Post-Banding Pain and Symptoms After Internal Hemorrhoid Treatment
Post-banding pain and no improvement of symptoms after internal hemorrhoid ligation? After undergoing rubber band ligation for prolapsed internal hemorrhoids and bleeding, I felt the rubber band fall off the day after the procedure (no longer feeling tight). However, I have since...
Dr. Zhang Shuhao Reply:
After a rubber band falls off, there is generally no persistent discomfort. However, if swelling, tingling, and pain upon pressing the bruised area occur, it is important to consider the possibility of an infected abscess or a recurrence of internal hemorrhoids. It is advisable t...[Read More] Post-Banding Pain and Symptoms After Internal Hemorrhoid Treatment
How Long Should I Use Ointment for Internal Moles?
How long should the internal mole ointment be applied? Hello, I would like to ask about the initial bleeding from an internal hemorrhoid. The doctor prescribed three suppositories and an ointment. How long should I apply the ointment? I stopped the medication after using the supp...
Dr. Zhang Shuhao Reply:
The most effective treatments for internal hemorrhoids include increasing fluid intake and dietary fiber, taking warm sitz baths, and using oral medications for hemorrhoid relief and anti-inflammation. Suppositories and ointments primarily alleviate swelling and pain, typically u...[Read More] How Long Should I Use Ointment for Internal Moles?
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I'm sorry to bother you! This afternoon, I experienced pain in my lower left abdomen. After waiting for a while until I felt the urge, I went to the bathroom and noticed some blood at the end of my stool. The shape and consistency were the same as usual, appe...
Dr. Chen Bingze Reply:
Hello, it is actually recommended to have a colorectal surgeon examine the situation to determine whether it is an issue of internal hemorrhoids, external hemorrhoids, or anal fissures.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu Reply:
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid with thrombosis? 1. Current symptoms: For about 2 weeks, there is a sharp pain when pressed, but no pain if ignored. I have been doing warm water sitz baths (using tap water) for two days. The first week, the area felt soft when pressed, but in the se...
Dr. Zhang Shuhao Reply:
1. If two doctors have already diagnosed you with thrombosed hemorrhoids, you can follow their treatment recommendations, which may include warm sitz baths, oral anti-inflammatory and pain relief medications, using hemorrhoid ointments, and adjusting your diet and bowel habits. M...[Read More] Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Rectal bleeding Hello Doctor: Last week, I noticed blood at the end of my stool after having a bowel movement, and there was a small amount of bright red blood when wiping. I experienced pain near the anus during bowel movements, and based on my experience, I suspect it might be ...
Dr. Zhang Shuhao Reply:
Gastrointestinal bleeding may appear black after some time, but it can also be influenced by foods containing iron or pigments. A fecal occult blood test can help differentiate the cause. It is recommended to consult a gastroenterologist or a colorectal specialist for further eva...[Read More] Understanding Blood in Stool: Causes, Concerns, and What to Do Next
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions
Understanding Mixed Nevi and Prolapse: What You Need to Know
Mixed nevi and prolapse? Hello doctor, I have a mixed nevus and a prolapse. Two weeks ago, I had a stool test, and the result was 104. The health department contacted me to schedule a rectal examination. My mixed nevus and prolapse are not painful and do not affect my daily life,...
Dr. Chen Bingze Reply:
This may allow the colorectal surgeon to assess whether it is appropriate to proceed with rubber band ligation, and then arrange for a follow-up colonoscopy.[Read More] Understanding Mixed Nevi and Prolapse: What You Need to Know
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Understanding Painful Anal Masses: Symptoms and Concerns
The external anal mass may have a foul odor and appears whitish in color? In the past three days, after eating spicy food, I experienced diarrhea, and afterward, I suddenly felt a lot of pain in my anus. I discovered a long, white, and somewhat flesh-colored lump that I had not n...
Dr. Zhang Shuhao Reply:
Based on your description, there is a suspicion of an anal fistula, which is associated with inflammatory lesions related to the anal glands. It is recommended to consult a colorectal specialist for a comprehensive examination and appropriate treatment, while also ruling out any ...[Read More] Understanding Painful Anal Masses: Symptoms and Concerns
Understanding Internal Hemorrhoids: Treatment Options and Recommendations
Internal hemorrhoids issue Hello doctor, I have a friend who went to the hospital for an examination, and the doctor said he has internal hemorrhoids that have prolapsed outside the anus. The doctor prescribed potassium permanganate disinfectant tablets and advised him to take si...
Dr. Zhang Shuhao Reply:
When internal hemorrhoids protrude outside the anus, it is referred to as hemorrhoidal prolapse. Warm sitz baths without added medication are recommended, with the water temperature around 40 degrees Celsius, ideally submerging the entire pelvis. In cases of swelling, pain, or bl...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Recommendations
Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Hemorrhoid ligation After the doctor's assessment, it was recommended to undergo three sessions of rubber band ligation. The first procedure was performed 10 days ago to address the internal hemorrhoid that was expected to fall off. However, since there is no pain, I am unsu...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, ischemia may occur, leading to gradual atrophy and eventual sloughing off. The symptoms of prolapse may improve over time. You may ask the doctor to examine the wound during the next ligation procedure.[Read More] Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
I would like to ask if this is hemorrhoids? Hello Doctor, a couple of days ago I woke up and suddenly noticed a slight pain during bowel movements. Upon examination, I found a soft lump. For the past few days, I've experienced pain when sitting down and straining. However, I...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids. If they do not occur frequently, taking warm sitz baths regularly, along with the use of ointments and anti-inflammatory medications, should suffice. Surgery is only necessary for hemorrhoids when they severely impact the quality of life.[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
White Bumps Around the Anus: Causes and Concerns
There are small white bumps around the anus? During a shower, I noticed small white bumps around my anus that look somewhat like white pimples on my face when photographed with my phone. They cause a slight pain or a foreign body sensation, but it's not very noticeable. Coul...
Dr. Xu Kaixi Reply:
Based on your description, the white protrusion near the anus could be indicative of several conditions, including a sebaceous cyst, folliculitis, anal papillae, thrombosed hemorrhoids, or anal polyps, among others. Due to the limited information provided, it is recommended to vi...[Read More] White Bumps Around the Anus: Causes and Concerns
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery