Rectal bleeding, Surgery FAQ

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Understanding Rectal Bleeding: Causes and When to Seek Help

Blood in the stool Hello doctor, I once experienced abdominal pain and diarrhea, and noticed fresh blood when wiping. A few hours later, I passed gas and noticed mucus with blood streaks. For several days, when lying flat to sleep, I felt something in my anus, making it difficult...


Dr. Zhang Shuhao Reply:
At your age, if there is no specific family history, the risk of colon cancer is relatively low. Diarrhea may be due to functional issues such as irritable bowel syndrome, and frequent bowel movements can lead to hemorrhoidal friction and bleeding. If symptoms persist, it is advi...

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Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?

Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...


Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...

[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?


Risks of Using the Wrong Ointment for Anal Issues: What to Watch For

Applying the wrong medication to the anus (using Lemeiyan instead of Leyu Zhi) can lead to several potential harms, including irritation, allergic reactions, or worsening of the condition being treated. It is important to monitor for any adverse effects such as increased pain, sw...


Dr. Zhang Shuhao Reply:
Applying the wrong ointment may cause a short-term burning sensation or discomfort. It is recommended to take warm sitz baths and monitor for any skin rashes or swelling. The dosage of topical ointments is usually small, so it is unlikely to cause severe consequences. If symptoms...

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Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help

Rectal bleeding I have been experiencing constipation issues for a long time, and in the past few months, I have felt a sharp pain when using the restroom. Although it doesn't happen every time, there are occasions when I notice fresh blood or blood streaks on the toilet pap...


Dr. Chen Jiaming Reply:
Due to your long-standing history of constipation, it is possible that the cause of your rectal bleeding is hemorrhoids. It is recommended that you see a colorectal surgeon for further evaluation to confirm the diagnosis and determine appropriate treatment.

[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help


Understanding the Causes of Unusual Stool Color: Is It Serious?

The stool is flesh-colored? Today, during bowel movement, the stool had a normal color and a slight meat color (just a little bit). I ate lamb yesterday, and my stomach feels fine, but I didn't have a bowel movement yesterday. Could this be a sign of colorectal bleeding, or ...


Dr. Ke Fangxu Reply:
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, pumpkin, and chili peppers. It is advisable to temporarily avoid dark-colored foods. If there is no improvement, a fecal occult blood test can be performed to ch...

[Read More] Understanding the Causes of Unusual Stool Color: Is It Serious?


Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?

Rectal bleeding Hello doctor, I would like to ask about a situation I've been experiencing for about a week. After having a bowel movement, I sometimes notice blood dripping from my anus, but usually, it stops as soon as I leave the toilet. I've also observed that somet...


Dr. Zhang Shuhao Reply:
Anal fissures are typically associated with pain during or after bowel movements; internal hemorrhoids may cause more significant bleeding but are not necessarily painful. During the acute phase, it is advisable to take warm sitz baths, reduce the time spent in the bathroom, avoi...

[Read More] Understanding Rectal Bleeding: Hemorrhoids or Anal Fissures?


Can a Fistula Heal After Swelling Reduces? Expert Insights

Will the necrotic tissue regenerate after the fistula has reduced in size? Hello, Doctor. My abscess started to appear in mid-January and has now developed into a fistula. During this time, I initially managed to reduce it with medication, but in March, I switched to taking cold ...


Dr. Xu Kaixi Reply:
The "fistula" you mentioned "affecting" other bodily structures or tissues refers to the damage caused by the extension and spread of the fistula. Theoretically, if a fistula becomes severely infected and is left untreated, along with a decline in the body...

[Read More] Can a Fistula Heal After Swelling Reduces? Expert Insights


Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact

Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...


Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...

[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact


Blood on Toilet Paper After Appendectomy: What You Need to Know

Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello Doctor, I recently underwent an appendectomy a week ago and I have fully recovered. However, for the first few days after the s...


Dr. Zhang Shuhao Reply:
Appendectomy itself does not affect rectal bleeding; however, if there is intestinal inflammation accompanied by diarrhea, it may sometimes lead to swelling and bleeding of internal hemorrhoids. In such cases, taking warm sitz baths, staying hydrated, and increasing dietary fiber...

[Read More] Blood on Toilet Paper After Appendectomy: What You Need to Know


Understanding Causes of Rectal Bleeding Without Pain

Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...


Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.

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Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options

Hemorrhoids are too large? Hello Doctor, my mother (63) has been experiencing rectal bleeding. She visited a colorectal specialist yesterday, who diagnosed her with large internal and external hemorrhoids. The doctor mentioned that due to the size of the external hemorrhoids, sur...


Dr. Zhang Shuhao Reply:
Hemorrhoids can lead to an increased frequency of bowel movements primarily because they cause discomfort in the anal area, stimulating the nerves around the rectum and anus, which creates a sensation of needing to defecate, even if there is not always stool present. If the hemor...

[Read More] Understanding Large Hemorrhoids: Symptoms, Treatments, and Surgical Options


Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?

Rectal bleeding? If a 63-year-old woman experiences rectal bleeding after wiping, it is important to determine whether it is due to hemorrhoids or another cause. Since this is her first occurrence, and considering that she had a colonoscopy last month where the doctor noted ulcer...


Dr. Zhang Shuhao Reply:
For the situation of bleeding when wiping, the following recommendations are suggested: 1. Bleeding characteristics: It is important to observe the color, amount, and nature of the bleeding. If the blood is bright red, it is usually associated with hemorrhoids; if the color is da...

[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?


Understanding Rectal Bleeding: Causes and When to Seek Help

Blood in the stool? Hello doctor, I am 25 years old. A week ago, I experienced severe abdominal cramping and diarrhea that came on suddenly. After using the restroom, I noticed fresh blood when wiping, but since it was diarrhea, I couldn't see if there was blood in the stool...


Dr. Zhang Shuhao Reply:
Based on the symptoms you described, there are two issues to consider. First, the abdominal cramping, diarrhea, and mucus in the stool are indicative of enteritis, which is often caused by food or viral factors in young individuals. Increasing fluid intake and following a bland d...

[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help


Understanding Rectal Bleeding: Causes, Concerns, and Care Tips

Rectal bleeding Hello, doctor. In January, I had a positive fecal occult blood test and went to the hospital for a colonoscopy. I recently reviewed the report, which indicates rectal bleeding (the biopsy report showed no issues). I need to undergo another sigmoidoscopy in a month...


Dr. Zhang Shuhao Reply:
Common causes of rectal bleeding include rectal polyps, anal conditions (such as hemorrhoids or anal fissures), rectal inflammation (such as ulcerative colitis or ischemic colitis), and rectal cancer. The doctor has prescribed laxatives and stool softeners, likely to alleviate yo...

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Post-ESD Recovery: Understanding Rectal Bleeding and Changes in Bowel Habits

Endoscopic submucosal dissection for tumor removal and rectal bleeding? On January 30th of this year, I underwent endoscopic submucosal dissection (ESD) for a rectal submucosal lesion, and the pathology report indicated a grade 1 neuroendocrine tumor measuring 0.7 cm, which was b...


Dr. Zhang Shuhao Reply:
1. Rectal wounds, unless very close to the anus, typically do not affect the shape of stools. If examinations show no strictures and there is no recurrence of tumors, the absence of persistent urgency or tenesmus is not a concern. 2. Postoperative bowel movements may result in ...

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Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions

Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...


Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...

[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions


Understanding Blood in Stool: Possible Causes and Concerns

Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...


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 wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...

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Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon

Hemorrhoidal bleeding issue? Hello, doctor. Recently, my mother, who is 64 years old, has experienced blood in her stool, staining the toilet red. Although she mentioned that her hemorrhoids have protruded and could usually be pushed back in, this time it seems impossible as forc...


Dr. Zhang Shuhao Reply:
At this age, if there is frequent bleeding and a colonoscopy has not been performed, it is generally recommended to arrange for a colonoscopy to rule out any colonic lesions. Even if there are hemorrhoids, a colonoscopy can be performed without anesthesia. During the bowel prepar...

[Read More] Managing Rectal Bleeding: When to See a Gastroenterologist or Surgeon


Understanding Rectal Bleeding: Causes and Concerns for Young Adults

Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...


Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor 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 mo...

[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults


Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues

Rectal bleeding Doctor: I often experience constipation. Today, I felt a bit of an urge to go, but it took me 3 to 4 minutes of straining to pass one or two hard stools. Afterward, I wasn't sure if my anus hurt or if I didn't fully evacuate. I went to the bathroom four ...


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 pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...

[Read More] Understanding Rectal Bleeding: Causes and Solutions for Constipation Issues


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