Understanding the Differences: Hemorrhoids, Bartholin Cysts, and Lipomas
I'm not sure if it's hemorrhoids, a Bartholin cyst, or a sebaceous cyst? Hello doctor, I am currently 23 years old. This lump has been present for about 1 to 2 years. Over a year ago, I squeezed it and white fluid came out, after which it became very swollen, but it sub...
Dr. Zhang Shuhao Reply:
Based on the location, it is not likely to be hemorrhoids or a Bartholin's gland cyst; it is more likely a sebaceous cyst. You can consult a dermatologist or an obstetrician-gynecologist for a prescription for topical ointments and oral medications.[Read More] Understanding the Differences: Hemorrhoids, Bartholin Cysts, and Lipomas
Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Anal abscess Hello Doctor, I started experiencing pain around my anus on November 30th, which has affected my daily life. On December 1st, I visited my family doctor who suspected it was hemorrhoids and prescribed antibiotics and an ointment. However, on the evening of December 2...
Dr. Zhang Shuhao Reply:
The family medicine physician prescribed antibiotics and ointment, indicating that the doctor also suspects an anal abscess. If it ruptures on its own, it's fine; you can clean and disinfect the area and gently express the pus. Continue applying the ointment to the wound. Af...[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Inquiry Consultation Dear Dr. Chang, Recently, when I sit, I feel a sense of pressure and fullness around the anal area, which is less noticeable when I stand or walk. Additionally, when I try to pass gas, it feels like the gas is trapped at the anal opening and is difficult to ...
Dr. Zhang Shuhao Reply:
1. When internal hemorrhoids are swollen and prolapsed, there may be a feeling of pressure and fullness near the anus, and standing or walking can help venous return, slightly alleviating the congestion and swelling. 2. Swelling of hemorrhoids may cause a different sensation in t...[Read More] Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching
Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...
Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Mixed hemorrhoidal mass Hello doctor! In the past few months, I have been experiencing thrombosed hemorrhoids. The swelling has decreased significantly after soaking in warm water. However, yesterday, when my wife examined the area, she noticed a wound on the skin tag that appear...
Dr. Zhang Shuhao Reply:
Thrombosed hemorrhoids are similar to areas covered by regular skin; friction can still cause wounds, and sometimes they may rupture, leading to bleeding or even small blood clots. Regular warm sitz baths, along with topical treatments, are usually sufficient for management. If t...[Read More] Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Understanding Rectal Issues: Causes, Symptoms, and Solutions
Anal issues? I am a sophomore in high school. During middle school, I used to forcefully open my buttocks with my hands while having a bowel movement. Since I started my first year of high school, I have been experiencing bleeding and pain during bowel movements, which has contin...
Dr. Zhang Shuhao Reply:
Pain and bleeding during bowel movements in young individuals are most likely due to anal fissures, which are often related to straining during defecation and tension in the anal sphincter. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber ...[Read More] Understanding Rectal Issues: Causes, Symptoms, and Solutions
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Can anal intercourse be performed after hemorrhoid surgery? Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with t...
Dr. Zhang Shuhao Reply:
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
I would like to inquire if fever can occur after hemorrhoid surgery? Hello, I would like to inquire about my father's hemorrhoid banding surgery at the postal hospital on November 18. Is postoperative fever a normal phenomenon, or is it related to individual constitution? Ad...
Dr. Zhang Shuhao Reply:
Generally, rubber band ligation for internal hemorrhoids does not cause fever. However, if fever is accompanied by chills, palpitations, shortness of breath, low blood pressure, or severe anal-rectal pain, immediate medical attention is required. If there is a mild fever without ...[Read More] Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
There is a small protrusion located below the anus? Hello Doctor, I am currently 17 years old. Recently, I have been experiencing a tearing sensation around the anal area. I do not feel any pain during bowel movements, but it is very painful when I wipe with toilet paper. Upon se...
Dr. Zhang Shuhao Reply:
Based on your description, it is more likely to be an anal fissure accompanied by an external skin tag, rather than hemorrhoids. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation, while also minimizing the time spent...[Read More] Understanding Small Bumps Near the Anus: Is It Hemorrhoids?
Understanding Anal Masses: Could It Be Hemorrhoids?
Anal mass In recent months, I have noticed a small lump protruding from my anus after bowel movements, which is difficult to pass. This has been happening quite frequently over the past month, and I can only push it back in with my finger. The lump is not large, has a smooth surf...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Understanding Anal Masses: Could It Be Hemorrhoids?
Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Does it look like hemorrhoids? In recent months, I have experienced a situation where a lump protrudes from my anus after each bowel movement, and I have to push it back in with my hand; otherwise, it remains stuck at the anal opening. There is no bleeding, but I have noticed som...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...
Dr. Ke Fangxu Reply:
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Suspected thrombosed external hemorrhoid? Hello Doctor, about one or two weeks ago, I noticed some blood when wiping after a bowel movement, which was not mixed with stool or in the toilet. Yesterday, while showering, I felt a soft protrusion located right at the center of the an...
Dr. Zhang Shuhao Reply:
Based on your description, it does sound like a thrombosed hemorrhoid, commonly referred to as an exacerbation of hemorrhoids, which occurs due to the formation of a blood clot from subcutaneous bleeding. When located near the outer side of the anus, the swelling and pain can be ...[Read More] Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment
Understanding Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Can internal hemorrhoids turn into external hemorrhoids after ligation? Hello Doctor, I am four days post-banding for internal hemorrhoids at the postal hospital, and it seems that a new hemorrhoid has developed at the anal area. It looks somewhat like a smaller chicken heart, an...
Dr. Ke Fangxu Reply:
This is likely due to swelling of the external hemorrhoid caused by the incision being more lateral after the vasectomy. Regular warm sitz baths along with the application of ointment should help reduce the swelling gradually. If there are symptoms of redness, swelling, heat, or ...[Read More] Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Understanding Rectal Discomfort: Causes and Solutions for Relief
Anal issues Recently, I have been feeling a sense of fullness in my anus, but my bowel function is normal. Last month, I visited the hospital, and the doctor performed a digital examination and felt a small mass. However, the doctor mentioned that both sides had this condition, w...
Dr. Zhang Shuhao Reply:
If a small lump is felt during a digital rectal examination on both sides but later disappears, it is most likely caused by hemorrhoids. However, hemorrhoids do not cause a sensation of abdominal bloating. It is advisable to first use medications that relieve bloating and promote...[Read More] Understanding Rectal Discomfort: Causes and Solutions for Relief
Is It External Hemorrhoids? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid? Hello Doctor: Recently, I discovered 2-3 small soft lumps near my anus, surrounding the anal area. They feel soft to the touch, do not hurt when pressed, and I do not experience any pain or itching during bowel movements, nor is there any bleeding. I...
Dr. Zhang Shuhao Reply:
Based on your description, it is indeed likely an external hemorrhoid. If there are no symptoms, no special treatment is necessary. It is advisable to stay well-hydrated and maintain regular bowel movements. If there is swelling or pain, you can take a warm sitz bath, which may h...[Read More] Is It External Hemorrhoids? Understanding Symptoms and Treatment Options