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Understanding Hardness After Breast Surgery: Causes and Solutions

Breast hardness after surgery? I had surgery to remove two benign fibroadenomas from my breast on February 11th of this year (using MammoSite), and it has been a month since then. Although the pain in my breast has decreased, it still feels hard to the touch. The doctor did help ...


Dr. Lin Zhiguang reply Surgery
Hello, you just had surgery, so it is normal for the area to feel firmer due to the healing process, scarring, swelling, and the presence of non-absorbed sutures, among other reasons. The bruising and blood accumulation you mentioned can also contribute to this. However, it'...

[Read More] Understanding Hardness After Breast Surgery: Causes and Solutions


Understanding Post-Surgery Concerns for HPV and Recurrence Risks

Postoperative issues related to cauliflower? Hello Doctor, I was diagnosed with genital warts in June of the year before last and had them removed via electrosurgery. I was given medication to apply, but in November of the same year, I experienced a recurrence and underwent treat...


Dr. Lin Zhiguang reply Surgery
Hello, if more than a year has passed and no recurrence has been detected during check-ups, you should be considered healed. It is okay to go to swimming pools or hot springs. For those who have had genital warts and experienced a recurrence, it indicates that the virus is unable...

[Read More] Understanding Post-Surgery Concerns for HPV and Recurrence Risks


Unusual Growths Around the Anus: What You Need to Know

I have developed some unusual growths? I would like to ask the doctor two questions. First, I recently noticed some irregularly shaped small growths around my anus. They occasionally itch but are not very painful, and they don't seem to resemble the hemorrhoids that people u...


Dr. Lin Zhiguang reply Surgery
There are many possible causes for small lumps around the anus, including polyps, papillomas, fistulas, and even complications from anal fissures, among others. A thorough examination may be necessary to determine the exact cause. If there is blood in the mucus or if it appears t...

[Read More] Unusual Growths Around the Anus: What You Need to Know


Understanding Breast Abscess: Treatment and Recovery Insights

Mastitis Thank you, Dr. Lin, for carefully reviewing my description. It was indeed a single surgery; the rest were just procedures done in the consultation room involving drainage and medication application. No tests for diabetes or other conditions were performed. On January 3...


Dr. Lin Zhiguang reply Surgery
Please provide the content you would like

[Read More] Understanding Breast Abscess: Treatment and Recovery Insights


Understanding the Risks of Surgery for Painful Lipomas Near the Spine

Liposarcoma surgery I would like to ask, what is the risk of surgery for a painful lipoma that has grown to about 4 centimeters next to the spine?


Dr. Lin Zhiguang reply Surgery
Hello, you may need to first check if it is a lipoma and also assess its depth. Generally, if it is 4 centimeters in size, hospitalization and general anesthesia may be required to minimize pain. If it is just a lipoma, the risks mainly pertain to general anesthesia (which requir...

[Read More] Understanding the Risks of Surgery for Painful Lipomas Near the Spine


Understanding Gastric Bypass Surgery: Costs, Insurance, and Recommendations

Gastric bypass surgery Hello doctor, I would like to ask about my height of 183 cm and weight of 140 kg. I am considering gastric bypass surgery and would like to know your recommendations. Is this covered by health insurance? What is the approximate cost? I am struggling to lose...


Dr. Lin Zhiguang reply Surgery
Hello, your BMI (kg/m²) is approximately 41.8, which indicates that you are classified as severely obese since it exceeds 40. Weight loss surgery may be considered, especially if you have comorbidities such as diabetes or hypertension. There are two main types of weight loss surg...

[Read More] Understanding Gastric Bypass Surgery: Costs, Insurance, and Recommendations


Understanding Recurrent Mastitis: Causes, Treatments, and Next Steps

Mastitis with redness, swelling, and purulence occurs on average once a month? Hello, I have been suffering from mastitis multiple times and feel helpless. I am unmarried and have a weak immune system, often catching colds. My hygiene habits are good, but I have a rare condition ...


Dr. Lin Zhiguang reply Surgery
Hello, after reviewing your description, it seems that a debridement surgery is needed once, and the other procedures will be for dressing changes. If there is a recurrence, a more thorough debridement may be necessary. If you have time, please come in for an examination. We also...

[Read More] Understanding Recurrent Mastitis: Causes, Treatments, and Next Steps


Understanding Lipomas in the Pubic Area: Symptoms, Treatment, and Concerns

Suspected lipoma in the pubic area of the lower abdomen? Hello Doctor: I have a noticeable protrusion in the pubic area of my lower abdomen that appears to be a lipoma (2 cm x 1 cm). It is generally not painful, feels elastic when pressed, and has a fluctuating sensation. Althoug...


Dr. Lin Zhiguang reply Surgery
Hello, based on your description, it is likely a lipoma. It is mostly benign and does not require surgery unless it grows rapidly or becomes painful, in which case other conditions should be considered. If surgery is necessary, you can consult a general surgeon or a plastic surge...

[Read More] Understanding Lipomas in the Pubic Area: Symptoms, Treatment, and Concerns


Why Do I Feel Dizzy After Minor Surgery? Understanding Anesthesia Effects

Please ask your question? Hello! Why do I feel dizzy after undergoing a minor surgical procedure at the hospital? Is it related to the anesthesia? What is the purpose of using adhesive tape for cosmetic purposes?


Dr. Lin Zhiguang reply Surgery
Hello, minor surgeries are generally performed under local anesthesia, unless there is an inadvertent injection into a blood vessel that can cause arrhythmias and dizziness. However, most cases of dizziness are often due to anxiety or reduced intake of food and fluids, leading to...

[Read More] Why Do I Feel Dizzy After Minor Surgery? Understanding Anesthesia Effects


Understanding Anal Pain During Bowel Movements: Hemorrhoids or Fissures?

Anal pain during bowel movements? Doctor, I have a question: Recently, I experience some pain at the anal opening when having a bowel movement. There is a little bit of blood when I wipe (very small amount). Could this be hemorrhoids or an anal fissure?


Dr. Lin Zhiguang reply Surgery
Hello, it is possible that you have either hemorrhoids or an anal fissure, but your symptoms are more indicative of an anal fissure. An anoscopy is necessary to confirm the diagnosis. If it is an anal fissure, it often heals on its own, but you should avoid straining during bowel...

[Read More] Understanding Anal Pain During Bowel Movements: Hemorrhoids or Fissures?


Understanding Ganglion Cysts: Causes, Symptoms, and Surgical Options

Ganglion cyst Hello Doctor: I have developed a ganglion cyst in the web space between my thumb and index finger. It feels hard like bone and has limited mobility. I am experiencing pain, and I cannot hold objects for long without feeling soreness. The doctor mentioned that I need...


Dr. Lin Zhiguang reply Surgery
Hello, Xiao Juan: A ganglion cyst is generally formed from the synovial bursa at the joint, which is part of the joint capsule. Therefore, it is usually located deep within the joint and may involve important structures such as blood vessels and ligaments, requiring careful handl...

[Read More] Understanding Ganglion Cysts: Causes, Symptoms, and Surgical Options


Why Do Lipomas Recur After Surgery? Understanding the Causes

I have a question? Hello, my friend has had lipomas removed three times. Why do they keep recurring?


Dr. Lin Zhiguang reply Surgery
Hello, people who typically develop lipomas often have multiple lipomas on their bodies, but it is not feasible to remove them all at once, as that would result in numerous wounds. Usually, the larger or symptomatic ones are addressed first. Your friend is likely not experiencing...

[Read More] Why Do Lipomas Recur After Surgery? Understanding the Causes


Understanding Sebaceous Cysts: Causes and Treatment Options

I have a question? Hello, why do sebaceous cysts occur?


Dr. Lin Zhiguang reply Surgery
Hello, the medical term for a sebaceous cyst is "sebaceous gland cyst," which is a benign lesion located beneath the skin. It can form when the duct of the sebaceous gland becomes obstructed over time. When not inflamed, it usually does not cause any discomfort; however...

[Read More] Understanding Sebaceous Cysts: Causes and Treatment Options


Managing Side Effects of Paclitaxel in Early Stage Breast Cancer Patients

What are some concerns regarding the administration of paclitaxel in breast cancer patients? Hello Doctor: I would like to ask you some questions. My mother is a stage I breast cancer patient and has received four injections of small red berry extract. She has now received her fi...


Dr. Lin Zhiguang reply Surgery
1. Numbness in the hands and feet is a common side effect of chemotherapy, and it typically improves gradually within one to two years after treatment. At this stage, it is advisable to supplement with B vitamins (such as vitamin B complex) and to increase fluid intake post-chemo...

[Read More] Managing Side Effects of Paclitaxel in Early Stage Breast Cancer Patients


Determining Anal Fistula: Key Signs and Diagnostic Criteria

Determination of Anal Fistula Doctor, six months ago I had an abscess on the right side of my anus, which was drained in a proctology clinic. Recently, during a follow-up visit, the doctor said that an anal fistula has formed. I have seen three doctors: one said it is a fistula a...


Dr. Lin Zhiguang reply Surgery
If there has been a history of abscess formation, the likelihood of developing an anal fistula is high. Typically, outpatient drainage is not sufficient for a complete cure of the fistula. Surgical intervention is usually required to effectively address the fistula tract. It is r...

[Read More] Determining Anal Fistula: Key Signs and Diagnostic Criteria


Understanding Perianal Bumps: Causes and Treatment Options

Perianal lump or mass? Hello doctor, about three weeks ago, after driving in a hot and humid environment, I noticed a bump near the junction of the anus and the genital area (close to the perineum) that resembles a peanut. It feels swollen and painful, and it has not resolved yet...


Dr. Lin Zhiguang reply Surgery
If it is an anal canal issue, you should be able to feel a firm subcutaneous tissue between the two areas. Based on your description, it seems more like a small abscess, likely a benign lesion such as an epidermal inclusion cyst. It may be advisable to try antibiotics first.

[Read More] Understanding Perianal Bumps: Causes and Treatment Options


Understanding Colorectal Issues: Persistent Abdominal Pain and Constipation

Colorectal issues Hello, I would like to ask for your advice. I frequently experience unexplained abdominal cramping, have significant difficulty with bowel movements, often feel the urge to defecate but cannot, and have been suffering from persistent pain in the upper left abdom...


Dr. Lin Zhiguang reply Surgery
I apologize for the wait. Your symptoms are more indicative of common chronic constipation seen in young women, which may be related to a high sigmoid colon. The common organs to consider for left upper abdominal pain include the stomach, colon, small intestine, and even the panc...

[Read More] Understanding Colorectal Issues: Persistent Abdominal Pain and Constipation


How Long Does It Take for External Hemorrhoids to Heal?

How long does it take for an external mole to heal? Hello, Doctor: I recently visited the clinic for an examination, and the doctor said I have hemorrhoids, specifically an external hemorrhoid about the size of my pinky finger. It doesn't hurt and there's no bleeding, b...


Dr. Lin Zhiguang reply Surgery
Hello, your symptoms sound more like hemorrhoidal thrombosis, which is essentially a stroke of the hemorrhoid. Generally, it will be swollen and painful for about two weeks. If you still have symptoms after a long time, please come to my clinic for an evaluation!

[Read More] How Long Does It Take for External Hemorrhoids to Heal?


Is Trastuzumab Covered by Insurance for Stage 1 Breast Cancer Patients?

Is there health insurance coverage for patients with stage I breast cancer for the drug paclitaxel? Hello Doctor: My mother is a stage I breast cancer patient, with no metastasis, and she has had her entire right breast removed. However, her doctor said she needs to undergo 8 ses...


Dr. Lin Zhiguang reply Surgery
Hello, based on my understanding, for stage I breast cancer, chemotherapy with taxanes may not necessarily be required, and it is important to complete the chemotherapy regimen. If there is lymph node involvement and the hormone receptor (ER) is negative, coverage for treatment m...

[Read More] Is Trastuzumab Covered by Insurance for Stage 1 Breast Cancer Patients?


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