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Understanding Rectovaginal Fistulas: Symptoms, Treatment, and Risks

Rectovaginal fistula Hello Doctor: Several years ago, I experienced vaginal flatulence, which surprised me. After researching, I found that it might be a rectovaginal fistula. If that is the case, is treatment necessary? If left untreated, could there be any long-term consequence...


Dr. Qiu Shoutiao reply Surgery
Typically, a rectovaginal fistula causes feces to pass through the vagina. If there is only vaginal flatulence without feces exiting the vagina, it cannot be confirmed whether a rectovaginal fistula is present, and further examination is required for diagnosis. Common diagnostic ...

[Read More] Understanding Rectovaginal Fistulas: Symptoms, Treatment, and Risks


Safety Concerns When Interacting with Chemical Engineering Students

Medications I have a classmate who is in the chemical engineering department and often works with colorimetric elements. I heard that it's easy to accidentally come into contact with them, which can be dangerous. I suddenly thought about whether it is safe for me to be aroun...


Dr. Qiu Shoutiao reply Surgery
Radiologists who frequently come into contact with radiation wear dosimeters to monitor the cumulative radiation exposure they receive. Institutions that handle radioactive materials are closely regulated by the Atomic Energy Council, ensuring that there are no significant issues...

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Managing Hemorrhoids: Tips for Pregnancy and Childbirth

Hemorrhoids I currently have hemorrhoids, with many small and large lumps around the anal area. Will this affect me in the future when I get married, become pregnant, and have children? What preventive measures can I take to improve the situation and prevent it from worsening?


Dr. Qiu Shoutiao reply Surgery
Response: You mentioned that there are lumps outside the anus; it is best to visit a clinic to have a physician (general surgeon or colorectal surgeon) examine it. Let's find out what it is. If it is an external hemorrhoid, it can worsen during pregnancy due to increased pre...

[Read More] Managing Hemorrhoids: Tips for Pregnancy and Childbirth


Understanding Lipomas: When to Consider Surgery and Risks Involved

Lipoma Recently, I suddenly discovered a lipoma on my thigh. It usually doesn't hurt by itself, but I feel pain only when I press on it. I'm wondering if the lipoma needs to be surgically removed and if there is a possibility of it turning into a malignant tumor. Thank ...


Dr. Qiu Shoutiao reply Surgery
Without surgery, it cannot be said with 100% certainty that it is not a malignant tumor; it can only be said that it is very likely a lipoma. If a soft tissue tumor compresses adjacent tissues causing symptoms such as pain, numbness, or discomfort, the physician will typically re...

[Read More] Understanding Lipomas: When to Consider Surgery and Risks Involved


Understanding Mucus in Stool: Should You Be Concerned?

Feces Dear Doctor: I had a stool test last month, and everything in the report was normal, but there was a positive result for mucus. Should I be concerned about the possibility of polyps or any abnormalities in my intestines? Do I need to see a doctor? Additionally, I have notic...


Dr. Qiu Shoutiao reply Surgery
The best diagnostic method is to perform a colonoscopy, which can provide answers to all colorectal issues. Abnormal stools can also be brought to the outpatient clinic for the physician to examine; without conducting tests, the physician cannot confidently say that there are no ...

[Read More] Understanding Mucus in Stool: Should You Be Concerned?


How to Address Blood in Stool: Tips for Management and Diet

Blood in the stool? If you notice blood in your stool, it is important to seek medical attention promptly, as it can be a sign of various health issues. In the meantime, consider the following dietary and lifestyle recommendations: 1. **Increase Fiber Intake**: Consume more frui...


Dr. Qiu Shoutiao reply Surgery
If the blood in the stool is bright red, it is most likely due to hemorrhoidal bleeding, which can be confirmed in the outpatient clinic using an anoscope. Hard stools can cause trauma to the hemorrhoids during passage, leading to bleeding. Therefore, it is important to drink ple...

[Read More] How to Address Blood in Stool: Tips for Management and Diet


Understanding External Moles: Concerns and Treatment Options

External mole Hello: I previously visited a doctor because I have an external hemorrhoid. The doctor just applied some ointment and said it was nothing to worry about, just an external tag. I don't feel any pain or itching, but it makes me feel uneasy psychologically. What s...


Dr. Qiu Shoutiao reply Surgery
The anus of a newborn baby is completely smooth, while adults typically have some degree of protrusion, varying in extent. During pregnancy, increased pelvic pressure can cause previously unnoticed small hemorrhoids to become significantly enlarged. If there are large hemorrhoids...

[Read More] Understanding External Moles: Concerns and Treatment Options


Alternative Treatments and Risks of Gallstones: What You Need to Know

Gallstones 1. Besides laparoscopic cholecystectomy, are there other treatment options for gallstones? Is it possible to use medication to dissolve or expel the stones? 2. What are the risks associated with laparoscopic cholecystectomy? Are there any long-term complications afte...


Dr. Qiu Shoutiao reply Surgery
ANSWER: 1. There are no other treatment options. Dissolution therapy is designed specifically for cholesterol-based gallstones (common in Western populations), but statistics show that once the medication is discontinued, cholesterol stones can re-form. Dissolution therapy is &qu...

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Is Post-Surgery Body Heat Normal After Gallbladder Removal?

Fever after surgery? After a liver laceration due to a car accident, the gallbladder was removed, and the patient was hospitalized for a week. The patient is experiencing generalized heat and sweating but does not have a fever. Is this normal?


Dr. Qiu Shoutiao reply Surgery
During surgery for a liver rupture, the removal of the gallbladder indicates that the rupture has extended into the deeper parts of the liver. Two common postoperative issues are: 1. deep liver hematoma 2. bile leakage. These issues generally do not require special treatment. The...

[Read More] Is Post-Surgery Body Heat Normal After Gallbladder Removal?


Understanding Hepatitis B and Fatty Liver: Key Insights and Risks

Hepatitis B; Fatty liver disease 1. After donating blood in early December last year, it was found that HBsAg was positive. When will Anti-HBsAg develop? In July of this year, I tested positive for HBsAg again at the blood donation center. Why is that? Additionally, can I transmi...


Dr. Qiu Shoutiao reply Surgery
Regarding hepatitis B, it is primarily transmitted through blood. For individuals already infected with hepatitis B (HBsAg positive), whether they can develop antibodies (Anti-HBs) is uncertain and can only be determined through future monitoring to see if they have acquired immu...

[Read More] Understanding Hepatitis B and Fatty Liver: Key Insights and Risks