Understanding Post-Appendectomy Pain: Possible Complications and Solutions
Acute appendicitis After laparoscopic surgery for acute appendicitis on April 5th, I am still experiencing pain in the right abdomen. The follow-up physician conducted blood tests that came back normal and only prescribed antibiotics, which have not improved my condition. Additio...
Dr. Chen Jiaming Reply:
There are many possible reasons for persistent pain after surgery. It is recommended to return for a follow-up appointment and clearly inform the original surgeon that the previous antibiotic treatment was ineffective and that pain persists. A thorough examination and evaluation ...[Read More] Understanding Post-Appendectomy Pain: Possible Complications and Solutions
Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Gastrointestinal issues My father is 86 years old and experienced adhesive small bowel obstruction earlier this year. After hospitalization, he has improved. 1. Regarding adhesive small bowel obstruction: (1) The physician suggested that due to his age and pre-existing hear...
Dr. Chen Jiaming Reply:
Intestinal obstruction caused by adhesions is typically managed initially with conservative supportive therapy, which includes fasting, nasogastric tube decompression, and intravenous fluid administration. Clinical response is then monitored, and if improvement is observed, surgi...[Read More] Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Understanding Painful Cysts Near the Anus: Causes and Treatments
A lump near the anus? There are lumps forming in the area between the anus and the vagina, occurring after each menstrual period. Sometimes they appear on the left side, sometimes on the right, and sometimes one on each side. There is no visible pus head, and the lumps can grow a...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues. It is advisable to consult a physician for an examination ...[Read More] Understanding Painful Cysts Near the Anus: Causes and Treatments
Understanding a Lump in the Abdomen After a Fall: Causes and Concerns
Lumbar mass Hello Doctor: Four days ago, I fell down the stairs, and when I got home, I noticed a large bruise on the left side of my waist near the front (about the size of a palm). Later, I discovered that there was a circle without bruising in the middle (about the size of a f...
Dr. Ke Fangxu Reply:
It should be a subcutaneous hematoma. If it is not continuously enlarging or causing severe pain, it is not a concern. However, you may want to have a physician examine it to check for any other injuries.[Read More] Understanding a Lump in the Abdomen After a Fall: Causes and Concerns
Understanding Painful Cysts Near the Anus: Causes and Treatments
A lump near the anus? There are lumps developing in the area between the anus and the vagina, occurring after each menstrual period. Sometimes they appear on the left side, sometimes on the right, and occasionally one on each side. There is no visible pus head, and the lumps can ...
Dr. Ke Fangxu Reply:
If the symptoms are related to the menstrual cycle, it is advisable to consult a gynecologist. In addition to Bartholin's gland infection, it may also be related to endometriosis. Whether it is an anal abscess or not can only be confirmed through a personal examination by a ...[Read More] Understanding Painful Cysts Near the Anus: Causes and Treatments
Understanding Gastrointestinal Discomfort: When to Seek Further Evaluation
Gastrointestinal discomfort? Dear Doctor, two years ago I experienced mucus in my stool with blood and underwent a colonoscopy. The doctor diagnosed hemorrhoids but said no treatment was necessary. However, I still occasionally see mucus with blood at the end of my stool, and the...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fibe...[Read More] Understanding Gastrointestinal Discomfort: When to Seek Further Evaluation
Understanding Left Upper Abdomen Discomfort: Possible Causes and Concerns
I feel a tight and uncomfortable sensation in my upper left abdomen? Hello, doctor. I sincerely hope you can help me with this question. About three weeks ago, after I got up, I have been feeling a tightness and a sensation of something being stuck in my left abdomen. However, no...
Dr. Ke Fangxu Reply:
In the case of a 17-year-old experiencing left-sided abdominal pain, it is most often caused by constipation. At this age, only specific autoimmune diseases or hematologic malignancies would lead to splenomegaly. If there is a history of such conditions, it is advisable to return...[Read More] Understanding Left Upper Abdomen Discomfort: Possible Causes and Concerns
Understanding Abdominal Discomfort and Bowel Issues After Surgery
Abdominal discomfort and bowel issues? Hello, doctor. I've been experiencing some discomfort in my abdomen over the past few days. Sometimes I feel nauseous and have the urge to vomit. I occasionally feel a warm sensation above my belly button, and there is a slight cramping...
Dr. Ke Fangxu Reply:
Erythromycin commonly has gastrointestinal side effects. Based on your description, it seems related to the medication; however, I do not recommend abruptly stopping the medication. You should discuss with an otolaryngologist whether it is appropriate to discontinue the medicatio...[Read More] Understanding Abdominal Discomfort and Bowel Issues After Surgery
Understanding Constipation: Is It a Sign of Colon Cancer?
Bowel movement issues I have experienced constipation frequently since childhood, and my stools are often hard and pellet-like. I also tend to stay up late. Recently, my abdomen feels hard, but I don't have the urge to have a bowel movement. I have been taking probiotics occ...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at your age can be considered negligible. Based on your description, it seems more like a case of stubborn constipation. I recommend starting with a light diet and maintaining a good daily routine. Spicy, irritating, and greasy foods...[Read More] Understanding Constipation: Is It a Sign of Colon Cancer?
Understanding Pediatric Hernias: When to Consider Surgery for Your Child
Pediatric Hernia Hello Doctor: Our twin boys are now 4 years old. The younger brother has been occasionally complaining of stomach pain, and the pediatrician recommended a consultation with a pediatric surgeon. After the pediatric surgeon's examination, he immediately stated...
Dr. Yu Mingchang Reply:
Hello: You can observe whether there is any protrusion in your abdomen while taking a shower. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Pediatric Hernias: When to Consider Surgery for Your Child
Understanding Rectal Bleeding and Pain: Causes and Concerns
Rectal bleeding and anal pain? Hello Doctor: A few months ago, I noticed a small amount of blood when wiping after a bowel movement, but it stopped after one wipe and didn't return for several days. However, today I feel particularly uncomfortable in my abdomen (this happens...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a typical case of anal fissure combined with hemorrhoidal bleeding. The common symptoms include pain during bowel movements accompanied by bleeding, often caused by constipation or diarrhea. The fundamental treatment is to improve bow...[Read More] Understanding Rectal Bleeding and Pain: Causes and Concerns
Understanding Rectal Swelling During Menstruation: When to Seek Help
Swelling of the anus during menstruation? Hello, Doctor: I usually do not have any abnormalities with my anus, but one to two days before my menstrual period, I experience a slight swelling sensation in the anal area. During those days, I tend to have bowel movements more frequen...
Dr. Ke Fangxu Reply:
Some women may experience anal pain during their menstrual period. The most common causes are uterine swelling leading to pressure on the anus or constipation during menstruation causing hemorrhoid swelling. It is advisable to consult a gynecologist to check for conditions such a...[Read More] Understanding Rectal Swelling During Menstruation: When to Seek Help
Post-Hernia Surgery: Occasional Pain During Exercise and Coughing
Occasional sharp pain one year after hernia surgery? It has been a year since the surgery, and I usually don't have any problems. However, when I do sit-ups, I feel a stabbing or pulling sensation in my abdomen, and coughing too hard also causes pain. I would like to ask the...
Dr. Xu Kaixi Reply:
Hernia surgery typically involves the placement of a prosthetic mesh at the surgical site to prevent recurrence. It is normal to experience nerve pain at the wound site due to scar tissue, which usually improves over time. Activities that significantly increase abdominal pressure...[Read More] Post-Hernia Surgery: Occasional Pain During Exercise and Coughing
Understanding Left Lower Abdominal Pain: When to Consider Further Testing
Left lower abdominal pain? Hello Doctor, I started experiencing rectal bleeding at the end of November last year, which did not improve for one or two months, prompting me to seek medical attention. During this period, I visited two hospitals, and after the internal examinations,...
Dr. Ke Fangxu Reply:
At the age of 23, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more likely that you are experiencing hemorrhoidal bleeding and gastrointestinal discomfort due to constipation. I recomm...[Read More] Understanding Left Lower Abdominal Pain: When to Consider Further Testing
Understanding Rectal Bleeding: Causes, Risks, and When to Seek Help
Rectal bleeding Hello, doctor. I have two questions I would like to ask. First, the earliest record of rectal bleeding was during sixth grade, and the most recent incident of blood in my stool occurred during a bowel movement that was somewhat painful. I noticed fresh blood (am...
Dr. Yu Mingchang Reply:
Hello: Please take a moment to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.[Read More] Understanding Rectal Bleeding: Causes, Risks, and When to Seek Help
Understanding Rectal Issues: When to Seek Surgical Consultation
Doctor, may I ask? Hello doctor, I previously inquired about a "round object inside the anus" on October 11, 2017. Since then, my bowel movements improved to twice a week, but I haven't been able to reduce the frequency further. Recently, I've noticed that the...
Dr. Ke Fangxu Reply:
Having a bowel movement only twice a week is still considered severe constipation. It is recommended that you visit a colorectal surgeon for treatment and to investigate what you refer to as the "round object."[Read More] Understanding Rectal Issues: When to Seek Surgical Consultation
Understanding Rectal Bleeding and Painful Bumps: When to Seek Help
Rectal bleeding with a protruding mass at the anal opening? I previously noticed a small amount of blood on the toilet paper when wiping after a bowel movement, but it didn't hurt. However, in the past few months, I've been experiencing bleeding with bowel movements acc...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, and warm si...[Read More] Understanding Rectal Bleeding and Painful Bumps: When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
First occurrence of rectal bleeding? Hello, doctor. I was startled to suddenly find blood in my stool today, as I have never experienced similar symptoms before, so I wanted to ask you about it. The symptoms include a slight discomfort in my lower abdomen, dark-colored stools wit...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. The darker stool color may be related to the intake of red meat. Although the probability of developing colorectal cancer at the age...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding I have been experiencing rectal bleeding for quite a while. Every time I have a bowel movement, I feel pain in my anus, to the point where I am afraid to go. I sometimes suffer from constipation, and my stools are often quite hard. However, even when I have softer...
Dr. Xu Kaixi Reply:
I apologize for the delayed response due to the email forwarding process. Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal b...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello doctor, for the past couple of days, I've been experiencing a lot of gas before having a bowel movement. The stool at the beginning is somewhat hard, with a clay-yellow color and a tubular shape. After the front part comes out, the rest follows quickly,...
Dr. Xu Kaixi Reply:
I apologize for the delayed response due to the email forwarding process. The nature of stool can indeed be influenced by diet; however, the presence of blood in the stool is considered abnormal. This could indicate a range of conditions, from common hemorrhoids to more serious g...[Read More] Understanding Blood in Stool: Causes and When to Seek Help