Understanding Blood on Toilet Paper: Causes and When to Worry
Bleeding from the rectum? Hello doctor, this morning I had to strain a bit during bowel movement, and I noticed a little blood on the toilet paper after wiping, but it was gone by the second wipe. There was no pain, just a warm sensation in the area. Later in the evening, I had a...
Dr. Chen Jiaming reply Surgery
It is possible that the bleeding is caused by mucosal damage during the process of defecation, which generally tends to heal on its own.[Read More] Understanding Blood on Toilet Paper: Causes and When to Worry
Understanding Subcutaneous Cysts Near the Clitoris: Causes and Treatment
Subcutaneous cysts in the female genital area? I have a subcutaneous lump near my clitoral head that is not visible externally, but I can feel a hard, cord-like structure. Sometimes there is a sensation of swelling, especially during my menstrual period. This has been going on fo...
Dr. Chen Jiaming reply Surgery
Due to the unique location of your mass, it is recommended that you first consult a gynecologist to confirm whether it is a normal tissue structure (which you may not be aware of). If it is an abnormal mass, you can also seek the gynecologist's opinion on whether it can be m...[Read More] Understanding Subcutaneous Cysts Near the Clitoris: Causes and Treatment
Understanding Sclerosed Fibroadenoma: Key Insights and Surgical Considerations
Core needle biopsy Hello, Doctor. At the end of last month, during a breast ultrasound, a mass approximately 1.2 cm in size with a gourd shape was found at the 4 o'clock position of my left breast (mildly irregular well-circumscribed hypoechoic lesion, the nature is uncertai...
Dr. Chen Jiaming reply Surgery
1. This is the diagnostic name for a pathological tissue section, essentially what is commonly referred to as a benign fibroadenoma. 2. Since you have already had the biopsy, it confirms that its identity is benign; at this point, its mildly irregular shape is not too significan...[Read More] Understanding Sclerosed Fibroadenoma: Key Insights and Surgical Considerations
Traditional Surgery for Fibroadenoma: Considerations for Scar Management
Traditional surgical methods for the excision of fibromas? Hello! After discussing with my attending physician yesterday, we decided to remove both fibroadenomas in my left breast (one measuring 1 cm at the 3 o'clock position and the other measuring 1.2 cm at the 4 o'cl...
Dr. Chen Jiaming reply Surgery
1. Because the edge of the areola is at the junction between the areola and normal skin, it is generally less noticeable regardless of the presence of keloids! 2. Absolutely not! This is a completely different procedure. If the postoperative wound experiences unnecessary tension...[Read More] Traditional Surgery for Fibroadenoma: Considerations for Scar Management
Understanding Changes in Bowel Movements: When to Seek Medical Advice
Bowel issues Hello, recently my first stool is normal, but the subsequent ones become thinner. For example, today in the morning (when I felt a sudden urge), the first two pieces (the first one was 8 cm and the second one was 6 cm) had a normal thickness, but the last three piece...
Dr. Chen Jiaming reply Surgery
I have carefully reviewed your situation, and your bowel movements are quite normal, especially compared to many young people today. Therefore, there are currently no indications for any examinations. 😊[Read More] Understanding Changes in Bowel Movements: When to Seek Medical Advice
Understanding Epididymal Lipomas: Surgical Considerations and Options
Spermatic cord lipoma Hello, doctor. When I was about 15 years old, I underwent surgery for an inguinal hernia (traditional suturing surgery, with an incision approximately 10 cm long). Recently, I experienced a muscle strain in the groin area and visited a urologist to check for...
Dr. Chen Jiaming reply Surgery
Since the lipoma is asymptomatic (discovered only through ultrasound), there is no necessity for surgical removal. First, the presence of lipomas in this area is quite common (especially when found during hernia surgery, they are often removed incidentally). Typically, they are h...[Read More] Understanding Epididymal Lipomas: Surgical Considerations and Options
Should You Get a Colonoscopy After Experiencing Blood in Stool?
Rectal bleeding Hello doctor, I experienced bleeding once in October 2016 and then again in July 2017 during a bowel movement. I underwent a fecal occult blood test, which came back negative. I also consulted a doctor who said it was not related. Do I need to undergo a colonoscop...
Dr. Chen Jiaming reply Surgery
It's understandable that you're asking this question because you're concerned. No one (including doctors) can guarantee that there are no issues, so please communicate your worries directly to your physician during your appointment and express your desire to underg...[Read More] Should You Get a Colonoscopy After Experiencing Blood in Stool?
Understanding Blood in Stool: Possible Causes and Solutions
Constipation with blood in the stool? Recently, for about 2 to 3 weeks, there has been blood around the stool. There is no pain in the anus, and passing gas is easy. The stool is also thin and stringy. What could be the issue?
Dr. Chen Jiaming reply Surgery
This is a gastrointestinal issue. Please consult a gastroenterologist or a colorectal surgeon for examination or advice.[Read More] Understanding Blood in Stool: Possible Causes and Solutions
Managing Post-Surgical Wound Complications: Expert Advice
Wound care follow-up? Hello, doctor. I am the one who asked question 128288. After my father's skin tag was removed from the groin area, the wound has healed, but we found that using artificial skin on the more delicate skin in the groin has resulted in a new wound that rese...
Dr. Chen Jiaming reply Surgery
The use of artificial skin not only serves to isolate contaminants but can also reduce the frequency of dressing changes for wounds with minimal exudate. Your mention of pain when removing the artificial skin indicates that you may be removing it before it is necessary, which can...[Read More] Managing Post-Surgical Wound Complications: Expert Advice
Post-Appendectomy Abdominal Exercise Concerns: What to Know
Post-appendectomy abdominal exercise issues? Hello Doctor, I had an appendectomy a year and a half ago and have been recovering well without any issues. Recently, I've been training my abdominal muscles with the intensity of a college athlete, which involves exerting force a...
Dr. Chen Jiaming reply Surgery
First of all, your question did not clearly specify whether the surgical method was a traditional open incision in the right lower abdomen or laparoscopic surgery. Generally, the intestinal end wound from an appendectomy does not rupture due to abdominal strain more than a year l...[Read More] Post-Appendectomy Abdominal Exercise Concerns: What to Know
Managing Post-Surgery Wound Care: Concerns and Best Practices
Wound issues Hello Doctor: My father recently discovered a filiform skin tag near his groin. He found it bothersome when wearing pants, but felt it wasn't necessary to seek medical attention. Last night, I took it upon myself to cut it off with a small beauty scissors and co...
Dr. Chen Jiaming reply Surgery
When the general public self-removes skin tags, they tend to cut at the narrowest point, resulting in the smallest wound. However, the remaining skin may not appear smooth (it may be slightly raised), which is normal. The completeness of disinfection during self-removal is crucia...[Read More] Managing Post-Surgery Wound Care: Concerns and Best Practices
Understanding Discomfort After Bowel Movements: Causes and Concerns
Discomfort after bowel movements? I would like to consult a doctor. I usually have regular bowel movements, sometimes twice a day, but today after I finished, I felt something swollen and painful when wiping my anus. There was no blood, but I’m wondering if it could be something ...
Dr. Chen Jiaming reply Surgery
I'm sorry, but I cannot make any diagnoses or assumptions based solely on the information you provided (such as acne, hemorrhoids, or others). I recommend observing the situation and reducing friction during wiping after bowel movements (you can use moist wipes for this). Se...[Read More] Understanding Discomfort After Bowel Movements: Causes and Concerns
Can I Undergo Gallbladder Surgery with Thyroid Issues?
Can a patient with thyroid issues undergo gallbladder removal surgery? Hello Doctor: I have had hyperthyroidism since childhood and stopped medication around the second year of junior high school. I haven't felt any discomfort, so I didn't follow up. Recently, due to ga...
Dr. Chen Jiaming reply Surgery
In general, while it is still recommended for patients with hypothyroidism to undergo evaluation and treatment by a metabolic specialist, the risks associated with surgical anesthesia are not as high as those for uncontrolled hyperthyroidism. Therefore, surgery should be able to ...[Read More] Can I Undergo Gallbladder Surgery with Thyroid Issues?
Understanding Liver Tumor Treatment Options: Surgery vs. Embolization
Liver tumor treatment Hello Dr. Chen, a friend of mine was diagnosed with liver cancer last year. After a year post-surgery for resection, a follow-up CT scan this year revealed a recurrence of liver cancer approximately 3 cm in the caudate lobe. I consulted several surgeons; one...
Dr. Chen Jiaming reply Surgery
Regarding the treatment and surgical indications for liver tumors, even among hepatobiliary surgeons, there can be differing opinions. Some surgeons believe that if a liver tumor recurs and there is still a chance for resection (considering the expected functional status of the r...[Read More] Understanding Liver Tumor Treatment Options: Surgery vs. Embolization
How to Diagnose and Treat Rectal Gonorrhea: A Comprehensive Guide
How to treat rectal gonorrhea? Doctor, I recently had anal intercourse with someone and ended up with a urethral infection from gonorrhea. The other person's genitals also penetrated my anus. Since then, I've noticed that my stools seem to have a layer of film on them, ...
Dr. Chen Jiaming reply Surgery
I apologize, but gonorrhea is not within my area of expertise.[Read More] How to Diagnose and Treat Rectal Gonorrhea: A Comprehensive Guide
Is It a Lipoma? Understanding Subcutaneous Lumps During Pregnancy
Is it a lipoma? Hello doctor, two days ago I felt a small, slightly painful hard lump on the left side of my abdomen, very close to my waist. It feels firm to the touch, about the size of a red bean. Today I saw a doctor, and after a physical examination, the doctor said it is su...
Dr. Chen Jiaming reply Surgery
Without a physical examination, I cannot provide a definitive diagnosis. The likelihood of a subcutaneous abdominal lesion being a lipoma is indeed high, regardless of body weight! Lipomas are benign lesions, and whether to proceed with surgical removal depends on the patient...[Read More] Is It a Lipoma? Understanding Subcutaneous Lumps During Pregnancy
Understanding Painful Lumps: Possible Causes Beyond Lipomas
Tenderness of a hard mass? Hello Doctor, I discovered a hard lump about the size of a red bean in my lower left abdomen near the waist two days ago. It hurts a bit when pressed. After the doctor examined it, they said it is likely a lipoma since it is located just under the skin....
Dr. Chen Jiaming reply Surgery
Without a physical examination, I cannot provide a definitive diagnosis. The likelihood of a subcutaneous abdominal lesion being a lipoma is indeed high, regardless of body weight! Lipomas are benign lesions, and the decision to surgically remove them depends on the patient'...[Read More] Understanding Painful Lumps: Possible Causes Beyond Lipomas
Understanding Painful Bumps in Your Belly Button: Causes and Care
There is something inside the belly button? I recently noticed a lump in my navel. It doesn't appear to have changed on the outside, but when I press on it, I can feel a mass that is painful. What could this be, and what should I be aware of?
Dr. Chen Jiaming reply Surgery
Without a physical examination, I cannot provide a definitive diagnosis. While it may be a benign subcutaneous tumor, one should be cautious of the possibility of an umbilical hernia, as it may gradually enlarge over time, causing protrusion of intra-abdominal tissue. It is advis...[Read More] Understanding Painful Bumps in Your Belly Button: Causes and Care
Understanding Mucus and Blood in Stool After Diarrhea: What to Know
Diarrhea with mucus and blood in the stool? Hello doctor, I would like to ask about my condition. Yesterday I had stomach pain and diarrhea, but I didn't pay much attention to it. Today, after wiping, I noticed that the toilet paper had some mucus and a little bit of blood s...
Dr. Chen Jiaming reply Surgery
Diarrhea can cause damage to the intestinal mucosa, leading to the symptoms you mentioned. Generally, it can heal and recover without excessive worry, unless the symptoms persist for a long time or new symptoms develop. In such cases, it is advisable to seek further evaluation fr...[Read More] Understanding Mucus and Blood in Stool After Diarrhea: What to Know
Can Tumors Reoccur After Complete Breast Removal?
Will the cancer recur after the entire breast has been removed? Hello, doctor. I had surgery in May this year for in situ carcinoma, and my entire breast was removed. I'm not sure if it's due to the hot weather causing eczema or something else, but I've developed a...
Dr. Chen Jiaming reply Surgery
In general, in situ carcinoma lesions are confined to the breast tissue. During a total mastectomy, the procedure typically involves cutting along the peripheral tissues, rarely directly contacting the tumor tissue, which results in a low incidence of residual cell recurrence. Ho...[Read More] Can Tumors Reoccur After Complete Breast Removal?