Understanding Rectal Bleeding: When to Worry About Hemorrhoids and Polyps
Bowel issues Hello, doctor. About three years ago, I started noticing blood when wiping after a bowel movement. It later became more severe. After a digital rectal examination at the hospital, I was diagnosed with internal hemorrhoids and underwent a ligation procedure, which imp...
Dr. Ke Fangxu Reply:
Hello: The principle for monitoring colorectal polyps is that after polyp removal, a follow-up colonoscopy should be performed one year later. If polyps are found again, another colonoscopy should be done one year after their removal, continuing this process until no polyps are d...[Read More] Understanding Rectal Bleeding: When to Worry About Hemorrhoids and Polyps
Do You Need Surgery for Fibrotic Hemorrhoids? Expert Insights
Fibrous hemorrhoids Hello Dr. Ke, I would like to ask if fibrotic hemorrhoids require surgical treatment, or if sitz baths would be sufficient for improvement? Should medication be included as well? I do not have any rectal bleeding or prolapse, and I maintain a regular bowel sch...
Dr. Ke Fangxu Reply:
"I have not used the term 'fibrotic hemorrhoids' before, so I'm not sure about your condition. However, if there is no bleeding or prolapse, what exactly is the issue that is bothering you? If the hemorrhoids are not painful or do not present the aforementione...[Read More] Do You Need Surgery for Fibrotic Hemorrhoids? Expert Insights
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding Recently, I have occasionally noticed fresh blood on the toilet paper after wiping, about the size of a ten-dollar coin, but there is no blood in the stool itself. It doesn't happen every time I have a bowel movement; sometimes there is bleeding, and sometime...
Dr. Ke Fangxu Reply:
Hello: In response to your question, rectal bleeding is mostly caused by hemorrhoids. However, if you are over 40 years old, it is best to have a physician examine you to rule out the possibility of low rectal cancer, as it can be difficult to distinguish between the two clinical...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Post-Surgery Rectal Bleeding: Causes and When to Seek Help
After undergoing surgery for an anal fistula a few years ago, I have recently experienced bleeding. I would like to seek advice? Hello Dr. Ke, about 10 years ago I underwent surgery for an anal fistula, but in the past year, I have noticed bleeding occasionally when I experience ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the fistula surgery was performed ten years ago, the likelihood of recurrence is relatively low. The most probable cause of bleeding would be hemorrhoids. It is recommended to develop good dietary habits and a regular lifestyle while avoidi...[Read More] Post-Surgery Rectal Bleeding: Causes and When to Seek Help
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in stool Current situation: There is blood in the stool, but it is not mixed with the stool; it is flowing directly. At the beginning of the bowel movement, there was some pain at the anal opening, but it subsided afterward. I later noticed that the bleeding has continued f...
Dr. Yu Mingchang Reply:
Hello^^ Based on what you mentioned, the likelihood of an anal fissure is greater! Thank you![Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Anal Fistulas: When to Consider Surgery and Risks Involved
Regarding anal fistulas? Hello Dr. Ke: If I have been diagnosed with an anal fistula but only experience mild pain when using the restroom and occasionally have a small amount of discharge, can I choose not to undergo surgery if it does not significantly affect my daily life? Wha...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the only definitive treatment for an anal fistula is surgery. If the symptoms are not severe, medication can help manage the symptoms without surgery. However, the issue with non-surgical treatment is that symptoms may recur, and there is a sm...[Read More] Understanding Anal Fistulas: When to Consider Surgery and Risks Involved
Do I Need a Colonoscopy After Blood in Stool? Understanding the Risks
Do I need to undergo a colonoscopy? Recently, my mother was diagnosed with rectal cancer, which made me recall that I had experienced two instances of blood in my stool. I have since improved my bathroom habits and have not had any occurrences for six months! In the past month, I...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the current recommendation from the National Health Bureau is to begin fecal occult blood screening at the age of 50. If there are no symptoms, screening can be postponed until after turning 50. If there is rectal bleeding after the age of 40,...[Read More] Do I Need a Colonoscopy After Blood in Stool? Understanding the Risks
Understanding Rectal Bleeding: When to Consider a Colonoscopy
Blood after bowel movements? Hello Doctor: After changing jobs (about two and a half years ago), I have been sitting more often and have started experiencing intermittent rectal bleeding, mostly when my stools are harder. I feel a sharp pain near the anus as the stool passes, and...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the presence of blood in the stool before the age of 40 is often related to anal disorders. If both the digital rectal examination and the fecal occult blood test show no abnormalities, and there are no other symptoms of colorectal cancer or f...[Read More] Understanding Rectal Bleeding: When to Consider a Colonoscopy
Understanding Rectal Bleeding: Causes and Recommendations
Blood in the stool Hello, Dr. Ke. On April 27th, I noticed a significant amount of bright red blood when I went to the bathroom. There was a large amount on the toilet paper and a long streak of blood in the toilet, similar to a menstrual period, but without any pain. Previously,...
Dr. Ke Fangxu Reply:
Hello: In response to your question, painless large amounts of blood in the stool are typically characteristic of bleeding from internal hemorrhoids. Common causes, aside from constipation, include prolonged straining during bowel movements or insufficient sleep. If there is no o...[Read More] Understanding Rectal Bleeding: Causes and Recommendations
Understanding Blood in Stool: Causes and Solutions for Rectal Bleeding
Occasionally, there may be blood in the stool? Last Friday, after using the restroom, I noticed two drops of red substance on the floor. After thinking about it, I realized it was blood. Indeed, when I wiped, there was blood on the toilet paper as well, all bright red. I have had...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Tainan Hospital, Department of Surgery, Executive Yuan Health Department: Based on the symptoms you described, the most likely diagnosis is hemorrhoids. The causes of hemorrhoidal bleeding are mostly related to poor local circulation, which can be inf...[Read More] Understanding Blood in Stool: Causes and Solutions for Rectal Bleeding
Post-Hemorrhoid Surgery Complications: Understanding Treatment and Risks
After hemorrhoid surgery, two weeks later, there was a rupture of blood vessels causing bleeding, and anti-inflammatory injections were administered? After undergoing surgery for internal hemorrhoids, I experienced a rupture and bleeding from the blood vessels two weeks later. Wh...
Dr. Yu Mingchang Reply:
Hello! After abdominal surgery, sometimes difficulty in bowel movements can cause friction and lead to bleeding at the incision site. Generally, it will stop bleeding on its own, and it is not always necessary to administer a hemostatic injection. Thank you![Read More] Post-Hemorrhoid Surgery Complications: Understanding Treatment and Risks
Understanding Rectal Bleeding: Causes and Diagnostic Insights
Blood in stool A year ago, I had external hemorrhoids (I could clearly feel a soft protrusion outside the anus, and it was painful to sit and walk). I gradually improved with sitz baths, and the pain and protrusion disappeared. At that time, I experienced minor rectal bleeding du...
Dr. Ke Fangxu Reply:
1. It is possible. 2. This refers to upper gastrointestinal imaging or small bowel imaging, which is suitable for examining lesions in the stomach, duodenum, or small intestine. I'm not sure which part of the intestine you are referring to; if you mean the large intestine, t...[Read More] Understanding Rectal Bleeding: Causes and Diagnostic Insights
Understanding Colon Tumors: Symptoms, Diagnosis, and Screening Guidelines
Colon tumor Hello Doctor: My mother is 63 years old. She underwent a colonoscopy in April 2010, and the doctor reported the presence of internal hemorrhoids but no other issues. However, starting in November 2011, she began experiencing rectal bleeding. The initial diagnosis at t...
Dr. Ke Fangxu Reply:
The area approximately 25 centimeters inside the anus corresponds to the upper rectum and the sigmoid colon. Generally, a colonoscopy should be performed every 3 to 5 years, unless there are abnormal findings or symptoms present. For individuals with a history of polyps or tumors...[Read More] Understanding Colon Tumors: Symptoms, Diagnosis, and Screening Guidelines
Understanding Symptoms: Is It Hemorrhoids or Anal Fissures?
Are these symptoms related to the anal canal? Hello, Dr. Ke… About two to three months ago, I experienced an anal fissure, and approximately one month after that, a small growth appeared at the anal opening. It used to hurt when I touched it, but recently it no longer causes pain...
Dr. Ke Fangxu Reply:
After an anal fissure occurs, granulation tissue may develop at the edges of the tear, which is what you are feeling as the "small thing." This is a normal part of the healing process for an anal fissure. If the pain has not improved, it indicates that the fissure has n...[Read More] Understanding Symptoms: Is It Hemorrhoids or Anal Fissures?
Hard Stool and Rectal Bleeding: Causes and Remedies
Hard stools and rectal bleeding? Hello, I had hemorrhoid surgery two years ago, and in the past two months, I've been experiencing hard stools and often notice bleeding from the anus after bowel movements. Could this be anal fissures? A doctor previously prescribed Ultraproc...
Dr. Ke Fangxu Reply:
There are many types of laxatives available on the market, but it is preferable to increase the intake of fiber-rich fruits and vegetables naturally rather than relying on medication. Hard stools can indeed cause rectal bleeding, and prolonged straining can lead to hemorrhoid swe...[Read More] Hard Stool and Rectal Bleeding: Causes and Remedies
Understanding Fever Related to Hemorrhoids: A Case Study
Regarding the issue of hemorrhoids causing fever? I have mild hemorrhoids and previously visited a large hospital for an examination. The doctor advised that I just need to pay attention to my lifestyle and apply some medication, and that surgery is not necessary. I also underwen...
Dr. Lin Zhiguang Reply:
Hello, general rectal bleeding is often caused by hemorrhoids or anal fissures. However, it is quite rare to have accompanying symptoms such as fever and chills indicating an infection. During an episode, a computed tomography (CT) scan can be considered to rule out the presence ...[Read More] Understanding Fever Related to Hemorrhoids: A Case Study
Can Hemorrhoids Cause Continuous Bleeding? Treatment Options Explained
Can hemorrhoids cause continuous bleeding? Is it possible to completely cure them? Hello Dr. Ke: I have been receiving treatment at a specialized Traditional Chinese Medicine clinic for hemorrhoids for over a year and a half. The doctor used an anoscope for examination but did no...
Dr. Ke Fangxu Reply:
Hello, in response to your question: Hemorrhoidal bleeding can indeed present with these symptoms. Personally, I do not oppose the use of traditional Chinese medicine for treatment; however, if the treatment is ineffective, I recommend exploring other options. The most severe pos...[Read More] Can Hemorrhoids Cause Continuous Bleeding? Treatment Options Explained
Understanding Post-Defecation Bleeding: Causes and Treatments
Bleeding after bowel movements? Hello, Dr. Hou: 1. About 10 years ago, I had surgery for anal fistula and hemorrhoids. 2. I believe I still have some hemorrhoids, and I have seen a doctor who said it was not serious and there were no signs of fistula. 3. However, I seem to exper...
Dr. Hou Yongji Reply:
Please consult a colorectal surgeon for diagnosis and treatment. An anoscopy can be performed in the outpatient clinic, or a colonoscopy can be arranged. Thank you.[Read More] Understanding Post-Defecation Bleeding: Causes and Treatments
Understanding Post-Defecation Bleeding: Causes and When to Seek Help
Bleeding after bowel movements? Hello, Dr. Ke: This afternoon, while I was sleeping, I experienced anal itching and scratched with my hand. After getting up and having a bowel movement, I noticed bleeding, and there were blood clots as well as drops of blood. I then used the he...
Dr. Ke Fangxu Reply:
Hello, in response to your question, I believe the bleeding is likely caused by skin damage around the anal area due to scratching. This time, the bleeding is not as severe as it was last time. I recommend using a topical ointment for treatment. If you had a barium enema last yea...[Read More] Understanding Post-Defecation Bleeding: Causes and When to Seek Help
Understanding Internal and External Hemorrhoids: Treatment Options and Concerns
Hemorrhoidal issues (internal and external hemorrhoids) Hello Dr. Hou, I have both internal and external hemorrhoids. In the past, I would occasionally experience rectal bleeding, but it usually resolved within a week with medication. Recently, for the past month, I have been exp...
Dr. Hou Yongji Reply:
1. Based on your description, it is difficult to clearly understand your condition. Please seek a consultation with a colorectal surgeon nearby. 2. Pressure ulcers are not caused by bacterial or viral infections, so there is no issue with antibiotic resistance.[Read More] Understanding Internal and External Hemorrhoids: Treatment Options and Concerns