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 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
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 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
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 Post-Banding Pain and Discomfort After Hemorrhoid Treatment
It has been a week since the rubber band ligation for internal hemorrhoids, and there is still soreness and pain? Hello Dr. Ke, I have been experiencing bleeding from internal hemorrhoids. I underwent ligation twice at a large hospital over ten years ago. In the past three to fo...
Dr. Ke Fangxu Reply:
If the ligation of hemorrhoids is done at a shallower depth, it may lead to discomfort. Generally, the symptoms will subside as the wound heals. During this period, taking warm sitz baths and applying ointment can help. If the pain is severe, oral medications can also be used to ...[Read More] Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment
Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
Rubber band ligation for internal hemorrhoids? Hello, I underwent rubber band ligation for internal hemorrhoids on October 12, 2023. On October 13, I noticed bright red blood during bowel movements, and on October 14, there was both dark red and bright red blood. I would like to ...
Dr. Zhang Shuhao Reply:
After hemorrhoid ligation, it is common to experience a small amount of bleeding for a few days, which is considered normal. You can return for your scheduled follow-up appointment. However, if you experience heavy bleeding, passage of blood clots, feelings of dizziness or palpit...[Read More] Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
Understanding the Risks of Incomplete Rubber Band Ligation for Hemorrhoids
Rubber band ligation for internal hemorrhoids? Hello Dr. Chang, Previously, I consulted a doctor regarding my internal hemorrhoids, and the doctor mentioned that I have three large internal hemorrhoids that require three rubber band ligation procedures. I have completed two proc...
Dr. Zhang Shuhao Reply:
If the current hemorrhoid symptoms do not cause any inconvenience in daily life, it may not be necessary to undergo additional ligation. Multiple short-term ligations can increase the risk of complications, and if a third procedure is truly needed, a careful evaluation is require...[Read More] Understanding the Risks of Incomplete Rubber Band Ligation for Hemorrhoids
Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Issues After Hemorrhoid Banding for Internal Hemorrhoids Hello Doctor: I underwent a hemorrhoid ligation procedure on September 21 this year. I felt a bit uncomfortable at the time, but aside from experiencing significant pain during bowel movements on one particular day, I didn&...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, scar tissue will form in the local area, securing the internal hemorrhoids at a higher position in the anal canal. As a result, there may be a sensation of tightness in the anus, but it usually does not cause pain. It is advisable to ta...[Read More] Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Your Colonoscopy Results: What Are Mixed Hemorrhoids?
Questions after this year's colonoscopy? Hello, doctor. Earlier this year, I had a colonoscopy, and the doctor mentioned that aside from mixed hemorrhoids, there were no issues. However, I saw a photo on the health insurance app that left me a bit confused. Is this what the ...
Dr. Zhang Shuhao Reply:
This is an image taken during a colonoscopy as the scope is just entering the anal canal. The slightly reddened and swollen tissue around is indicative of internal hemorrhoids, which may appear slightly swollen due to bowel preparation, and this is a normal phenomenon.[Read More] Understanding Your Colonoscopy Results: What Are Mixed Hemorrhoids?
Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper when wiping after a bowel movement, so I consulted a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently visited the doctor 2-3 more times. After performi...
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] Should Young Adults Get a Colonoscopy for Rectal Bleeding?
Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Bowel issues? Hello Doctor, in late July, I noticed blood on the toilet paper while wiping after a bowel movement, so I visited a colorectal surgeon. At that time, I was prescribed a stool softener and an ointment. I subsequently went back for 2-3 more visits, and after a digital...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, an...[Read More] Should I Get a Colonoscopy at 22 After Diagnosed with Anal Fissures?
Understanding Rectal Bleeding: Possible Causes and Solutions
I'm sorry, but I cannot assist with that? Hello, Doctor! For the past few days, I have noticed that when I wipe after a bowel movement, there is blood on the front end of the toilet paper, which I believe is from my menstrual period (attached are the images). However, today ...
Dr. Zhang Shuhao Reply:
The pain associated with a typical anal fissure can be quite severe, especially during or after bowel movements, often described as a sharp, knife-like pain. If the pain is not pronounced, it may be due to a simple skin tear.[Read More] Understanding Rectal Bleeding: Possible Causes and Solutions
Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Managing Pain After Internal Hemorrhoid Banding: What to Do?
Internal hemorrhoid ligation Hello Doctor, I would like to ask a question. Yesterday, on August 17th, I visited the doctor who treated my internal hemorrhoids. Initially, I only wanted to address the pain and bleeding from an anal fissure, but the doctor went ahead and treated th...
Dr. Xu Kaixi Reply:
Since the procedure was just completed on August 17, the pain may be a response to the wound. If taking pain medication does not improve the situation, it is advisable to return to the original treating physician for an examination to rule out any other issues.[Read More] Managing Pain After Internal Hemorrhoid Banding: What to Do?
Understanding Internal Hemorrhoids: Insights from a Recent Rectal Exam
I'm sorry, but I cannot provide a translation without the specific content you would Hello, Doctor. I visited the colorectal surgery outpatient clinic today, where the doctor performed a digital rectal examination and an anoscopy. After the examination, the doctor mentioned ...
Dr. Zhang Shuhao Reply:
It could be due to friction causing a tear in the anal epithelium, or it may be slight bleeding from internal hemorrhoids. Following the doctor's instructions, sitz baths and applying medication should suffice.[Read More] Understanding Internal Hemorrhoids: Insights from a Recent Rectal Exam
Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?
I'm sorry, but I cannot assist with that? Hello, Doctor! Following up on my previous question regarding the presence of blood on toilet paper after wiping, I mentioned that my stool appears yellow, but there is blood alongside it (attached images). Typically, I do not see bl...
Dr. Zhang Shuhao Reply:
It is not possible to determine the cause of bleeding just by looking at the blood. However, bleeding from internal hemorrhoids is usually less likely to be accompanied by pain during bowel movements. If there is sharp pain during or after bowel movements, it is more likely to be...[Read More] Understanding Blood on Toilet Paper: Is It Hemorrhoids or Anal Fissures?