Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Appendicitis pain in the location of the appendix? Hello doctor, my boyfriend and I are currently living abroad. My boyfriend started experiencing abdominal pain and diarrhea on Thursday, October 28, 2010. Initially, he felt discomfort and had to go to the bathroom five times in ...
Dr. Lai Jihong reply Surgery
Hello Ms. Amy: How is your boyfriend doing? I wish him a speedy recovery. Generally speaking, acute abdominal pain can have many causes, including: 1. Infectious causes (such as food poisoning, gastrointestinal upset, upper respiratory infections, and colds), 2. Infections of int...[Read More] Understanding Abdominal Pain After Appendectomy: Causes and Concerns
Understanding White Discharge from Nipples: Causes and Concerns
There is a milky white discharge from the nipple? Hello, Doctor: Here’s the situation. Ever since I gave birth to my first child ten years ago, and even until three years later with my second child, I have had low milk supply but experienced feelings of breast engorgement, so I w...
Dr. Lai Jihong reply Surgery
Dear guest, Regarding your inquiry about the occasional discharge of a milky-white fluid when squeezing the breast, clinically, this is often related to milk production, also known as galactorrhea. It is associated with regular ovulation, menstruation, or pregnancy (as colostru...[Read More] Understanding White Discharge from Nipples: Causes and Concerns
Understanding Painful Lumps Above the Genitals: Causes and Solutions
Small bumps above the genital area, below the navel? Hello Dr. Lai: As a male, this area is indeed quite embarrassing. It's not on the genitalia, but rather on the skin just above the genital area, below the navel. Two days ago, I discovered soft and hard lumps about the siz...
Dr. Lai Jihong reply Surgery
Hello Mr. Wang: The issue you mentioned is likely a follicular cyst located on the pubic area, which is commonly known as an epidermoid cyst or sebaceous cyst. If it becomes infected, it is referred to as an abscess. If it is indeed an epidermoid cyst, it is advisable to undergo ...[Read More] Understanding Painful Lumps Above the Genitals: Causes and Solutions
Swollen Area Around Leg Wound Without Bruising: What to Do?
The area around the calf wound is slightly swollen but there is no bruising? About a week ago, my mother was hit on her calf by the footpeg of a motorcycle while trying to hold onto it. There is a wound on her calf that is very red, but there is no bruising or swelling around it....
Dr. Lai Jihong reply Surgery
Hello: Regarding your question (the area around your mother's calf wound is slightly swollen but without bruising), could you provide more details about the circumstances of her injury and the force of the impact? Generally speaking, bruising occurs when there is significant...[Read More] Swollen Area Around Leg Wound Without Bruising: What to Do?
Understanding Post-Appendectomy Pain and Recovery Challenges
Appendectomy for appendicitis? Hello, doctor. My boyfriend underwent laparoscopic appendectomy on July 1st around noon, and the surgery was completed by around 2 PM. When I visited him at around 6 PM, he said, "The pain is unbearable." The nurse administered a strong pa...
Dr. Lai Jihong reply Surgery
1. Endoscopic surgery requires general anesthesia, which can affect gastrointestinal motility due to the anesthesia, leading to bloating and discomfort or pain in the abdomen. 2. Generally, it takes about half a day to a day for normal motility to resume after surgery. If there ...[Read More] Understanding Post-Appendectomy Pain and Recovery Challenges
Understanding Epidermoid Cysts: Treatment Options and Expert Opinions
A sebaceous cyst, also known as an epidermoid cyst, has developed on the inner side of the chest? Hello, doctor. I would like to ask about the condition known as an epidermoid cyst, or sebaceous cyst. About six months to a year ago, I discovered a lump on the inner side of my rig...
Dr. Lai Jihong reply Surgery
Regarding epidermoid cysts, also known as sebaceous cysts, it is advisable based on the experience of surgeons to undergo surgical removal as soon as possible. Do not wait until an infection occurs, as it will complicate the management (requiring debridement, dressing changes, an...[Read More] Understanding Epidermoid Cysts: Treatment Options and Expert Opinions
Understanding Rectal Pain: Is It Hemorrhoids and Should You Treat It?
Anal pain? Doctor, sometimes I feel the urge to have a bowel movement, and occasionally I experience sharp pain in my anus. Could this be hemorrhoids? Is it serious, and should I seek treatment?
Dr. Lai Jihong reply Surgery
Occasional sharp pain in the anus during bowel movements may be related to hemorrhoids. It is advisable to consult a proctologist or a surgeon for an anoscopy examination to confirm the presence of hemorrhoids or other anal conditions. Wishing you good health.[Read More] Understanding Rectal Pain: Is It Hemorrhoids and Should You Treat It?
Can Breast Cancer Patients Safely Consume Soy Products During Chemotherapy?
Is it true that breast cancer patients should avoid soy products? Hello Doctor: My mother is 53 years old and has stage I breast cancer without metastasis. She is currently undergoing chemotherapy. The doctor provided us with a list of items that should be avoided, including gins...
Dr. Lai Jihong reply Surgery
Hello, Xiaozhi: Regarding your question about whether breast cancer patients should avoid soy products, after discussions with the oncologist and nutritionist at our hospital, it is suggested that there is currently no effective evidence proving that breast cancer patients cannot...[Read More] Can Breast Cancer Patients Safely Consume Soy Products During Chemotherapy?
Understanding Accessory Breast Surgery: Costs, Risks, and Recovery
Accessory breast surgery Dear Doctor: Is the surgical removal of congenital supernumerary nipples (small spots with skin color resembling nipples) covered by insurance or is it out-of-pocket? After the removal of supernumerary nipples, will they reappear, or is it a permanent sol...
Dr. Lai Jihong reply Surgery
Humans, like other mammals, typically have an even number of mammary glands. Generally, humans have two mammary glands; however, some individuals may retain remnants of mammary tissue in other areas, which we commonly refer to as accessory breasts. Accessory breasts usually devel...[Read More] Understanding Accessory Breast Surgery: Costs, Risks, and Recovery
Understanding Armpit Lumps: When to Seek Medical Advice
Axillary lump Hello: Around June of last year, I noticed a lump about the size of a BB pellet in my left armpit. I had squeezed it before, and it didn't swell up, but by April or May of this year, it had grown to about the size of a marble. It is red, swollen, itchy, and pai...
Dr. Lai Jihong reply Surgery
The axillary tumor you mentioned has increased in size from that of a BB pellet last year to that of a marble this year, and it appears red, swollen, and painful, which suggests signs of infection. Based on your description, it is likely a tumor, and it could very well be a subcu...[Read More] Understanding Armpit Lumps: When to Seek Medical Advice
Understanding Tendon Tumors: Do You Need Surgery for Ankle Lumps?
There is a 3 cm hard lump on the inner side of the left ankle? Hello Dr. Lai, I recently discovered a hard lump about three centimeters in size on the inner side of my left ankle. Initially, it didn't hurt when pressed, but later I started experiencing soreness and tinglin...
Dr. Lai Jihong reply Surgery
Based on what you mentioned about the tendon cyst in the left ankle, we generally recommend surgical excision and repair. A tendon cyst, also known as a ganglion cyst, is primarily a tumor that protrudes due to injury to the synovial membrane or tendon sheath, or even the joint c...[Read More] Understanding Tendon Tumors: Do You Need Surgery for Ankle Lumps?
Post-Surgery Care for Ankle Lump Removal: Pain, Swelling, and Recovery Time
Removal of a lump on the ankle? Hello Dr. Lai, I'm sorry to bother you again. I just had surgery to remove a lump on the inner side of my left ankle, but postoperatively, I'm experiencing pain, numbness, and swelling. What should I do? I also can't put weight on it...
Dr. Lai Jihong reply Surgery
Generally, superficial wounds, particularly those involving the epidermis, heal within about one to two weeks, at which point sutures can be removed. However, for the underlying subcutaneous tissue or even deeper fascial layers to heal securely, it may take six to twelve weeks. T...[Read More] Post-Surgery Care for Ankle Lump Removal: Pain, Swelling, and Recovery Time
Understanding Small Lumps in the Armpit: Causes and Treatment
There is a small lump in the armpit? I have a small round hard lump under my armpit, about the size of a mosquito bite. It is slightly red, and it hurts a bit and feels prickly when I press it gently. Could this be a lymph node issue, or is it related to my breast? What should I ...
Dr. Lai Jihong reply Surgery
As you described, the small hard lump in your armpit is red and tender to the touch. It is likely related to an infection. Clinically, it could be suspected as an infected sebaceous cyst or infectious lymphadenitis, which may be associated with inflammation from a wound on the ar...[Read More] Understanding Small Lumps in the Armpit: Causes and Treatment
Understanding Folliculitis: Symptoms, Treatment, and Recovery Time
Folliculitis Hello Doctor: Last Saturday, the area under my right arm suddenly swelled up, and I feel a sharp pain when I don't press on it, which gets worse when I do. After seeing a doctor, I was diagnosed with folliculitis and advised to apply ice and take medication, whi...
Dr. Lai Jihong reply Surgery
Folliculitis is generally caused by a bacterial infection, and in the early stages, it may present with redness, swelling, and pain. If the condition is not severe (referring to a small area and superficial involvement), topical ointments (such as Bacitracin or Neomycin ointment)...[Read More] Understanding Folliculitis: Symptoms, Treatment, and Recovery Time
Understanding Underarm Pain: Is It Normal Before Your Period?
Axillary pain Hello Dr. Lai, I would like to ask you about a symptom I've been experiencing. A week before my menstrual period, my breasts tend to be more swollen. However, in the past two months, I've also noticed some pain in my right armpit in addition to this. Is th...
Dr. Lai Jihong reply Surgery
Hello! The breast swelling you mentioned a week before menstruation is a normal phenomenon due to hormonal influences. Generally, after ovulation, the body instinctively prepares for implantation, which causes the breasts to be affected by hormones, leading to increased secretion...[Read More] Understanding Underarm Pain: Is It Normal Before Your Period?
Addressing Complications from IV Injections After Surgery
Issues arising from intravenous injection? Hello Director Lai: Six months ago, I underwent endoscopic surgery, and since then, the blood vessels in my right hand, from the site of the intravenous injection at the wrist and upward, feel harder. Occasionally, I also experience sore...
Dr. Lai Jihong reply Surgery
For lumps caused by vascular injections, initial treatment recommendations include warm compresses and topical medications such as Hirucort cream. If there is no improvement after a period of time (such as one month), surgical removal of the lump may be considered. It is advisabl...[Read More] Addressing Complications from IV Injections After Surgery
Understanding Neurofibromas: Are They Always Genetic?
Neurofibromas are benign tumors that arise from the nerve sheath, primarily composed of Schwann cells. They are commonly associated with neurofibromatosis type 1 (NF1), a genetic disorder characterized by the development of multiple neurofib Hello Doctor: I recently underwent a t...
Dr. Lai Jihong reply Surgery
The neurofibroma you have developed is sporadic and represents a single lesion. If there were multiple lesions and tumors with a pathological report indicating neurofibromas, one would need to consider whether it is a hereditary condition. Generally, multiple neurofibromas origin...[Read More] Understanding Neurofibromas: Are They Always Genetic?
Can Celestoderm-V Cream Effectively Treat Hemorrhoids?
Hemorrhoids Can Celestoderm-V cream be used to treat hemorrhoids? The pharmacist prescribed it to me, and it works well (reducing swelling quickly), but I found online that it may not be indicated for this treatment. Also, will this medication affect libido?
Dr. Lai Jihong reply Surgery
Celestoderm-V cream is a corticosteroid used to treat eczema, not for treating hemorrhoids. Although hemorrhoid ointments may contain ingredients such as analgesics, hemostatics, and corticosteroids for inflammation, it is generally recommended to consult a colorectal surgeon, ga...[Read More] Can Celestoderm-V Cream Effectively Treat Hemorrhoids?
Post-Surgery Pain: Understanding Complications After Ear Surgery
Post-surgery Doctor, I previously had surgery for a preauricular sinus at Changhua Hospital. The physician said I was healed. After returning home, I initially thought I was fine, but recently the area where I had the surgery has suddenly become very painful, and I also have a he...
Dr. Lai Jihong reply Surgery
Hello, The causes of preauricular fistula can be either congenital or acquired. Generally, if the lesion has been present for a long time, the acquired lesions may initially arise from infections of sebaceous cysts or traumatic infections, which, if not completely healed, can l...[Read More] Post-Surgery Pain: Understanding Complications After Ear Surgery