Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?
Can the sympathetic nervous system be regenerated through surgery? Hello doctor, I am a high school student and I have had a problem with sweaty hands since I was a child. Two years ago, I underwent a sympathetic nerve block procedure. After the surgery, I noticed that my hands n...
Dr. Qiu Yushu Reply:
Hello: As far as I know, this surgery is not intended for sympathetic nerve reanastomosis. After sympathetic nerve block, rejoining should not be possible. Thank you! Wishing you good health.[Read More] Can Sympathetic Nerve Regeneration Surgery Solve Sweating Issues?
Understanding the Benefits of Electrotherapy for Herniated Discs
What are the effects of electrotherapy? Hello, doctor. May I ask what the effects of electrical therapy are for a herniated disc? Also, how should one determine the appropriate intensity of the electrical stimulation during the therapy? Is a higher intensity more effective, or is...
Dr. Ding Xianwei Reply:
Hello: Regarding the electrical dosage for electrotherapy, I am unable to provide an answer without a personal examination. I recommend discussing this with your rehabilitation physician. However, running may not be suitable for your current condition; swimming and cycling are mo...[Read More] Understanding the Benefits of Electrotherapy for Herniated Discs
Understanding Pituitary Tumors: Symptoms, Treatment Options, and Recurrence
Pituitary tumor Hello Dr. Chiu, I have a question regarding my health. In May 2003, I was diagnosed with a pituitary tumor at a hospital in Taichung, which was approximately 1 cm in size at that time. I attempted to manage it with medication, but after about a year of outpatient...
Dr. Qiu Yushu Reply:
Hello! As you mentioned, it can be difficult to determine whether a tumor has recurred or if it is fatty tissue. It is recommended that you consult Dr. Chung Wen-Yu, a neurosurgeon at Taipei Veterans General Hospital, as he is an expert in this area. Thank you![Read More] Understanding Pituitary Tumors: Symptoms, Treatment Options, and Recurrence
Understanding Brain Aneurysms: Surgical Options and Concerns
Could you please provide more details or specify your question? Hello Dr. Chiu, I would like to ask you a few questions. I originally consulted an ophthalmologist, but since they couldn't find any issues, I was scheduled for an MRI recently. It revealed that I have a vascul...
Dr. Qiu Yushu Reply:
Hello: The Gamma Knife is not a universal solution. You can consult Dr. Chung Wen-Yu, a neurosurgeon at Veterans General Hospital, to explore its possibilities. Additionally, Professor Du Yong-Guang from National Taiwan University is quite experienced in this area of surgery (one...[Read More] Understanding Brain Aneurysms: Surgical Options and Concerns
Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Carbon monoxide poisoning Hello Dr. Ding, I apologize for the intrusion. My cousin recently attempted suicide by carbon monoxide poisoning but was rescued in the middle of the night. However, he is experiencing symptoms of aspiration and rectal prolapse. Subsequently, he has been...
Dr. Ding Xianwei Reply:
Hello: This is likely a consequence of neurological symptoms caused by hypoxia following carbon monoxide poisoning. It is important to pay attention to the possibility of seizures, so patients generally need to take antiepileptic medications. It is recommended that you follow up ...[Read More] Understanding Carbon Monoxide Poisoning: Symptoms and When to Seek Help
Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Hyperhidrosis Hello, Doctor. Eight years ago, I underwent endoscopic sympathetic nerve surgery to treat palmar hyperhidrosis. At that time, I did not inform the physician that I also experienced sweating in my armpits. To this day, my axillary hyperhidrosis remains severe, and it...
Dr. Ding Xianwei Reply:
Hello: I would suggest that you undergo axillary gland excision (surgery for axillary osmidrosis), but you are not suitable for endoscopic surgery anymore, as patients who have undergone previous surgeries may experience adhesions in the lungs, which increases the difficulty of t...[Read More] Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Safe Sleep Practices for Infants: Addressing Concerns About Pillows
May I ask if Dr. Chiu has received this letter? Please, please? Hello Dr. Chiu, I would like to ask you about the Department of Health's recommendation against allowing infants to sleep on their stomachs to prevent sudden infant death syndrome (SIDS). They suggest sleeping o...
Dr. Qiu Yushu Reply:
Please consult a pediatric specialist; a child's sleeping position does not affect intracranial pressure.[Read More] Safe Sleep Practices for Infants: Addressing Concerns About Pillows
Effective Solutions to Manage Body Odor During Puberty
How to solve the problem of body odor? Doctor, during puberty, it is said that it is not suitable to undergo surgical procedures for removal (as mentioned online). What methods can be used to reduce the odor produced when sweating? Because during physical education classes, we ca...
Dr. Ding Xianwei Reply:
Hello: You can consult a plastic surgeon for good advice and treatment. Wishing you safety and health.[Read More] Effective Solutions to Manage Body Odor During Puberty
Understanding Hydrocephalus: Risks and Alternatives to Surgery
Hydrocephalus My father is unable to walk due to hydrocephalus and underwent a ventriculostomy in the hospital. He tends to be drowsy when sitting but feels better when lying down. A CT scan revealed that the central part of his brain appears dry. The doctor mentioned that the ce...
Dr. Qiu Yushu Reply:
Hello: There are three types of ventricular drainage catheters, and there is a possibility of over-drainage occurring. Patients may experience dizziness and vomiting. If a CT scan reveals this phenomenon, the usual management is to switch to another type of drainage catheter. Thi...[Read More] Understanding Hydrocephalus: Risks and Alternatives to Surgery
Understanding Spinal Nerve Compression Surgery: Risks, Recovery, and Self-Care
Surgery for spinal nerve compression? Dear Dr. Hsiao, My mother-in-law recently experienced nerve pain in the back of her foot and went to the hospital for an examination. The X-ray showed a small dark area in her spine, and the doctor informed us that her spinal nerves are bein...
Dr. Xiao Furen Reply:
1. With current technology, the success rate should be quite high, but there is still a possibility of neurological sequelae. 2. It is also possible to try rehabilitation first. 3. There are many reasons, including both congenital and acquired factors. 4. To reduce spinal l...[Read More] Understanding Spinal Nerve Compression Surgery: Risks, Recovery, and Self-Care
Understanding Dizziness: Causes and When to Seek Medical Advice
Dizziness Hello, doctor. Yesterday, I accompanied the victim to the hospital for a follow-up appointment. He described his symptoms over the past week as dizziness, a feeling of pressure in his head, occasional numbness in his fingers, and stiffness in his neck. The doctor recomm...
Dr. Xiao Furen Reply:
These questions are better addressed directly with the physician during the outpatient visit. If the CT scan shows no issues and the symptoms are just dizziness and headaches, symptomatic treatment with medication should suffice, and one should be able to return to normal work. H...[Read More] Understanding Dizziness: Causes and When to Seek Medical Advice
Understanding Herniated Discs: Treatment Options and Surgery Risks
Lumbar disc herniation Hello Dr. Hsiao! I live in Macau, and my boyfriend has recently undergone an MRI, which confirmed that he has a herniated disc. He is 30 years old and experienced sudden severe lower back pain at the beginning of this year, which worsened to the point of we...
Dr. Xiao Furen Reply:
1. Surgery may not be necessary if symptoms are mild. 2. It depends on the symptoms. 3. There are options available. 4. Microsurgery is an option, but it still carries risks. 5. If you have health insurance, the costs are not too high. 6. There is still a small percenta...[Read More] Understanding Herniated Discs: Treatment Options and Surgery Risks
Postpartum Back Pain: Causes and Solutions for New Moms
Postpartum lower back pain? Hello Doctor: I am a first-time mother of twins and had a cesarean section. My babies are now 11 months old, but since they were 5 months old, I have been experiencing lower back pain every night that prevents me from turning over in bed; I can only sl...
Dr. Xiao Furen Reply:
Is five months referring to five months of pregnancy or five months postpartum? Your symptoms sound more like a muscle/fascia issue, possibly caused by holding the baby. It is advisable to consult a physician in an outpatient setting for diagnosis and treatment.[Read More] Postpartum Back Pain: Causes and Solutions for New Moms
Understanding Cervical Bone Spurs: Do You Need Surgery for Nerve Compression?
Cervical osteophytes Hello: I have been experiencing numbness and tingling in one arm, which I initially thought was due to excessive computer use. The discomfort has now spread to my entire hand and even my fingers. I consulted a doctor and had an X-ray taken, and the doctor dia...
Dr. Ding Xianwei Reply:
Hello: I would like to wait until you finish the examination and review the images before providing you with an answer. Sincerely, Dr. Ding Suan-Wei, Neurosurgery.[Read More] Understanding Cervical Bone Spurs: Do You Need Surgery for Nerve Compression?
Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Mild cognitive decline Hello Doctor: I suffered a head injury and went to the hospital for treatment. Initially, I was diagnosed with a mild concussion. Over the past two weeks, I've experienced some dizziness and forgetfulness, but nothing serious. However, it was also disc...
Dr. Qiu Yushu Reply:
Hello: Due to the need for further understanding of your condition, a definitive judgment cannot be made based solely on your description. It is recommended that you visit the outpatient clinic for a thorough evaluation. Thank you.[Read More] Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Post-Discectomy Concerns: When to Seek Further Medical Advice?
Postoperative follow-up for spinal disc decompression surgery? Hello Dr. Hsiao: Regarding what you mentioned about lifting heavy objects, I have been very careful and have not done so since my surgery. I have continuously used pain medication, heat therapy, and rehabilitation tre...
Dr. Xiao Furen Reply:
1. Perhaps the original surgeon has a better understanding of your condition, so continuing follow-up visits with them may be more beneficial. It's also fine to seek a second opinion from another physician, but there's no need to repeatedly consult different doctors. ...[Read More] Post-Discectomy Concerns: When to Seek Further Medical Advice?
Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury
Cranial vault surgery I was in a car accident last February, and I suffered a comminuted fracture of the right frontal bone. A month later, the doctor said I needed to have my skull cap replaced before being discharged, so I agreed to the surgery. During the procedure, the doctor...
Dr. Ding Xianwei Reply:
Hello: It is normal to wake up in the operating room after surgery, as the recovery room is primarily for monitoring the patient's condition once they are awake. The main concern with artificial skull surgery is the risk of infection; other risks are comparable to those of s...[Read More] Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury
Head Trauma Symptoms: When to Seek Medical Attention
Head trauma? On Monday, I was punched in the back of the head by a classmate. At the moment, I didn't feel anything, but later I gradually started to feel pain. Over the next few days, I haven't been feeling well. In the morning, I wake up with body aches, especially in...
Dr. Ding Xianwei Reply:
Hello: I believe your symptoms may indicate a cold. Here are six important points that patients with head injuries should pay special attention to: 1. Severe dizziness and headache. 2. Persistent vomiting (three or more times within one hour). 3. Difficulty breathing. 4. Gradual ...[Read More] Head Trauma Symptoms: When to Seek Medical Attention
Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Pediatric Head Trauma (Email Correction) Dr. Chiu: Hello! My daughter is 5 years old and approximately 120 cm tall. Recently, she fell while running and hit the back left side of her head on the ground. At that moment, there was a loud noise (the impact must have been significant...
Dr. Qiu Yushu Reply:
Hello: I recommend that you take your child to the outpatient clinic for a more detailed examination. Thank you! Wishing you good health.[Read More] Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Understanding Post-Surgery Symptoms: Hydrocephalus in Elderly Patients
Hydrocephalus Hello: My father is 68 years old (he has diabetes) and recently underwent a CT scan which revealed hydrocephalus. He had surgery on March 4, and his condition was stable post-operation, although he experienced some dizziness. However, on March 14, the dizziness wors...
Dr. Ding Xianwei Reply:
Hello: For hydrocephalus, we utilize drainage surgery to alleviate symptoms. There are many reasons for postoperative dizziness. It is recommended that you return for a follow-up consultation with your father's attending physician. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery...[Read More] Understanding Post-Surgery Symptoms: Hydrocephalus in Elderly Patients