How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao Reply:
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
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 Hemorrhoids: Pain Management and Recovery Insights
Internal and external hemorrhoids issues? Hello Doctor: I recently underwent a rubber band ligation for internal hemorrhoids (which were originally expected to be mixed hemorrhoids), but the rubber band fell off two days early, resulting in painful swelling of the external hemorr...
Dr. Yu Mingchang Reply:
External hemorrhoids cannot be treated with rubber band ligation for internal hemorrhoids. It is advisable to consult a colorectal specialist.[Read More] Understanding Hemorrhoids: Pain Management and Recovery Insights
Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Thrombosed external hemorrhoid Two weeks ago, I went to the hospital to treat an internal hemorrhoid (which was very painful this time). As a result, a week later, I noticed a fleshy lump outside the anus, skin-colored and about the size of a peanut, which is swollen and extremel...
Dr. Ke Fangxu Reply:
If the ligation of internal hemorrhoids is performed too superficially, it can lead to complications such as pain and swelling due to the proximity of the wound to external hemorrhoids. Currently, the best approach is to take warm sitz baths and wait for the wound to heal. If the...[Read More] Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Managing External Hemorrhoids: Symptoms and Treatment Options
Suspected hemorrhoids protruding? Hello, Dr. Chang. Recently, I've been experiencing harder stools, and it seems like an external hemorrhoid is protruding. It feels soft to the touch and is leaking fluid. When my anus retracts, I feel something unusual in that area, and it t...
Dr. Zhang Shuhao Reply:
Based on your description, it seems that after straining during a bowel movement, the internal hemorrhoid may slightly protrude, which is referred to as hemorrhoidal prolapse. At this time, intestinal fluid or watery stools may be more likely to leak out. It is recommended to tak...[Read More] Managing External Hemorrhoids: Symptoms and Treatment Options
Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Hemorrhoid surgery issues I underwent traditional surgery for internal and external hemorrhoids on March 19. Postoperatively, aside from the expected pain, the biggest issue has been my inability to urinate on my own. After having a catheter inserted for one day, I produced a lot...
Dr. Zhang Shuhao Reply:
Urinary retention is a common complication after hemorrhoid surgery, caused by pain at the anal wound, leading to pelvic muscle tension and excessive sympathetic nervous system stimulation. Temporary catheterization, analgesics for relaxation, or medications that assist bladder c...[Read More] Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoid issues Hello Dr. Li, I discovered I had hemorrhoids since high school. At that time, due to long periods of sitting on those wooden school chairs, I would sometimes develop a sizable hemorrhoid that would be painful. However, there was one occasion when I went to the b...
Dr. Li Qinglong Reply:
Hello: It is not possible to determine whether it is hemorrhoids based on photos alone. Please consult a surgeon for a physical examination and assessment. Ointments can only relieve symptoms of redness, swelling, and heat. If the hemorrhoids are not severe, you may use the ointm...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Soft Bumps Near the Anus: Causes and Concerns
Soft growths around the anal area? Doctor, I noticed a small soft bump at the anal opening while taking a shower. It feels slightly painful when touched. What could this be?
Dr. Zhang Shuhao Reply:
Common conditions include thrombosed hemorrhoids, external hemorrhoids, anal skin tags, and localized skin infections. It is recommended to consult a dermatologist or a colorectal specialist for a professional diagnosis and advice to determine the nature of the protrusion and rec...[Read More] Understanding Soft Bumps Near the Anus: Causes and Concerns
Understanding HPV Warts: Concerns After Treatment and Recovery
Cauliflower, anal warts, hemorrhoids? Hello, Doctor. I underwent electrosurgical treatment for genital warts on February 17, which affected the labia, vaginal opening, and anal area. During my visit to the obstetrics and gynecology department, the doctor mentioned that warts migh...
Dr. Zhang Shuhao Reply:
1. The growth rate of warts varies from person to person, typically depending on the individual's immune system status and the viral load and activity of the virus. Each person's response to HPV is different, so it is uncertain whether warts will enlarge or worsen while...[Read More] Understanding HPV Warts: Concerns After Treatment and Recovery
Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...
Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...
Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Thrombotic external hemorrhoid On March 1st, I visited a clinic due to anal pain, and the doctor diagnosed me with thrombosed external hemorrhoids. An outpatient procedure was performed to evacuate the thrombus, and I was prescribed a topical ointment. However, on March 3rd, I st...
Dr. Zhang Shuhao Reply:
After squeezing, if swelling occurs again, it may be due to the swelling of the hemorrhoids themselves, not necessarily caused by a thrombosis. It is advisable to take warm sitz baths, along with the use of ointments and anti-inflammatory pain relievers, which can help alleviate ...[Read More] Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Regarding colonoscopy examination? Hello Dr. Chang, I would like to ask you about something. I underwent traditional hemorrhoid surgery for both internal and external hemorrhoids in June of last year. Now, I am planning to have a colonoscopy in May of this year. I am wondering if...
Dr. Zhang Shuhao Reply:
After undergoing traditional internal and external hemorrhoid surgery, it is still possible to have a colonoscopy. Typically, six to eight weeks post-surgery, it will not significantly affect the surgical site, so you can safely schedule a colonoscopy if needed.[Read More] Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I'm sorry to bother you! This afternoon, I experienced pain in my lower left abdomen. After waiting for a while until I felt the urge, I went to the bathroom and noticed some blood at the end of my stool. The shape and consistency were the same as usual, appe...
Dr. Chen Bingze Reply:
Hello, it is actually recommended to have a colorectal surgeon examine the situation to determine whether it is an issue of internal hemorrhoids, external hemorrhoids, or anal fissures.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu Reply:
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Understanding Pain After Rubber Band Ligation for Hemorrhoids
Rubber band ligation surgery I just underwent rubber band ligation for internal hemorrhoids, and the pain is extremely intense. It lasted for about an hour, and I was sweating from the pain. Is this normal, or does it indicate a failure? I read that it shouldn't be painful.....
Dr. Ke Fangxu Reply:
The rubber band ligation procedure for internal hemorrhoids is theoretically painless; however, if the ligation is too superficial, pain may occur. If oral medication can alleviate the pain, then pharmacological treatment should be used. If that is ineffective, the rubber band mu...[Read More] Understanding Pain After Rubber Band Ligation for Hemorrhoids
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery