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 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
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
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 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 Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Hemorrhoids: Pain Management and Recovery Insights
Internal and external hemorrhoids issues? Hello Doctor: I recently underwent a rubber band ligation for internal hemorrhoids (which were originally expected to be mixed hemorrhoids), but the rubber band fell off two days early, resulting in painful swelling of the external hemorr...
Dr. Yu Mingchang Reply:
External hemorrhoids cannot be treated with rubber band ligation for internal hemorrhoids. It is advisable to consult a colorectal specialist.[Read More] Understanding Hemorrhoids: Pain Management and Recovery Insights
Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids
Postoperative care after rubber band ligation for hemorrhoids? Hello Doctor: I underwent rubber band ligation for internal hemorrhoids on May 24. After it prematurely loosened on May 26, an external hemorrhoid appeared near the anus. During my follow-up visit on May 27, the docto...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, there may be yellow discharge while the wound is still healing, but severe pain is uncommon. It is recommended to continue warm sitz baths, and doctors usually prescribe medication to relieve symptoms. If there is fever or severe swelli...[Read More] Post-Procedure Concerns After Rubber Band Ligation for Hemorrhoids
Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Thrombosed external hemorrhoid Two weeks ago, I went to the hospital to treat an internal hemorrhoid (which was very painful this time). As a result, a week later, I noticed a fleshy lump outside the anus, skin-colored and about the size of a peanut, which is swollen and extremel...
Dr. Ke Fangxu Reply:
If the ligation of internal hemorrhoids is performed too superficially, it can lead to complications such as pain and swelling due to the proximity of the wound to external hemorrhoids. Currently, the best approach is to take warm sitz baths and wait for the wound to heal. If the...[Read More] Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Understanding Rubber Band Ligation for Internal Hemorrhoids: What to Expect
Issues related to hemorrhoid ligation? Hello Dr. Chang, I had my first rubber band ligation for internal hemorrhoids, and it took 11 days to pass. I had my second ligation on April 26, but as of today, May 8, I still have not passed it. Is there a problem? What is the longest it ...
Dr. Zhang Shuhao Reply:
The time it takes for a rubber band ligation of internal hemorrhoids to fall off is related to the original shape of the hemorrhoid and the location of the ligation. If the base of the hemorrhoid is wider and the root cannot be completely constricted, the rubber band may be more ...[Read More] Understanding Rubber Band Ligation for Internal Hemorrhoids: What to Expect
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
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 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