Understanding Breast Lumps: What You Need to Know at 24
Breast lump Hello Doctor: I am 24 years old and have felt a movable lump to the left of my right nipple. It is not painful, and I can hardly feel it when I raise my arm or lie down, but I can feel it when my arm is down. What could this be? If it were breast cancer, would a hard ...
Dr. Chen Jiaming reply Surgery
Breast lumps cannot be accurately assessed through online consultations; a physical examination by a breast specialist (primarily using ultrasound) is necessary for a definitive diagnosis and clinical recommendations. In younger women, common conditions include fibroadenomas and ...[Read More] Understanding Breast Lumps: What You Need to Know at 24
Understanding Rectal Bleeding and Blood Clots: Causes and Solutions
Blood in stool with clots? Hello doctor, I occasionally notice blood in my stool, and I experience mild constipation with dry stools, having a bowel movement every 2-3 days. Before my menstrual period, the constipation worsens, and I may go 4-5 days without a bowel movement. The ...
Dr. Chen Jiaming reply Surgery
Your issue arises from constipation, which leads to harder stools that cause friction against the internal hemorrhoids (resulting from long-term constipation) and subsequently results in bleeding. The solution is to "soften the stool" to reduce friction, allowing the mu...[Read More] Understanding Rectal Bleeding and Blood Clots: Causes and Solutions
Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help
Melena or hematochezia On the evening of April 29th, I suddenly experienced pain in my anus while having a bowel movement, and upon inspection, I noticed blood. The stool was hard, and I thought it was just an anal fissure. On the morning of May 3rd, after having lunch that inclu...
Dr. Chen Jiaming reply Surgery
Based on your description and age, it is most likely that you have an internal hemorrhoid that has been irritated and caused bleeding due to friction from hard stools. It is recommended to increase your daily water intake by about 1000-1500 milliliters to help soften your stools,...[Read More] Understanding Rectal Bleeding: Symptoms, Causes, and When to Seek Help
Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
I don't know what's wrong with me? Hello Doctor, two months ago I experienced discomfort in my body (my heart sometimes races and beats irregularly, I have difficulty breathing, occasional diarrhea, occasional constipation, and a feeling of abdominal bloating. Sometimes...
Dr. Chen Jiaming reply Surgery
You have described too many nonspecific symptoms, making it difficult to provide a clear direction for diagnosis and treatment (it's not just a single organ issue). However, "staying up late" itself can lead to various systemic disorders and changes in constitution...[Read More] Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
Potential Risks of a Safety Pin Puncture: Tetanus and Wound Care
The toe was punctured by a safety pin? If your toe was pricked by a safety pin, there are a few considerations to keep in mind. While the risk of tetanus infection is generally low if the pin is not rusty and the wound is minor, it is still important to monitor the wound for any ...
Dr. Chen Jiaming reply Surgery
Clostridium tetani, classified as an "anaerobic bacterium," typically enters the human body through "puncture wounds" contaminated by soil, dust, or animal and human feces. It can also be introduced through lacerations, burns, and general wounds, or even throu...[Read More] Potential Risks of a Safety Pin Puncture: Tetanus and Wound Care
Post-Appendectomy: Understanding Intercostal Nerve Pain in New Moms
Can appendicitis surgery cause intercostal neuralgia? Hello, doctor. I am a new mother, and it has been over eight months since I gave birth. The day after I completed my postpartum confinement, I underwent surgery for appendicitis. Since the surgery, I have been experiencing pai...
Dr. Chen Jiaming reply Surgery
Generally, laparoscopic surgery in the lower abdomen is unlikely to cause persistent pain (especially in the bilateral ribs). You might want to reconsider the changes in daily postures and body mechanics related to postpartum childcare, which could contribute to the fatigue sympt...[Read More] Post-Appendectomy: Understanding Intercostal Nerve Pain in New Moms
Do I Need a Tetanus Shot After a Cut from a Rusty Knife?
The hand has been cut? Hello doctor, I accidentally cut my hand with a rusty knife while working part-time, and it has a small laceration that is bleeding. I received a TDAP vaccine two weeks ago due to studying abroad. Do I need to get a tetanus shot again? Thank you.
Dr. Chen Jiaming reply Surgery
The Tdap vaccine is a combination vaccine that protects against tetanus, diphtheria, and acellular pertussis. The protection from the tetanus vaccine generally lasts for about 10 years after administration; however, in the case of dirty wounds, its effectiveness is approximately ...[Read More] Do I Need a Tetanus Shot After a Cut from a Rusty Knife?
Understanding Nipple Issues: Symptoms, Concerns, and Treatment Options
Nipple issues Hello, Doctor: Recently, I have experienced slight redness, swelling, and pain in my right nipple. What symptoms might this indicate? Is there a concern for cancer? What examinations or treatments would you recommend? Thank you! (Additionally, my child is currently ...
Dr. Chen Jiaming reply Surgery
There are many possible causes for nipple redness, swelling, and pain, with infections being the most common. It is advisable to visit a breast specialist for further examination. As for the persistence of milk secretion after pregnancy and breastfeeding, this is also considered ...[Read More] Understanding Nipple Issues: Symptoms, Concerns, and Treatment Options
Understanding Nipple Injuries: Impact of Intense Sexual Activity
Breast issues Thank you, Dr. Chen! I would like to ask again, could the 0.2*0.2 cm laceration in the center of the nipple be related to vigorous sucking during sexual activity, and should it be avoided?
Dr. Chen Jiaming reply Surgery
Nipple tissue often becomes firmer during sexual activity due to stimulation. Excessively vigorous sucking can indeed cause裂傷, a condition that is also commonly observed during the breastfeeding period in newborns.[Read More] Understanding Nipple Injuries: Impact of Intense Sexual Activity
Understanding Nipple Cracks: Causes and Concerns for Women
Breast issues Hello Dr. Chen: I am 35 years old, married, and have two children (both in elementary school). Recently, I experienced nipple pain the day after my menstrual period. I went to the hospital for an examination, and they found a 0.2 x 0.2 cm fissure in the center of my...
Dr. Chen Jiaming reply Surgery
It is not possible to deduce any potential causes solely from your brief description. However, considering that it occurred the day after your menstrual period, it is common to experience breast tenderness prior to menstruation. It is possible that a cyst beneath the nipple may h...[Read More] Understanding Nipple Cracks: Causes and Concerns for Women
Understanding Painful Bumps Between the Anus and Scrotum
There are bump-like lesions between the anus and the scrotum? Hello, doctor. I would like to inquire about a bump that has recently appeared in the area between my anus and scrotum. It resembles a pimple and causes slight pain, similar to the discomfort of acne on my face. This h...
Dr. Chen Jiaming reply Surgery
It could be a sebaceous cyst, which has a similar cause to acne. However, a proper diagnosis still requires examination by a physician. It is important to avoid infection, and if there is redness, swelling, or pain, you should seek medical attention immediately.[Read More] Understanding Painful Bumps Between the Anus and Scrotum
Understanding Hand Injuries from Basketball: When to Seek Treatment
Injury while playing sports? Hello doctor, after playing basketball, I often notice small red patches on my palms that look like bruises, but the skin is not broken. Is this considered an injury? Do I need to wrap it up or take any precautions to prevent infection?
Dr. Chen Jiaming reply Surgery
Based on your brief description of the situation, it does not appear to be a typical injury, so there is no need for bandaging.[Read More] Understanding Hand Injuries from Basketball: When to Seek Treatment
Should You Get a Tetanus Shot in Advance? Expert Advice on TDAP Vaccination
Questions about pre-vaccination? Hello, I am currently studying at a relatively remote school and I am concerned about not being able to find a hospital for a tetanus shot after riding my bike and potentially getting injured. Can I get a tetanus vaccine like TDAP in advance, or i...
Dr. Chen Jiaming reply Surgery
When an accident occurs and medical attention is needed, you can proceed with vaccinations based on the physician's assessment and recommendations at that time.[Read More] Should You Get a Tetanus Shot in Advance? Expert Advice on TDAP Vaccination
Concerns About Polyps and Tumors in My 11-Year-Old Daughter
A young girl has developed polyps/tumors in the rectum? My daughter is 11 years old and has had small fibromas/polyps in her nasal passages since she was about 2 years old, with 2 to 3 of them present, one of which is larger, approximately 1 cm in size. Several years ago, we had ...
Dr. Chen Jiaming reply Surgery
Skin tags, which are benign growths, generally do not require excessive concern if they do not continue to change or grow, causing cosmetic or other issues. Moreover, since the child is young, it is advisable to wait until she is older to make her own decision regarding surgical ...[Read More] Concerns About Polyps and Tumors in My 11-Year-Old Daughter
Scratched by a Rusty Hanger: Do I Need a Tetanus Shot?
Scratched by a metal hanger? Hello Doctor, I have a question for you. Today, I was scratched on the neck by a fallen rusty metal hanger that has no protective cover. After carefully checking for any wounds, I found only a red spot about the size of a red pen dot, which appears sl...
Dr. Chen Jiaming reply Surgery
1. This is a very minor bruise. 2. Theoretically, superficial bruises do not require concern for tetanus.[Read More] Scratched by a Rusty Hanger: Do I Need a Tetanus Shot?
Is It Safe After a Finger Injury from Wire? When to Seek Medical Attention
Finger injuries If a doctor accidentally pricked their finger with a wire during a practical session (with no visible injury on the finger), and they have cleaned the area with iodine and alcohol without experiencing any particular discomfort, it is generally reassuring. However,...
Dr. Chen Jiaming reply Surgery
Based on your description that "there are no obvious wounds on the appearance of the finger," if there are no other discomforts, there is no medical need.[Read More] Is It Safe After a Finger Injury from Wire? When to Seek Medical Attention
How to Assess Nail Injuries Without Blood: A Guide
Nail problems Hello, if the area where the nail connects to the flesh has been punctured, how can I determine if there is an injury? Currently, there is no bleeding.
Dr. Chen Jiaming reply Surgery
You can try disinfecting the inside with alcohol. If you experience a stinging sensation, it indicates that there may have been a puncture, and you should pay attention to subsequent wound care. If there is no stinging sensation, it is possible that no wound has occurred on the i...[Read More] How to Assess Nail Injuries Without Blood: A Guide
Understanding Tetanus: Risks and Precautions After Minor Injuries
Tetanus concerns? Hello doctor, I would like to ask under what circumstances one can get infected with tetanus. If there is no obvious wound, does that mean there is no risk? This morning, I bumped into a rusty railing that doesn't appear to have broken the skin, but it is r...
Dr. Chen Jiaming reply Surgery
Bruises caused by impact are generally not prone to tetanus infection. The tetanus bacillus belongs to the group of "anaerobic bacteria." Spores typically enter the human body through puncture wounds contaminated by soil, dust, or animal and human feces. They can also e...[Read More] Understanding Tetanus: Risks and Precautions After Minor Injuries
Understanding Breast Lumps: When to Seek Surgical Intervention
Breast lump Hello doctor, I have a hard lump about 2 to 3 centimeters on the right side of my chest that has been there for approximately three years. It doesn't hurt and doesn't move. I would like to know if this could be a lipoma or something else? Is surgery necessar...
Dr. Chen Jiaming reply Surgery
A breast lump requires an actual examination by a clinician or an ultrasound for further confirmation of its diagnosis; it cannot be solely inferred based on your description. As for whether surgery is necessary or if simple observation is sufficient, this will depend on the diag...[Read More] Understanding Breast Lumps: When to Seek Surgical Intervention
Post-Fistula Surgery: Recovery Concerns and Pain Management
Post-fistula surgery Hello Doctor, I underwent a fistula surgery on December 20, 2018, where the surgical method involved cutting the sphincter muscle. After the surgery, I noticed a piece of tissue around the anus that was cut and has sunken in. Around early February, I returned...
Dr. Chen Jiaming reply Surgery
1. Will gradually grow. 2. Normal. 3. If it does not provoke pain, you can gradually start exercising.[Read More] Post-Fistula Surgery: Recovery Concerns and Pain Management