Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. On March 8 of this year, I underwent laser hemorrhoidectomy combined with partial excision. Nearly two months have pass...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even two...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Rectal bleeding Hello doctor, I would like to ask about a situation I've been experiencing for about a week. After having a bowel movement, I sometimes notice blood dripping from my anus, but usually, it stops as soon as I leave the toilet. I've also observed that somet...
Dr. Zhang Shuhao Reply:
Anal fissures are typically associated with pain during or after bowel movements; internal hemorrhoids may cause more significant bleeding but are not necessarily painful. During the acute phase, it is advisable to take warm sitz baths, reduce the time spent in the bathroom, avoi...[Read More] Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?
Concerns After Hemorrhoid Surgery: Understanding Surgical Staples and Recovery
Post-hemorrhoid surgery Hello doctor, I had a hemorrhoid surgery covered by health insurance in mid-March for grade IV mixed hemorrhoids and four small internal hemorrhoids. After the surgery, when I applied medication internally, I felt a hard line that resembles a staple (sutur...
Dr. Zhang Shuhao Reply:
After surgery, feeling a hard line inside is likely the suture site from the hemorrhoidectomy. It may be either absorbable sutures or the remnants from tissue coagulation. In either case, it will gradually be absorbed over time and will not affect the results of X-rays or MRI. Th...[Read More] Concerns After Hemorrhoid Surgery: Understanding Surgical Staples and Recovery
Effective Solutions for Anal Itching: Tips for Relief and Care
Anal itching About a month ago, after excessive cleaning of the anal area, I started experiencing anal itching. I consulted a proctologist who performed a digital examination and found no signs of hemorrhoids or any wounds. However, when I go out and experience prolonged friction...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping. There are three important points to pay attention to: 1. Do not scratch to avoid causing a wound infection. 2. Temporarily avoid consuming spicy foods to prevent capsaicin from irritating the skin. 3. Avoid using soap or body wash t...[Read More] Effective Solutions for Anal Itching: Tips for Relief and Care
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 Hemorrhoids: Symptoms, Types, and When to Seek Help
Hemorrhoids Hello, doctor. I would like to ask: Recently, I noticed a soft lump near the anal opening, about the size of a coin, with a purple and slightly black color. It is not painful, itchy, or bleeding, and there is no foreign body sensation. Occasionally, I experience const...
Dr. Zhang Shuhao Reply:
After bowel movements, hemorrhoids may occasionally protrude slightly, which could indicate first to second-degree internal hemorrhoids. The purple protrusion is mostly caused by thrombosis, indicating that the blood vessels within the hemorrhoid have been compressed, leading to ...[Read More] Understanding Hemorrhoids: Symptoms, Types, and When to Seek Help
Managing External Hemorrhoids: Symptoms and Treatment Options
Suspected hemorrhoids protruding? Hello, Dr. Chang. Recently, I've been experiencing harder stools, and it seems like an external hemorrhoid is protruding. It feels soft to the touch and is leaking fluid. When my anus retracts, I feel something unusual in that area, and it t...
Dr. Zhang Shuhao Reply:
Based on your description, it seems that after straining during a bowel movement, the internal hemorrhoid may slightly protrude, which is referred to as hemorrhoidal prolapse. At this time, intestinal fluid or watery stools may be more likely to leak out. It is recommended to tak...[Read More] Managing External Hemorrhoids: Symptoms and Treatment Options
Understanding Greenish Discharge from the Anus: Causes and Concerns
The sudden presence of light green discharge from the anus can be indicative of several conditions. It may suggest an infection, such as a sexually transmitted infection (STI) or a gastrointestinal issue, such as a parasitic infection or an inflammatory condition. It is important...
Dr. Zhang Shuhao Reply:
Based on your description, it could be an anal abscess or a fistula. During inflammation, there may be a localized pus-filled cavity, which, when ruptured, will discharge purulent material. Once it drains completely, the pain may alleviate. If there is persistent discharge, it is...[Read More] Understanding Greenish Discharge from the Anus: Causes and Concerns
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-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Post-operative itching and bleeding from the anus after hemorrhoid surgery? Hello Doctor, I underwent rubber band ligation for internal hemorrhoids at the beginning of March. Although I no longer feel a sensation of obstruction during bowel movements, I still notice significant b...
Dr. Zhang Shuhao Reply:
After rubber band ligation for internal hemorrhoids, it typically does not cause symptoms such as itching or tearing sensations. If itching persists, you can follow your doctor's instructions to use ointments, wear loose-fitting clothing, and keep the perineal area dry. Avoi...[Read More] Post-Hemorrhoid Surgery: Persistent Itching and Bleeding Concerns
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Anal Constriction Pain: Causes and Solutions
Anal sphincter pain Hello doctor, for the past two days, I have been experiencing a cramping pain around the anal area, which feels like it is tightening and causing a blockage pain.
Dr. Ke Fangxu Reply:
Anal pain is often due to anal fissures or thrombosed hemorrhoids. If constipation is present, it should be addressed. If symptoms persist without improvement, it is important to consult a physician for a proper diagnosis.[Read More] Understanding Anal Constriction Pain: Causes and Solutions
Blood on Toilet Paper After Appendectomy: What You Need to Know
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello Doctor, I recently underwent an appendectomy a week ago and I have fully recovered. However, for the first few days after the s...
Dr. Zhang Shuhao Reply:
Appendectomy itself does not affect rectal bleeding; however, if there is intestinal inflammation accompanied by diarrhea, it may sometimes lead to swelling and bleeding of internal hemorrhoids. In such cases, taking warm sitz baths, staying hydrated, and increasing dietary fiber...[Read More] Blood on Toilet Paper After Appendectomy: What You Need to Know
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
Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Hemorrhoid surgery issues I underwent traditional surgery for internal and external hemorrhoids on March 19. Postoperatively, aside from the expected pain, the biggest issue has been my inability to urinate on my own. After having a catheter inserted for one day, I produced a lot...
Dr. Zhang Shuhao Reply:
Urinary retention is a common complication after hemorrhoid surgery, caused by pain at the anal wound, leading to pelvic muscle tension and excessive sympathetic nervous system stimulation. Temporary catheterization, analgesics for relaxation, or medications that assist bladder c...[Read More] Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?
Is it abnormal to have symptoms after hemorrhoid ligation? Hello, doctor. I had a third-degree hemorrhoidectomy on March 12, and it has been extremely painful for many days, but I managed to endure it. Currently, it is about day 10-11 post-surgery. Starting from around day 8, I n...
Dr. Zhang Shuhao Reply:
Internal hemorrhoid ligation usually does not cause significant pain. Based on your description, it is possible that the external hemorrhoid has become swollen after the ligation of the internal hemorrhoid. You can start by taking warm sitz baths and using anti-inflammatory and s...[Read More] Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Persistent Pain from Anal Fissure: When to Seek Medical Attention?
I have had an anal fissure for 5 days, but there has been no improvement? Hello Doctor, five days ago I experienced a slight tear in my anus due to harder stools. I bought some ointment to apply and have been doing warm sitz baths. Based on my previous experiences with anal fissu...
Dr. Zhang Shuhao Reply:
It is recommended to visit a colorectal clinic for examination. When anal fissure wounds do not heal easily, it may be associated with excessive sphincter tension or local ulcers, which may require surgical treatment. During the waiting period for medical attention, it is importa...[Read More] Persistent Pain from Anal Fissure: When to Seek Medical Attention?
Understanding Persistent Anal Itching: Causes and Relief Strategies
The itching around the anus has been intermittent for several months... (mostly occurring at night, but there are also episodes during the day, and it does not happen every day)? Hello, doctor. I have been experiencing itching around the anal area intermittently for over two to t...
Dr. Zhang Shuhao Reply:
The condition you described is known as pruritus ani. The skin in the perianal area is very sensitive. Skincare products, wet wipes, and ointments may cause allergic reactions. Using rough toilet paper or cleaning with hot water and bath products can also excessively irritate the...[Read More] Understanding Persistent Anal Itching: Causes and Relief Strategies