Managing Complications After Liver Cyst Surgery: A Caregiver's Guide
Liver cyst surgery Hello, doctor. My mother is 72 years old. Two years ago, she underwent surgery for a liver cyst and had her gallbladder removed. A month ago, she had a fever and underwent surgery to remove the liver cyst again, which was ineffective. She has since undergone tw...
Dr. Huang Zhihui reply Surgery
Liver cysts are a condition caused by congenital factors or unknown reasons. Generally, they rarely lead to life-threatening complications, so most cases do not require treatment. However, a small number of individuals may experience complications such as infections or biliary ob...[Read More] Managing Complications After Liver Cyst Surgery: A Caregiver's Guide
Dealing with Nail Bed Issues: What to Do After Self-Treatment for Paronychia
I seem to have pulled off my nail bed due to an issue with paronychia? Hello, doctor. I have been suffering from paronychia for many years. During my student years, I underwent nail bed surgery, but it recurred after three years. After the surgery, I had to wear sandals for two w...
Dr. Huang Zhihui reply Surgery
The nail and the epidermal layer of the skin are quite similar in structure, and they can sometimes adhere tightly. Therefore, when you pull off part of the nail, it is inevitable that some of the epidermal tissue near the nail groove may also be pulled away. As long as there is ...[Read More] Dealing with Nail Bed Issues: What to Do After Self-Treatment for Paronychia
Understanding Chronic Cellulitis: Causes and Treatments for Your Father's Condition
I am very unfilial? Hello Doctor: My father had a major car accident 32 years ago, and he has an artificial bone in his left leg. However, there is a large dark area on his tibia (shin) that has cellulitis, which flares up occasionally. He needs to take broad-spectrum antibiotics...
Dr. Huang Zhihui reply Surgery
Older adults often experience poor blood circulation in their extremities, making them more susceptible to soft tissue infections when bacteria invade, a condition known as cellulitis. This risk is heightened in individuals with a history of significant injuries or those with imp...[Read More] Understanding Chronic Cellulitis: Causes and Treatments for Your Father's Condition
Implications of Leaving a Pen Refill Stuck in Your Finger
Finger stuck in a pen refill? Hello, doctor. I have a pen refill lodged in my right ring finger, and it has been there for over five years. It is quite deep, and there hasn't been much change. What will happen if I don't remove it?
Dr. Huang Zhihui reply Surgery
If there has been no activity for five years, it is unlikely that there is an acute infection issue. However, the presence of a foreign body beneath the skin may still lead to some chronic inflammatory reactions. In the future, there is a possibility of it becoming purulent, pain...[Read More] Implications of Leaving a Pen Refill Stuck in Your Finger
Understanding Rectal Issues: Hemorrhoids or Polyps?
There is something in the anus? Recently, I have noticed a small red bump near my anus that causes slight pain during bowel movements (also when standing or sitting). I gently touched it while showering and didn't feel anything, but it hurts when I push. Could this be hemorr...
Dr. Huang Zhihui reply Surgery
Based on your description, I still cannot determine exactly what it is; it could be hemorrhoids or polyps, or it might be a skin lesion around the anus. You can try using soapy water for lubrication while bathing to gently push it back into the anus, and you may also apply hemorr...[Read More] Understanding Rectal Issues: Hemorrhoids or Polyps?
Understanding Abdominal Pain, Bloating, and Constipation Issues
Abdominal bloating / abdominal pain / constipation Hello, doctor. I don’t smoke or drink. For the past two weeks, I have been experiencing abdominal pain and bloating. My menstrual period has not arrived yet, and I have a sensation of needing to use the restroom, but when I get t...
Dr. Huang Zhihui reply Surgery
It sounds like a constipation issue. Some individuals may be more prone to constipation due to their constitution or dietary habits, especially when constipation is severe, which can lead to hard stool impaction in the rectum, making it difficult to pass stool. This can result in...[Read More] Understanding Abdominal Pain, Bloating, and Constipation Issues
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Doctor: For the past two days, I have been experiencing pain in my lower right abdomen (the pain worsens with turning, stretching, movement, or when pressure is applied). I visited a gastroenterology clinic where the doctor performed an ultrasoun...
Dr. Huang Zhihui reply Surgery
When a young person experiences right lower abdominal pain for the first time, acute appendicitis is indeed the primary consideration. For most general surgeons, the diagnosis is usually not too difficult and relies mainly on symptoms, medical history, physical examination, and b...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Is Nonspecific Inflammation a Type of Lump? Understanding the Risks
Is it a lump? Diagnosis term: nonspecific inflammation. Is this a type of mass? Will it grow larger over time? Thank you.
Dr. Huang Zhihui reply Surgery
"Non-specific inflammatory response" refers to an inflammatory reaction that is not caused by a specific disease, meaning it involves localized redness, swelling, heat, and pain of unknown origin. It is non-neoplastic as well. The treatment approach should still aim to ...[Read More] Is Nonspecific Inflammation a Type of Lump? Understanding the Risks
Understanding ICU Syndrome: Managing Anxiety After Surgery for Peritonitis
Gastric perforation leading to peritonitis? Hello, Doctor: My father was hospitalized due to a gastric perforation that led to peritonitis and underwent surgery. He has a history of heart disease and is quite elderly. For the first three days after the surgery, his condition was ...
Dr. Huang Zhihui reply Surgery
It may still be necessary to assess clinical symptoms, and if needed, a consultation with a psychiatrist should be arranged. If there is a suspicion of cardiac issues, a consultation with a cardiologist can be considered.[Read More] Understanding ICU Syndrome: Managing Anxiety After Surgery for Peritonitis
Understanding Peritonitis Treatment: What to Expect in Critical Care
Treatment of peritonitis? My sister was admitted to Kaohsiung Chang Gung Memorial Hospital two days ago due to abdominal pain. She is currently in the surgical intensive care unit. The physician diagnosed her with peritonitis. The attending physician has been administering antibi...
Dr. Huang Zhihui reply Surgery
It appears that the patient is exhibiting signs of sepsis, which is associated with a decrease in blood pressure. There are many potential causes of sepsis, and a definitive diagnosis requires correlating clinical manifestations with various tests. Sometimes, the initial symptoms...[Read More] Understanding Peritonitis Treatment: What to Expect in Critical Care
Understanding Floating Stool After Gallbladder Removal: Causes and Concerns
Floating stools with oil? Hello, Doctor: It has been over two months since my cholecystectomy (July 20, 1998). During this time, regardless of whether my meals were oily or not, my stools did not float and I rarely experienced diarrhea. However, in the past couple of days (Octobe...
Dr. Huang Zhihui reply Surgery
According to physiological studies, the gallbladder has functions of "storage," "concentration," and "excretion" of bile, primarily to assist in the digestion and absorption of fatty foods. Under normal circumstances, liver cells continuously secrete...[Read More] Understanding Floating Stool After Gallbladder Removal: Causes and Concerns
Understanding the Transmission and Prevention of Genital Warts
The transmission vectors of cauliflower? Hello, doctor. I would like to ask what the transmission medium for genital warts is and how to prevent infection. For example, should clothing be washed separately, and should utensils be washed separately as well? I have been examined ...
Dr. Huang Zhihui reply Surgery
1. The transmission route of genital warts (condylomata acuminata) is primarily through sexual intercourse. During sexual activity, minor abrasions may occur, allowing HPV to enter through these small wounds and reach the basal layer of the epidermis at the site of epithelial dam...[Read More] Understanding the Transmission and Prevention of Genital Warts
Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
The risks of performing peritonitis and splenectomy in patients with liver cirrhosis? My mother is suffering from liver cirrhosis and lymphoma, for which she is undergoing chemotherapy and taking liver support medications. Recently, she was hospitalized due to hematuria. During h...
Dr. Huang Zhihui reply Surgery
Peritonitis is classified into primary and secondary types. Primary peritonitis is mostly caused by decreased immunity due to liver cirrhosis, has a low incidence rate, and requires the exclusion of secondary peritonitis as a possibility for diagnosis. However, this exclusion pro...[Read More] Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
Post-Cholecystectomy Diet: Essential Tips for Recovery and Nutrition
Post-cholecystectomy Hello Doctor: I recently underwent laparoscopic cholecystectomy and have some questions I would like to ask you: 1. The doctors have advised me to maintain a normal and light diet. However, can I eat high-cholesterol foods such as shrimp and eggs? 2. Is it co...
Dr. Huang Zhihui reply Surgery
1. The primary function of the gallbladder is to store and concentrate bile, which is essential for the digestion of fats. When fatty foods enter the stomach, the stomach secretes cholecystokinin, stimulating the gallbladder to contract and release bile into the duodenum. After g...[Read More] Post-Cholecystectomy Diet: Essential Tips for Recovery and Nutrition
Can You Get a Concussion from a Low-Speed Car Accident?
Concussion? Doctor, in a low-speed collision accident, there were no external injuries, and I was wearing a helmet at the time. My head did not impact anything; I only fell to the ground. Is there a possibility of a concussion in this situation? Thank you for your response.
Dr. Huang Zhihui reply Surgery
A concussion is typically caused by an impact to the head that results in brain injury. Therefore, if a person is wearing a helmet and there is no direct impact to the head, theoretically, a concussion should not occur. However, during a car accident, there are often multiple imp...[Read More] Can You Get a Concussion from a Low-Speed Car Accident?
Hard Lump at the Base of the Skull: What Could It Be?
There is a hard lump at the back of the neck...?? My husband has found a hard lump in the groove where his neck connects to the back of his head. When I lightly press it, he says it feels okay, but pressing harder causes some pain. He hasn't gone for a check-up, and I'm...
Dr. Huang Zhihui reply Surgery
Based on your description, it is difficult to make a direct determination of what it could be. Common possibilities include a subcutaneous cyst, lipoma, bone, or lymph node, among others. It seems more likely to be benign, but it is still advisable for him to see a doctor in pers...[Read More] Hard Lump at the Base of the Skull: What Could It Be?
Effective Remedies for Cracked Corners of the Mouth
請提供 I'm sorry to bother you, but I've recently been staying up late and getting less sleep, so I have a small tear at the corner of my mouth. It bleeds a little when I open my mouth and it hurts, similar to what adults call "cracked corners of the mouth." Can ...
Dr. Huang Zhihui reply Surgery
Based on your description, it seems to be angular cheilitis, commonly referred to as "cracked corners of the mouth." This condition is more likely to occur during cold and dry weather, making autumn and winter the peak seasons. Licking the affected area with the tongue ...[Read More] Effective Remedies for Cracked Corners of the Mouth
Understanding Elbow Pain: When to See an Orthopedic Specialist
Elbow issues Hello doctor: My left elbow makes a sound when I move it, and it also hurts when I press on it. What could be the problem, and which specialist should I see... orthopedics or surgery?
Dr. Huang Zhihui reply Surgery
1. First of all, it is recommended that you see an orthopedic specialist. 2. There are many causes of left elbow pain, such as tennis elbow and bursitis, which are often related to daily activities. For athletes, such as baseball pitchers, common issues include damage to the ulna...[Read More] Understanding Elbow Pain: When to See an Orthopedic Specialist
Understanding Bursa Cysts: Surgical vs. Non-Surgical Treatment Options
Bursa Hello Dr. Huang, I am a working professional with little exercise during the weekdays and no history of trauma. Recently, I discovered a lump on my left elbow that feels swollen and soft, as if it contains fluid. It is not painful, but there is a strange sensation when pres...
Dr. Huang Zhihui reply Surgery
1. An elbow bursa cyst is generally a result of aseptic inflammation; however, in rare cases, it may become infected due to trauma-induced hematoma, leading to cellulitis. The initial treatment typically involves aspiration of the yellowish fluid, followed by local compression wi...[Read More] Understanding Bursa Cysts: Surgical vs. Non-Surgical Treatment Options
Will My Finger Bruise Heal on Its Own After Injury?
excuse me? I apologize, but I would like to ask about my finger (nail bed) which has a small area that turned dark after being hit by something (similar to a bruise). Will it gradually fade away on its own?
Dr. Huang Zhihui reply Surgery
A black spot on the nail bed caused by trauma is due to a bruise, and it typically does not require any treatment. This black spot will gradually move outward as the nail grows and will eventually be trimmed off when cutting the nails, so there is no need to worry.[Read More] Will My Finger Bruise Heal on Its Own After Injury?