Understanding Appendicitis Complications: From Diagnosis to Treatment
The issue of appendicitis progressing to a ruptured appendix? Hello Doctor, I would like to ask about my mother. She started feeling discomfort in her abdomen on Friday, July 6th, and by Sunday, July 8th, the pain became more pronounced in her lower right abdomen. However, she d...
Dr. Xie Wenhuai reply Surgery
Based on your daughter's symptoms and clinical course, it is likely appendicitis. The diagnosis of appendicitis primarily relies on the medical history, with abdominal pain migrating to the right lower quadrant, tenderness in the right lower abdomen, and leukocyte count indi...[Read More] Understanding Appendicitis Complications: From Diagnosis to Treatment
Post-Appendectomy Symptoms: What to Expect After Surgery
Postoperative symptoms of appendicitis? Hello, Dr. Hsieh. I underwent an appendectomy last Sunday (June 10) due to acute appendicitis. The doctor informed me that my appendix had ruptured and was infected. I was discharged on Tuesday (June 12) to rest at home, but since the surge...
Dr. Xie Wenhuai reply Surgery
If there is a rupture and suppuration of appendicitis, after surgery, it is important to monitor for signs of infection at the wound site. If an infection occurs, there will be swelling and pain at the wound, and it may appear red and swollen. Therefore, it is recommended to retu...[Read More] Post-Appendectomy Symptoms: What to Expect After Surgery
Understanding Thyroid Papillary Carcinoma: Treatment and Management Concerns
Papillary Thyroid Carcinoma Doctor: Hello! My husband underwent a bilateral thyroidectomy on August 10 of last year due to a tumor that had grown to 4 cm and was affecting his throat. He also received his first iodine-131 radioactive treatment in mid-October. Currently, he is tak...
Dr. Xie Wenhuai reply Breast and Thyroid
I'm sorry, could you please tell me what the examination items are? Dr. Hsien-Hua Hsieh.[Read More] Understanding Thyroid Papillary Carcinoma: Treatment and Management Concerns
Post-Appendectomy Concerns: Pain, Wound Care, and Recovery Tips
Postoperative issues following peritonitis surgery? Hello Doctor: I had surgery for appendicitis complicated by peritonitis on February 25, and it has been 16 days since my discharge. Today, I have been experiencing frequent sharp pains in my abdomen, particularly in the right lo...
Dr. Xie Wenhuai reply Surgery
After surgery, it is normal to feel a lump due to scar tissue at the wound site. However, if there is persistent swelling and pain, it may indicate the presence of an abscess. Based on your description, the presence of a drainage tube suggests a ruptured appendix, which can lead ...[Read More] Post-Appendectomy Concerns: Pain, Wound Care, and Recovery Tips
Understanding Breast Pain: What It Could Mean for Your Health
About breast cancer? My mother is about 52 or 53 years old. Recently, after running quickly, she said she experienced significant pain and discomfort in her right chest. She hasn't had her period for quite some time, around 2 to 3 years. I'm not sure if this is somethin...
Dr. Xie Wenhuai reply Breast and Thyroid
Chest pain may involve several considerations, including myocardial ischemia (angina, typically on the left side); pain caused by excessive muscle strain (possibly due to lack of exercise, where even slight physical activity can lead to discomfort); the possibility of aortic diss...[Read More] Understanding Breast Pain: What It Could Mean for Your Health
Dealing with Nail Issues After Trauma: Expert Advice for Recovery
Nail problems? About last September, my right big toe was injured, causing bruising under the nail and a nail fracture. Afterward, I had the nail removed. After the removal, the nail bed appeared to have a hard protrusion, which seems to be scar tissue from the damage. Recently, ...
Dr. Xie Wenhuai reply Surgery
It is recommended to gently smooth the surface of the nail bed (without damaging it) to allow for normal nail growth.[Read More] Dealing with Nail Issues After Trauma: Expert Advice for Recovery
Understanding Breast Changes in Young Girls: What to Know
The breast feels a bit firm? Hello doctor: My daughter is in the third grade of elementary school. Yesterday, I suddenly noticed that the area around her right nipple feels a bit hard, while the other side feels normal. Is this a sign of development? Why is the other side not lik...
Dr. Xie Wenhuai reply Breast and Thyroid
If the nipples are hard, it may be necessary to consider the possibility of a blocked milk duct. If there is also redness and swelling, inflammation should be suspected. However, this condition mostly occurs in women who are married and have given birth. It is advisable to closel...[Read More] Understanding Breast Changes in Young Girls: What to Know
Post-Appendectomy Care: When Can You Bathe or Soak?
Post-appendectomy care? Hello Doctor: I had an appendectomy (traditional surgery) at the beginning of November this year, and it has been 7 weeks since the surgery. The surface wound has healed. Can I go to a hot spring or take a bath now? Are there any restrictions (for example,...
Dr. Xie Wenhuai reply Surgery
No problem.[Read More] Post-Appendectomy Care: When Can You Bathe or Soak?
Understanding Thyroid Tumors: Risks and Treatment Options
Thyroid issues My mother was admitted to Luodong Boai Hospital due to thyroid issues. When she was discharged, I discovered that she had a 2 cm tumor that was not removed, and she is now undergoing radiation therapy. Doctor, will the thyroid cancer spread?
Dr. Xie Wenhuai reply Surgery
Thyroid tumors can be classified into functional and non-functional types, as well as benign and malignant. When surgical treatment is chosen, the goal should be to achieve complete removal; however, due to the location in the neck, which is near many vital structures, there are ...[Read More] Understanding Thyroid Tumors: Risks and Treatment Options
Managing Growths on Feet: When to Seek Surgical Advice for Diabetics
Abnormal growths on the foot? Hello Doctor: I have diabetes and have had a growth on my ankle that resembles a sarcoma for a long time. It didn't hurt before, so I ignored its presence. Due to my body condition, which includes keloids, I have been hesitant to have it surgica...
Dr. Xie Wenhuai reply Surgery
According to your description, the most common condition found at the ankle is a gouty tophus, but it is often accompanied by inflammation and pain. It could also be osteophyte formation in the joint. Additionally, it may be a subcutaneous tumor or a neurofibroma. In any case, I ...[Read More] Managing Growths on Feet: When to Seek Surgical Advice for Diabetics
Post-Appendectomy Care: Managing Long-Term Effects of Appendicitis
Peritonitis What are the potential complications of appendicitis surgery in childhood, and how should one take care of themselves afterward?
Dr. Xie Wenhuai reply Surgery
Abdominal surgeries are typically classified into clean surgeries and contaminated surgeries. For example, hernia repair is considered a clean surgery, while perforated appendicitis is classified as a contaminated surgery. Contaminated surgeries tend to have a higher incidence of...[Read More] Post-Appendectomy Care: Managing Long-Term Effects of Appendicitis
Do You Need Surgery for a Hernia? Understanding Your Options
Does a hernia always require surgery? I am 35 years old and went to see a doctor for hemorrhoids, during which I discovered that I have a hernia. Doctor, do I definitely need surgery? If I do not have surgery, will it affect my fertility or childbirth? Please advise me on how to ...
Dr. Xie Wenhuai reply Surgery
Hernia: It is the protrusion of tissues or organs within the peritoneal cavity, and occasionally only the subcutaneous fat may protrude. This usually occurs at a defect where the peritoneum should be closed, with the most common types being inguinal hernias and umbilical hernias....[Read More] Do You Need Surgery for a Hernia? Understanding Your Options
Effective Post-Treatment Strategies for Wounds After Cellulitis
Post-treatment for cellulitis wounds? If you have a wound left from cellulitis, how should it be treated?
Dr. Xie Wenhuai reply Surgery
Cellulitis is usually caused by wound infections (redness, swelling, heat, and pain). After treatment, which includes incision and drainage as well as antibiotics, the redness and swelling subside, and the wound heals. Sometimes, it may recur; if it recurs frequently, considerati...[Read More] Effective Post-Treatment Strategies for Wounds After Cellulitis
Understanding Recurrence of Gallstones: Causes and Dietary Restrictions
The issue of recurrent liver stones? Hello, doctor. My mother underwent surgery for liver stones ten years ago, but they recurred a few years later, requiring another operation. She has just recently recovered, and it’s always difficult for me to see her suffer during these episo...
Dr. Xie Wenhuai reply Surgery
Intrahepatic stones, usually composed of calcium bilirubinate, are difficult to dissolve with medication. They often present with chronic inflammation, and their quantity can vary from few to many. Diagnostic methods include ultrasound, computed tomography (CT), and cholangiograp...[Read More] Understanding Recurrence of Gallstones: Causes and Dietary Restrictions
Understanding Thyroid Ultrasound Findings: Should You Be Concerned?
Thyroid ultrasound shows hypoechoic nodules? At the beginning of February, during a company health check, a thyroid ultrasound showed a shadow. The technician advised me to promptly see an endocrinologist, but the nearby hospital's endocrinology department is overwhelmed wit...
Dr. Xie Wenhuai reply Breast and Thyroid
Thyroid tumors can generally be differentiated into adenomas or nodules through ultrasound examination, and patients can continue to be monitored at a general surgery outpatient clinic.[Read More] Understanding Thyroid Ultrasound Findings: Should You Be Concerned?
Understanding Hernia Surgery: Causes, Risks, and Treatment Options
Regarding hernia surgery? Hello Doctor: I have noticed some slight protrusions on both sides of my lower abdomen for the past three months. After a visual examination and palpation by a surgeon, it was diagnosed as a hernia. I enjoy running and exercising, so I would like to ask ...
Dr. Xie Wenhuai reply Surgery
Bilateral hernias generally occur in older individuals, primarily due to the weakening of the muscle layer and increased abdominal pressure (which may be caused by benign prostatic hyperplasia or cirrhosis). They can be treated using traditional surgical methods or laparoscopic s...[Read More] Understanding Hernia Surgery: Causes, Risks, and Treatment Options
Understanding Thyroglossal Duct Cyst: Surgical Options and Recurrence Risks
Thyroglossal duct cyst Hello, Dr. Hsieh: I would like to ask if surgery is necessary for a thyroglossal duct cyst. A few days ago, I noticed swelling in my lower jaw. I visited an ENT specialist who informed me that I have this condition and prescribed medication, which has sligh...
Dr. Xie Wenhuai reply Surgery
Surgical removal is recommended, as treating it with aspiration may lead to recurrence. It is a benign tumor and will not become malignant. Thank you for your inquiry.[Read More] Understanding Thyroglossal Duct Cyst: Surgical Options and Recurrence Risks
Understanding Breast Asymmetry: Is It Normal or a Cause for Concern?
Not sure if it's a lump???? Hello doctor, my breasts are about a B cup, but my right breast is significantly smaller than my left, which is even lower. The issue is that my smaller right breast feels somewhat uneven overall, and I can't feel any obvious lumps, especiall...
Dr. Xie Wenhuai reply Breast and Thyroid
The breast consists of skin, subcutaneous fat, and breast tissue. If pressed with fingers, one may feel a lump, which is normal breast tissue, especially noticeable in women who have given birth after marriage. If there is a lump within the breast tissue, it can usually be felt b...[Read More] Understanding Breast Asymmetry: Is It Normal or a Cause for Concern?
Post-Operative Abdominal Pain in Teens: When to Seek Help
Post-abdominal surgery Hello, my 15-year-old child underwent laparoscopic surgery on November 3rd, with three incisions and two drainage tubes that were removed two weeks post-operation. The current wound is healing well, but recently he has been frequently complaining of dull pa...
Dr. Xie Wenhuai reply Surgery
It is recommended to perform a CT scan or ultrasound examination to rule out the possibility of an intra-abdominal intestinal abscess.[Read More] Post-Operative Abdominal Pain in Teens: When to Seek Help
Understanding Recovery After Appendicitis and Peritonitis
Recovery period after peritonitis? It's been two months since my discharge. I had appendicitis accompanied by gastroenteritis, which led to peritonitis. Although I have been discharged and the doctor told me that I don't need to see him anymore, I've been experienc...
Dr. Xie Wenhuai reply Surgery
After surgery, the healing of the wound requires tissue growth and repair, which can lead to sensations of itching. Additionally, due to the presence of postoperative scars, patients may occasionally experience discomfort or a dull ache, which typically improves over time. Genera...[Read More] Understanding Recovery After Appendicitis and Peritonitis