Should My Mom Undergo Surgery for Stage IV Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, the source of the infect...
Dr. Xu Kaixi reply Surgery
If diagnosed with colorectal cancer with near obstruction, and if the patient's condition permits, after an anesthetic preoperative assessment indicating acceptable surgical risks, it is still recommended to undergo colorectal cancer surgery at a major hospital as soon as po...[Read More] Should My Mom Undergo Surgery for Stage IV Colon Cancer?
Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
What are the concerns regarding surgery for colorectal cancer? Two months ago, my mother went to the emergency room due to a fever and was later hospitalized, where she was diagnosed with sepsis caused by a bacterial infection. During her hospitalization, they investigated the so...
Dr. Xu Kaixi reply Surgery
If a diagnosis of colorectal cancer with near obstruction has been confirmed, and if the patient's condition permits, with an acceptable surgical risk after anesthesia preoperative assessment, it is still recommended to undergo colorectal cancer surgery at a major hospital a...[Read More] Should My Mom Undergo Surgery for Stage 4 Colon Cancer?
Understanding Surgical Scars: What to Expect After Mole Removal
Surgical scar Hello, I just had a mole removal surgery and had my stitches taken out today. The scar appears as a depression with two small growths that look like granulation tissue on top. Is this normal? I have looked at many photos online of scars after mole removal, and they ...
Dr. Xu Kaixi reply Surgery
The wound after facial surgery is theoretically expected to heal within a week. If there is granulation tissue or discharge, it indicates poor wound healing, and it is advisable to return to the original surgeon for evaluation as soon as possible.[Read More] Understanding Surgical Scars: What to Expect After Mole Removal
Post-Surgery Pain: Is It Normal to Feel Tearing Sensation After Vasectomy?
Two weeks after the sterilization procedure, there is a tearing pain at the incision site? Hello, doctor. I would like to ask about my sterilization surgery performed on October 29. After the surgery, I had absorbable sutures made of catgut. On November 16, I noticed that one sid...
Dr. Xu Kaixi reply Surgery
The incision from the sterilization procedure should have healed after two weeks post-surgery. If there are no signs of infection such as redness, swelling, heat, or pain at the surface, it is normal to experience temporary tearing pain in the area due to movement that pulls on t...[Read More] Post-Surgery Pain: Is It Normal to Feel Tearing Sensation After Vasectomy?
Post-Hemorrhoid Surgery: Understanding Anal Dilation and Pain Levels
Postoperative anal dilation after hemorrhoid surgery? Hello doctor, I have grade III hemorrhoids and underwent a PHH surgery on August 12 of this year. About 23 days post-surgery, I started experiencing difficulty with bowel movements (spending over an hour on the toilet without ...
Dr. Xu Kaixi reply Surgery
One type of anal dilation surgery involves the use of an inflatable balloon to expand the anal or rectal strictures. This procedure typically requires multiple sessions to gradually achieve the desired dilation. Pain levels can vary from person to person, depending on the severit...[Read More] Post-Hemorrhoid Surgery: Understanding Anal Dilation and Pain Levels
Post-Appendectomy: Understanding Abdominal Swelling and Its Causes
After appendectomy, the abdomen may appear distended? Hello doctor, it has been about 7 days since my appendectomy, and I notice that my lower abdomen around the navel is noticeably swollen. However, there is no pain or other sensations, and it doesn't feel like gas. I would...
Dr. Xu Kaixi reply Surgery
If it is a laparoscopic appendectomy, there should be a wound of about one centimeter near the navel, which should theoretically have healed after one week and should not cause the changes in the appearance of your abdomen that you described. It is possible that the abdominal dis...[Read More] Post-Appendectomy: Understanding Abdominal Swelling and Its Causes
Understanding Resistance Issues with Topical Treatments for Warts
Inquire about drug resistance? Hello, doctor. I would like to inquire about the properties of the topical medication Condylox (podofilox). In the past, I was aware of having a slight anal fissure issue, but this year, due to pain and discomfort, I visited a clinic in March. Durin...
Dr. Xu Kaixi reply Surgery
Cauliflower, also known as condyloma acuminatum, is a type of viral infection. The use of Podophyllotoxin is an external ointment specifically targeting this type of virus. Recurrence after treatment may occur due to re-infection from the original source of the virus or the devel...[Read More] Understanding Resistance Issues with Topical Treatments for Warts
Why You Might See Blood on Toilet Paper After Bowel Movements
There is bleeding when wiping after using the bathroom? In the past couple of days, I've noticed blood on the toilet paper when wiping after a bowel movement, but there is no pain. What could be the cause of this?
Dr. Xu Kaixi reply Surgery
Based on your description, mild rectal bleeding is more likely caused by hemorrhoids; however, other possibilities cannot be ruled out. If it does not improve over time, it is recommended to seek further evaluation at a hospital.[Read More] Why You Might See Blood on Toilet Paper After Bowel Movements
How to Treat Painful Anal Irritation from Alcohol Wipes
If you accidentally applied alcohol to your anal area and are now experiencing pain, here are some steps you can take: 1. **Clean the Area**: Gently wash the area with mild soap and warm water to remove any residual alcohol. 2. **Avoid Irritants**: Refrain from using any harsh ...
Dr. Xu Kaixi reply Surgery
The skin and mucosa around the anal area are sensitive, and the irritation from alcohol may cause damage. Applying petroleum jelly to the surface can provide protection.[Read More] How to Treat Painful Anal Irritation from Alcohol Wipes
Understanding Unexplained Anal Vibrations: Causes and Concerns
Unexplained anal vibrations? Hello doctor, recently I have been feeling a pulsating sensation near my anus, similar to the vibration of a mobile phone. It is not painful, but the constant mild vibration is quite uncomfortable. I would like to know what could be causing this. Than...
Dr. Xu Kaixi reply Surgery
The anus is composed of the internal and external anal sphincters. The internal anal sphincter is an involuntary muscle, which means it cannot be consciously controlled by humans. The vibrations you mentioned are likely caused by contractions of the internal anal sphincter, simil...[Read More] Understanding Unexplained Anal Vibrations: Causes and Concerns
Understanding Cellulitis: Symptoms, Treatment, and Complications
Cellulitis Hello doctor, I would like to ask about a cat bite on the back of my hand, specifically on the middle finger. After seeking medical attention, I was diagnosed with cellulitis. Currently, there is a small hole in the center of the wound that is producing yellowish-green...
Dr. Xu Kaixi reply Surgery
Based on your description and the provided images, the cellulitis caused by the wound infection has improved, and it does not appear to be a deep tissue infection. Since the wound is located at the proximal interphalangeal joint of the middle finger, it may affect the mobility of...[Read More] Understanding Cellulitis: Symptoms, Treatment, and Complications
Understanding Bruises: When to Seek Further Medical Evaluation
Bruise on the buttocks? Hello, doctor. A few days ago, I had a car accident and fell, resulting in bruises on my leg and buttocks. I went to see a doctor, and he said that the bruised area on my leg is near the bone, so it will hurt for a while. Is that true? I'm not sure if...
Dr. Xu Kaixi reply Surgery
The area above the buttocks is known as the sacral region. The bones in this area are close to the surface of the skin, and the subcutaneous tissue layer is relatively thin. Therefore, when a fall or impact occurs in this region, it is easy to sustain fascia, bone contusions, bru...[Read More] Understanding Bruises: When to Seek Further Medical Evaluation
Dealing with Hard Stool: Causes, Remedies, and When to Seek Help
Hard stools? At first, when I go to the bathroom, my stool is very hard, and I have to strain a lot to pass it. There's a little bit of blood when I wipe. I went to the pharmacy and bought enzymes to take and applied some medication (thinking it was hemorrhoids), which helpe...
Dr. Xu Kaixi reply Surgery
Hard stools that are difficult to pass are also a form of constipation. It is recommended to improve dietary habits and lifestyle routines by increasing fluid intake and consuming more fruits and vegetables to enhance dietary fiber. Additionally, drinking yogurt can help promote ...[Read More] Dealing with Hard Stool: Causes, Remedies, and When to Seek Help
Post-Surgery Recovery Insights for Fistula Treatment: What to Expect
Post-fistula surgery Hello Doctor, I underwent my first fistula surgery on April 13 of this year. After three months, the wound has not fully healed. I consulted two other doctors who both told me that this is normal and that it might be a recurrence. Therefore, I returned to the...
Dr. Xu Kaixi reply Surgery
Based on your description and the photos, the current condition of the fistula surgical wound (as shown in the last photo) is almost healed. If there is no discharge, redness, or significant pain, it indicates that there is no recurrence. The postoperative wound at the anal area,...[Read More] Post-Surgery Recovery Insights for Fistula Treatment: What to Expect
Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Prolapse & Anal Hygiene Two months ago, I experienced anal pain without any bleeding. My first bowel movement in the morning was normal, but the second and third were loose stools. After three bowel movements, I soaked in warm water, but the pain persisted. I did not have con...
Dr. Xu Kaixi reply Surgery
Based on your description, the diagnoses during your visits include hemorrhoids and anal fissures, which can coexist and both may cause bleeding and pain during bowel movements. Prolapse refers to the rectum protruding through the anus, with the tissue that comes out being the re...[Read More] Understanding Rectal Prolapse and Proper Anal Hygiene Practices
Post-Surgery Bowel Movements: Timing for Optimal Healing After Hemorrhoid Surgery
Postoperative bowel movement After hemorrhoid surgery, is it beneficial for the anal wound to avoid bowel movements for a few days by eating less? If one were to exaggerate, would waiting a week to have a bowel movement promote better healing of the wound?
Dr. Xu Kaixi reply Surgery
Prolonged periods without bowel movements or constipation may not be beneficial for anal wounds, as they can lead to hard stools or excessive straining during defecation, which may cause the wound to tear or bleed. It is recommended to maintain a natural and regular bowel routine...[Read More] Post-Surgery Bowel Movements: Timing for Optimal Healing After Hemorrhoid Surgery
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements? Hello Doctor, a few days ago I experienced pain while having a bowel movement, specifically discomfort at the anal opening, but the discomfort goes away after I finish in the restroom. Today, I checked my stool and there was n...
Dr. Xu Kaixi reply Surgery
Based on your description, hard stools can indeed be classified as a form of constipation. Hard feces can potentially cause tears in the anal mucosa, known as anal fissures. If the fissures are mild, they may heal on their own. It is recommended that you start by addressing the c...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Pain-Free Colonoscopy: Exploring Midazolam as an Alternative
Painless colonoscopy method In addition to anesthesia, does your hospital use pain relief injections (midazolam) for painless colonoscopy?
Dr. Xu Kaixi reply Surgery
Painless colonoscopy refers to performing a colonoscopy under general anesthesia. The medications used during the anesthesia process, including analgesics or sedatives, can be discussed with the anesthesiologist prior to the procedure. Theoretically, it should be feasible to use ...[Read More] Pain-Free Colonoscopy: Exploring Midazolam as an Alternative
Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Chronic anal fissure, anal polyp I would like to ask about experiencing bright red blood when using the restroom, but without pain. Sometimes it occurs with bowel movements, but after a short period, it doesn't happen again for two consecutive days. I consulted a doctor (who...
Dr. Xu Kaixi reply Surgery
As your physician mentioned, sometimes anal mucosal tears can occur due to constipation or other reasons. If there is no pain or signs of infection or inflammation, they generally heal on their own. Exercise is not directly related to this condition.[Read More] Understanding Chronic Anal Fissures and Polyps: Symptoms and Exercise Impact
Understanding Blood in Stool: Risks and Concerns for Colon Cancer
Blood in the stool? I have a habit of constipation and my bowel habits are unstable. I have been experiencing this for about a year. There is blood when I wipe, but no pain. My stools are quite hard, and sometimes there is a bit of blood mixed in with the stool, with a color rang...
Dr. Xu Kaixi reply Surgery
Based on your description, the bleeding during bowel movements caused by constipation is more likely to be due to hemorrhoids; however, other possibilities cannot be ruled out. If it does not improve over time, it is advisable to seek further examination at a hospital.[Read More] Understanding Blood in Stool: Risks and Concerns for Colon Cancer