Understanding Anal Itching: Causes, Symptoms, and Health Implications
Anal itching? Hello, Director: I have recently been experiencing itching around the anus in the morning or evening. After having a bowel movement in the morning, there is a small amount of blood when I wipe, and sometimes I also experience discomfort. Could this affect my health,...
Dr. Cai Xingzhi reply Surgery
Dear Ms. Pei-Wen, Thank you for your message. Regarding the issue you raised, we recommend that you schedule an appointment at the surgical outpatient clinic, as a diagnosis can only be made after an evaluation by a physician. The Hualien Hospital of the Ministry of Health and ...[Read More] Understanding Anal Itching: Causes, Symptoms, and Health Implications
Understanding Unexplained Rectal Bleeding: Causes and Concerns
Frequent health issues? I would like to ask the doctor, recently (for about a month now) when I go to the bathroom, there is sometimes blood when I wipe my bottom. At first, I thought it was just because I had a bowel movement (I noticed it one morning and thought it was my perio...
Dr. Cai Xingzhi reply Surgery
Hello: Thank you for your message. Regarding the issue you mentioned, we recommend that you schedule an appointment at the surgical outpatient clinic for a proper diagnosis after a physician's examination. The Hualien Hospital of the Ministry of Health and Welfare cares abou...[Read More] Understanding Unexplained Rectal Bleeding: Causes and Concerns
Severe Pain and Bleeding During Bowel Movements: What to Know
Constipation for several days, with painful bowel movements and bleeding? Hello, doctor! I haven't had a bowel movement for the past 3 to 4 days, but today I finally felt the urge to go. During the bowel movement, I experienced severe pain in my anus, feeling as if the stool...
Dr. Cai Xingzhi reply Surgery
Hello Ms. Su: Regarding the issue you mentioned, it could possibly be an anal fissure or hemorrhoids. We recommend that you visit an outpatient clinic for further examination and have a physician evaluate the treatment options. The Hualien Hospital of the Ministry of Health and W...[Read More] Severe Pain and Bleeding During Bowel Movements: What to Know
Understanding Painful Bumps Near the Anus: Possible Causes and Solutions
There is a foreign object in the anus? Today, after having a bowel movement, I noticed a slight pain in my anus. It feels like there is something there, but it doesn't hurt all the time. While showering and cleaning my anus, I felt a bump that seems to be embedded in the tis...
Dr. Cai Xingzhi reply Surgery
Hello Mr. Jojo: Regarding the bump near your anus that resembles a pimple, it is important to have a professional examination to determine what it is. We recommend that you visit an outpatient clinic for further diagnosis. The Hualien Hospital of the Ministry of Health and Welfar...[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Solutions
Post-Operative Care Tips After Internal Hemorrhoid Ligation Surgery
Postoperative Care Instructions for Hemorrhoid Ligation Surgery Hello, doctor. I had a hemorrhoid ligation surgery on Tuesday night. The doctor said I need to have another ligation in two weeks. However, I had already scheduled a trip to the hot springs this Saturday. Is it safe ...
Dr. Cai Xingzhi reply Surgery
Hello Mr. Xiao Zhang: Regarding your inquiry, you can continue with your normal activities. Soaking in a hot spring has the same effect as taking a sitz bath. The Hualien Hospital of the Ministry of Health and Welfare cares about you.[Read More] Post-Operative Care Tips After Internal Hemorrhoid Ligation Surgery
Understanding Hernia Recurrence and Testicular Pain After Surgery
Hernia recurrence and testicular pain? Hello doctor, I previously had a hernia on the left side with one testicle larger than the other. I underwent surgery in June last year for "tension-free repair using autologous tissue." After the surgery, my left testicle has been...
Dr. Cai Xingzhi reply Surgery
Dear Mr. Hou: 1. If you still have a hernia with intestinal protrusion, please consult a nearby surgeon. 2. If there is a size discrepancy between the testicles, it may indicate a possible intestinal issue; please have a doctor evaluate the treatment options. The Hualien Hos...[Read More] Understanding Hernia Recurrence and Testicular Pain After Surgery
Understanding Stiffness and Mild Swelling Above the Left Thigh Joint
Stiffness and mild swelling above the lateral joint of the left thigh? Hello, Doctor: I have stiffness, soreness, and slight swelling above the joint on the outer side of my left thigh (about the distance of one palm). Recently, I experienced sudden, unbearable pain in my left ca...
Dr. Cai Xingzhi reply Surgery
Please visit the surgical or orthopedic outpatient clinic for consultation.[Read More] Understanding Stiffness and Mild Swelling Above the Left Thigh Joint
Understanding Rectal Bleeding: When to Seek Further Medical Evaluation
Blood in the stool? Hello doctor, I have been experiencing intermittent rectal bleeding for the past eight months, with about five to ten episodes of bleeding each month. During this time, I have seen three doctors, had two digital rectal examinations, and one colonoscopy. The do...
Dr. Cai Xingzhi reply Surgery
There are many causes of rectal bleeding. It is important to consult a colorectal surgeon for an accurate diagnosis to ensure appropriate treatment. The causes of blood in the stool include hemorrhoids, anal fissures, anal polyps, and colorectal cancer, among others.[Read More] Understanding Rectal Bleeding: When to Seek Further Medical Evaluation
Is It Hemorrhoids? Understanding Anal Pain and Symptoms
I'm not sure if I have developed hemorrhoids? On Friday, after using the restroom, I have been experiencing persistent pain and discomfort around my anus. The amount of stool passed was also less than usual. While taking a shower, I felt a small round lump in the area; press...
Dr. Cai Xingzhi reply Surgery
It is likely an acute episode of hemorrhoids; please consult a colorectal surgeon for an accurate diagnosis and treatment.[Read More] Is It Hemorrhoids? Understanding Anal Pain and Symptoms
Understanding Itchy Hemorrhoids: Causes and Solutions
Hemorrhoidal itching Hello Doctor: About a month ago, after returning from Japan, I experienced constipation. After a hard bowel movement, I developed an external hemorrhoid, which was initially very uncomfortable and painful. The doctor prescribed me a hemorrhoid ointment, which...
Dr. Cai Xingzhi reply Surgery
It is likely an internal hemorrhoid (not an external hemorrhoid). Please maintain proper hygiene after bowel movements according to hemorrhoid prevention and treatment methods. Since intestinal fluid may leak from the anus, causing itching, simply wash the anal area with soap aft...[Read More] Understanding Itchy Hemorrhoids: Causes and Solutions
Understanding Hard Lumps on Nipples in Teenage Girls: What to Do?
There is a lump in the nipple area? Hello, doctor: I have a 15-year-old female classmate who has a hard lump near her nipple. She started developing at the age of 13. If the lump is surgically removed, will it affect her future development? What would be the best way to handle th...
Dr. Cai Xingzhi reply Surgery
Please consult a breast surgeon instead of making your own diagnosis, which could lead to incorrect treatment. There are many causes for lumps, with breast cysts being the most common. Additionally, conditions such as fibroadenomas and lipomas should be evaluated by a breast surg...[Read More] Understanding Hard Lumps on Nipples in Teenage Girls: What to Do?
Understanding Congenital Nevus: Post-Surgery Care and Scar Management
About birthmarks? Hello Dr. Tsai, I have a black birthmark on my neck measuring approximately 6x3 cm², which has been present since birth. It seems to have grown larger as I developed and grew. Concerned about potential malignancy, I decided to consult a plastic surgeon. After d...
Dr. Cai Xingzhi reply Surgery
Do not use artificial skin; instead, try to use hypoallergenic breathable tape to cover the wound, as it promotes better healing. If there are any issues, please consult a plastic surgeon or a general surgeon for assistance.[Read More] Understanding Congenital Nevus: Post-Surgery Care and Scar Management
Understanding Inverted Nipples Without Discharge: Is It Cancer?
Inverted nipple without discharge? I have an inverted nipple with no discharge, and there is a bit of crusting on the areola. Could this be breast cancer?
Dr. Cai Xingzhi reply Surgery
Please consult a breast surgeon for an examination, and if necessary, undergo breast ultrasound, mammography, or even breast MRI to obtain an accurate diagnosis. If a tumor is present, a biopsy will be required for confirmation.[Read More] Understanding Inverted Nipples Without Discharge: Is It Cancer?
Managing a 7cm Spleen Cyst: Surgical Options and Alternatives
7 cm splenic cyst? Hello Dr. Tsai, my family member's recent health check-up report revealed a cyst on the spleen measuring 7 cm. We are currently discussing whether to proceed with a total splenectomy or a partial splenectomy, as there are also small cysts around the spleen...
Dr. Cai Xingzhi reply Surgery
For further details, please consult the surgical outpatient department. Thank you.[Read More] Managing a 7cm Spleen Cyst: Surgical Options and Alternatives
Understanding Soft Growths Near the Anus: Hemorrhoids or Rectal Tumors?
It only occurs when straining during bowel movements? I recently noticed a soft, fleshy lump near my anus that appears after using the bathroom, but it doesn't come out if I haven't gone. It doesn't hurt when I press on it, and there is no bleeding. However, since ...
Dr. Cai Xingzhi reply Surgery
Based on your description, it seems more like hemorrhoids. I recommend consulting a surgical outpatient clinic for further evaluation and examination.[Read More] Understanding Soft Growths Near the Anus: Hemorrhoids or Rectal Tumors?
Understanding Fibroadenomas: Surgery, Scars, and What to Expect
Breast fibroadenoma Recently, I went to Tzu Chi Hospital in Hualien for a breast examination. The doctor found that I have fibroadenomas in both breasts, measuring 1.8 cm on the left and 2.7 cm on the right. Since I hadn't had a check-up in a long time, I was very nervous th...
Dr. Cai Xingzhi reply Surgery
For more details, please consult the surgical outpatient clinic.[Read More] Understanding Fibroadenomas: Surgery, Scars, and What to Expect
Managing Hemorrhoids: Safety of Prolonged Use of Medications
Medication for furunculosis? Hello, doctor. Recently, I have been experiencing blood in my stool. I went to the hospital for an examination, and the doctor informed me that I have hemorrhoids, which are quite mild. I was prescribed Proctosedyl suppositories to use one each night ...
Dr. Cai Xingzhi reply Surgery
Use only when symptoms are present; continuous use is not necessary. For more details, please consult the surgical outpatient department.[Read More] Managing Hemorrhoids: Safety of Prolonged Use of Medications
Is It Hemorrhoids or Anal Fissures? Understanding Your Symptoms
Hemorrhoids or anal fissures? The last time I had a bowel movement, it was very urgent, and the stool was somewhat hard. After wiping, there was a little blood, and subsequent bowel movements have also been painful and accompanied by a bit of blood. Could this be hemorrhoids or a...
Dr. Cai Xingzhi reply Surgery
For more details, please consult the surgical outpatient department.[Read More] Is It Hemorrhoids or Anal Fissures? Understanding Your Symptoms
Understanding Breast Lumps and Pain: What Could It Mean?
Subcutaneous mass I have noticed that my breasts are uneven in size, and I have a lump (which feels hard) in my breast. I also experience sharp pain and discomfort in my breasts and lower abdomen before my menstrual period, but the pain subsides after my period ends. What could t...
Dr. Cai Xingzhi reply Surgery
For more details, please consult the surgical outpatient clinic.[Read More] Understanding Breast Lumps and Pain: What Could It Mean?
Understanding External Hemorrhoids: Symptoms and Treatment Options
It should be an external hemorrhoid? Three days ago, I developed a hard and painful lump near the right side of my anus. I bought an over-the-counter ointment for hemorrhoids and applied it. Today, the lump has burst, and there is pus and bleeding. What should I do?
Dr. Cai Xingzhi reply Surgery
It is recommended that you return to the surgical outpatient clinic, where the physician can personally assess your symptoms in order to provide you with the best treatment and diagnosis.[Read More] Understanding External Hemorrhoids: Symptoms and Treatment Options