Understanding Pre-Surgery Blood Tests: Do You Need Coagulation Factor Checks?
About coagulation factors? Hello Dr. Chen, I would like to ask you whether it is necessary to perform a urinalysis and general blood tests before surgery. Typically, coagulation factors are also tested, correct? Some people say that for gynecological surgeries, such as dilation ...
Dr. Chen Jiaming reply Surgery
Different degrees and types of surgeries have their own preoperative examination requirements. Routine urinalysis is generally not necessary for most surgeries, while basic blood tests are essential. Most surgeries will include assessments of coagulation function, such as PT/APTT...[Read More] Understanding Pre-Surgery Blood Tests: Do You Need Coagulation Factor Checks?
Post-Surgery Concerns: Adhesions, Inflammation, and Menstrual Changes
Discharged from June 26 to July 5. Diagnosis: 1. Intestinal Adhesions, 2. Pelvic Inflammatory Disease, 3. Acute Appendicitis? Hello Dr. Chen, I hope you are well this winter. On June 24, I experienced mild abdominal pain, which escalated to severe pain around midnight on the 25th...
Dr. Chen Jiaming reply Surgery
Medical clinical diagnoses must be based on actual evidence for judgment. From the fact that the initial medical facility specifically requested assistance from an obstetrician-gynecologist to remove an intrauterine device, it can be inferred that their diagnosis leaned towards p...[Read More] Post-Surgery Concerns: Adhesions, Inflammation, and Menstrual Changes
Post-Appendectomy Complications: Understanding Symptoms and When to Seek Help
Post-appendectomy Hello Doctor, my mother underwent an appendectomy on the early morning of October 11. During the surgery, there was some adhesion to the small intestine, and she has been experiencing persistent sharp pain since then, which sometimes still occurs. The doctor dur...
Dr. Chen Jiaming reply Surgery
Due to diarrhea from November 20 to 23, I sought medical attention and received medication. I am unsure if the medication used at that time had any effect on inhibiting intestinal motility. Prolonged use may have led to more difficulty in bowel movements, which does not necessari...[Read More] Post-Appendectomy Complications: Understanding Symptoms and When to Seek Help
Post-Appendectomy Abdominal Distension and Bowel Changes Explained
Post-appendectomy abdominal distension issue? Hello Doctor, thank you for your previous response! I had an appendectomy on November 3rd due to appendicitis (partially purulent but not ruptured, and no peritonitis). I was discharged on November 6th and had my stitches removed on N...
Dr. Chen Jiaming reply Surgery
The treatment of intra-abdominal infections often involves the use of broad-spectrum antibiotics, which can alter the gut microbiota after surgery. This frequently leads to symptoms such as bloating (due to an increase in gas-producing bacteria), and bowel habits may also change....[Read More] Post-Appendectomy Abdominal Distension and Bowel Changes Explained
Understanding Fibroadenomas: Concerns and Surgical Options for Young Women
Breast fibroma Hello, doctor. I am currently abroad. Since 2018, I have undergone ultrasound examinations that revealed multiple tumors in both breasts. Each time I followed up, the radiologists considered them to be fibroadenomas. In November of last year, during a follow-up, it...
Dr. Chen Jiaming reply Surgery
The chances are slim. You have multiple fibroadenomas in your breasts. Since you are still young, your hormone levels are relatively high, which indeed makes fibroadenomas more likely to grow. There has been an observed trend of growth, and medically, it is recommended to excise ...[Read More] Understanding Fibroadenomas: Concerns and Surgical Options for Young Women
Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Post-operative issues following appendectomy? Hello, Doctor. I underwent laparoscopic appendectomy on November 3rd. The doctor mentioned that my appendix was swollen and purulent but not ruptured, so it did not reach the level of peritonitis. I had the drainage tube removed on No...
Dr. Chen Jiaming reply Surgery
1. For wounds that have not healed for an extended period, it is recommended to change the dressing or care regimen; you might try applying povidone-iodine first. 2. Drainage tube wounds generally do not heal as easily as sutured wounds. After the drainage tube is removed, there...[Read More] Post-Appendectomy Concerns: Healing, Discharge, Diet, and Activity
Is Mild Pain Normal After Laparoscopic Appendectomy Surgery?
Post-appendectomy It has been two months since your laparoscopic appendectomy, and it is normal to experience mild pain when touching or pressing around the navel and the lower abdominal incision site. This discomfort can be attributed to the healing process of the tissues and ne...
Dr. Chen Jiaming reply Surgery
Postoperative wound healing can be categorized into superficial skin healing, which typically resolves within one to two weeks, and deeper muscle fascia layers, which usually require one month or more depending on the size of the wound. A key point is that scar tissue will inevit...[Read More] Is Mild Pain Normal After Laparoscopic Appendectomy Surgery?
Post-Appendectomy Nausea: Causes, Concerns, and Dietary Tips
Vomiting after appendectomy? Hello, Doctor. I underwent a laparoscopic appendectomy on October 29. I started eating the meals provided by the hospital from lunch on October 30, but I began to feel nauseous after dinner that day. Starting October 31, I stopped eating regular meals...
Dr. Chen Jiaming reply Surgery
It is advisable to directly consult the surgeon regarding the clinical status after appendectomy, as most conditions are related to the clinical situation and the medications used. The patient's preoperative physical condition can also influence the outcome, such as the base...[Read More] Post-Appendectomy Nausea: Causes, Concerns, and Dietary Tips
Understanding Coffee-Colored Stool: Potential Causes and Concerns
There is coffee ground-like red discoloration in the stool? Hello doctor, today after using the restroom, I noticed that my stool had a coffee-colored tint and there was a slight reddish liquid (though it didn't seem quite like deep red). The appearance of my stool and the c...
Dr. Chen Jiaming reply Surgery
It is not possible to provide a diagnosis based solely on your description; it is advisable to seek an in-person consultation for further examination.[Read More] Understanding Coffee-Colored Stool: Potential Causes and Concerns
Should You Skip Fecal Tests After a Recent Colonoscopy?
Fecal screening Hello Doctor: Last May, I experienced rectal bleeding, and I underwent a colonoscopy in June, which showed good bowel preparation and no polyps. The diagnosis was hemorrhoids. Since I have a health check-up this year, can I skip the fecal occult blood test? Is it ...
Dr. Chen Jiaming reply Surgery
If you have hemorrhoids, it can indeed lead to a positive result for occult blood in the stool. Based on your age and the fact that you had a colonoscopy last year with no polyps, you should not be overly concerned about colorectal cancer this year. However, you should verify whe...[Read More] Should You Skip Fecal Tests After a Recent Colonoscopy?
Understanding Abdominal Masses: When to Seek Surgical Evaluation
Abdominal mass Hello, doctor. Recently, I discovered a hard lump in the lower left area of my abdomen near the navel, and I’ve noticed that it seems to have grown larger. It feels like a large mass, and there’s another lump in the lower right area of my abdomen that seems to move...
Dr. Chen Jiaming reply Surgery
It is recommended to consult a gastrointestinal surgeon.[Read More] Understanding Abdominal Masses: When to Seek Surgical Evaluation
Uneven Swelling in Armpit: Should You Be Concerned?
One side of the armpit is swollen? Hello Doctor, about a month ago I noticed that my left armpit looks different from my right. When I raise my arm above my head, there seems to be a lump on the left side, as shown in the picture (https://drive.google.com/file/d/1R5YuluqNMMazQv0R...
Dr. Chen Jiaming reply Surgery
It is recommended to go directly to a medical institution for an actual examination to confirm whether there are any pathological issues.[Read More] Uneven Swelling in Armpit: Should You Be Concerned?
Monkey Scratch Risks: Rabies and Herpes Concerns Explained
Macaque scratches - rabies, herpes? Hello doctor, today while we were at Tataka, we encountered a group of macaques. One of the macaques came over and scratched my mother while trying to grab food, leaving a minor scratch and a little bleeding. I checked and found that macaques c...
Dr. Chen Jiaming reply Surgery
Indeed, wild animals have a higher chance of carrying the rabies virus, but currently, the domestic outbreak is limited to wild animals such as badgers and raccoons. Tataka, located at the border of Nantou and Chiayi, is in a region where positive cases of badgers are distributed...[Read More] Monkey Scratch Risks: Rabies and Herpes Concerns Explained
Is It Normal to Hear Sounds from My Appendix Surgery Site?
There are sounds coming from the appendix? Hello, doctor. It has been a month and a half since my appendectomy, and occasionally I feel a "bubbling" sensation at the surgical site, similar to passing gas, but it originates from the area of the appendectomy. Is this a no...
Dr. Chen Jiaming reply Surgery
This is caused by adhesions in the lower right abdomen due to appendicitis, which makes it difficult for the small intestine to navigate through this area. This results in the audible bowel sounds. There is no need to be overly concerned, as it generally improves gradually over t...[Read More] Is It Normal to Hear Sounds from My Appendix Surgery Site?
Understanding Wound Healing: Is This a Scar or an Unhealed Injury?
Wound healing issues Hello doctor, I had a car accident on July 20th and sustained some abrasions. Now, the wound on my knee does not hurt, but it is deep red and has an uneven texture. It looks somewhat like it did right after the injury, but it feels like there is a transparent...
Dr. Chen Jiaming reply Surgery
Based on your description, it seems more like scar tissue. However, due to the greater degree of flexion in the knee area, scars that form there generally tend to hypertrophy and become thicker, appearing wrinkled when the knee is straightened.[Read More] Understanding Wound Healing: Is This a Scar or an Unhealed Injury?
Is It Normal to Hear Sounds from My Appendix Surgery Site?
There are sounds coming from the appendix? Hello, doctor. It has been a month and a half since my appendectomy, and occasionally I feel a "bubbling" sensation at the surgical site, similar to passing gas, but it originates from the area of the appendectomy. Is this a no...
Dr. Chen Jiaming reply Surgery
This is caused by adhesions in the lower right abdomen due to appendicitis, which makes it difficult for the small intestine to navigate through this area. This results in the audible bowel sounds. There is no need to be overly concerned, as it generally improves gradually over t...[Read More] Is It Normal to Hear Sounds from My Appendix Surgery Site?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello doctor, for the past couple of days, I've noticed some slight bleeding in my stool. The stool itself looks normal; it's well-formed and has a normal brown color. There doesn't appear to be any blood on the surface of the stool, but there seems...
Dr. Chen Jiaming reply Surgery
Based solely on your description, it is possible that you have recently consumed red foods, which may explain the coloration. This does not necessarily indicate that there is blood in the stool. You can observe the situation for a few more days and also try adjusting your diet to...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Unexplained Lump Below the Navel: Is It Related to Bowel Issues?
There is a lump in the lower left quadrant of the abdomen near the navel? Hello doctor, recently when I lie flat while sleeping, I can feel an unknown mass just below my navel on the left side. I haven't had regular bowel movements lately, and my stools have been pellet-like...
Dr. Chen Jiaming reply Surgery
It is difficult to determine what you are touching based on the information you provided. However, if you are concerned about it being related to bowel movements, that may be overthinking it.[Read More] Unexplained Lump Below the Navel: Is It Related to Bowel Issues?
Delayed Healing After Appendectomy: Concerns and Recovery Insights
The incision from appendicitis surgery has not healed one month post-operation? Hello doctor, I would like to ask a question for my mother. It has been nearly a month since she had her appendectomy. Two weeks after the surgery, she went to another clinic to have her stitches remo...
Dr. Chen Jiaming reply Surgery
The wound healing status varies based on the original condition (appendicitis -> appendicitis is classified as an intra-abdominal infection), age, nutritional status, diabetes, and wound care methods, among other factors. Although it has been a month, since the doctor indicate...[Read More] Delayed Healing After Appendectomy: Concerns and Recovery Insights
Understanding Breast Bruises: Causes and Treatment Options
Breast issues Hello doctor, I recently noticed a bruise under my left breast that appeared suddenly. It hurts a little when pressed (but not very much). At first, it felt itchy, but after applying some medication, the itchiness went away. However, the bruise has remained for abou...
Dr. Chen Jiaming reply Surgery
It is recommended to directly consult a breast surgeon for further ultrasound examination to confirm whether there are any other lesions present in the subcutaneous tissue.[Read More] Understanding Breast Bruises: Causes and Treatment Options