Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Severe abdominal pain of unknown origin? Hello, Dr. Lin! This is the first time I feel this unwell! I woke up today with severe abdominal pain and bloating! I have no appetite at all, and I feel like vomiting after eating! Yesterday, I accidentally swallowed a fish bone, which wa...
Dr. Lin Kecheng reply Surgery
Hello Kevin: Is the abdominal pain caused by swallowing a fishbone, or is it due to indigestion from the food consumed? It is really difficult to diagnose based solely on an email without the benefit of observation, inquiry, and examination. I cannot provide you with incorrect in...[Read More] Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Understanding and Treating Black Bumps Around the Anus
There are many small fleshy growths on the anus? I have developed many small, black, flat growths around my anus that resemble tumors. They are not painful, but sometimes they can be itchy after sitting for a long time. For the past few months, I have been in the habit of washing...
Dr. Lin Kecheng reply Surgery
Hello Maya: There are many small fleshy lumps around the anus that are not painful, but sometimes cause itching after prolonged sitting. Based on past experience, the likelihood of external hemorrhoids is higher, and the causes are often related to the consumption of irritating f...[Read More] Understanding and Treating Black Bumps Around the Anus
Understanding Blood in Stool: Causes and Symptoms of Constipation
Are you experiencing constipation? Hello, doctor: I would like to ask you a question. What are the possible symptoms associated with blood in the stool? Recently, I have been taking a long time to have a bowel movement, and I found blood mixed in with my stool. I am unsure what t...
Dr. Lin Kecheng reply Surgery
Miss Piggy: There are many causes of bloody stools. In children, one consideration is anal fissures; in young adults, it is often hemorrhoids; and in older adults, one should consider malignant tumors, especially with a family history. If the blood is black and tarry, it indicate...[Read More] Understanding Blood in Stool: Causes and Symptoms of Constipation
Understanding Breast Cancer Symptoms: Key Questions and Answers
Please clarify your question? Hello, I have a few questions for Dr. Lin: Last year, I experienced persistent pain in my left arm, which initially was localized to the arm but has now extended to the entire arm and left chest. After seeing a doctor and undergoing an ultrasound, I ...
Dr. Lin Kecheng reply Surgery
Hello Ms. Mandy, After reading your letter, I understand that you are a serious woman who takes great care of herself. Here are the answers to your questions: 1. In Taiwan, women tend to have smaller breasts with less fat and denser tissue, making ultrasound a very effective an...[Read More] Understanding Breast Cancer Symptoms: Key Questions and Answers
Understanding Finger Injuries: Bruised Nails and Healing Concerns
Finger crush injury resulting in a bruised nail? Hello, doctor: A few days ago, I injured my finger by pinching it, resulting in bruising under the nail. After applying some medication, the pain has subsided, but there is some swelling in the tissue behind the nail bed. When I pr...
Dr. Lin Kecheng reply Surgery
Hello Kerry: After a finger injury, it is common to develop a hematoma under the nail, leading to significant swelling and pain, especially in the soft tissue near the nail bed and the proximal nail fold. If the hematoma is small, it will gradually be reabsorbed, resulting in a d...[Read More] Understanding Finger Injuries: Bruised Nails and Healing Concerns
Understanding Painful Nipple Pressure: Causes and Concerns
Pain when the nipple is pressed? There is pain when pressing on a certain part of the nipple, but there are no visible signs. Recently, during my menstrual period, I felt a small lump, so I'm not sure why this is happening.
Dr. Lin Kecheng reply Surgery
Breast or nipple pain upon pressure, without any visible abnormalities, is a common complaint among adolescent females, and it can sometimes be difficult to identify the cause. Breast and nipple swelling during the menstrual period is caused by hormonal secretion, and similarly, ...[Read More] Understanding Painful Nipple Pressure: Causes and Concerns
Understanding Lipomas: What to Do About Growing Lumps
Sarcoma? Hello Doctor: I have developed a growth approximately 2 centimeters in size above my labia minora, and it seems to be getting larger. What should I do about this? Thank you for your help.
Dr. Lin Kecheng reply Surgery
There is a growth on the labia minora that is getting larger, and it is unclear whether there is any redness, swelling, heat, or pain. If it is a common Bartholin's cyst, it may be more prone to infection. It is recommended to consult a gynecologist for an examination to det...[Read More] Understanding Lipomas: What to Do About Growing Lumps
Understanding Sudden Tumors Above the Wrist: When to Seek Medical Advice
A tumor suddenly appeared above the wrist? Hello doctor, this morning I noticed a lump about seven centimeters above my left wrist, roughly the size of a one-dollar coin. Previously, I had a small lump near the web of my left thumb, about the size of a mung bean, which was not pa...
Dr. Lin Kecheng reply Surgery
Hello, Xiao-Jia: There is a tumor located about seven centimeters above the wrist on your left hand, approximately the size of a one-dollar coin. It is not painful and can only be felt by touch. This condition has likely been present for some time, but it was previously overlooke...[Read More] Understanding Sudden Tumors Above the Wrist: When to Seek Medical Advice
Understanding Ultrasound-Guided Fine Needle Aspiration Biopsy for Breast Lumps
Breast examination I am 38 years old and unmarried. I have had a lump in my breast for several years, which has been continuously monitored without significant changes. This year, I went to another hospital for an examination, where I underwent both mammography and ultrasound. Th...
Dr. Lin Kecheng reply Surgery
Hello Melody: As an unmarried individual of appropriate age, your risk of developing breast cancer is already higher than that of the general population. Additionally, since you have had a lump for several years, the hospital's decision to perform a mammogram and ultrasound ...[Read More] Understanding Ultrasound-Guided Fine Needle Aspiration Biopsy for Breast Lumps
Understanding Symptoms: Blood in Stool and Abdominal Pain Concerns
Suspected intestinal issues? I would like to ask, if there is bleeding during bowel movements, along with constipation, and sometimes pain in the lower abdomen, what should I do? Could I have colon cancer, or is it possibly an issue with colitis?
Dr. Lin Kecheng reply Surgery
Experiencing constipation and rectal bleeding during bowel movements, considering your age and symptoms, is likely due to long-term poor bowel habits. At this point, you should visit a local regional hospital or higher-level medical facility to have an anal examination performed ...[Read More] Understanding Symptoms: Blood in Stool and Abdominal Pain Concerns
Understanding Breast Pain: Common Causes and When to Seek Help
Breast pain I have been experiencing pain in my left breast for about a week. I visited the outpatient clinic a week ago and subsequently had a mammogram. Today, I had an ultrasound and saw the doctor again. The doctor said everything is fine. When I asked about the cause, the do...
Dr. Lin Kecheng reply Surgery
Hello Ms. Liu: Breast pain is not only a concern for patients but also a challenging issue for physicians. Many patients in the clinic, like you, have undergone normal breast ultrasounds, chest X-rays, and electrocardiograms, yet they still experience pain that is completely unre...[Read More] Understanding Breast Pain: Common Causes and When to Seek Help
Understanding Breast Lumps: Insights and Recommendations for New Mothers
Breast lump Hello Doctor, my wife is 33 years old and just gave birth a little over three months ago. Her milk supply is not sufficient, and she only breastfed for a short time before stopping. Several years ago, she had a fibrocystic lesion in her left breast that required surge...
Dr. Lin Kecheng reply Surgery
Hello Mr. Lin: After reviewing your question and based on past experience and the anatomical structure of Chinese women's breasts, it is advisable to perform an ultrasound examination immediately. If any issues are detected, then a mammogram should be conducted. Therefore, t...[Read More] Understanding Breast Lumps: Insights and Recommendations for New Mothers
Understanding Soft Tissue Sarcoma: Recurrence, Recovery, and Post-Surgery Care
What is soft tissue sarcoma? What is a soft tissue sarcoma? Is there a chance of recurrence after resection? What is the likelihood of recovery after resection for stage I? How should one take care of themselves post-surgery? Thank you.
Dr. Lin Kecheng reply Surgery
Mr. Chen, I apologize for not being able to understand the content of your message. Is the term "soft tissue sarcoma" translated from "liposarcoma"? Where is the tumor located? What is the size of the tumor? Is there any local lymph node metastasis? These fact...[Read More] Understanding Soft Tissue Sarcoma: Recurrence, Recovery, and Post-Surgery Care
Managing Ganglion Cysts: Surgical Options and Alternatives
What should be done about a ganglion cyst? I have a bump about 1 centimeter in size on the back of my left wrist, which is not painful and does not affect joint movement. After consulting with a surgeon, the diagnosis is a ganglion cyst. The doctor recommended surgical removal, b...
Dr. Lin Kecheng reply Surgery
A 1 cm protrusion on the dorsal side of the left wrist is most likely a ganglion cyst. Generally, since it is a soft tissue issue, X-ray examinations are of no value unless other diagnoses need to be ruled out. An ultrasound examination is recommended, as it can confirm the diagn...[Read More] Managing Ganglion Cysts: Surgical Options and Alternatives
Effective Salt Water Treatment for Burns: A New Approach
I would like to ask whether this method is correct or incorrect! <Forwarding to the Director's mailbox> New Methods for Burn Treatment: Please forward this to friends. When a burn occurs, the initial pain may not be intense because the body has 0.9% saline that continu...
Dr. Lin Kecheng reply Surgery
The severity of skin burns is related to the temperature of the heat source and the duration of exposure. The initial treatment of "cooling, removing, and covering" primarily aims to lower the temperature and protect the wound. Upon arrival at the hospital, smaller blis...[Read More] Effective Salt Water Treatment for Burns: A New Approach
Understanding Breast Pain: When to Seek Medical Advice
Breast Hello, Doctor: First of all, thank you for being willing to help me with this troubling issue. During my last menstrual period, my breasts were very painful even with slight touch, and the hard areas were even more painful. Although I have experienced breast swelling and t...
Dr. Lin Kecheng reply Surgery
Dear Miss Concerned: Hello, your menstrual period has ended, and the breast pain has diminished, but there is still a possibility of a movable, round lump that has not disappeared. There is a higher likelihood of it being a fibroadenoma. It is recommended to consult a general sur...[Read More] Understanding Breast Pain: When to Seek Medical Advice
Understanding Breast Lumps: Causes, Symptoms, and Care Tips
There is a lump in the breast? Hello Doctor, I have noticed hard lumps in both of my breasts. The lump on the right side is located in the lower right quadrant, and the lump on the left side is in the upper right quadrant. I had an examination three years ago, and a doctor in Tai...
Dr. Lin Kecheng reply Surgery
A young woman has had hard lumps in both breasts for three years, along with itching and pain in the nipples. It is recommended to have annual follow-up examinations with a general surgeon or a breast surgeon, and to undergo at least one breast ultrasound each year to monitor for...[Read More] Understanding Breast Lumps: Causes, Symptoms, and Care Tips
Understanding Vascular Tumors on the Foot: Treatment Options and Concerns
There is a hemangioma on the foot? I previously had onychomycosis and consulted a dermatologist. After taking medication, I had my nails trimmed too deeply, which injured the tissue around my big toe nail, leading to hyperplastic tissue. The dermatologist diagnosed it as a hemang...
Dr. Lin Kecheng reply Surgery
Hello Mr. Jin: Based on the information you provided, it seems that the excessive trimming of your toenails has injured the tissue near the big toenail, leading to tissue overgrowth. From a surgical perspective, this could be a case of paronychia. Generally, local anesthesia is r...[Read More] Understanding Vascular Tumors on the Foot: Treatment Options and Concerns
Understanding Sebaceous Cysts: Concerns About Groin and Breast Symptoms
Strange things? Hello, doctor. I would like to ask if sebaceous cysts can occur in the genital area. Recently, I noticed a small bump that looks like a pimple in the area covered by pubic hair. This has never happened before. The bump is small and does not hurt if I leave it alon...
Dr. Lin Kecheng reply Surgery
Hello, Ms. Ching: You mentioned that you have developed something resembling a pimple in the area covered by pubic hair. As you noted, the occurrence of sebaceous cysts is more common, and folliculitis can also easily occur. If local hygiene is insufficient, inflammation may aris...[Read More] Understanding Sebaceous Cysts: Concerns About Groin and Breast Symptoms
Understanding Subcutaneous Cysts: Causes, Treatment, and Recurrence Risks
Subcutaneous cyst Hello Doctor, I have a tumor located at the junction of my earlobe and cheek. After diagnosis, it was identified as a "pilar cyst." Is this the same as a sebaceous cyst? Additionally, this condition has recurred twice within a year, and I have undergon...
Dr. Lin Kecheng reply Surgery
Hello Andy: The subcutaneous cyst located at the junction of the earlobe and the cheek is most likely a "sebaceous cyst," similar to acne. It is prone to recurrence and infection, leading to symptoms such as redness, swelling, and pain. It is recommended to consult a ge...[Read More] Understanding Subcutaneous Cysts: Causes, Treatment, and Recurrence Risks