White Spots Near the Anus: Causes and When to Seek Help
There are white spots near the anus? I have a history of hemorrhoids and sometimes experience severe symptoms, but I haven't had any issues for about six months. However, I now have some individual white spots in the area. I usually wash with water after using the restroom, ...
Dr. Xu Kaixi Reply:
The white spots near the anus could possibly be polyps or other tumors. It is recommended to visit an outpatient clinic for examination. Thank you for your inquiry.[Read More] White Spots Near the Anus: Causes and When to Seek Help
Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
There is blood when wiping after a bowel movement? Hello, I have a history of lung adenocarcinoma and just had surgery on November 2. Today, I noticed blood when wiping after a bowel movement, but there is no pain in the rectum, and the stool itself does not have blood. I have no...
Dr. Zhang Shuhao Reply:
You can first observe the amount and color of the bleeding, checking for the presence of black or brick-red stools, as well as any accompanying symptoms of abdominal distension or pain. Additionally, note any changes in bowel habits. If any of these conditions are present, a colo...[Read More] Blood on Toilet Paper: Is It Related to Lung Cancer Surgery?
Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Regarding fecal occult blood testing? Hello, Doctor: I would like to ask you a few questions: 1. I often experience constipation and have difficulty with bowel movements. Therefore, around July of this year, I paid out of pocket for a fecal occult blood test. However, I was takin...
Dr. Zhang Shuhao Reply:
1. A positive fecal occult blood test indicates a high likelihood of polyps or colorectal lesions, but it should only be used as a screening tool and not as a diagnostic instrument. 2. It is not recommended to repeat the fecal occult blood test; if gastrointestinal symptoms are p...[Read More] Understanding Fecal Occult Blood Testing and Its Accuracy Concerns
Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...
Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...[Read More] Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Anal pain Hello Doctor, my condition is that I have first and second degree hemorrhoids, with a very small external hemorrhoid. Over the past one to two years, I have consulted many colorectal specialists, and the diagnosis has consistently been that my hemorrhoids are not severe...
Dr. Ke Fangxu Reply:
Surgical intervention is generally not recommended for first and second-degree hemorrhoids, as the discomfort following surgery may outweigh the potential improvement in symptoms. It is advisable to alleviate these issues by improving diet, lifestyle, and bowel habits. If there i...[Read More] Understanding Anal Pain: When to Consider Surgery for Hemorrhoids
Understanding Rectal Bleeding: When to Seek Medical Attention
Blood after bowel movement? During high school, I experienced bright red blood on my stool, thinking it was my menstrual period and not paying much attention to it; I only remember that the stool was loose. In my freshman year of college, I also noticed bright red blood on my sto...
Dr. Zhang Shuhao Reply:
You can first visit a colorectal clinic for an examination to check for common causes of bleeding, such as hemorrhoids, to assess whether a colonoscopy is necessary. Unless your grandfather has a young-onset colorectal cancer, the likelihood of developing cancer at the age of 20 ...[Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Asymptomatic Anal Polyps: Should You Be Concerned?
Asymptomatic anal polyps? I noticed two small protrusions, approximately 0.2 to 0.3 centimeters in size, at the anal opening (when slightly spread apart). They are oval-shaped and have the same flesh-pink color as the surrounding anal tissue, and they are not painful. Currently, ...
Dr. Zhang Shuhao Reply:
A small protrusion that closely resembles the color of the mucosa is likely an anal papilla, while one that is closer to the color of the skin may resemble an anal skin tag. If there are no symptoms, treatment is not necessary. However, if symptoms such as pain, enlargement, pigm...[Read More] Asymptomatic Anal Polyps: Should You Be Concerned?
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 Blood in Stool After Polypectomy: What You Need to Know
Blood in the stool? Hello doctor, I underwent a painless gastroscopy on September 2nd, during which the doctor informed me that a small polyp was removed. A week later, I noticed a little blood attached to my stool and some blood streaks (the blood was bright red). Today, it has ...
Dr. Zhang Shuhao Reply:
Most patients will stop bleeding within one to two days after polypectomy; however, a small number may experience minor oozing. As long as coagulation function is normal and there is no significant bleeding, this is not a concern. Significant bleeding is defined as the presence o...[Read More] Understanding Blood in Stool After Polypectomy: What You Need to Know
Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Surgical methods During a health check-up, occult blood was detected, leading to a colonoscopy at Minsheng Hospital. A polyp measuring three to five centimeters was found in the colon. I saw it on the screen; it had an elongated shape, matched the color of the intestine, and show...
Dr. Ke Fangxu Reply:
Colon polyps are generally removed directly unless they are difficult to excise or there is suspicion of malignancy, in which case a biopsy may be performed before considering the next steps. If the polyp is benign, surgery is typically not recommended, and efforts will be made t...[Read More] Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Is pain during bowel movements a sign of anal fissure? Hello, doctor. I have both internal and external moles, and I have coexisted with them peacefully for a long time. However, after experiencing constipation and passing hard stools, I now have sharp pain during each bowel move...
Dr. Zhang Shuhao Reply:
Pain during or after bowel movements that feels like a knife cutting is a typical symptom of anal fissures. This is caused by tension in the sphincter muscle or excessive straining during defecation, leading to a tear. Some anal fissures may be accompanied by symptoms such as ana...[Read More] Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Understanding Unusual Stool Colors: When to Worry About Health Risks
Abnormal stool color? Hello Doctor, I used to have poor eating and sleeping habits, which often led to constipation. About a month ago, I noticed fresh blood on the toilet paper and went to see a doctor. The doctor suggested it might be an anal fissure and prescribed some fiber s...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blo...[Read More] Understanding Unusual Stool Colors: When to Worry About Health Risks
Understanding Bowel Issues: When to Seek Medical Advice
Bowel-related issues? Hello Doctor: A few months ago, I had a bowel movement with bright red blood, but it was small pieces of red that could separate from the stool. I was quite anxious about it, and the next day it happened again, which made me even more worried. Additionally, ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Bowel Issues: When to Seek Medical Advice
Dealing with Minor Blood After Bowel Movements: What You Should Know
There is a small amount of blood when wiping after using the bathroom? Today, after using the restroom and wiping, I noticed a small amount of blood that appeared to be diluted by water. My stool was a bit hard due to being constipated, but I didn't experience any pain while...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blo...[Read More] Dealing with Minor Blood After Bowel Movements: What You Should Know
Understanding Rectal Bleeding: Causes and Solutions for Patients
Rectal bleeding Hello Doctor, I had a medical visit in April 2021 due to blood in my stool, during which I underwent a colonoscopy. The doctor informed me that there were no polyps in my intestines and recommended that I have another colonoscopy in 3-5 years. The final diagnosis ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Rectal Bleeding: Causes and Solutions for Patients
Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Bleeding from internal and external hemorrhoids? Hello, doctor. I would like to ask you a few questions. I have both internal and external hemorrhoids. Previously, when I had frequent bowel movements or constipation, my external hemorrhoids would protrude, and there would be bloo...
Dr. Zhang Shuhao Reply:
1. If the gastroscopy shows no issues, medication may not be necessary. Doctors may prescribe medication based on gastrointestinal symptoms, but usually, treatment for Helicobacter pylori is not required. 2. It is generally unrelated to rectal polyps. 3. It is not necessarily rel...[Read More] Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Concerns About Finding a Hard Lump During Self-Examination
During a self-examination, a lump or nodular mass was felt? Hello Doctor, recently during a self-examination, I felt a small, approximately 1-2 millimeter, granular object on the inner wall of my rectum. The texture of the object is hard and not smooth, and it does not cause pain...
Dr. Chen Ronghong Reply:
Hello, the simplest way is to wait until your next bowel movement and touch it again. If it still exists, it is unlikely to be feces. The normal intestinal wall has folds, but there should not be any hard lumps or rough surfaces. Therefore, if the small hard lump you mentioned pe...[Read More] Concerns About Finding a Hard Lump During Self-Examination
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
Understanding Rectal Discomfort: Symptoms and Cancer Risks
In the middle of the night, there is a sensation of soreness and fullness in the anal area (distal rectum)? Thank you! Please help me address my concerns. (1) I have experienced two episodes (separated by a long time). Both occurred at night when I felt a dull, bloated sensation ...
Dr. Ke Fangxu Reply:
Rectal lesions or diverticula may exhibit this phenomenon. If there are colorectal polyps and a family history, it is advisable to undergo a colonoscopy for better evaluation.[Read More] Understanding Rectal Discomfort: Symptoms and Cancer Risks
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