Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights
Hemorrhoids or anal fissure? I previously sought medical attention due to severe pain during bowel movements, which the doctor diagnosed as hemorrhoids rather than anal fissures. I underwent rubber band ligation. After the procedure, I experienced some improvement, but almost eve...
Dr. Cai Xingzhi Reply:
1. Tissue necrosis and shedding after ligation may cause localized itching, which is normal; please take medication as prescribed by your physician. 2. Anoscopy can easily cause bleeding due to the underlying condition (such as hemorrhoids), making bleeding more likely. 3. An...[Read More] Understanding Hemorrhoids vs. Anal Fissures: Pain and Treatment Insights
Post-Banding Care for Internal Hemorrhoids: What to Expect
Post-banding of internal hemorrhoids Hello, doctor. I have two questions to ask: 1. I previously underwent rubber band ligation for internal hemorrhoids, and today the rubber band fell off, but I have started to notice yellow discharge. Is this normal? 2. I have been taking a...
Dr. Ke Fangxu Reply:
It is normal as long as there is no severe pain or significant bleeding. Generally, the discharge will subside within about a week. After hemorrhoid ligation, there may be some abnormal sensations due to irritation from the wound. It is recommended to take warm sitz baths, which ...[Read More] Post-Banding Care for Internal Hemorrhoids: What to Expect
Understanding Complications After Hemorrhoid Banding Surgery
Injury from hemorrhoid ligation in the anal canal? Dear Dr. Ke, I underwent three rubber band ligation procedures for internal hemorrhoids at a clinic in Taipei from January to March 2014. After the procedures, I experienced occasional bleeding during bowel movements in April. T...
Dr. Ke Fangxu Reply:
1. In medical terminology, there is no such term as "anal membrane." The website refers to the mucosal tissue above the anal dentate line, which is the lower rectal mucosa. This mucosal tissue typically heals within about a week unless subjected to high doses of radiati...[Read More] Understanding Complications After Hemorrhoid Banding Surgery
Can Rubber Band Ligation Help Grade 3 or 4 Hemorrhoids?
Can third and fourth degree hemorrhoids be treated with ligation surgery? Hello, doctor. I have had hemorrhoids for several years, and I believe I am currently at stage three or four. Although it has not been painful or bled for a long time, my internal hemorrhoids protrude outsi...
Dr. Ke Fangxu Reply:
If your symptoms include swollen external hemorrhoids, you should not undergo internal hemorrhoid ligation surgery, as the treatment targets are different. If there is no pain or bleeding, it is recommended to use topical ointments and improve your lifestyle habits.[Read More] Can Rubber Band Ligation Help Grade 3 or 4 Hemorrhoids?
Do You Need Surgery for Mixed Hemorrhoids? Expert Insights
Does a mixed nevus always require surgical removal? Dear Dr. Ke, I have external hemorrhoids located at both the front and back of my anus. Two years ago, they alternately swelled, and the doctor at that time diagnosed them as mixed hemorrhoids. After ligating two internal hemor...
Dr. Ke Fangxu Reply:
1. External hemorrhoids can indeed become swollen, and this can occur with prolonged sitting or standing. 2. For internal hemorrhoid ligation, it is generally recommended to wait at least two weeks before performing the procedure again. If lifestyle and dietary habits are not p...[Read More] Do You Need Surgery for Mixed Hemorrhoids? Expert Insights
Understanding Rubber Band Ligation for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids Thank you, Dr. Ke, for your response. The doctor who performed the banding procedure for my internal hemorrhoids mentioned that my first banded hemorrhoid has resolved (fallen off), so I am hoping for the same outcome with the second ...
Dr. Ke Fangxu Reply:
The purpose of hemorrhoid ligation surgery is to stop bleeding or address mild prolapse. If these symptoms are not present, there is no need for the procedure. Patients often become concerned when doctors mention "there are still two remaining." In fact, hemorrhoidal ti...[Read More] Understanding Rubber Band Ligation for Internal Hemorrhoids
Understanding Rubber Band Ligation for Internal Hemorrhoids: What to Expect
Rubber Band Ligation for Internal Hemorrhoids Hello Dr. Ke: I had a rubber band ligation for internal hemorrhoids yesterday. This is my second ligation; the first time I experienced pain for several days after the procedure, but this time I only felt pain on the first day. After ...
Dr. Ke Fangxu Reply:
The purpose of hemorrhoid ligation surgery is to stop bleeding. If there is a reduction in bleeding and no pain after the procedure, then the treatment goal has been achieved. As for whether the rubber band is still present, it is not that important, so please do not dwell on it ...[Read More] Understanding Rubber Band Ligation for Internal Hemorrhoids: What to Expect
Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Rubber Band Ligation for Hemorrhoids Hello Doctor: I have recently been undergoing rubber band ligation treatment for my internal hemorrhoids. I just completed my third session; the first two times, I experienced some swelling and discomfort on the first day, but it resolved by t...
Dr. Ke Fangxu Reply:
The rubber band used for hemorrhoid ligation may not always be visible; sometimes, the black rubber band can blend in with dark stool, making it difficult to identify. The absence of discomfort does not necessarily mean that the rubber band has fallen off; it may simply indicate ...[Read More] Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Understanding Rubber Band Ligation: Post-Surgery Concerns and Care
Rubber band ligation Dear Doctor: I underwent a rubber band ligation for internal hemorrhoids yesterday at 6 PM. After having a bowel movement today at 2 PM, I experienced significant pain, and I noticed that the internal hemorrhoids would not retract. Upon examining with a mirro...
Dr. Ke Fangxu Reply:
Hello: In response to your question, internal hemorrhoid ligation refers to the procedure of ligating the hemorrhoidal tissue located inside the anal canal. Given this, why can the wound inside the anal canal be visible? Sometimes, after rubber band ligation, it can cause swellin...[Read More] Understanding Rubber Band Ligation: Post-Surgery Concerns and Care
Understanding Internal Hemorrhoid Ligation: What to Expect Post-Procedure
Internal hemorrhoid ligation I had a "rubber band ligation for internal hemorrhoids" last week, and I'm a bit unsure if it was actually done. Is it normal not to feel much over the past few days? How long does it typically take for the band to fall off? Will I noti...
Dr. Ke Fangxu Reply:
Hello: In response to your question about internal hemorrhoid ligation, it is normal not to feel pain since the ligation point is located within the anal dentate line. Congratulations on encountering a skilled physician; if the physician were to make a mistake or lack skill, you ...[Read More] Understanding Internal Hemorrhoid Ligation: What to Expect Post-Procedure
How Soon Can You Jog or Swim After Hemorrhoid Banding?
How long after hemorrhoid ligation can I start jogging or swimming? How long after hemorrhoid ligation can I start jogging or swimming?
Dr. Ke Fangxu Reply:
Hello: In response to your question, hemorrhoid ligation generally does not affect daily activities. However, for safety reasons, it is still recommended to avoid vigorous exercise for at least one week. Dr. Ke Fang-Hsu, Department of Surgery, Keelung Hospital.[Read More] How Soon Can You Jog or Swim After Hemorrhoid Banding?
Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Anal issues Hello, Dr. Ke. I discovered I had two internal hemorrhoids and one external hemorrhoid during an examination at a nearby clinic around July or August of this year. Initially, I underwent a ligation procedure for the two internal hemorrhoids, while the external hemorrh...
Dr. Ke Fangxu Reply:
A burning sensation is not necessarily caused by hemorrhoids resulting from treatment; the hemorrhoids themselves can also lead to abnormal sensations in the anal area. However, this does not pose a threat to life. It is recommended to use topical ointments for treatment. If it c...[Read More] Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Understanding Hemorrhoids: Treatment Options and Recovery Insights
Internal mole or nevus? Hello Dr. Ke: After giving birth, my hemorrhoids have not returned to their original position. I went to the hospital for an examination, and the doctor said I have two hemorrhoids, one of which is an internal hemorrhoid that was banded. After the banding,...
Dr. Ke Fangxu Reply:
After hemorrhoid ligation, there may be some swelling around the area, and it is normal to feel a protrusion. It is important to avoid constipation after the procedure. As for whether the rubber band is likely to fall off, it shouldn't be a concern as long as there is no pai...[Read More] Understanding Hemorrhoids: Treatment Options and Recovery Insights
Understanding External Hemorrhoids: Symptoms, Treatment, and Surgery Options
External mole My mom says that her external hemorrhoid is very large and cannot be pushed back in, so it must be stage 4 hemorrhoids, right? Can it be treated with banding, or is surgery necessary? She doesn't have any bleeding symptoms; it's just that the external hemo...
Dr. Ke Fangxu Reply:
Hello, in response to your question: If an external hemorrhoid is so large that it cannot be pushed back in, it is considered a stage IV hemorrhoid. External hemorrhoids cannot be treated with hemorrhoid ligation because it would cause severe postoperative pain. Only internal hem...[Read More] Understanding External Hemorrhoids: Symptoms, Treatment, and Surgery Options
Managing and Caring for Mixed Hemorrhoids: Common Concerns and Solutions
Management and Care of Mixed Hemorrhoids Dear Dr. Ke, Thank you for your response. However, I still have some questions I would like to ask you. Since I discovered I have mixed hemorrhoids about two to three months ago, I have been diligently following the doctor's instruct...
Dr. Ke Fangxu Reply:
Hello: In response to your question, hemorrhoids are composed of spongy tissue located at the anal opening, which helps maintain anal closure. Prolonged congestion can lead to swelling. Therefore, factors such as constipation, straining, prolonged sitting, or increased abdominal ...[Read More] Managing and Caring for Mixed Hemorrhoids: Common Concerns and Solutions
Understanding Endoscopic Hemorrhoid Ligation: Key Questions Answered
excuse me? I would like to ask about [endoscopic hemorrhoid ligation surgery]. 1. My condition is stage three [requiring manual reduction of the hemorrhoid back into the anal canal], with both internal and external hemorrhoids. 2. I have had hemorrhoids for 10 years and often e...
Dr. Hou Yongji Reply:
Based on your description, it is not possible to provide clear and accurate treatment recommendations. Please seek out a colorectal surgeon for evaluation and treatment as soon as possible. Thank you, and here is a list of specialists.[Read More] Understanding Endoscopic Hemorrhoid Ligation: Key Questions Answered
Post-Surgery Concerns After Hemorrhoid Ligation: What to Expect
Post-hemorrhoid ligation issues? Hello, Doctor Hou. I am a working professional. I had hemorrhoid ligation surgery last Thursday, and it has been 5 days since then. The doctor provided me with a list of precautions, which I have been following. However, since yesterday, I have no...
Dr. Hou Yongji Reply:
Hello: Based on your description, it seems to be a normal reaction after hemorrhoid ligation. If you have any concerns, please return for a follow-up appointment and discuss them with your attending physician. After all, good health is essential for a successful career. Thank you...[Read More] Post-Surgery Concerns After Hemorrhoid Ligation: What to Expect
Post-Band Ligation Care for Hemorrhoids: What to Expect and Tips
Care After Rubber Band Ligation for Hemorrhoids After undergoing rubber band ligation for hemorrhoids, is there any specific care I should follow? If I exert myself during bowel movements, could it affect the ligated area? I read about a woman in the newspaper who had a treatment...
Dr. Ke Fangxu Reply:
Hello: In response to your question, hemorrhoid ligation is generally not painful; at most, you may experience a slight feeling of fullness, which does not affect bowel movements and does not require special care. However, it is important to avoid constipation, and prolonged stra...[Read More] Post-Band Ligation Care for Hemorrhoids: What to Expect and Tips
Should You Consider Further Colonoscopy for Ongoing Rectal Bleeding?
Is there a need to proceed with a colonoscopy? Hello… Last October, I experienced rectal bleeding and consulted a doctor. At that time, the doctor performed a sigmoidoscopy and diagnosed me with internal and external hemorrhoids, which were causing the bleeding. Since then, I hav...
Dr. Ke Fangxu Reply:
Hello: In response to your question, at the age of 31, we generally do not consider the possibility of colorectal cancer, although it cannot be completely ruled out. However, the likelihood of hemorrhoidal bleeding is higher. If the bleeding is not severe and occurs repeatedly, i...[Read More] Should You Consider Further Colonoscopy for Ongoing Rectal Bleeding?
Post-Surgery Pain After Hemorrhoid Ligation: Causes and Recovery Tips
Pain may occur after hemorrhoid ligation surgery for internal hemorrhoids? Dear Doctor: During my last vasectomy, I experienced no pain at all. However, after this recent procedure, I was in so much pain on the first and second days that I couldn't sleep. The doctor prescrib...
Dr. Hou Yongji Reply:
Typically, hemorrhoid ligation is performed for internal hemorrhoids; however, in some patients with mixed internal and external hemorrhoids, it is possible that external hemorrhoids may also be ligated for therapeutic purposes. In your case, since the pain was most severe on the...[Read More] Post-Surgery Pain After Hemorrhoid Ligation: Causes and Recovery Tips