Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
After walking, there is anal itching, and wiping the anus reveals yellowish fecal mucus with a small amount of light red blood streaks? Hello Doctor, I usually have normal bowel movements in terms of frequency and shape, and I have not noticed any visible blood in my stool or toi...
Dr. Zhang Shuhao Reply:
There are many causes of anal itching, including the prolapse of internal hemorrhoids, which can lead to a sensation of mucus due to the eversion of the mucosa, minor anal fissures, allergies, and even less common causes such as parasites. If there are no accompanying abdominal o...[Read More] Anal Itching and Blood After Walking: Should You Get a Colonoscopy?
Understanding Bleeding After Wiping: Insights on Hemorrhoids and Care
Blood on toilet paper after wiping? Hello Doctor, after having a bowel movement today, I wiped with toilet paper and there was no blood, and the stool was normal. However, I have a slight flare-up of hemorrhoids, which are mildly swollen and painful. I kept worrying that I might ...
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] Understanding Bleeding After Wiping: Insights on Hemorrhoids and Care
Understanding Flat Stool: Causes and When to Seek Medical Advice
Flat-shaped stools? Hello, several years ago I had a colonoscopy that revealed a 0.8 cm colorectal adenoma, which was removed. The doctor advised follow-up in one year to check for a propensity to develop polyps. During the follow-up, no new polyps were found. Subsequently, durin...
Dr. Zhang Shuhao Reply:
Changes in stool shape caused by colorectal tumors are due to a narrowing of the intestinal lumen, which leads to the stool being squeezed through the constricted area, resulting in thinner stools. If the obstruction becomes more severe, symptoms such as abdominal pain and diarrh...[Read More] Understanding Flat Stool: Causes and When to Seek Medical Advice
Understanding Colorectal Polyps: Risks and Follow-Up Care
Colorectal polyps Doctor: Hello! A colonoscopy was performed on May 2019, revealing one 0.2 cm adenomatous polyp, which was removed. The initial medical advice was to follow up with another colonoscopy in 4-5 years. A fecal occult blood test was also conducted in May 2020, which ...
Dr. Ke Fangxu Reply:
The possibility of malignancy can never be completely ruled out; however, if a colonoscopy was performed two years ago, even if it is malignant, it is most likely in the early stages. This is the purpose of regular colonoscopy screenings.[Read More] Understanding Colorectal Polyps: Risks and Follow-Up Care
Understanding Anal Polyps: Symptoms, Risks, and Treatment Options
Anal polyps Hello doctor, I have had a small growth on my anus for 10 years, and it has been bleeding occasionally. What should I do about it?
Dr. Zhang Shuhao Reply:
The small flesh-colored bump near the anus may be a skin tag or an external hemorrhoid, with a very low chance of being a malignant lesion. If it tends to bleed, you can soak in warm water and apply ointment; however, if it occurs frequently, it is important to seek medical evalu...[Read More] Understanding Anal Polyps: Symptoms, Risks, and Treatment Options
Post-Surgery Pain and Swelling After Anal Polyp Removal: Expert Insights
Postoperative severe pain and swelling after anal polyp surgery? Hello Dr. Ke: Continuing from yesterday's discussion regarding the severe pain and swelling after my anal polyp surgery (#178457), I underwent PPH surgery on March 22, 2021, and the recent anal polyp surgery wa...
Dr. Ke Fangxu Reply:
It is necessary to conduct a personal examination to determine whether it is swelling or a blood clot. However, regardless of which condition it is, surgery is not recommended in the short term. Therefore, taking warm sitz baths and applying ointment is a safer approach. Using co...[Read More] Post-Surgery Pain and Swelling After Anal Polyp Removal: Expert Insights
Post-Surgery Pain and Swelling After Anal Polyp Removal: What to Expect
Severe pain and swelling after anal polyp surgery? I would like to ask Dr. Ke: I underwent a PPH (Procedure for Prolapse and Hemorrhoids) surgery in 2021, but I feel that my condition did not fully improve afterward. Less than a year later, I experienced pain and protrusion from ...
Dr. Ke Fangxu Reply:
Common issues associated with PPH (Procedure for Prolapse and Hemorrhoids) circular resection surgery include: first, the resection site being too low, resulting in persistent wound pain; second, suboptimal removal of hemorrhoidal tissue; and third, inadequate management of recta...[Read More] Post-Surgery Pain and Swelling After Anal Polyp Removal: What to Expect
Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Polyps on internal hemorrhoids? Hello, doctor. Recently, I noticed a small amount of blood when having a bowel movement due to straining. I went to see a colorectal surgeon and was diagnosed with internal hemorrhoids and a polyp approximately 0.3 cm in size, which is located on t...
Dr. Zhang Shuhao Reply:
Internal hemorrhoids and polyps are different conditions. Sometimes, rectal polyps located near the anus are difficult to remove using a colonoscope, and it is usually recommended to excise them via the anus using electrocautery or similar methods. If rubber band ligation is to b...[Read More] Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Post-Surgery Concerns: Managing Anal Fistula and Polyp in Infants
Postoperative care for anal fistula surgery? Doctor, I would like to ask a couple of questions: 1. My baby had an anal fistula surgery at 4 months old, and during the healing process, a large polyp developed. When we took him to the doctor, the doctor removed it with a cotton s...
Dr. Zhang Shuhao Reply:
The polyp described in the text may be granulation tissue that has formed at the site of a wound. If it grows excessively, it can lead to an uneven appearance, so it is fine to remove it in an outpatient setting. Newly healed wounds tend to be more fragile and can easily bleed fr...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Polyp in Infants
Should My Mom Undergo Surgery for Stage IV Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, the source of the infect...
Dr. Xu Kaixi Reply:
If diagnosed with colorectal cancer with near obstruction, and if the patient's condition permits, after an anesthetic preoperative assessment indicating acceptable surgical risks, it is still recommended to undergo colorectal cancer surgery at a major hospital as soon as po...[Read More] Should My Mom Undergo Surgery for Stage IV Colon Cancer?
Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, they investigated the so...
Dr. Xu Kaixi Reply:
If a diagnosis of colorectal cancer with near obstruction has been confirmed, and if the patient's condition permits, with an acceptable surgical risk after anesthesia preoperative assessment, it is still recommended to undergo colorectal cancer surgery at a major hospital a...[Read More] Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks
Bowel issues Hello, doctor! Today, during a bowel movement, the stool appeared to be a coffee color with a slight reddish hue. The texture was somewhat soft and coarse. When wiping, I noticed some pinkish color on the toilet paper along with the stool. My bowel movements have bee...
Dr. Zhang Shuhao Reply:
Bleeding from internal hemorrhoids typically occurs during bowel movements due to excessive straining or the rupture of a thrombosis, resulting in moderate bleeding. Commonly, this presents as fresh blood at the end of normal-colored stools. In cases of gastrointestinal bleeding,...[Read More] Understanding Bowel Issues: Concerns About Color Changes and Cancer Risks
Post-Surgery Concerns: Understanding Internal Growth After Anal Wart Treatment
Postoperative care after anal condyloma surgery? Hello, Doctor. Since the electrosurgery for anal warts last September, I have been returning for check-ups approximately once a month. However, when I examine myself at home using lubricant, I feel three raised areas about 3 cm dee...
Dr. Ke Fangxu Reply:
1. It is possible for anal polyps to persist for a lifetime. 2. Not necessarily. 3. It is also possible; to confirm, a biopsy is still required.[Read More] Post-Surgery Concerns: Understanding Internal Growth After Anal Wart Treatment
Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Fecal occult blood issue? Hello, Director. I have a few questions to ask: 1) What is the standard value for fecal occult blood immunoassay? It seems that different institutions have varying criteria. 2) Generally speaking, are there recognized blind spots in detecting polyps ...
Dr. Ke Fangxu Reply:
1. Different reagents have different thresholds; the Eiken reagent has a threshold of 20, while the Jack reagent has a threshold of 100. 2. Fecal occult blood testing detects bleeding, not polyps. Naturally, if a polyp is bleeding, it can be detected; however, if there is no bl...[Read More] Understanding Fecal Occult Blood Testing and Its Implications in Colorectal Health
Post-Surgery Care for Hemorrhoid Removal: Pain Management and Healing Tips
Post-hemorrhoid surgery Hello Doctor: I underwent traditional hemorrhoidectomy on September 29, which included the removal of internal and external hemorrhoids as well as polyps. The biopsy results for the polyps were benign. The doctor advised that post-operative wound care requ...
Dr. Ke Fangxu Reply:
I personally do not recommend applying medication inside the anus due to excessive pain and uncertain effectiveness. Taking warm sitz baths should be sufficient for anti-inflammatory, anti-swelling, and pain relief purposes. The medications for these effects vary. The pineapple e...[Read More] Post-Surgery Care for Hemorrhoid Removal: Pain Management and Healing Tips
Understanding Rectal Hard Lumps: Possible Causes and Concerns
Issue of a hard mass in the anus? Hello, Doctor. A few days ago while showering, I discovered a hard lump inside my anus (about one finger joint deep) on the side closer to the front of my body. It is slightly larger than a red bean, with a rough surface. It doesn't resemble...
Dr. Ke Fangxu Reply:
The exact issue can only be determined through examination; most likely it is thrombosed hemorrhoids, but anal polyps and malignant tumors are also possible, although the latter is less likely.[Read More] Understanding Rectal Hard Lumps: Possible Causes and Concerns
Should You Skip Fecal Tests After a Recent Colonoscopy?
Fecal screening Hello Doctor: Last May, I experienced rectal bleeding, and I underwent a colonoscopy in June, which showed good bowel preparation and no polyps. The diagnosis was hemorrhoids. Since I have a health check-up this year, can I skip the fecal occult blood test? Is it ...
Dr. Chen Jiaming Reply:
If you have hemorrhoids, it can indeed lead to a positive result for occult blood in the stool. Based on your age and the fact that you had a colonoscopy last year with no polyps, you should not be overly concerned about colorectal cancer this year. However, you should verify whe...[Read More] Should You Skip Fecal Tests After a Recent Colonoscopy?
Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Prolapse & Anal Hygiene Two months ago, I experienced anal pain without any bleeding. My first bowel movement in the morning was normal, but the second and third were loose stools. After three bowel movements, I soaked in warm water, but the pain persisted. I did not have con...
Dr. Xu Kaixi Reply:
Based on your description, the diagnoses during your visits include hemorrhoids and anal fissures, which can coexist and both may cause bleeding and pain during bowel movements. Prolapse refers to the rectum protruding through the anus, with the tissue that comes out being the re...[Read More] Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Understanding Painful White Bumps Near the Anus: When to Seek Help
External anal mass - painful small white growth? Hello Doctor, I have noticed a condition where there are small growths resembling polyps around my anal area for over a year. However, since there has been no blood in my stool and no pain, it has only been bothersome when I touch ...
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 small white fleshy growth may be a polyp associated with the fissure. The pain often lasts several days, sometimes ...[Read More] Understanding Painful White Bumps Near the Anus: When to Seek Help
Orange-Red Water in Stool: Should You Worry About Colon Health?
Orange-red watery stool? Hello Doctor, I occasionally notice orange-red liquid next to my stool after having a bowel movement, but the stool itself and the wiping are both normal brownish-yellow. In the days leading up to this symptom, I had eaten some carrots (not a main dish, i...
Dr. Yu Mingchang Reply:
Hello: Eating more fruits and vegetables is not a big issue. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Orange-Red Water in Stool: Should You Worry About Colon Health?