Understanding Anal Leakage: Causes and When to Seek Help
Anal discharge I have not been diagnosed with hemorrhoids, nor do I feel like I have them. Sometimes when I pass gas or accidentally, there is a watery discharge from my anus, but it has no odor. Recently, I've also experienced issues with incomplete bowel movements and a co...
Dr. Zhang Shuhao Reply:
Based on your description, it may be a functional gastrointestinal issue. You can start by increasing your fluid intake and dietary fiber, engaging in moderate exercise, and relaxing your mind. If symptoms persist, consider visiting a gastroenterologist or a family medicine clini...[Read More] Understanding Anal Leakage: Causes and When to Seek Help
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu Reply:
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Laxative dependence, anal fissure? Hello, Doctor. My problem is as follows: Whenever my stool is hard (but not rock-like), it causes anal fissures. I previously tried drinking Uni-President high-fiber soy milk (chicory fiber) to maintain softer stools, but sometimes my stool is s...
Dr. Zhang Shuhao Reply:
The ingredients and mechanisms of traditional Chinese medicine are unclear, but if you have been taking it for five years and have only recently experienced weight loss, it may not necessarily be related to the herbal medicine. If you are concerned about gastrointestinal issues, ...[Read More] Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Occasional brief sharp pain in the buttocks and being awakened at night by the urge to defecate? I am currently 33 years old, and my bowel habits have been to have a bowel movement every two to three days since high school. Although I eat some vegetables, I don't consume the...
Dr. Zhang Shuhao Reply:
Pain deep in the upper buttocks is commonly caused by piriformis syndrome and gluteal myofascial pain, often related to prolonged sitting and poor posture. Physical therapy from a rehabilitation specialist can help improve these conditions. Medications that promote intestinal mot...[Read More] Understanding Occasional Rectal Pain and Nighttime Urgency: A Surgical Perspective
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Dyspepsia & flatulence & stool consistency Hello Doctor, I am currently experiencing symptoms of dyspepsia (persistent belching with a lingering food taste after meals, and occasionally increased gas in the evening, feeling gas moving in my intestines which requires passi...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 28 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irregular bowel motility. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, ir...[Read More] Understanding Indigestion, Gas, and Bowel Changes: When to Seek Help
Understanding Anxiety-Related Issues from Bowel Movements
Anxiety-related issues caused by bowel movements? Hello Dr. Chang, thank you for taking the time to address my concerns despite your busy schedule. Here is my current situation: 1. My father has esophageal cancer, and there are no other cases within the third-degree relatives. 2...
Dr. Zhang Shuhao Reply:
1. Black or orange-red residue is usually related to food and is completely normal, with no bleeding involved. 2. If there is suspected bleeding, it may present as black stools, brick-red stools, or stools with blood streaks. For cases where blood is not visible to the naked ey...[Read More] Understanding Anxiety-Related Issues from Bowel Movements
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Diarrhea and constipation? Hello doctor, I underwent a colonoscopy around May to July last year due to frequent diarrhea, which had a yellow, muddy consistency and lasted for over six months. After the colonoscopy, the doctor said there were no issues, but the diarrhea persisted....
Dr. Xu Kaixi Reply:
The characteristics of stool can vary with diet and lifestyle habits. If you had a colonoscopy last year that showed no abnormalities, there is no need to worry about changes in stool characteristics being related to colon issues. However, it cannot be ruled out that these change...[Read More] Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...
Dr. Zhang Junwei Reply:
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Unexplained itching sensation? Hello Doctor, in the past few days, I have been experiencing a sudden and frequent sensation of unexplained swelling or itching deep in my intestines, rectum, or pelvic area. It feels like there is a spasm, and I constantly feel the urge to tighten ...
Dr. Zhang Shuhao Reply:
This sensation may originate from the gastrointestinal tract, pelvic floor muscles, or gynecological issues. It is advisable to consult a colorectal specialist and a gynecologist for a physical examination and ultrasound to rule out any organ-related problems. If the organs are f...[Read More] Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Persistent Right Abdominal Pain: When to Seek Surgical Evaluation
Right-sided abdominal pain? I have been experiencing a dull pain on the right side of my abdomen for the past two years. I had a gastrointestinal examination last year, which did not reveal any issues, but I still feel discomfort in my abdomen. Recently, I noticed that when I pus...
Dr. Chen Bingze Reply:
You can see a gastroenterologist, and if an abdominal ultrasound is necessary, the doctor will arrange it. If everything is fine, you can also consult a pain management specialist.[Read More] Persistent Right Abdominal Pain: When to Seek Surgical Evaluation
Persistent Right Abdominal Pain: When to Seek Medical Advice?
Right-sided abdominal pain? I have been experiencing a dull pain on the right side of my abdomen for the past two years. I had a gastrointestinal examination last year, which did not reveal any issues, but I still feel discomfort in my abdomen. Recently, I noticed that when I pus...
Dr. Chen Bingze Reply:
You can see a gastroenterologist, and if an abdominal ultrasound is necessary, the doctor will arrange it. If there are no issues, you can also consult a pain management specialist.[Read More] Persistent Right Abdominal Pain: When to Seek Medical Advice?
Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Itching around the anal area? Hello Doctor, I have been experiencing itching around the anal area for a month. A few days ago, I visited a colorectal surgeon who examined me with a digital exam and an anoscope, but he did not clearly inform me whether I have hemorrhoids (nor whet...
Dr. Zhang Shuhao Reply:
Itching may be an early symptom of hemorrhoids. If evaluated by a physician, skin allergies and other issues should be ruled out. It is advisable to follow the doctor's recommendations for the use of suppositories and ointments for hemorrhoids, as well as to take warm sitz b...[Read More] Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding? If a 63-year-old woman experiences rectal bleeding after wiping, it is important to determine whether it is due to hemorrhoids or another cause. Since this is her first occurrence, and considering that she had a colonoscopy last month where the doctor noted ulcer...
Dr. Zhang Shuhao Reply:
For the situation of bleeding when wiping, the following recommendations are suggested: 1. Bleeding characteristics: It is important to observe the color, amount, and nature of the bleeding. If the blood is bright red, it is usually associated with hemorrhoids; if the color is da...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
How Long Should I Use Ointment for Internal Moles?
How long should the internal mole ointment be applied? Hello, I would like to ask about the initial bleeding from an internal hemorrhoid. The doctor prescribed three suppositories and an ointment. How long should I apply the ointment? I stopped the medication after using the supp...
Dr. Zhang Shuhao Reply:
The most effective treatments for internal hemorrhoids include increasing fluid intake and dietary fiber, taking warm sitz baths, and using oral medications for hemorrhoid relief and anti-inflammation. Suppositories and ointments primarily alleviate swelling and pain, typically u...[Read More] How Long Should I Use Ointment for Internal Moles?
Understanding Blood in Stool: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, I am 21 years old. In the past few months, I have often felt that my stool is hard during bowel movements, and there is significant pain when passing it. Sometimes, there is also bleeding, and after bowel movements, I feel like there are minor tears ...
Dr. Zhang Shuhao Reply:
Based on the described situation, it is more likely to be a case of constipation and anal fissures. An anal fissure is a small tear around the anus, usually caused by hard stools, which can result in pain and bleeding during bowel movements. The presence of bright red blood in th...[Read More] Understanding Blood in Stool: Causes and Concerns for Young Adults