Do I Need Surgery for My Hemorrhoids? Expert Insights
Is surgery necessary? Hello, Dr. Chen. I have been experiencing small hemorrhoidal lumps around the anal area. Recently, after a long flight, I developed constipation which aggravated the hemorrhoids, resulting in an additional lump. Although it is not painful, there is a sensati...
Dr. Chen Ronghong reply Surgery
Hello, external hemorrhoids form due to the dilation and descent of blood vessels, and they do not always involve thrombosis; however, if thrombosis occurs, it can lead to pain. Warm sitz baths may help improve your condition, and you can try this for a month. If there is no impr...[Read More] Do I Need Surgery for My Hemorrhoids? Expert Insights
Understanding Iodine-131 Treatment and Imaging for Thyroid Cancer
Iodine-131 therapy Hello, Doctor. 1. On June 3, I underwent a contrast-enhanced imaging examination in the emergency room of Far Eastern Memorial Hospital after a total thyroidectomy due to a hematoma. Can this imaging technique detect other cancer cells? Is there a possibility...
Dr. Chen Ronghong reply Surgery
Hello, Cool Dragon. 1.2. The examinations performed in the emergency department typically include a CT scan. If any other abnormalities are detected, they will be noted in the report. Please consult Dr. Yadong for assistance with the inquiry. 3.4. Iodine-131 imaging is a type of ...[Read More] Understanding Iodine-131 Treatment and Imaging for Thyroid Cancer
Understanding Breast Pain: When to Seek Further Medical Evaluation
Breast examination Hello, doctor. I am #183440. Thank you very much for your patient and detailed response. I apologize for asking again, but the day after my inquiry, the tenderness suddenly disappeared (I wonder if it is related to the end of my menstrual period). The discharge...
Dr. Chen Ronghong reply Surgery
If you don't have a fever or tenderness, the likelihood of mastitis is lower. If the discharge is clear, transparent, and light yellow, you can observe it for a while. However, if the discharge persists, it is still advisable to schedule a breast ultrasound for peace of mind...[Read More] Understanding Breast Pain: When to Seek Further Medical Evaluation
Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
After total thyroidectomy Hello, Doctor. 1. I had a contrast agent injection in the emergency room of Far Eastern Memorial Hospital on June 3 for a hematoma check after a total thyroidectomy. I would like to know how long I need to wait before undergoing a lung examination that...
Dr. Chen Ronghong reply Surgery
Hello, Cool Dragon. 1. Since you are scheduled for iodine-131 treatment on July 18, if you need to receive a contrast agent, you should wait until after the treatment is completed. 2. It is difficult to determine whether it is a bacterial infection based on your description; y...[Read More] Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
Understanding Gastrointestinal Issues: Adhesions and Obstructions Explained
Gastrointestinal issues. Intestinal adhesions. Intestinal obstruction? Thank you, doctor. I am a patient from the article at https://adoctor.tw/article/183509. My bloating issue has been bothering me for over a year, and it has significantly affected my quality of life. After los...
Dr. Chen Ronghong reply Surgery
Hello Mr. Chang, I recommend that you undergo another CT scan to confirm whether the inflammation of the small intestine has resolved. If there is no improvement and the cause remains undetermined, I suggest seeking a specialist in inflammatory bowel disease at a medical center. ...[Read More] Understanding Gastrointestinal Issues: Adhesions and Obstructions Explained
Understanding Rectal Bleeding: Causes and When to Seek Help
Frequent bleeding during bowel movements? Hello, doctor. During one bowel movement, my stool was quite dry and hard, which seemed to have scraped the mucosa or aggravated my hemorrhoids. Since that painful incident, I haven't experienced pain again, but I have been noticing ...
Dr. Chen Ronghong reply Surgery
Hello Huan, based on your description, both anal fissures and hemorrhoids are possible. If even soft stools cause bleeding, you should be cautious about whether you are straining too much while wiping after a bowel movement. If you frequently have hard stools, it is important to ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Post-Chemotherapy Management for Stage IIB Breast Cancer Patients
Post-Chemotherapy Management Right breast cancer, with complete mastectomy and axillary lymph node dissection performed. The pathology report is as follows: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: metastasis present (2, 11), Distant metastasis: none. Tumor type: IDC ER: 90%,...
Dr. Chen Ronghong reply Surgery
Hello, Pang Pang. Currently, in Taiwan, the indications for Atezolizumab are limited to pancreatic cancer, gastric cancer, colorectal cancer, and lung cancer. In Japan, it can be used for unresectable or recurrent breast cancer, but that is different from your situation. Therefor...[Read More] Post-Chemotherapy Management for Stage IIB Breast Cancer Patients
Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Recurrent fever after surgery for ampullary cancer? Hello Dr. Chen, my mother is 75 years old. She was diagnosed with ampullary cancer at the end of May and underwent laparoscopic pancreaticoduodenectomy on June 9, during which the tumor was removed. The pathology report indicate...
Dr. Chen Ronghong reply Surgery
Hello, Ms. Lin. After pancreatic surgery, fever is most commonly associated with anastomotic leakage, as well as pneumonia, urinary tract infections, and bloodstream infections. I believe your mother's doctor has considered these possibilities, especially since you mentioned...[Read More] Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Understanding Abdominal Bloating: Causes and Surgical Concerns
Abdominal bloating and abdominal issues? Thank you, doctor, for answering my questions. I am a patient from the article at https://adoctor.tw/article/183389. I have not found the cause of the thickening of the small intestine inflammation. The doctor also noted that my right colo...
Dr. Chen Ronghong reply Surgery
Hello Mr. Zhang, the CT scan currently shows obvious inflammation, but it is limited to the small intestine. Binge eating should not cause inflammation. Performing a laparoscopic examination will not lead to significant new adhesions (as the incisions are small). If you do not ha...[Read More] Understanding Abdominal Bloating: Causes and Surgical Concerns
Understanding Radioactive Iodine Treatment: FAQs on Thyroid Cancer and Diet
Total thyroidectomy Hello Doctor, 1. Can radioactive iodine-131 be used to check for tumors or cancer cells throughout the body, or is it only for detecting thyroid cancer cells? 2. Does radioactive iodine-131 only target residual thyroid cancer cells, or can it also kill cance...
Dr. Chen Ronghong reply Surgery
Hello, Kulong. 1. Iodine-131 is used to check for local residual thyroid cancer or distant metastasis; it cannot detect cancer cells from other sources. 2. Only cells originating from the thyroid will absorb iodine-131; cancer cells from other sources cannot be targeted. 3. R...[Read More] Understanding Radioactive Iodine Treatment: FAQs on Thyroid Cancer and Diet
Understanding Breast Pain and Discharge: When to Seek Medical Advice
Breast examination Hello Doctor: A few days ago, I suddenly noticed that the edge of my left breast started to hurt before my menstrual period (only the left breast, and it feels different from the usual bloating and pain I experience during my period). There are no visible lumps...
Dr. Chen Ronghong reply Surgery
It is better than you think; the presence of yellow discharge from the nipple, accompanied by tenderness, may indicate mastitis. It is advisable to measure your body temperature and consult a breast surgeon for an ultrasound examination. Blood tests may be performed if necessary....[Read More] Understanding Breast Pain and Discharge: When to Seek Medical Advice
Exploring Abdominal Bloating: Could a Floating Kidney Be the Cause?
Abdominal bloating. Free kidney? Thank you for your response, doctor. I am the patient from the article https://adoctor.tw/article/183186 &sat=1<a href="https://adoctor.tw/article/183186">#183186</a>, and I would like to ask you a question. I have underg...
Dr. Chen Ronghong reply Surgery
Hello Mr. Chang, have we found the cause of the thickening and inflammation of the small intestine wall after excluding Crohn's disease? If the Meckel's diverticulum is not inflamed, then it is likely unrelated to your discomfort. It has been six months since your last ...[Read More] Exploring Abdominal Bloating: Could a Floating Kidney Be the Cause?
Understanding Intestinal Adhesions and Blockages After Fasting
Gastrointestinal issues. Intestinal adhesions. Intestinal obstruction? Hello, Doctor. Thank you very much for responding to my question. I am a patient inquiring about the article at https://adoctor.tw/article/183036 &sat=1. I would like to ask, after fasting for two months a...
Dr. Chen Ronghong reply Surgery
Hello Mr. Zhang, fasting for weight loss and binge eating should not lead to intestinal adhesions. I reviewed your X-ray, and the intestinal gas is not confined to any specific area. The CT scan, however, shows more definitive findings, with thickening of the intestinal wall in t...[Read More] Understanding Intestinal Adhesions and Blockages After Fasting
Understanding I-131 Treatment: Questions and Dietary Guidelines After Thyroid Surgery
Iodine-131 therapy Hello, doctor. On May 27th of this year, I underwent minimally invasive total thyroidectomy at Tucheng Hospital. The pathology report indicated that the tumor on the left side and two lymph nodes were diagnosed as stage I papillary thyroid carcinoma, with lymph...
Dr. Chen Ronghong reply Surgery
Hello, Cool Dragon. 1. If you have already received Iodine-131 treatment at Asia University Hospital, it is recommended to stay at Asia University Hospital for efficacy evaluation and not to undergo treatment at different hospitals. 2. Since you will be receiving Iodine-131 t...[Read More] Understanding I-131 Treatment: Questions and Dietary Guidelines After Thyroid Surgery
Understanding Gastrointestinal Issues: Adhesions and Twists Explained
Gastrointestinal issues Hello Doctor, I am a patient from https://adoctor.tw/article/182755 &sat=1&[email protected]<a href="https://adoctor.tw/article/182755">#182755</a>. Thank you for answering my questions. I do not have emotional issues...
Dr. Chen Ronghong reply Surgery
Hello Mr. Zhang, intestinal volvulus typically leads to bowel obstruction and abdominal pain. If there is indeed a volvulus, the CT scan report would indicate it. There have been cases where patients have not undergone abdominal surgery but still experienced adhesions, possibly d...[Read More] Understanding Gastrointestinal Issues: Adhesions and Twists Explained
Understanding Gastrointestinal Issues After Rapid Weight Loss: A Patient's Journey
Gastrointestinal issues Since the end of last year, I lost 26 kilograms through two months of fasting (from a normal weight to significantly underweight). After that, I binge-eated for a week and gained back 10 kilograms. Since then, I have been experiencing bloating issues, with...
Dr. Chen Ronghong reply Surgery
Hello Mr. Chang, if you have not undergone any abdominal surgery, the likelihood of adhesions causing impaired intestinal motility is low (though not impossible). You mentioned that gas sometimes feels like it's in your stomach and sometimes in the small and large intestines...[Read More] Understanding Gastrointestinal Issues After Rapid Weight Loss: A Patient's Journey
Understanding Anal Fistula: Symptoms, Treatment, and Recovery Timeline
Regarding anal fistula issues? Previously, I felt a hard lump near my anus, and when I pressed it slightly, it caused some soreness. I consulted a doctor at a large hospital, and he diagnosed it as an anal abscess. He prescribed antibiotics and mentioned that we would monitor for...
Dr. Chen Ronghong reply Surgery
If there is a hard lump upon palpation, and a tubular structure can be felt, it is possible that an anal fistula has formed. However, during acute inflammation, it is advisable to first control the condition with antibiotics and anti-inflammatory medications. Once the inflammatio...[Read More] Understanding Anal Fistula: Symptoms, Treatment, and Recovery Timeline
Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Time
Regarding anal fistula issues? Previously, I felt a hard lump near my anus, and when I pressed it slightly, it would cause some soreness. I consulted a doctor at a large hospital, and he diagnosed it as an anal abscess. I was prescribed antibiotics and advised to see if a fistula...
Dr. Chen Ronghong reply Surgery
If there is a hard lump that can even be felt as a tubular structure upon palpation, it is possible that an anal fistula has formed. However, during acute inflammation, it is advisable to first control the condition with antibiotics and anti-inflammatory medications. Once the inf...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Recovery Time
Concerns About Finding a Hard Lump During Self-Examination
During a self-examination, a lump or nodular mass was felt? Hello Doctor, recently during a self-examination, I felt a small, approximately 1-2 millimeter, granular object on the inner wall of my rectum. The texture of the object is hard and not smooth, and it does not cause pain...
Dr. Chen Ronghong reply Surgery
Hello, the simplest way is to wait until your next bowel movement and touch it again. If it still exists, it is unlikely to be feces. The normal intestinal wall has folds, but there should not be any hard lumps or rough surfaces. Therefore, if the small hard lump you mentioned pe...[Read More] Concerns About Finding a Hard Lump During Self-Examination
Is It Safe to Use Contrast Agents After Spleen Removal?
Is it safe to administer contrast agents after a splenectomy? Dear Dr. Chen, My husband was involved in a serious car accident in April. Due to the force of the impact, he suffered from severe abdominal hemorrhage, which necessitated an emergency splenectomy. Additionally, he ha...
Dr. Chen Ronghong reply Surgery
Hello Smile, it is important to assess renal function before administering contrast agents, and most medical facilities routinely confirm that it is normal before proceeding. A history of splenectomy or pleural effusion does not pose additional risks.[Read More] Is It Safe to Use Contrast Agents After Spleen Removal?