Can a Breast Tumor Change from Benign to Malignant in Three Months?
Can a breast lesion change from benign to malignant within three months? Hello Dr. Chen, I would like to ask you: I had a breast ultrasound on January 29 of this year, which revealed a tumor located at approximately the 12 o'clock position of the right breast measuring 1.9 c...
Dr. Chen Jiaming reply Surgery
If the previous procedure was a standard core needle biopsy and the report was benign (regardless of the type of benign finding), the likelihood of it turning malignant within three months is very low. However, since the initial ultrasound examination was categorized as BI-RADS c...[Read More] Can a Breast Tumor Change from Benign to Malignant in Three Months?
Post-Appendectomy: Managing Pain and Redness Around the Belly Button
Redness and pain around the navel after appendectomy? Hello, Doctor. I underwent laparoscopic appendectomy in early April this year. During this time, I followed the doctor's advice and avoided lifting heavy objects. However, one month later, in May, I started to carry my 15...
Dr. Chen Jiaming reply Surgery
It has been one month post-surgery, and theoretically, it is unlikely to be an issue of wound infection. Since the discomfort clearly arises after activities that involve straining your abdomen, it is necessary to consider the possibility of a tear in the internal muscle fascia l...[Read More] Post-Appendectomy: Managing Pain and Redness Around the Belly Button
Anal Pain and Bleeding During Bowel Movements: When to Seek Medical Help
Pain at the anal opening and slight bleeding during bowel movements? Good morning, Dr. Chen. Two weeks ago, I noticed bright red bleeding after a bowel movement, and my stool was hard and bulky at that time. I have had similar experiences before and thought it was an anal fissure...
Dr. Chen Jiaming reply Surgery
The severity of anal fissures can vary with each occurrence. If increasing water intake to soften stools does not lead to improvement, it is recommended to consult a colorectal surgeon for further evaluation. In cases of recurrent fissures, surgical intervention (such as sphincte...[Read More] Anal Pain and Bleeding During Bowel Movements: When to Seek Medical Help
Understanding Blood in Stool: When to Seek Medical Attention
Blood in the stool? Hello Doctor, last night while exercising, I suddenly felt the urge to have a bowel movement. Since there were no restrooms nearby, I held it in and walked home, which took about 10 minutes. During the walk, I had multiple urges to go, and towards the end, I f...
Dr. Chen Jiaming reply Surgery
Based on your description, the first instance of urgent bowel movements seems more like mucosal bleeding caused by rapid defecation. Today's incident appears to be more related to consuming watermelon. Therefore, you can continue to observe for any subsequent changes, and if...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Post-Surgery Concerns After Phyllodes Tumor Removal: Pain and Healing Tips
Postoperative issues related to phyllodes tumor of the breast? Hello, Doctor. I would like to ask: I had surgery on March 19 to remove a phyllodes tumor from my breast (this is my second surgery due to recurrence). On April 20, after lifting heavy objects, I have been experiencin...
Dr. Chen Jiaming reply Surgery
Lifting heavy objects can indeed strain the muscles of the chest wall, potentially leading to internal tissue damage. It is advisable to return for a follow-up appointment for further evaluation and treatment. Of course, if there are no significant issues other than pain (such as...[Read More] Post-Surgery Concerns After Phyllodes Tumor Removal: Pain and Healing Tips
Accidental Ingestion of Surgical Gauze: Risks and Outcomes
Accidental ingestion of gauze? Hello, doctor. What will happen if a small piece of gauze is accidentally swallowed? Can it be expelled from the body without any issues?
Dr. Chen Jiaming reply Surgery
Swallowing a small piece of gauze usually passes naturally and is not a cause for concern.[Read More] Accidental Ingestion of Surgical Gauze: Risks and Outcomes
Understanding Sebaceous Cysts: Symptoms, Growth, and Concerns
Regarding a lump on the buttocks? Yesterday, I took a picture (https://imgur.com/a/NAuUqkS). About a month ago, I noticed a hard lump near the lower left side of my buttocks, close to my thigh. I discovered it because it hurts when I sit down. Upon taking a photo, I saw that ther...
Dr. Chen Jiaming reply Surgery
1. Sebaceous cysts can be either soft or hard, and the subjective sensation varies from person to person, with no standard. Your condition may have become inflamed, causing the soft tissue to swell and harden. This is not related to malignancy. 2. A lipoma is an accumulation of s...[Read More] Understanding Sebaceous Cysts: Symptoms, Growth, and Concerns
Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Hard mass in the anus? Hello Doctor, I have recently (within the past two weeks) felt a small, movable lump about the size of a grain of rice inside my anus (near the bend) while showering. I would like to know if this could be an internal hemorrhoid, as it seems to be located a ...
Dr. Chen Jiaming reply Surgery
It is not possible to confirm the diagnosis through online consultation. It is recommended to visit a colorectal surgery clinic for a physical examination by a physician to determine the nature of the lump you have felt.[Read More] Understanding Movable Anal Lumps: Could It Be Hemorrhoids or Something Else?
Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Testicular displacement after hernia surgery? Hello, I would like to ask a question! I just underwent surgery for an inguinal hernia in my right lower abdomen. Five days later, I noticed that my right testicle has moved up into my abdominal area and cannot descend. The doctor sai...
Dr. Chen Jiaming reply Surgery
Since you just had hernia surgery, it is recommended that you discuss this situation with your original surgeon and explore any possible solutions. As for whether the surgery caused this issue, only you are aware of your condition prior to the operation.[Read More] Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Understanding Sudden Sharp Chest Pain: When to Seek Medical Attention
Tearing pain in a specific area of the chest? Hello, on April 8th, when I woke up (still lying down), I suddenly felt a sharp pain in the lower right area of my breast that lasted about a minute. Then, when I sat down on the second floor, I felt a brief pain for a few seconds. La...
Dr. Chen Jiaming reply Surgery
The sudden and severe chest pain you described resembles intercostal neuralgia, which is more common in young individuals and during periods of poor sleep quality. There is typically no specific treatment, as it is often episodic pain without distinct tenderness upon palpation.[Read More] Understanding Sudden Sharp Chest Pain: When to Seek Medical Attention
Post-Appendectomy Healing Concerns: What to Expect After Surgery
Postoperative healing issues after appendectomy? Doctor, I apologize for bothering you again. Following up on <a href="https://adoctor.tw/article/167007">#167007</a>, it has been about three days since my discharge on 4/4, and the drainage site still hasn&#x...
Dr. Chen Jiaming reply Surgery
The healing of a drainage tube wound generally takes about 3 to 7 days. However, remember not to apply excessive force or specifically clean the inside of the wound during disinfection, as this may hinder the connection and healing of the gradually healing tissue cells. The pain ...[Read More] Post-Appendectomy Healing Concerns: What to Expect After Surgery
Post-Appendectomy Concerns: Odor, Wound Care, and Healing Tips
Post-appendectomy complications Hello Doctor, I underwent surgery on March 31 and had my drain removed on April 4 before being discharged. Before I left the hospital, the nurse advised me to disinfect the area frequently and change the gauze. However, every time I change the gauz...
Dr. Chen Jiaming reply Surgery
Regarding the odor, there is no specific correlation. For wound dressing changes, it depends on the presence of exudate. If the wound is dry or has minimal tissue exudate, dressing changes can be done once daily to avoid exposing the wound to tap water. If there is purulent disch...[Read More] Post-Appendectomy Concerns: Odor, Wound Care, and Healing Tips
Understanding and Treating External Anal Masses: A Comprehensive Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming reply Surgery
Based on your description, it could possibly be a skin sebaceous cyst or an anal abscess. It is recommended to visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate treatment recommendations.[Read More] Understanding and Treating External Anal Masses: A Comprehensive Guide
Is Green Stool Normal After Increasing Vegetable Intake?
Green stool Hello doctor, I have been improving my diet recently and have been eating a lot of vegetables. My stool is banana-shaped and yellow-brown, but there are green specks on the surface. Is this normal?
Dr. Chen Jiaming reply Surgery
That is undigested vegetable matter, so it is normal.[Read More] Is Green Stool Normal After Increasing Vegetable Intake?
Understanding and Treating External Anal Masses: A Guide
Perianal mass I have had an external anal lump for over a year, about the size of a grain of rice. Sometimes it improves, but at times it becomes painful and appears white when it matures. Once it matures, it automatically discharges pus and then blood. Occasionally, there are bl...
Dr. Chen Jiaming reply Surgery
Based on your description, it could be a skin sebaceous cyst or an anal abscess. It is recommended that you visit a colorectal surgeon for evaluation and treatment as soon as it occurs to confirm the diagnosis and receive appropriate management.[Read More] Understanding and Treating External Anal Masses: A Guide
Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Nutritional absorption issues due to the presence of a stoma? Hello, Doctor. My father underwent surgery for acute intestinal obstruction in mid-December last year, during which a portion of his small and large intestine was removed. It has been nearly four months since the surge...
Dr. Chen Jiaming reply Surgery
First, it is unclear whether the stoma is an ileostomy or a colostomy. If it is an ileostomy, there may be issues related to fluid and electrolyte balance, which can be more complex. If it is a colostomy, it depends on whether there are any bowel function issues, such as diarrhea...[Read More] Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Case 166293 Follow-up Inquiry - Subsequent Issues After Treatment for Perforated Stomach Leading to Peritonitis Dear Dr. Chen, Thank you for your response. Currently, my family member is still fasting and has not consumed any water or food. They are receiving nutritional injecti...
Dr. Chen Jiaming reply Surgery
Currently, the administration of nutritional injections, lipids, and saline solution is only a part of the "maintenance" treatment. As for investigating the underlying causes, a comprehensive assessment of the clinical condition is necessary. Although you have made grea...[Read More] Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Understanding Groin Lumps: Symptoms, Causes, and When to Seek Help
Inguinal mass Hello, I previously had a subcutaneous cyst in my groin area, which was surgically removed. After three to four months, a new one has developed in the same location (about one centimeter, painful when pressed, slightly painful when walking, somewhat firm, and not mo...
Dr. Chen Jiaming reply Surgery
A new lesion is developing in the same groin area; you can go to the original surgical hospital or clinic for an examination. As for the sore throat lasting two days, it should not be related to the subcutaneous cyst.[Read More] Understanding Groin Lumps: Symptoms, Causes, and When to Seek Help
Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-treatment issues following gastric perforation leading to peritonitis? Dear Dr. Chen, I hope this message finds you well. I would like to provide a detailed account of my family member's clinical course due to a gastric perforation leading to peritonitis, in hopes of r...
Dr. Chen Jiaming reply Surgery
It has been tough for your family to experience such a condition. Since the attending physician has already discussed the situation with other specialists, they have likely considered various common causes of vomiting without arriving at a more refined opinion. I can only offer m...[Read More] Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Understanding Appendicitis: Why Testing is Essential After Surgery
Appendicitis tests Hello Doctor, my mother experienced severe abdominal pain around 1:00 AM on February 28th and was continuously vomiting (including the sleeping pills she took before bed). We took her to the emergency room, where she underwent X-rays, a chest X-ray, and a CT sc...
Dr. Chen Jiaming reply Surgery
No need to worry! Under the National Health Insurance system, it is standard procedure to send the excised inflamed appendiceal tissue for pathological examination after an appendectomy. This surgical approach complies with the health insurance billing process. It is not that you...[Read More] Understanding Appendicitis: Why Testing is Essential After Surgery