Frequent Diarrhea and Painful Bump: Is It Hemorrhoids or Something Else?
One day, there was frequent diarrhea, and that night a protrusion was discovered around the anal area? On the evening of March 22, 2022, I suddenly started experiencing frequent bowel movements, with each stool being watery. Due to using toilet paper for wiping, I began to feel i...
Dr. Zhang Shuhao Reply:
After frequent bowel movements, the hemorrhoidal tissue, which is rich in blood vessels, may become swollen. If there is subcutaneous bleeding, a hemorrhoidal thrombosis may form, commonly referred to as a hemorrhoidal flare-up. At this time, a warm sitz bath can be performed, al...[Read More] Frequent Diarrhea and Painful Bump: Is It Hemorrhoids or Something Else?
Concerns and Confusions About Bowel Issues in Young Adults
Concerns and doubts regarding certain bowel movement issues? Hello, doctor. First, let me provide my age and other information: I am currently 20 years old, 167 cm tall, and weigh 110 lbs. I plan to lose weight, but due to academic pressure, my diet and sleep have been very irreg...
Dr. Zhang Shuhao Reply:
At your age, the risk of colorectal cancer is low. Some cases of early-onset colorectal cancer are associated with genetic history or strong environmental factors, but lifestyle habits have a greater impact on bowel movements. Irregular bowel habits are related to diet, daily rou...[Read More] Concerns and Confusions About Bowel Issues in Young Adults
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure issues? Hello Doctor, I have a few questions to ask you: I have been experiencing anal fissures for about a month now. At first, during bowel movements, the initial part of the stool was hard and required some effort to pass. The front part resembled small, dark, pel...
Dr. Ke Fangxu Reply:
1. If you want to avoid relying on stool softeners, it's important to increase your intake of dietary fiber and fluids. 2. The typical symptoms of anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometime...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Hemorrhoid Treatments: Creams, Suppositories, and Lifestyle Tips
Hemorrhoid ointments and gastrointestinal-related issues? Hello, doctor. Recently, I experienced a flare-up of hemorrhoids, so I registered at the clinic. After the examination, it was found that I have two slightly swollen internal hemorrhoids. The doctor prescribed a week'...
Dr. Zhang Shuhao Reply:
1. It is correct that clinic physicians do not provide long tubes for hemorrhoid ointments; applying the ointment with a finger is less likely to cause injury to the anal area. Therefore, even if the ointment comes with a hard tube, its use is not recommended. The ointment can ge...[Read More] Understanding Hemorrhoid Treatments: Creams, Suppositories, and Lifestyle Tips
Understanding Flat Stool: Causes and When to Seek Medical Advice
Flat-shaped stools? Hello, several years ago I had a colonoscopy that revealed a 0.8 cm colorectal adenoma, which was removed. The doctor advised follow-up in one year to check for a propensity to develop polyps. During the follow-up, no new polyps were found. Subsequently, durin...
Dr. Zhang Shuhao Reply:
Changes in stool shape caused by colorectal tumors are due to a narrowing of the intestinal lumen, which leads to the stool being squeezed through the constricted area, resulting in thinner stools. If the obstruction becomes more severe, symptoms such as abdominal pain and diarrh...[Read More] Understanding Flat Stool: Causes and When to Seek Medical Advice
Post-Surgery Concerns After Laser Hemorrhoidectomy: What to Expect
Postoperative issues after hemorrhoid surgery? Hello doctor, I had laser surgery for hemorrhoids a few days ago (I'm not sure if that's the correct term, but I know it's not traditional surgery). Today is the third day post-operation. At home, I've been experi...
Dr. Zhang Shuhao Reply:
After hemorrhoid surgery, you may experience a sensation of needing to have a bowel movement due to tissue swelling, even though the rectum does not actually contain stool. If you are unable to pass stool, avoid straining. Instead, you can soak in warm water to reduce swelling an...[Read More] Post-Surgery Concerns After Laser Hemorrhoidectomy: What to Expect
Will My Sphincter Muscle Heal After Fistula Surgery?
Fistula surgery with sphincterotomy? I had a fistula surgery last week, and the fistula is less than one centimeter from the anal opening. After the surgery, I realized that the sphincter muscle was cut at the anal opening, and now it feels like a broken rubber band. Will the sph...
Dr. Zhang Shuhao Reply:
The anal sphincter is divided into the internal and external sphincters. In fistula surgery, to achieve a clean excision, a portion of the external sphincter is typically incised, but it is not completely severed, so bowel function should not be affected. However, due to changes ...[Read More] Will My Sphincter Muscle Heal After Fistula Surgery?
Post-Drainage Care for Anal Abscess: Preventing Fistula Formation
Anal abscess After an anal abscess incision and drainage, how should care be managed to prevent the development of a fistula?
Dr. Zhang Shuhao Reply:
The formation of a fistula after an abscess is related to the initial size of the abscess, the complexity of its course through the sphincter, the distance of the drainage incision from the anus, and the quality of wound healing. Postoperatively, it is important to avoid smoking,...[Read More] Post-Drainage Care for Anal Abscess: Preventing Fistula Formation
Understanding Anal Fissures: Symptoms, Healing, and Odor Concerns
Anal fissure issues? Last week, I experienced a tearing sensation in my anus due to hard stools during bowel movements, which resulted in bleeding when I wiped with toilet paper. However, since the next day until today, there has been no bleeding during bowel movements, but I sti...
Dr. Ke Fangxu Reply:
If there is no further bleeding, observation can continue. General pain may last for several days, and if there is no constipation or diarrhea, it should improve in about a week. As for the statement about "there being a smell from the anus," I don't quite understa...[Read More] Understanding Anal Fissures: Symptoms, Healing, and Odor Concerns
Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Postoperative pain after hemorrhoid surgery? Hello, doctor. I would like to inquire about my condition. It has been about 10 days since I gave birth, and I underwent a mixed hemorrhoid surgery using a ligature technique. It has now been 16 days post-surgery, and I have been exper...
Dr. Ke Fangxu Reply:
Some patients may experience delayed healing after surgery with a tissue coagulation knife. In such cases, it is recommended to take warm sitz baths and use medication while waiting for the wound to heal. If there are signs of inflammation, antibiotics may need to be used. Please...[Read More] Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect
Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Postoperative Issues Following Anal Abscess Surgery A 15-year-old boy has been experiencing diarrhea for the past six months. Two months ago, he underwent an endoscopy that revealed inflammation in the small intestine, suspected to be Crohn's disease. He was then referred to...
Dr. Zhang Shuhao Reply:
After incision and drainage of an anal abscess, some cases may still develop into an anal fistula. Diarrhea can also exacerbate the symptoms of the fistula. Additionally, Crohn's disease is more likely to lead to fistula formation, and this condition requires long-term medic...[Read More] Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Understanding Fistula Surgery: Managing Concerns and Recovery Tips
Anal fistula, post-fistulotomy? Hello Dr. Chang, Last week, I underwent an anal fistula surgery in the hospital. I was aware before the surgery that I had two fistulas, but after the operation, when I touched the skin around my anus, I found that there was still a small portion ...
Dr. Zhang Shuhao Reply:
Complex or higher-level fistula surgeries are challenging and can easily damage the external anal sphincter. Therefore, some physicians may take a more conservative approach, focusing on alleviating symptoms and preventing recurrence. Typically, a thorough excision of the interna...[Read More] Understanding Fistula Surgery: Managing Concerns and Recovery Tips
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello, doctor. Since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements
Post-anal fistula surgery 1. Is it normal to have three bowel movements a day after two days post-hemorrhoid surgery while taking a stool softener? I noticed there was blood in the stool (a small amount). 2. I'm concerned that taking the stool softener might cause diarrhea...
Dr. Ke Fangxu Reply:
1. If taking stool softeners results in excessively soft stools, it is recommended to either discontinue or reduce the dosage of the stool softeners. 2. Fistula surgery generally does not require oral antibiotics; topical ointments can be purchased at the pharmacy. 3. Persona...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements
Can You Undergo a Colonoscopy with Hemorrhoids and Anal Fissures?
Can hemorrhoids and anal fissures undergo colonoscopy? Can hemorrhoids and anal fissures undergo a colonoscopy? I have some hemorrhoids and hard stools have caused an anal fissure. I visited a doctor and have a colonoscopy scheduled for next week. However, will taking the laxativ...
Dr. Yu Mingchang Reply:
Hello: Can hemorrhoids and anal fissures undergo a colonoscopy? Answer: Yes, a colonoscopy can be performed. Will taking laxatives and experiencing diarrhea worsen hemorrhoids and anal fissures? Answer: No, it will not worsen them. Changhua Hospital cares about your health.[Read More] Can You Undergo a Colonoscopy with Hemorrhoids and Anal Fissures?
Post-Appendectomy Complications: Understanding Symptoms and When to Seek Help
Post-appendectomy Hello Doctor, my mother underwent an appendectomy on the early morning of October 11. During the surgery, there was some adhesion to the small intestine, and she has been experiencing persistent sharp pain since then, which sometimes still occurs. The doctor dur...
Dr. Chen Jiaming Reply:
Due to diarrhea from November 20 to 23, I sought medical attention and received medication. I am unsure if the medication used at that time had any effect on inhibiting intestinal motility. Prolonged use may have led to more difficulty in bowel movements, which does not necessari...[Read More] Post-Appendectomy Complications: Understanding Symptoms and When to Seek Help
Post-Appendectomy Abdominal Distension and Bowel Changes Explained
Post-appendectomy abdominal distension issue? Hello Doctor, thank you for your previous response! I had an appendectomy on November 3rd due to appendicitis (partially purulent but not ruptured, and no peritonitis). I was discharged on November 6th and had my stitches removed on N...
Dr. Chen Jiaming Reply:
The treatment of intra-abdominal infections often involves the use of broad-spectrum antibiotics, which can alter the gut microbiota after surgery. This frequently leads to symptoms such as bloating (due to an increase in gas-producing bacteria), and bowel habits may also change....[Read More] Post-Appendectomy Abdominal Distension and Bowel Changes Explained
Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Post-operative issues following appendectomy? Hello, Doctor. I underwent laparoscopic appendectomy on November 3rd. The doctor mentioned that my appendix was swollen and purulent but not ruptured, so it did not reach the level of peritonitis. I had the drainage tube removed on No...
Dr. Chen Jiaming Reply:
1. For wounds that have not healed for an extended period, it is recommended to change the dressing or care regimen; you might try applying povidone-iodine first. 2. Drainage tube wounds generally do not heal as easily as sutured wounds. After the drainage tube is removed, there...[Read More] Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Understanding Perineal Swelling: When to See a Gastroenterologist
Perineal mass I am a junior in college, and about two weeks ago, due to irregular eating and sleeping patterns along with high stress, my bowel movements changed from once every three days to two to three times a day. I often experience bloating, and my stools have become thinner...
Dr. Chen Ronghong Reply:
Hello, if the swollen area is at the anal opening, the likelihood of hemorrhoids is higher. Typically, increasing water intake and fiber consumption, while avoiding constipation and spicy foods, can alleviate symptoms. If the lump is not at the anal opening, it may be an anal abs...[Read More] Understanding Perineal Swelling: When to See a Gastroenterologist