Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights
Understanding Hemorrhoid Banding: What to Do If Complications Arise
Hemorrhoid ligation Hello, doctor. I had a hemorrhoid banding procedure last week, but it seems the rubber band fell off, and the banded hemorrhoid hasn't fallen off either. After having a bowel movement, a lump came out that I need to push back in. It feels different from t...
Dr. Zhang Shuhao Reply:
If this situation occurs after banding, it indicates that the size of the internal hemorrhoid is too large or its shape is not suitable for banding (such as a wide base), which can cause the rubber band to slip off during straining. If a lump appears after a bowel movement, it is...[Read More] Understanding Hemorrhoid Banding: What to Do If Complications Arise
Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Hemorrhoid issues Hello, Director Ke. I would like to ask: 1. I currently have some tissue around the anal area that looks like hemorrhoids. There is no significant swelling, pain, prolapse, or bleeding, and the sensation of a foreign body is mild. I only experience occasional an...
Dr. Ke Fangxu Reply:
1. Surgery is not necessary for hemorrhoids if there is no persistent bleeding, severe pain, or significant prolapse; most cases can be improved through lifestyle modifications and changes in bowel habits. 2. Hemorrhoids do not progress to rectal prolapse or rectal prolapse. If...[Read More] Understanding Hemorrhoids: When to Seek Treatment and Potential Risks
Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Suspected rectal prolapse? A small piece of tissue about 2 centimeters in size protrudes during bowel movements, but it disappears after a while. There is no pain or bleeding, and I am not straining during bowel movements, but it occurs every time I have a bowel movement.
Dr. Chen Ronghong Reply:
Hello RURU, the likelihood of young people experiencing rectal prolapse is low. Given your age and description, it is more likely that you are experiencing internal hemorrhoid prolapse. Conservative treatment includes increasing fluid and fiber intake to avoid constipation, and w...[Read More] Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...
Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...[Read More] Understanding Rectal Resection and Suturing: Risks and Recovery Insights
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
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I was abl...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back, it is classified as a grade IV hemorrhoid. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with lifestyle changes to avo...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any abnormal symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could ...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, as well as to modify lifestyle ha...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
Rectal prolapse I previously did not experience any unusual symptoms during bowel movements, but since last year, I have noticed a strange lump at my anus every time I have a bowel movement. It is not painful, just a little itchy, and feels soft to the touch. Last year, I could p...
Dr. Zhang Shuhao Reply:
Hello: Based on the description, it appears to be a prolapsed internal hemorrhoid, and if it cannot be pushed back in, it is classified as grade IV hemorrhoids. During an episode, it is advisable to take warm sitz baths and use topical ointments, along with changing lifestyle hab...[Read More] Understanding Rectal Prolapse: Symptoms, Causes, and Treatment Options
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 Anal Fissures After Minimally Invasive Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, Dr. Ke. I would like to ask a question. I underwent minimally invasive surgery on August 4th for internal and external hemorrhoids as well as rectal prolapse. During my follow-up appointment on August 27th, the doctor mentioned that there was an ana...
Dr. Ke Fangxu Reply:
There are various methods claimed to be minimally invasive surgery. It is difficult to answer this question without knowing the specific instruments and techniques you are using. Please discuss the subsequent treatment plan thoroughly with your surgeon.[Read More] Understanding Anal Fissures After Minimally Invasive Hemorrhoid Surgery
Understanding Persistent Rectal Pressure: Causes and Solutions
Persistent urgency with a feeling of incomplete evacuation? Hello, doctor. I am the person who asked question #170087 and would like to inquire further about the feeling of urgency and heaviness that has been persistent for the past three days. I feel a bit better for a few minut...
Dr. Ke Fangxu Reply:
Based on your age, this phenomenon is likely related to internal hemorrhoids, and older patients may consider the possibility of rectal prolapse or tumors. It is advisable to avoid prolonged straining during bowel movements to prevent hemorrhoidal prolapse.[Read More] Understanding Persistent Rectal Pressure: Causes and Solutions
Post-Surgery Concerns: Managing Hemorrhoids and Prolapse Recovery
More than one month after hemorrhoid surgery? I was hospitalized on August 24 and discharged after surgery for internal and external hemorrhoids. As of October 2, I have indeed improved a lot, but I still experience rectal prolapse every time I have a bowel movement, and I have t...
Dr. Li Qinglong Reply:
Mr. Mo Xu: Hello, it is recommended that you consult with your original treating physician. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Post-Surgery Concerns: Managing Hemorrhoids and Prolapse Recovery
Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Constipation issues / anal problems / a swollen area near the anus upon palpation? I previously had hemorrhoids, which disappeared, but I have been taking Senokot for about a year due to ongoing constipation. For the past few months, I have felt swelling around the anal area (the...
Dr. Ke Fangxu Reply:
It is essential to have a physician examine the issue for an accurate diagnosis. You may also consider purchasing over-the-counter hemorrhoid ointment to apply. If your daily routine and diet are normal, it is advisable to consult a gastroenterologist to investigate the cause of ...[Read More] Understanding Rectal and Anal Issues: Symptoms, Causes, and Solutions
Post-Operative Care for Stage IV Hemorrhoids and Rectal Prolapse Surgery
Stage IV internal and external hemorrhoids with prolapse, circumferential minimally invasive surgery? I would like to ask the doctor, on September 17, I underwent a fourth-degree internal and external hemorrhoid prolapse circular minimally invasive surgery. Post-operative, the wo...
Dr. Ke Fangxu Reply:
1. If there is severe postoperative bleeding, it may be due to inadequate ligation of blood vessels causing wound seepage. If bleeding does not stop, a physician should be consulted for evaluation, and if necessary, a reoperation for hemostasis may be required. 2. In hemorrhoid...[Read More] Post-Operative Care for Stage IV Hemorrhoids and Rectal Prolapse Surgery
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More Serious?
I'm very scared about what happened in the past two days? Hello Dr. Yu: I often experience constipation, and yesterday I used an enema. For the past two days, my stool has been accompanied by a lot of fresh blood in the toilet. I'm not sure if this is caused by a rectal...
Dr. Yu Mingchang Reply:
Hello: For hemorrhoids, please note that the Department of Colorectal Surgery has evening clinic hours on Friday. You are welcome to come for a consultation at Changhua Hospital, Ministry of Health and Welfare. We care about you.[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More Serious?
Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Acute thrombosed hemorrhoids Hello, Dr. Ke. Thank you for taking the time to answer questions regarding thrombosed hemorrhoids. 1. In the case of acute thrombosed hemorrhoids, prior to the onset of the condition, using an anoscope to dilate the anus would not reveal any signifi...
Dr. Ke Fangxu Reply:
1. Most patients experience this, but some can push back the prolapsed tissue during normal times, while during an acute episode, they are unable to do so. 2. Smaller blood clots may not completely disappear, while larger ones may leave residual tissue after absorption. 3. Ye...[Read More] Understanding Acute Thrombosed Hemorrhoids: Symptoms, Treatment, and Recovery
Identifying the Cause: Rectal Prolapse or Hemorrhoids?
Inquire about the correct diagnosis, unsure whether it is rectal prolapse or rectal eversion? About a month and a half ago, I discovered a small lump at the anal opening after using the restroom. It feels like a protrusion from the intestinal wall, with no signs of pain or bleedi...
Dr. Ke Fangxu Reply:
1. Based on your description, it seems to be a case of hemorrhoidal prolapse. If you need to seek medical attention, you should consult a colorectal surgeon, which some hospitals may refer to as proctology. 2. You can first purchase topical ointments for hemorrhoids at a pharmac...[Read More] Identifying the Cause: Rectal Prolapse or Hemorrhoids?
Understanding Rectal Prolapse and Anal Papilloma: Symptoms and Treatments
Regarding rectal prolapse and anal papilloma? Hello Dr. Ke: I am Ah Xiang, the one who previously asked about internal hemorrhoids. First of all, I would like to thank you for your response and explanation in the previous article. After my inquiry, I continued to search for infor...
Dr. Ke Fangxu Reply:
1. Rectal prolapse refers to the protrusion of the rectal mucosa outside the anus, which is more commonly seen in the elderly. Anal papilloma and anal polyps are terms that refer to different conditions, and a medical examination is necessary to determine which one it is. 2. Non...[Read More] Understanding Rectal Prolapse and Anal Papilloma: Symptoms and Treatments