Postpartum Rectal Prolapse: Understanding Symptoms and Treatment Options
Postpartum rectal prolapse Hello Doctor: I am a first-time mother who just gave birth naturally two weeks ago. Due to excessive straining during delivery, my colorectal doctor mentioned that I have a condition known as "rectal prolapse," with three pieces of tissue prot...
Dr. Ke Fangxu Reply:
If hemorrhoids protrude and cannot be pushed back in, it is classified as grade IV hemorrhoids. In this situation, medication may reduce the size, but it will not completely resolve the issue. If complete resolution is desired, surgical intervention is the only option. However, i...[Read More] Postpartum Rectal Prolapse: Understanding Symptoms and Treatment Options
Frequent Urge to Defecate After Colonoscopy: Causes and Solutions
Does undergoing a colonoscopy cause frequent urges to have a bowel movement? Hello Dr. Ke, I would like to ask you about my father, who is 66 years old. He underwent a comprehensive health check-up in May, which included a colonoscopy. Since the check-up, he has been experienci...
Dr. Ke Fangxu Reply:
Hello: "Having the urge to defecate but being unable to do so" is clinically referred to as tenesmus, which is a reaction to the presence of a foreign body in the rectum. The most severe diagnosis is rectal cancer; however, if a colonoscopy has already been performed, t...[Read More] Frequent Urge to Defecate After Colonoscopy: Causes and Solutions
Understanding Rectal Pressure: IBS Symptoms and Management Options
Re: Feeling of fullness in the rectum Dr. Ke, I apologize for bothering you again, but I would like to ask you some more questions. You mentioned that I have undergone tests to rule out other more serious conditions, so it may be irritable bowel syndrome (IBS). However, I almost ...
Dr. Ke Fangxu Reply:
Irritable bowel syndrome (IBS) presents with various degrees of symptoms, and abdominal pain is not a necessary condition. Based on your description, it seems that you may be experiencing prolonged bowel movements, which can lead to swelling of hemorrhoidal tissue and result in n...[Read More] Understanding Rectal Pressure: IBS Symptoms and Management Options
Managing Rectal Prolapse: Treatment Options and Advice
The issue of rectal prolapse? Hello Doctor, I have recently been experiencing issues with rectal prolapse. Due to my work, I frequently travel abroad, and I would like to know if there are any medications that can help manage this condition or what treatment options are available...
Dr. Ke Fangxu Reply:
Rectal prolapse may be caused by larger hemorrhoids or rectal prolapse. If the condition is severe enough that it frequently protrudes, conservative treatments are likely to be ineffective aside from surgical intervention. The only prescription available would be topical ointment...[Read More] Managing Rectal Prolapse: Treatment Options and Advice
Do You Need Surgery for Prolapsed Hemorrhoids? Expert Insights
Is surgery always necessary for hemorrhoids and rectal prolapse? Hello, Dr. Ko. About seven years ago, I experienced a recurrence of hemorrhoids during a hiking activity. After receiving medication from a physician at the Tri-Service General Hospital, the swelling and pain subsid...
Dr. Ke Fangxu Reply:
1. Surgery is not necessarily required if there is no pain or bleeding, as it does not affect overall health or quality of life. 2. Prolapse may worsen over time. 3. If the prolapse is affecting daily activities, surgical treatment is recommended for better outcomes.[Read More] Do You Need Surgery for Prolapsed Hemorrhoids? Expert Insights
Understanding Severe Constipation and Hemorrhoids: Causes and Solutions
Severe constipation and hemorrhoids? Hello, Doctor: I would like to ask you a few questions. I have been experiencing rectal prolapse. During my previous bowel movements, my stool was so large that it was difficult to pass. Recently, however, I have encountered a situation where ...
Dr. Ke Fangxu Reply:
This situation is likely caused by hard stools. I recommend increasing your intake of dietary fiber and drinking more water. However, it is also possible that the sensation of being unable to pass stool is due to swollen hemorrhoids. I suggest that you try to be quick and decisiv...[Read More] Understanding Severe Constipation and Hemorrhoids: Causes and Solutions
Can MRI Detect Colorectal Tumors and Rectal Prolapse?
Please feel free to ask your question again? I previously asked a question and would like to consult the physician again: Is magnetic resonance imaging (MRI) used for colorectal tumors? Can it detect colorectal tumors? Can MRI identify rectal prolapse? Can a colonoscopy detect re...
Dr. Ke Fangxu Reply:
Hello: In response to your question, magnetic resonance imaging (MRI) is not suitable for moving parts such as the heart, blood vessels, or intestinal tissues due to the time required for tissue response during imaging. Aside from rectal tumors, colon tumors are difficult to dete...[Read More] Can MRI Detect Colorectal Tumors and Rectal Prolapse?
Understanding Acute External Hemorrhoids: Symptoms, Treatment, and Concerns
If I have acute blood poisoning, could there be other underlying issues present? 1. Can acute external hemorrhoids heal on their own with sitz baths? How long does it typically take to heal? Is sitting in a bath for about 10 minutes twice a day sufficient? Will there be any scarr...
Dr. Ke Fangxu Reply:
Hello, regarding your concerns: 1 & 2. Small acute thrombosed hemorrhoids typically resolve on their own within one to two weeks if left untreated. In addition to warm sitz baths, over-the-counter hemorrhoid creams can also be helpful. It is generally recommended to take war...[Read More] Understanding Acute External Hemorrhoids: Symptoms, Treatment, and Concerns
Differences Between Hemorrhoidectomy and Rectal Prolapse Treatment Explained
What are the differences between complete excision of internal and external hemorrhoids and the treatment of rectal prolapse? Hello, Dr. Shen. I underwent a complete excision of internal and external hemorrhoids at the end of last year. When I applied for insurance reimbursement,...
Dr. Shen Mingyin Reply:
Hello: As the name suggests, partial excision of internal and external hemorrhoids involves removing only a portion of the internal and external hemorrhoids, while complete excision entails the total removal of the pathological internal and external hemorrhoids. The difference li...[Read More] Differences Between Hemorrhoidectomy and Rectal Prolapse Treatment Explained
Understanding Anal Sphincter Issues: Causes and Solutions
Anal sphincter issues? Doctor: When I have a bowel movement, I often feel that when I exert myself, my anus tends to protrude slightly. Additionally, it feels like my anus tightens completely, making it difficult to pass stool, and I have to pause to let it relax before I can con...
Dr. Hou Yongji Reply:
Based on your description, there may be an issue with rectal prolapse. Please consult a colorectal surgeon for diagnosis and treatment. Thank you.[Read More] Understanding Anal Sphincter Issues: Causes and Solutions
Understanding Hemorrhoids: Symptoms, Causes, and Management Tips
Hemorrhoids. Difficulty with bowel movements? I have a routine of having a bowel movement before my daily shower. After I finish, I rinse off immediately. I cannot exert any effort during bowel movements; if I do, my anus protrudes, and I can feel small lumps. Could this be hemor...
Dr. Hou Yongji Reply:
Based on your description, in addition to internal hemorrhoids, it could also be rectal prolapse. However, the diagnosis of colorectal disorders requires not only a history of symptoms but also includes visual inspection, palpation, and possibly further examinations such as endos...[Read More] Understanding Hemorrhoids: Symptoms, Causes, and Management Tips
How to Properly Perform Kegel Exercises for Urgency Issues
excuse me? Dr. Chuang: Hello, I have an issue with not being able to hold my bowel movements. Could you please explain how to properly perform Kegel exercises? Thank you.
Dr. Zhuang Renbin Reply:
Dear Ms. Mini, I would like to emphasize that the correct understanding is that one should fully evacuate when there is a need to defecate; neither urination nor defecation should be "held in." Your concern seems to be related to fecal incontinence, which involves an i...[Read More] How to Properly Perform Kegel Exercises for Urgency Issues
Understanding Rectal Prolapse: Symptoms and When to Seek Help
Around the anus.? Hello, doctor. I would like to ask a question. About three days ago, I felt like something had fallen out of my anus, and a protrusion appeared, which is quite uncomfortable. It feels as if my intestines are trying to come out. However, I can still have normal b...
Dr. Hou Yongji Reply:
Please find a colorectal surgeon nearby for diagnosis and treatment. Wishing you good health![Read More] Understanding Rectal Prolapse: Symptoms and When to Seek Help
Understanding Hemorrhoids vs. Rectal Prolapse: Symptoms and Treatment Options
Hemorrhoids? Rectal prolapse? Hello, Doctor You: I have experienced symptoms similar to hemorrhoids since childhood, where they protrude during bowel movements. This has been ongoing for over 20 years, and sometimes there is bleeding. After bowel movements, I can push them back ...
Dr. You Bailing Reply:
Severe hemorrhoids can lead to rectal prolapse. However, since the physician at Chung Rong has found no signs of prolapse, this should be considered quite reliable. I believe it is highly likely that you have hemorrhoids. I recommend taking warm sitz baths, avoiding constipation,...[Read More] Understanding Hemorrhoids vs. Rectal Prolapse: Symptoms and Treatment Options
Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Carbon monoxide poisoning Hello Dr. Ding, I apologize for the intrusion. My cousin recently attempted suicide by carbon monoxide poisoning but was rescued in the middle of the night. However, he is experiencing symptoms of aspiration and rectal prolapse. Subsequently, he has been...
Dr. Ding Xianwei Reply:
Hello: This is likely a consequence of neurological symptoms caused by hypoxia following carbon monoxide poisoning. It is important to pay attention to the possibility of seizures, so patients generally need to take antiepileptic medications. It is recommended that you follow up ...[Read More] Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Effective Surgical Options for Severe Hemorrhoids: A Guide for Patients in Taipei
Hemorrhoids Hello, I have severe rectal prolapse. Three years ago, I underwent a hemorrhoid ligation procedure at Chang Gung Memorial Hospital, which was quite effective, but it only removed the internal hemorrhoids. The doctor mentioned that this procedure cannot address externa...
Dr. Ke Fangxu Reply:
Hello: In response to your question... Hemorrhoids are a common condition in modern society, and their severity can be classified into different grades. The treatment approach is determined based on the severity of the condition. For mild cases with simple bleeding or discomfort,...[Read More] Effective Surgical Options for Severe Hemorrhoids: A Guide for Patients in Taipei
Should You Consider Surgery for Painless Rectal Prolapse?
If there is a protrusion outside the anus but it is not painful, is surgery necessary? Hello Doctor: A few years ago, I experienced a protrusion from my anus, but it retracted on its own after about two days. After three or four years, it happened again, lasting about two weeks, ...
Dr. Lin Zhemin Reply:
Hello: The symptoms you described seem to indicate a hemorrhoid issue. If there is prolapse that does not retract on its own, it suggests a third-degree hemorrhoid or higher, and you should visit a hospital for examination. Additionally, hemorrhoids are related to dietary habits:...[Read More] Should You Consider Surgery for Painless Rectal Prolapse?
Understanding Anal Itching: Is It a Sign of Hemorrhoids?
Anal itching Hello: I have been experiencing itching around the anus for several months. I inquired at the pharmacy and was informed that it might be hemorrhoids. I went home and felt around the area, sometimes I could feel a lump and sometimes I couldn't. Initially, applyin...
Dr. Lin Hongmao Reply:
Hello: Anal pruritus is a complex manifestation, and hemorrhoids are just one of the possible causes. I have organized an article regarding anal pruritus for your reference. If you are concerned, please consider visiting an outpatient clinic for examination. Thank you for your qu...[Read More] Understanding Anal Itching: Is It a Sign of Hemorrhoids?
Understanding Rectal Bleeding: Causes and When to Seek Help
Regarding the issue of rectal bleeding? Hello, today (January 24th) I noticed blood at my anus while having a bowel movement, it was like dripping water... The color of the blood is similar to that of menstrual blood. I usually have regular bowel movements (almost daily), and som...
Dr. Lin Hongmao Reply:
Dear Shiu: Hello! Based on what you mentioned, it seems like there might be rectal bleeding. Below is some information regarding hemorrhoids for your reference. 1. What are hemorrhoids? In simple terms, hemorrhoids are an enlargement of the vascular tissue in and around the an...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Managing Uncontrollable Flatulence: Is It Fecal Incontinence?
What should I do if I keep passing gas? If you are experiencing uncontrollable flatulence, it may be a sign of fecal incontinence. If this is the case, it is important to consult a healthcare professional for a proper diagnosis and treatment options. Regarding the soft protrudi...
Dr. Hou Yongji Reply:
Hello: 1. Based on your description, flatulence (commonly known as passing gas) is a normal physiological phenomenon, although it may cause social discomfort. Please do not intentionally suppress the act of passing gas; however, if it occurs too frequently, you should consider wh...[Read More] Managing Uncontrollable Flatulence: Is It Fecal Incontinence?