Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Excessive reliance on rectal ointments? Hello, doctor. I have been using hemorrhoid ointment for nearly 8 years without stopping, specifically Hiyu ointment. Whenever I stop using it, I feel very uncomfortable in my anus (burning sensation, almost like it's about to crack), ...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments can alleviate the symptoms of acute hemorrhoid flare-ups, but they do not improve the severity of hemorrhoids, so short-term use is recommended. These ointments often contain corticosteroids, and prolonged use can lead to skin sensitivity and anal itching. It...[Read More] Over-Reliance on Hemorrhoid Cream: Seeking Solutions for Persistent Discomfort
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu Reply:
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
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
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Soft Pink Bump Near Anus: Should You Be Concerned?
A small painless lump has developed outside the anus? Today, I felt a slight sharp pain in my anus and discovered a small pink soft lump on the outer edge of the anus when I looked in the mirror. It doesn't hurt and there is no bleeding. My bowel movements are generally smoo...
Dr. Zhang Shuhao Reply:
A sudden appearance of a pink small lump at the anal margin is most commonly associated with thrombosed hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, along with the use of hemorrhoid ointments to al...[Read More] Soft Pink Bump Near Anus: Should You Be Concerned?
Understanding Constipation: When to Seek Medical Help and Treatment Options
Constipation I have been experiencing this condition for a while. After having a bowel movement, I still feel like there is something in my rectum, so I squat again. Sometimes I manage to pass a few small pieces, but other times I squat for a long time without being able to have ...
Dr. Zhang Shuhao Reply:
This condition is caused by bleeding from internal hemorrhoids due to constipation. It is advisable to increase fluid and dietary fiber intake, take warm sitz baths, reduce the time spent on the toilet, and use hemorrhoid ointments along with oral medications to stop bleeding and...[Read More] Understanding Constipation: When to Seek Medical Help and Treatment Options
Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids
Rubber band ligation for internal hemorrhoids? Hello Dr. Ke, I have some questions to ask you. Yesterday, I underwent hemorrhoid ligation. 1. Is it normal for the internal hemorrhoid to be more painful because it is located closer to the outside (not an external hemorrhoid)? 2. T...
Dr. Ke Fangxu Reply:
1. Theoretically, internal hemorrhoid ligation should not be painful because the area below the dentate line lacks somatic nerve distribution; however, if the ligation is too close to the outer side, it may cause pain. 2. It is possible. 3. The ligation site may differ from the p...[Read More] Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids
Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
More than four months post-surgery? Hello Doctor, I underwent minimally invasive surgery for anal fissures and hemorrhoids over four months ago, and I am still experiencing discomfort. This week, the symptoms have become more pronounced. The discomfort feels like a sharp pain o...
Dr. Zhang Shuhao Reply:
1. You can gently touch the area while applying medication or during a sitz bath to distinguish between pain from the skin at the wound site and deeper pain from the contraction of the levator ani muscle. It is advisable to discuss your concerns in detail with the original surgeo...[Read More] Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid with thrombosis? 1. Current symptoms: For about 2 weeks, there is a sharp pain when pressed, but no pain if ignored. I have been doing warm water sitz baths (using tap water) for two days. The first week, the area felt soft when pressed, but in the se...
Dr. Zhang Shuhao Reply:
1. If two doctors have already diagnosed you with thrombosed hemorrhoids, you can follow their treatment recommendations, which may include warm sitz baths, oral anti-inflammatory and pain relief medications, using hemorrhoid ointments, and adjusting your diet and bowel habits. M...[Read More] Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
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
Understanding a Soft Bump Near the Anus: Causes and Treatment Options
There is a round, soft protrusion next to the anus? Hello Doctor, I would like to ask you about a situation I have been experiencing. Three days ago, I suddenly felt discomfort around my anus. Upon touching the area, I discovered a round protrusion near the edge of the anus, wh...
Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a thrombosed hemorrhoid. If there is no pain or discomfort, it is generally fine to leave it alone, as it will gradually resolve on its own. Applying hemorrhoid ointment can help alleviate discomfort and speed up absorption. If the discomfort ...[Read More] Understanding a Soft Bump Near the Anus: Causes and Treatment Options
Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-hemorrhoidectomy Hello, doctor. It has been 43 days since my hemorrhoid surgery. I only had a follow-up appointment 7 days post-surgery, and currently, there are no significant issues with the wound. However, I have a question: since there has been no discharge from the woun...
Dr. Zhang Shuhao Reply:
If the wound has healed and is not painful, there is no need to use ointment. When the wound feels slightly itchy or uncomfortable due to contraction, a warm water sitz bath can be helpful. Hemorrhoid ointments can alleviate symptoms, but after surgery, it is advisable to choose ...[Read More] Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...
Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help