Understanding Inflammation Detected During Colonoscopy: Causes and Concerns
Colonoscopy revealed colitis? Hello, I recently experienced symptoms similar to irritable bowel syndrome, but to be cautious, I underwent a fecal occult blood test, which returned negative. Additionally, after a colonoscopy, the results were mostly normal, but a small area of inf...
Dr. Chen Jiaming Reply:
Since you have undergone a colonoscopy, the physician who performed the examination was a specialist (gastroenterologist or colorectal surgeon). At that time, the physician's clinical judgment and management represented expert opinion. They determined that most of the findin...[Read More] Understanding Inflammation Detected During Colonoscopy: Causes and Concerns
Understanding Bowel Issues: Could They Indicate Colon Cancer?
Bowel issues Hello doctor, I am 25 years old and have been experiencing long-term issues with irregular bowel movements (about 1-2 times every 2-3 days). I previously noticed a growth near my anus that resembles a hemorrhoid, but it was not painful. Recently, another one has appe...
Dr. Ke Fangxu Reply:
The probability of developing colorectal cancer at the age of 25 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. Sp...[Read More] Understanding Bowel Issues: Could They Indicate Colon Cancer?
Understanding Nocturnal Fecal Incontinence: Causes and Solutions
Fecal incontinence Hello, Director. I would like to ask about a situation I've been experiencing for the past two years, where I have involuntary bowel movements during sleep, usually in the form of diarrhea. I don't experience abdominal pain, so I only realize I'v...
Dr. Ke Fangxu Reply:
At this age, such symptoms are usually caused by diarrhea. Increasing the intake of plant fiber and reducing dairy consumption should help. If there are issues with irritable bowel syndrome, using medication for a period of time may be more effective. If symptoms persist without ...[Read More] Understanding Nocturnal Fecal Incontinence: Causes and Solutions
Understanding IBS: Symptoms, Causes, and Treatment Options
Irritable Bowel Syndrome (IBS) with a sense of urgency and incomplete evacuation? Hello doctor, three days ago I suddenly experienced severe abdominal cramping. After squatting for a long time, I had diarrhea, and since then, I've felt a constant urge to have a bowel movemen...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel movement issues...[Read More] Understanding IBS: Symptoms, Causes, and Treatment Options
Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Bowel and gastrointestinal digestive issues? I am currently 21 years old and have a habit of staying up late or sleeping only in the morning. A week ago, I started experiencing mild abdominal bloating and constipation, with a persistent feeling of urgency and heaviness in my rect...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 21 is not zero, it is generally very low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irrita...[Read More] Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help
Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Bowel issues, weight loss, and fatigue? Hello Doctor: Recently, I have noticed that my bowel movements are sometimes loose and thin, while at other times they are normal, but there is always mucus present. Previously, I noticed a small amount of blood in the mucus when wiping. Ev...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 17 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 uphold a good lifestyle routine. Spicy, irritating, and greas...[Read More] Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Understanding Changes in Bowel Habits: When to Seek Further Evaluation
Consistently passing soft stools? Hello Doctor, I am 178 cm tall and weigh 68 kg. My bowel movements used to be normal and well-formed (once a day consistently), but for the past month, I have suddenly been experiencing soft stools with a decreased volume, and the stools are also...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 28, while not zero, is generally very low. Based on your description, it seems more indicative of irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy...[Read More] Understanding Changes in Bowel Habits: When to Seek Further Evaluation
Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Postoperative care for anal abscess? Hello, doctor. I underwent extensive drainage surgery for an anal abscess on August 13 of last year, which involved the entire left side of my buttocks. I continued to have follow-up appointments until November 19, when the surgeon said everyt...
Dr. Ke Fangxu Reply:
1. Is the discharge coming from the anus, an abscess, or the original surgical site? Each of these locations represents different implications, such as a skin infection or a possible anal fistula. 2. Has this been the case all along? Did it start after the surgery, or is it rel...[Read More] Post-Surgery Complications: Understanding Anal Abscess and Symptoms
Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Postoperative care after anal fistula surgery? Hello Doctor, I had a fistula surgery on April 24th of this year, and I would like to ask the following questions: 1. The wound from the anal fistula has been painful and I have been experiencing significant itching in the anal are...
Dr. Ke Fangxu Reply:
1. The poor wound healing may be due to diarrhea; at this time, constipation or diarrhea should be avoided. If the physician has prescribed laxatives, they should be discontinued. 2. It is possible that at this age, it is primarily caused by irritable bowel syndrome; you can co...[Read More] Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Left abdominal cramping with diarrhea containing mucus and blood? Hello Doctor, after dinner yesterday, I suddenly experienced cramping pain in my left abdomen (I usually feel some discomfort to the left of my navel). I immediately went to the bathroom and had diarrhea, with my s...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber int...[Read More] Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Hard mass in the anus? Hello Doctor, I have recently (within the past two weeks) felt a small, movable lump about the size of a grain of rice inside my anus (near the bend) while showering. I would like to know if this could be an internal hemorrhoid, as it seems to be located a ...
Dr. Chen Jiaming Reply:
It is not possible to confirm the diagnosis through online consultation. It is recommended to visit a colorectal surgery clinic for a physical examination by a physician to determine the nature of the lump you have felt.[Read More] Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Understanding IBS and Hemorrhoids: Managing Rectal Pressure and Discomfort
Regarding irritable bowel syndrome and the sensation of anal heaviness associated with hemorrhoids? Hello Dr. Ke: I have been experiencing a sensation of incomplete evacuation after bowel movements for four consecutive years, along with irritable bowel syndrome. Every time I fini...
Dr. Ke Fangxu Reply:
If the bloating sensation is caused by irritable bowel syndrome, then undergoing circumcision may not lead to significant improvement. It is advisable to have a thorough discussion with your surgeon or to consider treating the irritable bowel syndrome first, as this may potential...[Read More] Understanding IBS and Hemorrhoids: Managing Rectal Pressure and Discomfort
Understanding IBS and Hemorrhoids: Managing Rectal Discomfort and Surgery Concerns
Regarding irritable bowel syndrome and the sensation of anal heaviness associated with hemorrhoids? Hello Dr. Ke: I have been experiencing a sensation of incomplete evacuation after bowel movements for four consecutive years, along with irritable bowel syndrome. Every time I fini...
Dr. Ke Fangxu Reply:
If the bloating sensation is caused by irritable bowel syndrome, then undergoing circumcision may not lead to significant improvement. It is advisable to discuss this thoroughly with your surgeon, or consider treating the irritable bowel syndrome first, as it may alleviate the bl...[Read More] Understanding IBS and Hemorrhoids: Managing Rectal Discomfort and Surgery Concerns
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
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, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Understanding Anal Fissures: Causes, Symptoms, and Management
Questions about anal fissures? Three years ago, I had an anal fissure caused by diarrhea. I went to a teaching hospital for a rectal examination, and the doctor immediately noted that there was a large tear. It took about two weeks for it to heal on its own. Since then, I have ex...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea, which can lead to large or excessive stools. The fundamental treatment is to improve bowel habits, along with warm sitz ...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Management
Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming Reply:
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management
Understanding Bowel Issues: Variations in Stool Consistency and Causes
Bowel movement issues Doctor, I would like to ask about my bowel movements. Sometimes they are loose, sometimes they are narrow and elongated, and at other times they are thicker and more formed. I have noticed that my bowel patterns can change due to emotions and stress. Sometim...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like Irritable Bowel Syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber can also be beneficial. If symptoms pe...[Read More] Understanding Bowel Issues: Variations in Stool Consistency and Causes
Understanding Hard Bumps in the Rectal Wall: Causes and Concerns
Small bumps on the inner wall of the anus? Hello Doctor: I have been experiencing difficulty with bowel movements, so I often use my fingers to assist with defecation. However, today when I inserted my finger, I felt a row of small hard lumps on the inner wall of the anus, which ...
Dr. Ke Fangxu Reply:
What you feel upon entering the anal canal could be anal polyps or hemorrhoids. If you can feel something about five centimeters in, it is likely the uterus. If there are large fibroids, there is indeed a possibility of compression. Since you have already undergone a colonoscopy,...[Read More] Understanding Hard Bumps in the Rectal Wall: Causes and Concerns
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello, doctor. I suddenly felt the urge to have a bowel movement and had to hold it for about 5-10 minutes while I was outside (without abdominal pain). The stool was soft, and the process was smooth, but I noticed blood streaks when wiping and also on the stool (...
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. Increasing dietary fibe...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Recurring Acute External Hemorrhoids: Causes and Solutions
Acute external hemorrhoids Dear Director Ke, A few months ago, I discovered a lump in my anal area (flesh-colored, slightly painful). After examination, the doctor diagnosed it as acute external hemorrhoids and prescribed me a topical medication, suggesting that it would resolve...
Dr. Ke Fangxu Reply:
1. It is not related to jogging but is related to diarrhea. 2. To address the swelling of hemorrhoids, one should first improve the issue of diarrhea while also shortening the time spent on bowel movements. If there is still no improvement, then consider surgery. 3. Based on yo...[Read More] Understanding Recurring Acute External Hemorrhoids: Causes and Solutions