Managing Hemorrhoids: Symptoms, Causes, and Treatment Options
What should I do if I have hemorrhoids? Hello Doctor: When I sit on the toilet or squat for about a minute, the tissue in my anus bulges out and becomes larger. Not to mention, it always protrudes when I have a bowel movement. However, the tissue cannot be pushed back inside. I h...
Dr. Ke Fangxu Reply:
Hello, Xiao Feng: Based on your description, it seems you have significant internal and external hemorrhoids along with severe habitual constipation. The "flesh ball" you mentioned is actually an external hemorrhoid, and if it is large enough to protrude from the anal o...[Read More] Managing Hemorrhoids: Symptoms, Causes, and Treatment Options
Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Hemorrhagic stool First, I would like to describe my recent health condition. At the beginning of October, I experienced rectal bleeding due to hard stools for about two weeks. After improving my diet, this issue resolved. On the evening of October 23, I suddenly developed a feve...
Dr. Ke Fangxu Reply:
Hello: Generally speaking, blood in the stool is a fairly common issue, and whether further examination is needed depends on several related factors: 1. Age: If the patient is over 50 years old, as this is the age group where colorectal cancer is more prevalent, a colonoscopy is ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Do Tumors Hurt? Understanding Symptoms and When to See a Doctor
The doctor would like to ask you a question? Doctors often inquire whether tumors can be painful. I have a round mass in the right side of my abdomen near the navel, which hurts when pressed. I don't feel it when lying down, but I do when sitting. Is the kidney located in th...
Dr. Hou Yongji Reply:
Based on your description, a proper diagnosis cannot be made. Please seek consultation with a nearby gastroenterology specialist as soon as possible. Thank you.[Read More] Do Tumors Hurt? Understanding Symptoms and When to See a Doctor
Post-Appendectomy Complications: What to Expect and When to Seek Help
Postoperative complications following surgery for peritonitis? Hello, about three weeks ago, my sister, who has a history of migraines, took some painkillers on her own and went to a small clinic on the third day. The doctor prescribed her fever medication and gastric medication,...
Dr. Xie Wenhuai Reply:
Based on your description, it appears to be acute appendicitis with rupture, leading to peritonitis. After an exploratory laparotomy, as long as the appendix is removed, the inflamed abscess is drained, and a drainage tube is placed, there should not be any major issues. If there...[Read More] Post-Appendectomy Complications: What to Expect and When to Seek Help
Understanding Menstrual Discomfort: Could It Be Hemorrhoids?
Menstruation Hello, doctor. In the past, I experienced some discomfort in my abdomen during menstruation, but it was not severe. After a while, the abdominal discomfort disappeared, and instead, I started to feel discomfort in my right buttock. The pain is so intense that I find ...
Dr. Hou Yongji Reply:
Based on your description, it is not possible to definitively diagnose whether you have endometriosis. However, if your symptoms are related to your menstrual cycle, please consult a gynecologist, as it is often caused by endometriosis. Thank you.[Read More] Understanding Menstrual Discomfort: Could It Be Hemorrhoids?
Post-Operative Concerns After Intestinal Intussusception Surgery
Postoperative issues following intussusception surgery? Hello, I would like to ask a question for a friend. She is a 21-year-old girl who underwent surgery for intussusception abroad. After the surgery, her abdomen sometimes feels distended, and she has a sensation of air trapped...
Dr. Hou Yongji Reply:
The recovery situation after surgery depends on the surgical method and the patient's condition. Therefore, it is not possible to determine the diagnosis and treatment solely based on the medical history. It is recommended to discuss in detail with the attending surgeon for ...[Read More] Post-Operative Concerns After Intestinal Intussusception Surgery
Understanding Appendicitis and Post-Surgery Recovery Challenges
Appendectomy for peritonitis? Hello Doctor: I am currently serving in the military. At the end of February, I was taken to the emergency room due to acute appendicitis. I stayed in the emergency room for over 10 hours! A few hours before the surgery, my attending surgeon wanted t...
Dr. Xie Wenhuai Reply:
You asked many questions, and I will respond to each one. 1. Pain from appendicitis? Answer: Early appendicitis pain can present as discomfort in the upper abdomen (below the xiphoid process), which then migrates to the right lower abdomen. If the condition is prolonged, the in...[Read More] Understanding Appendicitis and Post-Surgery Recovery Challenges
Understanding Abdominal Tumors: X-rays, Ultrasound, or Endoscopy?
Abdominal issues? To determine whether there is a "tumor" in the abdomen, can X-rays and ultrasound provide sufficient information, or is a gastrointestinal endoscopy necessary? Thank you.
Dr. Hou Yongji Reply:
The abdomen contains many organs and tissues, so when it comes to tumors in the lower extremities, it is important to differentiate whether they are located in the abdominal wall or within the abdominal cavity. There are various examination options available, which depend on the ...[Read More] Understanding Abdominal Tumors: X-rays, Ultrasound, or Endoscopy?
Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Anal pain Hello Doctor: Recently, I have been experiencing severe pain in the anal area during bowel movements, and hemorrhoids have also protruded. There is blood on the toilet paper when I wipe. I tried to push them back in, but they do not fully retract into the anus. Why is t...
Dr. Hou Yongji Reply:
Based on your description, please seek out a colorectal surgeon for diagnosis and treatment as soon as possible (attached is the list of specialists). Thank you, Dr. Hou Yong-ji.[Read More] Understanding Anal Pain: Causes, Symptoms, and Treatment Options
Understanding Painful and Non-Painful Groin Swellings: Causes and Solutions
A lump has formed in the groin area? Dear Dr. Fan, In the past two years, I have experienced about 3 to 4 episodes where a lump suddenly appears on my body (all located below the navel). Two times it was on the sides of my abdomen, and the other two times it was in the groin ar...
Dr. Fan Zhilian Reply:
A lump in the groin area is mostly either a boil or an abscess, typically caused by infection and inflammation, though a bruise could also be a possibility. Please refrain from using a needle to puncture it, as your needle is not sterilized. It is advisable to visit a hospital fo...[Read More] Understanding Painful and Non-Painful Groin Swellings: Causes and Solutions
Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Could you please provide the content you would like me to translate? Recently, due to changes in my work and lifestyle, I've been going to bed around 2 or 3 AM. My last menstrual period was about 17 days ago, and I've noticed an increase in vaginal discharge during this...
Dr. Hou Yongji Reply:
Based on your description, it is not possible to accurately interpret and diagnose your condition; however, it is more likely to be related to a gynecological issue. Please consult a nearby obstetrician-gynecologist for evaluation. If there is no improvement, then consider seekin...[Read More] Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Post-Colonoscopy Discomfort: Understanding Abdominal Symptoms and Bowel Changes
Colonoscopy Dr. Hsu recently underwent a colonoscopy at a major hospital in Changhua. The procedure was painless and no polyps were found. However, since the examination, he has been experiencing a dull bloating sensation in his lower abdomen after every meal, similar to the feel...
Dr. Xu Kaixi Reply:
Dear Mr. Daniu, This is a normal phenomenon, so please do not worry. Wishing you good health and all the best from the Department of Surgery at Tainan Hospital, Ministry of Health and Welfare.[Read More] Post-Colonoscopy Discomfort: Understanding Abdominal Symptoms and Bowel Changes
Gallstones: Should I See a Gastroenterologist or Surgeon?
Gallstones? Dear Doctor, In April of this year, I was diagnosed with a gallstone approximately 1.5 cm in size at Tri-Service General Hospital. The physician there mentioned that surgery would be necessary if I experienced pain. Yesterday (July 2), an abdominal ultrasound at a ho...
Dr. He Zhenming Reply:
Based on your symptoms, you meet the criteria for laparoscopic cholecystectomy. Please schedule an appointment with the gastroenterology surgery department, and we will perform another abdominal ultrasound.[Read More] Gallstones: Should I See a Gastroenterologist or Surgeon?
Dealing with Itchy Scars: Tips for Relief and Healing
The scar is unbearably itchy? Dear Doctor: My postoperative scar is extremely itchy, as if a line of mosquitoes is constantly biting it. I am a working professional, and this has affected my sleep and daily life. During work, I can only pat my abdomen to relieve the itch. I face ...
Dr. Zhou Hongzhang Reply:
1. Hypertrophic scars or keloids can be treated with intralesional steroid injections, which can alleviate itching and treat the lesions, with injections administered once every one to three months. 2. It is recommended to apply anti-itch cream during the day and use ice packs a...[Read More] Dealing with Itchy Scars: Tips for Relief and Healing
Understanding Jelly-like Fluid in Appendicitis: A Patient's Journey
Jelly? My father is 72 years old. Today, he was taken to the hospital due to abdominal pain and underwent various tests. The doctor diagnosed him with peritonitis and immediately sent him to the operating room. After the surgery, he was moved to the intensive care unit for observ...
Dr. Fan Zhilian Reply:
Dear Xiaoyun: Your father may have developed peritonitis after experiencing abdominal pain for two to three days. Appendicitis can lead to rupture and result in peritonitis within two to three days. The term "jelly" refers to the purulent fluid that leaks out when the a...[Read More] Understanding Jelly-like Fluid in Appendicitis: A Patient's Journey
Post-Surgery Concerns: Understanding Abdominal Scars and Military Fitness
Inquiry Hello Dr. Ke, I had my appendicitis surgery performed by you in 2002, which later developed into peritonitis. I was subsequently transferred to Veterans General Hospital, where Dr. Yang Chun-Hao (if I remember correctly) performed the surgery. I’m not sure if you remember...
Dr. Ke Fangxu Reply:
Dear Jia-Yu, of course I remember you. Have you completed your military service physical examination? If not, you can come to the outpatient clinic for the examination. If you are already serving, visiting the outpatient clinic to obtain a medical certificate should help with a r...[Read More] Post-Surgery Concerns: Understanding Abdominal Scars and Military Fitness
Understanding the Difference: Hernia or Tumor in the Abdomen?
Is it a hernia or a tumor? Hello doctor, I have a lump in the lower right side of my abdomen (close to where it connects to my thigh). The article mentioned that "the typical symptom of a hernia is the appearance of a bulge in the groin area when standing or straining, such ...
Dr. Zhuang Renbin Reply:
Dear Sir/Madam, Based on your symptoms, it seems less likely that you are experiencing an inguinal hernia. However, in females, diagnosing a femoral hernia often requires a physical examination. Additionally, subcutaneous tumors or lymphadenopathy also necessitate a physical exa...[Read More] Understanding the Difference: Hernia or Tumor in the Abdomen?
Understanding Septic Shock: A Family's Struggle with Cancer and Complications
Could you please help me, doctor? Dear Dr. Ke, I hope you remember me; it has been a while since I last asked a question. During this time, my father's bowel obstruction issue has not been resolved, and his condition has been deteriorating. On September 9 of this year, my f...
Dr. Ke Fangxu Reply:
I am very sorry to hear about your father's condition. However, if the cancer cells have already metastasized, the tumor staging should be T3N2M1-2. The cause of septic shock may be related to bowel obstruction, as bowel obstruction can lead to increased intestinal pressure,...[Read More] Understanding Septic Shock: A Family's Struggle with Cancer and Complications
Post-Appendectomy Concerns: Bloating, Appetite Loss, and Recovery Tips
Appendectomy 1. It has been seven days since the appendectomy, why do I still feel bloated in my abdomen and have little appetite? 2. My menstrual period started two days after the surgery, but the flow is unusually light. Could this be related to the spinal anesthesia used dur...
Dr. Ke Fangxu Reply:
Hello, in response to your questions: 1. It is possible to experience slight abdominal distension after appendectomy. As long as there is passing of gas and bowel movements, there is no need for concern. This may be due to mild peritonitis caused by appendicitis, and generally,...[Read More] Post-Appendectomy Concerns: Bloating, Appetite Loss, and Recovery Tips
Understanding Abdominal Pain: What Could Be Causing My Father's Symptoms?
Could you please consult Dr. Ko? Hello Dr. Ke: I apologize for bothering you again, but I have another question to ask. My father has a small, swollen area on the right side of his abdomen, near the navel, and he reports that this swollen area is particularly painful. I am unsure...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the lump disappears or becomes softer when your father is lying flat, it may be a postoperative abdominal wall hernia. An abdominal wall hernia is caused by poor healing of the fascial layer after abdominal surgery. If it is not very painfu...[Read More] Understanding Abdominal Pain: What Could Be Causing My Father's Symptoms?