Managing Splenic Hemorrhage in Elderly Patients with Kidney Issues
Splenic hemorrhage Hello Dr. Huang, the patient is a 65-year-old individual with a history of long-term dialysis. Two months ago, they experienced dizziness and were injured by a motorcycle. The following day, an orthopedic evaluation diagnosed a mild left-sided rib fracture (fou...
Dr. Huang Zhihui reply Surgery
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Generally, severe bleeding requires surgical intervention.[Read More] Managing Splenic Hemorrhage in Elderly Patients with Kidney Issues
Understanding Painful Bowel Movements and Rectal Bleeding: Is It Hemorrhoids?
Pain during bowel movements and bleeding upon wiping? I have had irregular bowel movements for a long time, and recently I've noticed bright red blood when wiping after a bowel movement. The stool has been harder, and I experience significant pain during defecation. One day ...
Dr. Huang Zhihui reply Surgery
Based on your age and description, it is likely that the bleeding is caused by hemorrhoids; however, other diagnoses such as anal fissures, tumors, or fistulas cannot be ruled out. Therefore, if you have any concerns, it is best to visit an outpatient clinic for an examination.[Read More] Understanding Painful Bowel Movements and Rectal Bleeding: Is It Hemorrhoids?
Understanding Muscle Strains: Recovery Tips and Dietary Recommendations
Regarding muscle strains and their follow-up? Hello Doctor: I am the student who previously consulted you regarding an injury sustained while exercising, which affected my abdomen, groin, and the area where my hip joint connects. Thank you for your detailed response last time. I ...
Dr. Huang Zhihui reply Surgery
If you can walk normally, it is unlikely that you have a serious fracture, dislocation, or tendon rupture. However, if you continue to experience pain several days after the injury, or if you feel unstable while standing, it is advisable to visit an orthopedic physician for a tho...[Read More] Understanding Muscle Strains: Recovery Tips and Dietary Recommendations
Blood in Stool: Understanding Symptoms and When to Seek Help
Blood in the stool? Hello, Doctor: This morning at 6 AM, I got up to use the bathroom and noticed that there was a lot of fresh blood in the toilet after straining. When I wiped, I saw something that looked like a membrane, and I continued to bleed, although it didn't last t...
Dr. Huang Zhihui reply Surgery
Based on your age and description, it seems more likely that the bleeding is caused by hemorrhoids. However, I recommend that you visit a doctor for an examination.[Read More] Blood in Stool: Understanding Symptoms and When to Seek Help
Understanding Painful Growths Around the Anus: Causes and Treatments
There are several growths around the anus? Hello doctor, I recently noticed 2-3 small growths around my anus while showering. I'm not sure what they are, but they cause itching and pain when pressed. Here are the images: http://ppt.cc/WVVbp http://ppt.cc/WXRvG.
Dr. Huang Zhihui reply Surgery
Hello, since I cannot view the image link you provided, I can only tell you that this situation is most likely anal tags, which can be a complication of hemorrhoids. You may use hemorrhoid ointment to alleviate the symptoms, but if you have any doubts, it is best to consult a spe...[Read More] Understanding Painful Growths Around the Anus: Causes and Treatments
Understanding Muscle Strains: Recovery Tips and Pain Management
Muscle strain Hello Doctor: Due to exercising, I accidentally strained my abdomen, groin, and the area where the hip joint connects. My abdomen is slightly swollen and uncomfortable, and I have applied a topical ointment. The area where the hip joint connects to the groin experie...
Dr. Huang Zhihui reply Surgery
Severe pain due to muscle strain after intense exercise is a common occurrence. If it does not result in any limitations in activity, it generally heals naturally with rest over a period of time. Local topical ointments and heat application can help alleviate pain and promote rec...[Read More] Understanding Muscle Strains: Recovery Tips and Pain Management
Understanding Dark Brown Stool: When to Worry About Your Digestive Health
The stool color is dark brown? Hello, I have some gastroesophageal reflux and irritable bowel syndrome. I have undergone an endoscopy, and it should not be very serious. When I have symptoms, I take the medication prescribed by my doctor. I would like to ask, the color of my stoo...
Dr. Huang Zhihui reply Surgery
The color of stool is mostly related to food, while a smaller portion can be caused by bleeding or liver, gallbladder, and gastrointestinal diseases. Based on your description, it seems more likely to be influenced by food. However, if you have any concerns, it is best to consult...[Read More] Understanding Dark Brown Stool: When to Worry About Your Digestive Health
Understanding External vs. Internal Hemorrhoids: Symptoms and Treatment Options
Is this a case of external hemorrhoids or internal hemorrhoids? Hello, Dr. Huang. I originally had a small external hemorrhoid, but the doctors have said it was very small, almost negligible. I have had a rubber band ligation for an internal hemorrhoid in the past. During my last...
Dr. Huang Zhihui reply Surgery
Based on your description, it may be excess tissue left at the anal opening after a hemorrhoid flare-up. Sometimes, this excess tissue does not go away but is not painful. The only way to completely remove it is through surgical excision. Therefore, if it is causing you discomfor...[Read More] Understanding External vs. Internal Hemorrhoids: Symptoms and Treatment Options
Understanding Abdominal Lumps: When to Seek Further Medical Evaluation
Feeling many small lumps in the abdomen? Hello, I have been suffering from gastroesophageal reflux and bloating for a long time (but I have followed my doctor's advice and have not undergone an endoscopy). I regularly see my family physician, and my bowel movements occur eve...
Dr. Huang Zhihui reply Surgery
Gastroesophageal reflux can be inferred through a patient interview, but a definitive diagnosis must be confirmed through endoscopy. According to health insurance regulations, an endoscopy report is required to prescribe specific medications for gastroesophageal reflux. As for ab...[Read More] Understanding Abdominal Lumps: When to Seek Further Medical Evaluation
Post-Car Accident: Why Is My Knee Developing Blisters?
Persistent blisters on the knee after a car accident? Hello Doctor: It has been over two weeks since my car accident! Most of my wounds have healed, but I don't understand why the wound on my right knee is getting worse. The color has turned a deep purple, and there are many...
Dr. Huang Zhihui reply Surgery
Due to the lack of direct observation, a definitive diagnosis cannot be made. However, in some cases, post-traumatic subcutaneous tissue infections can persist, leading to soft tissue necrosis, bruising, blistering, and other changes. Therefore, it is still advisable for you to s...[Read More] Post-Car Accident: Why Is My Knee Developing Blisters?
Understanding Blood in Toilet Water: Causes and When to Seek Help
The toilet water appears slightly red during bowel movements? I have not experienced diarrhea in the past few instances. On September 2nd, I had a bowel movement, and the stool was black, shaped like a thick log. Since it was the first time I encountered this situation, I felt a ...
Dr. Huang Zhihui reply Surgery
Based on your age and your description, it is likely that you have mild hemorrhoids, which could be causing the slight rectal bleeding. However, for safety reasons, it is recommended that you visit a specialist for an anoscopy to confirm the diagnosis. If the physician suspects a...[Read More] Understanding Blood in Toilet Water: Causes and When to Seek Help
Blood in Stool: Should You Worry About Colon Cancer?
Blood in the stool? Hello: Two years ago, I had a very alarming experience where after a bowel movement, the entire toilet was filled with blood, bright red, and it lasted for several days. Every time I had a bowel movement, there was a lot of blood. Eventually, it returned to no...
Dr. Huang Zhihui reply Surgery
If bright red blood is confirmed to be coming from the anus, it is generally indicative of an issue at the anal region, with hemorrhoids (internal hemorrhoids) being the most common cause of bleeding. However, bleeding from higher up in the gastrointestinal tract, such as tumors,...[Read More] Blood in Stool: Should You Worry About Colon Cancer?
Red Mucus in Stool: What It Could Mean for Your Health
More than half of the stool contains red mucus? Hello, I am 21 years old, but I have had a habit of constipation since middle school. At its worst, I would only have a bowel movement once a month and needed medication to relieve it. Three years ago, I underwent a colonoscopy, and...
Dr. Huang Zhihui reply Surgery
Based on your description, the presence of bright red blood from the anus is generally indicative of issues at the anal region, with hemorrhoids (internal hemorrhoids) being the most common cause of bleeding. However, bleeding may also originate from higher up in the gastrointest...[Read More] Red Mucus in Stool: What It Could Mean for Your Health
Understanding Post-Surgery Complications: Hemorrhoid Surgery Recovery Issues
It has been three months since the hemorrhoid surgery, and it has not healed? Hello Dr. Ke, my surgical wound from April 17 hasn't healed and has been bleeding. There are two protrusions near the perineum, and I have persistent pain in my left buttock. I've returned for...
Dr. Huang Zhihui reply Surgery
Traditional hemorrhoid surgery involves the removal of the primary hemorrhoidal tissue, and common postoperative complications include pain, bleeding, and residual tags or small hemorrhoids. Based on your description, it seems you may be experiencing such issues. If you are still...[Read More] Understanding Post-Surgery Complications: Hemorrhoid Surgery Recovery Issues
Understanding External Anal Bumps: Causes and Concerns
Anal issues Hello Dr. Ke: A few months ago, I noticed some slight protrusions around the external anal area (similar to small bumps). In June, I began to observe a slight increase in these bumps, but they are not particularly itchy or painful. What could this condition be? (I hav...
Dr. Huang Zhihui reply Surgery
It is recommended to seek medical attention as soon as possible; without observing the lesion, a diagnosis cannot be made.[Read More] Understanding External Anal Bumps: Causes and Concerns
Managing Non-Healing Wounds and Colon Cancer Complications
The surgical wound from colorectal cancer surgery is not healing? Hello, my mother underwent laparoscopic surgery (Da Vinci) for stage III colon cancer two years ago, followed by radiation and chemotherapy. She has been regularly monitored at the hospital, and doctors have stated...
Dr. Huang Zhihui reply Surgery
Without observing the condition, it is not possible to determine the cause.[Read More] Managing Non-Healing Wounds and Colon Cancer Complications
Understanding Post-Tetanus Shot Side Effects: What to Expect
Side effects after breaking a tetanus infection? Hello, doctor. I received a tetanus shot in my right arm on July 17 due to a motorcycle accident, and it has been over a week since then. I have been experiencing muscle soreness in my left shoulder, and last night I had pain near ...
Dr. Huang Zhihui reply Surgery
It is rare to experience such phenomena after receiving a tetanus shot; it may be due to localized tissue inflammation caused by the medication. You may consult a nearby medical facility for further advice.[Read More] Understanding Post-Tetanus Shot Side Effects: What to Expect
Head Injury from a Lead Ball: Understanding Long-Term Effects
Hit on the forehead by a lead ball? I apologize, but I previously had a lead ball hit my forehead, which caused a lot of bleeding. After getting stitches, the doctor didn't specifically mention anything about a concussion. Recently, I've been experiencing neck pain alon...
Dr. Huang Zhihui reply Surgery
It is recommended to consult a neurosurgeon to assess for potential cervical spine injury or associated concussion.[Read More] Head Injury from a Lead Ball: Understanding Long-Term Effects
Understanding Post-Cholecystectomy Complications and Management
Post-cholecystectomy (after gallbladder surgery) Hello, my grandmother underwent laparoscopic cholecystectomy for gallstones a year ago and was hospitalized for 10 days. Three months ago, she was hospitalized due to cholangitis and fever. At that time, the outpatient physician re...
Dr. Huang Zhihui reply Surgery
Based on your description, postoperative complications such as retained tubes, titanium clips dislodging causing bile leakage and inflammation, or recurrent bile duct stones and retrograde bacterial infections are all possible. However, without seeing the patient and the detailed...[Read More] Understanding Post-Cholecystectomy Complications and Management
Understanding Paronychia: Treatment Options and Common Misconceptions
What is paronychia and how is it treated? What is paronychia and how is it treated? Why do some doctors say that medication is sufficient while some family members suggest nail removal?
Dr. Huang Zhihui reply Surgery
Paronychia is usually caused by trauma or ingrown nails, leading to a bacterial infection of the nail fold and subsequent inflammation. Mild cases can be treated with antibiotics or incision and drainage, while severe cases may require nail removal or even destruction of the nail...[Read More] Understanding Paronychia: Treatment Options and Common Misconceptions