Understanding Anal Fissures: Pain Management and Treatment Options
Anal fissure or enteritis? Hello Dr. Ke: Since March, I have been experiencing severe pain in my anal area after using the bathroom, feeling like a knife is cutting me, and the pain lasts for a long time. Therefore, I went to a major hospital for consultation. The doctor performe...
Dr. Ke Fangxu Reply:
1. Anal dilation is indeed one of the traditional treatments for anal fissures; however, it is generally considered to be ineffective and painful. If you can tolerate it, you might consider trying it. 2. The typical symptoms of an anal fissure include pain during bowel movement...[Read More] Understanding Anal Fissures: Pain Management and Treatment Options
Understanding Appendectomy Concerns: Prevention and Recovery Insights
Appendicitis surgery issues Hello Doctor, thank you for your previous response. During my follow-up visit, the physician informed me that the base of my appendix is unhealthy and expressed concerns about potential issues with leakage from the surgical site post-operation. Could y...
Dr. Chen Jiaming Reply:
Clinically, the appendix is a tubular structure that extends from the large intestine, and the occurrence of appendicitis often stems from obstruction of the lumen. However, the location of the obstruction can vary, leading to different segments of inflammation and varying manage...[Read More] Understanding Appendectomy Concerns: Prevention and Recovery Insights
Understanding Gastrointestinal Issues: Causes of Frequent Diarrhea After Meals
Gastrointestinal issues Hello doctor, I've been experiencing diarrhea frequently after meals lately. I often have to go to the bathroom two to three times after breakfast, lunch, and dinner, and the stools are watery. What could be the issue? Could it be related to a small t...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome (IBS). I recommend starting with a light diet and maintaining a good daily routine. You should avoid spicy, irritating, and greasy foods. If the symptoms persist without improvement, you may want to consult a ...[Read More] Understanding Gastrointestinal Issues: Causes of Frequent Diarrhea After Meals
Changes in Bowel Habits and Abdominal Pain: What You Need to Know
Changes in bowel habits and abdominal pain? I have recently experienced changes in my bowel habits. Previously, I could easily have a bowel movement, but lately, no matter how hard I try, I can't seem to pass stool. I still have bowel movements daily, sometimes more, sometim...
Dr. Chen Jiaming Reply:
Based solely on your description, without an actual physical examination or further arrangements for relevant X-rays or endoscopic examinations, it is difficult to make any assumptions regarding gastrointestinal symptoms. It is advisable for you to schedule an appointment with a ...[Read More] Changes in Bowel Habits and Abdominal Pain: What You Need to Know
Understanding Blood in Stool: Constipation and Dietary Impact
Blood on the stool can occur due to straining during bowel movements? Hello doctor, I usually eat very few fruits and vegetables, and I don't drink water often. I've always had issues with constipation, and my stools are pellet-like. As a working professional, I often f...
Dr. Chen Jiaming Reply:
You are actually quite aware of where the problem lies. The urge to defecate indicates that stool may have already reached the lower colon or rectum. If it stays there for too long, it will continue to absorb water, becoming drier and harder to pass. It is more comfortable and pl...[Read More] Understanding Blood in Stool: Constipation and Dietary Impact
Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Bleeding during bowel movements has persisted for 2-3 months? Female, 21 years old, has lost 10 kg over the past 2-3 months. Adequate water intake and a high vegetable consumption (healthy diet + detox drinks). Has never undergone any gynecological, endocrinological, or gastroint...
Dr. Chen Jiaming Reply:
There are many ways to lose weight, and many people encounter bowel issues during the process (though this is often not discussed). Increasing fiber intake through dietary changes (such as vegetables, fruits, and special beverages), enhancing satiety, and reducing calorie absorpt...[Read More] Understanding Prolonged Rectal Bleeding and Associated Symptoms in Young Adults
Understanding Rectal Bleeding: Causes and Concerns for Your Health
I have been experiencing bright red blood in my stool for a while? I have been experiencing a sensation of large or hard stools for quite some time, which has caused anal fissures, resulting in fresh blood when wiping. I also notice blood dripping into the toilet and on the stool...
Dr. Ke Fangxu Reply:
This situation is likely due to hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Warm sitz baths may help alleviate symptoms, and you...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Your Health
Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Swelling in the lower right abdomen resembling intestinal distension? I can feel a tubular structure in my lower right abdomen that sometimes is very noticeable and other times less so, but I can still feel it. I went to the hospital and had a CT scan, and the doctor mentioned th...
Dr. Chen Jiaming Reply:
First, we generally use the umbilical region to differentiate between the upper and lower abdomen. You described feeling something like the intestines in the right lower abdomen. As for the previous examinations arranged by the physician, they seem to be aimed at diagnosing Super...[Read More] Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Managing Gastrointestinal Issues: Tips for Exam Stress Relief
Gastrointestinal issues Previously, I had been holding in my bowel movements and gas until I got home. One night, I started experiencing loud, gurgling sounds in my stomach that resembled diarrhea, which made it difficult for me to sleep. As the exam approached, I became increasi...
Dr. Chen Jiaming Reply:
I can only offer a small suggestion: for foods made from fermented products like bread, which contain a lot of gas, individuals who are prone to bloating should consider reducing their intake of such foods or ensure they chew thoroughly and swallow slowly. Additionally, there are...[Read More] Managing Gastrointestinal Issues: Tips for Exam Stress Relief
How Often Should You Get a Colonoscopy? Understanding Risks and Recommendations
Colonoscopy duration Hello, doctor. How often should I have a colonoscopy? I have internal hemorrhoids, and if I strain too much during bowel movements, I might experience bleeding. However, using suppositories helps improve the bleeding symptoms. I had a gastrointestinal endosco...
Dr. Chen Jiaming Reply:
The current consensus in the medical community is that if polyps are found during a colonoscopy, in addition to removing the polyps at that time, it is recommended to undergo another colonoscopy one year later. If no new polyps are detected during that follow-up examination, then...[Read More] How Often Should You Get a Colonoscopy? Understanding Risks and Recommendations
Understanding Rectal Bleeding: Causes and Treatment Options
Rectal bleeding Hello, doctor. Recently, for the past week, I have felt no urge to have a bowel movement. However, when I checked manually, I found stool (with blood streaks). The stool is not particularly hard, but sometimes I feel discomfort in my anus. After digging, I found s...
Dr. Xu Kaixi Reply:
If the anal mucosa is damaged due to external force or friction from fingers, it may result in bleeding. It is recommended that you visit a hospital for a fecal occult blood test to rule out the possibility of internal bleeding in the gastrointestinal tract.[Read More] Understanding Rectal Bleeding: Causes and Treatment Options
Understanding Right Abdominal Pain and Bloating: Seeking Solutions
Right abdominal bloating and pain? Hello Dr. Ke, I have been experiencing gastrointestinal issues for about two years now. Last year, I underwent a colonoscopy due to my concerns, and the results were normal according to the doctor. In February and March of this year, I visited t...
Dr. Ke Fangxu Reply:
At the age of 20, the likelihood of developing colorectal cancer is not zero, but it is generally very low. Since you have already undergone a colonoscopy, there is no need for concern. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommende...[Read More] Understanding Right Abdominal Pain and Bloating: Seeking Solutions
Understanding Bright Red Blood in Stool: When to Seek Medical Attention
Rectal bleeding I have been experiencing bright red blood dripping after bowel movements for the past week. The stool and blood are separate, and there is no pain. Previously, my bowel movements were normal, occurring once a day. I have had internal hemorrhoids for several years,...
Dr. Xu Kaixi Reply:
Hello: Blood in the stool is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal bleeding is the highest. The causes of bleeding are related to va...[Read More] Understanding Bright Red Blood in Stool: When to Seek Medical Attention
Understanding Blood in Stool: Symptoms and Concerns for Digestive Health
Rectal bleeding and issues with bowel movements? Doctor, I would like to ask you something. I have a regular bowel movement every day, but at the beginning of this month, I suddenly experienced abdominal pain while having a bowel movement. I felt like I had to exert extra effort,...
Dr. Ke Fangxu Reply:
This situation is likely indicative of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the duration of bowel movements. Prolonged straining can lead to increased ...[Read More] Understanding Blood in Stool: Symptoms and Concerns for Digestive Health
Understanding Black Spots in Stool: Causes and Concerns
Black specks in stool? Hello, I recently observed my stool after having a bowel movement. I noticed that the color of my stool is yellow-brown, but there are black spots on it, and sometimes there are even chunks of black. Although my stool is generally large, the end tends to ta...
Dr. Ke Fangxu Reply:
The appearance of abnormal color and content in the stool is mostly due to food residues. It is recommended that you avoid consuming enoki mushrooms and monitor your bowel movements. Gastric bleeding can cause the stool to turn completely black, rather than exhibiting a streaked ...[Read More] Understanding Black Spots in Stool: Causes and Concerns
Understanding Gastrointestinal Issues: Blood in Stool Concerns
Gastrointestinal issues Hello doctor, on Monday I noticed a small amount of blood in my stool. At that time, the stool was hard and yellow, and there was no pain in my anus, nor was there any bleeding when wiping. Then on Tuesday and Wednesday, there was no blood in my stool. Is ...
Dr. Chen Jiaming Reply:
Since there are concerns about various possibilities, let's check them one by one in order. First, consult a colorectal surgeon to see if there are any issues with hemorrhoids, and at the same time, modify your diet and daily routine to help soften your stools. Once stable (...[Read More] Understanding Gastrointestinal Issues: Blood in Stool Concerns
Understanding Bowel Issues: Gas, Blood, and Gastrointestinal Health Concerns
Bowel movement issues? Recently, due to the stress from exams, I have been staying up late and my weight has remained around 50 kilograms, similar to the past few years. I rarely exercise and usually eat out. Since last year, I have been experiencing frequent flatulence, which is...
Dr. Chen Jiaming Reply:
Based on your description, it does not appear to be indicative of colorectal cancer or irritable bowel syndrome. As for whether it is hemorrhoids or bleeding due to damage to the anal mucosa from excessive wiping, further examination by a gastroenterologist or colorectal surgeon ...[Read More] Understanding Bowel Issues: Gas, Blood, and Gastrointestinal Health Concerns
Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Is the likelihood of recurrence high if appendicitis is not treated surgically? Doctor, I visited a nearby clinic on March 15th due to upper abdominal pain, and I was diagnosed with gastroenteritis. Three days later, as the pain shifted to my lower right abdomen, I went to a larg...
Dr. Chen Jiaming Reply:
Basically, if acute appendicitis is diagnosed and there are no specific reasons that make anesthesia and surgery inappropriate, such as poor cardiopulmonary status in the elderly or severe coagulopathy, it is generally recommended to arrange for an appendectomy as the appropriate...[Read More] Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Understanding Abnormal Bowel Movements: When to Seek Medical Attention
Abnormal bowel movements? Since the second half of last year, I have occasionally experienced sudden abdominal pain (dull pain, mostly located below the navel or in the right abdomen) during sleep, but I do not have the urge to defecate. Even when I do feel the urge, I can only p...
Dr. Xu Kaixi Reply:
Hello: Changes in bowel habits and stool characteristics, along with other gastrointestinal symptoms, are not normal and could indicate various potential diagnoses, including serious gastrointestinal diseases. It is strongly recommended to visit a hospital's gastroenterology...[Read More] Understanding Abnormal Bowel Movements: When to Seek Medical Attention
Persistent Right Lower Body Pain: Could It Be a Nerve Issue?
Pain and numbness in the right lower extremity? I have been experiencing pain and numbness in my right lower body, from my waist to the sole of my foot, for the past seven months. The discomfort is particularly pronounced in the lower right back and hip area, which feels tight an...
Dr. Zhang Junwei Reply:
It could be an issue with the sciatic nerve.[Read More] Persistent Right Lower Body Pain: Could It Be a Nerve Issue?