Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming reply Surgery
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Occasional discomfort after inguinal hernia surgery? Hello Doctor: I have a hernia where my intestine descended into the right testicle. I discovered it seven years ago and underwent surgery this February. Since then, I have been very careful with my recovery; I only started lift...
Dr. Chen Jiaming reply Surgery
Because there was a considerable time interval between the discovery of your hernia and the actual surgery, based on your description of the hernia descending into the testicle (which should refer to the scrotum), it indicates that your hernia sac likely extended into the scrotal...[Read More] Post-Surgery Discomfort After Inguinal Hernia Repair: Is It Normal?
Is It Normal? Understanding Breast Symmetry and Unusual Discoloration
Is this normal? Recently, I have noticed that the positions of my nipples seem to be asymmetrical. It's not very obvious, with a visual deviation of less than 1 centimeter; the left nipple is slightly lower than the right. However, during breast examinations, I haven't ...
Dr. Chen Jiaming reply Surgery
The development of breast tissue on each side is not always identical, so the position of the nipples can vary, which is normal. As for the small yellowish area you mentioned, it's unclear what exactly it looks like, but if it appears and disappears in accordance with your m...[Read More] Is It Normal? Understanding Breast Symmetry and Unusual Discoloration
Understanding Post-Appendectomy Pain: Is It Adhesions?
It is common to experience pain after an appendectomy? In mid-July, I underwent laparoscopic surgery for a perforated appendicitis complicated by a localized abscess and peritonitis, involving three ports and one drainage tube, totaling four incisions. I had no significant issues...
Dr. Chen Jiaming reply Surgery
Appendicitis with perforation and localized peritonitis will inevitably lead to some degree of intra-abdominal adhesions, which will not be altered by your surgical approach (laparoscopy). Individuals may experience varying symptoms based on the extent of intra-abdominal adhesion...[Read More] Understanding Post-Appendectomy Pain: Is It Adhesions?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Due to some constipation, I used my hand to dig and rinse with water, but when I pulled my finger out, there was blood. Subsequently, some mucus and blood clots (mixed with the mucus) came out, and now there is some warmth and a stinging pain at the anal opening. ...
Dr. Chen Jiaming reply Surgery
Such actions can lead to rectal mucosal prolapse and bleeding, with mild cases resulting in bleeding and sharp pain, while severe cases may lead to infection. Although the issue is not significant, there are other methods to address constipation.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Umbilical Hernia: Symptoms, Diagnosis, and Treatment Options
Suspected umbilical hernia? Hello Doctor: Last month, I noticed that there was an increase in the foam in my urine, and it took a long time to dissipate. Since I had a health check-up scheduled the following week, I did not seek medical attention immediately and decided to monito...
Dr. Chen Jiaming reply Surgery
In general, a protruding umbilical mass can be evaluated using ultrasound to determine if it is a simple subcutaneous mass (such as a lipoma). If it is a hernia sac extending from the abdominal cavity, a defect in the underlying fascia can be observed. After all, most people'...[Read More] Understanding Umbilical Hernia: Symptoms, Diagnosis, and Treatment Options
Understanding Pain and Hard Lumps Around the Areola: What to Do?
Nodule on the areola? Doctor: Hello. I've been experiencing sudden pain in my areola and nipple over the past few days, and there is a hard lump on the edge of the areola. When I squeeze it, no fluid comes out. I've never had this issue before. I would like to ask the d...
Dr. Chen Jiaming reply Surgery
I apologize, but there are too many clinical possibilities based solely on your description. I recommend that you visit a breast surgeon for a detailed medical history inquiry, physical examination, and ultrasound examination, which will allow for a more appropriate response.[Read More] Understanding Pain and Hard Lumps Around the Areola: What to Do?
Post-Surgery Swelling: Is It Normal After Inguinal Hernia Repair?
Postoperative swelling at the surgical site after hernia repair? I underwent an autologous tissue small bowel repair surgery for my right inguinal hernia last week. A few days later, I noticed that the surgical site is more prominent than the other side (left). I would like to kn...
Dr. Chen Jiaming reply Surgery
Hernia surgery, as you described, is a common issue. The main reason is that during the surgery, the surgeon has to navigate through the skin, subcutaneous tissue (fat layer), and the fascial layers of the abdominal wall to reach the spermatic cord and the hernia sac. Each layer ...[Read More] Post-Surgery Swelling: Is It Normal After Inguinal Hernia Repair?
Can I Replace My Hernia Mesh After 6 Years? Understanding Options
Hernia mesh replacement after surgery? Hello, I had a hernia repair with mesh about six years ago, but recently I've been experiencing discomfort in that area. I noticed that there are now fully absorbable meshes available. I would like to know if it is possible to undergo s...
Dr. Chen Jiaming reply Surgery
After the placement of a hernia mesh, it integrates with the body tissues to form a reinforced layer of the abdominal wall and cannot be replaced. Surgery to remove it is not performed unless there is a postoperative infection issue. Since you have had the mesh placed for six yea...[Read More] Can I Replace My Hernia Mesh After 6 Years? Understanding Options
Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Elder brother has been suffering from chronic stomach pain? Hello Dr. Chen, my brother is 32 years old. He has a smoking habit and an unhealthy diet (he enjoys fried foods and late-night snacks). For the past two years, he has been experiencing "stomach pain (severe enough t...
Dr. Chen Jiaming reply Surgery
Based solely on your description, it seems that you often experience pain while "sleeping." If the pain symptoms resemble gastroesophageal reflux (such as chest discomfort, nausea, and burning sensations), you might consider trying antacids or acid reducers to see if th...[Read More] Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Post-Surgery Symptoms: What to Expect After Tumor Removal Surgery
Postoperative symptoms Hello Dr. Chen, I underwent surgery on October 8th for the removal of a thigh tumor, and the incision is approximately 15 cm long. I have a few questions: 1. Is it normal to see a small amount of blood at the wound site when changing the dressing myself? ...
Dr. Chen Jiaming reply Surgery
Since you have just undergone surgery, many clinical questions related to the original tumor and the surgical treatment method are best addressed by your primary surgeon, as they are more suited to your individual needs and cannot be answered by general guidelines. It is common t...[Read More] Post-Surgery Symptoms: What to Expect After Tumor Removal Surgery
Managing Persistent Pain After Leg Injury: Treatment and Specialist Guidance
Injury from a car accident, the wound on the left calf has healed for over six months, but there is occasional mild pain (which has become more noticeable recently while walking)? I was injured in a car accident, and I have a deep wound on my left calf with a large affected area....
Dr. Chen Jiaming reply Surgery
Due to the large and deep area of injury at that time, although the wound has healed, some superficial sensory nerves in the skin have been damaged to varying degrees, making recovery difficult. As a result, changes in weather (such as alternating temperatures and humidity) can e...[Read More] Managing Persistent Pain After Leg Injury: Treatment and Specialist Guidance
Should I Remove a Growing Fibroma? Surgical Options Explained
Fibroma enlargement? Last March, a small tumor was discovered on my chest, measuring 1.9 centimeters at that time. The doctor suggested monitoring it. This year, it has grown to 4 centimeters. Should it be removed? Is it still possible to remove it using minimally invasive techni...
Dr. Chen Jiaming reply Surgery
Soft tissue tumors can grow rapidly; for instance, a size increase from 1.9 cm to 4 cm within a year and a half suggests that early excision is recommended to prevent further growth that could affect surrounding normal tissues and aesthetics (the larger the mass, the larger the w...[Read More] Should I Remove a Growing Fibroma? Surgical Options Explained
Understanding Lymphadenopathy: When to Seek Further Medical Advice
Lymphadenopathy There is a tubular lump located in the lower right abdomen that initially caused some pain, but it has since subsided. The doctor mentioned that it is in the lymphatic area and prescribed medication for me, with a follow-up examination scheduled for November. The ...
Dr. Chen Jiaming reply Surgery
In general, the initial diagnosis of lymphadenopathy requires ultrasound assistance to confirm whether there are any abnormal changes in the lymph nodes (such as cortical thickening, loss of the hilum, etc.). Simple enlargement does not necessarily indicate abnormal variation. If...[Read More] Understanding Lymphadenopathy: When to Seek Further Medical Advice
Understanding Anal Pain and Itching: Is It Hemorrhoids?
Itching and pain around the anal area? Hello, doctor. I would like to ask a few questions. While I was walking around today, I suddenly felt pain and itching in the anal area whenever I exerted myself. Later, while taking a shower, I felt a round lump that seemed to be reducible,...
Dr. Chen Jiaming reply Surgery
Based solely on your description, the likelihood of hemorrhoids is indeed high. Some individuals may experience internal hemorrhoids that suddenly protrude, while others may develop thrombosed hemorrhoids. If symptoms persist, it is advisable to visit a colorectal surgery clinic ...[Read More] Understanding Anal Pain and Itching: Is It Hemorrhoids?
Understanding Tetanus Risks: Shallow Wounds and Infection Concerns
Tetanus Issues I have a long but shallow wound that I accidentally got yesterday, and it seems to be healing quickly. There has been no bleeding since the incident. Is there still a risk of infection?
Dr. Chen Jiaming reply Surgery
The depth of a wound is certainly related to the risk of infection, but what caused the wound is also very important. Since you may not know the mechanism of the object that caused the cut, the best advice is to monitor the wound closely.[Read More] Understanding Tetanus Risks: Shallow Wounds and Infection Concerns
Understanding Post-Appendectomy Pain in Children: What to Expect
Appendicitis with perforation complicated by peritonitis? A five-year-old child visited the emergency room on July 23 and was diagnosed with appendicitis. Initially, the doctor considered treating it with antibiotics, but that was ineffective, leading to surgery on July 26. The d...
Dr. Chen Jiaming reply Surgery
Due to a ruptured appendix leading to peritonitis, there is a widespread inflammatory response within the abdominal cavity, making postoperative intestinal adhesions very likely. Children may experience abdominal distension and complain of pain. Generally, it is important to moni...[Read More] Understanding Post-Appendectomy Pain in Children: What to Expect
Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness
Various Surgical Issues 1. I have been experiencing abdominal pain in the upper left quadrant, usually occurring about half an hour to an hour after breakfast. What could be the cause of this? 2. Recently, I have noticed two or three raised, painful areas on my head. I am concer...
Dr. Chen Jiaming reply Surgery
1. The left upper abdomen primarily corresponds to the location of the stomach, as well as other parts of the intestines. If there is gastrointestinal pain after meals, it is advisable to consult a gastroenterologist or seek an in-person evaluation to determine whether it is a fu...[Read More] Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness
Understanding Painful Bumps in the Buttocks: When to See a Surgeon or Dermatologist
Hard lump in the gluteal fold? I would like to ask the doctor, I recently discovered a hard lump above the gluteal cleft that causes some pain when sitting or lying down. Should I see a general surgeon or a dermatologist at the hospital? Thank you.
Dr. Chen Jiaming reply Surgery
If the goal is simply to obtain a diagnosis, you can make an appointment with either specialty. However, if a diagnosis is confirmed and surgery is being considered due to discomfort from symptoms, you can directly schedule an appointment with general surgery.[Read More] Understanding Painful Bumps in the Buttocks: When to See a Surgeon or Dermatologist
Understanding Armpit Lumps: When to Seek Medical Advice
Axillary lump Hello Doctor, thank you for taking the time to respond. Two days ago, while showering, I noticed a small hard lump in my armpit, possibly around 0.5 cm. However, when I checked again yesterday, it felt like the lump had grown to about 2 cm. It is not very painful wh...
Dr. Chen Jiaming reply Surgery
Common lumps that can be easily felt under the armpit are often sebaceous cysts, which are caused by the blockage of sebaceous gland ducts leading to accumulation. This is similar to the formation of acne. If there is an infection resulting in swelling and pain, it may be referre...[Read More] Understanding Armpit Lumps: When to Seek Medical Advice