Understanding External Anal Masses: When to Seek Medical Attention
Perianal mass There is a small lump outside the anus that is painful when pressure is applied. Should I seek medical attention, or are there other methods to manage this?
Dr. Chen Jiaming reply Surgery
To inquire about treatment options, a diagnosis is required first. Simply describing your symptoms does not allow for a diagnosis or speculation. Since you are already experiencing pain, it would be best to consult a colorectal (proctology) specialist for further evaluation and t...[Read More] Understanding External Anal Masses: When to Seek Medical Attention
Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help
Abdominal pain and lower body soreness? Initially, the symptoms were only pain in the uterus, and after three days, I went to the gynecology department for an ultrasound, which showed no significant issues. It was suggested that it might be due to a delayed menstrual period. Afte...
Dr. Chen Jiaming reply Surgery
Many young women experience pelvic discomfort or cramping before their menstrual period, which is known as dysmenorrhea and is not considered a disease. If the symptoms are difficult to tolerate, taking acetaminophen (Tylenol) for a day or two can provide temporary relief. As for...[Read More] Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help
Understanding Nipple Pain: Causes and When to Seek Help
Nipple pain Hello, doctor. I've been experiencing a tingling sensation at the junction of both nipples and areolas for the past couple of days. The pain is not very pronounced when pressed, and the tingling area is a dark red color, which is different from the surrounding br...
Dr. Chen Jiaming reply Surgery
Based solely on your description, a clinical judgment cannot be made. It is still necessary to visit a physician for a consultation, physical examination, and ultrasound examination in order to diagnose and rule out any conditions.[Read More] Understanding Nipple Pain: Causes and When to Seek Help
Post-Appendectomy: Is Blood in Stool a Common Concern?
Is it common to experience blood in the stool after appendectomy? Hello, doctor. I was discharged on March 18, and during a bowel movement at the hospital, I noticed a small amount of blood clots (due to nervousness, I didn't have much stool), so I didn't think much of ...
Dr. Chen Jiaming reply Surgery
There is a possibility, as the appendiceal tissue is part of the colon. During surgical resection, there may be some oozing of blood from the end near the colon, but usually, the amount is minimal, and it is rare to hear of patients experiencing this condition. Therefore, your sy...[Read More] Post-Appendectomy: Is Blood in Stool a Common Concern?
Understanding Diarrhea with Blood: When to Seek Medical Help
I would like to inquire about my gastrointestinal condition, experiencing diarrhea with blood? In the past two weeks, due to weight loss, I have been eating lighter foods (boiled chicken breast, fish, boiled eggs, cabbage, a little chili, and grapes). However, I have noticed that...
Dr. Chen Jiaming reply Surgery
Due to persistent diarrhea, the intestinal mucosa experiences excessive friction and damage, leading to a bleeding condition. If this continues, it may allow previously symbiotic bacterial strains to penetrate through the damaged mucosa and attack the body, resulting in condition...[Read More] Understanding Diarrhea with Blood: When to Seek Medical Help
Is Yellow Discharge from My Knee Injury Normal?
Knee wound Doctor, I have a scrape on my knee from riding a bike while plowing (it hasn't been a week yet). I've been using adhesive bandages (and changing them) for the past few days. I just noticed that the wound has a yellow, sticky substance. Is this normal? Thank y...
Dr. Chen Jiaming reply Surgery
Due to the traumatic nature of the wound, there is a higher risk of bacterial infection. The presence of discharge can indeed be a sign of infection.[Read More] Is Yellow Discharge from My Knee Injury Normal?
Improving Pellet-Like Stool: Tips for Better Bowel Health
Granular stool Hello, due to my constitution, I have often experienced my stools being pellet-like since childhood. Recently, my bowel movements started as pellet-like but then transitioned to normal, elongated stools. I previously had issues with internal hemorrhoids, which are ...
Dr. Chen Jiaming reply Surgery
Bowel habits vary from person to person, and there is no single method to achieve "ideal bowel movements." Generally, the frequency of bowel movements is positively correlated with the total intake of high-fiber fruits and vegetables. If a large amount of high-fiber fru...[Read More] Improving Pellet-Like Stool: Tips for Better Bowel Health
Post-Laparoscopic Appendectomy: Understanding Pain After 5 Weeks
Persistent pain five weeks after laparoscopic surgery? Hello, doctor. I would like to ask about my condition. I had laparoscopic surgery for appendicitis five weeks ago. In the fourth week, I occasionally experienced sharp pain in my abdomen. Three days ago, I started feeling pai...
Dr. Chen Jiaming reply Surgery
Scar tissue from postoperative wounds can disrupt local nerves and alter sensory responses due to the incision. As a result, it is common to experience sharp pain during changes in weather. Generally, diet does not have an impact on this type of pain. Typically, touching the area...[Read More] Post-Laparoscopic Appendectomy: Understanding Pain After 5 Weeks
Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide
Regarding total splenectomy and partial pancreatic resection (30-40%) surgical issues? I am a 24-year-old male, non-smoker and non-drinker. My father has a history of diabetes. In October, I was diagnosed with a large cyst (approximately 13x10 cm) located between my spleen and pa...
Dr. Chen Jiaming reply Surgery
1. For emergency splenectomy, it is recommended to administer vaccinations two weeks post-surgery; for elective surgeries (scheduled), it is advised to administer vaccinations two weeks prior to the procedure. 2. The following individual vaccines are recommended: (a) Strep...[Read More] Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide
Understanding Breast Cysts During Lactation: Causes and Resolution
Mammary cyst during lactation Hello, last year, less than a month postpartum, I had a breast ultrasound due to discomfort from engorgement. The doctor mentioned that there were two cysts, each less than one centimeter. The doctor said to wait and see if they would resolve after I...
Dr. Chen Jiaming reply Surgery
During the breastfeeding period, the breast tissue secretes milk from the peripheral lobules, which is then transported through the ducts to the nipple. If these ducts become completely obstructed, it can lead to mastitis (swelling and pain). Occasionally, small cysts may appear ...[Read More] Understanding Breast Cysts During Lactation: Causes and Resolution
Understanding Lower Abdominal Pain: When to Seek Medical Attention
Sharp pain in the lower abdomen? Hello Doctor, I have been experiencing intermittent sharp pain in my lower abdomen that feels like it's coming from inside, but it doesn't hurt when I press on it. I would like to ask: 1. Is this situation indicative of appendicitis? 2. ...
Dr. Chen Jiaming reply Surgery
Online consultations based solely on text cannot provide a clinical diagnosis (a physician needs to conduct an actual examination and physical assessment), and they do not meet the timeliness required for disease treatment. If there are any concerns regarding a diagnosis, please ...[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Attention
Understanding Post-Surgery Indentations After Inguinal Hernia Repair
After hernia surgery, the surgical site may appear sunken when sitting? Hello Doctor: I underwent traditional left inguinal hernia surgery (with a self-funded mesh implant) on the 24th of last month. For the first ten days, the wound site was normal, and the stitches were almost ...
Dr. Chen Jiaming reply Surgery
In traditional hernia surgery, after making an incision in the skin, the subcutaneous fat layer is separated, and the external oblique fascia is opened to reach the location of the common hernia sac. In patients with a thicker subcutaneous fat layer or larger original hernia sacs...[Read More] Understanding Post-Surgery Indentations After Inguinal Hernia Repair
Sand Trapped Between Nail and Skin: Should You Worry?
Sand trapped between the nail and the skin? Hello, I recently went to the beach and while washing my feet, I noticed that there was sand trapped between the flesh and the nail of my right big toe. I couldn't rinse it out with water, and since it's lodged deep, I can...
Dr. Chen Jiaming reply Surgery
If there are no signs of infection, medical treatment is currently not necessary. Observation is recommended, and it is advised not to forcibly remove it yourself to avoid creating a wound that could lead to infection.[Read More] Sand Trapped Between Nail and Skin: Should You Worry?
Can You Skip Mammograms During Free Health Checks for Implants?
How to perform a health check for breast implants? Due to congenital developmental issues, I underwent saline breast implant surgery 20 years ago. Now, in my 40s, I want to get a free health check-up, but I hesitate because one of the tests is a mammogram. I would like to ask the...
Dr. Chen Jiaming reply Surgery
The "free adult health check" program provided by the National Health Service includes screenings for individuals aged 40-64 every three years, but it does not include mammography. Some hospitals may combine "free cancer screening mammography" with this progra...[Read More] Can You Skip Mammograms During Free Health Checks for Implants?
Understanding Post-Surgery Nipple Pain and Complications
Nipple issues Hello Doctor, I underwent nipple inversion reconstruction surgery at the beginning of January. However, about three months post-surgery, I started experiencing pain around the nipple area along with a hard lump. During my follow-up visit, the doctor mentioned it mig...
Dr. Chen Jiaming reply Surgery
The nipple is the convergence point of the milk ducts. Surgical procedures may disrupt the original ductal system, potentially leading to obstruction at the outlet, especially if the nipple was previously inverted. This can cause retention of secretions in the milk ducts beneath ...[Read More] Understanding Post-Surgery Nipple Pain and Complications
Understanding Post-Hernia Surgery: Addressing Pain and Swelling
Post-Hernia Surgery Hello doctor, it has been two months since my hernia surgery, and I still have some swelling and pain. Could this be a seroma? How should it be treated? Thank you.
Dr. Chen Jiaming reply Surgery
Simply describing a "slightly swollen" state does not allow for confirmation of whether it falls within the reasonable range post-surgery. Generally, after hernia surgery, each layer of subcutaneous tissue that is opened must be repaired and sutured, which often leads t...[Read More] Understanding Post-Hernia Surgery: Addressing Pain and Swelling
Understanding Abdominal Lumps: Diagnosis, Treatment, and Follow-Up Care
Follow-up observation for abdominal mass? On the left side of the abdomen (above the navel, directly below the right chest), a hard lump approximately 1 cm in size has appeared over the past month. It is not painful or itchy, has normal skin color, and does not hurt when pressed;...
Dr. Chen Jiaming reply Surgery
1. If it is a simple skin infection (which is rare), applying an antibiotic ointment may improve the condition. If it is a sebaceous cyst, monitor for any signs of redness, swelling, heat, or pain; if these symptoms occur, seek medical attention immediately. 2. Please observe for...[Read More] Understanding Abdominal Lumps: Diagnosis, Treatment, and Follow-Up Care
Post-Surgery Recovery Tips for Nail Removal: What to Expect
Post-operative recovery after nail avulsion? Hello, doctor! I visited the hospital on July 2nd and was diagnosed with a ingrown toenail. On that day, 1/4 of the nail was removed. The next day, I returned for a follow-up, and the wound looked normal. However, the following day, th...
Dr. Chen Jiaming reply Surgery
If there are any concerns about changes in the wound, please seek medical attention for confirmation and consultation, as it is difficult to provide guidance through online consultation.[Read More] Post-Surgery Recovery Tips for Nail Removal: What to Expect
Understanding Post-Surgery Nipple Pain and Complications
Nipple issues Hello doctor, I underwent nipple inversion reconstruction surgery at the beginning of January. However, about three months post-surgery, I started experiencing pain around the nipple area along with a hard lump. During my follow-up visit, the doctor mentioned it mig...
Dr. Chen Jiaming reply Surgery
The nipple is the convergence point of the mammary ducts, and surgical procedures may disrupt the original ductal system (pre-existing retraction may lead to duct obstruction), resulting in the retention of secretions in the mammary ducts beneath the nipple, causing a sensation o...[Read More] Understanding Post-Surgery Nipple Pain and Complications
How to Manage Bleeding from Injection Sites After Blood Draws
The injection site is bleeding again? Hello, I had blood drawn in the morning and the injection site started bleeding again in the afternoon. Should I apply pressure with an alcohol swab? How should I handle this? Thank you.
Dr. Chen Jiaming reply Surgery
Reapply pressure to stop the bleeding.[Read More] How to Manage Bleeding from Injection Sites After Blood Draws