Understanding Anal Leakage: Causes and When to Seek Help
Anal discharge I have not been diagnosed with hemorrhoids, nor do I feel like I have them. Sometimes when I pass gas or accidentally, there is a watery discharge from my anus, but it has no odor. Recently, I've also experienced issues with incomplete bowel movements and a co...
Dr. Zhang Shuhao Reply:
Based on your description, it may be a functional gastrointestinal issue. You can start by increasing your fluid intake and dietary fiber, engaging in moderate exercise, and relaxing your mind. If symptoms persist, consider visiting a gastroenterologist or a family medicine clini...[Read More] Understanding Anal Leakage: Causes and When to Seek Help
Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
What are the issues after outpatient surgery for thrombosed external hemorrhoids? Hello, doctor. I would like to ask: Yesterday, I visited a colorectal specialist at a certain hospital, and the doctor diagnosed me with a thrombosed external hemorrhoid, suggesting that it could be...
Dr. Zhang Shuhao Reply:
1. If a thrombosed external hemorrhoid is only incised to evacuate the clot, the hemorrhoidal tissue will still become inflamed and swollen. Gauze can be used to apply pressure to prevent further bleeding, but it does not help reduce swelling. Whether standing or sitting has litt...[Read More] Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Two months after hemorrhoid surgery, there is still blood when wiping? Hello, I would like to ask if a patient has experienced bleeding during bowel movements two months after hemorrhoid surgery, could this indicate that internal hemorrhoids have reoccurred, or could there be ano...
Dr. Zhang Shuhao Reply:
If the wound from hemorrhoid surgery has not yet healed, there may be bleeding during bowel movements due to friction and straining, which will gradually improve as the wound heals. If hemorrhoids are surgically removed, they are unlikely to recur in a short period. If there are ...[Read More] Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Understanding Blood in Stool: Symptoms and Causes Explained
Rectal bleeding Hello, doctor. On July 26 (Friday) afternoon, I experienced abdominal pain and went to the bathroom three times. Initially, my stools were normal, but eventually, it progressed to diarrhea. Towards the end, I noticed blood and mucus in my stool. I would like to as...
Dr. Zhang Shuhao Reply:
Severe diarrhea may be accompanied by mucus with blood, indicating that the intestines are in an inflammatory state. A light diet should be adopted, with an emphasis on hydration to allow the intestines to rest. In severe cases, it is advisable to visit a gastroenterology clinic ...[Read More] Understanding Blood in Stool: Symptoms and Causes Explained
Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Anal fistula Hello, Doctor. About a year ago, I noticed a hard lump near my anus. When it first appeared, I consulted a physician who said it was hemorrhoids, and I left it at that. Over the past year, the lump has been painless, itch-free, and without any discharge, and its size...
Dr. Ke Fangxu Reply:
The only definitive treatment for an anal fistula is surgery. If there is no infection, swelling, or discomfort, continuous observation is also an option. However, if there are recurrent infections, it is advisable to proceed with surgical treatment to prevent the development of ...[Read More] Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Hemorrhoid specialist Hello, Doctor. I would like to inquire whether it is possible for a doctor to misdiagnose a condition that could affect surgery. I have consulted several colorectal surgeons, and none of them mentioned that I have anal stenosis. Recently, I planned to underg...
Dr. Zhang Shuhao Reply:
If bowel movements are normally unimpeded, then it is not a pathological anal stenosis. The first doctor referred to a congenital narrowing as a relatively high tone of the sphincter muscle. Chronic anal fissures that are difficult to heal can sometimes be caused by excessive spa...[Read More] Understanding Misdiagnosis Risks in Hemorrhoid Surgery: What to Ask Your Surgeon
Understanding Perianal Lumps: When to Consider Surgery or Medication
Perianal mass Hello, Doctor. A year ago, I noticed a hard lump near my anus. The first doctor I saw said it was hemorrhoids. After taking medication, it remained there, but since it was neither painful nor itchy, I didn't pay much attention to it. Until last Monday, when it ...
Dr. Zhang Shuhao Reply:
Anal fistulas are likely to recur due to their connection with the anal glands. Since this is your first occurrence and you are currently asymptomatic, you can choose to observe. However, if there is a recurrence at the same site (such as redness, swelling, heat, pain, a mass, or...[Read More] Understanding Perianal Lumps: When to Consider Surgery or Medication
Understanding Blood in Stool: Causes and Concerns for Patients
Blood in stool issue? In the morning, the stool is drier and harder; the shape is sausage-like with a bumpy surface. It requires straining during bowel movements, resulting in blood streaks on the stool. Subsequent bowel movements are normal without blood. What could be the cause...
Dr. Zhang Shuhao Reply:
Since you had a colonoscopy last year, there is not much to worry about regarding intestinal tumors. If your stools are hard and dry, straining during bowel movements can lead to hemorrhoid irritation or anal fissures with bleeding. It is recommended to take warm sitz baths, incr...[Read More] Understanding Blood in Stool: Causes and Concerns for Patients
How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao Reply:
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
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
Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Post-hemorrhoid surgery Hello Dr. Chang, I underwent laser minimally invasive surgery for hemorrhoids under spinal anesthesia on July 10 at the Taoyuan General Hospital and was discharged on July 11. It has now been four days. I can only lie down or stay in bed. When lying down, ...
Dr. Zhang Shuhao Reply:
Laser minimally invasive hemorrhoid surgery generally refers to laser ablation surgery. The wound typically heals within three to five days post-operation, and while there may still be some localized swelling, it rarely affects gas or bowel movements. It is advisable to take warm...[Read More] Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Nocodazole film-coated tablets Hello Doctor, I suspected I had a fistula, so I went to see a colorectal specialist. My main complaints were anal itching and what seemed to be yellow discharge (there was no visible fistula opening). The doctor (referred to as Doctor A) performed a...
Dr. Zhang Shuhao Reply:
Curam is an antibiotic that targets common bacterial infections. If a doctor prescribes this medication, it indicates that, in addition to hemorrhoids, the possibility of other infectious lesions such as an anal abscess cannot be ruled out. Although Curam is typically recommended...[Read More] Concerns About Prolonged Use of Norquay Tablets for Hemorrhoids
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
Blood in Stool: Understanding Causes and When to Seek Help
Blood in the stool? Recently, I have been experiencing blood in my stool. Two days ago, I went for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum and proceeded to perform a rubber band ligation for my internal h...
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. Spicy and irritating fo...[Read More] Blood in Stool: Understanding Causes and When to Seek Help
Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Is it possible to feel a hard lump inside the anus with hemorrhoids? I would like to ask the doctor if hemorrhoids can be very hard. Are there hemorrhoids that do not bleed? I read online that hemorrhoids are soft and do not obstruct bowel movements. I have felt a large hard lump...
Dr. Zhang Shuhao Reply:
If hemorrhoids develop a thrombosis, they may feel firmer than usual hemorrhoidal tissue, but they will not reach the hardness of a lump and will not obstruct bowel movements. A colonoscopy can usually rule out tumor-related lesions. It is recommended to first visit a colorectal ...[Read More] Understanding Hard Lumps in the Anus: Are They Hemorrhoids?
Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Ten days after hemorrhoid ligation, there is a significant amount of blood when wiping, but no pain or itching? For the past six months, I've been experiencing itching in my buttocks and a sharp pain during bowel movements. Ten days ago, I underwent surgery for internal hemo...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, the hemorrhoidal tissue will undergo ischemia and eventually slough off, which may result in bleeding. If there are no other discomforts, it is advisable to monitor the situation. However, if there is persistent heavy bleeding or the fo...[Read More] Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Hard lump near the anus? Hello, doctor. I have a hard lump near my anus that has been present for over a year. Before this lump appeared, I had an experience with an anal abscess that was treated with antibiotics. About six months after the treatment, this lump developed. When I ...
Dr. Zhang Shuhao Reply:
If the affected area previously had an anal abscess that was treated and then recurs in the same location, it may indicate the presence of a fistula, which connects the affected area to the anal glands, making it prone to recurrent inflammation. If symptoms such as redness, swell...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Hemorrhoid surgery Hello, doctor. May I ask if the difference between minimally invasive hemorrhoid surgery using a coagulation knife and traditional hemorrhoid surgery is just the instruments used, but the postoperative pain and recovery periods are about the same? Because the d...
Dr. Zhang Shuhao Reply:
For severe grade IV hemorrhoids, traditional surgery is the standard procedure. The use of a tissue coagulator can reduce surgical bleeding and slightly decrease pain, which is worth considering; however, there is still a significant gap compared to the advertised minimally invas...[Read More] Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
Post-banding bleeding of internal hemorrhoids? Hello, Dr. Ke. I would like to ask, after undergoing rubber band ligation for hemorrhoids one month ago, I have had no discomfort. However, these past few days, after using the restroom, I noticed that when I wiped a bit harder, ther...
Dr. Ke Fangxu Reply:
One month after rubber band ligation for hemorrhoids, the wound should have healed. At this point, any bleeding may be due to bleeding from other locations of internal hemorrhoids. As long as the amount of bleeding is not significant, it is not a concern; otherwise, it is advisab...[Read More] Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
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