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Non-Surgical Treatments for Hemorrhoids: Effective Options Explained

Hemorrhoids Hello Dr. Li: I would like to ask if the non-surgical methods for treating hemorrhoids that are reported to be effective are currently adopted by general hospitals. If the hemorrhoids are quite severe and bleeding, are these methods still applicable?


Dr. Li Junda reply Surgery
The report mentions that non-surgical treatments include ligation, sclerotherapy, or cryotherapy, but these are primarily aimed at internal hemorrhoids and less severe cases, and are not suitable for all degrees of severity. Our hospital also offers rubber band ligation, which ca...

[Read More] Non-Surgical Treatments for Hemorrhoids: Effective Options Explained


Understanding Nipple Growth: What You Need to Know at 35

Nipple hyperplastic tissue? I am 35 years old, and I have two or three protrusions on my left nipple. They not only look unsightly but also make me worried. Is this normal? It seems to be showing signs of proliferation. Could you please inform me about what this condition might b...


Dr. Li Junda reply Surgery
A protrusion near the areola is usually the opening of a milk duct and generally does not require excessive concern; however, routine breast examinations should not be overlooked.

[Read More] Understanding Nipple Growth: What You Need to Know at 35


Do You Need a Tetanus Shot After a Wire Injury?

My brother received a tetanus shot last winter break due to a car accident? My brother received a tetanus shot last winter break due to a car accident. Now he has accidentally sustained an injury from a wire. Does he need to get another shot?


Dr. Li Junda reply Surgery
The tetanus vaccine provides immunity for several years with a single dose. To ensure prolonged protection, it is generally recommended to administer a booster dose one month after the initial injection. In the case of puncture wounds from barbed wire, the risk of wound infection...

[Read More] Do You Need a Tetanus Shot After a Wire Injury?


Understanding Hemorrhoid Surgery: Costs, Recovery, and Health Tips

Surgical issues? Hello Doctor, I have a question for you. I have been suffering from hemorrhoids for several years (specifically, there are two small growths outside the anus). Sometimes when I get more stressed, they become painful. I also experience acne on my face, and I won...


Dr. Li Junda reply Surgery
● Acne on the face is unrelated to hemorrhoids and is associated with individual constitution and personal hygiene habits. ● The two lumps outside the anus are likely skin tags or thrombosed external hemorrhoids; please consult a physician for an examination as soon as possible. ...

[Read More] Understanding Hemorrhoid Surgery: Costs, Recovery, and Health Tips


Effective Solutions for Managing Premenstrual Breast Pain and Skin Issues

Please ask your question? Hello, doctor. How can I improve premenstrual breast pain? Is it possible to achieve complete treatment? Is breast ultrasound examination more accurate when done before or after menstruation, or can it be performed at any time? I also have skin peeling a...


Dr. Li Junda reply Surgery
● Premenstrual breast pain is mostly related to female hormone secretion and may sometimes be associated with diffuse fibrocystic changes in younger women. Please consult your physician for an examination; whether it can be resolved depends on the condition, but most cases will r...

[Read More] Effective Solutions for Managing Premenstrual Breast Pain and Skin Issues


Breast Surgery: Should You Get a Second Opinion Before Your Procedure?

Breast surgery Hello, doctor. Previously, when I went to a nearby hospital to check a breast lump, the doctor performed a physical examination and said it was a benign fibroadenoma. However, he still recommended that I undergo surgery to remove it to prevent any future issues. At...


Dr. Li Junda reply Surgery
Fibroadenomas are generally classified as benign tumors and are unlikely to become malignant. However, palpation alone may not provide a definitive diagnosis in all cases. Therefore, if the tumor is large or causes tenderness, physicians may recommend surgical excision. Additiona...

[Read More] Breast Surgery: Should You Get a Second Opinion Before Your Procedure?


Understanding Painful Red Bumps After Injury: When to See a Specialist

Dark red raised lumps left after an injury has healed? What is it called? It hurts when I apply pressure on my knee, so I can't kneel down. Standing for a long time also causes pain and numbness. Should I see an orthopedic surgeon or a dermatologist?


Dr. Li Junda reply Surgery
1. It is called a scar, which may be a hypertrophic scar. Due to its location on a joint, it may cause pain during movement. 2. Scar reduction can be achieved through intralesional injections in surgery or plastic surgery, or by excision.

[Read More] Understanding Painful Red Bumps After Injury: When to See a Specialist


Persistent Knee Heat After Injury: Causes and Concerns

Knee warmth? Since the car accident in early September last year, my knee has been in a state of warmth. The external injury healed by November last year, and there are no issues with the bones, but there is some redness and swelling around the knee. Is this a concern?


Dr. Li Junda reply Surgery
Due to insufficient data, we cannot definitively determine whether the fever in the knee is unrelated. In the case of knee joint injuries, it is essential to assess the integrity of the ligaments and articular cartilage in addition to the bones. It is recommended to undergo furth...

[Read More] Persistent Knee Heat After Injury: Causes and Concerns


Understanding Fibroadenomas: Pain, Size Changes, and Follow-Up Care

Fibroadenoma I went to a hospital for an examination in early November due to a painful small lump in my left chest. A breast ultrasound revealed a 0.8 cm fibroadenoma. I would like to ask: 1. Can fibroadenomas be painful at times and not painful at other times? 2. Can fibroadeno...


Dr. Li Junda reply Surgery
1. Yes. 2. It may shrink or enlarge. 3. Generally, it is recommended to perform a biopsy or excision for lesions larger than 1 centimeter to confirm diagnosis. 4. Is it malignant? If you choose to monitor, follow-up should be every three months. Additionally, considering your age...

[Read More] Understanding Fibroadenomas: Pain, Size Changes, and Follow-Up Care


Understanding Anal Polyps: When to Seek Medical Help in Taipei

Small polyps of various sizes have developed around the anal area, both internally and externally? I have developed small polyps of various sizes around my anus, and I am unsure which specialty I should consult. Could you please advise me? I live in Taipei City; would it be bette...


Dr. Li Junda reply Surgery
Polyps of various sizes in the anus, aside from hemorrhoids, may also indicate other infectious diseases. The appropriate specialty to consult is colorectal surgery (proctology). You can visit any municipal hospital in Taipei City, and it is also acceptable to seek initial consul...

[Read More] Understanding Anal Polyps: When to Seek Medical Help in Taipei