Understanding Neurofibromatosis: Surgical Options and Recovery Time
Large area neurofibromas of the skin Hello: I would like to ask about having a large neurofibroma on the skin from my left neck to shoulder. If surgery is required, how long should I rest before returning to work? Is there health insurance coverage for this?
Dr. Chen Ronghong reply Surgery
Hello, the duration of rest should be determined based on the type of surgery performed. If a large tumor needs to be excised, it typically requires a preoperative plan from a plastic surgeon on how to transfer surrounding skin for coverage. Please consult your doctor for recomme...[Read More] Understanding Neurofibromatosis: Surgical Options and Recovery Time
Understanding Breast Fibroadenomas: Pain, Monitoring, and Treatment Options
Breast fibroma Hello, Doctor. I recently discovered a hard lump in my left breast and went for an ultrasound. The results showed several fibroadenomas, with the largest being about 1 cm. The doctor informed me that they are likely fibroadenomas and advised me to return for a foll...
Dr. Chen Ronghong reply Surgery
Hello, 1. Fibroadenomas typically do not cause pain, or may only cause mild tenderness. During your next ultrasound examination, you can inform the technician about the location of any pain to help clarify whether it is related to the tumor. 2. A follow-up appointment in three mo...[Read More] Understanding Breast Fibroadenomas: Pain, Monitoring, and Treatment Options
Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Inguinal lymphadenopathy Hello, doctor. Recently, I discovered about three swollen lymph nodes in my groin area. One of them has been present for a long time, while the other two were found recently (currently, there hasn't been much change). I had a surgeon remove one for b...
Dr. Chen Ronghong reply Surgery
Hello, 1. Surgery is an invasive procedure, so it is common to experience mild swelling and pain at the incision site. However, if there is accompanying redness, significant tenderness, or pus drainage, medical evaluation is necessary to assess for infection. 2. The cause is unkn...[Read More] Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Understanding Subcutaneous Masses: Should You Remove Without Imaging?
Elongated mass Hello, doctor. There is a slender lump located at the angle between the bottom of my thigh and the perineum, with one end feeling connected to the buttock and the other end feeling disconnected from any other part. The entire lump is mobile under the skin, with a d...
Dr. Chen Ronghong reply Surgery
Hello, your request can be discussed with the physician. If the physician determines through palpation that the mass is confined to the subcutaneous tissue, then direct surgical removal is feasible. However, if the physician believes that the subcutaneous mass is just the tip of ...[Read More] Understanding Subcutaneous Masses: Should You Remove Without Imaging?
Understanding Post-Surgery Breast Pain: Is It Normal After Fibroadenoma Removal?
Breast issues Hello, doctor! I underwent a breast fibroadenoma excision surgery last February, and I occasionally experience pain that occurs irregularly. However, when I press on my chest, I do not feel any pain due to external pressure. I would like to know if this type of pain...
Dr. Chen Ronghong reply Surgery
Hello, breast tumor surgery involves incisions in the skin, which inevitably results in some damage to the sensory nerves. Common sequelae include a prickling or itching sensation at the scar site. If this affects your daily life, you may consult a physician for relief, which can...[Read More] Understanding Post-Surgery Breast Pain: Is It Normal After Fibroadenoma Removal?
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy Hello Doctor, I noticed that the lymph nodes in my groin area on both sides have swollen since early January. There are several nodes on both sides, mostly under 1 cm to about 2 cm in size, with some being elongated and others round (the round ones are sm...
Dr. Chen Ronghong reply Surgery
Hello, given your age, the most common causes of groin lymphadenopathy with tenderness are infections of the lower extremities or genital organs. Therefore, it is less related to your lifestyle or lack of exercise. If the aforementioned causes are applicable, then appropriate tre...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Can Aspiration Help Treat Foot Bruising and Swelling?
Foot contusion with swelling and pain? Hello, my right foot has been bruised and swollen for 8 weeks. The reduction in swelling and pain has been limited. Can I use a syringe to aspirate the hematoma to aid in treatment? Is this primarily a skin tissue issue, or is it more relate...
Dr. Chen Ronghong reply Surgery
Hello, the question only mentions foot bruising, making it difficult to determine if aspiration with a syringe is appropriate. If there is swelling in the ankle joint, it is advisable to consult an orthopedic or rehabilitation specialist to assess whether there is joint effusion ...[Read More] Can Aspiration Help Treat Foot Bruising and Swelling?
Understanding Groin Lymph Node Swelling: Causes and Concerns
Inguinal lymphadenopathy Recently, I discovered three swollen lymph nodes in the right groin area near the crease. One of them has remained unchanged for over a year, while the other two were recently found. Currently, there has been no change observed over the past two weeks (th...
Dr. Chen Ronghong reply Surgery
Hello Mr. Chuang, 1. In a normal human body, lymph nodes are distributed in the groin and neck, typically measuring less than 1 centimeter. Nodes larger than 1 centimeter are not necessarily abnormal; their length-to-width ratio, shape, and even biopsy results must be considere...[Read More] Understanding Groin Lymph Node Swelling: Causes and Concerns
Can a Rib Injury from a Softball Impact Rupture the Spleen?
Hit by a ball on the left side of the ribcage? Hello, I was hit in the left side of my ribcage by a softball that bounced off the ground while playing softball. If my rib is not fractured, is it possible for my spleen to rupture from the impact? Or does the rib need to be fractur...
Dr. Chen Ronghong reply Surgery
Hello, a splenic rupture often accompanies left rib fractures; however, the absence of fractures does not guarantee that the spleen is unharmed. Therefore, it is important to be aware of the symptoms of splenic hemorrhage, which include hypotension (weakness and fatigue) or pain ...[Read More] Can a Rib Injury from a Softball Impact Rupture the Spleen?
Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...
Dr. Chen Ronghong reply Surgery
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...[Read More] Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Suspected rectal prolapse? A small piece of tissue about 2 centimeters in size protrudes during bowel movements, but it disappears after a while. There is no pain or bleeding, and I am not straining during bowel movements, but it occurs every time I have a bowel movement.
Dr. Chen Ronghong reply Surgery
Hello RURU, the likelihood of young people experiencing rectal prolapse is low. Given your age and description, it is more likely that you are experiencing internal hemorrhoid prolapse. Conservative treatment includes increasing fluid and fiber intake to avoid constipation, and w...[Read More] Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Understanding Intermittent Breast Pain: When to Seek Further Evaluation
Breast pain Hello, Doctor. I previously consulted you about breast pain. Since the end of June, I have been experiencing pain in my left breast. It does not appear to have any irregularities, and I have not felt any obvious lumps. There is also no discharge from the nipple. The p...
Dr. Chen Ronghong reply Surgery
It's better for you not to specifically schedule examinations during painful episodes, but if your pain is localized, it's advisable to point it out during the ultrasound. If you wish to have another ultrasound within three months of the last examination, it will be out...[Read More] Understanding Intermittent Breast Pain: When to Seek Further Evaluation
Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Rectal bleeding In the past few weeks, I have been experiencing abdominal pain that feels like the urge to have a bowel movement. Sometimes my stools are loose, and other times they are normal. The size of the stools varies; some are small and some are of normal size. The abdomin...
Dr. Chen Ronghong reply Surgery
Hello, you mentioned experiencing blood and pain while wiping. It is very likely that there is a tear in the anal mucosa. If the bleeding occurs during the passage of hard stools, please increase your fluid and fiber intake. If the bleeding occurs frequently after using the restr...[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to Seek Help
Understanding Back Tumors: When to Consider Surgery for Painful Lumps
Hard mass tumor in the back? Doctor, I have a lump about 3 centimeters in size under the skin on the right side of my back. It feels hard to the touch and is painful; it also hurts when I press on it while sleeping, which has been disrupting my sleep. Do I need to have it surgica...
Dr. Chen Ronghong reply Surgery
Hello, Lemon C. It is recommended to seek medical attention to determine the cause of the lump. If it has developed recently and is accompanied by redness, swelling, heat, and pain, it may indicate a subcutaneous infection, which could improve with antibiotics or incision and dra...[Read More] Understanding Back Tumors: When to Consider Surgery for Painful Lumps
Understanding Stage 2 Hemorrhoids: Treatment Options and Concerns
Treatment of Internal Hemorrhoids Symptoms: Grade 2 internal hemorrhoids, no bleeding, but during bowel movements, if prolonged (2-3 minutes), a small portion may protrude and then retract. However, if the bowel movement is smooth, it does not protrude. Question 1: After the co...
Dr. Chen Ronghong reply Surgery
Hello Brian, Question 1: Second-degree hemorrhoids have already experienced mucosal and vascular prolapse. Conservative treatment can improve symptoms and severity, but it is difficult to revert to first-degree. Question 2: You can still engage in weight training; just rememb...[Read More] Understanding Stage 2 Hemorrhoids: Treatment Options and Concerns
Understanding Stool Shape Changes: Is It Hemorrhoids or Something More?
Stool shape? Hello, doctor. I have a history of both internal and external hemorrhoids. Recently, about three weeks ago, I experienced some constipation, which made me pay more attention to my condition. I noticed that after bowel movements, there is swelling at the anal opening ...
Dr. Chen Ronghong reply Surgery
Hello, Lao Wu. You mentioned that the shape of the stool has grooves. The most direct way to assess this is through a digital rectal examination performed by a physician, which can help detect any tumors or internal hemorrhoids in the lower rectum. Additionally, a fecal occult bl...[Read More] Understanding Stool Shape Changes: Is It Hemorrhoids or Something More?
Unexplained Forehead Swelling: Causes and Connections to Bruising
The forehead swells up inexplicably but then resolves on its own? The condition has persisted for about four months, primarily with occasional swelling around the forehead that subsides on its own after applying ointment. What could this be? Is it related to coagulation function ...
Dr. Chen Ronghong reply Surgery
Hello Ms. Chen, the symptoms you described may indeed be related to a coagulation disorder. It is recommended that you consult a rheumatologist to check for any autoimmune diseases. Another possibility is a subcutaneous infection; however, the swollen area on your forehead would ...[Read More] Unexplained Forehead Swelling: Causes and Connections to Bruising
Understanding Fibroadenomas: Common Concerns and Follow-Up Care
Fibroadenoma Hello, Doctor. I would like to ask you some related questions: 1. Is it common for a 36-year-old to have multiple fibroadenomas? 2. Do breast cancer patients generally have fibroadenomas, or are the two conditions not significantly related? 3. Is it normal to follo...
Dr. Chen Ronghong reply Surgery
Hello, 1. Fibroadenomas are quite common in women of this age. 2. The two are unrelated; fibroadenomas do not carry a risk of malignant transformation. The reason for monitoring is that fibroadenomas can grow, and a diagnosis made solely through ultrasound without biopsy is not 1...[Read More] Understanding Fibroadenomas: Common Concerns and Follow-Up Care
Managing Post-Surgery Pain and Itching: Tips for Recovery After Appendectomy
Since the surgery in January, the wound area has been itchy and painful. I would like to inquire about possible relief methods? On October 21, 2021, I experienced abdominal pain so severe that I could not stand (the most comfortable position was kneeling or lying down). I endured...
Dr. Chen Ronghong reply Surgery
Hello KIKI, 1. Laparoscopy typically does not cause severe adhesions; itching is more likely related to the wound. Many patients experience itching at the wound site for several months after healing, but it usually improves gradually. For pain, it is important to differentiate ...[Read More] Managing Post-Surgery Pain and Itching: Tips for Recovery After Appendectomy
Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong reply Surgery
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery