Ask a Colorectal Surgeon: Dr Mark Wong from Mount Elizabeth Novena Hospital Singapore

Ask a Doctor ForumCategory: General SurgeryAsk a Colorectal Surgeon: Dr Mark Wong from Mount Elizabeth Novena Hospital Singapore
Prof Dr. Mark Wong asked 2 years ago
I am Dr Mark Wong, Senior Consultant, General & Colorectal Surgeon practicing at Mount Elizabeth Novena Hospital Singapore and Mount Alvernia Hospital Singapore. My special interests are in minimally invasive (laparoscopic) and robotic surgery for both cancer and benign bowel disorders. Prior to starting my private practice, I practiced at the Department of Colorectal Surgery at Singapore General Hospital, where I pursued my interests in minimally-invasive (robotic and laparoscopic) colorectal cancer surgery and functional disorders (piles, constipation and incontinence). I was the longest-serving Director of the SGH Pelvic Floor Disorders Service. In this position, I led a multidisciplinary team of specialists, comprising colorectal surgeons, gynaecologists and urologists to provide holistic care for patients with pelvic floor disorders, including incontinence, chronic constipation and organ prolapse. In 2016, I was appointed Director of the SGH Gastrointestinal Function Unit, where I led a team of gastroenterologists and surgeons to evaluate patients with functional gastrointestinal disorders. I am well-versed in laparoscopic and robotic surgery for both cancer and benign disorders, proctology (piles, abscess, fistula and fissure), advanced therapeutic endoscopy (gastroscopy and colonoscopy) and functional bowel disorders (constipation and incontinence). I have worked with colorectal surgeons throughout Europe, USA and Asia, gaining a global perspective in treating patients. I am an opinion leader in the field of minimally invasive (laparoscopic and robotic) colorectal cancer and pelvic floor surgery, having been invited to lecture at numerous international colorectal meetings. I have also mentored and trained doctors from all across Southeast Asia, including Bangladesh, Myanmar, the Philippines and Vietnam. I am a dedicated educator and was appointed Adjunct Assistant Professor at the Duke-NUS Graduate Medical School and Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, NUS. I was faculty of the Singhealth General Surgery Residency Programme and have contributed to maintaining high standards in surgical education. Learn more about me here: https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ Learn more about Mount Elizabeth Novena Hospital here: https://patients.smarterhealth.my/hospital/mount-elizabeth-novena-hospital-singapore/ and Mount Alvernia Hospital here: https://patients.smarterhealth.my/hospital/mount-alvernia-hospital-singapore/ Whether you've got questions about general, stomach, gallbladder, colorectal or anal surgery, feel free to ask me anything. Take care and stay safe! === Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question. Please also include your age and gender in your question to aid the doctor in providing you with an answer.
155 Answers
suciyanti answered 2 years ago
Doc, I have grade-2 hemorrhoids. If I feel stressed, it will recur. Is there any food to reduce the symptoms?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Piles are usually not triggered by stress. They are usually due to:
– the food you eat causing the stools to change in size and consistency. They probably became too hard or too soft/watery. Or
– you may have sat too long on the toilet bowl OR
– both the above reasons
You should start medications like Daflon.

Take care and stay safe!


Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

siswanto answered 2 years ago
Hello, Doctor. I want to ask. I feel so much pain when I defecate, there was once I saw blood. I read an article online that maybe there is a boil in my anus. If it is so, how do I treat this, Doc?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

When there is pain and blood at the anus, there are several possible causes; these include an abscess, a fistula, a fissure, or even ambeien or cancer.
For your safety, I suggest you come and see me for a more thorough check.
I also offer Teleconsult services for your convenience. Take care and stay safe.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Aranisiska answered 2 years ago
Doctor, my grandfather was diagnosed with stage-4 anal cancer and has undergone several chemotherapy sessions. I read an online article that said cancer is a hereditary disease. Are there any tips for me to avoid the risk of having anal cancer? Thank you
Prof Dr. Mark Wong replied 2 years ago

Thank you for the question. I wish your grandfather well.

First thing is for you to do a colonoscopy if you re aged 45ys and above or having anal symptoms. Colorectal cancer is still far more common in your country.
Secondly, anal cancer can be due to chronic infections in the anal region, including abscess, fistula, or even viral infections like HPV. These should be diagnosed early and treated.
Thirdly, anal sex and HIV also increase one's risk for anal cancer.
Take care.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Lia answered 2 years ago
My uncle has rectal cancer and now we are considering chemotherapy. But he is currently complaining about having smelly liquid discharge from his anus. Does it mean his disease has worsened, Doc?
Prof Dr. Mark Wong replied 2 years ago

The liquid is a sign that the cancer may be advanced and large.
The best treatment is usually surgery first.
I will be better able to advise you if you can share more about the biopsy/histology, CT scan results.
We can also arrange for a Teleconsultation if you are keen.
Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

herman answered 2 years ago
Doctor, I have bowel obstruction, and sometimes it is hard for me to defecate. I feel like there is a lump in my anus, but I am not sure either because I have never seen a doctor. When I cannot defecate, I take laxatives. Is this normal? Do I need to see a doctor?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. I suggest you see a doctor for this problem. It can be due to many reasons, but you should make sure it is not dangerous like cancer. A colonoscopy is also advisable, especially if you have symptoms like bleeding anus, loss of weight or appetite, aged above 45years or have a family history of cancer. We can also arrange a Teleconsultation if you are keen.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Aha Huang answered 2 years ago
I have piles that make it difficult for me to defecate. What should I do, Doc?
Prof Dr. Mark Wong replied 2 years ago

The piles are enlarged and this is causing problems for you. The piles themselves do not block the poop from coming out.
The piles are swollen because of what you eat, that made the poop either too hard or watery.
So the first thing you do is take medication (eg. Daflon) and make sure you change your eating habits to ensure your poop is not hard or watery.
If this doesn't get better then you may need surgery. If you need help figuring out the food, then feel free to do a Teleconsultation with me. you can find out more about this on my website.
Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Essy Daulani answered 2 years ago
Doctor, I always have diarrhea if I eat spicy food. Is this normal? Can it be cured?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. This is not normal.
The most important thing is to avoid any foods or drinks that cause you diarrhoea. It means that either your gut health is not optimal or your food is contaminated or both.
I would test your poop for infection, and do a colonoscopy as well and perhaps start probiotics after.
Lifestyle change is critical after you exclude infections and cancer. Eat right and stay healthy!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Baskara answered 2 years ago
Doctor, my father has colon cancer. Now he defecates through a hole in his stomach. My question is, is this permanent, Doc? What can I do to ease his pain because sometimes I can see from his facial expressions that he is struggling with the pain. He said it is difficult for him to defecate.
Prof Dr. Mark Wong replied 2 years ago

Hi thanks for the question.
A stoma can be temporary or permanent. The doctor who did the surgery would have told you at the start.
He should not have pain or difficulty if the stoma is working well. Many patients live with a permanent stoma and can have good quality of life.
I feel a tele consult will be useful for me to understand your father's condition better so that I can give more accurate advice.
Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

A. Hizulfah answered 2 years ago
My father was diagnosed with colorectal cancer when he was 71. I am his daughter, and I am 35 years old. I want to ask, am I at risk to inherit this cancer? What are the signs of colorectal cancer that I should watch out for? Do you have any advice to prevent it, Doc?
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.
You are already 2 times more likely to get this cancer than someone with no family history.
You should do screening and the best way is a colonoscopy. It starts at age 45 ys old or 10 years before the first cancer in your family, whichever comes first.
Of course, if you have symptoms like loss of weight, blood or mucus in your poop, change in bowel habits, then u should consult your doctor earlier and may have to do the colonoscopy earlier.
Most of the time, cancer in the early stages DO NOT have symptoms. So u do not need to have symptoms before doing the scope.
There is no guaranteed way to prevent it. You can only eat healthy, exercise regularly, avoid too much alcohol and do not smoke. Most importantly, do your colonoscopy at the right time.
Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

fika answered 2 years ago
Doctor, can piles be totally cured? When I take medication for it, it keeps recurring. Is there any advice, doc?
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.
Piles are actually a normal part of our body.
It only becomes a problem when we do not take care of what we eat and how we poop, it is these that tend to make them worse.
So medication and surgery is only temporary.
You must identify the trigger and remove that.
Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Paula answered 2 years ago
Hello doctor. I haven’t defecated for 5 days. The strange thing is I don’t feel pain or heartburn. Is this normal? Some said I need to eat more fiber and eat vegetables. I have to admit I don’t like vegetables. Some suggested I take laxatives, but I am worried about the side effects. What is the best solution, Doc?
Prof Dr. Mark Wong replied 2 years ago

It is ok not to poop everyday. The normal pattern ranges from 3x per day to once in 3 days.
Most importantly, you must ensure you eat a balanced diet, so that you do not feel bloated and you have poop that looks like the shop of sausages/bananas.
If you are already eating fiber then you may have to reduce and not increase the intake.
Laxatives are only to be taken for short periods. Most important is the food we eat and maintaining the balance.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

prasasti karnia answered 2 years ago
Doctor, I feel pain in my anus when I sit. And I have experienced blood several times in my poop. Is this dangerous? What should I do?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Pain and bleeding should not be ignored. I suggest a visit to the doctor who should do a proper examination. If you are above 40years old or have change in bowel habits or family history of cancer, then I would suggest also a colonoscopy to exclude something more serious.

Piles and cancer can both present in a very similar way.

For more information, you can visit my website and get in touch with me for a Teleconsult.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Ginanjar answered 2 years ago
Doctor, my son was hospitalized last month due to typhus. But he has been having diarrhea until now. Is this related to his typhus or is this likely another problem? What should I do?
Prof Dr. Mark Wong replied 2 years ago

Hi Thank you for the question.

Yes typhus can cause diarrhea, in the form of salmonella typhi. Or he could be suffering side effects of antibiotics given in the hospital.
Pls test the poop for infection.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Arinda C answered 2 years ago
Hello, Doctor. My mother is 55 years old and she complains about pain in the stomach, nausea and vomiting, and sometimes there is blood in her stool. She had an endoscopy. It turns out there is a polyp in her colon. Can you give any suggestions on what she should do?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

The endoscopy should have included a gastroscopy for stomach and colonoscopy (for the colon and rectum), to rule out problems in the stomach (like gastritis) or colon (cancer or piles). It also depends on what the polyp that was removed…. is it cancerous or benign?

If she continues to feel unwell, she should get a CT scan of the abdomen.

It would be good to do a Teleconsult with me to share the results you have so far.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Fauzi Ramadhan answered 2 years ago
Doctor, my uncle is 70 years old and he has nodules in his anus. It makes him feel pain and there is blood in his stool. It has been around 6 months. I have a problem bringing him to hospital, is it possible for him to be cured? What treatment works best for him?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

You have to bring him to the hospital and be seen by a colorectal specialist like myself. Most important is to make sure this is not a cancer or anything life threatening, especially in his age group.

I cannot recommend treatment unless we have a diagnosis. For his own safety, bring him to the hospital or clinic early.

Take care and stay safe!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Tiara Dewinta answered 2 years ago
Doctor, my stools have been round and small for this past week. My stomach aches but I feel my bowel movement is not totally finished. I eat a lot of vegetables and fruits because some people say this is due to lack of fiber in my meals. But the condition persists. Please give me your opinion, Doc
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. What you are experiencing may be due to TOO MUCH fiber. People do not realise that taking too much of any food, even fiber, is not good for them. Our body cannot handle too much fiber and we have to eat everything in moderation. Taking too much fiber will cause constipation, and classically patients will have round stool (like goat shit) and bloating, like yourself. This is because all the excess fiber is choked up and not digested and starts to ferment inside your body. The solution is easy. Reduce your finer and take more healthy meat (lean red meat or white meat)!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Bram answered 2 years ago
Good afternoon, Doctor. These 3 days, after a cup of morning coffee, a yellow oily liquid is discharged from my anus when I defecate. But I don’t feel any pain in my stomach. What condition is this? Is it normal?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.This is not normal. Are you taking a lot of oily food or possibly any weight loss supplements? If this continues, you should be examined by a specialist to make sure there is no infection or growth in the colon, rectum or anus. A colonoscopy and stool test for infection is also useful.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Viktor Maleda answered 2 years ago
Doctor, please give me advice on how to treat a lump in my anus. It disturbs my activity.
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
I have to know what this lump is before I can give you advice.
Lumps at the anus can be due to many causes, ranging from piles to abscess to cancer.
We can do a tele consultation as it will better allow me to advise you.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Drv Maryono answered 2 years ago
What is the medicine for year-long hemorrhoids?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for your question.
The longer the piles have been there, the more difficult it will be to treat with medication.
You may need surgery for the best result.
But make sure it really is piles so see a doctor or we can do a tele consultation so that I can better guide you.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Porodisanti answered 2 years ago
Good evening doctor, my husband suffers from anal fistula. He has had surgery, but until now he is still bleeding and sometimes he bleeds when he defecates. Please help give me some advice. Thank you.
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Bleeding after fistula surgery is common but should only be in small amounts and only for a short time (less than a week). If the bleeding is still happening in large amounts or even after 1 week, he should see his surgeon to make sure there is no infection or other wound complications.

I hope he gets well soon.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Niko answered 2 years ago
Hi Doctor, I want to  ask about hemorrhoid disease. I had surgery twice but the hemorrhoids are still there. After defecation, the hemorrhoid exits the anus and takes 30 minutes to 1 hour to enter again. There are times they won’t go back inside. After I consulted with the doctor, he said there is no issue as long as the hemorrhoids get back inside again. Please provide input and help with healing my condition. thank you
Prof Dr. Mark Wong replied 2 years ago

Hi , thank you for the question. In my opinion, the haemorrhoid problem may still be there. You should also do a colonoscopy to make sure there are no other colorectal problems as well. In a normal situation, our haemorrhoids are in the anus and DO NOT come out when we BAB. At the same time, you must also make sure your poop is normal (like a banana shape), and you do not sit more than 10minutes on the toilet during BAB and you eat a balanced diet. This will prevent the haemorrhoids from becoming a problem after surgery.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Rara answered 2 years ago
Doctor, the right side of my lower abdomen hurts these two days. I read an online article that said that the symptoms of gallstones and appendicitis are similar. What examination should I undergo? And when should I consider seeing a specialist?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

The best thing to do is to get a scan like an Ultrasound (to exclude gallstones) and CT scan (to exclude appendicitis). Usually appendicitis pain does not go away without surgery. Gallstone pain tends to be triggered by food.

You should see a specialist as both these conditions often need surgery.

I hope you get well soon.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Bunila answered 2 years ago
Doctor, I am experiencing irritation in my colon, though not severely. Currently I take prescribed medicines and changed my diet. I don’t experience diarrhea anymore but sometimes still have a stomach ache. Can this disease be totally cured or is there any chance for recurrence?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

If this has been troubling you for more than 3 months, I strongly suggest you do a scope (gastroscopy and colonoscopy) and scans (like CT or ultrasound).

Also, you have to watch your diet and identify the foods that trigger the attacks and then reduce or avoid these foods.

Do not continue taking medications without making sure the right tests are done to exclude cancer.

I hope you get well soon.

Feel free to reach out to me on email at [email protected]
Visit my website at http://www.markwongsurgery.com/id
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Ai Dati answered 2 years ago
It has been one year since I had surgery to remove my gallstones, but why do I still feel pain in my stomach and experience a fever?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
You will have to make sure that this is not related to your surgery first , like a delayed infection.
So I would suggest a CT scan for this.
In addition, this could be unrelated like gastric acid reflux.
So I would also suggest a gastroscopy.

You should also try to identify triggers for your pain if any (eg. spicy/oily food) and try to avoid or reduce the intake of these foods.
I hope you get well soon.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Nawangsari answered 2 years ago
Doctor, my husband has a colon polyp. I am worried. Should he undergo surgery? What is the worst case if he doesn’t undergo surgery?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

The treatment depends on the size and number of polyps.
Usually, I will remove the polyp during the colonoscopy. Did he have a colonoscopy / how was it discovered?
The polyp may not have been removed if it is large or the doctor suspects it could be cancer. Then surgery may be required.
Feel free to reach out for a tele-consultation with me as your case sounds urgent. You can find out more on my website.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Sutrisno answered 2 years ago
Doctor, I have constipation these 2 weeks alongside with fever. Why is this so? What is the best way to treat it?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Constipation and fever are symptoms. You must find out the cause of these. They may or may not be related.

I would ask if you have other associated symptoms before organising some tests, like blood and stool tests to exclude infection. I would also consider doing a CT scan and even a colonoscopy to exclude more serious health problems. It depends on your age, other symptoms, other medical problems, family history of cancer, etc…

I suggest you arrange a tele consultation with me so i can better understand your problem.
I hope you get well soon.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Rahmi answered 2 years ago
Hello doctor, my father in law is 70 years old. He lost control of his bowel movements. He doesn’t have any severe diseases so far, only that he cannot hold his bowel movement. My question is, is this normal for an elderly person? What should we do as his family?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

What your father-in-law has is called incontinence (to feces/poop). This is NOT normal, even for old people. The first thing is to make sure his poop is formed and solid (like a sausage) and not watery, by controlling what he eats. If his poop is watery, then he can take some anti-diarrhoea medication. Sometimes, it cannot be entirely cured, as it is due to old age and weakening of anal muscles, or the side effects of surgery to the anus/rectum/colon. More extensive testing is available here in Singapore. If you are interested, arrange a tele consultation with me and I can explain.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Sindi Adam answered 2 years ago
I had surgery to remove my gallstones 2 years ago. The bile has been removed. But why do I still feel pain in the same area now doc?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

During gallbladder surgery, bile is not removed. It continues to be made by your liver. Only the storage for bile (the gallbladder) is removed. But the liver will begin to store the bile it makes so that you continue to digest fatty and oily foods

The pain may be due to the operation (like a delayed infection, disease of the liver) OR it may be unrelated. I suggest you see a doctor and get a ultrasound or CT scan of the abdomen to exclude serious problems. Also I suggest to do a gastroscopy to make sure it is not gastric acid reflux which can often cause this similar pain.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Karsiman answered 2 years ago
Doctor, I am 62 years old and the left side of my lower abdomen hurts so much with the pain radiating to the hip. I have not defecated for 1 week. I have heartburn but the stool cannot come out. Please give me your advice.
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

You sound like you have severe constipation. You should first see a doctor immediately. X-rays and blood tests may need to be done. Then you should get laxatives to clear your poop.Considering your age, you should then get a colonoscopy to exclude more serious problems like colorectal cancer.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Lim mung hai answered 2 years ago
How much does it cost for anal fistula surgery?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I do not discuss prices in a Q&A. It also depends on the complexity of the fistula and the type of fistula surgery required.

It is better to have a consultation first so that I have a better understanding of your condition. I can then advise on the estimated cost after.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Elina Mercy Simbolon Mercy answered 2 years ago
Good afternoon doctor. I want to ask about my child who is 3 years old - he has constipation often, always defecating only after 5 or 6 days. if he eats something sweet or rather hard at night, he'll be fussy. I give him fruit and if I give him a multivitamin, he will definitely have diarrhea especially if it contains honey.
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I suggest that he sees a paediatrician or dietician to advise on a healthy diet for a growing child.
If this does not improve the situation, then your child may need an examination to decide if there is anything abnormal with his intestines. This may involve a colonoscopy and biopsy, to exclude infections as well as genetic conditions that result in constipation.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Denda Fenty Maulana answered 2 years ago
Hello Doctor, can I ask if SC operation and umbilical hernia operation can be done together? Thank you
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Kindly explain what SC means.This is not a standard/universal name for any operation. Once I know what SC means then I can advise you accordingly. If you need more privacy then email me directly below.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Srie Sundarsih answered 2 years ago
Doctor, my hip and the right side of my stomach hurts, and the pain radiates to my back. What condition is this?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

It is important to determine the origin of the pain. The pain could either be from the stomach, or hip. I would also want to know from you if there is any fever, associated injury to these areas.

I would suggest doing a blood test, CT scan of the abdomen and also scopes. If nothing remarkable is found in these tests, then MRI of the hip and back should be done.

I hope you get better soon.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Firdaus answered 2 years ago
Doctor, it has been around 3 days since I have watery stools. The color is a bit red and I am worried it may be blood because my anus hurts and burns afterwards. Why is this so?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

You are bleeding. You may have eaten something contaminated and now having diarrhoea from it.

I would advise you to be examined by a specialist colorectal and do a colonoscopy to determine the cause.

It could be due to piles or something more serious like inflammation/infection causing the diarrhoea. If you are older, then you should also exclude cancer.


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Hana answered 2 years ago
Doctor, my child is 1 year and 4 months old. He often complains about pain while defecating. I made sure he got enough fibre. Is this condition dangerous, Doc?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

It is important he does not take too much fibre as well. Your child's poop should be well formed (like a banana) and not hard or watery. I would advise to bring your child to get checked by a specialist to make sure there is no anal fissure that can be caused by hard stools.

I hope your child gets better soon.


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Denis Arsaka answered 2 years ago
Doctor, if I have stomachache, I see blood in my stool. After that, the pain in my stomach will be relieved. What condition is this, Doc?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

It is important to determine the cause of the pain and bleeding. it may or may not be related. The safest thing to do is a gastroscopy and colonoscopy to exclude dangerous conditions like cancer. If this is normal, then a CT scan is helpful.

Importantly, you must also eat a balanced diet to make sure your poop is well formed (like a banana) and not too hard. Taking too much fiber can actually cause bloating (pain) and hard stools (constipation).
I hope you get better soon.


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Rahma answered 2 years ago
Doctor, I have pain under my navel, this pain radiates to my anus. I had an ultrasound but it shows no disease. Please give me your advice, what kind of examination should I undergo?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

An ultrasound may not be the most accurate test. I would suggest a CT scan of the abdomen and pelvis. If you are above the age of 45 years old, then a colonoscopy is also advised. I Hope you get better soon.


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Hanis Rizkiansyah answered 2 years ago
Doctor, two days ago I had sudden bleeding from my anus, and the blood was thick. It stopped after I drank warm water. But this morning, there was blood in my stool, although not as much as the previous time. Please advise me, how should I examine this?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I would strongly suggest you be seen by a colorectal specialist. You will need a detailed examination of the bottom. I would also advise a colonoscopy and gastroscopy to exclude internal sources of bleeding. This is especially important if you are above the age 45 years old, or have a family history of colorectal polyps or cancer, or have been losing weight / appetite.


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Jaimah answered 2 years ago
Doctor, these last 3 weeks, my father’s stools are only of a very little amount. His doctor said that his liver disease recurred. He is having problems defecating and urinating. Also he has pain in the left side of his stomach. Please give your advice on what we should do next, Doc?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I would suggest he avoid eating too much fiber. A lot of people (especially older ones) get constipation like your father when they take too much fruits and veg. Next I would have a scan (CT scan) done to make sure there is no blockage.

It is important to ask your doctor if the liver is the original problem (eg. cirrhosis from alcohol or hepatitis) OR is it like a cancer from the colon spreading to the liver, as the treatment is very different. You have to make sure the original disease is also being treated.

I hope he gets better soon.


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Boyke Joseph answered 2 years ago
Hi Doctor. What is the medicine for bleeding piles?
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

First you must confirm that the bleeding is really from piles, and not other conditions like cancer. Only a specialist doctor can do this for you. Once you confirm it is piles causing the bleeding, then a good medication to start is Daflon (original) and Proctosedyl (suppository or cream). You should also make sure your poop is not hard or watery as both can cause the piles to bleed more.


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Pusakahati answered 2 years ago
Doctor, can hernia be cured by taking medicines? The hernia size is small, sometimes visible, sometimes not. It hurts a bit if I press it, and tickles if I rub it.
Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

A hernia can only stay the same size or get larger with age.

The only treatment is surgery. If you are young or active or both, the sooner you repair the hernia the better for you. As it gets larger more complications can arise and lead to emergency surgery.


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Kidung PRS answered 2 years ago
Doctor, is it true that not all piles need surgery? What kind of piles would require surgery?
Prof Dr. Mark Wong replied 2 years ago

Yes this is true. Piles are actually normal and are found inside the anus. They help to provide us continence together with the anus muscles. You CANNOT remove the piles. When we do surgery for piles, we only remove the swollen parts that cause pain and bleeding, NOT the entire piles.. or you will become incontinent to feces! So I always tell patients that surgery is only needed if you have the following symptoms from enlarged piles: bleeding, pain or prolaps (falling out). And this is only after medications (like Daflon) do not work).


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Vina Thoriq answered 2 years ago
Doctor, I have gallstones. Can it be cured by medicine? What type of medicine?
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

There are no effective medications for gallstones. If they are not causing you symptoms (like bloating, burping, pain), then you can control your diet by avoiding fatty oily foods. This can help to reduce the number of stones or prevent the existing ones from getting larger. They will not go away. The only effective treatment is surgery. I do this using keyhole techniques (laparoscopy). It is safe and effective and patients go home usually after 2 days. There is no long term side effect and you lead a normal healthy life without a gallbladder.

Feel free to reach out to me on email at [email protected]
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Nurul Aini answered 2 years ago
Doctor, my USG shows I have gastritis and Cholecystitis, but the stones or other signs in the kidney and ureter are not visible. There are no disorders in other intra abdomen organs either based on my sonography. Please give me your explanation, Doc
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The USG is only useful to confirm if you have gallstones/cholecystitis. It is not useful for gastritis.
If you need to check the other organs, then a CT scan is more reliable.

The important question is what are your symptoms. If you are having pain from the cholecystitis, then antibiotics are usually effective. If you have gastritis, then medications like Pariet are good.You should also get a gastroscopy to confirm the gastritis (USG cannot detect this well), and do a biopsy to exclude Helicobacter Pylori infection.

Once the cholecystitis settles, you should consider having a keyhole surgery to remove the diseased gallbladder, especially if you are young and active, as the cholecystitis can happen again.

I hope you get better soon.


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Mur Viqa answered 2 years ago
Doctor, how do we know if a rectal tumor is malignant or benign? Thank you for your explanation
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The only way to confirm this is by doing a biopsy using a colonoscopy. This will be able to confirm if it is cancer or not. The colonoscopy will also check the whole colon to make sure there are no other polyps or tumour in the other parts of the colon.

Once confirmed then you should do a CT-PET scan to confirm the cancer has not spread.

Then plan for treatment. Surgery is the best, with chemotherapy/radiotherapy reserved for only more advanced stages (eg. stage 3 or 4).

All the best.


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mamad answered 2 years ago
I am a 39 year old male. I have suffered from hemorrhoids for a long time. but since a year ago, I had trouble defecating. There was a lump in my anus during defecation and I inserted it back in afterwards, then the feces that came out were flat and sometimes dark brown. Does this mean I could possibly have cancer?
Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The piles are due to a combination of factor, mainly related to your lifestyle. These include sitting on the toilet bowl of too long (more than 10minutes each time), constipation or diarrhea, straining excessively and eating wrong foods that trigger the constipation and diarrhea. You should get your piles examined by an expert and may need a colonoscopy to exclude cancer. You cannot confirm or exclude cancer just by looking at the poop… you need a colorectal expert and also proper tests like a scope. During the scope, I often remove the piles problem at the same time if needed.

All the best.


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Linda answered 2 years ago
Hello doctor. Is it true that eating too much chili, especially chili seeds, can cause appendicitis? And that after an appendectomy, the patient is not allowed to eat chill for a long time? Can you please give me an explanation?
Prof Dr. Mark Wong replied 2 years ago

Food does not cause appendicitis and no one food type is to blame.

Running about after eating also does not cause it, another myth!

After a successful appendicectomy operation, you can eat anything and be healthy.


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Maudzillah NHanif answered 2 years ago

Doctor, do we need surgery to treat bile inflammation? Or can it be treated with medicines only?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Are you referring to gallbladder inflammation (ie. cholecystitis). Usually this occurs in the presence of stones. Medications like antibiotics are useful but eventually surgery is the best option, since the risk of repeat infections is always there.

All the best!


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Neni answered 2 years ago

My uncle is 72 years old and he has hernia. Three months ago he had surgery for his liver condition. Is it safe for him to undergo hernia surgery now? Or if he should wait, how long should he wait for?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

If he is fit and has recovered well from the liver surgery, there is no issue to do the hernia surgery after 3 months.

Main question is whether the hernia is causing him problems and affecting his quality of life. If it is not, he can wait longer. if it is bothering him, then it is possible to get it done sooner.

All the best!


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Firza Ahmad answered 2 years ago

My stomach bloats and is as hard as a stone. I have taken laxatives and I have defecated but the bulging part persists. It is located under my navel, on the right side. What condition is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This could all be due to gas in your intestines … which is likely from food. You may be surprised but you may be eating TOO MUCH fiber.

Bloating (with gas) and constipation are 2 very common signs of TOO MUCH SERAT! Cutting down finer is the answer. Too much of ANYTHING IS BAD. Don’t be afraid to eat red meat … there must be a balance in your life, even with food.

If you are older, closer to 45ys and above, then pls do a colonoscopy to exclude more serious conditions like colorectal cancer.


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Sriwina Karsih answered 2 years ago

Doc, there is a wound with pus in my husband’s anus. The pus is not dry after a week. What should we do?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This could be an infection (abses) or an anal fistula. You should see a colorectal specialist. An MRI may be useful. You may benefit from antibiotics or surgery depending on what the MRI shows.

If you are older (45ys old and above), a colonoscopy may be useful to exclude more serious underlying disease like cancer.


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Mila answered 2 years ago

I am 31 years old. I have gallstones and my laboratorium test shows I have a high level of SGOT and SGPT. But I don’t feel any symptoms. I also get tired easily. What should I do, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The abnormal liver tests may not be related to the stones. This may be related to alcohol consumption, fatty liver, inflammation/infection like hepatitis, etc. Getting tired easily may also be a sign of liver disease.

I suggest you see a specialist for further tests to exclude live disease first. All the best!


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Musnainun Rasti answered 2 years ago

Hello, Doctor. These three days, there is blood in my stools. And I feel a stabbing pain in my epigastrium. I don’t feel any symptoms of hemorrhoids, and there is no wound in my anus, but still I have blood in my stools. I have tried to stop eating spicy or fatty foods, but it doesn’t get better. Please give me a solution on this, Doc.

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

You may have 2 separate issues here. I suggest gastroscopy and colonoscopy to properly evaluate your condition.

One condition that may be related is gastric ulcers bleeding resulting in pain and blood from the anus, but you would usually be very ill by now.

See a general surgeon and get the scopes done soon. All the best!


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Gadis magdalena answered 2 years ago

Hello, Doc. I am 30 years old and I feel pain in the lower right part of my stomach. Also, there is mucus in my stool. Sometimes it hurts when I can’t fart, and also during and after defecation. I have undergone CT Scan and colonoscopy but there is no problem found. Please give me a solution.

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.
You may have 2 separate issues here.

The pain may not be related to the anal problem.

Mucus and pain at the anus could actually be due to large piles, and if your poop is loose/not formed, then there could be underlying infection and you should test your poop for this. I trust the colonoscopy excluded cancer and inflammatory bowel disease.

Pain on the right side in a young male is usually due to appendicitis or gas stretching the gut causing pain. You might want to change your diet and avoid eating too much fiber that can cause bloating and gas/fart.

If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Arfian answered 2 years ago

Doc, is blood in feces a sign of rectal cancer? What are the signs of rectal cancer if I may know?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Yes, blood in the feces is one sign of rectal cancer. Other signs include tenesmus (of difficulty passing out stools and with pain), mucus or even loose stools.

If it is very advanced and has spread, you will have loss of weight and appetite.

If in doubt, it is safer to see a specialist and get a colonoscopy.

Most importantly, sometimes, the cancer may be there and not have any signs especially if it is early. SO get checked to be sure… it can save your life.

If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Niko answered 2 years ago

Good afternoon, Doc. I want to ask about the injection procedure for piles. I have undergone surgery 2 times with ordinary procedure and staple procedure, but still no improvement. Can injection cure it? And how long will it last after this procedure? Is there any recommendation on the safe and good injection procedure, Doc? Thanks

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Injection therapy is only effective for 1st degree (small) piles that are bleeding. Anything bigger is usually not effectively treated with injection.

The question you must ask yourself is why you keep having the problem. ALWAYS find out the underlying cause so that you can prevent this from happening again. It is always what YOU do to the piles that make it a problem.

The reasons include straining too hard during defecation, having hard or watery stools (due to wrong food we eat, like hot spicy foods sometimes), or sitting and waiting on the toilet bowl when it is not time yet. Correct all these and then you can have long term relief from symptoms. Surgery should ALWAYS be the last resort.

If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Riswanto answered 2 years ago

Doc, I had undergone surgery for my piles, but it recurs again and gets worse. The lump is stuck and cannot be pushed back in. Some people suggest that I undergo bipolar tech surgery. Can I still undergo surgery for the second time?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Piles can always recur if you return to bad toileting habits (sitting too long, going when it is not time and waiting there), straining too much/hard, having hard or watery stools and eating wrong foods that cause all the above. So the most important is not to repeat all these bad lifestyle choices.

So there are people who end up with multiple surgeries and bad results.

The type of surgery depends on the grade and symptoms of the piles.

The most reliable is conventional type, but I often use the Ligasure device for effective bleeding control.

If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Abi Budiman answered 2 years ago

There is a small lump in my anus, it doesn’t hurt but itches. What disease is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
I have to know what this lump is before I can give you advice.
Lumps at the anus can be due to many causes, ranging from piles to abscess to cancer.
We can do a tele consultation as it will better allow me to advise you.


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Irene Nasution answered 2 years ago

Doc, I am 60 years old and had undergone surgery for abscess almost two months ago. The pus is cleaned but sometimes I still feel pain while defecating. Is this normal?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

It depends on what kind of surgery was done. That area is quite sensitive and the more serious the infection and the more operations are done, the longer will be the recovery. If it is still hurting after 3 months, I would suggest doing an MRI of the anus region to exclude residual or new infections. Remember abscess can always recur.
Hide quoted text
If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Cempaka answered 2 years ago

I have been having diarrhea for 3 days. The stool is black and my stomach hurts all the time. What is the cause, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This sounds like you could be bleeding from the stomach (lambung). Blood when it passes through the digestive system tends to turn black and has an unusual smell. Please see the doctor as soon as possible. I would suggest a gastroscopy to exclude bleeding from ulcers and cancer. After which, you may need medications to protect your stomach if it is due to ulcers. Surgery will be needed if this is cancer. If you’re not better, feel free to reach out for a tele consultation with me.

All the best!


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Hasrul answered 2 years ago

Doc, what food should be avoided by someone with gallstones?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

If your gallstones are not causing you symptoms (like bloating, burping, pain), then you can control your diet by avoiding fatty oily foods. This can help to reduce the number of stones or prevent the existing ones from getting larger. They will not go away. The only effective treatment is surgery. I do this using keyhole techniques (laparoscopy). It is safe and effective and patients go home usually after 2 days. There is no long term side effect and you lead a normal healthy life without a gallbladder.


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Steven answered 2 years ago

Doc, why do I feel pain and heat after defecation although I have consumed enough fiber? The condition continues until a few hours later, around 6 hours, before it is relieved. Please give me the solution, Doc. Thank you

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

It sounds like you may be having an anal fissure. This is likely to have happened because you ate TOO MUCH FIBER. This has caused your poop to be too hard/bulky and resulted in a small but painful tear at the anus.

The answer is actually to REDUCE FIBER until your poop becomes like a sausage. Remember do not eat too much of anything. You can see your specialist to confirm the fissure and then start the right ointment.

If you’re not better, feel free to reach out for a tele consultation with me. All the best!


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Rozak answered 2 years ago

My piles bleed. How do I treat it? Should I undergo surgery?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

First you must confirm that the bleeding is really from piles, and not other conditions like cancer. Only a specialist doctor can do this for you. Once u confirm it is piles causing the bleeding, then a good medication to start is Daflon (original) and Proctosedyl (suppository or cream). You should also make sure your poop is not hard or watery as both can cause the piles to bleed more.

Piles are actually normal and are found inside the anus. They help to provide us continence together with the anus muscles. You CANNOT remove the piles. When we do surgery for piles, we only remove the swollen parts that cause pain and bleeding, NOT the entire piles.. or you will become incontinent to feces! So I always tell patients that surgery is only needed if you have the following symptoms from enlarged piles: bleeding, pain or prolaps (falling out). And this is only after medications (like Daflon) do not work).


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Firman answered 2 years ago

I had surgery for a benign colon tumor 5 years ago. Now I feel the same symptoms like what I had back then, such as blockage in the bowel movement and pain in the stomach. However, the pain is relieved after I take laxatives. When I had my tumor, even defecation cannot relieve the pain. Please give me your advice, Doc, should I screen for a tumor again? Or is this just ordinary constipation? If it is ordinary constipation, what is the safe treatment?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The first thing to do is make sure the tumour is not back. I suggest a CT scan and colonoscopy and gastroscopy first. If this is all normal, then please DO NOT eat too much FIBER. This can cause gas and harden your poop and make it harder for you to BAB. Remember to always eat in moderation (especially after intestinal surgery), and too much of any food (even finer) is bad for you.

If you’re not better, feel free to reach out for a tele consultation with me


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Natia Hutami answered 2 years ago

Doc, my stomach bloats, aches, and I keep farting again and again. When I defecate, nothing comes out but there is a lot of gas. What disease is this, Doc?

Reva answered 2 years ago

What is the most effective treatment for grade 2 piles?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Grade 2 piles refer only to INTERNAL piles that fall out when you poop/strain and then reduce spontaneously afterwards. This can be treated with medications, and if this does no work then surgery is effective. The most important is to identify the trigger/cause: this is usually related to food, the type of poop (either too hard or watery), sitting too long on the toilet or straining too hard. You have to correct all this if you want long term relief as well.


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Zainab Mirsyamsudi answered 2 years ago

Is it true that we should not eat spicy foods and instant noodle after appendicitis surgery?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

If the surgery is successful then there should be no need to restrict your food intake. You should be able to eat normally within 24 hours after surgery, unless it was complicated with a bad infection or more intestine had to be removed. You should ask your surgeon for more details or go back for a consultation early if you are still not able to eat well. All the best!


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Iqbal Hanif answered 2 years ago

Doc, how long does it take until someone can do some sports again after hernia surgery? I play basketball

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

It depends on the intensity and type of exercise. Slow jogging can start after 2 month. Basketball and other strenuous contact sports may have to wait up to 3 months. Always start slow and see what your body tells you. Pain is always a sign.


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Ridwan Bahsoan answered 2 years ago

Hello, Doc. My name is Misla. I have gallstones. I want to undergo surgery but I am afraid because I also have liver problems. What should I do? Thank you.

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

It is best to discuss with your liver specialist about the exact status of your liver. Together with the surgeon, they can advise you on whether it is safe. Usually it is the general anaesthesia and not the removal of the gallbladder that is important.


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Aryo answered 2 years ago

I had a tumor inside my anus once. It has been removed but now there is pus in its place. Please give me advice, Doc, is this due to my old tumor?

Prof Dr. Mark Wong replied 2 years ago

It is best to be examined by your surgeon or a Colorectal Specialist. A scope and MRI scan will also be useful.

It is important to exclude either a new tumour or Infection.

Take care.


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Adrian C answered 2 years ago

My wife had surgery for anal fissure in the beginning of this year. Two months after surgery, she complained of pain while defecating. Our doctor suggested we observe it first. Then, it got better. But two days ago, my wife had blood in her stool. Does it mean she has her wound opened again? It only happens once though; after that her defecation it is normal again. I am just worried it will recur. I want to ask your opinion, Doc, should I take her to the doctor to examine it now?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Blood in the stools can be due to many reasons. These include piles, abscess, fissure and fistula or even cancer.

It is best to have her examined to be sure.

Fissures can always recur if the poop is too hard. Surgery does not prevent fissure, it only helps it to heal at that time. The rest is up to the patient, to eat right and have normal poop (like a sausage or banana shape) , not strain too hard, etc.


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Sriwahyuni answered 2 years ago

Hello, Doc. My name is triwahyuni. I also have gallstones. I am afraid to undergo surgery because I often have headaches. What should I do? Please help me. Thank you

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

If you have gallstones that are causing pain and bloating and the symptoms are not getting better with medications and dietary changes (avoiding fatty oily foods) and if you’re young and active, then you should seriously consider surgery to improve your quality of life.

It will be good to mention your headaches to the surgeon and anesthetist and let them decide if it is safe to proceed. Overall, it is a quick and safe surgery that should make you feel better.


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Pratikno answered 2 years ago

It has been 3 days since I have diarrhea and cramps in my lower abdomen. What is the medicine for this?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This sounds like it could be food poisoning. The key is to identify what caused it and treat the cause. You should see your local doctor and have blood and stools tests to exclude infections and start appropriate antibiotics if needed.


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Ratih answered 2 years ago

My mother is 53 and she has a lump, quite long but doesn’t hurt, in her stomach. It has been almost a week. She also feels her defecation is blocked. If we want to examine it, what kind of examination should we undergo?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

She should have a CT scan to confirm the location of this lump, ie. which organ it is arising from. if it is in the stomach, then she should then have a gastroscopy. If it is in the colon, she should then have a colonoscopy.

Most important is to make sure this is not a cancer, especially since she is above 50ys of age.


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Atika answered 2 years ago

Doc, after eating something with coconut oil, my piles are swollen and painful. If I undergo surgery, can I eat anything without having to worry about that piles again?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

One of the treatments for piles is knowing your triggers, and this includes the foods that make it worse. After medication or surgery, you should still avoid the foods that make your piles swell up (pain, bleeding, prolapse).

It is all about discipline and taking care of your body. Surgery is not a permanent solution.


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Musdianto answered 2 years ago

Doc, there is pus in my piles. How should I treat it?

Prof Dr. Mark Wong replied 2 years ago

Hi

Thank your or your question.

First thing is to have it examined by a specialist. Piles usually do not get infected. This may be an abscess or fistula which can be mistaken for piles and wrongly treated.
Usually surgery and antibiotics is needed.

All the best.


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Adisty answered 2 years ago

My lower right abdomen hurts so much at night when I sleep. It wakes me up and makes me unable to go back to sleep. When I touch it, I feel it a bit swollen. What disease is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

I suggest you get a CT scan as this can reveal more information and help guide treatment. If you are a male, then it is commonly due to appendicitis or colon infections/disease. If you are a female, then you will also need to exclude a gynaecological disease.


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Rahmat answered 2 years ago

I had surgery for my gallstones 2 months ago but now the pain comes back. Why is that so, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

The pain may be due to the wound not being fully healed or even from other causes like gastric acid. This is why I always make sure my patients do not have gastric acid before I do surgery for gallstones or they may end up having necessary surgery that may not solve the pain.

If you are feeling unwell, then I suggest you see your surgeon and get a scan like a CT to exclude infection as well as to exclude retained/missed stones in the bile ducts or liver, which can all cause persistent pain.


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Angga Pratama answered 2 years ago

My little sister has gallstones. She said sometimes it hurts, sometimes not. When it hurts, she takes painkillers to relieve the pain. Do the gallstones that cause this kind of symptom need to be treated with surgery?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

Gallstones need treatment only if it is causing symptoms like pained bloating, usually after meals (oily spicy types). Serious symptoms include jaundice and fever which need hospitalisation and early surgery.
If you can confirm your symptoms are due to the gallstones, then surgery is the best solution.


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Giyanda answered 2 years ago

Doc, I have blood in my stools after eating spicy foods. Is this normal, Doc? Is this dangerous if I leave it untreated?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This may actually be due to your piles being irritated by the spicy food, resulting in swelling and bleeding. It is important to have it confirmed by a specialist.

The next step is then starting the right medications and surgery is usually the last resort.

More importantly, you have to know the triggers (like spicy food) and then REDUCE OR AVOID these if you want to get better. Remember even after the best surgery and medications, if you start your bad habits again, it will all come back!


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Bambang Hadi answered 2 years ago

Good morning, Doc. I want to ask. I often feel nauseated and have a stomach ache but I cannot defecate (constipation). I have seen a gastroenterologist and she said I am fine and she asked me to have a balanced diet. But the constipation persists until now. I am a 63 year old male. What should I do?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

One of the first things to do in view of your age and symptoms is a gastroscopy and colonoscopy to exclude more serious conditions like cancer. Unless the scopes were done recently (less than 3 years ago).

In my experience, one of the main causes of your symptoms in your age group is eating TOO MUCH FIBER. This not only causes a lot of gas and a bloated stomach, it will also lead to constipation due to the insoluble fiber. So a balanced diet, NOT EATING TOO MUCH of any food, is the key. As well as plenty of water and regular exercise.


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Abdallaah answered 2 years ago

I have a small bump in my anus. It hurts slightly. Is this dangerous?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.The first thing to do is to have a consultation to confirm what this lump is. It may be piles, or an infection (abscess) or rarely a cancer. I do not advise treatment until you are seen by a specialist who can confirm the diagnosis and then give the right treatment.


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Nyukkileny answered 2 years ago

Doc, what is the medicine for piles? Because this condition disturbs me. When I have a heavy workload, my back hurts and when I defecate, the amount of stools coming out is excessive. What is the solution? I haven’t been to work for months because I worry it will get worse.

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. First you must confirm that the bleeding is really from piles, and not other conditions like cancer. Only a specialist doctor can do this for you. Once you confirm it is piles causing the bleeding, then a good medication to start is Daflon (original) and Proctosedyl (suppository or cream). You should also make sure your poop is not hard or watery as both can cause the piles to bleed more.

It is all about discipline and taking care of your body. Surgery is not a permanent solution.


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Diana dee answered 2 years ago

Good evening. My husband had surgery for piles 7 months ago. Why does he have an uncomfortable small lump? Is that skin tag?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. The first thing to do is to have a consultation to confirm what this lump is. It may be recurring piles, or an infection (abscess) or rarely a cancer. I do not advise treatment until you are seen by a specialist who can confirm the diagnosis and then give the right treatment.


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Pambudi answered 2 years ago

Doc, my wife has been complaining about pain in her anus for three 3 days. And yesterday, she had a fever and a cold. She has a stomach ache but cannot defecate. She took medicine for her fever and ate papaya. Please give me your advice, is her condition dangerous? She refused to go to see a doctor in this covid situation.

Prof Dr. Mark Wong replied 2 years ago

Constipation, fever and cold are symptoms. You must find out the cause of these. They may or may not be related.

I would ask if your wife has other associated symptoms before organising some tests, like blood and stool tests to exclude infection. I would also consider doing a CT scan and even a colonoscopy to exclude more serious health problems. It depends on her age, other symptoms, other medical problems, family history of cancer, etc…

I suggest your wife arrange a tele consultation with me so I can better understand her problem.


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Intan Nur Dewi answered 2 years ago

At the end of last month, I had surgery for piles. After surgery, my bowel movement is hard and when I force it, it bleeds. Why is that, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

I always tell my patients what to expect after surgery as this will help manage their fears and worries. After normal piles surgery, it is common to have light blood stains for the first 1-2 weeks. This should settle after 2-3 weeks, depending on how bad the piles were to begin with. If my patient is above 40 years old, I usually do a colonoscopy at the same time during the surgery to make sure there is no other more serious cause of bleeding like cancer.

Take the medication, do your sitz bath soaking, do not strain and make sure your stools are type 4 (like banana/sausage) and you should get better soon, if this is due to the piles surgery.

All the best!


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Rahmi Indrawati answered 2 years ago

Doc, there is a lump in my anus. I have been having blood in my stools since a week ago. I want to ask, should I undergo colonoscopy? Or is a feces test enough?

Prof Dr. Mark Wong replied 2 years ago

Thank you for your question.

I would advise you to firstly see a Specialist to determine what the lump is.
If there is already blood that you can see, then do it bother with the faeces test. You should get a colonoscopy to exclude more serious problems like cancer.

All the best.


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Rafli answered 2 years ago

Doc, I only defecate once in a week. Is this normal? But when I defecate, I feel unfinished. And strange thing, my stomach hurts so much during defecation. Does it mean I have a certain disease?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.The usual bowel movement ranges from 3 times a day to one in 3 days. If you are only going once a week and having difficulty with pain, you should see a specialist in the digestive system. It may be related to your diet (too MUCH or too little finer, with no balance) or due to disease within your digestive system.Depending on your age and gender and risk profile (family history of cancers.,etc…), you may need a colonoscopy to exclude something more serious. Treatment then is either medication or surgery depending on the final results of the investigation.


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Mardi answered 2 years ago

Hello, Doc. My wife is 29 years old and has bleeding piles that recur even after being treated with surgery. Her doctor advised her to change her diet, so she stopped eating oily and spicy food. And then, in the beginning of this month, my wife complained about pain in her anus when she defecated. And there is blood in her stools. But she said, there is no lump this time. Does it mean it is not due to piles this time? What should we do to stop my wife’s defecation problem?

Prof Dr. Mark Wong replied 2 years ago

Treatment for piles is not just about medication and surgery, you MUST identify the underlying cause. This is very OFTEN due to poor toiling habits (sitting too long on the toilet, esp the squatting type, straining too hard), or passing either poop that is watery or too hard. This again is largely related to the type of food. Not only do spicy foods cause problems, taking too much finer can cause the poop to be too hard and damage the piles. Remember piles are NORMAL and are needed to maintain continence to faeces. We NEED them and we are BORN with them. Surgery only removes the swollen parts and good surgery leaves the normal parts in the anus to continue their function.So I always tell this to my patients so that they understand and RESPECT their piles.If you re still bleeding, look at whether you have all these possible causes and correct them.It is often our fault that causes the piles to bleed, prolapse or have pain.


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Boy answered 2 years ago

Doctor, I had surgery for hernia 2 years ago. Now it recurs. Should I have mesh surgery again or is there anyway to permanently stop recurring hernia?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

All hernia can recur after surgery, but this is rare and often less than 1% of the time. Nonetheless, you should confirm the recurrence with a ultrasound and then have it repaired since it will not get better on its own.

Additionally, If it was done the conventional open method last time, a good approach now to consider is to do it using laparoscopy to avoid the old scar.

Good luck!


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Devi S answered 2 years ago

I have gallstone. It is only one but it is more than 1cm. My doctor asked me to undergo surgery. But I still want to look for alternatives. Is there any non-surgical treatment for gallstone in that size, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

There are no effective medications for gallstones. If they are not causing you symptoms (like bloating, burping, pain), then you can control your diet by avoiding fatty oily foods. This can help to reduce the number of stones or prevent the existing ones from getting larger. They will not go away.The only effective treatment is surgery. I do this using keyhole techniques (laparoscopy). It is safe and effective and patients go home usually after 2 days. There is no long term side effect and you lead a normal healthy life without a gallbladder.


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Liyani answered 2 years ago

Doc, my husband is 53 years old and last month he had a benign colon tumor. The symptom was constipation that lasted for weeks. Now, he complains about pain in the stomach and watery stools. He has taken diarrhea medicine but after taking the medicine, he has blood in his stools. What should we do, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi
Thank you for the question.
What has been done about the tumour? If it is causing him all these symptoms, it sound like he needs surgery soon.
I trust he has already had a colonoscopy to biopsy and confirm it is benign and NOT cancer. If not, you must have a colonoscopy to confirm this very important point.
All the best!
If you need further clarification, kindly arrange for a tele consult with me directly.


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Tiwi answered 2 years ago

Doc, my grandmother has an incontinence problem. It happened recently, around the beginning of this month. I read on the internet that the solution is by creating hole in the stomach. This makes me afraid to take her to the hospital. Please give me information, are there any alternative solutions for this case?

Prof Dr. Mark Wong replied 2 years ago

Hi

Thank you for the question.

Are you referring to incontinence to urine or faeces?

If it is incontinence to faeces, there are many other ways to treat other than the stoma (hole in tummy).
It is a complex problem affecting mainly women and the elderly, largely due to the effects of childbirth and ageing.

Importantly, she needs to be investigated in detail to determine the cause and severity before treatment can be individualised for her.

Treatment includes diet modification, medication to firm up the poop, pelvic floor exercises and surgery, in this order based on severity.

For such a complex problem, I strongly suggest you tele consult with me.

Very few people in the region specialise in this area of colorectal disorders and I am one of them, having trained in France and Denmark for 2 years on this.

All the best!


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Reza Ahmad answered 2 years ago

Doc, I have been having severe diarrhea for almost two weeks. Once in three days I have blood in my stools, and the blood is dark. I have already taken medicine from my doctor but to no improvement. Please give me advice on the effective treatment

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

You are bleeding. You may have eaten something contaminated and now having diarrhoea from it.

I would advise you to be examined by a specialist colorectal and do a colonoscopy to determine the cause.

It could be due to piles or something more serious like inflammation/infection causing the diarrhoea. If you are older, then you should also exclude cancer.


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Sinaman Karitio answered 2 years ago

Doc, I have a lump in my anus. It doesn’t hurt but it makes me uncomfortable when I wear trousers. I want to ask, is there any way to remove it?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I have to know what this lump is before I can give you advice.

Lumps at the anus can be due to many causes, ranging from piles to abscess to cancer.

We can do a tele consultation as it will better allow me to advise you.


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Elisabeth Salma answered 2 years ago

What is the solution for gallstones?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

There are no effective medications for gallstones. If they are not causing you symptoms (like bloating, burping, pain), then you can control your diet by avoiding fatty oily foods. This can help to reduce the number of stones or prevent the existing ones from getting larger. They will not go away.The only effective treatment is surgery. I do this using keyhole techniques (laparoskopi). It is safe and effective and patients go home usually after 2 days. There is no long term side effect and you lead a normal healthy life without a gallbladder.


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Rani answered 2 years ago

Hello, Doc. It has been a long time since I have constipation. There are only a few stools coming out and my defecation feels unfinished. It gives me a stomach ache. Like I want to defecate but nothing comes out. The pain is below my navel. The pain is relieved after watery stools, but then it will recur again. What should I do? Am I having piles?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This could all be due to gas in your intestines … which is likely from food. You may be surprised but you may be eating TOO MUCH fiber.

Bloating (with gas) and constipation are 2 very common signs of TOO MUCH SERAT! Cutting down finer is the answer. Too much of ANYTHING IS BAD. Don’t be afraid to eat red meat … there must be a balance in your life, even with food. So a balanced diet, NOT EATING TOO MUCH of any food, is the key. As well as plenty of water and regular exercise.

If you are older, closer to 45ys and above, then pls do a colonoscopy to exclude more serious conditions like colorectal cancer.


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Raisa All Fatahh answered 2 years ago

Hello, Doc. My name is Wulan. I have pain in the left lower abdomen. It makes me want to urinate and I have constipation and difficulty in farting. I also have chronic maag. These 9 months I have been feeling weak due to my condition. What should I do?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for your question. Constipation is due to many cases, it is only a symptom of underlying problems. Start with eating a balanced diet, including red meat and some vege/fruits. If you are above 45 years old, have a family history of cancer or not getting better with regular medication, then my advice is to get a colonoscopy to exclude dangerous things like cancer. All the best.


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Gendugindu Gendugindu answered 2 years ago

Hello, Doc. My name is Tria. Why do I feel heat in my anus although there is no lump in it?

Prof Dr. Mark Wong replied 2 years ago

This can be due to inflammation or infection or even piles. You should go and see a colorectal specialist like myself and only start the right treatment once u have a diagnosis. All the best


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Rachim Daud answered 2 years ago

My anus is swollen and there is pus in it. What disease is this, Doc? What is the treatment?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This may be an infection/abscess.

I suggest you visit a colorectal specialist to confirm what it is to start the right treatment.

All the best


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Sisil answered 2 years ago

I have blood in my stool every morning. The blood is bright red. What condition is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. I would strongly suggest you be seen by a colorectal specialist. You will need a detailed examination of the bottom. I would also advise a colonoscopy and gastroskopi to exclude internal sources of bleeding. This is especially important if you are above the age 45 years old, or have a family history of colorectal polyps or cancer, or have been losing weight / appetite. Other possible causes would be infections and piles.


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Maulana answered 2 years ago

My piles hurt all the time. I have taken medicine and applied ointment but the pain persists. What should I do?

Prof Dr. Mark Wong replied 2 years ago

The longer the piles persist, the harder they are to be treated via medication. If taking medication doesn’t make you better then you may need surgery. One important component effective treatment for piles is knowing your triggers, and this includes the foods that make it worse as well as bad toiling habits (eg. sitting on the toilet bowl too long, straining). After medication or surgery, you should still avoid the above triggers that make your piles swell up (pain, bleeding, prolapse). It is all about discipline and taking care of your body. Surgery is not a permanent solution. Take care and stay safe!


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Vei answered 2 years ago

Doc, I am a 25 year old woman. It has been almost 2 weeks since I saw blood in my stool. The blood is bright red. I read that bright red blood in stools indicates piles problem, but when I strain I don’t feel any pain. Should I see a doctor?

Prof Dr. Mark Wong replied 2 years ago

Hi
Thank you for the question.
Yes, in your age group, the most likely cause of bright red bleeding after BAB is piles. This may not be associated with any pain.
I would still suggest you visit a specialist to examine and confirm the cause of bleeding. In this way, you can start the right treatment and also know how to avoid the problem happening again if it is piles.
The incidence of young colorectal cancer is also on the rise so it is always smart to be safe.


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Neni answered 2 years ago

Doc, my stomach often hurts lately. I also have problems with my bowel movement. I take laxative once but only a few stools come out. Please give me your advice, Doc

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. It can be due to many reasons, but you should make sure it is not from a dangerous cause like cancer. A colonoscopy and gastroscopy and CT scan is advisable, especially if you also have symptoms like bleeding anus, loss of weight or appetite, aged above 45years or have a family history of cancer. We can also arrange a Teleconsultation if you are keen.


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Khoriman Khoriman answered 2 years ago

Doc, is surgery necessary for piles which discharge a white liquid?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
I suggest you get checked by a specialist first to confirm that this really is due to piles.
It is unusual for piles to have such a discharge unless it is mucus.
Pus usually suggests an underlying infection from an abscess or fistula.
We can arrange a teleconsultation if you are keen.
Take care and all the best!


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Oki answered 2 years ago

Hi, Doc. There is a lump in my anus but it doesn’t hurt. What is that, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.I suggest you see a specialist for this problem. It can be due to many reasons, but you should make sure it is not dangerous like cancer. A colonoscopy is also advisable, especially if you have symptoms like bleeding anus, loss of weight or appetite, aged above 45years or have a family history of cancer. We can also arrange a Teleconsultation if you are keen.


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Deasy Putrinda answered 2 years ago

Doc, can I undergo surgery for piles when I am pregnant?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
Yes it is possible, but the risk to the foetus has to be balanced against your risk of continuing without surgery.
Always have this discussion with your gynaecologist and surgeon to decide whether surgery is needed, and if so when is the best time.
In my experience, medications are usually enough because the piles usually improve after delivery.
Take care and all the best.


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Maryono answered 2 years ago

It has been 2 weeks since I defecate only if I take laxatives. I am a 54 year old man. My question is: how do I stop this addiction to laxatives? I have a good and balanced diet habits and exercise regularly (walking or jogging)

Prof Dr. Mark Wong replied 2 years ago

Hi

Thanks for the question

Firstly, it is important to find out the underlying cause for your constipation. In view of your age, I would suggest
– colonoscopy and gastroscopy, to exclude cancer
– adjustment of diet: you likely eat TOO MUCH FIBER, especially if you have a lot of bloating/fart and constipation (poop type 1/2 bristol stool type)
– continue your exercising
Secondly, always remember to do everything in moderation, from food to exercise.
Constipation is only a symptom, and not a disease on it’s own. Find out the cause and it will often improve.

It is not easy to treat and you may need a specialist like myself with training in this specific area.

I suggest a teleconsultation with myself.


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Sarah Mawenda answered 2 years ago

Doc, for three days, I have been waking up at night to defecate but the stools will not come out, only the pain which is very disturbing, it wakes me up at night. What disease is this, Doc? Is this dangerous?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. Actually the normal bowel pattern can range anywhere from 3 times a day to once in 3 days. As long as you don’t feel bloated or uncomfortable between, it is ok and you do not need to take medications.

This may be slow-transit constipation also and in this case the best thing for you is to AVOID EATING TOO MUCH FIBER as this will make it more difficult to clear an already slow system.

This requires a colorectal specialist and once who is sub-specialised in functional disorders like myself.

Feel free to reach out for a Teleconsult with me.

All the best!

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Fahri Ahmad answered 2 years ago

Doc, why do I feel pain when I sit? However, there is no lump in my anus. What disease is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi Thank you for the question.
This may be due to so many causes. You need to be examined by a doctor to get a more accurate answer. It could be colorectal or even an orthopaedic issue.
For colorectal conditions, the common causes are piles, fissure, abscess or even cancer. You should be examined by a specialist like myself and to diagnose the condition and get the correct tests done.
All the best!


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Efan Andriansyah Dasopang answered 2 years ago

Doc, I want to ask. My mother is 51 years old. She complains about pain in her stomach, constipation, and blood in her stools (fresh blood), losing weight due to loss of appetite. We consulted a doctor and she was advised to undergo colonoscopy. After colonoscopy, it turned out my mother has ulcerative colitis. Now she is under treatment. But, she doesn’t get better although she takes medications. What should she do, Doc? And what is actually the cause of ulcerative colitis? What kind of lifestyle should she have? Thank you, Doc

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Ulcerative colitis (UC) is an autoimmune disorder that attacks the own body’s tissues, mainly in the large intestine.

It can only be controlled (with medication) and cannot be cured.

They key is CONFIRMING it really is UC (from the biopsy of the tissue of the colon during scope). Then the medications for UC should work.

If she is not getting better, it is either
– the diagnosis is WRONG
– or the medications need to be changed

Long term, if this disease is not controlled, it can lead to colorectal cancer.


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Elva answered 2 years ago

My husband just underwent hernia surgery almost a month ago, but now he still complains about the pain in his lower abdomen. It hurts too when he walks. Is this normal, Doc? How long does recovery from hernia take?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. The average time to healing takes about 4-6 weeks, but depends on how bad the hernia was, how well you take care of the wound and get adequate rest during this period. It also depends on the quality of the surgery and technique used and how serious the hernia was at the time of surgery. My advice is to see your surgeon and if he iss still unwell to consider doing a CT scan. All the best!


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Raesa answered 2 years ago

How much is the treatment cost for hemorrhoids, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, we do not disclose cost over emails. It depends on how bad your piles are and then I choose the right treatment for your condition. Cost varies depending on the type of surgery/treatment. If you are keen, I would be happy to arrange a teleconsult with you.


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Sanusi answered 2 years ago

I feel nauseated and my stomach aches but I cannot defecate, nothing comes out. Please give me your advice. Why is this, Doc? It has been 3 days. I am 41 years old

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
It sounds like you may be constipated.
You should consider a gastroscopy and colonoscopy, especially if you have any recent weight loss or family history of cancer.
Feel free to reach out for a tele consult.
All the best.


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Hilman answered 2 years ago

Doc, my name is Hilman, 32 years old. I have blood and mucus in my stools. It has been like this for 2 days. And my stools are watery. Before defecation, I would have a very painful stomach ache. What should I do? Is there any diet habit should I maintain?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.
I would definitely recommend a gastroscopy and ultrasound abdomen to confirm the problems. Pain in the epigastrium is commonly caused by acid reflux or gallstones.
More importantly, the mucus and blood in the stools needs a colonoscopy to exclude serious conditions like colorectal cancer. A stool test for infection is also useful.
All the best!


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Hanifah answered 2 years ago

Doc, lately my bowel movement has been hard. I have to strain and after defecation my anus hurts and it is hot. It has been almost a week like this. But, my bowels do move everyday. Is this constipation?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Yes, it sounds like constipation.

Common causes include poor balance of meat and fiber in the diet (eating TOO MUCH fiber can also cause constipation) and also cancer.

If you are above 40ys old or have a family history of colorectal cancer then it may be safer to get a colonoscopy done soon.

Take care


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Rasmi answered 2 years ago

My hemorrhoids burst. I have had them treated by a doctor. Now the bleeding has stopped but the itch hasn’t. Why is this so, Doc? How do I treat the itch?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.
If this is a haemorrhoid, i should be an external haemorrhoid.
The itching could be due to persistent discharge or a secondary infection or a new problem now.
If you are above 40 ys old, then I would advise a full colonoscopy to exclude cancer.
Do go and see your doctor again.


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Danar answered 2 years ago

Doc, everytime I defecate, my stomach cramps but there are only a few stools coming out. Sometimes I have to force it by straining but it makes my anus hot afterwards.

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. This sounds like constipation. Common causes include poor balance of meat and fiber in the diet (eating TOO MUCH fiber can also cause constipation). Other causes of constipation include cancer. If you are above 40ys old or have a family history of colorectal cancer then it may be safer to get a colonoscopy done soon. Take care


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Sintia Arianda answered 2 years ago

Good afternoon, Doc. It has been two months since I easily have watery stools if I eat spicy foods. And it happens directly, after eating it I will defecate. Some people said I have a sensitive stomach. Please give me your advice, Doc, how do I treat it?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question. The most important thing is to avoid any foods or drinks that cause you diarrhoea, in this case the spicy food. It means that either your gut health is not healthy or your food is contaminated or both. I would test your poop for infection, and do a gastroscopy and colonoscopy as well and perhaps start probiotics after. Lifestyle change is critical after you exclude infections and cancer. Eat right and stay healthy!


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Miftahul Adzka answered 2 years ago

Doc, what effective treatment would you suggest for grade 2 piles?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. Grade 2 piles refer only to INTERNAL piles that fall out when you poop/strain and then reduce spontaneously afterwards. This can be treated with medications, and if this does no work then surgery is effective. The most important is to identify the trigger/cause: this is usually related to food, the type of poop (either too hard or watery), sitting too long on the toilet or straining too hard. You have to correct all this if you want long term relief as well. Good luck.


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Renim answered 2 years ago

Doc, I have third grade piles. When I defecate, I have to push it back in with my hand. What is the solution, Doc? Is this curable? I have been taking herbal medicines

Prof Dr. Mark Wong replied 2 years ago

Hi Thank you for the question. Usually 3rd degree piles may not be completely cured with medications alone. Most of the time, you will need surgery by this stage. More importantly, even after surgery, you have to make sure the bad habits that caused it are corrected or it will recur again. These include constipation, diarrhoea, sitting on the toilet too long and straining too hard. All the best!


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Aristio Iskandar answered 2 years ago

Hello, Doc. I have pain in my lower left abdomen until I can’t stand up when it hits. And my bowel movement is hard. What disease is this?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

I suggest you get a CT scan as this can reveal more information and help guide treatment. If you are a male, then it is commonly due to appendicitis or colon infections/disease. If you are a female, then you will also need to exclude a gynaecological disease.


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Cipta Nur Prakarsa answered 2 years ago

I underwent surgery for piles. My piles bleed that time. Now, it recurs, swollen and often collapses, but it doesn’t bleed. My question is, what should I do so I don’t need to undergo surgery again this time?

Prof Dr. Mark Wong replied 2 years ago

Thank you for the question. The most important thing is to know what caused it in the first place and correct it. Most likely you did not do this and that’s why it is back so soon. Things to correct include constipation, diarrhoea, sitting on the toilet too long and straining too hard. All the best!


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diah pasyah answered 2 years ago

Hello, Doc, if we have piles, should we treat it with surgery or traditional medicines? If it is traditional medicine, what should we take?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. The main problem is finding out why you had the piles problem to start with. The most common reasons are straining too hard during defecation, squatting to poop (only use sitting type), constipation, diarrhoea, or sitting too long (more than 10min) on the toilet bowl.

Having constipation can also be caused by TOO MUCH fiber so be careful and do not eat too much fruits and veg. You must eat a good balance of ALL food, including meat.

If you do not correct these trigger factors, then the piles problem will keep coming back even after surgery.

Never use traditional treatment, it is not only not effective, it can be very dangerous and harmful.
All the best


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Siti agus koniah answered 2 years ago

Good afternoon, Doc. I am a 26 years old female. I had surgery for anal fissure last month. If today I don’t defecate, I will see fresh blood in my stool the next day. And sometimes it still hurts after defecation. I still feel mucus in my anus. When would my condition get back to normal, Doc? And is this fresh blood after surgery a danger sign?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Your wounds should all heal between 4 to 6 weeks after surgery.

But it is also important that your poop is formed (type 4 bristol, like a banana/sausage) and you do not strain too hard during defecation.

If you are still not feeling better after 4 weeks, better to check with the surgeon.

All the best!


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Frans answered 2 years ago

Hello, Doctor. I have constipation. It has been around 4 months since I only defecate once a week and it hurts so much. I have been having a balanced diet consisting of vegetables, fruits, meat, and carbohydrates. Please give me your advice, Doc. I am 31 years old.

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

In this current times, many people eat too much fruits and vege… esp if you always feel bloated and your poop looks like small pellets.

If normal laxatives and a balanced (not too much fruits and vege) still does not work for you, then I would suggest a CT scan and colonoscopy to exclude more serious conditions like cancer. especially if you have family history of such conditions.

All the best!


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Lady Mustika answered 2 years ago

Dr. Mark Wong. Two months ago I had abscess surgery. The mucus in my anus is gone, but lately, around these 2 weeks, I have been having diarrhea. Is this related to my surgery lesion?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Diarrhoea can be due to many causes. sometimes, even the medications for the surgery (eg. antibiotics) can cause this.

But if this continues, I would suggest you see your surgeon.

You may need a scope to exclude other causes of diarrhoea like infections and cancer.

All the best!


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Mutia answered 2 years ago

My father had undergone hernia surgery and now he has difficulty defecating and farting. He also feels nauseated and he sometimes vomits after meals. Is this the hernia effect, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

The most urgent thing to make sure is there is no infection in the wound. Also intestines could be stuck and blocked causing the symptoms.
Another common cause may be the medications given like painkillers after surgery.

Suggest seeing the surgeon and ordering a CT scan.
You can also contact me to arrange a Teleconsult.
All the best!


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NLH answered 2 years ago

Good afternoon, Doc. I am a 34 year old woman. I have internal piles that are getting worse because I always sit for too long (in the office and while driving my car). After sitting for too long, usually I will see blood in my stools. I have seen a doctor and was given medicines to stop the bleeding. But, when I stop taking the medicines, the bleeding happens again. What should I do to free myself from this condition? It bothers me so much

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Sitting per se does NOT worsen piles. Unless your piles are already so large and serious that they are on the outside of the anus.

Since you are clearly bothered and it is definitely affecting your quality of life, I would suggest a colonoscopy (to exclude cancer and other causes of anal bleeding) and a haemorrhoidectomy.

More importantly, u have to correct all bad habits that make the piles this way in the first place, including having the right kind of poop (only must be banana/sausage shape), not sitting too long on the toilet (max 10min), not straining too hard or squatting too long, etc.

Otherwise, even after surgery, the piles can enlarge and your problems will all return. remember that piles are a NORMAL part of the body in the anus, where it provides us with continence and prevents poop from leaking out. We NEED them and it is always SOMETHING WE DO that makes the piles swell, bleed or have pain.


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Khodijah answered 2 years ago

Doctor, I want to ask. My son is 20 years old and he has intestinal inflammation. His weight keeps decreasing and he loses his appetite. Now he is taking medicines from his doctor because his doctor said it is not too severe. However, I am worried, seeing his body weight drop. What should I do?

Prof Dr. Mark Wong replied 2 years ago

Hi, thanks for the question.
Firstly, there must be confirmation of this inflammation using a colonoscopy, to obtain a biopsy and with histological confirmation from the laboratory. It is usually either Crohn’s disease or Ulcerative colitis.
You must ensure that there is proof before starting these strong medications that can be harmful if not given correctly.
Otherwise, keep searching for the exact cause and get the right treatment.
We can have a tele consultation if you are keen. Email me at [email protected]


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Edi Rama answered 2 years ago

Good afternoon, Doc. I am a 35 year old male. I have a family history of colorectal cancer. In the beginning of this year, I was diagnosed with colon polyp. The polyp is benign and now I am just fine. But I want to ask, should I do my routine colonoscopy earlier instead of waiting until I am 40, knowing that I had a history of polyp?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

It depends on the type of benign polyp …. there are many types. This will determine when your next scope should be. Also important is the size and location and number of polyps.

In addition, it also depends on the number of family members with CRC and how old the youngest one was.

Generally we should all have our scope done every 5 years if you had no polyps or family history or symptoms.

I advise you to ask your doctor who did the scope all the questions anvil I raised so that he can advise you on the next scope.

Feel free to tele consult with me as it is CRITICAL to know when to do the next scope.
Take care and all the best.


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Hasan Waluyo answered 2 years ago

Doc, is surgery necessary for non bleeding prolapsed piles?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for your question. Piles are actually normal and are found inside the anus. They help to provide us continence together with the anus muscles. You CANNOT remove the piles if they are on their normal state (ie. inside the anus, not bleeding and not painful). When we do surgery for piles, we only remove the swollen parts that cause pain and bleeding, NOT the entire piles.. or you will become incontinent to feces! So if your piles are prolapsed and bothering you and affecting your quality of life, and they are not improving with medications, then surgery is good to correct the problem.
One of the most important part of treating piles is knowing your triggers, and this includes the foods that make it worse. After medication or surgery, you should still avoid the foods that make your piles swell up (pain, bleeding, prolapse).

It is all about discipline and taking care of your body. Surgery is not a permanent solution.


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Manik Ramadhani answered 2 years ago

After appendicitis surgery, my daughter often complains about pain in her lower abdomen after eating. What is the cause, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

If the surgery is successful then your daughter should be able to eat normally within 24 to 48 hours after surgery, unless it was complicated with a bad infection or some intestine had to be removed. You should ask her surgeon for more details or go back for a consultation early if she is not able to eat well without pain. Sometimes a CT scan can be useful to rule out any complications. All the best!


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Raka Pangestu answered 2 years ago

Hello, Doc. I have a problem with the heat inside my stomach. Usually, when it hits me, my stools would be very black and painful. But it doesn’t bleed. I am 30 years old. Please give me your advice, what disease is this?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Yes, it sounds very possible that you have bleeding from the stomach or even somewhere else in your digestive system.

This is a serious problem. I would suggest an early gastroscopy and colonoscopy. This could be from an ulcer, infection or even a cancer.


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Amri Hamzah answered 2 years ago

Hello, Doctor. My name is Amri, 35 years old. In my anus there is a small lump which discharges pus, but it doesn’t bleed nor hurt. Do I need to undergo biopsy or what should I do?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
I have to know what this lump is before I can give you advice. It sounds like an infection, either an abscess or an anal fistula, but sometimes cancers can also present this way.
I suggest you see a colorectal specialist like myself and get the diagnosis confirmed and start treatment as soon as possible.


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Affandi answered 2 years ago

Doc, is surgery necessary for 0.5 cm gallstones?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

It depends on whether it is causing you symptoms (like bloating, burping, pain). If it is not, then u can choose to observe it, but therein no effective medications for this condition. So you must also control your diet by avoiding fatty oily foods. This can help to reduce the number of stones or prevent the existing ones from getting larger. They will not go away. The only effective treatment is surgery. I do this using keyhole techniques (laparoskopi). It is safe and effective and patients go home usually after 2 days. There is no long term side effect and you lead a normal healthy life without a gallbladder. If you are young and active, then you can consider removing it before they cause problems for you. All the best!


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Bimo Gozali answered 2 years ago

Doc, my brother has colon inflammation. His doctor said it is still in the early stages. Currently he has been prescribed some medicines. Is there any food he should avoid?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for your question. The diagnosis is not complete without finding out the cause of the inflammation. Investigations must be done including blood tests, stool test and Ct scans, to determine if it is due to infection or cancer? Only then can it be treated with the correct medication and not delay treatment. Once it heals, I would also advise a colonoscopy to take biopsies of the affected portion to exclude cancer. Good luck!


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Susi answered 2 years ago

My husband is 41 years old. He has blood in his stools these 2 days. What examination should he undergo?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

I would strongly suggest he be seen by a colorectal specialist. He will need a detailed examination of the digestive system, including a colonoscopy and gastroskopi to exclude and treat andy internal sources of bleeding. This is especially important in view of his age, and if he has a family history of colorectal polyps or cancer, or has been losing weight/appetite.

Do feel free to contact me for a tele consultation


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Meta Rizkiani answered 2 years ago

Can anal fistula be cured without surgery, Doc, if it is not severe?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

No, anal fistulas cannot be cured without surgery. It is the most effective method.

The problem with fistula are that you have to remove/close the internal opening in the anus, if not it will not go away, and the problem (eg. pain, swelling, abscess, pus) will keep coming back. In the long term, there is a small risk of anal cancer if this is not treated,

But surgery should be done with some imaging like Ultrasound or MRI beforehand, in order to make sure all tracks and internal openings are accurately identified and dealt with.

All the best.


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Eta risa answered 2 years ago

Doc, I was diagnosed with colon cancer and I have to undergo surgery to have a permanent stoma. This is because the tumor location is near the anus hole. Is there any other way besides permanent surgery, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi
Thank you for the question.
I will need to see how close it is.
In Singapore, we routinely do an MRI to decide this also
The skill of the surgeon and the technology is also important. I do such operations using the robot and have saved many from needing a permanent stoma.
I suggest you arrange a teleconsult with me before your surgery.
All the best


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Alie Hermawan answered 2 years ago

What is the medicine to treat the pain caused by colon cancer?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. The medication really depends on the exact cause of the pain.

Example: Is it from the cancer blocking the intestine? Is it from the cancer spreading to other organs and causing pain?

Sometimes the best treatment is surgery and not medication.

This needs a proper tele-consultation in order for me to understand the condition and give you the best advice.

All the best.


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Maysaroh answered 2 years ago

My husband has a colon tumor. Can it be cured after surgery?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Yes, if the cancer is treated early enough, he can have a very good chance of survival. Example, more than 95% of stage 1 colon cancer patients survive more than 5 years.

Also important is the surgical expertise and skill to do a good surgery and remove as much tumour as possible.

Feel free to arrange a tele-consultation so that I can better understand your condition and recommend the best treatment for you.

All the best!


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Ansar answered 2 years ago

What are the symptoms of colorectal cancer?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question. In many cases, there are no symptoms. The best way is to prevent the cancer by coming for screening and the best way is through a colonoscopy. You should start at the age of 45 ys old or 10 years before the first cancer in your family, whichever comes first. This is even if you feel fine.

Of course, if you have symptoms like loss of weight, blood or mucus in your poop, change in bowel habits, then u should consult your doctor earlier and may have to do the colonoscopy even before your each the age of 45 years old.

There is no guaranteed way to prevent it. You can only eat healthy, exercise regularly, avoid too much alcohol and do not smoke. Most importantly, do your colonoscopy at the right time.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Tiar Agustinus answered 2 years ago

Doc, there is a wound in my anus. I see blood and mucus in my stool. How do I treat it?

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

This may be a tear called an anal fissure. This is usually caused by too much straining during BAB, or by hard or loose stools.

But it could also be due to piles or infections (like an abscess); If you are older, then you must also exclude cancer.

I suggest you visit a specialist like myself to confirm the diagnosis and do a colonoscopy to exclude dangerous conditions like polyps and cancer.

All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Badrul answered 2 years ago

Doc, my piles were bleeding and eventually it stopped and now it is dry and it itches. Is it a wound, Doc? Do I need to treat it or just leave it like an ordinary wound?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you or the question.
As long as it bothers you below, you should have it examined to confirm the piles have really healed. It is also important to make sure it is not another problem that may need treatment.
If you are above 40years old or have a family history of cancer, I always encourage a colonoscopy to exclude more serious conditions like cancer that may not be visible.
All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Arman answered 2 years ago

I have colon inflammation. I have undergone colonoscopy. I was prescribed sulcolon. I have 6 months remission. But then, the disease recurs. And when I take sulcolon, I feel weak, dizzy, and nauseated. Is there any other medicine? I often have diarrhea now and beforehand, I have pain in my lower left abdomen, like my colon is tensed

Prof Dr. Mark Wong replied 2 years ago

Hi thank you for the question.

You must have the exact diagnosis of your colon inflammation, is it Crohn’s disease or Ulcerative colitis or an infection?

Only then will you be able to get the correct treatment. Some of these medications themselves can have side effects.

If the treatment is not working, then a CT scan is useful to see the extent of injury and involvement. A scope and biopsy of affected areas can also help to get the right diagnosis, assess and monitor for changes, determine severity and exclude cancer.

All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Eta risa answered 2 years ago

Doc, I was diagnosed with colon cancer and there is a tumor near my anus. I have to undergo surgery, chemotherapy, and a permanent colostomy. Do you have any advice for me?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for your question.
For a tumour near the anus, it is critical to decide if your anus can be saved. This is dependent on a detailed and accurate physical examination of the anus by an experienced colorectal surgeon and a detailed MRI of the anus and rectum.
Treatment options can include all 3 you mentioned.
If you are unsure, please arrange a tele consult with me and show me all your tests.
A permanent stoma is a big change to your lifestyle so the decision must be made carefully.
All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Zaskia answered 2 years ago

Doc, I had surgery for my piles a few months ago. Now, it has been almost a week since I have watery stools. Is this related to my previous piles problem?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.
Your stools is not related to your piles. Loose stools are often due to the food you eat or disease in the digestive system like infections, inflammation or cancer.
I suggest you visit your surgeon to discuss the causes and investigate accordingly. Otherwise, your piles problem will return also and worsen.
All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Ahmad Rifai answered 2 years ago

Good afternoon, Doc. These two days, I have been vomiting and seeing blood in my stools. I also have fever. What condition is this, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

It sounds like you could have an infectious diarrhoea from eating contaminated food. I suggest you get yourself admitted for stool and blood tests and even a CT scan. If this does not improve then you may need a colonoscopy to exclude cancer.

All the best.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Iska Aw answered 2 years ago

I have had a piles problem for 7 years. What should I do, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

If it is bothering you for so long, surgery may be the best solution for you.

I assume you have tried all medications possible. Also important is to correct common trigger factors in your life like sitting on the toilet bowl for too long (more than 10min), straining at stools, constipation or diarrhoea and eating foods that cause these. If you do not deal with these factors now, even after surgery, your problem will return.

All the best.


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Ernawati answered 2 years ago

Doc, I often have stomach ache, like I am about to defecate, but when I strain nothing comes out. Sometimes my stools are hard, soft, even watery. I feel my stomach is full. I often fart and burp. Sometimes my stomach feels hot. And sometimes my stool is soft.

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

Your symptoms are due to either eating the wrong type of food or disease in the digestive system. If this has been going on for a while, especially if you are above 40 years old or have a family history of cancer, then I suggest you do a gastroscopy and colonoscopy to exclude cancer.

All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Hera Andijati answered 2 years ago

Doc, my son has undergone hernia surgery. I want to ask, besides doing heavy activities, is there any food should he avoid, Doc?

Prof Dr. Mark Wong replied 2 years ago

Hi, thank you for the question.

There is no need to avoid any specific food unless he is allergic to it.

All the best!


*Keen to tele-consult with Dr Mark Wong? Leave your details at https://patients.smarterhealth.my/specialist-doctor/mark-wong-te-ching/ and we’ll help arrange an appointment.

Kusyati Yati answered 2 years ago

Doc, I have a lump coming out of my anus, It hurts and it is stiff

Baiq Syamsudin answered 2 years ago

Hello, Doc. Good morning. I want to ask for your advice. My little brother is 42 years old and he had surgery for gallstones. He had it removed but the doctor said the infection was quite severe already. After removal of the gall, he still has fever sometimes and the pain sometimes recurs. What should we do?

RE Sulistiani answered 2 years ago

Doc, I had a colonoscopy last month because my stomach aches and my bowel movement was hard. The result was my colon was fine, no tumor. Then I took laxative. Now the condition has come back. Should I do another colonoscopy? Or is there any other examination I should do?

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