Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Struggling with Constipation and Hemorrhoids: Causes and Solutions
Constipation and hemorrhoids? Hello, Doctor. Due to recognizing the toilet, I have not had a bowel movement for four consecutive days during my trip. My stool is too hard, making the process of defecation very difficult. The stool gets stuck at the anal opening, requiring manual ...
Dr. Ke Fangxu Reply:
1. Young women often experience severe constipation. It is generally recommended to increase dietary fiber intake, drink more water, and engage in physical activity; consuming yogurt can also be beneficial. If these methods are ineffective, the use of laxatives may be necessary. ...[Read More] Struggling with Constipation and Hemorrhoids: Causes and Solutions
Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Diarrhea with anal pain? Hello, Doctor: I have hemorrhoids and recently gave birth. My obstetrician helped to reduce them. During this time, I had no issues with normal bowel movements and experienced no pain. However, in the past few days, I have suddenly developed diarrhea, and...
Dr. Zhang Shuhao Reply:
Hemorrhoids typically cause pain due to thrombosis or when a prolapsed hemorrhoid becomes trapped, leading to impaired blood circulation. Based on your description, it seems more like anal fissures causing pain during bowel movements. In addition to warm sitz baths, topical ointm...[Read More] Severe Anal Pain During Diarrhea: Is It Postpartum Hemorrhoids or Fissures?
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Follow-up Inquiry #187406 Dear Dr. Chang, Thank you very much for your response to my inquiry in “#187406 Consultation.” I have generally understood your explanations. I would like to ask Dr. Chang the following questions: Q1. Recently, I have been treating my hemorrhoid with w...
Dr. Zhang Shuhao Reply:
1. It should be internal hemorrhoids. 2. If there are no symptoms, no treatment is necessary. 3. It will not change to malignant. 4. It is possible.[Read More] Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Hello, Dr. Chang, I would like to ask some questions? I am the one sending these two images: https://imgur.com/a/u4AZ5bq and https://imgur.com/a/Xm8FuM4. I would like to ask the following: 1. Regarding the hemorrhoids shown, can second-degree hemorrhoids be caused by my incorrec...
Dr. Zhang Shuhao Reply:
1. Enlarged hemorrhoids almost always have thrombosis due to bleeding, which is caused by straining during bowel movements. Therefore, it is recommended to minimize the duration of straining. Severe swelling of hemorrhoids can also lead to a sensation of urgency. 2. Improving l...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Hello, Dr. Chang. I have already visited the large hospital? The situation has become more severe. I always thought I had hard stools, but it turns out I have hemorrhoids. Can hemorrhoids really become that swollen? Did I mistakenly think it was due to hard stools and excessive p...
Dr. Zhang Shuhao Reply:
The image appears to show a prolapsed hemorrhoid, and at this stage, surgical intervention is usually recommended. If you are still hesitant about surgery, it is advisable to perform warm sitz baths, along with the use of topical ointments and oral anti-inflammatory medications, ...[Read More] Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Understanding Rectal Discomfort: Symptoms and Possible Causes
Hello, Dr. Chang. I have been experiencing discomfort in the anal area since September 3rd until today? On September 3rd, I experienced a sensation where I felt like I couldn't fully empty my bowels, even though I had already passed some stool. Suddenly, I had a feeling simi...
Dr. Zhang Shuhao Reply:
The photo appears to show a prolapsed hemorrhoid, which can cause a persistent sensation of foreign body in the anal area and may lead to the feeling of incomplete bowel movements when swollen. It is recommended to start with warm sitz baths, gently pushing the hemorrhoid back du...[Read More] Understanding Rectal Discomfort: Symptoms and Possible Causes
Can Rubber Band Ligation Help Treat Prolapsed Hemorrhoids?
Can hemorrhoidal prolapse be improved by rubber band ligation? Hello Doctor: Recently, I have been experiencing a significant sensation of a foreign body in my left anal area, which seems to be due to a prolapsed hemorrhoid. I often have to manually push a mass of tissue back in,...
Dr. Ke Fangxu Reply:
1. If hemorrhoids are large enough to protrude while walking, conservative treatment options may have limited effectiveness. 2. You can give it a try, but the results cannot be guaranteed. 3. Yes.[Read More] Can Rubber Band Ligation Help Treat Prolapsed Hemorrhoids?
Understanding Hemorrhoid Treatments: Creams, Suppositories, and Lifestyle Tips
Hemorrhoid ointments and gastrointestinal-related issues? Hello, doctor. Recently, I experienced a flare-up of hemorrhoids, so I registered at the clinic. After the examination, it was found that I have two slightly swollen internal hemorrhoids. The doctor prescribed a week'...
Dr. Zhang Shuhao Reply:
1. It is correct that clinic physicians do not provide long tubes for hemorrhoid ointments; applying the ointment with a finger is less likely to cause injury to the anal area. Therefore, even if the ointment comes with a hard tube, its use is not recommended. The ointment can ge...[Read More] Understanding Hemorrhoid Treatments: Creams, Suppositories, and Lifestyle Tips
Managing Prolapsed Hemorrhoids: When to Push Back and Treatment Options
Should prolapsed internal hemorrhoids be pushed back in? Is it possible to reduce swelling through conservative treatment? Hello Dr. Ke, I have had constipation issues since I was young. About ten years ago, due to high stress, I developed hemorrhoids and have had grade III hemor...
Dr. Ke Fangxu Reply:
1. Personally, I do not recommend pushing acute hemorrhoids back in, as it can be more painful than leaving them out. Therefore, if the condition is not severe, medication treatment should be used. If it is indeed very severe, surgical intervention may be necessary. 2. Since I ...[Read More] Managing Prolapsed Hemorrhoids: When to Push Back and Treatment Options
Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care
Hemorrhoid ligation and external hemorrhoid surgery? I have been experiencing rectal bleeding after bowel movements for over four months, along with occasional anal itching. Is it still possible to improve my condition using only suppositories and warm sitz baths? After being exa...
Dr. Ke Fangxu Reply:
The goal of hemorrhoid treatment is to control symptoms. If the symptoms are not severe and do not affect daily life, ignoring them is also an option. 1. The frequency of suppository use can be increased to twice a day; however, sitz baths may worsen itching. Generally, combini...[Read More] Understanding Hemorrhoid Treatments: Surgery vs. Conservative Care
Understanding Pain After Reducing Prolapsed Internal Hemorrhoids
Pain upon reduction of internal hemorrhoids? Hello, doctor. I was unaware that my internal hemorrhoids could be pushed back in, and since I didn't have any pain issues, I never attempted to do so. This condition has persisted for about two years. Recently, I consulted a doct...
Dr. Ke Fangxu Reply:
If internal hemorrhoids are not pushed back in and there is no significant discomfort, then pushing them back is not meaningful. If pushing them back causes pain, it is not recommended to do so, as they will likely protrude again. To effectively address prolapsed hemorrhoids, sur...[Read More] Understanding Pain After Reducing Prolapsed Internal Hemorrhoids
Understanding Hemorrhoid Prolapse: Causes, Treatments, and Recovery
Hemorrhoidal prolapse Hello Dr. Ke, I visited the clinic two weeks ago for hemorrhoids. I actually only had two small external ones, and I had never experienced any bleeding or pain. I informed the doctor during the visit that I had no discomfort, but he still recommended ligatio...
Dr. Ke Fangxu Reply:
Typically, there is not much bleeding after a vasectomy. Based on your description, it seems more like a prolapsed hemorrhoid causing the issue. Indeed, a swollen prolapsed hemorrhoid will gradually resolve, and during this time, there may be some bleeding. As long as the bleedin...[Read More] Understanding Hemorrhoid Prolapse: Causes, Treatments, and Recovery
Managing Prolapsed Hemorrhoids After Ligation: What to Do Next?
Post-banding of internal hemorrhoids resulted in the prolapse of another hemorrhoid? Hello doctor, a few days ago I underwent a rubber band ligation for internal hemorrhoids. The doctor mentioned that there were three hemorrhoids to be addressed. The first one was painless, but a...
Dr. Yu Mingchang Reply:
Hello: Please take a look at the coloproctology surgical lead tube.[Read More] Managing Prolapsed Hemorrhoids After Ligation: What to Do Next?
Managing Thrombosed External Hemorrhoids: Causes and Treatment Options
Thrombosed external hemorrhoid Hello, doctor. I previously inquired about hemorrhoids in April and May, and I appreciate your responses. I followed your advice, but recently the hemorrhoids have started to hurt again, and occasionally there is bleeding. After seeing a colorectal ...
Dr. Ke Fangxu Reply:
If the symptoms you described are present, it could potentially be an anal fissure. However, a doctor's examination is necessary to confirm the diagnosis. If there is a prolapsed hemorrhoid, forcing it back in is not a long-term solution. As your doctor mentioned, if the sym...[Read More] Managing Thrombosed External Hemorrhoids: Causes and Treatment Options
Can You Undergo Colonoscopy with External Hemorrhoids?
Can a person with external hemorrhoids undergo a colonoscopy? Doctor, I have a problem with mixed hemorrhoids and have previously sought treatment. There is an external mass that resembles a half of a small toe that is prolapsed; it does not hurt and does not affect my daily life...
Dr. Ke Fangxu Reply:
Answer: Prolapsed hemorrhoids do not affect the ability to undergo a colonoscopy, and they will not worsen after the procedure. It is advisable to inform the medical staff beforehand, but it is generally not necessary. However, during bowel preparation before the examination, it ...[Read More] Can You Undergo Colonoscopy with External Hemorrhoids?
Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Prolapse of hemorrhoids after fistula surgery? Hello Doctor, I previously had a problem with a protruding hemorrhoid that I could push back after bowel movements. A week ago, I underwent fistula surgery, but the hemorrhoid has been continuously protruding, and due to the pain fro...
Dr. Ke Fangxu Reply:
If hemorrhoids are large enough to protrude outside the anus, conservative treatment is generally less effective. However, during fistula surgery, hemorrhoids are often removed to prevent the situation where both the surgical site and the hemorrhoids are painful. Currently, the b...[Read More] Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Concerns
Hemorrhoids protruding? Hello, doctor. I have been experiencing issues with a prolapsed hemorrhoid. I recently visited a hospital for an examination, and they informed me that this hemorrhoid has a blood clot. They mentioned it would likely resolve in about 2 to 3 weeks and would...
Dr. Yu Mingchang Reply:
Hello; please take a moment to check the colorectal department regarding acute hemorrhoids. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Concerns
Bleeding During Bowel Movements: Is It Just Hemorrhoids or Something More?
Blood dripping while having a bowel movement? Hello doctor, I am a mother who has given birth naturally to two children. Last year, after delivering my second child, I experienced rectal prolapse. At that time, I couldn't push it back in, but it gradually improved, and I hav...
Dr. Ke Fangxu Reply:
Based on your description, it seems more likely that the prolapsed hemorrhoids are caused by constipation and should not be related to colorectal cancer. I recommend that you first address the constipation issue and try to shorten the time spent on the toilet. Increasing your int...[Read More] Bleeding During Bowel Movements: Is It Just Hemorrhoids or Something More?