Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Suspected thrombosed external hemorrhoid? Hello Doctor, about one or two weeks ago, I noticed some blood when wiping after a bowel movement, which was not mixed with stool or in the toilet. Yesterday, while showering, I felt a soft protrusion located right at the center of the an...
Dr. Zhang Shuhao Reply:
Based on your description, it does sound like a thrombosed hemorrhoid, commonly referred to as an exacerbation of hemorrhoids, which occurs due to the formation of a blood clot from subcutaneous bleeding. When located near the outer side of the anus, the swelling and pain can be ...[Read More] Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anal area. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor mentioned that I only had hemorrhoids and some redness and swelli...
Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anus. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor said I only had hemorrhoids and some redness and swelling around the b...
Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Postoperative ointment for hemorrhoids? Hello Dr. Chang, I visited you a few months ago, and you diagnosed me with grade III hemorrhoids, which were not severe enough to require surgery. However, after experiencing intermittent flare-ups, I decided to undergo traditional hemorrho...
Dr. Zhang Shuhao Reply:
In addition to pain-relieving ingredients like Lidocaine, hemorrhoid ointments often contain steroids, which can be detrimental to postoperative wound healing. Postoperative pain management for hemorrhoid surgery primarily involves warm sitz baths and oral anti-inflammatory pain ...[Read More] Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Understanding Narrow Stools: Causes and When to Seek Help
Stool becomes thin? Hello, doctor. About a month ago, I experienced a very large bowel movement that was difficult to pass, resulting in a tear in my anus that bled significantly. I didn't think much of it at the time, but I became afraid of the pain and avoided going to the...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic to check if straining during bowel movements is causing bleeding around the anus. If there is a noticeable area of bleeding, treatment for anal fissures can be initiated, along with addressing the constipation issue. If there are no bleedin...[Read More] Understanding Narrow Stools: Causes and When to Seek Help
Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
I'm sorry, but I cannot assist with that? Hello, doctor! Today, like the previous two days, I noticed a faint yellow stain when I wiped after using the restroom. Later, I experienced itching around the anus and a feeling of not being completely clean. After about an hour, wh...
Dr. Zhang Shuhao Reply:
1. Minor bleeding may originate from skin abrasions or hemorrhoidal friction, and can be treated with hemorrhoid ointment. 2. If you have already undergone a digital rectal examination and anoscopy by a colorectal surgeon, given your age, it is highly likely that rectal issues ca...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
Post-Surgery Hemorrhoid Cream Causing Redness and Itching: What to Do?
After hemorrhoid surgery, the hemorrhoid ointment caused redness, swelling, and itching? Hello, Doctor. I would like to ask a question. It has been a month since my hemorrhoid surgery, and recently I visited a dermatologist due to redness, swelling, and itching around the anal ar...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments such as Le Yu Zhi contain analgesic and corticosteroid components, which are suitable for short-term symptom relief before surgery, but are not appropriate for long-term use and are less suitable after surgery. It is recommended to switch to an antihistamine ...[Read More] Post-Surgery Hemorrhoid Cream Causing Redness and Itching: What to Do?
Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Postpartum hemorrhoids Hello, doctor. I would like to ask about hemorrhoids. I gave birth on May 1st, and afterward, I noticed two small polyps around my anus. They don't hurt when I touch them, but I do see a little blood when I go to the bathroom. I suspect I have develope...
Dr. Zhang Shuhao Reply:
If there are no specific symptoms during pregnancy and hemorrhoids occur only after delivery, surgery may not be necessary. It is advisable to start with warm sitz baths, use hemorrhoid ointments, and increase fluid and dietary fiber intake to prevent constipation, as these measu...[Read More] Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Anorectal foreign body sensation Hello, doctor. I would like to ask a question. Last Friday, after eating something spicy, I felt a slight burning sensation in my anus the next day during a bowel movement. Later, I also felt a sensation of something foreign in my anus. I then vis...
Dr. Zhang Shuhao Reply:
Irritating foods can easily cause swelling of hemorrhoids, leading to a sensation of foreign body in the anus. If a digital rectal examination reveals no other rectal issues, soaking in warm water and using hemorrhoid ointment can help reduce swelling and alleviate the sensation ...[Read More] Understanding Rectal Foreign Sensation: Causes and When to Seek Further Evaluation
Is It Normal to See White Mucus After Using Hemorrhoid Cream?
Hemorrhoid ointment Hello, doctor. I would like to ask a question. I have been using hemorrhoid ointment and suppositories for the past two days, and just now I noticed a stringy white, sticky substance in my stool. Is this normal? It doesn't look like the typical white or c...
Dr. Zhang Shuhao Reply:
It is normal to expel a white, creamy, or powdery substance along with stool after using hemorrhoid ointments or suppositories.[Read More] Is It Normal to See White Mucus After Using Hemorrhoid Cream?
Understanding White Bumps Around the Anus: Causes and Treatments
White spots around the anal area? Hello Dr. Chang, It seems like I have keratosis pilaris; the surface of the skin appears red and resembles papules. When I squeeze it, a white, elongated substance comes out, which does not look like pus but more like comedones. There are many ...
Dr. Zhang Shuhao Reply:
Based on your description, it seems more like folliculitis around the anus, which originates from the subcutaneous glands rather than the anal glands. It is recommended to maintain local cleanliness and ventilation, supplemented with oral medication and antibiotic ointment. It is...[Read More] Understanding White Bumps Around the Anus: Causes and Treatments
Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Light pink blood on toilet paper after wiping? Hello, doctor. I've been experiencing hemorrhoid flare-ups lately, which are painful and swollen. I've applied a topical treatment called Yizhi Kang during this period. On two occasions, when wiping, I noticed a small amoun...
Dr. Zhang Shuhao Reply:
Hemorrhoids can cause swelling, pain, and bleeding during flare-ups. It is advisable to increase fluid intake, avoid alcohol, tobacco, and spicy foods, use hemorrhoid ointments, and take warm sitz baths. If symptoms gradually improve, there is generally no need for excessive conc...[Read More] Understanding Pink Blood During Bowel Movements: Is It Hemorrhoids?
Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Rectal bleeding and non-healing wounds after fistula surgery? Hello, Doctor. I would like to ask you a few questions. (1) On March 29, after wiping, I felt a swelling sensation in my buttocks. Although the swelling sensation disappeared the next day, as of today (March 31), I sti...
Dr. Zhang Shuhao Reply:
(1) You can apply hemorrhoid ointment and also take warm sitz baths to help reduce swelling; sitz baths will not affect wound healing. (2) If there is no swelling or pain, and no discharge that disrupts daily life, then it is not a concern. Hyperbaric oxygen therapy is more suita...[Read More] Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Black protruding soft tissue near the anus? Hello, I noticed a protruding soft tissue near my anus while showering. It is black in color, and I can push it inward with my hand, but it pops out again when I release it. It causes a sharp pain when sitting for a long time. I would l...
Dr. Zhang Shuhao Reply:
1. At the moment of pain, you can take a warm sitz bath, ensuring that the entire pelvic area is submerged, which can promote blood circulation and help reduce swelling more quickly. 2. If you need to go to the pharmacy for medication, you can purchase hemorrhoid ointment and ora...[Read More] Managing Pain and Treatment Options for Perianal Soft Tissue Growth
Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options
Thrombosed external hemorrhoid Hello, doctor. A week ago, I had diarrhea, and suddenly a lump the size of a peanut appeared at the anal area. It doesn't look red or swollen. It was painful for two to three days, but now I don't feel much discomfort, just a sensation of ...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids typically take 2 to 4 weeks to completely resolve. If there is no pain or discomfort, observation is sufficient. Applying hemorrhoid ointment can help alleviate uncomfortable symptoms, and taking warm sitz baths can also be beneficial.[Read More] Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options
Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Supplementary question: Depression of the perianal skin after healing? Hello Dr. Ke: I forgot to mention last time that after using hemorrhoid ointment for several months, I developed inflammation on the skin, resulting in a wound located in the triangular area near the perineal ...
Dr. Ke Fangxu Reply:
If skin inflammation is caused by the excessive use of an ointment, the hemorrhoid cream should no longer be used. The focus should be on treating the dermatitis, which may include both oral and topical medications. It is advisable to consult a physician for evaluation and prescr...[Read More] Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus
Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Depression of the perianal skin after healing? Previously, I had an anal fissure that led to prolonged sitz baths and the use of hemorrhoid ointments for several months, which resulted in severe dermatitis and skin breakdown. When I visited the hospital, they advised me to discon...
Dr. Ke Fangxu Reply:
In theory, once an anal fissure heals, there should be no pain unless it is due to pre-existing chronic fissures caused by excessive sphincter contraction. If the pain is intolerable and affects daily activities, one can try using rectal suppositories for a period of time. Otherw...[Read More] Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoid issues Hello Doctor, about a year ago I noticed a lump at the anal opening. At that time, I was experiencing severe constipation and it would bleed. Over the past year, I have slightly improved my constipation habits, and I haven't had any bleeding since. However,...
Dr. Zhang Shuhao Reply:
If internal hemorrhoids prolapse and require manual reduction, it is classified as grade III hemorrhoids. Conditions such as constipation, diarrhea, staying up late, and consuming spicy foods or alcohol can exacerbate hemorrhoid symptoms, making bleeding, swelling, and pain more ...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Hard Lumps Near the Anus: Causes and Concerns
Perianal mass Hello Doctor, I have recently noticed a small hard lump at the very front of my anus (closest to the genital area). I'm not sure what it is. I don't feel any pain when standing or sitting, as long as I don't touch it, but I do feel some discomfort whe...
Dr. Zhang Shuhao Reply:
A sudden lump appearing at the anus is most commonly a thrombosed hemorrhoid, which is generally referred to as an exacerbation of hemorrhoids. This condition arises when the blood vessels within the hemorrhoid become compressed, leading to subcutaneous bleeding and swelling, whi...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Should You See a Surgeon for a Lump Near the Anus?
Spherical mass near the anus? About a month ago, I discovered a round lump while taking a shower, approximately 1.2 centimeters in diameter. I have a habit of sitting for long periods, and it usually doesn't hurt. However, sometimes when I sit on a hard chair and accidentall...
Dr. Zhang Shuhao Reply:
A sudden appearance of a round, hard lump is most commonly associated with a thrombosed hemorrhoid, which is commonly referred to as an exacerbation of hemorrhoids. This condition arises from subcutaneous bleeding due to the compression of blood vessels within the hemorrhoid. It ...[Read More] Should You See a Surgeon for a Lump Near the Anus?