Understanding Hemorrhoids: When to Seek Surgical Intervention
Hemorrhoid issues Hello Dr. Chang, I have had hemorrhoids since childhood due to chronic constipation, but I only feel discomfort during times of staying up late or experiencing stress, which usually resolves on its own within a day or two. Occasionally, I experience rectal blee...
Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can help alleviate the symptoms. It is important to maintain good lifestyle habits to pr...[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention
Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Thrombosed external hemorrhoid Hello doctor, I visited a physician two weeks ago, and I was informed that there is a thrombosed hemorrhoid at my anus. The doctor prescribed medication for me to apply and advised me to take warm sitz baths. Following the doctor's instructions...
Dr. Ke Fangxu Reply:
If a thrombosed external hemorrhoid is not painful or bleeding, it can completely resolve on its own, typically within 2 to 4 weeks. However, if discomfort persists, a physician can perform a thrombectomy.[Read More] Managing Thrombosed External Hemorrhoids: Treatment and Care Tips
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Could you please tell me if it is hemorrhoids? Hello, doctor: I would like to ask about my bowel habits, which are usually normal. I eat spicy food about once a week. Sometimes, to keep clean, I wipe my bottom and notice some blood on the toilet paper. One day, I had abdominal pa...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a small thrombosed external hemorrhoid. If it has gradually decreased in size, no special treatment is necessary. It is recommended to temporarily avoid spicy and irritating foods and to prevent constipation. Warm sitz baths can also ...[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
External hemorrhoid thrombosis has ruptured on its own? Doctor, you mentioned that I visited a proctologist yesterday who diagnosed me with acute thrombosed external hemorrhoids that had slightly ruptured. He said I just needed to apply medication and be mindful of my routine. Ho...
Dr. Xu Kaixi Reply:
Thrombosed external hemorrhoids are classified as venous bleeding. In theory, applying pressure for a few minutes should stop the bleeding on its own. If the bleeding does not stop, it is recommended to seek medical attention at a hospital for evaluation.[Read More] Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I noticed a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant pai...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be done, but there is no need to add ...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I discovered a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant ...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be beneficial, but there is no need t...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Understanding Thrombosed External Hemorrhoids: When to Consider Surgery
Thrombosed external hemorrhoid Hello doctor, I felt uncomfortable while using the restroom a week ago and discovered a thrombosed external hemorrhoid. Currently, there is no bleeding and it doesn't hurt much, but it hasn't gone down. Do I need to consider aggressive sur...
Dr. Ke Fangxu Reply:
If thrombosed external hemorrhoids are not accompanied by severe pain, it is advisable to patiently wait for the thrombus to be reabsorbed, which typically takes 2 to 4 weeks. If there is swelling or discomfort, over-the-counter hemorrhoid creams can be applied to alleviate sympt...[Read More] Understanding Thrombosed External Hemorrhoids: When to Consider Surgery
Is It a Thrombosed External Hemorrhoid or Another Issue?
I'm not sure if it's a thrombosed external hemorrhoid? Hello, Doctor. Last month, I underwent rubber band ligation for internal hemorrhoids at the hospital, and they mentioned that I would have another procedure for a different internal hemorrhoid next month. A few days...
Dr. Ke Fangxu Reply:
1. Based on the photo, it is possible that it is a small thrombosed external hemorrhoid, which may occur after ligation. 2. Anal fissures are located inside the anal canal and cannot be seen with the naked eye from the outside; they require a digital rectal examination or anoscop...[Read More] Is It a Thrombosed External Hemorrhoid or Another Issue?
Managing Internal Hemorrhoids: Understanding Symptoms and Treatment Options
Rubber band ligation for internal hemorrhoids? Hello Dr. Ke: I have a question. I had internal hemorrhoids before becoming pregnant, and they became worse after giving birth. I have had one treatment already. Recently, during bowel movements, I have had to push a lump back in, bu...
Dr. Ke Fangxu Reply:
Hemorrhoid ligation can sometimes cause pain due to variations in depth and size. It is often necessary to conduct a physical examination to determine the severity of a thrombosed external hemorrhoid, as well as to assess the impact on daily activities. If the hemorrhoids do not ...[Read More] Managing Internal Hemorrhoids: Understanding Symptoms and Treatment Options
Do You Need Surgery for Painless Hemorrhoids? Understanding Your Options
Do hemorrhoids require surgery if they are not painful? Three years ago, I had an internal hemorrhoid removed, but soon after, a new hemorrhoid developed. It would retract each time, so I didn't pay much attention to it. However, a little over a month ago, the hemorrhoid bec...
Dr. Zhang Shuhao Reply:
If there is a protrusion during bowel movements, it is likely an internal hemorrhoid (most cases are mixed hemorrhoids with both internal and external components, but your internal hemorrhoid symptoms are more pronounced). Once it cannot be reduced, it indicates progression to gr...[Read More] Do You Need Surgery for Painless Hemorrhoids? Understanding Your Options
Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Thrombotic external hemorrhoids A few days ago, after having a bowel movement, I did not experience constipation, but in the evening, I started to feel some discomfort in my anus. The next day, I had a persistent tight pain in the anal area, which was noticeably painful when walk...
Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids and anal abscesses are two different conditions. If there is no pain after medication, it is not a concern. Thrombotic external hemorrhoids typically take 2 to 4 weeks to fully resolve if not surgically excised. As long as there is no pain or disco...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Complications
Is Your Anal Lump a Thrombosed External Hemorrhoid?
Is the external anal lump a thrombosed external hemorrhoid? Hello doctor, this summer I have not been eating properly and have not exercised, spending long periods lying on the couch. A few days ago, I noticed that the area around my anus seems to have enlarged and is somewhat sw...
Dr. Yu Mingchang Reply:
Hello: For a full screening of external moles, please visit the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare for your concerns.[Read More] Is Your Anal Lump a Thrombosed External Hemorrhoid?
Painful Swelling Near Anus: Possible Causes and Remedies
I feel a swollen and very painful area around the anus? Hello, doctor. Two days ago, I suddenly started experiencing itching around my anus, and I can also feel some slight swelling. When I have a bowel movement, the area comes into contact with the stool, causing significant pai...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it seems more like an a...[Read More] Painful Swelling Near Anus: Possible Causes and Remedies
Understanding Recurrence of External Hemorrhoids After Surgery
Post-hemorrhoid surgery Hello Dr. Ke, I would like to ask you about my situation. Three days after undergoing an external hemorrhoid excision in the outpatient clinic, I developed a thrombosed external hemorrhoid at the same location. I have been taking sitz baths, avoiding strai...
Dr. Ke Fangxu Reply:
Outpatient thrombectomy does have a chance of recurrence because it is not a complete hemorrhoidectomy. If there are still post-operative bowel issues (such as constipation, diarrhea, or prolonged straining during bowel movements), the likelihood of recurrence increases. In such ...[Read More] Understanding Recurrence of External Hemorrhoids After Surgery
Discovering a Hard Lump Near the Anus: Possible Causes and Concerns
Recently, I discovered a hard lump outside the anus while taking a shower? Recently, I discovered a small hard lump near my anus while taking a shower. It has a noticeable granular texture, feels hard to the touch, and is painful when touched. Could this possibly be a simple pimp...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it seems more like an a...[Read More] Discovering a Hard Lump Near the Anus: Possible Causes and Concerns
Understanding Recurrence of Thrombosed External Hemorrhoids
Recurrent thrombosed external hemorrhoids issue? Hello Doctor: I previously had a thrombosed hemorrhoid issue, which had healed. Recently, after using the restroom, I noticed two protrusions near the anus that seem to indicate a recurrence of the thrombosis, and they become more ...
Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a small thrombosed hemorrhoid. If there is no pain or discomfort, there is no need to be overly concerned; it will gradually resolve on its own over time.[Read More] Understanding Recurrence of Thrombosed External Hemorrhoids
Understanding Sudden Rectal Growths: Symptoms and Treatment Options
Anal foreign body Hello, three days ago, I suddenly developed a red protrusion near my anus (very noticeable), extending about one centimeter towards the penis. It does not affect my bowel movements, and I only feel pain when I touch it, which feels like a sore. Additionally, it ...
Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you may have...[Read More] Understanding Sudden Rectal Growths: Symptoms and Treatment Options
Can I Remove an External Hemorrhoid Under Local Anesthesia?
I would like to have an external mole excised? Hello Dr. Ke: I would like to ask about a thrombosed external hemorrhoid I had previously. The thrombosis has resolved, but now there is a residual external tag remaining after one month. Can Dr. Ke remove it under local anesthesia i...
Dr. Ke Fangxu Reply:
If the external hemorrhoid tissue left after the resolution of a thrombosed external hemorrhoid is generally small and rarely causes pain or bleeding, I personally do not recommend performing a surgical excision, as it may not be very meaningful. If one wishes to have it excised ...[Read More] Can I Remove an External Hemorrhoid Under Local Anesthesia?
Is Bleeding Normal After Hemorrhoid Thrombectomy?
Postoperative care for thrombosed external hemorrhoids? Hello, doctor. Three days ago, I had a thrombosed external hemorrhoid excised at the clinic, and the doctor said I didn't need to return for a follow-up. Today, on the fourth day, I noticed bleeding during a bowel movem...
Dr. Yu Mingchang Reply:
Hello, please take the time to visit the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, for a check-up. We care about your health.[Read More] Is Bleeding Normal After Hemorrhoid Thrombectomy?
Understanding a Hard, Painless Lump Near the Anus: What Could It Be?
While cleaning the anus, I felt a hard, round mass that is not painful and does not cause any sensation? Hello, doctor. When I was 17, I had my first colonoscopy, and the doctor told me I had hemorrhoids. In May of this year, just two months ago, I had a second check-up, and my c...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a thrombosed external hemorrhoid; however, a formal diagnosis should be made by a physician to confirm. If the lump gradually diminishes and there is no redness, swelling, heat, or pain, you can continue to monitor it. Otherwise, you ...[Read More] Understanding a Hard, Painless Lump Near the Anus: What Could It Be?