Managing Peripheral Neuropathy Symptoms from Chemotherapy: Tips and Remedies
How to alleviate the symptoms of peripheral neuropathy caused by chemotherapy? Hello Dr. Wang! My mother is a stage IV colorectal cancer patient who has been receiving out-of-pocket targeted chemotherapy for over a year. Recently, her symptoms of numbness in her hands and feet ha...
Dr. Wang Qichao reply Surgery
Dear A-Zhi, The symptoms of numbness in the hands and feet may be more related to chemotherapy drugs. Typically, symptoms during the acute phase can be alleviated through warmth and a diet rich in warm foods. If there is persistent neuropathy, it can be more challenging to manag...[Read More] Managing Peripheral Neuropathy Symptoms from Chemotherapy: Tips and Remedies
Understanding Anal Fistulas: Causes, Risks, and Prevention Strategies
Anal fistula Doctor, may I ask if a person who has already undergone surgery for an anal fistula can develop another fistula elsewhere? What causes fistulas to form, and how can they be prevented?
Dr. Wang Qichao reply Surgery
Hello: There are 10-15 anal glands located near the anus. When these glands become obstructed and infected with bacteria, an abscess can form. If the abscess ruptures, it can lead to the formation of a fistula. Generally speaking, this condition is difficult to prevent. The treat...[Read More] Understanding Anal Fistulas: Causes, Risks, and Prevention Strategies
Understanding Rectal Bleeding: Causes and Prevention Tips for Teens
Rectal bleeding I am very frightened and scared. Hello, doctor. Yesterday, after having a bowel movement, I noticed some bleeding (a drop of bright red blood, not attached to the stool). There was a little blood when I wiped the inside of my anus with toilet paper, and the bleedi...
Dr. Wang Qichao reply Surgery
Hello! Based on your description, the likelihood of hemorrhoidal bleeding seems to be higher. However, it is important to understand that rectal bleeding is a warning sign that warrants further examination. While hemorrhoidal bleeding is the most common cause, a portion of cases ...[Read More] Understanding Rectal Bleeding: Causes and Prevention Tips for Teens
Chronic Anal Fissures: Risks of Untreated Conditions and Alternatives
excuse me? If chronic anal fissures are left untreated, they can lead to several complications. Although you may only experience mild pain during bowel movements and it doesn't significantly affect your daily life, the fissure can become more severe over time. This may resul...
Dr. Wang Qichao reply Surgery
Hello: Chronic anal fissures typically present with a triad of symptoms, which includes (1) ulceration, (2) anal tags, and (3) anal papillae. The chances of healing are usually low, and surgical intervention is often required. It is recommended that you first visit a colorectal s...[Read More] Chronic Anal Fissures: Risks of Untreated Conditions and Alternatives
Managing Constipation in Seniors: Effective Solutions and Tips
Constipation in the elderly? Grandfather is 81 years old and struggles significantly during bowel movements, often requiring the use of an enema to have a successful bowel movement. Is this normal? What are some ways to improve this condition? Additionally, we have Normacol Plus ...
Dr. Wang Qichao reply Surgery
Hello: The constipation in elderly individuals should be monitored for the possibility of colorectal tumors. If the elderly gentleman has already undergone examinations to rule out organic causes of constipation, dietary adjustments (such as increased water intake, and consumptio...[Read More] Managing Constipation in Seniors: Effective Solutions and Tips
Concerned About a Boil Near the Anus: Is It an Anal Fistula?
Concerned~ I have developed an abscess near my anus. Does this necessarily mean I have an anal fistula? I'm very worried. Thank you, doctor.
Dr. Wang Qichao reply Surgery
Hello: A perianal abscess is not necessarily an anal fistula! Infections of hair follicles, sebaceous glands, and sweat glands, among others, can sometimes present similarly to an anal abscess (fistula). It is advisable to visit a colorectal surgery clinic to determine the underl...[Read More] Concerned About a Boil Near the Anus: Is It an Anal Fistula?
Understanding Anal Itching: Could It Be Pinworms in Adults?
In the early morning, there is often itching around the anal area, as if something is crawling? Recently, I've been experiencing itching around the anus at night or in the early morning, as if something is crawling. Even scratching does not alleviate the symptoms. Could this...
Dr. Wang Qichao reply Surgery
Hello: There are many causes of anal pruritus, and parasitic infections are just one of them. Simple tests, such as stool examination or anal swab microscopy, should be able to determine the presence of a parasitic infection. It is recommended that you consult a colorectal surgeo...[Read More] Understanding Anal Itching: Could It Be Pinworms in Adults?
What Could That Round Bump Near My Butt Be?
Could you please provide the content you would like me to translate? Thank you? I have a round bulge on my buttocks... what could it be? It's not near the anus.
Dr. Wang Qichao reply Surgery
Hello: There is a round protrusion on your buttocks?! I apologize, but it is quite difficult to answer your question without sufficient information. Is it on the left side? Right side? Front? Back? Does it hurt? How long has it been there?! Is it hard or soft? Without adequate in...[Read More] What Could That Round Bump Near My Butt Be?
Understanding Hemorrhoids: Symptoms, Treatment Options, and Recovery
Hemorrhoid issues I have been dealing with hemorrhoids for a long time, and according to the information I found online, it has reached stage four. However, I have been too embarrassed to seek medical attention. Sometimes I just endure the pain, but recently, due to my frequent d...
Dr. Wang Qichao reply Surgery
Hello: Based on your description, it may still be difficult to determine the cause of your condition. It is best to have an outpatient examination to identify the cause for further management. Regarding hemorrhoid surgery, the anesthesia options can be local, regional, or general...[Read More] Understanding Hemorrhoids: Symptoms, Treatment Options, and Recovery
Understanding Hemorrhoids: Postpartum Concerns and Symptoms
Regarding hemorrhoids? Hello Dr. Wang, I gave birth in August via vaginal delivery and had an episiotomy. 1. After my one-month postpartum period, I experienced severe constipation and rectal bleeding. After consulting a doctor, I used a topical ointment, and the bleeding has st...
Dr. Wang Qichao reply Surgery
Hello: Regarding your second question, I would like to share my thoughts: The process of natural childbirth can sometimes result in severe perineal trauma, with rectovaginal fistula being one of its complications. Larger and more obvious fistulas can be detected through a pelvic ...[Read More] Understanding Hemorrhoids: Postpartum Concerns and Symptoms
Overcoming the Silence: Understanding and Treating Hemorrhoids
Embarrassing hemorrhoids Hello: This issue has been with me for quite a while. I haven't seen a doctor because it's difficult to talk about. After each bowel movement, my hemorrhoids protrude. Based on information I found online, I believe I have grade 3 to 4 internal a...
Dr. Wang Qichao reply Surgery
Hello: If it is convenient for you, I would be happy to assist you. Sincerely, Dr. Wang Qi-Chao, Department of Surgery, Taoyuan Hospital.[Read More] Overcoming the Silence: Understanding and Treating Hemorrhoids
Understanding Hemorrhoid Surgery: An Overview of Options and Anesthesia
Regarding hemorrhoid surgery? I believe my hemorrhoids are at grade 3 – they protrude during bowel movements and cannot be pushed back in, requiring sitz baths for cleaning before applying medication to push them back. I have consulted with hospitals such as Taipei Medical Univer...
Dr. Wang Qichao reply Surgery
Hello: There are various anesthesia methods for hemorrhoid surgery (local anesthesia, spinal anesthesia, general anesthesia, etc.), depending on the practices of different hospitals and physicians. With current anesthesia techniques, it is quite safe and rarely results in complic...[Read More] Understanding Hemorrhoid Surgery: An Overview of Options and Anesthesia
Understanding Anal Issues: Brown Growths and Painful Symptoms Explained
Anus Hello, doctor! I have a problem with internal hemorrhoids. I noticed that the skin around my anus has turned brown and there is a ring of it. Additionally, there are several bumps that resemble chicken skin, and they are quite painful. What could this condition be? What shou...
Dr. Wang Qichao reply Surgery
Hello: Your question is difficult to answer due to insufficient information. It is best to visit a proctology clinic for proper medical evaluation. Most growths around the anal area are likely remnants of hemorrhoids, but they could also be caused by tumors or viral skin infectio...[Read More] Understanding Anal Issues: Brown Growths and Painful Symptoms Explained
Understanding Chronic Anal Fissures: Symptoms, Treatment, and Care
"Emergency" I am 17 years old. During the summer vacation, I experienced hard stools and strained, which resulted in a small amount of blood on the toilet paper and pain. I initially thought it was nothing serious, but since then, every bowel movement has been painful, ...
Dr. Wang Qichao reply Surgery
Hello: The causes of anal pain generally include the following five points: 1. Thrombosed hemorrhoids, 2. Infections near the anus, 3. Anal fissures, 4. Tumors, 5. Pain of unknown origin. Based on your description, it seems more like an anal fissure, as the characteristics of an ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Treatment, and Care
Overcoming Laxative Dependence: Treatment Options and Risks
Laxative dependence Hello, I previously suffered from an eating disorder and used laxatives to lose weight. However, now I can't stop using them; if I don't take laxatives, I can't have a bowel movement (I have been using laxatives for 3 years). I would like to ask...
Dr. Wang Qichao reply Surgery
Hello: Bisacodyl is classified as a stimulant laxative. Short-term use typically does not cause serious effects, but prolonged use may lead to electrolyte imbalances, potentially resulting in metabolic disorders affecting the liver, kidneys, and skeletal system, as well as causin...[Read More] Overcoming Laxative Dependence: Treatment Options and Risks
Understanding Hemorrhoids: Symptoms, Stages, and Treatment Options
How to treat hemorrhoids? Hello Dr. Wang, This month I went to the hospital for an examination, and the doctor told me that I have hemorrhoids. I am currently taking medication and applying hemorrhoid ointment. The bleeding has stopped, but I still experience some pain and a sen...
Dr. Wang Qichao reply Surgery
Hello: Based on your description, it seems to lean towards grade III hemorrhoids. Typically, more severe grade III hemorrhoids are recommended for surgical treatment. For the benefits and risks of surgery, please discuss with your clinical physician to obtain the most comprehensi...[Read More] Understanding Hemorrhoids: Symptoms, Stages, and Treatment Options
Understanding Hemorrhoid Surgery: What to Expect Before Your Procedure
Regarding hemorrhoid surgery? Hello, doctor. I would like to ask you about a concern. I usually experience irregular bowel movements, such as diarrhea or constipation, and as a result, I have noticed a ring of small growths around my anus, which can be painful. During a conversat...
Dr. Wang Qichao reply Surgery
Hello: Based on your symptom description and age, an anal fissure seems to be a reasonable diagnosis. However, it is best to confirm the diagnosis through a physician's examination. If it is a chronic anal fissure, surgical treatment may be considered. If it is an acute anal...[Read More] Understanding Hemorrhoid Surgery: What to Expect Before Your Procedure
Understanding a Small Soft Lump Near the Anus: Causes and Concerns
There is a small lump at the anal opening? Hello Doctor, over the past two to three days, I noticed a small lump at the anal opening while showering. Upon examining it with a mirror, I found that it is approximately 4mm in length and about 2mm in diameter, with a long, pink, roun...
Dr. Wang Qichao reply Surgery
Hello: I apologize for not being able to conduct a personal examination, making it difficult to answer your question. It could possibly be an internal hemorrhoid, a hyperplastic polyp, skin tags, or even a tumor, among other possibilities. In any case, your issue should be evalua...[Read More] Understanding a Small Soft Lump Near the Anus: Causes and Concerns
Is This a Hemorrhoid? Understanding Symptoms and Treatment Options
Is this hemorrhoids? Hello, I have a small lump near my anus that has been there for two or three days. It looks somewhat like a pimple and hurts only when touched. Is this hemorrhoids? How can I improve it so that it disappears? What could have caused it? Should I see a colorect...
Dr. Wang Qichao reply Surgery
Hello: Based on your description, the likelihood of thrombosed hemorrhoids is quite high! Tumors typically do not form within two to three days. If there is an infection, the pain usually persists and worsens with movement or palpation. For the reasons mentioned above, the possib...[Read More] Is This a Hemorrhoid? Understanding Symptoms and Treatment Options
Understanding Anal Itching: Causes and Solutions for Relief
Anal itching Hello, doctor! I've been experiencing persistent itching around my anus, both at night and during the day. I wash the area with soap while showering, but the itching continues. Could this be caused by pinworms or roundworms, or could there be other reasons? I wo...
Dr. Wang Qichao reply Surgery
Hello: If there is a parasitic infection, it is often said that "one barbecue can spread the aroma to many families," which means your family members may also be infected. Please do not attempt to buy antiparasitic medication from the pharmacy on your own! Diagnosing an...[Read More] Understanding Anal Itching: Causes and Solutions for Relief