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
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 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
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
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?