Understanding Persistent Rectal Urgency: Causes and Solutions
Persistent urge to defecate? Hello Dr. Ke, I am the person who asked question #144665. Thank you for your previous response. Currently, what troubles me the most is the persistent urge to defecate for almost three weeks. It started with about 4-5 bowel movements a day for the fir...
Dr. Ke Fangxu Reply:
"Anal heaviness," also known as "tenesmus," refers to the persistent sensation of needing to have a bowel movement, which is usually caused by rectal lesions. Digital rectal examination and anoscopy can only assess up to approximately eight centimeters from th...[Read More] Understanding Persistent Rectal Urgency: Causes and Solutions
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?
Can Severe Hemorrhoids Be Treated with Surgery?
Can severe hemorrhoids be surgically treated? Hello, Doctor. I have been suffering from hemorrhoids for many years. Every time I have a bowel movement, both internal and external hemorrhoids protrude from the anus, and I have to clean them with water and push them back in with my...
Dr. Ke Fangxu Reply:
This level of hemorrhoids may require surgical removal for better outcomes. Generally, if it significantly affects daily life, I would also recommend surgery. Cases where it is too severe to undergo surgery are relatively rare, unless there is a concurrent rectal prolapse. Theref...[Read More] Can Severe Hemorrhoids Be Treated with Surgery?
Understanding Rectocele and Uterine-Rectal Pouch: Symptoms and Diagnosis
Rectouterine pouch Hello, Doctor: I previously underwent surgery for uterine prolapse, and since the operation, I have been experiencing difficulty with bowel movements. Even when I do manage to pass stool, it is only a small amount, and I feel like I am not fully emptying my bow...
Dr. Ke Fangxu Reply:
Both of these conditions refer to rectocele, which can be diagnosed using a barium enema or defecography, as it is a dynamic issue that becomes more apparent during straining. However, constipation is actually a very complex problem. In addition to rectocele, there may be pelvic ...[Read More] Understanding Rectocele and Uterine-Rectal Pouch: Symptoms and Diagnosis
Understanding Rectal Prolapse: Causes and Treatment Options
A protrusion of tissue from the anus? Hello Dr. Ke: Recently, I have noticed a lump around my anus that protrudes during bowel movements and retracts afterward. I have also tried squatting and straining my anus when not having a bowel movement, and the lump appears again, retract...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a prolapsed internal hemorrhoid. It is generally recommended to avoid constipation and shorten the time spent during bowel movements. Increasing dietary fiber intake can also be helpful. Warm sitz baths should aid in alleviating sympt...[Read More] Understanding Rectal Prolapse: Causes and Treatment Options
Understanding and Treating Rectal Prolapse: When to Seek Help
Judgment and Treatment of Internal and External Factors Hello, doctor. I have been experiencing small tissue protrusions from my anus during bowel movements, but they retract after I finish, and there is no pain. This has been happening for many years, but recently I’ve noticed t...
Dr. Ke Fangxu Reply:
This situation is likely indicative of a higher possibility of hemorrhoidal prolapse. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fiber intake can also be beneficial. Warm sitz baths may help alle...[Read More] Understanding and Treating Rectal Prolapse: When to Seek Help
Understanding Rectal Discomfort: Is It Hemorrhoids or Rectal Prolapse?
Foreign body around the anus? I usually have normal bowel movements, at least once a day, and I don't experience any foreign body sensation or blood in my stool, nor do I see blood when wiping. Recently, I thought that not having a bowel movement in a day would be bad, so I ...
Dr. Ke Fangxu Reply:
This condition is more likely to resemble external hemorrhoids, which can generally be treated with topical ointments. Although the probability of developing colon cancer at the age of 22 is not zero, it is extremely low in general. It is recommended to maintain a light diet and ...[Read More] Understanding Rectal Discomfort: Is It Hemorrhoids or Rectal Prolapse?
Understanding Anal Issues: Symptoms and When to Seek Treatment
Anal issues Hello Doctor, due to the summer vacation, I have been sitting for long periods of time. Recently, I noticed a small lump inside my anus while showering. It is not attached to the skin and is about the size of a BB pellet. It is not painful, but sometimes after having ...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a small thrombosed hemorrhoid, which typically resolves on its own within 1 to 2 weeks. During this period, it is advisable to avoid constipation and minimize the time spent on the toilet. Warm sitz baths may help alleviate symptoms, and ...[Read More] Understanding Anal Issues: Symptoms and When to Seek Treatment
Understanding Rectal Prolapse: When to Seek Surgical Treatment
Bowel movement issues Hello, Dr. Ko. I am someone who, due to my job (a sedentary customer service position), is unable to have regular bowel movements, typically going every two to three days. About two years ago, I noticed a lump protruding from my anus during a bowel movement....
Dr. Ke Fangxu Reply:
Answer: The treatment of prolapsed internal hemorrhoids can vary; whether to undergo surgery depends on the extent of discomfort it causes the patient. If medication is ineffective and significantly impacts daily life, surgical intervention may be the best option. A physician can...[Read More] Understanding Rectal Prolapse: When to Seek Surgical Treatment
Post-Surgery Recovery: Understanding Anal Tightness and Discomfort
Postoperative care after anal surgery? Hello doctor, I am a gay man. I had surgery for internal hemorrhoids and rectal prolapse. It's been over two months, and my bowel movements have gradually become firmer and are no longer painful. The wound has healed, but there is still...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, the wound will fully heal within one to two months. However, similar to other types of injuries or surgeries, scar tissue will take about six months to be completely absorbed by the body. I have not researched anal intercourse extensively, but generally,...[Read More] Post-Surgery Recovery: Understanding Anal Tightness and Discomfort
Understanding Rectal Prolapse: Conservative Treatment Options Explained
Rectal prolapse and hemorrhoids? Hello Doctor: I have been experiencing a protrusion of about 2 centimeters of intestine during bowel movements, which has been occurring for approximately 2 years. It is not painful and there is no bleeding, but I feel that it has slightly worsene...
Dr. Ke Fangxu Reply:
Severe hemorrhoidal prolapse indeed has better outcomes with surgical treatment; however, if one chooses not to undergo surgery, it is essential to avoid constipation and limit the time spent sitting during bowel movements to no more than 5 minutes. Prolonged straining during def...[Read More] Understanding Rectal Prolapse: Conservative Treatment Options Explained
Understanding Fecal Incontinence: Causes, Concerns, and Solutions
Fecal incontinence Hello, Doctor Ko. I have been experiencing diarrhea for the past few days (about three days), and my stools have been very watery, resembling porridge. At the same time, I have bronchitis, which has caused me to cough persistently. Tonight, when I felt the urge...
Dr. Ke Fangxu Reply:
Young people do not typically experience fecal incontinence due to issues with the anal sphincter. Your situation seems to be caused by diarrhea combined with coughing, which leads to a sudden increase in abdominal pressure, resulting in stool leakage. Once you treat the cough an...[Read More] Understanding Fecal Incontinence: Causes, Concerns, and Solutions
Understanding Long-Term Bowel Obstruction: Treatment Options and Costs
Chronic constipation Dear Dr. He, Hello, I am an overseas Chinese resident. I have a history of bowel obstruction for 23 years, which has transitioned from psychological factors to physiological issues. The possible conditions I may have include: 1. Rectal prolapse 2. Pelvic flo...
Dr. Ke Fangxu Reply:
1. Biofeedback devices are covered by health insurance, but some hospitals may charge out-of-pocket fees that vary, so please inquire for clarification. 2. STARR surgery stands for Stapled Transanal Resection of the Rectum, which is typically used to treat rectal prolapse rathe...[Read More] Understanding Long-Term Bowel Obstruction: Treatment Options and Costs
Post-Hemorrhoid Surgery Recovery: Managing Fistulas and Bowel Movements
Postoperative Recovery from Hemorrhoid Surgery Hello Dr. Ke: It has been over two months since my traditional hemorrhoid surgery, but I have a minor fistula on the outside. I usually eat more fruits and vegetables and drink plenty of water, but I am concerned that having hard sto...
Dr. Ke Fangxu Reply:
Answer: Young women with stubborn constipation often need to rely on medication. If they prefer not to take medication, increasing the intake of dietary fiber and fluids, along with maintaining a regular lifestyle and exercise, may help achieve the goal of natural bowel movements...[Read More] Post-Hemorrhoid Surgery Recovery: Managing Fistulas and Bowel Movements
Post-Bowel Movement Hygiene: Managing Hemorrhoids and Concerns
Post-defecation hygiene and internal/external hemorrhoids? Hello Doctor, I would like to consult you. I have been experiencing hemorrhoids for about 10 years. Initially, there were no significant issues, but over time, the hemorrhoids began to protrude from the anus in a complete...
Dr. Ke Fangxu Reply:
1. It is impossible to clean the intestines thoroughly because feces will continuously be expelled from the upper section. The colon is a total of 180 centimeters long, so how deep do you need to wipe to consider it clean? Therefore, using wet wipes is meaningless; this practice ...[Read More] Post-Bowel Movement Hygiene: Managing Hemorrhoids and Concerns
Post-Surgery Anal Pain When Standing: Causes and Remedies Explained
Postoperative pain while standing after hemorrhoid surgery? Hello, Director Ke! Two weeks ago, I underwent a repair surgery for rectal prolapse, and upon the doctor's recommendation, I had both internal and external hemorrhoids removed (the hemorrhoids had not shown any symp...
Dr. Ke Fangxu Reply:
It is normal to feel more pain while standing because the sphincter muscle contracts to resist gravity. It is recommended that you take pain relief medication and use topical ointments, as well as take warm sitz baths, which should effectively alleviate the pain. During periods o...[Read More] Post-Surgery Anal Pain When Standing: Causes and Remedies Explained
Understanding Rectal Prolapse, Hemorrhoids, and Anal Issues: A Guide
It's difficult to distinguish between rectal prolapse, hemorrhoids, and rectal prolapse? Sometimes I experience a bit of constipation, and occasionally it takes longer to have a bowel movement, but it's not often that it takes a long time. Sometimes it's quite smoo...
Dr. Yu Mingchang Reply:
Hello: For mixed-type nevi, you can visit the outpatient clinic for evaluation. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Rectal Prolapse, Hemorrhoids, and Anal Issues: A Guide
Understanding Bowel Issues After Coccyx Injury: Causes and Solutions
Difficulty with bowel movements? Hello Doctor: I injured my coccyx last year (while stepping on stairs), and since then, I have been experiencing issues with bowel movements. I often feel a sense of urgency (only feeling the need to go when I am close to the anus), and later on, ...
Dr. Ke Fangxu Reply:
First of all, it should not be a rectal prolapse issue, as this condition primarily occurs in the elderly and is caused by prolonged straining during bowel movements combined with weakened pelvic floor muscles. Your situation may be due to a coccygeal fracture causing bowel irreg...[Read More] Understanding Bowel Issues After Coccyx Injury: Causes and Solutions
Understanding Anal Fissures and Hemorrhoids: Symptoms and Treatments
Anal fissures and hemorrhoids issues? Hello, Director Ke. 1. If after using the restroom, I feel a protrusion from the anus that is painful, could this be hemorrhoids or rectal prolapse? Last week, I went to the hospital for an examination, and after a digital rectal exam, the ...
Dr. Ke Fangxu Reply:
1. The likelihood of hemorrhoids is indeed higher; everyone has hemorrhoids, but it depends on whether there are symptoms that require treatment. The "Hiyu Hemorrhoid Ointment" is likely intended for internal use, and if you're hesitant, you can use your finger to ...[Read More] Understanding Anal Fissures and Hemorrhoids: Symptoms and Treatments
Is Surgery Necessary for Rectal Prolapse? Key Considerations
Is surgery always necessary for rectal prolapse? Hello, doctor. I would like to ask if surgery is necessary for rectal prolapse. My father has been experiencing rectal prolapse for some time now, and after each bowel movement, he has to push a piece of tissue back in. It doesn&#x...
Dr. Yu Mingchang Reply:
Hello: Please take a look at colorectal surgery; it can be addressed before the Lunar New Year at the Changhua Hospital, Ministry of Health and Welfare. We care about you.[Read More] Is Surgery Necessary for Rectal Prolapse? Key Considerations