Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Chronic anal fissure, anal polyp I would like to ask about experiencing bright red blood when using the restroom, but without pain. Sometimes it occurs with bowel movements, but after a short period, it doesn't happen again for two consecutive days. I consulted a doctor (who...
Dr. Xu Kaixi Reply:
As your physician mentioned, sometimes anal mucosal tears can occur due to constipation or other reasons. If there is no pain or signs of infection or inflammation, they generally heal on their own. Exercise is not directly related to this condition.[Read More] Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Understanding Anal Polyps: Symptoms, Causes, and Treatment Options
Anal polyp A protruding mass was found at the anal area (attached image: https://ppt.cc/fV8Owx), which is painless, itch-free, soft, and not swollen, connected to the outer skin. It doesn't seem to be a recent development, just something that has been overlooked. What could ...
Dr. Xu Kaixi Reply:
Based on the images and information you provided, this appears to be hemorrhoids. If there is no inflammation or bleeding, and there is no pain or discomfort, it can be monitored.[Read More] Understanding Anal Polyps: Symptoms, Causes, and Treatment Options
Understanding Perineal Polyps: When to Seek Medical Advice
Polyp on the perineum Hello, I recently had intercourse with my boyfriend and we tried anal sex. Afterward, I immediately noticed a small piece of flesh appearing between the vaginal opening and the anus. It is not painful or itchy, and it has slightly reduced in size, but the sm...
Dr. Chen Bingze Reply:
Hello, the protruding tissue is something that needs to be excised and then examined by a pathology lab to determine what it is. Basically, you can visit a nearby medical facility to have a physician evaluate it.[Read More] Understanding Perineal Polyps: When to Seek Medical Advice
Understanding Anal Polyps: Surgical Options and Concerns for Patients
Rectal polyps Hello Doctor: I often suffer from hemorrhoids, and when I visited the hospital, the doctor said that what I have is not hemorrhoids but anal polyps (currently, I experience sharp pain during bowel movements, accompanied by bleeding symptoms, which have recurred over...
Dr. Ke Fangxu Reply:
Anal pain accompanied by bleeding is more indicative of anal fissures. Anal fissures can be associated with polyps, while simple anal polyps are a separate issue and are not related to anal fissures. So, which type does your anal polyp belong to? If it is the former, then the ana...[Read More] Understanding Anal Polyps: Surgical Options and Concerns for Patients
Post-Hemorrhoid Surgery: What to Expect for Your Recovery
Postoperative wound after hemorrhoid surgery? Will the anus return to its previous state after hemorrhoid surgery, or will there be scars or wounds present? I have previously undergone an examination that confirmed the presence of polyps in the colon. If my bowel habits change sl...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, the scars will not be prominent, and the wound will completely heal in about a month, unless there is severe swelling due to acute thrombosed hemorrhoids. Colorectal polyps do not disappear on their own; they are usually removed during a colonoscopy. It ...[Read More] Post-Hemorrhoid Surgery: What to Expect for Your Recovery
Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Anal fissure, tight internal anal sphincter? Hello Dr. Ke, I have seen four colorectal surgeons, all of whom diagnosed me with chronic anal fissures. As the fissures have become more frequent, I have been experiencing significant pressure and a bloated feeling in my anus. However...
Dr. Ke Fangxu Reply:
1. Increased pressure in the internal anal sphincter is usually of unknown origin and should not be related to uterine fibroids, nor would incontinence be caused by anal fissure surgery or fibroid surgery. 2. The standard procedure for anal fissure surgery involves removing any p...[Read More] Understanding Chronic Anal Fissures and Tight Internal Sphincter Issues
Red Tissue in Stool: Should You Be Concerned?
Red tissue in stool? Hello doctor, over the past few years, I have occasionally noticed red shavings in my stool that resemble skin flakes. I'm not sure if it's blood or stool tissue. Sometimes when I wipe with toilet paper, there are red spots, but I had a colonoscopy ...
Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. Fruit seeds may also contribute to this issue. It is advisable to temporarily avoid dark-colored foods. If the abnormality persists, a consultation ...[Read More] Red Tissue in Stool: Should You Be Concerned?
Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Is a colonoscopy necessary for constipation? I have had constipation issues since childhood, sometimes going up to a week without a bowel movement, and at best, every three days. Therefore, I occasionally use enemas, as I easily experience bloating. Recently, I noticed a small da...
Dr. Ke Fangxu Reply:
The black spots on the lower lip associated with polyps are indicative of Peutz–Jeghers syndrome, which is a rare autosomal dominant genetic disorder. Generally, it is not more prevalent. If the intestinal motility is already slow and there are no significant changes, a colonosco...[Read More] Do You Need a Colonoscopy for Chronic Constipation and Lip Lesions?
Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Colonoscopy Dear Director Ke, After cleansing the intestines, is it possible to first arrange for a painless colonoscopy under anesthesia, and then proceed with a barium enema? (Due to right lower abdominal pain and a constant sensation of incomplete evacuation, the outpatient p...
Dr. Ke Fangxu Reply:
Since a colonoscopy has been performed, there is no point in doing a barium study. The reason the physician arranged for a barium study is likely because a colonoscopy was done two years ago. In fact, the accuracy of a colonoscopy is higher than that of a barium study, and patien...[Read More] Can I Schedule a Pain-Free Colonoscopy After Barium Enema?
Understanding Anal Polyps: Symptoms, Treatment Options, and Specialist Guidance
Anal polyps I discovered a growth that resembles a skin tag around my anus while showering, and it has been there for about four years. It is not painful or itchy, and I don't feel much discomfort, nor has it enlarged. I'm unsure which specialty to consult and find it d...
Dr. Peng Xianwen Reply:
Dear Miss Yang: It is recommended to consult a colorectal surgeon for an examination to identify the issue and determine the appropriate treatment. Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.[Read More] Understanding Anal Polyps: Symptoms, Treatment Options, and Specialist Guidance
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding Hello Dr. Ke, six months ago I had a colonoscopy due to blood on the surface of my stool, which diagnosed me with internal hemorrhoids and found no other polyps. The bowel preparation for the colonoscopy was rated as good. Recently, during a bowel movement, I noti...
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: Is It Hemorrhoids or Something More?
Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Persistent dull pain in the lower right abdomen? Dear Dr. Ke, I have been experiencing persistent pain in my lower right abdomen, along with a constant sensation of incomplete bowel evacuation. My gastroenterologist has arranged for a lower gastrointestinal (GI) series, but I ha...
Dr. Ke Fangxu Reply:
1. If a colonoscopy was performed two years ago without any abnormalities, then a lower gastrointestinal imaging may not be necessary. It is advisable to first conduct a fecal occult blood test, and if the result is positive, then consider proceeding with lower gastrointestinal i...[Read More] Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Understanding Anal Polyps: Symptoms, Concerns, and When to Seek Help
There is a polyp in the anus? I just noticed a polyp outside my anus after taking a shower. I wouldn't have discovered it if I hadn't touched it. It doesn't feel like much when I touch it, but it does hurt when pressed. However, it doesn't interfere with my da...
Dr. Yu Mingchang Reply:
Hello: There are no issues; eating more vegetables and fruits is important. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Polyps: Symptoms, Concerns, and When to Seek Help
Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
History of cauliflower and hemorrhoid treatment, with recent perianal pain? Dear Dr. Ke, I apologize for interrupting you during your busy schedule. To save your valuable time, I have organized the information in bullet points below. Thank you for your understanding. 1. A 30-ye...
Dr. Ke Fangxu Reply:
I also think it could be an anal polyp or a small external hemorrhoid, as it appears smooth in appearance. However, it is best to have a physician perform a physical examination for a more accurate assessment. If there is no continuous increase in size or number, it can be monito...[Read More] Understanding Recent Anal Pain: Is It Hemorrhoids, Warts, or Polyps?
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
Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Chronic anal fissure Hello Doctor: I have a chronic anal fissure issue that had previously healed, but a few days ago it reopened due to constipation. Sometimes it bleeds, and I've been experiencing significant pain after using the restroom. I feel a friction sensation at th...
Dr. Ke Fangxu Reply:
1. Yes, it can shrink afterwards but will not completely disappear. The only way for sentinel polyps to disappear is through surgical removal. 2. If the pain and bleeding are only mild, you can initially apply medication and take warm sitz baths. If there is no improvement afte...[Read More] Managing Chronic Anal Fissures: Symptoms, Treatments, and Recovery
Understanding Colonoscopy Results: Is Some Residual Fluid Normal?
Colonoscopy Hello Doctor: Previously, I experienced rectal bleeding, so I underwent a colonoscopy this week. The results showed internal hemorrhoids, and there were no polyps in the intestines. I did take a laxative before the examination. During the procedure, I observed my inte...
Dr. Ke Fangxu Reply:
It is not necessary to completely clear the intestines; having some residual liquid stool is normal. Additionally, the physician will address this and ensure a clear view, so there is no need for excessive concern.[Read More] Understanding Colonoscopy Results: Is Some Residual Fluid Normal?
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 Recurrent Anal Fissures and Skin Tags: What You Need to Know
Recurrent anal fissures, flesh-colored papules? I rarely experience constipation, but sometimes when my stool is hard, it causes bleeding. When it’s severe, it can also be itchy. Recently, I noticed a skin-colored papule about the size of a grain of rice located next to the fissu...
Dr. Ke Fangxu Reply:
Chronic anal fissures are often accompanied by surrounding papillomas, referred to as "satellite polyps" or "sentinel polyps," which result from the recurrent occurrence of fissures. These polyps do not undergo malignant transformation. If there are no signifi...[Read More] Understanding Recurrent Anal Fissures and Skin Tags: What You Need to Know
Understanding Polyps from Chronic Constipation and Anal Fissures
Chronic constipation can lead to anal fissures and the development of polyps? I have polyps located at the 12 o'clock and 6 o'clock positions of the anus. I have already visited a clinic for examination, and the doctor said they are due to my long-term constipation, whi...
Dr. Ke Fangxu Reply:
Anal fissures typically occur at the 12 o'clock and 6 o'clock positions of the anal opening. The only treatment option for polyps in these areas is surgical excision; however, in clinical practice, excision is often unnecessary. The primary benefit of removal may be aes...[Read More] Understanding Polyps from Chronic Constipation and Anal Fissures