Understanding Hemorrhoids: When Surgery is Necessary and What to Expect
Hemorrhoid surgery Hello, Doctor. I went to see a colorectal surgeon because I had a protrusion near my anus along with bleeding during bowel movements. The doctor performed a digital examination and diagnosed me with grade II hemorrhoids, stating that surgery was not necessary. ...
Dr. Zhang Shuhao Reply:
The fleshy lump near the perineum may be an external hemorrhoid or a skin tag, most of which can be addressed during surgery. Hemorrhoids themselves are not life-threatening conditions, so surgery is only recommended when they significantly affect the quality of life. It is advis...[Read More] Understanding Hemorrhoids: When Surgery is Necessary and What to Expect
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I was abl...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back, it is classified as a grade IV hemorrhoid. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with lifestyle changes to avo...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any abnormal symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could ...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, as well as to modify lifestyle ha...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could p...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with changing lifestyle hab...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Left Axillary Pain: Possible Causes and When to Seek Help
There is a slight stabbing pain near the axillary area close to the accessory breast on the left side? I have mild heart disease (mitral valve regurgitation) that only requires annual outpatient follow-up and no need for regular medication. Recently, I have been experiencing occa...
Dr. Chen Ronghong Reply:
Hello Amy, based on your description, the area involves subcutaneous tissue, breast tissue, lymph nodes, or the pectoralis major muscle. Therefore, possible conditions include a subcutaneous tumor, breast tumor, physiological breast tenderness (often occurring before menstruation...[Read More] Understanding Left Axillary Pain: Possible Causes and When to Seek Help
Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
Anal polyps Hello Doctor, I always end up with skin irritation and bleeding when I have a bowel movement outside, as I feel clean only after that. At home, I wash after using the toilet. Recently, I have noticed some polyps near my anus. I don't experience pain or bleeding d...
Dr. Zhang Shuhao Reply:
The soft mass you feel could be hemorrhoids or a skin growth. You can start by taking warm sitz baths, increasing your physical activity to promote blood circulation, and drinking plenty of water to prevent constipation. If you are concerned, you may also consult a colorectal spe...[Read More] Understanding Anal Polyps: Symptoms, Causes, and When to Seek Help
Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Head trauma On April 9, a car accident resulted in a contusion to the left forehead without a concussion. After the swelling subsided, there is still a slight lump on the forehead with occasional sharp pain (without touching). Is this condition normal after more than a month?
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for consultation.[Read More] Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Understanding Rectal Bleeding: When to Seek Medical Advice
Rectal bleeding Hello Doctor, I am 29 years old and have been experiencing constipation issues. I usually have a bowel movement every 3 to 5 days. However, except during my menstrual period when my stools are normal and I feel completely empty, my regular bowel movements are ofte...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 29 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritat...[Read More] Understanding Rectal Bleeding: When to Seek Medical Advice
Understanding Unchanging Skin Lumps: When to Seek Medical Advice
A lump with coarse hair growth? There are two oval-shaped lumps on my thigh, each about the size of a 50-cent coin. They are not red, do not hurt, and are not itchy. They feel similar to the sensation of a mosquito bite when swollen. Pressing hard does not cause pain, and they mo...
Dr. Chen Bingze Reply:
Hello, if this has been present since elementary school for over a decade without any changes, it is less likely to be malignant. The smear test you mentioned likely refers to a biopsy, which involves taking a small tissue sample for examination. A smear test generally refers to ...[Read More] Understanding Unchanging Skin Lumps: When to Seek Medical Advice
Sudden Lump Near Perineum: Causes and When to Seek Medical Advice
Sudden swelling under the skin in the lower abdomen near the perineal area? Hello, two days ago I suddenly felt a smooth, oval-shaped lump under the skin in my lower abdomen near the perineum. It is painful when pressed (the pain feels similar to that of a deep pimple). The longe...
Dr. Chen Bingze Reply:
Hello, this sounds like a cyst. It is recommended to visit a nearby hospital for an in-person evaluation by a physician.[Read More] Sudden Lump Near Perineum: Causes and When to Seek Medical Advice
Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Chemotherapy followed by lumpectomy for breast cancer... Regarding the question about the "pathology report stating" that cancer cells are dead, what related issues should be considered? Hello, the relevant tests and biopsy indicated "triple-negative, 4 cm." A...
Dr. Chen Ronghong Reply:
Hello, Xiaowen. Based on your description, it seems that your tumor has responded very well to neoadjuvant chemotherapy, achieving "complete remission." In this situation, the resected tissue shows no cancer cells under the microscope, which is why the doctor would tell...[Read More] Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment
Treatment of Internal Hemorrhoids Hello, Doctor: Since experiencing rectal bleeding after bowel movements, I've noticed some blood on the toilet paper, but it doesn't flow continuously. I waited about six months before seeing a doctor. After a digital rectal exam, I exp...
Dr. Zhang Shuhao Reply:
Simple internal hemorrhoids are not painful; however, if there is significant pain during bowel movements or upon palpation, it is usually associated with external hemorrhoids or anal fissures. After the suppository melts, it may appear as white granules. If the pain relief is in...[Read More] Understanding Internal Hemorrhoids: Symptoms, Diagnosis, and Treatment
Understanding Breast Fibroadenomas, Cysts, and IVF: Key Questions Answered
Fibroadenoma of the breast, cysts, and blisters, while simultaneously undergoing in vitro fertilization (IVF)? Hello Doctor: In early February of this year, I discovered that I had a total of seven lumps in both breasts, and their shapes were somewhat irregular. I first underwent...
Dr. Tang Yuxiong Reply:
Hello, Ms. Mina. I apologize for the wait. 1. There are three types of fibrocystic changes: simple, complex, and complicated. If it is the complicated type, minimally invasive excision is recommended. Based on the previous core needle biopsy and fine needle aspiration, it has b...[Read More] Understanding Breast Fibroadenomas, Cysts, and IVF: Key Questions Answered
Understanding Fibrocystic Breast Changes: When to Seek Further Evaluation
Fibrocystic breast changes Hello Doctor, I would like to ask the following questions. Thank you for the annual health check-ups I've had. I learned that I have a 1 cm fibrocystic mass on the right side (which I cannot feel when I touch). This year, while showering, I acciden...
Dr. Tang Yuxiong Reply:
Hello Ms. BoBo: If you have concerns, you may consider a mammogram. According to the American College of Radiology guidelines, if the imaging is classified as BIRADS 1-3, follow-up every six months is recommended (with a malignancy risk of less than 2%). If it is BIRADS 4 or high...[Read More] Understanding Fibrocystic Breast Changes: When to Seek Further Evaluation
Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Anal fistula? Anal abscess? The polyp is still present? Hello Doctor, regarding the consultation case you submitted <a href="https://adoctor.tw/article/180079">#180079</a>, there are two symptoms. I apologize for the lengthy description (I have already sough...
Dr. Chen Ronghong Reply:
The most likely diagnosis for this lesion is an anal fistula. If it is only incised and drained without excising the fistula, it is likely to recur easily. Whether a complete surgical excision is necessary depends on the frequency and severity of the symptoms. It is recommended t...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Post-Surgery Concerns: Swelling and Frequent Urges After Hemorrhoid Surgery
Postoperative swelling and frequent urge to defecate after minimally invasive hemorrhoid surgery? Hello, Doctor. I previously asked about the issue of persistent swelling after minimally invasive hemorrhoid surgery (#179274). It has now been 42 days post-surgery, and the swelling...
Dr. Zhang Shuhao Reply:
You can use Xylocaine gel, but try to avoid applying it directly on the wound. If you have a persistent urge to defecate, first determine whether it is due to incomplete rectal evacuation or an illusion caused by swelling at the wound site. Generally, swelling should not signific...[Read More] Post-Surgery Concerns: Swelling and Frequent Urges After Hemorrhoid Surgery
Understanding Calcified Masses in the Calf: What You Need to Know
Subcutaneous tissue of the calf? Hello, Dr. Ke... There is a lump about 0.2 cm under my calf skin. I went to a medical center for an ultrasound, and the doctor said it has calcified and is benign, advising me to return if it gets larger. What could that lump generally be? I asked...
Dr. Ke Fangxu Reply:
Ultrasound diagnosis of calcification indicates the presence of high echogenic lesions, which may represent fat necrosis or post-traumatic changes. These are typically benign subcutaneous masses and do not require special attention.[Read More] Understanding Calcified Masses in the Calf: What You Need to Know
Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Nipple itching, exudate, crusting? The left nipple often feels itchy, and I have noticed crusting. After removing the crust, it seems like there is a red, moist wound, but when I press it with tissue, it doesn't feel wet. After about half an hour, the nipple skin returns to ...
Dr. Chen Jiaming Reply:
The yellow discharge from the scab is interstitial fluid from the body. There are many reasons for the superficial wounds (abrasions) on the nipple. When a wound occurs, a light discharge will appear, which can accumulate over time and form a scab. During the healing process, itc...[Read More] Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Is This a Rectal Abscess? Understanding Your Symptoms and Diagnosis
Is this an anal fistula? Hello doctor, recently I have developed a round lump located about 6-7 centimeters from the anal opening, within the subcutaneous tissue. It is not visible externally. After about two months, I noticed that the lump seems to have increased in size and is ...
Dr. Zhang Shuhao Reply:
The diagnosis and treatment of anal fistulas require a certain level of clinical experience, and it can be challenging to determine the course of the fistula and the locations of the internal and external openings during acute inflammation. If a mass is palpated, anti-inflammator...[Read More] Is This a Rectal Abscess? Understanding Your Symptoms and Diagnosis
Is This Lump Near My Anus Caused by an Anal Fistula?
Is this an external lump caused by an anal fistula? Hello doctor, recently I have developed a lump in the upper right area of the anal cleft. Initially, the lump felt like a small ball and was not visible on the surface. After two months, it suddenly grew larger and is painful wh...
Dr. Chen Bingze Reply:
Hello, it would be better to visit a nearby surgical clinic or hospital outpatient department for a more accurate assessment.[Read More] Is This Lump Near My Anus Caused by an Anal Fistula?