Is It Normal to Have Blood-Streaked Discharge After Appendectomy?
Post-appendectomy Hello doctor, I would like to inquire if it is normal to suddenly expel a lot of discharge with blood streaks one week after laparoscopic appendectomy? Thank you.
Dr. Chen Jiaming reply Surgery
In general, abdominal organ surgeries (such as appendectomy) do not affect gynecological status; however, a small number of individuals may experience changes in their normal vaginal microbiota due to antibiotic use related to the illness. Additionally, some may experience menstr...[Read More] Is It Normal to Have Blood-Streaked Discharge After Appendectomy?
Experiencing Discomfort Around the Anus: When to See a Doctor?
There is a sensation of a foreign body in the anal area? The main issues are pain during bowel movements, pain while sitting, and occasional dull abdominal pain, but there is no bleeding. Should I see a doctor, or is it okay to wait for now since the pain is not severe?
Dr. Chen Jiaming reply Surgery
It is recommended to visit the colorectal surgery outpatient clinic for further evaluation and treatment.[Read More] Experiencing Discomfort Around the Anus: When to See a Doctor?
Understanding Complex Fibroadenomas: Pathology Insights and Growth Concerns
Complex fibroadenoma Dear Dr. Chen, Thank you very much for your response! I have two additional questions I would like to ask you: 1. The pathology report indicates a fibroadenoma, but why does the report also mention fibrocystic change with ductal, terminal ductal ectasia, ap...
Dr. Chen Jiaming reply Surgery
1. Most breast tumor biopsies are performed using core-needle biopsy, which involves multiple sampling. In addition to the tumor itself, surrounding normal tissue is often also sampled. The article discusses common pathological changes and descriptions of the surrounding breast t...[Read More] Understanding Complex Fibroadenomas: Pathology Insights and Growth Concerns
Understanding Fine Needle Aspiration Results: Next Steps for Cyst Management
Fine Needle Aspiration Biopsy (FNAB) Hello Dr. Chen, I have a cyst (it appears as an oval, dark structure on the ultrasound). I feel that it has been growing, so I asked the doctor to aspirate it. The result was "Breast, aspiration, atypia. Sample adequate for interpretation...
Dr. Chen Jiaming reply Surgery
Simple cystic lesions are generally aspirated only for decompression to alleviate symptoms, and further cytological examination often lacks practical clinical significance. Only in the case of complex cysts is aspiration followed by pathological cytological examination recommende...[Read More] Understanding Fine Needle Aspiration Results: Next Steps for Cyst Management
Understanding Complex Fibroadenoma: Concerns and Pathology Insights
Complex fibroadenoma Hello Dr. Chen: This is my pathology report from a biopsy taken two years ago. Could you please confirm if this tumor is a complex fibroadenoma? I am concerned about the possibility of it becoming malignant, especially since it has increased in size from 0.6 ...
Dr. Chen Jiaming reply Surgery
This pathology report describes a typical fibroadenoma of the breast, which is a common benign breast tumor. Since the tissue characteristics have been confirmed through biopsy, there is no possibility of cancerous changes, and the only concern is whether it will continue to grow...[Read More] Understanding Complex Fibroadenoma: Concerns and Pathology Insights
Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Rectal bleeding I have been experiencing constipation issues for a long time, and in the past few months, I have felt a sharp pain when using the restroom. Although it doesn't happen every time, there are occasions when I notice fresh blood or blood streaks on the toilet pap...
Dr. Chen Jiaming reply Surgery
Due to your long-standing history of constipation, it is possible that the cause of your rectal bleeding is hemorrhoids. It is recommended that you see a colorectal surgeon for further evaluation to confirm the diagnosis and determine appropriate treatment.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Managing Intestinal Perforation After Liver Ablation Therapy: What to Know
What to do if liver ablation treatment leads to intestinal perforation? Hello, Doctor. My father is 74 years old and has liver cancer. After the Lunar New Year this year, he underwent "radiofrequency ablation therapy" for his liver. He had previously undergone the same ...
Dr. Chen Jiaming reply Surgery
The occurrence of intestinal perforation due to ablative treatment for liver tumors is not very common, but it is indeed a potential complication associated with this treatment method. During the process of ablating the liver tumor, heat is generated, and the peristaltic movement...[Read More] Managing Intestinal Perforation After Liver Ablation Therapy: What to Know
Post-Operative Symptoms After Umbilical Hernia Surgery: What to Expect
Symptoms after umbilical hernia surgery? Hello, doctor. I have some questions to ask you. I underwent umbilical hernia surgery due to a 0.6 mm wide hernia (with no small intestine involved). It has been five days since the surgery. The surgeon who performed the operation used a m...
Dr. Chen Jiaming reply Surgery
Based on your description, "making an incision below the navel and then performing a repair using laparoscopy" refers to a minimally invasive laparoscopic repair method. It is normal for the intestines to move within the abdominal cavity according to body posture. Howev...[Read More] Post-Operative Symptoms After Umbilical Hernia Surgery: What to Expect
Post-Appendectomy Fever: When to Seek Medical Attention
Post-appendectomy, the patient experiences fever? Hello Doctor, I underwent laparoscopic appendectomy on April 26 and was discharged home on April 30. Since my discharge, I have experienced mild tenderness and discomfort in the right lower abdomen, and I have been taking Acetamin...
Dr. Chen Jiaming reply Surgery
Based on your description, I would recommend that you return to the original surgical hospital for further evaluation. Arrange for blood tests to confirm whether there is a common postoperative complication of appendicitis, such as an intra-abdominal abscess. If the blood tests s...[Read More] Post-Appendectomy Fever: When to Seek Medical Attention
Understanding Postpartum Abdominal Issues: Symptoms and Specialist Guidance
Abdominal issues? Six months postpartum, I recently discovered a hard lump about 1 to 2 fingerbreadths above my navel that pulsates like a heartbeat and is painful when pressed. It also hurts when I hold my baby, and I have suddenly lost 4 kilograms. Sometimes I have a decreased ...
Dr. Chen Jiaming reply Surgery
It is recommended to first visit a general surgeon for a physical examination to further confirm the condition of the lesion, after which additional tests can be arranged.[Read More] Understanding Postpartum Abdominal Issues: Symptoms and Specialist Guidance
Understanding Fibroadenomas and Cysts: What to Expect from Breast Ultrasound
Breast ultrasound/cyst Hello, I would like to ask about the breast ultrasound I had last October, which showed a fibrocystic lesion and a fibroadenoma on each side, both less than 0.5 cm. After six months of follow-up, the right side remains the same, while nothing was found on t...
Dr. Chen Jiaming reply Surgery
Fibroadenoma is a solid tumor, while a fibrocyst is a cystic formation. Although both are influenced by hormones (such as the menstrual cycle), cysts tend to appear and disappear intermittently. In contrast, fibroadenomas are generally stable or may grow larger until they gradual...[Read More] Understanding Fibroadenomas and Cysts: What to Expect from Breast Ultrasound
Understanding Leg Contusions: Recovery Time and When to Seek Help
Leg contusion? I would like to ask the doctor about an incident that occurred two weeks ago when I was hit by a car on my calf. At that time, there was significant swelling, forming a lump approximately 5 cm in diameter and over 1 cm high, without any open wounds. There was only ...
Dr. Chen Jiaming reply Surgery
The image cannot be read (blocked by antivirus software), but clinically, it is mostly a hematoma. The resolution time generally depends on the original size; if there is slight reduction after two weeks, there is no need to worry too much, indicating that it is being absorbed sl...[Read More] Understanding Leg Contusions: Recovery Time and When to Seek Help
Understanding Colonoscopy Biopsies: Cancer Diagnosis or Further Evaluation?
Colonoscopy After a colonoscopy, if a biopsy was performed, it is to determine whether the tissue is cancerous or to further confirm if it is benign or malignant.
Dr. Chen Jiaming reply Surgery
Colonoscopy biopsy is primarily performed to obtain samples from lesions for pathological examination, in order to confirm whether the lesions are benign or malignant.[Read More] Understanding Colonoscopy Biopsies: Cancer Diagnosis or Further Evaluation?
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming reply Surgery
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Returning to Work After Appendicitis and Peritonitis Surgery: What You Need to Know
1. Acute appendicitis with appendiceal rupture 2. Peritonitis Regarding the symptoms mentioned: 1. Acute appendicitis with rupture, 2. Peritonitis. The doctor stated that after surgery, you can return to work but should avoid lifting heavy objects. Can you return to work after di...
Dr. Chen Jiaming reply Surgery
The severity of appendicitis varies among patients, and the operating surgeon is most familiar with the condition. Currently, most appendectomies are performed laparoscopically (minimally invasive). If the patient has a desk job that does not require physical labor, they can inde...[Read More] Returning to Work After Appendicitis and Peritonitis Surgery: What You Need to Know
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming reply Surgery
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery
Postoperative care for anal abscess? 1. Symptoms: Today, I sought medical attention due to swelling and sharp pain at the six o'clock position of the anus. The doctor used a syringe to aspirate the contents, which contained some pus and blood (mostly blood), and diagnosed me...
Dr. Chen Jiaming reply Surgery
It is possible to recover from this infection; however, if it is caused by a fistula, there is a higher likelihood of recurrence. Therefore, if similar symptoms occur in the future, it is essential to seek treatment as soon as possible.[Read More] Post-Surgery Care for Anal Abscess: Managing Symptoms and Recovery
Understanding Unlocalized Pain in the Outer Breast Area: Causes and Solutions
Pain on the outer side of the breast, with no specific tender point upon palpation? Hello Doctor, since last Tuesday evening, I have been experiencing some pain whenever I press on the outer side of my right breast, extending to the area connected to my armpit, including the ster...
Dr. Chen Jiaming reply Surgery
Based solely on your description, it is possible that there is compression of the underlying pectoralis major muscle. It may be helpful to consider whether you have recently engaged in activities that require significant upper limb strength. If you are still concerned, it is advi...[Read More] Understanding Unlocalized Pain in the Outer Breast Area: Causes and Solutions
Understanding Red Spots in Stool: Blood or Food Residue?
Bowel issues Could some red spots be considered blood in the stool, or is it more likely to be food residue or a small amount of red from toilet paper?
Dr. Chen Jiaming reply Surgery
It is not possible to make a clinical judgment based on your description; it is advisable to seek further evaluation from a gastroenterologist or a colorectal surgeon.[Read More] Understanding Red Spots in Stool: Blood or Food Residue?
Understanding Breast Nodules: Follow-Up and Evaluation Guidelines
Breast nodule Hello Doctor, here are the recent two breast ultrasound reports: 112/08/10 Clinical history: for health examination. Sonography of the breasts was performed. The result showed: Normal echotexture of bilateral breasts with normal glandular tissue and fat. Hypoecho...
Dr. Chen Jiaming reply Surgery
Some breast specialists consider the presence of blood flow measured within or around a mass as an abnormal sign (although most benign tumors also have internal blood supply). This may be why your examining physician regarded these nodules as suspicious (category 4a). For categor...[Read More] Understanding Breast Nodules: Follow-Up and Evaluation Guidelines