Gastrointestinal, Surgery FAQ - Page 8

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Understanding Blood in Stool: When to Seek Medical Attention

Blood in the stool? Hello Doctor: Six years ago (around the age of 20), I experienced rectal bleeding, which led to a colonoscopy. The results showed no major issues, possibly just mild hemorrhoids. However, in the past two months, I have had rectal bleeding two to three times, w...


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 constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...

[Read More] Understanding Blood in Stool: When to Seek Medical Attention


Post-Hemorrhoid Surgery: Persistent Pain and Bleeding After Two Months

Two months after hemorrhoid surgery, it has still not healed? Hello, I underwent hemorrhoidectomy on June 29, 2020, using a minimally invasive tissue coagulation device. Online searches indicate that recovery from hemorrhoid surgery typically takes about 1 to 2 months, but even t...


Dr. Ke Fangxu Reply:
1. Traditional surgery does not typically exhibit this phenomenon. Personally, I do not use minimally invasive tissue coagulation devices, so I am unsure if this is a specific complication associated with such procedures. However, there have been a few patients in the past who ha...

[Read More] Post-Hemorrhoid Surgery: Persistent Pain and Bleeding After Two Months


Persistent Bad Breath Despite Oral Hygiene: Gastrointestinal Causes?

Oral malodor There are no cavities, but there is still a foul odor after brushing three times a day. What could be the problem? Should I see a gastroenterologist?


Dr. Ke Fangxu Reply:
This issue may not fall under the surgical specialty; please consult a gastroenterologist or a dentist.

[Read More] Persistent Bad Breath Despite Oral Hygiene: Gastrointestinal Causes?


Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness

Various Surgical Issues 1. I have been experiencing abdominal pain in the upper left quadrant, usually occurring about half an hour to an hour after breakfast. What could be the cause of this? 2. Recently, I have noticed two or three raised, painful areas on my head. I am concer...


Dr. Chen Jiaming Reply:
1. The left upper abdomen primarily corresponds to the location of the stomach, as well as other parts of the intestines. If there is gastrointestinal pain after meals, it is advisable to consult a gastroenterologist or seek an in-person evaluation to determine whether it is a fu...

[Read More] Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness


Post-Surgery Recovery: Understanding Anal Changes After Hemorrhoidectomy

Recovery after hemorrhoidectomy for internal and external hemorrhoids involves several stages. Initially, patients may experience pain, swelling, and discomfort around the anal area. It is common to have some bleeding during the first few days post-surgery. Patients are usually...


Dr. Xu Kaixi Reply:
After hemorrhoid surgery, it is normal for some granulation tissue to form during the wound healing process, and this usually improves over time. As for green discharge from the wound, it may be a mixture of wound exudate and gastrointestinal secretions. However, if symptoms such...

[Read More] Post-Surgery Recovery: Understanding Anal Changes After Hemorrhoidectomy


Can You Skip Antibiotics After a Vasectomy Surgery?

Can a laparoscopic sterilization surgery be performed without antibiotics? Hello doctor, I previously experienced severe gastrointestinal issues due to the side effects of antibiotics prescribed after surgery. I would like to know if it is possible to avoid taking antibiotics for...


Dr. Ke Fangxu Reply:
Hemorrhoid ligation generally does not use antibiotics, similar to hemorrhoidectomy, because the area is not inherently sterile, so the absence of antibiotics is not a concern.

[Read More] Can You Skip Antibiotics After a Vasectomy Surgery?


Understanding Gastrointestinal Issues: Symptoms and Possible Causes

Gastrointestinal issues A few days ago, I noticed fresh blood in the toilet after using it, and subsequently experienced constipation and blood when wiping. I became anxious and researched online, which led me to think it might be colon cancer. Then I felt nauseous and vomited. T...


Dr. Chen Jiaming Reply:
Given your age, there is currently no need to be overly concerned about colon cancer. The most common reason for young individuals experiencing blood in their stool (or blood on wiping) is mucosal injury due to constipation or difficulty in bowel movements. When you experience na...

[Read More] Understanding Gastrointestinal Issues: Symptoms and Possible Causes


Post-Appendectomy Discomfort: Causes and Solutions Explained

Post-appendectomy issues? Hello Dr. Ke: I underwent laparoscopic appendectomy on April 6, 2020. During the recovery period over the past two months, I occasionally experience discomfort in my abdomen, specifically to the right of my navel. Could this be related to gastrointestina...


Dr. Ke Fangxu Reply:
Mild abdominal pain after surgery is inevitable, even with minimally invasive procedures, as there may be some adhesions and tissue damage. A temporary light diet is recommended. If the abdominal pain is severe, you should return to the clinic for a medical examination and treatm...

[Read More] Post-Appendectomy Discomfort: Causes and Solutions Explained


Understanding Two Months of Gastroesophageal Reflux Symptoms

A problem that has been troubling for two months? Hello Doctor, due to work commitments, I have been living abroad for a long time. Recently, for the past two months, I have been working from home due to the pandemic and have started to notice that I have been experiencing gastro...


Dr. Ke Fangxu Reply:
Is it necessary to perform an upper gastrointestinal endoscopy to confirm gastroesophageal reflux disease (GERD)? The treatment primarily involves proton pump inhibitors, although the strength of the medication can vary. Based on your description, it is difficult to understand yo...

[Read More] Understanding Two Months of Gastroesophageal Reflux Symptoms


Understanding Narrow Stools: Causes, Concerns, and Testing Costs

Stool becomes thin? Hello, I would like to ask about the issue of having thinner stools. I am 20 years old and after reading some articles, I feel a bit anxious. I noticed that my stools have become thinner, and sometimes when I stand up too quickly after sitting, I experience sy...


Dr. Ke Fangxu Reply:
Young people who experience dizziness when standing up too quickly are often experiencing orthostatic hypotension rather than anemia. It is generally believed that stool must be thinner than a pinky finger to be considered truly narrowed, but not all cases of colorectal cancer wi...

[Read More] Understanding Narrow Stools: Causes, Concerns, and Testing Costs


Understanding Gastrointestinal and Rectal Issues: Symptoms and When to Seek Help

Gastrointestinal and anal issues? Hello doctor, I have been experiencing bloating easily. Over the past couple of years, I have started to eat more vegetables (I was a picky eater as a child). Recently, I had sharp pain in my lower abdomen and consulted a gastroenterologist who d...


Dr. Ke Fangxu Reply:
Based on your description, it seems more like external hemorrhoid swelling. I recommend using a topical ointment first. If the symptoms do not improve or if there is pain or bleeding, you should consult a colorectal specialist for examination and treatment.

[Read More] Understanding Gastrointestinal and Rectal Issues: Symptoms and When to Seek Help


Understanding Blood in Stool: Causes and When to Seek Help

Blood in stool? Hello, Doctor Ke. Last night I experienced abdominal pain and diarrhea. After having a bowel movement, I felt some relief, but I still have a dull ache in my left abdomen. This morning, my stool was thin and long, and there was a piece of bloody mucus attached to ...


Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome with mild bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing the intake of dietary fiber can also be...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


Understanding Risks and Options for Cyst Surgery in the Perineal Area

Sebaceous cyst surgery Hello Doctor, about three months ago, I noticed a lump in my perineal area that is painful when pressed. Recently, I visited a hospital in Zhongli, where the doctor performed a physical examination and diagnosed it as a sebaceous cyst, recommending surgery....


Dr. Chen Jiaming Reply:
A sebaceous cyst surgery is a minor procedure that can typically be performed under local anesthesia in an outpatient setting. The general perception is that the "surgical risks" are low; however, because your lesion is located in the perineal area, self-care of the sur...

[Read More] Understanding Risks and Options for Cyst Surgery in the Perineal Area


Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help

Abdominal pain and lower body soreness? Initially, the symptoms were only pain in the uterus, and after three days, I went to the gynecology department for an ultrasound, which showed no significant issues. It was suggested that it might be due to a delayed menstrual period. Afte...


Dr. Chen Jiaming Reply:
Many young women experience pelvic discomfort or cramping before their menstrual period, which is known as dysmenorrhea and is not considered a disease. If the symptoms are difficult to tolerate, taking acetaminophen (Tylenol) for a day or two can provide temporary relief. As for...

[Read More] Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help


Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns

Colonoscopy issues? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion in my stomach (but not to the level of an ulcer) and mild inflammation in the duodenum. The doctor prescribed Omeprazole (20 mg), Magnesium Ox...


Dr. Ke Fangxu Reply:
1. Gastroesophageal reflux is not related to the intestines; it may be influenced by magnesium oxide. If diarrhea occurs, magnesium oxide can be discontinued. 2. If a polypectomy was performed this time, a follow-up colonoscopy should be done in 1-2 years to check for new polyps...

[Read More] Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns


Understanding Rectal Bleeding: Hemorrhoids or Something Else?

Hemorrhoids? Or something else? I would like to ask the doctor a few questions, and I sincerely hope you can help clarify them for me. 1. I started experiencing constipation around the end of November last year, and since then, I have had three instances of what seemed like rec...


Dr. Xu Kaixi Reply:
Rectal bleeding 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 nature of the bleeding can vary from person to...

[Read More] Understanding Rectal Bleeding: Hemorrhoids or Something Else?


Understanding Mucus and Blood in Stool: Causes and Concerns

Mucus and blood in the stool? Hello doctor, I have been experiencing gastroenteritis since last week, with vomiting and diarrhea. After feeling a bit better, I started noticing mucus and blood in my stool, although the stool is formed. Sometimes, I only pass a small amount of muc...


Dr. Xu Kaixi Reply:
Rectal bleeding is considered an abnormal symptom and can be diagnosed from common conditions such as hemorrhoids to other serious gastrointestinal diseases. Based on your description, the likelihood of inflammation and bleeding from hemorrhoids caused by gastroenteritis is the h...

[Read More] Understanding Mucus and Blood in Stool: Causes and Concerns


Persistent Hard Lumps After Injections: What Should You Do?

After receiving the injection, a lump has formed that has not disappeared for 10 months? About 10 months ago, I went to the emergency room due to abdominal pain. The nurse administered pain relief and a medication to promote gastrointestinal motility in the outer upper areas of b...


Dr. Ke Fangxu Reply:
This situation is often caused by the medication not being properly dispersed, leading to fibrosis. If there is no pain, it is not a concern; applying a warm compress along with a bruise ointment should suffice. However, if it does not resolve over time or if there is persistent ...

[Read More] Persistent Hard Lumps After Injections: What Should You Do?


Understanding Gastrointestinal Issues: Signs of Potential Colon Cancer

Gastrointestinal issues Hello, doctor. I started experiencing abdominal pain around December of last year, and the symptoms have persisted until now. I had a stool test in February, which came back negative. However, in the past week, I have occasionally noticed blood in my stool...


Dr. Ke Fangxu Reply:
At the age of 17, the likelihood of developing colorectal cancer can be considered negligible, but generally, it is extremely low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to maintain a light diet and a good lifestyle routine, avoidin...

[Read More] Understanding Gastrointestinal Issues: Signs of Potential Colon Cancer


Understanding Gastrointestinal Issues: Gas Difficulty and Related Symptoms

Gastrointestinal issues Hello, doctor. I am the inquirer from #153426 and would like to follow up on my previous questions. 1. Last time, I asked if having hemorrhoids makes passing gas more difficult, and the doctor replied that it does not. However, I am experiencing difficul...


Dr. Ke Fangxu Reply:
1. You are not experiencing medically recognized flatulence difficulties; rather, you are overly concerned about your gas situation. The state of flatulence is related to dietary content and gut microbiota, which is why it is recommended that you reduce your starch intake. 2. Im...

[Read More] Understanding Gastrointestinal Issues: Gas Difficulty and Related Symptoms


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