been having bowel movements about 2 to 3 times a day, and I'm not sure what the cause is. I don't recall eating any unsanitary f...
Dr. Zhang Shuhao Reply:
Recent diarrhea, if there are no obvious food-related factors, is mostly caused by viral infections such as gastroenteritis from rotavirus or norovirus. Specific medication treatment is not necessary; it is important to practice good hand hygiene and maintain personal and environ...[Read More] Understanding Prolonged Diarrhea: Causes and Recovery Time
Recurring Hemorrhoids: When to Consider Surgery and Causes Explained
Recently, hemorrhoids have been recurring? Hello, doctor. For the past month, I've been experiencing hemorrhoids that keep changing positions; first at the 12 o'clock position, and then at the 6 o'clock position. Each time, the location is different. I've been...
Dr. Zhang Shuhao Reply:
The occurrence of hemorrhoids is related to lifestyle habits, diet, and individual constitution. Warm sitz baths and topical or oral medications can only alleviate symptoms; if the hemorrhoidal tissue is significantly enlarged, recurrence is inevitable. If hemorrhoid symptoms aff...[Read More] Recurring Hemorrhoids: When to Consider Surgery and Causes Explained
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Bowel issues Hello Doctor, this morning I had a bowel movement that was normal. However, later I experienced some discomfort in my abdomen, which felt crampy and rolling, and then I had diarrhea. After the diarrhea, when I wiped for the fourth or fifth time, I noticed very tiny r...
Dr. Chen Bingze Reply:
Hello, it is recommended that you consult a colorectal surgeon in person to get the most accurate answers to your questions.[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Intestinal obstruction issues? Hello Doctor, I would like to inquire about my mother (68 years old) regarding her intestinal obstruction issue. About two weeks ago, she went to the emergency room at night due to abdominal pain. After an abdominal X-ray, her attending physician in...
Dr. Chen Jiaming Reply:
The causes of intestinal obstruction can vary among patients, and each attending physician may have different choices of medications. It is possible that your mother's attending physician has prescribed some medications to promote (maintain) intestinal motility or laxatives,...[Read More] Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Bowel issues? Hello, doctor. I have noticed blood on the toilet paper after having a bowel movement in the past two weeks. Additionally, my bowel movements have been either diarrhea or thinner stools, and sometimes I experience abdominal pain but only pass a small amount. Could t...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 20 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritating, and ...[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?
Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Anal abscess In recent years, I have occasionally noticed a lump on my buttocks in different locations, at least five centimeters away from the anus. Initially, I thought it was a sebaceous cyst and left it alone, believing it would resolve on its own since I couldn't feel i...
Dr. Zhang Shuhao Reply:
1. In addition to considering sebaceous cysts or anal abscesses, it is important to evaluate for the presence of a subcutaneous fistula, which can only be diagnosed through a physician's examination. 2. Avoid diarrhea and smoking, and enhance skin hygiene; if there is swel...[Read More] Understanding Anal Abscesses: Symptoms, Causes, and When to Seek Help
Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Rectal bleeding due to anal fissures? Hello, doctor. I am a patient with ulcerative colitis. At the end of May this year, my colonoscopy results showed that the mucosal tissue has healed. Additionally, I have previously experienced anal fissures due to having stools that are thic...
Dr. Zhang Shuhao Reply:
If there is excessive bleeding from an anal fissure, and it is accompanied by diarrhea or mucus in the stool, it is important to consider whether rectal inflammation is causing the bleeding. In this case, a follow-up appointment for a sigmoidoscopy is necessary, along with ongoin...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Persistent Bowel Urgency: Understanding Symptoms and Solutions
Persistent urge to defecate (for 9 consecutive days) Hello, Doctor! Since last Thursday, I have been experiencing abnormal symptoms in my anus. After bowel movements, the urge to defecate does not go away; instead, it persists throughout the day. Most of the time, the urge is mil...
Dr. Chen Bingze Reply:
If you had an examination six months ago, you can be relatively assured that there is likely no issue with colorectal cancer. However, if the persistent urge to defecate continues, it is advisable to undergo another colonoscopy and consult your physician to check for any issues i...[Read More] Persistent Bowel Urgency: Understanding Symptoms and Solutions
Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?
Left lower abdominal pain with diarrhea? Hello Doctor, my symptoms started last year when I experienced a breakdown for a period of time due to certain reasons. After that, I began to have diarrhea, although I still have normal bowel movements, the frequency of diarrhea has incre...
Dr. Chen Bingze Reply:
Hello, I think this issue might be concerning for you. I suggest you inform your family and arrange to have a colonoscopy under sedation at a hospital. Basically, the risk of colorectal cancer at your age is very low. Instead, it’s important to be aware of the possibility of infl...[Read More] Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, Doctor. About three weeks ago (around July 17), I noticed blood on the toilet paper after having a bowel movement. I went to see a colorectal surgeon, who performed a digital examination and diagnosed me with an acute anal fissure. After that, I applied oin...
Dr. Zhang Shuhao Reply:
The most common cause of rectal bleeding in young individuals is anal fissure bleeding. If the location of pain and the results of the physician's digital examination are consistent, and there are no abnormalities found during the rectal examination, treatment for the anal f...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
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 pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy
Post-operative fecal leakage after minimally invasive surgery? Hello Doctor, I underwent a minimally invasive hemorrhoidectomy using Thunderbeat on July 3rd, primarily removing external hemorrhoids at the 12 o'clock and 6 o'clock positions. I had inquired about this bef...
Dr. Zhang Shuhao Reply:
If the wound has not fully healed four weeks post-surgery, there may still be serous drainage. If diarrhea occurs, there may also be a small amount of fecal leakage, but it typically is not enough to cause significant incontinence. Maintaining cleanliness and avoiding diarrhea ca...[Read More] Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy
Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids? Due to persistent diarrhea recently, I experienced swelling and pain in the anal area. After seeking medical attention, I was diagnosed with an anal fissure and internal hemorrhoids. The doctor performed a rubber band ligation proced...
Dr. Zhang Shuhao Reply:
Rubber band ligation surgery does not cause severe pain. If pain begins after the ligation, it indicates that the ligation site is too close to the dentate line, and the rubber band should be removed immediately during a follow-up visit. It is generally recommended to use a suppo...[Read More] Managing Pain After Rubber Band Ligation for Internal Hemorrhoids
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Understanding Anal Fissures, Hemorrhoids, and Other Conditions
Is it anal fissure, hemorrhoids, or another condition? I previously experienced severe itching near the anus, and after a digital rectal examination, the doctor diagnosed me with an anal fissure. I underwent treatment for two months and consulted multiple doctors, but my conditio...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a case of anal fissure combined with a small thrombosed hemorrhoid. The typical symptoms include pain during bowel movements accompanied by slight bleeding. The pain usually lasts for several days, sometimes exceeding a week. The comm...[Read More] Understanding Anal Fissures, Hemorrhoids, and Other Conditions