Managing Anal Tightness After Fissures: Non-Surgical Solutions
Anal tightness Hello, doctor. Recently, I have been experiencing issues with anal fissures/rectal injuries, which have caused tightness in the anal area and difficulty with bowel movements. I just discovered that it seems to be due to scarring from the injury. I feel like my anus...
Dr. Chen Jiaming reply Surgery
Prolonged time will gradually improve the condition; however, the premise is to avoid further expansion of the tear. Therefore, it is recommended to use stool softeners and increase fluid intake to soften bowel movements.[Read More] Managing Anal Tightness After Fissures: Non-Surgical Solutions
Understanding Rectal Bleeding and Stool Thickness in Children
Stool thickness and bleeding upon wiping? Hello, doctor. A few months ago, my son experienced fresh blood while wiping after using the restroom. I took him to a pediatric gastroenterology department at a major hospital, where the doctor diagnosed him with anal fissures and prescr...
Dr. Chen Jiaming reply Surgery
Narrowing of the stool can be influenced by medication and is also a treatment method to reduce bleeding from anal fissures. Whether the dosage needs to be adjusted back to the original amount should be discussed with the primary physician. A colonoscopy is generally not necessar...[Read More] Understanding Rectal Bleeding and Stool Thickness in Children
Understanding Orange-Red Toilet Water: Possible Causes and Concerns
The toilet water is orange-red? Hello Doctor, recently I had a day when my bowel movement consisted of only small pieces of stool. However, I noticed that after urinating, the toilet water appeared to have an orange-red pigment leaching from the stool, turning the toilet water ye...
Dr. Chen Jiaming reply Surgery
You have not clarified or assessed the conditions of your stool/urine and dietary habits, and medically, there is no specific indication of a higher risk for colorectal cancer. However, you are concerned and believe that an examination is necessary to completely rule it out.[Read More] Understanding Orange-Red Toilet Water: Possible Causes and Concerns
Understanding Post-Surgery Issues After Fibroid Removal: Recovery and Concerns
Issues Six Months After Fibroid Removal Hello, Doctor: In February of this year, I had three fibromas removed, each approximately 1.5 to 2 centimeters in size, all of which were benign. The doctor mentioned that I have a tendency to develop fibromas, so I need to have regular fol...
Dr. Chen Jiaming reply Surgery
Recovery time varies for each individual, but most people will experience improvement, which does not necessarily mean a complete return to normal. The deeper the incision, the more vertical and three-dimensional scar tissue accumulates, leading to a prolonged sensation of hardne...[Read More] Understanding Post-Surgery Issues After Fibroid Removal: Recovery and Concerns
Understanding Bright Red Blood in Stool: Causes and Concerns
Rectal bleeding Today, after using the restroom, I noticed blood in my stool. The stool was bright red and had stained the toilet water. There was blood on the toilet paper when I wiped. However, I experienced almost no pain during the process! I discovered this while flushing, a...
Dr. Chen Jiaming reply Surgery
The color of stool alone cannot confirm the cause; it may be due to the consumption of foods with special colors or bleeding from damaged intestinal mucosa (which may be related to mild constipation). It is recommended to increase water intake by 1000-1500 cc to soften bowel move...[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns
Understanding Inflammation Detected During Colonoscopy: Causes and Concerns
Colonoscopy revealed colitis? Hello, I recently experienced symptoms similar to irritable bowel syndrome, but to be cautious, I underwent a fecal occult blood test, which returned negative. Additionally, after a colonoscopy, the results were mostly normal, but a small area of inf...
Dr. Chen Jiaming reply Surgery
Since you have undergone a colonoscopy, the physician who performed the examination was a specialist (gastroenterologist or colorectal surgeon). At that time, the physician's clinical judgment and management represented expert opinion. They determined that most of the findin...[Read More] Understanding Inflammation Detected During Colonoscopy: Causes and Concerns
Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Hepatic hemangioma Hello, Doctor: I am a breast cancer patient (stage I). Last week, my breast surgeon arranged for a follow-up abdominal ultrasound. Out of curiosity, I checked the report on the National Health Insurance app and found that it mentioned a 0.9 cm hyperechoic lesio...
Dr. Chen Jiaming reply Surgery
Hepatic hemangiomas are common benign tumors of the liver that typically only require monitoring (if they remain stable after a few follow-ups, further monitoring may not be necessary). Generally, further intervention is only needed if they continue to grow. Since you are a breas...[Read More] Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Post-Surgery Treatment Options for Recurrent Ampullary Cancer
Subsequent treatment for ampullary cancer after metastasis? Approximately three years ago, a relative was diagnosed with ampullary cancer and underwent 12 rounds of chemotherapy after surgery. Recently, a recurrence was diagnosed, with metastasis to the peritoneum. Currently, the...
Dr. Chen Jiaming reply Surgery
Cancer treatment is not suitable for online consultations. Only the physician who is directly involved in the patient's care can fully understand and comprehensively assess the clinical situation. Third-party descriptions of the patient's condition often only scratch th...[Read More] Post-Surgery Treatment Options for Recurrent Ampullary Cancer
Does Fucidin Leave Residue When Treating Umbilical Inflammation?
Will using Fucidin for umbilical inflammation leave any residue? I accidentally injured my navel, which led to inflammation and the discharge of tissue fluid. A few days ago, I saw a doctor who prescribed me a cream called Fucidin and an oral medication. I've been applying t...
Dr. Chen Jiaming reply Surgery
Because the navel is a depression, applying ointment there is not as easily covered by bandages or clothing as other areas, so residue can be observed. Using an appropriate amount is sufficient, and some residue is not a concern.[Read More] Does Fucidin Leave Residue When Treating Umbilical Inflammation?
Understanding Red Stains During Bowel Movements: What You Need to Know
Abnormalities during wiping after bowel movements? Hello, doctor. Recently, I've noticed some red streaks when wiping after a bowel movement. What could this be? The symptoms have persisted for a while. Should I be concerned about anything? I do not have any accompanying sym...
Dr. Chen Jiaming reply Surgery
In general, if you notice red objects when wiping the anus, it could be the color of food, but most often it is due to small bleeding caused by damage to the anal mucosa, usually accompanied by mild pain or a stinging sensation. To avoid the latter situation, it may be helpful to...[Read More] Understanding Red Stains During Bowel Movements: What You Need to Know
Post-Surgical Concerns: Managing Wound Issues After Cellulitis Treatment
Post-debridement issues in cellulitis wounds? Hello, doctor. I would like to ask about my left calf. I sustained a contusion with a hematoma in early July, which developed into cellulitis. I underwent debridement surgery on July 15. Since then, my left foot has been experiencing ...
Dr. Chen Jiaming reply Surgery
Due to leg injuries and infections, the circulation of blood flow in the tissues can be altered, making it normal for the distal limbs to swell. It is recommended to elevate the legs while lying down (such as during sleep) to facilitate tissue drainage and reduce accumulated swel...[Read More] Post-Surgical Concerns: Managing Wound Issues After Cellulitis Treatment
Post-Laparoscopic Surgery: Concerns About Belly Button Issues
Postoperative Umbilical Issues After Laparoscopic Surgery Hello doctor, about three years after laparoscopic cholecystectomy, I often experience bloating. Recently, while cleaning my navel, I may have gone too deep and noticed that my belly button protruded, revealing the sutured...
Dr. Chen Jiaming reply Surgery
The shape of everyone's navel varies, and there is no issue of normalcy. Cleaning it excessively may lead to irritation, so it is not recommended to clean it frequently.[Read More] Post-Laparoscopic Surgery: Concerns About Belly Button Issues
Recovery Concerns After Cyst Drainage Surgery: What to Expect
Recovery issues after incision and drainage of a sebaceous cyst? Hello Dr. Chen, I would like to ask you: About two months ago, I underwent a drainage procedure for a cyst located on my lower back. At that time, the physician assessed that sutures were not necessary and only used...
Dr. Chen Jiaming reply Surgery
Due to the lesion behind you, self-assessment through touch may not be accurate. It is advisable to seek direct consultation with a physician for proper evaluation. Based on your description of the hard area with a central indentation, it is difficult to assess the current status...[Read More] Recovery Concerns After Cyst Drainage Surgery: What to Expect
Impact of Depression on Liver Donation: What You Need to Know
Liver Donor Evaluation My father may need a liver transplant soon, but I am a patient with depression and have been taking antidepressant medications for a long time. Will this affect my ability to donate a portion of my liver to my father?
Dr. Chen Jiaming reply Surgery
The donor assessment includes both physical and mental health evaluations. It is advisable to consult with the transplant coordinator or transplant nurse at the liver transplant center regarding the donor's evaluation. There are many aspects to consider in the donor assessme...[Read More] Impact of Depression on Liver Donation: What You Need to Know
Understanding Blood in Stool: Is It Hemorrhoids, Fissures, or Cancer?
There is a small amount of blood in the stool? A few months ago, I experienced rectal bleeding and saw a doctor, but it resolved. Recently, my stools have been somewhat hard, and I have a bit of pain in my anus. Today, there was a small amount of blood on the surface of my stool ...
Dr. Chen Jiaming reply Surgery
It is not possible to determine a diagnosis solely based on rebleeding; it is recommended that you seek further evaluation in person. Given your age, the likelihood of cancer is relatively low. It is advisable to increase your water intake to soften bowel movements and reduce the...[Read More] Understanding Blood in Stool: Is It Hemorrhoids, Fissures, or Cancer?
Is It Normal Fat Accumulation Under the Chin?
Is it fat? Hello. I am quite overweight, and when I lower my head, I can pinch a movable lump on both sides of my chin. I press down my head and insert my fingers into the flesh of my chin to pinch it, and it feels bouncy. I can even pull it towards the edges of my face. If I don...
Dr. Chen Jiaming reply Surgery
Your description cannot replace the physical examination conducted by a physician. Although most lesions are benign, it is essential to have an in-person evaluation to determine the nature of what is actually felt.[Read More] Is It Normal Fat Accumulation Under the Chin?
Post-Appendectomy: Managing Pain and Exercise for Recovery
After surgery for acute appendicitis, experiencing pain near the navel can be common. Engaging in appropriate exercises during the recovery period can help reduce the risk of intestinal adhesions? Hello, doctor. I underwent laparoscopic appendectomy on June 4th, and it has been f...
Dr. Chen Jiaming reply Surgery
Laparoscopic surgery involves a slower healing process for the abdominal wall muscle layer. The removal of stitches only indicates that the superficial skin wound has healed enough to come into contact with water. As for activities that engage the abdominal wall muscles, it is no...[Read More] Post-Appendectomy: Managing Pain and Exercise for Recovery
Post-Surgery Abdominal Pain: Is It Normal After Appendectomy?
There is still pain in the lower abdomen after surgery? Hello, I would like to inquire about my condition. I had an appendectomy on June 12, and I had my stitches removed. Today, June 23, I experienced some pain in my lower abdomen while urinating. Is this normal? I lifted some h...
Dr. Chen Jiaming reply Surgery
The removal of your stitches indicates that the superficial skin wound has healed and you can now expose it to water. However, the repair of the deeper muscles and fascia will take a longer time. If you exert yourself too much, there is a chance of causing further damage to the a...[Read More] Post-Surgery Abdominal Pain: Is It Normal After Appendectomy?
Post-Laparoscopic Surgery: Understanding Wound Changes and Care
Postoperative wounds after laparoscopic surgery? Hello Doctor: A month ago, I underwent a minimally invasive single-port laparoscopic surgery for gallstones (without the need for stitches). The condition of the surgical wound had been recovering well, and I did not notice any abn...
Dr. Chen Jiaming reply Surgery
From your description, it is not possible to confirm whether this is a phenomenon of scar tissue hypertrophy. If there are concerns, it is advisable to seek further evaluation at a medical facility. Generally, the formation of scars (or keloids) varies from person to person, and ...[Read More] Post-Laparoscopic Surgery: Understanding Wound Changes and Care
Post-Appendectomy: Understanding Right Lower Abdominal Pain and Recovery
Post-appendectomy, there is still a cramping sensation in the lower right abdomen? Hello, Doctor. I underwent laparoscopic appendectomy on May 13th. I have two incisions below my navel. A few hours after the surgery, I was able to get out of bed and urinate. Since then, I have be...
Dr. Chen Jiaming reply Surgery
Appendicitis, commonly known as appendicitis, can cause inflammation of the surrounding peritoneal tissue, leading to pain. Although surgery is performed, the healing of the peritoneal inflammation takes time, so pain may still occur during this period. Additionally, sometimes pa...[Read More] Post-Appendectomy: Understanding Right Lower Abdominal Pain and Recovery