Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...
Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Navigating Disability Claims for Multiple Health Issues: A Guide
Please consult regarding the application for disability due to multiple conditions such as scoliosis, temporomandibular joint disorder (TMJ), and psychological issues, along with related recommendations? # Medical History Summary Scoliosis: 58 degrees, unable to sit or stand for...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, 1. It may be possible to assess the applicability of the "Disability Assessment Form," specifically Category I or Category VII. However, it is necessary to have a fixed long-term follow-up for a certain period before a specialist physic...[Read More] Navigating Disability Claims for Multiple Health Issues: A Guide
Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Procedure for Hemorrhoidal Plication (PPH) Hello, doctor. I underwent a circumferential hemorrhoidectomy (PPH) in mid-June, and I noticed some fecal leakage from the anus in the morning. I am very concerned about my recovery. Is this anal incontinence?
Dr. Zhang Shuhao Reply:
Since mid-June, it hasn't been too long since the PPH surgery. The muscles and tissues around the anus require time to recover, and there may be temporary issues with fecal urgency and incontinence. This is usually transient and will gradually improve over time. During this ...[Read More] Understanding Post-PPH Surgery: Is Fecal Leakage a Sign of Incontinence?
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Diarrhea and constipation? Hello doctor, I underwent a colonoscopy around May to July last year due to frequent diarrhea, which had a yellow, muddy consistency and lasted for over six months. After the colonoscopy, the doctor said there were no issues, but the diarrhea persisted....
Dr. Xu Kaixi Reply:
The characteristics of stool can vary with diet and lifestyle habits. If you had a colonoscopy last year that showed no abnormalities, there is no need to worry about changes in stool characteristics being related to colon issues. However, it cannot be ruled out that these change...[Read More] Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Understanding Digestive Issues: From Stress to Potential IBS Concerns
Bowel movement issues Hello, doctor! After entering junior high school, I don't know if it's due to increased stress, but I've started experiencing a habit of abdominal pain and diarrhea. It was fine before, but it became uncontrollable after I entered the second y...
Dr. Zhang Shuhao Reply:
Hello, if there is no significant family history of disease, the likelihood of developing colorectal cancer at your age is very low. It is more likely that irregular gastrointestinal motility is caused by stress, which is a symptom of irritable bowel syndrome (IBS). IBS can be ma...[Read More] Understanding Digestive Issues: From Stress to Potential IBS Concerns
Understanding Anal Fistula Recurrence: Risks and Surgical Options
Recurrence of anal fistula? Hello Doctor, I underwent surgery to remove an anal fistula in January of this year, but the wound has not fully healed. During a follow-up appointment at the end of August, it was determined that the fistula had recurred. The surgeon who initially per...
Dr. Zhang Shuhao Reply:
1. Superficial fistulas, if left untreated temporarily, will not undergo malignant transformation. However, if they are shallow and connected to the anal glands, they may still be prone to inflammation and swelling. 2. Most fistula surgeries do not involve suturing the wound; i...[Read More] Understanding Anal Fistula Recurrence: Risks and Surgical Options
Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Blood in stool, mucus, and gastrointestinal issues? Hello, Doctor. I would like to ask you three questions. 1. In the past, my bowel movements were mostly unformed and diarrhea-like. However, in the last 2-3 months, they have suddenly become more formed, and at the beginning of...
Dr. Zhang Shuhao Reply:
1. Bowel habits are often influenced by diet, exercise, lifestyle, and even psychological stress. Increasing dietary fiber intake can help form more regular stools, and if it does not cause any significant disruption to daily life, it may not be a concern. 2. If there are sympt...[Read More] Understanding Blood and Mucus in Stool: Gastrointestinal Concerns Explained
Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?
Left lower abdominal pain with diarrhea? Hello Doctor, my symptoms started last year when I experienced a breakdown for a period of time due to certain reasons. After that, I began to have diarrhea, although I still have normal bowel movements, the frequency of diarrhea has incre...
Dr. Chen Bingze Reply:
Hello, I think this issue might be concerning for you. I suggest you inform your family and arrange to have a colonoscopy under sedation at a hospital. Basically, the risk of colorectal cancer at your age is very low. Instead, it’s important to be aware of the possibility of infl...[Read More] Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
One month after undergoing traditional hemorrhoid surgery, I encountered some issues? Hello Dr. Ke, I would like to ask you a question. I have internal hemorrhoids and underwent traditional hemorrhoid surgery at a hospital on June 23rd, which was over a month ago. During my follo...
Dr. Ke Fangxu Reply:
It is possible that straining during bowel movements can cause bleeding from the surgical site. After surgery, it is important to avoid constipation. You can continue taking your usual medications as long as there is no significant bleeding or severe pain. After hemorrhoid surger...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Issues
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-anal fistula surgery Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site ...
Dr. Zhang Shuhao Reply:
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Understanding Changes in Bowel Habits: Symptoms and Causes
Changes in bowel habits Doctor, I sometimes experience abdominal pain that alleviates after using the restroom. Sometimes I have diarrhea, while other times my bowel movements are normal. Occasionally, my stools are narrower and there is some mucus present. What could these sympt...
Dr. Ke Fangxu Reply:
The likelihood of developing colon cancer at the age of 20 can be considered negligible. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and a good lifestyle routine. Spicy, irritating, and greasy foods shou...[Read More] Understanding Changes in Bowel Habits: Symptoms and Causes
Understanding Colonic Issues: Symptoms and When to Seek Help
Colonic issues? I occasionally feel the urge to defecate when urinating. About a month and a half ago, I experienced diarrhea, going to the bathroom 3 to 4 times a day. Recently, my bowel movements have been irregular (small amounts of soft stool daily), but I have to pass gas be...
Dr. Zhang Shuhao Reply:
Frequent flatulence and bowel movements can be symptoms of irritable bowel syndrome. If these symptoms are causing significant distress in daily life, you may consider visiting a clinic to obtain some medications for gut health. A feeling of rectal heaviness and difficulty cleani...[Read More] Understanding Colonic Issues: Symptoms and When to Seek Help
Managing Post-Surgery Itching and Skin Issues After Fistula Repair
Post-fistula surgery, patients may experience anal itching and a tendency for the wound to become easily irritated or break down? Hello Doctor, I underwent minimally invasive surgery to remove a fistula on January 2nd of this year. During my follow-up appointment last week (Febru...
Dr. Zhang Shuhao Reply:
1. Fistula wounds produce granulation tissue during the healing process, which can easily bleed or cause a stinging sensation due to friction. It is advisable to continue warm water sitz baths and apply ointment for dressing changes to avoid frictional irritation of the wound. If...[Read More] Managing Post-Surgery Itching and Skin Issues After Fistula Repair
Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Anal itching, timing for sitz baths? Hello, doctor. I am a university student and have been experiencing symptoms of anxiety and obsessive cleanliness, which become particularly severe during stressful times. Recently, due to midterm exams, my compulsive cleaning behaviors intens...
Dr. Zhang Shuhao Reply:
1. When the anus itches due to excessive cleaning, a sitz bath is not necessary; rinsing with cold water is sufficient. 2. The use of medication three to four years ago is less related to current symptoms; anal pruritus is more associated with allergies, environmental factors, ...[Read More] Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Managing Perianal Skin Irritation: Tips for Healing and Care
Perianal skin fissures? Previously, due to internal hemorrhoids and anal fissures, I consulted doctors who advised me to take sitz baths without any restrictions on frequency. I diligently followed this advice and applied medication, but after more than a month, I noticed skin ir...
Dr. Ke Fangxu Reply:
The anal area is naturally a moist and warm environment, and intentionally maintaining excessive dryness may not be beneficial. If there are no abnormal secretions, there is no need to be overly concerned. Applying petroleum jelly is acceptable as it contains no medicinal ingredi...[Read More] Managing Perianal Skin Irritation: Tips for Healing and Care
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel issues Doctor, here are my symptoms: Since the summer vacation, I have been experiencing frequent diarrhea that has lasted a long time. Even as school was about to start, my diarrhea changed to constipation. Although the frequency of my bowel movements hasn't changed, ...
Dr. Chen Bingze Reply:
Hello, I understand that this may make you very anxious. The likelihood of developing colorectal cancer at your age is indeed very low. Experiencing both constipation and diarrhea is more indicative of irritable bowel syndrome. The presence of blood after a bowel movement may be ...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Understanding Long-Term Bowel Irregularities: Causes and Concerns
Long-term irregular bowel movements? Hello, doctor. I have been experiencing irregular bowel movements since I was 17 years old, which is now 7 years ago. Although I have a regular daily bowel movement, the stool feels formed when it passes through the anal opening but disintegra...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 24 is not zero, it is generally very low. Based on your description, it seems more likely to be irritable bowel syndrome (IBS), which is often related to diet and stress. It is recommended to start with a ligh...[Read More] Understanding Long-Term Bowel Irregularities: Causes and Concerns
Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
After undergoing a colonoscopy two weeks ago, the doctor diagnosed it as irritable bowel syndrome (IBS)? Two weeks ago, after my colonoscopy, the doctor said there were no abnormalities, no tumors or polyps, so he advised me not to worry too much. He suggested that I might have i...
Dr. Zhang Shuhao Reply:
If you have a higher intake of dietary fiber, your bowel movements may increase as well, which is fine as long as you don't experience abdominal discomfort. If you feel the urge to have a bowel movement shortly after finishing, it may be due to increased colonic motility, al...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Dietary Impact
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options