Should You See a Doctor for a Completely Lifted Toenail?
The entire toenail has been lifted off? My big toe nail has completely lifted off. Do I need to see a doctor?
Dr. Li Junde reply Surgery
Hello Kenny, I apologize for the delayed response due to an oversight. If your toenail has been lifted due to trauma, it requires immediate surgical intervention to prevent infection and alleviate pain. If the deformity is caused by a chronic condition, it should be addressed by ...[Read More] Should You See a Doctor for a Completely Lifted Toenail?
Essential Pre-Surgery Considerations for Head Tumor Removal
Craniotomy Hello, I would like to ask you about a lump near my mother's temple. It is approximately two centimeters in diameter, and according to my mother, it seems to have grown larger and more noticeable recently. She believes that her recent headaches are caused by this ...
Dr. Li Junde reply Surgery
Ms. Carol has a tumor on her head approximately 2 centimeters in size, which can be categorized into skin tumors and subcutaneous tumors. Skin tumors can generally be assessed through visual examination for initial evaluation and subsequent management. For subcutaneous tumors, bo...[Read More] Essential Pre-Surgery Considerations for Head Tumor Removal
Understanding Head Bumps: Causes, Symptoms, and When to Seek Help
Head mass Hello, doctor: 1. Recently, I noticed a small bump on the upper left side of my head that is slightly painful, but there is no wound. 2. My body temperature has been fluctuating between 37°C and 37.6°C. Given these symptoms, is there a potential health issue I should be...
Dr. Li Junde reply Surgery
Hello Ms. Susan, you have a headache and a swelling, with a slight fever. It may be an infection of a sebaceous cyst, but there could also be other issues (as I cannot confirm without a personal examination). I recommend seeing a general surgeon for a personal evaluation.[Read More] Understanding Head Bumps: Causes, Symptoms, and When to Seek Help
Understanding Symptoms and Diagnosis of Pancreatitis: A Guide
Questions regarding pancreatitis? Hello, Dr. Lee. I would like to ask about the following symptoms: I often feel discomfort in the left side of my mid-back (sometimes in the front area), with a slight pain, especially after meals. I also experience indigestion and difficulty with...
Dr. Li Junde reply Surgery
Hello Ms. Chun, the pain in your left back becomes more pronounced after eating. This could potentially be related to gastrointestinal, biliary, or pancreatic issues, and even cardiac problems may be a possibility. It is advisable to first consult a general internist for an initi...[Read More] Understanding Symptoms and Diagnosis of Pancreatitis: A Guide
Understanding Subcutaneous Lipomas: Diagnosis, Surgery, and Pathology
Could you please provide more details about the issue regarding subcutaneous lipomas? 1. Which department should I visit for an initial examination regarding the lipomas on my thigh? 2. How long will the surgery take, and if I have the lipomas removed from my leg, how soon can ...
Dr. Li Junde reply Surgery
Hello, sir: In response to your questions: 1. Subcutaneous lipomas can be managed by general surgery. 2. The removal of a superficial lipoma typically takes about 5-10 minutes on the thigh, and patients can usually walk normally immediately after the procedure. 3. Under standard ...[Read More] Understanding Subcutaneous Lipomas: Diagnosis, Surgery, and Pathology
Understanding Chest Pain: Causes, Risks, and Treatment Options
Questions about chest pain? Hello: My girlfriend is currently living in the United States. A few years ago, she suffered a rib fracture due to external trauma, and that same year, she inexplicably fractured another rib. Since that year, she has frequently experienced chest pain, ...
Dr. Li Junde reply Surgery
Hello, sir. Your girlfriend has sustained a rib fracture due to trauma. If it is a simple fracture, it generally stabilizes naturally within 6 to 8 weeks. However, if it is a complex fracture, it may lead to symptoms affecting the chest and lungs, such as hemothorax, pneumothorax...[Read More] Understanding Chest Pain: Causes, Risks, and Treatment Options
Post-Appendectomy Pain: Understanding Chronic Discomfort in the Lower Right Abdomen
Pain in the lower right abdomen after appendectomy? Hello Doctor: I underwent surgery for acute appendicitis in 2002 (traditional surgery), but the doctor said that my appendix had already ruptured and there was pus, so they only performed a drainage procedure due to the risk of ...
Dr. Li Junde reply Surgery
Miss Chi-Rong is experiencing pain at the surgical site following appendectomy, and she feels pain when extending her lower back. Given that her condition involved complicated appendicitis and a second surgery, the surgical incision may be larger, and there may have been more sig...[Read More] Post-Appendectomy Pain: Understanding Chronic Discomfort in the Lower Right Abdomen
Understanding Right Upper Abdominal Pain: Causes and Next Steps
Abdominal pain issues? Hello Dr. Lee: I often experience pain in my upper right abdomen. Initially, the pain would only occur when there was a slight bulge, but now it hurts even without any bulging. I consulted an obstetrician-gynecologist, who said there was no issue related to...
Dr. Li Junde reply Surgery
Hello Ms. Huang: Regarding your right upper abdominal pain, considering the external appearance, it may be related to issues with the skin, subcutaneous tissue, or abdominal wall. Possible causes include skin inflammation, infection, tumors, abdominal wall muscle inflammation, ...[Read More] Understanding Right Upper Abdominal Pain: Causes and Next Steps
Understanding Lipomas: Concerns About Pain, Surgery, and Recurrence
My concern about my lipoma? Hello Doctor: 1. My lipoma on the back of my neck is painful; is this a sign of malignancy? 2. Can I schedule an appointment with a plastic surgeon? I'm concerned about having a noticeable scar. 3. After surgical removal, what is the likelihood ...
Dr. Li Junde reply Surgery
Mr. Wang: Hello, I will address your questions one by one. (1) Lipomas are benign tumors, and whether they are painful or not is not directly related to malignant transformation. If a lipoma grows rapidly, it is advisable to remove it early for pathological examination to confirm...[Read More] Understanding Lipomas: Concerns About Pain, Surgery, and Recurrence
Understanding Subcutaneous Tumors: Are They Benign After 20 Years?
Subcutaneous tumor? My father has lumps on his lower back and arms that have been visibly protruding for over 20 years. Are these considered benign? If surgery is necessary, the number of lumps is quite large.
Dr. Li Junde reply Surgery
Hello Ms. Gladylei: It is not very clear where your father's multiple tumors are located. If they are subcutaneous, feeling soft and round, they may be lipomas, which are benign and common among many people. If they are not very noticeable and are not growing rapidly, observ...[Read More] Understanding Subcutaneous Tumors: Are They Benign After 20 Years?
Understanding Post-Surgery Discomfort After Kidney Removal
Discomfort after kidney surgery? The right kidney was surgically removed one month ago due to a tumor. The incision has already healed, but recently there has been an unusual discomfort in the area of the incision, which feels like a pain but is not quite painful. Is this normal,...
Dr. Li Junde reply Surgery
Hello A-Guang: One month after the right kidney tumor removal, if you are experiencing discomfort at the incision site, it may simply be a normal postoperative phenomenon (skin sensation). However, if there is increasing discomfort in the deeper tissue, it could indicate that the...[Read More] Understanding Post-Surgery Discomfort After Kidney Removal
Understanding Annual Disability Re-evaluation Standards in Surgery
Disability assessment My father was diagnosed with a mild physical disability last year after a hospital assessment (one of his fingers was amputated by a machine), and the social welfare department issued a disability certificate. However, the re-evaluation period is set for one...
Dr. Li Junde reply Surgery
Mr. CC: Regarding your father's physical assessment issue, it is important to first understand which unit conducted the assessment and the reasons behind it. Whether it is related to subsidies can significantly influence the assessment process. If the subsidy policy changes,...[Read More] Understanding Annual Disability Re-evaluation Standards in Surgery
When Is It Necessary to Create a New Stoma from the Small Intestine?
Colostomy My mother-in-law has had a colostomy for over seven years. Recently, the stoma became inflamed and retracted. The doctor mentioned that a new stoma needs to be created in the small intestine. Under what circumstances is it necessary to create a stoma in the small intest...
Dr. Li Junde reply Surgery
Dear Mr. JYD, Colostomy is generally performed in cases such as bowel obstruction, colorectal tumor surgery, and when fecal matter cannot be expelled through the rectum. It can be classified as temporary or permanent. A temporary colostomy is typically part of a staged colorecta...[Read More] When Is It Necessary to Create a New Stoma from the Small Intestine?
Stroke Concerns: Exploring Non-Surgical Options for an 80-Year-Old
Stroke-related complications (Please help my mother) Hello Dr. Lee! My mother is 80 years old and a CT scan revealed a 0.5 cm aneurysm (located at the largest cerebral blood vessel). Initially, for three days, she had no stroke symptoms and her limbs were functioning well. Howeve...
Dr. Li Junde reply Surgery
Hello Ms. Mikle: Your mother is 80 years old and has a 0.5 cm aneurysm in a major blood vessel as seen on the CT scan. She is experiencing dizziness and aphasia. Since it is unclear whether the tumor is intravascular or extravascular and what her current condition is, it would be...[Read More] Stroke Concerns: Exploring Non-Surgical Options for an 80-Year-Old
Painful Hard Lump on the Back of the Head: What Could It Be?
A hard lump on the head is painful when pressed? A few days ago, I suddenly noticed a hard lump on the back left side of my head. It doesn't hurt unless I press on it, and it feels firm to the touch. I haven't experienced any trauma to the area, and it has been 5 days s...
Dr. Li Junde reply Surgery
Hello Miss Miumiu: You have a hard lump on the occipital region that is tender and has been present for 5 days. It may be caused by inflammation (such as folliculitis) or tumors of the skin, subcutaneous tissue, or bone. It is advisable to consult a general surgeon for a proper e...[Read More] Painful Hard Lump on the Back of the Head: What Could It Be?
Post-Surgery Care: Tips for Healing After Stitch Removal
Care After Suture Removal Hello Doctor: Two weeks ago, I had an accident and received over ten stitches on my face. The stitches have been removed, and I am currently using a silicone gel (3M). The doctor advised me to use it for 3-6 months for better healing. I would like to ask...
Dr. Li Junde reply Surgery
Ms. Ivory's surgical wounds or skin incisions are prone to hyperpigmentation when exposed to direct sunlight. Applying silicone gel sheets can help reduce wound pressure and minimize the occurrence of hypertrophic scars. However, if using transparent adhesive bandages, sunli...[Read More] Post-Surgery Care: Tips for Healing After Stitch Removal
Unusual Sensation Near Scar: When to See a Doctor?
My foot feels a bit strange? I have a large scar on the outside of my thigh from a previous cut, and the scar is quite prominent. Recently, I've noticed that the area around the scar (including the scar itself) feels a bit strange when I touch it, almost like it's numb....
Dr. Li Junde reply Surgery
Hello, big girl: The scar itself has altered sensation due to the partial destruction of nerve endings from the previous injury. You may experience decreased sensitivity, numbness, or occasional sharp pain during nerve regeneration. These are normal post-injury symptoms, and you ...[Read More] Unusual Sensation Near Scar: When to See a Doctor?
Understanding Finger Numbness: Possible Causes and Specialist Guidance
Finger numbness Hello Dr. Lee, I would like to ask you the following question: Recently, I have been experiencing numbness in my left little finger, which extends down to just below the elbow. Could this be related to cervical nerve issues? If I seek medical attention, which spec...
Dr. Li Junde reply Surgery
Hello Mr. Fang: The numbness in your left little finger extending to the elbow may be related to issues with the ulnar nerve or the tendons around the elbow, or it could be a problem with the cervical spine nerves. Any history of injury should also be considered. It is advisable ...[Read More] Understanding Finger Numbness: Possible Causes and Specialist Guidance
How to Address a 2cm Lump in the Lower Back: Diagnosis and Treatment Planning
There is a hard lump approximately 2 cm in size located just below the left kidney, on the left side of the lower back, near the area where a belt would sit (around the thumb area when hands are placed on the hips)? Dear Dr. Li, Hello, this is Chen Qiuying. My wife discovered a ...
Dr. Li Junde reply Surgery
Hello Mr. Gao: Regarding the breast mass, if it is a malignant tumor, it is important to consider whether there are any metastatic lesions. If it is not malignant, the issue may be simpler. The hard lump on your wife's back could be a skin or subcutaneous lesion, which can g...[Read More] How to Address a 2cm Lump in the Lower Back: Diagnosis and Treatment Planning
Understanding a Non-Painful Lump in the Lower Back: What to Do?
I'm sorry, but I need specific content to translate. Please Hello Doctor: I have a small lump on the right side of my body, located in the lumbar region. It doesn't hurt and has been there for several years. What could that be? If I go to the hospital for an examination...
Dr. Li Junde reply Surgery
Mr. Xiao Ming: He has had a small lump on the right side of his lower back for many years, which could be a skin or subcutaneous tumor (lipoma, sebaceous adenoma, etc.). Changes in color, size, or symptoms warrant a visit to a physician for confirmation. Either a dermatologist or...[Read More] Understanding a Non-Painful Lump in the Lower Back: What to Do?