Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...
Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Understanding Blood in Stool: Causes and When to Seek Help
The stool is all blood and water? Hello doctor, yesterday morning I experienced low blood sugar and discomfort in my stomach. When I went to the bathroom, my diarrhea was of normal color, but a few hours later it was just blood. Today, it is still bright red. However, I have a co...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid diarrhea during this period and to shorten the time spent on bowel movements. Spicy and irritating foods ...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Can a person with cauliflower (or warts) undergo a colonoscopy? 1: I recently discovered that I have genital warts around my anus, and the next day I underwent minimally invasive laser surgery and received a vaccine. 2: At the same time, I received a call from the hospital regard...
Dr. Zhang Shuhao Reply:
1. If you have recently been diagnosed with condyloma acuminatum and have undergone surgery, you should discuss with your doctor when it is appropriate to undergo a colonoscopy. It is advisable to have the procedure done when there are no condyloma lesions present and no wounds a...[Read More] Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Understanding Post-Healing Discomfort After Stomach Ulcer Recovery
Even after recovering from a gastric ulcer, occasional discomfort may still occur? Hello Doctor: I underwent an upper gastrointestinal endoscopy on June 10, which revealed multiple mild gastric ulcers. During a follow-up endoscopy on October 7, the doctor said that everything has...
Dr. Chen Bingze Reply:
I am not sure if you have checked for Helicobacter pylori infection. If there is an infection, you should also undergo eradication therapy.[Read More] Understanding Post-Healing Discomfort After Stomach Ulcer Recovery
Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Inquiry Consultation Dear Dr. Chang, Recently, when I sit, I feel a sense of pressure and fullness around the anal area, which is less noticeable when I stand or walk. Additionally, when I try to pass gas, it feels like the gas is trapped at the anal opening and is difficult to ...
Dr. Zhang Shuhao Reply:
1. When internal hemorrhoids are swollen and prolapsed, there may be a feeling of pressure and fullness near the anus, and standing or walking can help venous return, slightly alleviating the congestion and swelling. 2. Swelling of hemorrhoids may cause a different sensation in t...[Read More] Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...
Dr. Ke Fangxu Reply:
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
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 Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Discomfort and Odor in the Anal Area: Possible Causes
Anal issues or..? Hello doctor, I only feel discomfort in my buttocks and anus when sitting, it feels damp and I can't sit properly. Every time I sit down, there is a foul odor that causes me a lot of distress at school. However, it doesn't seem to be the smell of anal ...
Dr. Zhang Shuhao Reply:
If sitting causes the buttocks and anus to feel hot and moist, you can start by switching to loose cotton underwear, reducing sitting time, losing weight, maintaining a light diet, and increasing fluid intake. For more severe cases, it may be necessary to change underwear multipl...[Read More] Understanding Discomfort and Odor in the Anal Area: Possible Causes
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
Understanding Black Stool After Surgery: Causes and Concerns
Postoperative black stools? Hello Doctor, I underwent traditional hemorrhoid surgery on September 28, and it has been 12 days since then. I have been taking a laxative called Lacto for constipation, 20ml once a day, but my stools have been consistently dark. On October 4, I had a...
Dr. Zhang Shuhao Reply:
1. If there is black stool without obvious bright red blood, it is likely caused by upper gastrointestinal bleeding, with the most common reason being bleeding from a gastric ulcer due to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In this case, taking magnesium oxi...[Read More] Understanding Black Stool After Surgery: Causes and Concerns
Understanding Gastrointestinal Issues After Fasting: Surgical Insights
Gastrointestinal issues Hello Doctor, I am a patient who consulted you about bloating after fasting a year ago. I wonder if you remember me. After fasting, I lost 26 kg and then gained back to 53 kg, after which I have been experiencing persistent abdominal bloating and pain. Her...
Dr. Chen Jiaming Reply:
Ladd's bands cause obstruction primarily due to abnormal intestinal rotation during the developmental process, which is typically an issue in infants; cases in adults are rare. The imaging you provided does not suggest a problem with malrotation based on the distribution of ...[Read More] Understanding Gastrointestinal Issues After Fasting: Surgical Insights
How to Handle Pain and Swelling After Abdominal Injury?
Belly bumped into the table? After bumping into a table, there is redness and swelling about eight centimeters to the left of the navel, and it hurts only when touched. How should this be managed?
Dr. Xu Kaixi Reply:
In cases of abdominal blunt trauma, if there are no gastrointestinal symptoms such as vomiting or nausea, observation is sufficient. However, if pain persists or worsens, it is essential to seek immediate medical attention in the emergency department for evaluation.[Read More] How to Handle Pain and Swelling After Abdominal Injury?
When Is Rectal Bleeding a Concern Beyond Bowel Movements?
Anal issues Hello, doctor. I would like to ask under what circumstances the anus might bleed when not having a bowel movement? Could it possibly be a gastrointestinal issue? Thank you for your response, doctor.
Dr. Chen Bingze Reply:
Hemorrhoids and anal fissures can occur, and while the likelihood of developing colorectal cancer at your age is relatively low, if you are truly concerned, it is advisable to undergo a colonoscopy for peace of mind.[Read More] When Is Rectal Bleeding a Concern Beyond Bowel Movements?
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