Understanding Abdominal Lumps: Lipoma, Hernia, or Fibroid?
I have a hard lump in my abdomen... Is it a lipoma, a hernia, or a fibroid? Hello Doctor: About six years ago, I underwent laparoscopic surgery for uterine fibroids. There is a 3 cm surgical scar located to the left of my abdomen, about three fingerbreadths below the navel. Appro...
Dr. Chen Jiaming reply Surgery
Most abdominal wall hernias that occur after traditional surgery with large incisions are caused by weakness or poor healing of the muscle and fascia layers, allowing contents from the abdominal cavity (which can include intestines or the greater omentum, a fatty tissue) to protr...[Read More] Understanding Abdominal Lumps: Lipoma, Hernia, or Fibroid?
Understanding Irritable Bowel Syndrome: Symptoms and Causes Explained
Irritable Bowel Syndrome (IBS) For the past two to three years, I have been experiencing a slight stomach ache every morning upon waking up at 7 AM, but I am unable to have a bowel movement at that time. By around 8 or 9 AM, the pain intensifies, and I need to rush to the bathroo...
Dr. Chen Jiaming reply Surgery
There are many online articles about irritable bowel syndrome (IBS), but what you need is to visit a gastroenterology clinic for a thorough medical history assessment, physical examination, and imaging studies to make a more accurate diagnosis and recommend appropriate treatment.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Causes Explained
Understanding Lymph Node Biopsies: Do They Assess Multiple Nodes?
Slice issues Hello, I have multiple lymph nodes that have not decreased in size or increased for the past two to three years. I would like to know if a biopsy of one lymph node can provide information about the condition of the other lymph nodes as well.
Dr. Chen Jiaming reply Surgery
Lymphadenopathy can be a manifestation of infection and inflammation (which is more common), or it can indicate the presence of a tumor. However, when tumors cause multiple lymphadenopathy, it is more likely to be related to hematologic malignancies. Generally, for biopsies of mu...[Read More] Understanding Lymph Node Biopsies: Do They Assess Multiple Nodes?
Understanding Abdominal Pain: Causes and Concerns for Your Gut Health
Abdominal pain? Hello doctor, for the past three and a half months, I have frequently experienced stomach rumbling, sometimes accompanied by pain. Occasionally, I feel like there is gas moving around in my intestines. Typically, my bowel movements occur about once a day without c...
Dr. Chen Jiaming reply Surgery
Gastrointestinal symptoms can be quite variable, and it is not sufficient to diagnose colorectal cancer solely based on changes in bowel motility, constipation, or the characteristics of stool. While changes in bowel habits can be one of the possible symptoms, it is less common f...[Read More] Understanding Abdominal Pain: Causes and Concerns for Your Gut Health
Persistent Rectal Bleeding and Constipation: When to Seek Medical Help?
Persistent rectal bleeding and constipation? I previously visited a doctor who confirmed that there was a slight damage to the vaginal wall tissue, and I occasionally applied hemorrhoid cream. However, after a month, the condition has not improved, and I have started experiencing...
Dr. Chen Jiaming reply Surgery
Vaginal wall? Or rectal wall? These are distinctly different issues, so could it be that you applied the ointment in the wrong location? Injuries to the vaginal wall in young women are often related to sexual activity; it may be necessary to adjust and increase lubrication during...[Read More] Persistent Rectal Bleeding and Constipation: When to Seek Medical Help?
Understanding Orange-Red Oval Objects in Stool: Causes and Concerns
Fecal contents For the past six months, I have been passing an orange-red oval-shaped object in my stool every few days (about the size of a peanut, with a smooth surface). I have undergone fecal occult blood tests, both on my stool and on the passed object, and all results were ...
Dr. Chen Jiaming reply Surgery
First of all, I must commend you for having the good habit of examining your stool, as early diagnosis of many diseases requires this initial awareness. Generally speaking, the factors that determine the appearance and color of stool are numerous, including the composition of foo...[Read More] Understanding Orange-Red Oval Objects in Stool: Causes and Concerns
Understanding a Painless Growth Near the Anus: Polyp or External Hemorrhoid?
There is a small lump at the anal opening that is neither painful nor itchy? Hello Dr. Chen: I've been experiencing frequent constipation lately, and sometimes my stool is accompanied by bright red blood, while other times it isn't. Over the past two days, I've not...
Dr. Chen Jiaming reply Surgery
Based solely on your description, it is likely an external hemorrhoid. It is recommended to first improve constipation by increasing the intake of high-fiber fruits and vegetables and increasing daily water consumption to avoid hard stools that can irritate the hemorrhoids and ca...[Read More] Understanding a Painless Growth Near the Anus: Polyp or External Hemorrhoid?
Understanding Blood in Stool: Causes of Constipation and Hemorrhage
Rectal bleeding and constipation? Hello doctor, I started experiencing constipation in June. I later visited a doctor who prescribed a stool softener. Today, June 24th, I noticed some bleeding during a bowel movement, but I do not feel any pain. I only saw a small amount of dried...
Dr. Chen Jiaming reply Surgery
In cases of general constipation, harder stools can accumulate in the rectal area, leading to pressure that causes changes in the local mucosal tissue circulation, which can result in issues such as hemorrhoids. While the most common causes of blood in the stool are hemorrhoids o...[Read More] Understanding Blood in Stool: Causes of Constipation and Hemorrhage
Post-Laparoscopic Surgery: Managing Prolonged Drainage and Risks
Post-laparoscopic surgery, the drainage of serosanguinous fluid has remained elevated for over two weeks, exceeding the standard volume (145cc)? Ultrasound examination is normal. Antibiotics have been administered for three days. The physician mentioned that it is "possible&...
Dr. Chen Jiaming reply Surgery
Simply from the text, it is not possible to understand what type of laparoscopic surgery you underwent, such as appendectomy, cholecystectomy, or another type. Each surgical procedure has different clinical indications and presentations that vary from person to person, such as ac...[Read More] Post-Laparoscopic Surgery: Managing Prolonged Drainage and Risks
Considering Natural Birth After Anal Fissure: A Mother's Dilemma
Anal fissure issues? Hello Dr. Chen, I live in Europe and I am currently 36 weeks pregnant. Today I went to the hospital for a check-up, and my baby currently weighs 3400g with a head circumference of 35 cm. For my first child in February 2014, I had a natural delivery, but the b...
Dr. Chen Jiaming reply Surgery
You might want to share your concerns with your obstetrician, as a colorectal surgeon would typically recommend a cesarean section to avoid the risk of perineal tears during a subsequent delivery. This recommendation also considers that the scar tissue from previous tears is less...[Read More] Considering Natural Birth After Anal Fissure: A Mother's Dilemma
Understanding Left Abdominal Discomfort: Causes and Solutions
Left abdominal discomfort and bloating? In May, my bowel movements were normal, large, and long. Starting from June 10th, after eating seafood, I began to experience watery flatulence, and I felt a heaviness in my left abdomen. This continued until the 15th, when my stools became...
Dr. Chen Jiaming reply Surgery
Based on your description, there has been a recent change in bowel habits consistent with diarrhea symptoms. Generally, during diarrhea, the intestines undergo repeated physical friction, which can lead to damage to the inner mucosa, potentially causing a sensation of abdominal b...[Read More] Understanding Left Abdominal Discomfort: Causes and Solutions
Understanding Blood in Stool: Causes and Concerns
Blood in the stool This afternoon, I noticed blood in the toilet after using it, and I felt a bit of abdominal bloating and pain afterward. Later in the evening, when I went again, I found that I had passed a large stool that was dark red, and after it came into contact with wate...
Dr. Chen Jiaming reply Surgery
Since your text does not specify whether there has been recent diarrhea, if there is blood in the stool following diarrhea, it may be due to mucosal damage caused by repeated physical friction in the intestines. Therefore, abdominal bloating or mild pain after a bowel movement co...[Read More] Understanding Blood in Stool: Causes and Concerns
Understanding Irritable Bowel Syndrome: Symptoms and Insights
Irritable Bowel Syndrome (IBS) Hello, doctor. Recently, I've been feeling a bloated discomfort in my right abdomen. Today, my stool was dark green and thinner in shape, while yesterday's stool was of normal color but also thinner. When I visited the hospital, I was diag...
Dr. Chen Jiaming reply Surgery
Abdominal bloating and pain are common general symptoms. When patients seek medical attention, clinicians need to consider the patient's description of the actual symptoms, the sequence and duration of the illness, as well as the frequency of occurrences. Additionally, physi...[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Insights
Gallbladder Surgery Options After Previous C-Section: Laparoscopic vs. Open
Gallbladder surgery issues? My wife has been diagnosed with gallstones, and because she is experiencing pain, the doctor has recommended surgery. However, she had a cesarean section five years ago. Can laparoscopic surgery still be performed, or will it need to be done using trad...
Dr. Chen Jiaming reply Surgery
In general, a simple cesarean section is less likely to result in complications such as intestinal adhesions due to its non-infectious nature, the close proximity of the uterine structure to the anterior abdominal wall, and the surgical techniques employed by obstetricians. Furth...[Read More] Gallbladder Surgery Options After Previous C-Section: Laparoscopic vs. Open
Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey
Malignant tumor of the descending colon? Hello. I would like to ask the doctor about my mother's recent issues. 1. Due to long-term constipation, she was diagnosed with intestinal obstruction, and further examination revealed a tumor located 40 centimeters in the colon. A bi...
Dr. Chen Jiaming reply Surgery
First of all, each individual's tumor treatment will have its specific circumstances. You may need to accompany your mother to her outpatient appointment to confirm the questions you have raised one by one, rather than seeking advice from other doctors on this platform! The ...[Read More] Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding I ate noodles today, and afterwards I had diarrhea, which caused significant pain in my buttocks. I had another episode of diarrhea, and when I wiped, there was some blood, although not a lot. Should I see a doctor for this, or is it just a case of food poisoning?...
Dr. Chen Jiaming reply Surgery
During diarrhea, the intestines undergo repeated physical friction, which can easily lead to mucosal damage. Therefore, pain at the anal region and blood-stained wiping may simply be due to local mucosal injury. However, based solely on the description without examination, it is ...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Blood in Stool: Causes and Treatment Options
Rectal bleeding Last week, I had gastroenteritis and visited a doctor who prescribed loperamide for diarrhea. After recovering, I experienced about three days without a bowel movement. When I finally did have a bowel movement, I was constipated, and the stool was very hard. There...
Dr. Chen Jiaming reply Surgery
In general, gastroenteritis can lead to damage of the intestinal mucosa due to repeated diarrhea, requiring a longer time for repair. If internal hemorrhoids are present, the friction during the process of constipation and hard stools can easily result in painless rectal bleeding...[Read More] Understanding Blood in Stool: Causes and Treatment Options