Understanding Cauliflower Warts: Causes, Transmission, and Treatment
Cauliflower may occur due to a weakened immune system? I occasionally notice an increase in vaginal discharge. About two years ago, I felt some small bumps at the vaginal opening, which I thought were normal for every woman, so I didn't pay much attention to them. However, l...
Dr. Cai Xingzhi reply Surgery
Hello, for this issue, it would be best to consult a urologist or an obstetrician-gynecologist for advice.[Read More] Understanding Cauliflower Warts: Causes, Transmission, and Treatment
Understanding Fistula Surgery: Key Questions and Concerns
Fistula surgery issues Hello: 1. I have a spherical mass approximately 2 cm in diameter located about 3-4 cm inside my rectum on the right side of the mucosa, which suddenly appeared after traveling to Korea two years ago. It feels somewhat firm like muscle but not hard when pr...
Dr. Cai Xingzhi reply Surgery
Hello, if an anal fistula traverses the entire anal sphincter, it is necessary to perform a staged division of the sphincter to prevent anal incontinence. Generally, long-term hospitalization is not required; regular outpatient follow-ups for suture management are sufficient. The...[Read More] Understanding Fistula Surgery: Key Questions and Concerns
Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan?
The HCPT (Harmonic Scalpel for Transanal Endoscopic Microsurgery) procedure for treating anal fistulas? I apologize, but I would like to ask a follow-up question regarding the HCPT minimally invasive surgery for anal fistulas. Is it commonly performed in medical centers in Taiwan...
Dr. Cai Xingzhi reply Surgery
Hello, regarding fistula surgery, different hospitals have various approaches. Currently, major hospitals offer various minimally invasive surgeries that primarily benefit patients by minimizing wound size and promoting faster recovery, unlike traditional surgeries which tend to ...[Read More] Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan?
Managing Post-Procedure Bleeding After Rubber Band Ligation for Internal Hemorrhoids
Management of Internal Hemorrhoids Hello Doctor, I underwent rubber band ligation for internal hemorrhoids two days ago. My stools have not been hard, but I have noticed a bit more bleeding than before the procedure. The doctor advised me to apply the ointment externally and to i...
Dr. Cai Xingzhi reply Surgery
Hello: Regarding what you mentioned, it is normal to experience slight bleeding after a vasectomy, which may be due to the shedding of scabs or bleeding from any remaining unligated vessels or other causes. The physician should schedule a follow-up appointment, so please make sur...[Read More] Managing Post-Procedure Bleeding After Rubber Band Ligation for Internal Hemorrhoids
Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Having hemorrhoids with blood in the stool? 1. I have had hemorrhoids since childhood, and I started noticing blood in my stool around high school. A few days ago, I even wiped away a blood clot. Today, my stool is not hard, and there is no pain in my anus, but I still wiped away...
Dr. Cai Xingzhi reply Surgery
Hello: For a 23-year-old like Xiao Jie, rectal bleeding is more commonly associated with conditions such as hemorrhoids and anal fissures, while the likelihood of colorectal cancer is relatively low. Given that he has had hemorrhoids since childhood, the cause of the bleeding may...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Colon Cancer?
Effective Solutions for Skin Tags After External Mole Removal
The external mole has diminished, but there is excess skin? **Question:** Asker: Wayne / Male / 20 I am currently 20 years old. When I was in middle school, I had a mole that eventually healed. In my second year of college, I accidentally developed another one. I have taken &...
Dr. Cai Xingzhi reply Surgery
Hello: Ultrasonic surgical knives are quite common, and most medium to large hospitals have them. Pain typically lasts for about 3-4 days, and medication can be used to alleviate discomfort. Undergoing this surgery will not affect work or school attendance.[Read More] Effective Solutions for Skin Tags After External Mole Removal
Dealing with Skin Tags After External Mole Removal: Solutions and Recovery
The external mole has diminished, but there is excess skin? I am currently 20 years old. When I was in middle school, I had a mole that eventually healed. In my sophomore year of college, I accidentally developed another one. I have been taking a mole removal pill and applying &q...
Dr. Cai Xingzhi reply Surgery
Hello Wayne: The removal of external moles is very simple and takes only 3-5 minutes. It can be done under local anesthesia, and currently, ultrasound is used for cutting, which minimizes bleeding. The wound is then simply sutured. For internal moles, most can be treated using li...[Read More] Dealing with Skin Tags After External Mole Removal: Solutions and Recovery
Should You Get a Rabies Vaccine After a Dog Bite in Taiwan?
Is it necessary to receive a rabies vaccine after being bitten by a dog? Dear Dr. Tsai, I would like to consult you regarding a dog bite incident that occurred recently in Hualien, where I was bitten by a neighbor's dog (it has been two days). I have already received a teta...
Dr. Cai Xingzhi reply Surgery
Dear Miss Linda, In Taiwan, rabies is not considered an endemic area, and there have been no cases of rabies for several decades. Although there were two reported fatalities this year, both were due to bites from stray dogs from abroad. The incubation period for rabies typically...[Read More] Should You Get a Rabies Vaccine After a Dog Bite in Taiwan?
Understanding Neck Lumps: When to Seek Medical Advice for Lipomas
There are lumps growing on the neck? I have a friend who has developed lumps on her neck that resemble lipomas. Several years ago, a doctor at National Taiwan University Hospital mentioned that even if surgery were performed, the likelihood of recurrence would be high. Over the p...
Dr. Cai Xingzhi reply Surgery
If a neck lipoma presents symptoms, surgical removal is an option. The difficulty of the surgery is present but not overly challenging; it can typically be performed under local anesthesia and is unlikely to result in serious complications.[Read More] Understanding Neck Lumps: When to Seek Medical Advice for Lipomas
Should You Consider Surgery for Abdominal Lipomas?
What should be done about a long tumor in the abdominal cavity? I have a tumor in my abdominal cavity, and the doctor told me it is a lipoma. Should I consider surgery?
Dr. Cai Xingzhi reply Surgery
If a lipoma on the abdominal wall presents with pain symptoms, surgical excision is indicated, which can be performed under local anesthesia as a minor procedure. If there are no symptoms, it can be left untreated. However, it may continue to grow. For tumors located within the a...[Read More] Should You Consider Surgery for Abdominal Lipomas?
Understanding Breast Ultrasound Reports: Key Insights and Follow-Up
Breast Ultrasound Report Is follow-up needed for the breast ultrasound report? Normal echogenicity of bilateral breast glandular tissue. Bilateral breast cysts noted, ranging from approximately 0.5 to 1.8 cm in size, with the largest located in the right breast at the 2 o'cl...
Dr. Cai Xingzhi reply Surgery
The patient has a history of breast cysts, which are generally benign lesions. The main symptom is breast tenderness before and after menstruation, which can be alleviated with analgesics. However, self-examinations should be performed regularly. Special attention should be given...[Read More] Understanding Breast Ultrasound Reports: Key Insights and Follow-Up
Which Specialist Should I See for My Left Back and Arm Numbness?
excuse me? I apologize for the inconvenience, but I'm unsure which outpatient department I should visit. Please assist me, thank you. For the past two months, I have been experiencing a tingling sensation in my left back (approximately in the area where the left arm rotates ...
Dr. Cai Xingzhi reply Surgery
Hello: 1. If you are experiencing numbness in the back of your left hand due to extending your left arm during shoulder movements, it may be caused by nerve compression, leading to abnormal sensations of tingling and numbness. In this case, please consult a neurologist or a neuro...[Read More] Which Specialist Should I See for My Left Back and Arm Numbness?