Understanding Nipple Asymmetry: When to Seek Medical Advice
Nipple asymmetry I have a question regarding my nipples, and I hope you can help clarify. I frequently check my breasts in the mirror, and when I face the mirror directly, I notice that my nipples are slightly asymmetrical; the left one is a bit lower than the right, but it'...
Dr. Ke Fangxu reply Surgery
At the age of 18, one is still in the stage of breast development, and it is quite normal for there to be slight asymmetry between the breasts at this time. Even after reaching adulthood, breast asymmetry is very common and generally does not require excessive concern.[Read More] Understanding Nipple Asymmetry: When to Seek Medical Advice
Understanding Risks of Anal Fistula Surgery: What You Need to Know
Risks of Anal Fistula Surgery Hello Doctor, I was diagnosed with an anal fistula around October this year. However, I have been quite busy during the semester and plan to have the surgery during the winter break. I would like to ask if the surgery to remove the anal fistula carri...
Dr. Ke Fangxu reply Surgery
Surgery for anal fistulas does not cause incontinence; this is a misconception that has been perpetuated over time. If a simple fistula is not treated, it may worsen into a complex fistula, which most physicians are reluctant to manage. Complete healing of the surgical wound typi...[Read More] Understanding Risks of Anal Fistula Surgery: What You Need to Know
Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Blood in stool with mucus? Hello Doctor, for a while I had no sensation when having a bowel movement, but afterwards there was blood in the toilet water (the wiping was also bright red, as if it was dripping while I was going). Occasionally, I also experienced diarrhea. Recently,...
Dr. Ke Fangxu reply Surgery
Indeed, blood in the stool along with mucus is one of the symptoms of colorectal cancer. However, the likelihood of developing colon cancer at the age of 20, while not zero, is generally very low. Based on your description, it seems more indicative of hemorrhoidal bleeding. Prolo...[Read More] Understanding Blood and Mucus in Stool: Possible Causes and Concerns
Thyroglobulin Concerns After High-Dose I-131: When to Revisit Your Doctor?
May I ask the doctor? In the past few years after receiving high-dose iodine-131 treatment, my thyroglobulin levels have been consistently below 1, rarely exceeding 2. However, my recent thyroglobulin antibody (aTG) level was 15. Should I schedule a follow-up appointment soon, or...
Dr. Ke Fangxu reply Surgery
If you have undergone total thyroidectomy followed by iodine-131 treatment, then an increase in anti-thyroglobulin (aTG) levels is indeed an abnormal finding. Consuming seaweed should not cause such a significant change in the values. It is advisable for you to schedule an earlie...[Read More] Thyroglobulin Concerns After High-Dose I-131: When to Revisit Your Doctor?
Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Post-fistula surgery Hello, doctor. I had a fistula and external hemorrhoid surgery on October 20, 2020. It has been two months since then, and I have recently experienced slight bleeding and sharp pain. After one bowel movement, the bleeding increased (soaking half a tissue). Wh...
Dr. Ke Fangxu reply Surgery
Theoretically, the wound should be completely healed one month after surgery. If there is still significant bleeding, it may indicate poor wound healing or residual bleeding from internal hemorrhoids. It is advisable for you to have the surgeon check it again.[Read More] Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Post-Appendectomy Concerns: Metal Clips and Treatment Options
Post-appendectomy related issues? Hello, Director Ke: I had surgery for acute appendicitis five years ago, and a metal clip was left in my abdominal cavity. I would like to ask: 1. What is the purpose of using a metal clip? 2. Given that I have a metal clip in my abdominal cavity...
Dr. Ke Fangxu reply Surgery
If there are metal clips left after appendicitis surgery, it is likely that a laparoscopic appendectomy was performed, and the purpose of the hemostatic clips is to control bleeding or to close the stump of the appendix. These hemostatic clips are mostly made of aluminum alloy. G...[Read More] Post-Appendectomy Concerns: Metal Clips and Treatment Options
Post-Banding Bleeding After Hemorrhoid Surgery: What to Know
Post-operative bleeding after hemorrhoid ligation? I had a vasectomy two to three weeks ago. After the procedure, I didn't have any bleeding for a while, but recently I've been experiencing harder stools and some mild constipation. The day before yesterday, I suddenly n...
Dr. Ke Fangxu reply Surgery
Mild bleeding and pain after hemorrhoid ligation are considered normal. In this case, the likelihood of hemorrhoidal bleeding is higher, and as long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shor...[Read More] Post-Banding Bleeding After Hemorrhoid Surgery: What to Know
Understanding Recurring Warts: Causes and Prevention Strategies
Cauliflower continues to recur? Hello, Doctor. I was diagnosed with genital warts around the end of June. I underwent my first laser surgery in July, but it recurred a month later. The doctor prescribed a topical ointment for me to apply, but it still couldn't eliminate the ...
Dr. Ke Fangxu reply Surgery
Some anal warts may invade the lower rectum. If this is the case, hospitalization is required for electrosurgical treatment under regional anesthesia to achieve a cure. If only treated with local anesthesia in a clinic, there is a significant possibility of recurrence. I'm n...[Read More] Understanding Recurring Warts: Causes and Prevention Strategies
Understanding Anal Discomfort: Is It Hemorrhoids or Skin Inflammation?
Prolonged sitting can lead to a sensation of moisture in the anal area? I would like to consult a doctor. I have been experiencing a burning sensation in my anus and the inner thighs, which is especially noticeable at night. I visited a proctologist who diagnosed me with internal...
Dr. Ke Fangxu reply Surgery
This condition is often a localized skin inflammation that can be evaluated by either a dermatologist or a proctologist. A low-dose corticosteroid cream applied for about a week may lead to healing. If the current physician's treatment is not effective, it may be beneficial ...[Read More] Understanding Anal Discomfort: Is It Hemorrhoids or Skin Inflammation?
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Understanding Anal Fissures: Symptoms, Treatment, and Concerns
Anal issues I previously had an anal fissure problem, and the last episode occurred three years ago, taking two weeks to heal. After that, I experienced episodes every 4 to 6 months on average, but I haven't had any bleeding the next day. Recently, my bowel movements have be...
Dr. Ke Fangxu reply Surgery
The symptoms of an anal fistula include a long-lasting wound outside the anus that occasionally swells and causes pain, along with purulent and bloody discharge. Upon careful palpation, a hard tubular structure can be felt extending to the anus. Based on your description, it seem...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Concerns
Understanding External Hemorrhoids: Treatment and Recovery Insights
External hemorrhoid thrombosis ointment Hello Doctor, several years ago I experienced fresh red blood in my stool. After seeing a doctor, I was diagnosed with internal hemorrhoids and treated with a suppository, after which I didn't need to return for a follow-up. Occasional...
Dr. Ke Fangxu reply Surgery
Is it true that only a rectal examination with the same medication can confirm this? However, that's not the main point; the key issue is whether the symptoms improve. Small external hemorrhoids will completely absorb, but larger thrombosed hemorrhoids may leave excess skin ...[Read More] Understanding External Hemorrhoids: Treatment and Recovery Insights
Understanding Anal Growths: What to Know About Tadpole-Like Lumps
Anal mass A growth resembling a tadpole has appeared externally near the anus, with a white tip and occasional pain. What could this issue be, and is surgery necessary?
Dr. Ke Fangxu reply Surgery
At the age of 14, surgery for anal fissures or hemorrhoids is generally not necessary. It is important to determine the underlying issue, and a consultation with a physician is recommended for a proper diagnosis.[Read More] Understanding Anal Growths: What to Know About Tadpole-Like Lumps
Can People with Grade II Hemorrhoids Safely Practice Muay Thai?
Can individuals with grade II hemorrhoids engage in this type of exercise? Hello, Doctor. I have been suffering from severe constipation since high school and was diagnosed with internal hemorrhoids. I currently have one grade II internal hemorrhoid that usually protrudes when I ...
Dr. Ke Fangxu reply Surgery
If you have first or second degree hemorrhoids, engaging in regular exercise is generally not a problem. However, if squatting causes the hemorrhoids to protrude, then during intense exercise, the increased abdominal pressure may also lead to protrusion. During acute episodes, it...[Read More] Can People with Grade II Hemorrhoids Safely Practice Muay Thai?
Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Persistent dull pain in the lower right abdomen? Dear Dr. Ke, I have been experiencing persistent pain in my lower right abdomen, along with a constant sensation of incomplete bowel evacuation. My gastroenterologist has arranged for a lower gastrointestinal (GI) series, but I ha...
Dr. Ke Fangxu reply Surgery
1. If a colonoscopy was performed two years ago without any abnormalities, then a lower gastrointestinal imaging may not be necessary. It is advisable to first conduct a fecal occult blood test, and if the result is positive, then consider proceeding with lower gastrointestinal i...[Read More] Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Post-Thrombosed Hemorrhoid Surgery: Essential Care Tips and Concerns
Postoperative care for thrombosed external hemorrhoids? Hello Dr. Ke, last Monday I went to a nearby hospital for an outpatient visit and was diagnosed with a thrombosed external hemorrhoid, which was immediately removed under anesthesia. For the next five days, I tried to drink ...
Dr. Ke Fangxu reply Surgery
1. Indeed, straining during bowel movements can lead to thrombosed hemorrhoids. It is acceptable to purchase and take stool softeners, but care should be taken to avoid causing diarrhea. 2. Mild bleeding from the surgical site after the procedure is normal; a sitz bath with war...[Read More] Post-Thrombosed Hemorrhoid Surgery: Essential Care Tips and Concerns
Understanding Symptoms and Treatment of External Hemorrhoids
About conditions similar to hemorrhoids? Hello, due to work commitments, it's difficult for me to find time for a consultation in the evening. Previously, I visited a doctor for some unusual symptoms and was diagnosed with mild internal hemorrhoids. Since this is my first ex...
Dr. Ke Fangxu reply Surgery
What does "previously" refer to in terms of time? Does "two weeks ago" mean two weeks prior to the onset of the current symptoms? Without a personal examination and consultation, it is impossible to make a definitive diagnosis. Conditions such as anal fissures...[Read More] Understanding Symptoms and Treatment of External Hemorrhoids
Understanding Grade II Mixed Hemorrhoids: Treatment and Application Tips
Second-degree mixed hemorrhoids Hello, doctor. I have previously sought medical attention and was diagnosed with grade II mixed hemorrhoids. The doctor prescribed an ointment for me to apply. I would like to ask where approximately I should apply the ointment? I can reach about t...
Dr. Ke Fangxu reply Surgery
The term "second degree" refers to hemorrhoids that can retract on their own. It is generally recommended to use suppositories; if using ointment, the ointment should be applied inside the anus with a finger inserted about one knuckle deep. Due to the natural contractio...[Read More] Understanding Grade II Mixed Hemorrhoids: Treatment and Application Tips
Understanding Anal Fissures: Causes, Symptoms, and Management
Questions about anal fissures? Three years ago, I had an anal fissure caused by diarrhea. I went to a teaching hospital for a rectal examination, and the doctor immediately noted that there was a large tear. It took about two weeks for it to heal on its own. Since then, I have ex...
Dr. Ke Fangxu reply Surgery
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea, which can lead to large or excessive stools. The fundamental treatment is to improve bowel habits, along with warm sitz ...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Management
Unexplained Anal Pain: Exploring Causes and Treatment Options
Anal pain, etiology unknown? Hello, doctor! I have been experiencing anal pain accompanied by a sensation of incomplete evacuation since April of this year, lasting for 7 months. The pain is located between the coccyx and the anus, and it is triggered by straining during bowel mo...
Dr. Ke Fangxu reply Surgery
This phenomenon is often not caused by hemorrhoids but rather by nerve root symptoms in the coccyx or sacrum. You may consult a neurologist to explore effective treatment options. As nerve block procedures are not my area of expertise, I apologize for not being able to provide pr...[Read More] Unexplained Anal Pain: Exploring Causes and Treatment Options