Understanding Post-Surgery Incontinence After Spine Surgery
Postoperative incontinence after spinal surgery? My father had surgery at the end of February and is currently undergoing rehabilitation. However, he still experiences weakness in both legs, and from late April to early May, he has been experiencing fecal incontinence. I would li...
Dr. Lai Zhaokang Reply:
Hello: What were the symptoms before the surgery? After the surgery, did the original symptoms improve? Are there any new symptoms? For the post-operative condition, it is advisable to consult the original surgeon! Best wishes, Dr. Lai Chao-Kang.[Read More] Understanding Post-Surgery Incontinence After Spine Surgery
Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
The patient has symptoms of hydrocephalus and has had a shunt installed. The drainage is set to maximum, but the results are not satisfactory? Dear Dr. Zhang, My mother is 67 years old. In 2018, she underwent surgery for a carotid artery aneurysm that was compressing her brainst...
Dr. Zhang Junwei Reply:
Without detailed examination reports and imaging studies, it is difficult to answer such questions. If the drainage has been maximized and the condition has not improved, it may not be a problem related to hydrocephalus. Whether there is an improvement in hydrocephalus can be det...[Read More] Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Brain issues Hello doctor, I would like to ask about a relative who underwent a biopsy surgery for a brain tumor. They were originally scheduled for discharge, but before leaving the hospital, they experienced seizures, vomiting, and loss of bowel and bladder control. Subsequentl...
Dr. Zhang Junwei Reply:
Magnetic resonance imaging (MRI) cannot detect all brain issues; a normal scan does not mean there are no problems in the brain. There may be other causes for the patient's coma.[Read More] Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Head trauma Yesterday, my sister was playing basketball and during a struggle for the ball, her opponent applied excessive force, causing her to be thrown to the ground, resulting in a direct impact to the right side of her head. The affected area swelled significantly, and she f...
Dr. Zhang Junwei Reply:
Obvious concussion symptoms typically improve within one to two weeks, and generally, there are rarely any long-term sequelae.[Read More] Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Understanding Coccyx Pain: Causes, Symptoms, and When to Seek Help
Pain below the coccyx? There is pain when pressing on the area below the coccyx, and sitting also causes pain, while lying down or standing feels more comfortable. There was no external impact or injury, and I have been sitting for long periods. The pain has persisted for 3 days,...
Dr. Lai Zhaokang Reply:
Hello: If your pain has not worsened and is still bearable, rest and observe for two weeks. If there is no improvement, make an appointment with a specialist: neurosurgery, spine surgery, orthopedics, or rehabilitation medicine. If symptoms worsen and the pain becomes unbearable,...[Read More] Understanding Coccyx Pain: Causes, Symptoms, and When to Seek Help
Memory Loss After Car Accident: Which Specialist to Consult?
Memory loss on the day of the car accident? After the car accident, I completely forgot how the accident happened, as well as the moments when I was taken to the hospital and the details of the police report. It wasn't until a few hours later that I started to have some frag...
Dr. Zhao Shaoqing Reply:
Can see a neurosurgeon.[Read More] Memory Loss After Car Accident: Which Specialist to Consult?
Understanding Spinal Compression: When to See a Neurosurgeon or Rehab Specialist
Spinal compression Hello, doctor. My mother fell on her buttocks at the beginning of February and experienced incontinence and inability to move. After an X-ray in the emergency department, it was determined that she had a spinal compression and needed to rest. If her condition d...
Dr. Zhao Shaoqing Reply:
You can consult a neurologist for evaluation.[Read More] Understanding Spinal Compression: When to See a Neurosurgeon or Rehab Specialist
Head Injury After a Fall: When to Seek Medical Attention?
Head trauma Yesterday, I was practicing a handstand at home, but instead of balancing on my hands, I ended up hitting my head on the floor because my arms gave out. It hurt a lot when I fell, and afterward, I experienced a headache and some dizziness. During class, I also felt a ...
Dr. Zhao Shaoqing Reply:
It is more reassuring to be able to see a doctor in an outpatient setting.[Read More] Head Injury After a Fall: When to Seek Medical Attention?
Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Pituitary tumor or craniopharyngioma Hello Doctor, since June 2022, I have been experiencing blurred peripheral vision in my left eye. I underwent an examination at a major hospital's ophthalmology department, where the results indicated narrowed visual fields and visual fie...
Dr. Zhang Junwei Reply:
First, confirm whether the tumor is indeed compressing the optic nerve. If it is, even if the tumor is small, you can discuss with your physician the possibility of surgery.[Read More] Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Postoperative issues following brain tumor surgery? Hello, Director Zhang. Recently, a family member underwent surgery to remove three tumors near the occipital lobe and the vertex, with a preliminary diagnosis of metastatic lung cancer. Before the surgery, they experienced doubl...
Dr. Zhang Junwei Reply:
It's hard to say; it depends on the situation. We can only continue to monitor it.[Read More] Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Follow-up after a 3-year-old child falls and hits their head? A 3-year-old child (100 cm) fell and hit their head yesterday morning at 9 AM. There were no external injuries or swelling. The child cried for over an hour while clinging to their mother, but then returned to normal p...
Dr. Lai Zhaokang Reply:
Hello: The first 72 hours after a head injury are the most critical; as time passes, the risk decreases. If a child is alert, has normal vision, is active, and can eat and play without any specific complaints, they can be monitored further. However, if there is confusion, unstead...[Read More] Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Understanding Finger Numbness: Causes and When to Seek Help
Finger numbness issue? Hello, doctor. Following up on my previous question, I saw a neurologist who arranged for an MRI of my cervical spine due to suspected cervical issues. I went to the emergency room where the doctor only performed blood tests and said they couldn't hand...
Dr. Lai Zhaokang Reply:
Hello, the doctor suspects that you may have a cervical nerve condition. If your current symptoms have improved, then let's wait for the MRI report! Wishing you a speedy recovery. By Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Unexplained Finger Pain: Understanding Possible Causes and Solutions
Unexplained pain in the fingers occurring in different locations? Hello Doctor, I don't have any significant health issues, but I've been feeling quite tense and stressed lately. I've started to notice unexplained pain in my fingers that occurs in different locatio...
Dr. Lai Zhaokang Reply:
Hello, there are several possible reasons, but please do not speculate. I recommend that you see a doctor in person for a thorough evaluation. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Unexplained Finger Pain: Understanding Possible Causes and Solutions
Is Golf Safe for Patients with Lumbar Spondylolisthesis?
Spondylolisthesis Doctor, I would like to ask if it is suitable for me to play golf with my lumbar vertebrae 3, 4, and 5 having a slippage. Are there other exercises that are more appropriate for someone with lumbar spine issues? Thank you.
Dr. Lai Zhaokang Reply:
Hello: Lumbar spondylolisthesis may not necessarily present with symptoms. If you play golf and do not experience any lower back pain during the activity, it may not be necessary to refrain from it. Suitable exercises for the lumbar spine include stretching, pull-ups, swimming, a...[Read More] Is Golf Safe for Patients with Lumbar Spondylolisthesis?
Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Postoperative care for brain tumors? I would like to ask the doctor about my family member who fell ill in mid-March and was sent to the emergency room, where they were diagnosed with glioblastoma and intracranial hemorrhage. An emergency surgery was performed, with the first sta...
Dr. Zhang Junwei Reply:
The growth location of a brain tumor and the presence of bleeding can lead to significantly different clinical outcomes. Without detailed medical history and examination reports, it is not possible to provide an answer.[Read More] Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Understanding Left Facial Pain: Causes and Treatment Options
Pain on the left side of the face? Hello, doctor: I would like to ask about the pain in my zygomatic bone and mandible, which is sharp and worsens with pressure. I have taken anti-inflammatory medication, but it hasn't been effective. Why is it so painful, and what could be ...
Dr. Zhang Junwei Reply:
It is recommended to have a dental examination to check for any dental issues.[Read More] Understanding Left Facial Pain: Causes and Treatment Options
Understanding Dizziness and Head Pain: When to See a Specialist
Dizziness, head-related issues? Hello Doctor: My symptoms include dizziness, and when I stand up and walk, I experience pain and a feeling of lightheadedness in my head. I also find that I easily make mistakes when speaking or typing. I saw a doctor once, and the diagnosis was po...
Dr. Zhang Junwei Reply:
Otolaryngology[Read More] Understanding Dizziness and Head Pain: When to See a Specialist
Understanding Hand Numbness: When to Seek Urgent Medical Attention
Numbness in the hands? Hello doctor, on Wednesday I experienced a tingling sensation in my hands that felt like an electric shock. Now only the fingertips of both hands are numb, and when I wash my hands, it feels like I'm being shocked. Even touching things causes numbness....
Dr. Lai Zhaokang Reply:
Hello, general finger numbness may be related to peripheral circulation, peripheral nerves (such as the median nerve or ulnar nerve), cervical spine issues, or even brain conditions. It is essential for a physician to assess your symptoms comprehensively to make an initial diagno...[Read More] Understanding Hand Numbness: When to Seek Urgent Medical Attention
Understanding Right Shoulder and Neck Pain: Causes and Treatment Options
Right shoulder and neck pain? I would like to ask the doctor. I'm not sure if it's because I got water in my ear after showering a few days ago, but I kept shaking my head to the left, and the next day I felt pain at the junction of my right shoulder and neck, as if it ...
Dr. Lai Zhaokang Reply:
Hello: The initial assessment suggests a deep muscle fascia strain in the shoulder and neck area, leading to inflammation. It is also important to consider possible compression of the cervical nerves. It is recommended to wear a cervical collar at home, apply heat (switch to ice ...[Read More] Understanding Right Shoulder and Neck Pain: Causes and Treatment Options
Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Post-Concussion Syndrome Consultation Hello Dr. Zhao, I was hospitalized in the emergency department for 3 days due to a head injury 4 months ago (I was 19 years old at the time). I lost consciousness until I regained it after the ambulance arrived, and there were no seizures at ...
Dr. Zhao Shaoqing Reply:
Hello: After a brain injury, seizures may occur. It is recommended that patients maintain a regular and normal lifestyle to reduce the frequency of seizures. You have currently returned to a normal life and your postoperative condition is good. Many symptoms will improve, and mai...[Read More] Understanding Post-Concussion Syndrome: Risks and Recovery Insights