Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
Soft tissue of the anal region Hello Doctor: While showering, I clean the anal area. Previously, everything felt normal, but in the past two days, I noticed a small, soft lump on the right side of the anal opening, smaller than a marble. I looked in the mirror and gently pulled a...
Dr. Yu Mingchang Reply:
Hello: You can schedule an outpatient appointment.[Read More] Understanding Soft Tissue Growth Near the Anus: Possible Causes and Concerns
Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoid issues Hello Dr. Li, I discovered I had hemorrhoids since high school. At that time, due to long periods of sitting on those wooden school chairs, I would sometimes develop a sizable hemorrhoid that would be painful. However, there was one occasion when I went to the b...
Dr. Li Qinglong Reply:
Hello: It is not possible to determine whether it is hemorrhoids based on photos alone. Please consult a surgeon for a physical examination and assessment. Ointments can only relieve symptoms of redness, swelling, and heat. If the hemorrhoids are not severe, you may use the ointm...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Soft Bumps Near the Anus: Causes and Concerns
Soft growths around the anal area? Doctor, I noticed a small soft bump at the anal opening while taking a shower. It feels slightly painful when touched. What could this be?
Dr. Zhang Shuhao Reply:
Common conditions include thrombosed hemorrhoids, external hemorrhoids, anal skin tags, and localized skin infections. It is recommended to consult a dermatologist or a colorectal specialist for a professional diagnosis and advice to determine the nature of the protrusion and rec...[Read More] Understanding Soft Bumps Near the Anus: Causes and Concerns
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
Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Itching around the anal area? Hello Doctor, I have been experiencing itching around the anal area for a month. A few days ago, I visited a colorectal surgeon who examined me with a digital exam and an anoscope, but he did not clearly inform me whether I have hemorrhoids (nor whet...
Dr. Zhang Shuhao Reply:
Itching may be an early symptom of hemorrhoids. If evaluated by a physician, skin allergies and other issues should be ruled out. It is advisable to follow the doctor's recommendations for the use of suppositories and ointments for hemorrhoids, as well as to take warm sitz b...[Read More] Understanding Anal Itching: Is It Hemorrhoids or Something Else?
Understanding HPV Warts: Concerns After Treatment and Recovery
Cauliflower, anal warts, hemorrhoids? Hello, Doctor. I underwent electrosurgical treatment for genital warts on February 17, which affected the labia, vaginal opening, and anal area. During my visit to the obstetrics and gynecology department, the doctor mentioned that warts migh...
Dr. Zhang Shuhao Reply:
1. The growth rate of warts varies from person to person, typically depending on the individual's immune system status and the viral load and activity of the virus. Each person's response to HPV is different, so it is uncertain whether warts will enlarge or worsen while...[Read More] Understanding HPV Warts: Concerns After Treatment and Recovery
Understanding Rectal Pressure During Exercise: Causes and Concerns
Feeling of anal heaviness or prolapse? Hello, doctor. Due to my exercise routine, I experience a sensation of anal heaviness while jumping rope, but I do not have this feeling when running or during daily activities. I have a history of anal fissures and hemorrhoids. Last Septemb...
Dr. Zhang Shuhao Reply:
A feeling of anal heaviness is a common symptom of anorectal disorders, as the area above the dentate line is innervated by visceral nerves, resulting in less pronounced pain but a sensation of heaviness below that line. Common causes include intestinal inflammation, internal hem...[Read More] Understanding Rectal Pressure During Exercise: Causes and Concerns
Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...
Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options
Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...
Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids
Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Thrombotic external hemorrhoid On March 1st, I visited a clinic due to anal pain, and the doctor diagnosed me with thrombosed external hemorrhoids. An outpatient procedure was performed to evacuate the thrombus, and I was prescribed a topical ointment. However, on March 3rd, I st...
Dr. Zhang Shuhao Reply:
After squeezing, if swelling occurs again, it may be due to the swelling of the hemorrhoids themselves, not necessarily caused by a thrombosis. It is advisable to take warm sitz baths, along with the use of ointments and anti-inflammatory pain relievers, which can help alleviate ...[Read More] Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?
Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...
Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding? If a 63-year-old woman experiences rectal bleeding after wiping, it is important to determine whether it is due to hemorrhoids or another cause. Since this is her first occurrence, and considering that she had a colonoscopy last month where the doctor noted ulcer...
Dr. Zhang Shuhao Reply:
For the situation of bleeding when wiping, the following recommendations are suggested: 1. Bleeding characteristics: It is important to observe the color, amount, and nature of the bleeding. If the blood is bright red, it is usually associated with hemorrhoids; if the color is da...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Understanding Internal Hemorrhoids: When to Consider Surgery?
Questions about surgery for hemorrhoidal swelling? Hello, doctor. I would like to ask about my condition. Initially, when I was experiencing severe pain from hemorrhoids, a digital examination diagnosed me with grade I internal hemorrhoids. I have since found some relief with med...
Dr. Ke Fangxu Reply:
First-degree internal hemorrhoids are not typically recommended for surgical intervention because the postoperative pain may exceed the original discomfort. Additionally, if the hemorrhoids are not severe, surgery may not result in significant improvement. If medication treatment...[Read More] Understanding Internal Hemorrhoids: When to Consider Surgery?
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Regarding colonoscopy examination? Hello Dr. Chang, I would like to ask you about something. I underwent traditional hemorrhoid surgery for both internal and external hemorrhoids in June of last year. Now, I am planning to have a colonoscopy in May of this year. I am wondering if...
Dr. Zhang Shuhao Reply:
After undergoing traditional internal and external hemorrhoid surgery, it is still possible to have a colonoscopy. Typically, six to eight weeks post-surgery, it will not significantly affect the surgical site, so you can safely schedule a colonoscopy if needed.[Read More] Can I Undergo a Colonoscopy After Hemorrhoid Surgery?
Understanding External Anal Masses: Causes and When to Seek Help
Perianal mass I have hemorrhoids, but after using the restroom, I can push them back in and feel fine. However, one day after using the restroom, I noticed a protrusion between the anus and the vaginal opening that cannot be pushed back in like my hemorrhoids. It looks normal on ...
Dr. Xu Kaixi Reply:
Based on your description, the possible conditions for this lump include lipoma, sebaceous cyst, external hemorrhoid, or other soft tissue tumors. It is recommended that you visit a surgical outpatient clinic for an examination.[Read More] Understanding External Anal Masses: Causes and When to Seek Help
Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
Rectal bleeding Hello, doctor. In January, I had a positive fecal occult blood test and went to the hospital for a colonoscopy. I recently reviewed the report, which indicates rectal bleeding (the biopsy report showed no issues). I need to undergo another sigmoidoscopy in a month...
Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding include rectal polyps, anal conditions (such as hemorrhoids or anal fissures), rectal inflammation (such as ulcerative colitis or ischemic colitis), and rectal cancer. The doctor has prescribed laxatives and stool softeners, likely to alleviate yo...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and Care Tips
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
Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Postoperative anal stenosis following hemorrhoid surgery? Hello Dr. Ke, I have read through your responses multiple times, but I still feel anxious. On January 7th of this year, I underwent a minimally invasive complete excision of hemorrhoids at Far Eastern Memorial Hospital. H...
Dr. Ke Fangxu Reply:
1. Anal stenosis is not always a complete or absolute condition; it can vary in severity. While a digital rectal examination can help determine the presence of stenosis, there are different degrees of narrowing. It is generally accepted that if the examination causes pain, it ind...[Read More] Understanding Anal Stenosis After Hemorrhoid Surgery: Key Insights
Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care
Buttock mass Hello, doctor. Two days ago, I noticed a bump on the right side of my buttocks around the anal area. It's about 1.5 centimeters in size, slightly red in color, feels hard to the touch, and is somewhat painful. The symptoms have not changed since then. I would li...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, this could be one of the common anal issues such as anal warts, anal abscess, or hemorrhoids. A medical examination is necessary to confirm the diagnosis, as these conditions may require professional treatment. While waiting to see a healthcare pr...[Read More] Understanding Painful Hard Lump Near the Buttocks: Causes and Home Care