Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Anal issues Hello, first of all, thank you, doctor, for clarifying my concerns regarding case number 130869. I truly appreciate it! I visited regional hospitals and clinics to confirm my condition, including a colorectal specialist (who performed a digital rectal examination), a ...
Dr. Ke Fangxu Reply:
1. Excessive sphincter muscle tension can lead to chronic anal fissures, which is a condition that has historically troubled colorectal surgeons. Conservative treatments often yield poor results, yet the situation may not be severe enough to warrant surgical intervention. Warm si...[Read More] Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello doctor, I have recently noticed small specks of light red blood in my stool. Yesterday, my stool was pellet-like, but only one pellet had light red blood. I've been experiencing a dull pain in my upper mid-abdomen. I had an endoscopy that showed mild ga...
Dr. Xu Kaixi Reply:
Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, hemorrhoidal bleeding is the most likely cause. However, you also mentioned other symptoms such as difficu...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Can Medical Imaging Accurately Diagnose Hernia Symptoms?
Hernia - Is there an instrument that can confirm the diagnosis? Hello Dr. Hsu, In late July, I experienced discomfort at a point 8 cm to the right of my navel. Throughout the day, I would feel sharp pain about three times, lasting around five seconds each time. Pressing on the a...
Dr. Xu Kaixi Reply:
Based on your description, the likelihood of a hernia is low. For a more accurate diagnosis, a computed tomography (CT) scan may be considered.[Read More] Can Medical Imaging Accurately Diagnose Hernia Symptoms?
Is It a Subcutaneous Cyst? Understanding Your Symptoms
Is it a subcutaneous cyst? Recently, I discovered a lump on the surface of the skin in my lower abdomen (near the pubic hair). It feels soft, is not painful or itchy, but pressing on it or touching it can cause some discomfort. It feels similar to a small bean and is not visible ...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a general surgeon. Sebaceous cysts should be excised, while lipomas can be monitored. Take care! Changhua Hospital cares about you![Read More] Is It a Subcutaneous Cyst? Understanding Your Symptoms
Post-Hemorrhoid Surgery: Understanding Bowel Movement Difficulties
Post-operative constipation after hemorrhoid surgery? Hello Doctor, I had hemorrhoid surgery on November 1st for mixed hemorrhoids. After the surgery, the doctor did not prescribe any ointment for me, only painkillers, stool softeners, and laxatives. It has been 20 days since the...
Dr. Ke Fangxu Reply:
1. It is normal for the anus to feel tighter after hemorrhoid surgery; it will gradually return to normal as the wound fully heals. The surgical sutures typically take about a month to dissolve. Although it is not recommended to insert fingers into the anus, it is normal to feel ...[Read More] Post-Hemorrhoid Surgery: Understanding Bowel Movement Difficulties
Understanding Blood in Stool: When to Seek Further Medical Evaluation
There are small pinpoint red blood spots in the stool? Hello, around early October, I noticed small pinpoint spots of fresh blood when wiping after using the restroom, but it wasn't very noticeable. I visited a small clinic, and the doctor believed that due to my young age a...
Dr. Ke Fangxu Reply:
If the colonoscopy was performed in October, there should be no need to repeat it in a short period of time. Mild bleeding should not be a cause for excessive concern. Besides hemorrhoids, irritable bowel syndrome can also present with mucosal bleeding. As long as there are no ma...[Read More] Understanding Blood in Stool: When to Seek Further Medical Evaluation
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, I have noticed blood streaks in my stool for the past few days, and sometimes there is blood when I wipe. I also occasionally feel a dull pain in my lower left abdomen. What could be wrong with me?
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 Blood in Stool: Causes and When to Seek Help
Understanding Gastrointestinal Issues: When to Seek Further Medical Attention
Gastrointestinal issues Hello Doctor, I have been feeling the urge to have a bowel movement for the past few days, but when I sit on the toilet, I can't seem to go. I also have a dull pain on both sides of my abdomen (around the lower back area) and I have been passing gas f...
Dr. Ke Fangxu Reply:
At the age of 21, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like simple constipation. I recommend starting with a light diet and maintaining a good lifestyle. You should avoid ...[Read More] Understanding Gastrointestinal Issues: When to Seek Further Medical Attention
Understanding a Painless Spine Bump: Causes and Concerns
There is a painless bump on the back of the spine that is not causing any discomfort? There is a protrusion on my spine that is not painful and I am unaware of it because I was walking on the street when a colleague pointed it out. I would like to ask a doctor why there is this b...
Dr. Lai Zhaokang Reply:
Hello, a written description is not as effective as seeing a doctor in person. It is recommended to consult a physician, specifically a neurosurgeon or an orthopedic surgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding a Painless Spine Bump: Causes and Concerns
Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Hernia issues Hello Dr. Chen: My father had a temporary colostomy three years ago, and now there is a bulge at the stoma site (it's quite prominent). He went to the hospital for a CT scan, which indicated a hernia, and they recommended laparoscopic surgery to place a mesh fo...
Dr. Chen Jiaming Reply:
Previously, there was a creation of a stoma that caused damage to the abdominal wall muscle fascia, resulting in an "incisional hernia" due to poor healing. Generally, the recurrence rate is lowest when using a mesh implant placed internally in the abdomen for repair. T...[Read More] Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Understanding Rectal Masses: When to Seek Further Medical Evaluation
There is a round mass inside the anus? Hello doctor, I have a question. I can feel a round, flesh-like mass about half a finger's width, approximately 5 to 8 centimeters inside my rectum. No matter how much fruit and vegetables I eat or how much water I drink, I only feel bl...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a thrombosed hemorrhoid caused by excessive straining during bowel movements, which typically resolves on its own within one to two weeks and does not require excessive concern. At the age of 17, a colonoscopy is generally not recomme...[Read More] Understanding Rectal Masses: When to Seek Further Medical Evaluation
Understanding Gastrointestinal Pain: When to Seek Medical Attention
Gastrointestinal pain Hello Doctor: I often feel bloated after eating, and I frequently burp. I also experience a dull pain in my stomach, which sometimes becomes so severe that I need to take antacids for relief. However, my bowel movements are normal. This situation has been on...
Dr. Ke Fangxu Reply:
This situation is often related to peptic ulcers or gastroesophageal reflux disease (GERD), which can also be caused by slower gastric motility. It is advisable to start with a light diet and avoid overeating or greasy foods. If symptoms do not improve, it is important to consult...[Read More] Understanding Gastrointestinal Pain: When to Seek Medical Attention
Post-Surgery Recovery: Addressing Concerns About Finger Wound Healing
Wound issue Dear Doctor, I would like to inquire about post-operative recovery issues. Due to an improper operation of the machine, the flesh of my finger was partially removed, exposing the bone. An X-ray showed no damage to the bone. There were several treatment options at tha...
Dr. Zhou Hongzhang Reply:
1. The amount of seepage should be assessed; a small amount of seepage is normal. 2. The wound should be kept clean, dry, and free from contaminants. Avoid smoking, drinking alcohol, and other harmful substances that could affect the wound. 3. The more severe the injury, the ...[Read More] Post-Surgery Recovery: Addressing Concerns About Finger Wound Healing
Post-Appendectomy Abdominal Exercise Concerns: What to Know
Post-appendectomy abdominal exercise issues? Hello Doctor, I had an appendectomy a year and a half ago and have been recovering well without any issues. Recently, I've been training my abdominal muscles with the intensity of a college athlete, which involves exerting force a...
Dr. Chen Jiaming Reply:
First of all, your question did not clearly specify whether the surgical method was a traditional open incision in the right lower abdomen or laparoscopic surgery. Generally, the intestinal end wound from an appendectomy does not rupture due to abdominal strain more than a year l...[Read More] Post-Appendectomy Abdominal Exercise Concerns: What to Know
Understanding Muscle Necrosis: Signs, Treatment, and When to Seek Surgery
Is there muscle necrosis? Hello, three weeks ago, a small abscess on my abdomen became red and swollen, so I visited a dermatologist who diagnosed it as a furuncle. After two weeks of treatment with antibiotics and other medications, it softened and ruptured, leaving a hole appro...
Dr. Li Qinglong Reply:
Dear Ms. Eveshong: Hello, regarding your wound that has not healed for three weeks, there may still be an infection issue internally. We recommend that you schedule a visit to the surgical outpatient clinic to discuss how to treat your wound. The physician needs to examine the wo...[Read More] Understanding Muscle Necrosis: Signs, Treatment, and When to Seek Surgery
Is It a Lipoma? Understanding Subcutaneous Lumps During Pregnancy
Is it a lipoma? Hello doctor, two days ago I felt a small, slightly painful hard lump on the left side of my abdomen, very close to my waist. It feels firm to the touch, about the size of a red bean. Today I saw a doctor, and after a physical examination, the doctor said it is su...
Dr. Chen Jiaming Reply:
Without a physical examination, I cannot provide a definitive diagnosis. The likelihood of a subcutaneous abdominal lesion being a lipoma is indeed high, regardless of body weight! Lipomas are benign lesions, and whether to proceed with surgical removal depends on the patient...[Read More] Is It a Lipoma? Understanding Subcutaneous Lumps During Pregnancy
Understanding Painful Lumps: Possible Causes Beyond Lipomas
Tenderness of a hard mass? Hello Doctor, I discovered a hard lump about the size of a red bean in my lower left abdomen near the waist two days ago. It hurts a bit when pressed. After the doctor examined it, they said it is likely a lipoma since it is located just under the skin....
Dr. Chen Jiaming Reply:
Without a physical examination, I cannot provide a definitive diagnosis. The likelihood of a subcutaneous abdominal lesion being a lipoma is indeed high, regardless of body weight! Lipomas are benign lesions, and the decision to surgically remove them depends on the patient'...[Read More] Understanding Painful Lumps: Possible Causes Beyond Lipomas
Post-Surgery Bowel Issues After Hemorrhoidectomy: Solutions and Tips
Postoperative bowel issues after hemorrhoid surgery? Hello! I underwent a traditional excision surgery for grade III mixed hemorrhoids five days ago. On the first day post-surgery, I experienced diarrhea-like bowel movements due to taking a stool softener. After stopping the stoo...
Dr. Ke Fangxu Reply:
Postoperative pain and difficulty with bowel movements are common issues after hemorrhoid surgery, so a stool softener is typically prescribed. If diarrhea occurs as directed, the dosage can be adjusted accordingly. Generally, these symptoms improve within a week after surgery. I...[Read More] Post-Surgery Bowel Issues After Hemorrhoidectomy: Solutions and Tips
Understanding Blood in Diarrhea: Causes and When to Seek Help
Diarrhea with blood? Hello Doctor, I would like to ask about frequent diarrhea, with occasional normal bowel movements. Recently, I have noticed blood in my stool at times, and there is clearly bright red blood on the toilet paper, accompanied by what seems like blood clots. Toda...
Dr. Li Qinglong Reply:
Hello Miss Wang: Based on your description, it seems like you may be experiencing bleeding from internal hemorrhoids. It is recommended that you seek outpatient medical care for evaluation to determine whether a gastrointestinal endoscopy is necessary. The Hualien Hospital of the...[Read More] Understanding Blood in Diarrhea: Causes and When to Seek Help
Understanding Skin Reconstruction Options After Breast Cancer Surgery
Regarding breast cancer surgery and tissue reconstruction? Hello, doctor. I would like to ask a question regarding skin grafting after breast cancer surgery. My mother is a breast cancer patient (stage III to IV) and has a large wound on her left breast that originally extended d...
Dr. Lin Zhemin Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. After a mastectomy, skin (tissue) reconstruction is necessary. If it is not possible to use tissue from the abdomen, flaps must be taken from the buttocks or ot...[Read More] Understanding Skin Reconstruction Options After Breast Cancer Surgery