Post-Cholecystectomy: Can Probiotics Help Reduce Diarrhea?
Cholecystectomy Consultation After gallbladder removal, is it advisable to consume gastrointestinal probiotics to reduce diarrhea? Or what can be consumed to lessen diarrhea? Thank you, doctor.
Dr. Chen Jiaming reply Surgery
Temporary incomplete lipid absorption after cholecystectomy lasts for about one month. During this period, reducing fat intake can help improve the condition. If diarrhea persists beyond this timeframe, it may be due to changes in the gut microbiota caused by short-term antibioti...[Read More] Post-Cholecystectomy: Can Probiotics Help Reduce Diarrhea?
Can You Take Birth Control Pills with Fibroadenomas?
Can I take oral contraceptives if I have a fibrocystic breast condition? The doctor would like to ask if it is safe for me to take oral contraceptives since I have multiple fibroadenomas in my breasts. I am concerned that excessive hormone supplementation might cause the fibroade...
Dr. Chen Jiaming reply Surgery
Some contraceptive pills contain estrogen, which may contribute to the growth of fibrocystic breast changes.[Read More] Can You Take Birth Control Pills with Fibroadenomas?
Post-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Open mesh repair for inguinal hernia surgery? Hello, doctor. May I ask you a few questions? After an open mesh inguinal hernia repair surgery: 1) Ten days post-surgery, the white blood cell count (10.99) has increased, and the neutrophil (88.4%)/lymphocyte (7.7%) ratio (11.48) is...
Dr. Chen Jiaming reply Surgery
It is advisable to consult the original surgeon regarding postoperative clinical issues. Each individual's recovery after surgery varies, and there is no absolute standard.[Read More] Post-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Understanding Nail Injuries: What to Do After a Finger Pinch
Nail issues Hello Doctor: My son injured his finger when it got caught in a door on February 13. At that time, we noticed a horizontal crack near the base of the nail, which was bleeding from the crack. After stopping the bleeding, as of today, the area above the crack has a deep...
Dr. Chen Jiaming reply Surgery
Clinical situations often do not progress as smoothly as you might expect. In many cases, new nail growth may lift and subsequently separate from the nail bed, leading to deformity. Therefore, it is recommended that you take your child to the outpatient surgical clinic for a foll...[Read More] Understanding Nail Injuries: What to Do After a Finger Pinch
Post-Laparoscopic Cholecystectomy: Recovery Tips and Concerns
Postoperative Issues Following Laparoscopic Cholecystectomy Hello Doctor: I underwent laparoscopic cholecystectomy on February 8. The doctor used sutures for closure and placed a drain (with stitches nearby that are not sutures). During my hospital stay, there was no drainage out...
Dr. Chen Jiaming reply Surgery
On February 16, the doctor examined the wound and removed the stitches. As long as the other wounds are healing normally, there should be no need for further dressing changes. Regarding cycling, it generally should not affect the healing of the inner abdominal muscles after lapar...[Read More] Post-Laparoscopic Cholecystectomy: Recovery Tips and Concerns
Impact of Menstruation on Gallbladder Surgery: Can You Take Delay Medications?
Cholecystectomy during menstruation? If a patient experiences menstruation during gallbladder removal surgery, is it permissible to take medications to delay menstruation? Or does menstruation actually have no impact on the surgery? Thank you, doctor.
Dr. Chen Jiaming reply Surgery
Having your menstrual period will not affect the performance of gallbladder surgery. You should inform the nursing staff before your hospitalization. Generally, you will need to wear a surgical gown before entering the operating room. If you need to use sanitary pads, you can sti...[Read More] Impact of Menstruation on Gallbladder Surgery: Can You Take Delay Medications?
Is My Child's Forehead Injury Serious? When to Seek Medical Attention
Hit the forehead from a fall? An eight-year-old child at home fell and hit their forehead. On the first day, there was swelling only on the right side of the forehead, and ice was applied. Now, four days later, there is swelling and bruising at the bridge of the nose and under th...
Dr. Chen Jiaming reply Surgery
A forehead hematoma, over the course of several days, will begin to spread and disperse subcutaneously as the internal bruising resolves, which is a normal occurrence. The larger the hematoma, the further it can spread, potentially reaching the chin. Most of the time, it will be ...[Read More] Is My Child's Forehead Injury Serious? When to Seek Medical Attention
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. For the past three days, I have been experiencing blood in my stool. The blood is separate from the stool, and it drips into the toilet when I have a bowel movement. What could be the issue? Do I need further examination?
Dr. Chen Jiaming reply Surgery
Based on your description, it is possible that hard stools are causing internal hemorrhoids or mucosal friction bleeding, and it may also lead to anal fissures. It is recommended to visit a colorectal surgery clinic for further evaluation. Additionally, increasing fluid intake (y...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Tetanus Risks from Minor Cuts and Insect Bites
Tetanus Issues I'm sorry, doctor. Recently, I was bitten by mosquitoes and accidentally scratched my skin, resulting in a small red wound that looks shallow. Since it's near my toe, I would like to know if it could get infected with tetanus due to dust or contact with m...
Dr. Chen Jiaming reply Surgery
Based on your description and the mechanism of injury, the likelihood is low; instead, attention should be given to wound care to prevent cellulitis.[Read More] Understanding Tetanus Risks from Minor Cuts and Insect Bites
Understanding Post-Acute Appendicitis: Symptoms and Recovery Insights
The appendix ruptured without surgical intervention? Hello, doctor. I had appendicitis last year on October 5th and went to the emergency room after three days of delay. After examination, it was found that my appendix was inflamed and had completely ruptured. The doctor initiall...
Dr. Chen Jiaming reply Surgery
Training the core can also lead to the engagement and soreness of the deep abdominal muscles, such as the psoas major. Since this muscle group is located deeper within the abdomen, if there has been a previous rupture of the appendix leading to localized adhesions, it is indeed p...[Read More] Understanding Post-Acute Appendicitis: Symptoms and Recovery Insights
Understanding Breast Pain: Timing, Causes, and Relief Strategies
Breast tenderness? Hello, doctor. Previously, I would experience breast tenderness and swelling before my menstrual period, with pain on both sides. The pain would disappear 1-2 days after my period started. However, this month, I did not have noticeable swelling or pain before m...
Dr. Chen Jiaming reply Surgery
Since your previous breast ultrasound showed multiple cysts on both sides, it is common to experience noticeable breast tenderness. This tenderness often fluctuates with the menstrual cycle; however, specific diets and medications can alter hormonal changes in the body, which may...[Read More] Understanding Breast Pain: Timing, Causes, and Relief Strategies
Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Postoperative Issues After Laparoscopic Surgery Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time. On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incisio...
Dr. Chen Jiaming reply Surgery
1. Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling. Therefore, such sensations are o...[Read More] Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming reply Surgery
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Postoperative wound issues after peritonitis surgery? I underwent laparoscopic removal of an ovarian cyst, but developed a rectal perforation that led to peritonitis, requiring another abdominal surgery. The incision extends about 14 centimeters from my lower abdomen to my navel....
Dr. Chen Jiaming reply Surgery
Scar tissue from such a long vertical abdominal wall incision often experiences occasional mild pain within one to two years post-surgery. It is recommended to use a supportive abdominal binder for the first six months postoperatively to prevent hypertrophy of the scar tissue and...[Read More] Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Understanding Small Lumps Below the Belly Button: Causes and Concerns
Mass below the navel? Hello, doctor! Yesterday, my wife accidentally pressed on two small lumps below her navel, about the size of mung beans. However, there is no pain when pressed. What could this situation be?
Dr. Chen Jiaming reply Surgery
Subcutaneous abdominal masses are commonly seen as lipomas, which typically do not cause tenderness. However, a definitive diagnosis requires an actual clinical examination by a physician and should only be considered as a reference.[Read More] Understanding Small Lumps Below the Belly Button: Causes and Concerns
Managing Acute Appendicitis with Abscess: Surgical Considerations and Risks
Acute appendicitis with localized abscess? Hello Doctor, I was hospitalized at the end of August due to acute appendicitis. At that time, the appendix had already perforated and was complicated by an abscess with severe adhesions, so the surgeon was unable to remove the appendix ...
Dr. Chen Jiaming reply Surgery
This clinical issue (the likelihood of converting to traditional open surgery) is related to the individual's actual medical condition (as assessed by imaging), so it cannot be answered through online consultation. It is recommended to discuss the new CT scan images further ...[Read More] Managing Acute Appendicitis with Abscess: Surgical Considerations and Risks
Understanding Right Abdominal Pain: Is Surgery Necessary for Adhesions?
Gastrointestinal bloating issues with sharp pain? Hello Doctor, thank you for your previous response regarding my issue with binge eating and bloating. I would like to ask you again: I often feel discomfort on the right side of my abdomen, sometimes experiencing sharp pain below ...
Dr. Chen Jiaming reply Surgery
I suggest you arrange for an abdominal ultrasound to check for any issues with gallstones or bile sludge. Rapid weight loss can sometimes lead to the formation of gallstones and symptoms of biliary colic, and the timing of your symptoms makes it quite likely that further confirma...[Read More] Understanding Right Abdominal Pain: Is Surgery Necessary for Adhesions?
Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Gastrointestinal issues Dear Doctor, I lost 26 kilograms through two months of fasting two years ago, and then I binge-eated for a week. Since then, I have been experiencing bloating that has not improved for over a year. I underwent endoscopy and CT scans, all of which were no...
Dr. Chen Jiaming reply Surgery
It is still a functional issue of the gastrointestinal tract, and dietary habits need to be readjusted. It is advisable to find a meticulous gastroenterologist to gradually work on adjusting the gastrointestinal condition. The likelihood of adhesions without prior surgery is quit...[Read More] Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Nipple itching, exudate, crusting? The left nipple often feels itchy, and I have noticed crusting. After removing the crust, it seems like there is a red, moist wound, but when I press it with tissue, it doesn't feel wet. After about half an hour, the nipple skin returns to ...
Dr. Chen Jiaming reply Surgery
The yellow discharge from the scab is interstitial fluid from the body. There are many reasons for the superficial wounds (abrasions) on the nipple. When a wound occurs, a light discharge will appear, which can accumulate over time and form a scab. During the healing process, itc...[Read More] Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Post-Appendectomy Complications: Understanding Pain and Infection Risks
Post-appendectomy issues? Hello doctor, I underwent traditional surgery for acute appendicitis in mid-December. The doctor mentioned that there was localized peritonitis and some adhesions, which caused the surgery to take longer to remove the appendix. After the surgery, I had a...
Dr. Chen Jiaming reply Surgery
It is indeed rare for a wound infection to occur two months after an appendectomy. The subsequent drainage of residual pus, along with antibiotic treatment, is a reasonable course of action. Due to recurrent inflammation, the scar tissue effect (including hardness and tenderness)...[Read More] Post-Appendectomy Complications: Understanding Pain and Infection Risks