Post-Cholecystectomy: Persistent Nausea and Appetite Loss in Elderly Patients
After gallbladder stone surgery, experiencing loss of appetite and nausea for several days? The grandmother had a loss of appetite, nausea, and constipation for 19 days prior to her examination, which revealed choledocholithiasis. She underwent a cholecystectomy on July 2, 2018, ...
Dr. Chen Jiaming reply Surgery
Elderly patients who undergo major surgery are at an increased risk of developing stress-induced gastritis or ulcers. It is recommended to consult a clinical physician for prescriptions related to reducing gastric acid, minimizing vomiting, and enhancing gastric emptying and inte...[Read More] Post-Cholecystectomy: Persistent Nausea and Appetite Loss in Elderly Patients
Understanding Post-Appendectomy Pain: Why Hemostatic Clips Remain
Appendicitis issues On April 5th, I underwent laparoscopic surgery for acute appendicitis. Since then, I still experience pain in the lower right abdomen. However, a follow-up CT scan showed no abnormalities, and there is no sign of inflammation around the hemostatic clips. Why w...
Dr. Chen Jiaming reply Surgery
The appendix is a part of the gastrointestinal tract, and the normal intestine is supplied with blood vessels. During laparoscopic appendectomy, it is necessary to first dissect and cut the blood vessels. Vascular staplers are commonly used to manage the vascular dissection durin...[Read More] Understanding Post-Appendectomy Pain: Why Hemostatic Clips Remain
Understanding Post-Appendectomy Pain: Why Hemostatic Clips Are Used
Appendicitis issues On April 5th, I underwent laparoscopic surgery for acute appendicitis. Since then, I still experience pain in the lower right abdomen. However, a follow-up CT scan indicated no abnormalities, and there is no sign of inflammation around the hemostatic clips. Wh...
Dr. Chen Jiaming reply Surgery
The appendix is a part of the gastrointestinal tract, which normally has blood vessels supplying blood flow. During laparoscopic appendectomy, it is necessary to first dissect and cut the blood vessels. Vascular staplers are commonly used to manage the vascular dissection during ...[Read More] Understanding Post-Appendectomy Pain: Why Hemostatic Clips Are Used
Post-Lipoma Surgery: When to Return to Work and Wound Care Tips
Postoperative Issues After Lipoma Surgery I just had a surgical excision and I'm wondering if I can go back to work the next day. Will lifting some moderately heavy objects affect the wound? Also, how should I properly care for the wound afterward?
Dr. Chen Jiaming reply Surgery
You can return to work. Lifting heavy objects will not affect the healing of the neck wound; however, if your job causes you to sweat, it may contaminate the wound and lead to infection. Please follow the specific advice and educational guidance provided by your surgeon for wound...[Read More] Post-Lipoma Surgery: When to Return to Work and Wound Care Tips
Managing a Ruptured Cyst: Home Care Tips and Infection Prevention
Ruptured sebaceous cyst with suppuration? Hello Doctor: I have a small sebaceous cyst on the inner thigh close to the groin, which suddenly became very large and painful three days ago. The surrounding skin has also become red and swollen. Yesterday, it ruptured and released a lo...
Dr. Chen Jiaming reply Surgery
A sebaceous cyst may rupture, typically due to a bacterial infection, resulting in the drainage of pus (which can be managed through incision and drainage). Careful attention to the wound is necessary to avoid exposure to water. In the days leading up to each dressing change, you...[Read More] Managing a Ruptured Cyst: Home Care Tips and Infection Prevention
Understanding Post-Appendectomy Pain: Possible Complications and Solutions
Acute appendicitis After laparoscopic surgery for acute appendicitis on April 5th, I am still experiencing pain in the right abdomen. The follow-up physician conducted blood tests that came back normal and only prescribed antibiotics, which have not improved my condition. Additio...
Dr. Chen Jiaming reply Surgery
There are many possible reasons for persistent pain after surgery. It is recommended to return for a follow-up appointment and clearly inform the original surgeon that the previous antibiotic treatment was ineffective and that pain persists. A thorough examination and evaluation ...[Read More] Understanding Post-Appendectomy Pain: Possible Complications and Solutions
Sudden Nipple Pain: Causes and Concerns for Women
Sudden nipple pain? Recently, I haven't had my menstrual period, but my nipple suddenly feels very painful with a dull ache. It hurts whenever I touch it, and the right nipple feels swollen. Occasionally, I used to have some white discharge, and I'm not sure if it'...
Dr. Chen Jiaming reply Surgery
It is recommended to visit a breast surgery clinic for a physical examination by a physician to confirm the possible causes of your pain, as it cannot be determined solely based on your description. Before your appointment, you may try to reduce local irritation or friction from ...[Read More] Sudden Nipple Pain: Causes and Concerns for Women
Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Gastrointestinal issues My father is 86 years old and experienced adhesive small bowel obstruction earlier this year. After hospitalization, he has improved. 1. Regarding adhesive small bowel obstruction: (1) The physician suggested that due to his age and pre-existing hear...
Dr. Chen Jiaming reply Surgery
Intestinal obstruction caused by adhesions is typically managed initially with conservative supportive therapy, which includes fasting, nasogastric tube decompression, and intravenous fluid administration. Clinical response is then monitored, and if improvement is observed, surgi...[Read More] Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Can Using Vibrators Cause Hernias in Women? Expert Insights Explained
Does using a vibrator for women lead to hernias? Hello, Doctor: I recently underwent surgery for a left inguinal hernia, and I am still curious about how I developed the hernia. I would like to ask a somewhat embarrassing question: Can the use of a vibrator or a bullet vibrator b...
Dr. Chen Jiaming reply Surgery
In simple terms, the formation of hernias in young individuals is often related to congenital weak points in the lower abdominal wall, combined with increasing intra-abdominal pressure that pushes outward. This is typically noticed when children cry or strain. Generally, physical...[Read More] Can Using Vibrators Cause Hernias in Women? Expert Insights Explained
Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Laparoscopic hemostatic clips and issues related to appendicitis? Hello Dr. Chen, I recently underwent laparoscopic appendectomy. Due to a lack of medical knowledge at the time and the urgent nature of appendicitis requiring surgery, I did not communicate properly with the physic...
Dr. Chen Jiaming reply Surgery
Titanium clips are compatible with body tissues and are still widely used in various surgical procedures today. The number of reported cases in the literature is relatively rare compared to the actual number of surgeries performed. In contemporary laparoscopic surgeries, the majo...[Read More] Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Blood When Wiping After Bowel Movement: Hemorrhoids or Gastrointestinal Issues?
There is blood when wiping after a bowel movement? There is no pain during bowel movements, but there is blood when wiping. Initially, I thought it was related to menstruation, but there was no blood when wiping in the front. After wiping again, I confirmed that the bright red bl...
Dr. Chen Jiaming reply Surgery
Based solely on the information you provided, it is not possible to make any assumptions or treatment recommendations. More detailed medical history and a physical examination are necessary to confirm a diagnosis and determine a treatment plan. It is advisable to seek consultatio...[Read More] Blood When Wiping After Bowel Movement: Hemorrhoids or Gastrointestinal Issues?
Understanding a Coin-Sized Lump on the Inner Thigh: Causes and Concerns
There is a coin-sized lump on the inner thigh, about one palm's distance from the knee? Hello, doctor: In the past couple of days, I noticed a lump about the size of a coin on the inner side of my thigh at the gym. It is immovable, somewhat hard, and slightly painful when pr...
Dr. Chen Jiaming reply Surgery
Common subcutaneous masses include lipomas and sebaceous cysts (commonly known as epidermoid cysts). A definitive diagnosis requires a clinical examination by a physician. It is recommended to seek treatment from a dermatologist or a general surgeon.[Read More] Understanding a Coin-Sized Lump on the Inner Thigh: Causes and Concerns
Understanding Lip Sutures: When to Remove Stitches After an Injury
Lip suturing Hello, doctor. I would like to ask about my situation. I had a car accident on November 27, and I received 1 to 3 stitches on the inside of my upper lip (the doctor did not specify how many stitches were placed). I was also not informed whether the stitches need to b...
Dr. Chen Jiaming reply Surgery
In general, lacerations on the inner surface of the upper lip are typically sutured using absorbable sutures (commonly catgut). Most of the time, these sutures will dissolve on their own. However, many patients, like yourself, may find that while the wound has already healed, the...[Read More] Understanding Lip Sutures: When to Remove Stitches After an Injury
Understanding Breast Skin Issues After Weight Loss: Concerns and Care
Breast skin issues Hello, Doctor: I would like to ask about my situation. Due to my larger body size, I previously lost weight but then regained it, which has caused my skin to become loose. Over the past six months, I have started to control my diet and have lost about 22 kilogr...
Dr. Chen Jiaming reply Surgery
As you mentioned, it is purely due to weight loss that the skin has become loose. Breast ultrasound examinations can be performed annually, in addition to monthly self-breast examinations. There is no need to worry excessively.[Read More] Understanding Breast Skin Issues After Weight Loss: Concerns and Care
Understanding Bowel Issues: Is That a Uterus or Something Else?
Colon issues When you insert your finger into the anus while bathing, the protruding area you feel on the front side of the rectum is not the uterus. The uterus is located in the pelvic cavity, above the vagina and not directly accessible through the rectum. The soft, protruding ...
Dr. Chen Jiaming reply Surgery
It cannot be determined solely by a textual description; a physical examination by a physician is required.[Read More] Understanding Bowel Issues: Is That a Uterus or Something Else?
Understanding Bowel Issues: When to Seek Medical Attention
Bowel issues Doctor, I have not been having smooth bowel movements for the past two weeks. My stools have been hard, and I've noticed blood on the toilet paper after wiping. However, the stool in the toilet appears darker. Today, I have been unable to have a bowel movement, ...
Dr. Chen Jiaming reply Surgery
It is recommended that you see a gastroenterologist or a colorectal surgeon for further examination and treatment (improving bowel habits is the key focus of treatment).[Read More] Understanding Bowel Issues: When to Seek Medical Attention
Understanding Rectal Bleeding: Causes and Concerns for Patients
Blood in the stool Hello Dr. Chen, about six months ago, I started experiencing a dull pain in the upper part of my right thigh every time I felt the urge to have a bowel movement. Two days ago, I had a prolonged and forceful bowel movement, and afterward, I noticed a pool of bri...
Dr. Chen Jiaming reply Surgery
Based solely on the symptoms you described, it is highly likely that you have hemorrhoids caused by hard stools leading to mucosal injury and bleeding. It is recommended that you visit a colorectal surgery clinic for further examination and treatment.[Read More] Understanding Rectal Bleeding: Causes and Concerns for Patients
Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Hernia issues Hello Dr. Chen: My father had a temporary colostomy three years ago, and now there is a bulge at the stoma site (it's quite prominent). He went to the hospital for a CT scan, which indicated a hernia, and they recommended laparoscopic surgery to place a mesh fo...
Dr. Chen Jiaming reply Surgery
Previously, there was a creation of a stoma that caused damage to the abdominal wall muscle fascia, resulting in an "incisional hernia" due to poor healing. Generally, the recurrence rate is lowest when using a mesh implant placed internally in the abdomen for repair. T...[Read More] Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Understanding Blood in Stool: Causes and Concerns for Your Health
Rectal bleeding Hello, doctor. About a year ago, I noticed blood in my stool. Initially, the stool was coffee-colored and banana-shaped, but after 5-10 minutes, blood would seep out from underneath the stool, settling at the bottom of the toilet without mixing with the water. Thi...
Dr. Chen Jiaming reply Surgery
Your description is indeed quite unusual. I recommend that the next time you experience this condition, you schedule a simple fecal occult blood test with a gastroenterologist or a colorectal surgeon. Your age is not typically associated with a high incidence of colorectal cancer...[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health
Understanding Granular Bumps Around the Anus: Causes and Concerns
Anal granular lesions Hello doctor, I recently noticed some small bumps around my anus after having a bowel movement. When I looked in the mirror and pulled back the folds around the anal area, I saw five small black bubble-like bumps. They are not painful or itchy, and there is ...
Dr. Chen Jiaming reply Surgery
I cannot make any diagnoses or assumptions based on your description. I recommend that you visit a colorectal surgeon or a gastroenterologist for evaluation and treatment.[Read More] Understanding Granular Bumps Around the Anus: Causes and Concerns