Understanding the Side Effects of Baohzhining Ointment: What to Expect
Side effects of Baozhi Ning? Dear Doctor, I used a hemorrhoid ointment, and my skin became thinner. The day before yesterday, the doctor advised me to switch to another medication for itching. However, yesterday while using the restroom, I accidentally removed a large piece of sk...
Dr. Ke Fangxu Reply:
Most hemorrhoid ointments contain steroid components, and long-term use can indeed lead to skin thinning. At this point, it is advisable to refrain from using any topical medications. Focus on maintaining cleanliness and allow the skin to heal properly.[Read More] Understanding the Side Effects of Baohzhining Ointment: What to Expect
Understanding Bleeding Diarrhea: Is It Hemorrhoids or Anal Fissures?
Bloody diarrhea Hello Dr. Ke: I started experiencing diarrhea the day before yesterday, with bowel movements approximately every 1 to 2 hours, totaling 4 times. The first time, I had abdominal cramps, and the stool was not much. The second time, I felt some discomfort in the lowe...
Dr. Ke Fangxu Reply:
Whether it's hemorrhoids or anal fissures, the treatment approach typically starts with the use of suppositories, which can be combined with oral medications to control bleeding. If bleeding stops within two to three days, there is usually no cause for concern. However, if t...[Read More] Understanding Bleeding Diarrhea: Is It Hemorrhoids or Anal Fissures?
Understanding Anal Soft Mass: Causes and Treatment Options
Anal mass After using the restroom, I noticed a soft lump near the toilet bowl, which seems to get larger the longer I squat. It doesn't hurt when I press on it, and it gradually diminishes when I stand up. Additionally, I noticed some itching around the anus the night befor...
Dr. Ke Fangxu Reply:
It is more likely to be an external hemorrhoid. If there is no pain or bleeding, it may not require much concern. If itching occurs, warm sitz baths can help alleviate the symptoms, and topical hemorrhoid ointments may also be beneficial.[Read More] Understanding Anal Soft Mass: Causes and Treatment Options
Understanding Rectal Foreign Bodies: When to Seek Medical Attention
Rectal foreign body Hello Doctor, I have been struggling with constipation, sometimes going 2 to 3 days without a bowel movement. I have experienced some bleeding during bowel movements in the past due to straining, but since the bleeding has been intermittent, I didn't pay ...
Dr. Ke Fangxu Reply:
Based on your description, it seems likely that you have thrombosed hemorrhoids, which are generally caused by straining that leads to localized congestion in the anal area. If there is no pain, using an over-the-counter hemorrhoid ointment or taking warm sitz baths can help alle...[Read More] Understanding Rectal Foreign Bodies: When to Seek Medical Attention
Managing Chronic Anal Fissures: Treatment Options and Safety Concerns
Chronic anal fissure Hello, doctor. I have been a long-term chronic anal fissure patient and have visited several small hospitals (with internal examinations). The doctors said that adjusting my lifestyle and dietary habits along with sitz baths would help improve my condition. H...
Dr. Lin Zhiguang Reply:
Hello, you are using hemorrhoid ointment, which is not something I usually prescribe. However, applying it for a few weeks generally does not have a significant impact on the body, as it is for local use and the absorption into the body is minimal. Vaseline may not be very effect...[Read More] Managing Chronic Anal Fissures: Treatment Options and Safety Concerns
Understanding Internal Hemorrhoids: Treatment Options and Recovery Insights
Internal hemorrhoids Hello, doctor: It is commonly said that once hemorrhoids form, they cannot heal. Recently, I noticed a protrusion in the upper right area of my anus, which was diagnosed by a physician as an internal hemorrhoid. When bending over to touch the area near the an...
Dr. Ke Fangxu Reply:
Hello, in response to your question: The principle of hemorrhoid treatment is symptom management. If there is no bleeding, pain, or swelling, topical medications are generally the first line of treatment. If symptoms significantly disrupt daily life, surgical intervention may be ...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Recovery Insights
Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions
Re-ask about the fallopian tubes? Doctor, thank you for your response. I have been diagnosed at a larger hospital in the city, and I found significant differences in the opinions of three doctors. The first doctor (Mackay) stated after a colonoscopy that the fistula is severe, cr...
Dr. Hou Yongji Reply:
Based on your description, a correct diagnosis cannot be made. The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even endoscopy (anoscopy, sigmoidoscopy). If you still cannot agree with the previous physician's diagnosis, y...[Read More] Understanding Fistula Diagnosis: Navigating Conflicting Medical Opinions
Understanding Anal Fistula Treatment: Is Bacitracin-Neomycin Ointment Effective?
Issues related to anal fistulas? Hello, Doctor: I have a problem with an anal fistula, and the doctor prescribed me an ointment called Bacitracin-Neomycin Ointment 30g/tube. The label states that it is for first aid, prevention, and relief of infections from cuts, scrapes, and bu...
Dr. Ke Fangxu Reply:
Hello, in response to your question. To be honest, no matter what ointment is applied, an anal fistula will not heal. The antibiotic ointment prescribed by your doctor is used to prevent bacterial infection, while the hemorrhoid ointment is for reducing swelling and pain. These t...[Read More] Understanding Anal Fistula Treatment: Is Bacitracin-Neomycin Ointment Effective?
Managing Anal Fistula: Dietary Tips and Treatment Concerns
Issues related to anal fistulas? Hello Dr. Ke, I would like to ask what else should be avoided for anal fistulas besides spicy and fried foods. Yesterday, I ate food cooked with sesame oil, and this morning it became a bit swollen. I'm not sure if the sesame oil caused it....
Dr. Ke Fangxu Reply:
Hello: There is no effective method to prevent anal fistulas. In fact, there is no medical evidence supporting that sesame oil and fried foods cause anal symptoms; it is mostly the physicians who tend to agree with patients' claims. Spicy foods are discouraged because capsai...[Read More] Managing Anal Fistula: Dietary Tips and Treatment Concerns
Understanding Acute Thrombosed External Hemorrhoids: Treatment and Care
Hemorrhoid-related issues? Thank you, Dr. Ke, for your analysis and explanation. (It has been very helpful to me.) I believe I have acute thrombosed external hemorrhoids as I have not had a fever in the past few days, so it is likely not an anal abscess. Additionally, with the co...
Dr. Ke Fangxu Reply:
Hello: 1. Yes, the active ingredients in over-the-counter topical hemorrhoid ointments are generally similar, and there is no need to specify a particular type. Commonly used hospital varieties include Faktu, Alcos-anal, Benazone, Xylmol, Anti-GI, and Para-Forte. 2. There are man...[Read More] Understanding Acute Thrombosed External Hemorrhoids: Treatment and Care
Understanding Post-Surgery Recovery After Traditional Hemorrhoidectomy
Traditional hemorrhoid surgery involves the excision of both internal and external hemorrhoids? Hello Dr. Ke, I underwent traditional internal and external hemorrhoidectomy at Taipei Medical University on May 18 of this year, using a self-paid ultrasonic scalpel. Initially, my r...
Dr. Ke Fangxu Reply:
Hello: First, let me clarify that the surgical approach of ultrasound knife surgery is similar to that of traditional scalpel surgery; the main difference lies in the use of an ultrasound knife for cutting, while a traditional scalpel is used in conventional surgery. The advantag...[Read More] Understanding Post-Surgery Recovery After Traditional Hemorrhoidectomy
Understanding Anal Burning and Swelling: Causes and Treatments
What are the causes of anal burning sensation and swelling pain? Hello Doctor: For the past two to three months, I have been experiencing pain in the anus after bowel movements, similar to the discomfort from excessive wiping with toilet paper. However, I have been using wet wipe...
Dr. Hou Yongji Reply:
Based on your description, a diagnosis cannot be made accurately. The diagnosis of anal diseases includes medical history, visual examination, digital examination, and even endoscopic examination. It is recommended that you consult a colorectal specialist for a definitive diagnos...[Read More] Understanding Anal Burning and Swelling: Causes and Treatments
Understanding Anal Polyps: Causes, Symptoms, and Treatment Options
Anal polyp Hello Doctor: A few days ago, I experienced painful bowel movements with bleeding. I have previously been diagnosed with hemorrhoids, and after applying hemorrhoid ointment, the pain and bleeding have stopped. However, I later noticed a polyp near the anal area, which ...
Dr. Xie Wenhuai Reply:
Common anal diseases include hemorrhoids and anal fissures, which often present with post-defecation bleeding. Hemorrhoids are associated with varicose veins of the anal mucosa and may protrude. When stool, especially hard stool, passes, the varicose veins can easily rupture due ...[Read More] Understanding Anal Polyps: Causes, Symptoms, and Treatment Options
Is Your Hemorrhoid Cream Safe During Pregnancy? Key Insights
Hemorrhoid ointment Hello, I am a pregnant woman at 21 weeks. I have developed hemorrhoids, and my obstetrician prescribed "Baozhi Ning" ointment for me. After using it for two days, I came across an article by Dr. Mackay online, which mentioned that pregnant women shou...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is true that Baoshijing ointment contains a steroid component; however, the medication guidelines do not list it as contraindicated during pregnancy or breastfeeding. It only advises that pregnant women should avoid long-term or high-dose u...[Read More] Is Your Hemorrhoid Cream Safe During Pregnancy? Key Insights
Effective Remedies for Itchy Hemorrhoids: Tips and Treatments
Hemorrhoids can cause itching? Hello Dr. Ke: I have hemorrhoids that are between grade three and four. For the past two weeks, I have been experiencing persistent itching around the anal area. I have applied hemorrhoid ointment, but it hasn't helped, and the itching seems to...
Dr. Ke Fangxu Reply:
Hello: In response to your question, for anal itching, it is advisable to use a steroid cream to relieve the itching; however, long-term use is not recommended. Additionally, avoiding scratching is crucial to prevent falling into a vicious cycle of increased itching. Furthermore,...[Read More] Effective Remedies for Itchy Hemorrhoids: Tips and Treatments
Is Long-Term Use of Hydrocortisone Acetate for Hemorrhoids Safe?
Hemorrhoid ointments containing steroids? Dear Doctor, I recently visited a clinic where the physician prescribed me a hemorrhoid ointment that contains hydrocortisone acetate (3mg). I found out that this is a type of steroid. Is it suitable for long-term use? Are there any poten...
Dr. Ke Fangxu Reply:
Hello: In response to your question, as long as the steroid concentration is not high, there should not be significant side effects from its use. Of course, long-term use is not advisable; once symptoms resolve, it should not be used further. Prolonged use may lead to skin change...[Read More] Is Long-Term Use of Hydrocortisone Acetate for Hemorrhoids Safe?
Can Celestoderm-V Cream Effectively Treat Hemorrhoids?
Hemorrhoids Can Celestoderm-V cream be used to treat hemorrhoids? The pharmacist prescribed it to me, and it works well (reducing swelling quickly), but I found online that it may not be indicated for this treatment. Also, will this medication affect libido?
Dr. Lai Jihong Reply:
Celestoderm-V cream is a corticosteroid used to treat eczema, not for treating hemorrhoids. Although hemorrhoid ointments may contain ingredients such as analgesics, hemostatics, and corticosteroids for inflammation, it is generally recommended to consult a colorectal surgeon, ga...[Read More] Can Celestoderm-V Cream Effectively Treat Hemorrhoids?
Understanding Hemorrhoids vs. Rectal Prolapse: Symptoms and Treatment Options
Hemorrhoids? Rectal prolapse? Hello, Doctor You: I have experienced symptoms similar to hemorrhoids since childhood, where they protrude during bowel movements. This has been ongoing for over 20 years, and sometimes there is bleeding. After bowel movements, I can push them back ...
Dr. You Bailing Reply:
Severe hemorrhoids can lead to rectal prolapse. However, since the physician at Chung Rong has found no signs of prolapse, this should be considered quite reliable. I believe it is highly likely that you have hemorrhoids. I recommend taking warm sitz baths, avoiding constipation,...[Read More] Understanding Hemorrhoids vs. Rectal Prolapse: Symptoms and Treatment Options
Should You Consider Surgery for Recurring Hemorrhoids?
Should surgery be performed? Hello, I had thrombosed hemorrhoids in August last year. At that time, the doctor performed the surgery without anesthesia and cut it open to remove it. However, now, six months later, it has recurred. I have a small lump about 1 cm near the anus, whi...
Dr. Ke Fangxu Reply:
Hello: In response to your questions. 1. If the thrombosed hemorrhoid is not too large and the pain is not severe, then it can be managed similarly to the previous thrombectomy you had. 2. The medication "Hemorrhoid Ointment" is also used in our clinic, and it can be pr...[Read More] Should You Consider Surgery for Recurring Hemorrhoids?
Why Does Hemorrhoid Cream Cause Itching Around the Anus?
Why? Why does applying hemorrhoid ointment cause slight itching around the anus?
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is normal to experience some itching after applying hemorrhoid cream, so please do not worry.[Read More] Why Does Hemorrhoid Cream Cause Itching Around the Anus?