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
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 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
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 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?
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
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 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
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 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
Understanding Pain After Rubber Band Ligation for Hemorrhoids
Rubber band ligation surgery I just underwent rubber band ligation for internal hemorrhoids, and the pain is extremely intense. It lasted for about an hour, and I was sweating from the pain. Is this normal, or does it indicate a failure? I read that it shouldn't be painful.....
Dr. Ke Fangxu Reply:
The rubber band ligation procedure for internal hemorrhoids is theoretically painless; however, if the ligation is too superficial, pain may occur. If oral medication can alleviate the pain, then pharmacological treatment should be used. If that is ineffective, the rubber band mu...[Read More] Understanding Pain After Rubber Band Ligation for Hemorrhoids
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Inquiry about postoperative pain after tissue coagulation knife procedure? Hello Dr. Chang, I am suffering from grade III internal hemorrhoids and have already undergone surgery at a major hospital. The procedure seemed to involve a tissue coagulation device, not laser treatment....
Dr. Zhang Shuhao Reply:
1. The LigaSure device is a literature-validated surgical method that results in lower levels of pain and bleeding compared to traditional surgery. If the wound has fully healed, antibiotic ointment is not necessary. Strongly applied analgesics can help soothe the wound and relie...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?