Understanding Post-Surgery Bowel Adhesions and Their Symptoms
Why do adhesions or bowel obstructions occur after surgery? Dear Dr. Ke, Thank you very much for taking the time to respond. My father was discharged from the hospital on Monday and is now recovering at home. However, he still requires nutritional IV infusions and is unable to e...
Dr. Ke Fangxu Reply:
Hello: In response to your question, congratulations on your father's recovery and discharge from the hospital. Based on the process, it seems more like intestinal adhesion. Unfortunately, intestinal adhesions can recur, and generally, there are no effective preventive measu...[Read More] Understanding Post-Surgery Bowel Adhesions and Their Symptoms
Post-Surgery Abdominal Pain: What to Do After Colorectal Cancer Surgery?
What should I do if I experience abdominal pain after colorectal cancer surgery? Hello Doctor: My father is unable to pass gas or have bowel movements, and his abdomen is swollen. A few days ago, I noticed a hard, swollen area slightly to the right of his abdomen, but we don'...
Dr. Ke Fangxu Reply:
Hello: In response to your question, since I am not aware of the surgical method used, I cannot definitively identify the issue. However, if it has been three months since the surgery, I wonder why there is still a drainage tube in place. Generally, anastomotic leaks should occur...[Read More] Post-Surgery Abdominal Pain: What to Do After Colorectal Cancer Surgery?
Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
What should be done if there is an intestinal obstruction after rectal cancer surgery? Dear Doctor, My father is in the terminal stage of rectal cancer. Initially, he received radiation and chemotherapy at Kaohsiung Medical University for a period of time. Later, the doctor info...
Dr. Hou Yongji Reply:
Hello: 1. Colorectal cancer can be classified into stages I, II, III, and IV. The term "end-stage" refers to stage IV, where the treatment outcomes are typically not 90%. Generally, the success rate for a cure in stage IV colorectal cancer is less than 40%. 2. Kaohsiung...[Read More] Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
Managing Post-Surgery Abdominal Pain After Colorectal Cancer Treatment
What should I do if I experience abdominal pain after colorectal cancer surgery? I would like to consult the attending physician in the colorectal surgery department at your hospital. My father has progressed from stage III to stage IV rectal cancer. He has been receiving radiati...
Dr. Ke Fangxu Reply:
Hello: In response to your question. You are truly a devoted daughter. Based on your description, it seems that your father has rectal cancer and underwent preoperative radiation therapy followed by chemotherapy before the surgical resection. Generally, patients who receive radia...[Read More] Managing Post-Surgery Abdominal Pain After Colorectal Cancer Treatment
Understanding Post-Surgery Bowel Changes After Fibroid Removal
The stool is thin, not abundant, and not well-formed? Dr. Ke, you have had uterine fibroids for many years, and due to their location lower in the uterus, they were compressing the intestines, causing your abdomen to appear similar to that of a pregnant woman. You often experienc...
Dr. Ke Fangxu Reply:
Hello: In response to your question, thin stools accompanied by a feeling of incomplete evacuation are generally symptoms of rectal obstruction. Intestinal obstruction can be categorized into internal and external causes. External obstruction may occur due to pelvic masses exerti...[Read More] Understanding Post-Surgery Bowel Changes After Fibroid Removal
Post-Appendectomy Concerns: Pain, Adhesions, and Vision Issues Explained
Postoperative issues related to appendicitis? Hello, Doctor. I underwent laparoscopic appendectomy on August 1 due to appendicitis. According to the doctor, the appendix appeared to be non-inflamed (the pathology report indicated inflammation), but there was some abdominal fluid....
Dr. He Zhenming Reply:
The case report indicates that inflammation is present, and it is normal to experience pain in the right lower abdomen after appendectomy. The adhesions post-surgery are relatively mild, and laparoscopic appendectomy is covered by health insurance. Dr. He Zhenming.[Read More] Post-Appendectomy Concerns: Pain, Adhesions, and Vision Issues Explained
Natural Ways to Achieve Fuller Cheeks Without Surgery
I don't know how to handle it. It's hard to choose. I'm counting on the doctor? I have never been overweight before, but ever since I started playing online games, I went from 65 kg to 75 kg. Although I have gained weight, my face has become cuter and more radiant....
Dr. Lu Daokuan Reply:
It is normal for younger individuals to have more sunken cheeks, and one can achieve a satisfactory facial shape around the age of 35 to 40 without cosmetic surgery. It is said that occasionally overeating and then dieting to create some fluctuations in weight can be beneficial; ...[Read More] Natural Ways to Achieve Fuller Cheeks Without Surgery
Knee Nerve Pain and Its Connection to Male Reproductive Health
Nerves in the knee and sexual function? I have been experiencing pain in the nerves of my left knee for the past few days. When I was a child, I had a similar issue and consulted a traditional Chinese medicine practitioner, who suggested it was related to my reproductive organs. ...
Dr. Xu Kaixi Reply:
Dear Mr. Pang, Greetings from Dr. Hsu Kai-Hsi of the Surgical Department at Tainan Hospital, Ministry of Health and Welfare. Inguinal hernias can indeed present with such phenomena, where abdominal organs may protrude through the hernial sac into the scrotum, varying in size d...[Read More] Knee Nerve Pain and Its Connection to Male Reproductive Health
Understanding Chest and Side Pain: Causes Beyond Developmental Changes
Pain I apologize for the inquiry: During the breast development period, is it normal to experience pain on the outer sides of the breasts? I previously consulted a surgeon who mentioned that it was due to developmental changes, but I still feel something is not quite right since ...
Dr. Lin Kecheng Reply:
A 17-year-old girl experiencing breast pain who has already seen a surgeon, if no other causes are identified, is likely dealing with developmental issues. Due to good nutrition, breast development may continue until the age of 17. Most women experience breast tenderness around t...[Read More] Understanding Chest and Side Pain: Causes Beyond Developmental Changes
Post-Appendectomy Pain: Understanding Chronic Discomfort in the Lower Right Abdomen
Pain in the lower right abdomen after appendectomy? Hello Doctor: I underwent surgery for acute appendicitis in 2002 (traditional surgery), but the doctor said that my appendix had already ruptured and there was pus, so they only performed a drainage procedure due to the risk of ...
Dr. Li Junde Reply:
Miss Chi-Rong is experiencing pain at the surgical site following appendectomy, and she feels pain when extending her lower back. Given that her condition involved complicated appendicitis and a second surgery, the surgical incision may be larger, and there may have been more sig...[Read More] Post-Appendectomy Pain: Understanding Chronic Discomfort in the Lower Right Abdomen
Post-Appendectomy: Why Is My Abdomen Still Bloated?
Post-appendectomy Hello Doctor, I had an appendectomy on July 26 and have since had my stitches removed, but my abdomen is still very distended. I have asked my doctor about this, and he said it would go down once I pass gas, but I have passed gas and also had a bowel movement. W...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is possible to experience mild abdominal distension after appendectomy due to incomplete resolution of inflammation. As long as there is passing of gas, normal bowel movements, regular eating, and no fever, it should not be a concern.[Read More] Post-Appendectomy: Why Is My Abdomen Still Bloated?
Understanding Right Upper Abdominal Pain: Causes and Next Steps
Abdominal pain issues? Hello Dr. Lee: I often experience pain in my upper right abdomen. Initially, the pain would only occur when there was a slight bulge, but now it hurts even without any bulging. I consulted an obstetrician-gynecologist, who said there was no issue related to...
Dr. Li Junde Reply:
Hello Ms. Huang: Regarding your right upper abdominal pain, considering the external appearance, it may be related to issues with the skin, subcutaneous tissue, or abdominal wall. Possible causes include skin inflammation, infection, tumors, abdominal wall muscle inflammation, ...[Read More] Understanding Right Upper Abdominal Pain: Causes and Next Steps
Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Postoperative chemotherapy for colorectal cancer? Hello, my aunt underwent surgery for stage IV colorectal cancer on July 4th, about a month ago, and had her second chemotherapy session last Thursday. On the first day after the treatment, she felt very good, but starting Saturday...
Dr. Hou Yongji Reply:
Based on your description, it is likely a symptom of chemotherapy or progressive cancer. Therefore, please discuss the condition with your aunt's attending physician, especially if there are any discomforts (particularly related to any specific treatments such as chemotherap...[Read More] Post-Surgery Chemotherapy for Stage IV Colon Cancer: Managing Side Effects
Understanding Hernias: Symptoms, Diagnosis, and Solutions
Hernia Hello! I'm not sure if I have a hernia. I've noticed that my scrotum hangs quite low, and it rarely retracts unless it's very cold. Additionally, there seems to be a slight linear and lump-like structure at the upper edge of my scrotum. Upon visual inspectio...
Dr. Huang Yuanhui Reply:
The typical symptom of a hernia is the appearance of a bulge in the groin area when standing or exerting pressure on the abdomen, such as during sneezing, coughing, or laughing. However, this bulge will disappear when lying down or when the abdominal pressure is relieved. Your de...[Read More] Understanding Hernias: Symptoms, Diagnosis, and Solutions
Can Lipomas Appear Under the Armpit? Treatment and Surgical Options Explained
Lipoma Can lipomas appear in the armpit? Recently, I noticed a few small hard lumps in my armpit, each about 0.5 centimeters, and I also have some on my abdomen. Is this condition curable? If it is curable, is surgery the only option? Thank you, doctor.
Dr. Lin Kecheng Reply:
Concerned individual: Hello, lipomas can appear in the armpit; however, sebaceous adenomas and inflammatory lymph nodes are more common in that area, along with cases of folliculitis. If you want a definitive cure, it is necessary to consult a general surgeon for evaluation, as s...[Read More] Can Lipomas Appear Under the Armpit? Treatment and Surgical Options Explained
Persistent Wound Issues After Appendicitis Surgery: Seeking Answers
Appendicitis complicated by peritoneal abscess; it has been 60 days post-surgery, and the wound has not yet healed, which is concerning? Hello Dr. Hsieh, I was admitted to Keelung Chang Gung Hospital on December 22 due to pain in my lower right abdomen, where I was diagnosed wit...
Dr. Xie Wenhuai Reply:
Due to chronic inflammation of the wound, granulation tissue has formed. Theoretically, it should be removed for proper healing. The outpatient physician's approach is correct; however, after multiple debridements without improvement, it is advisable to perform an incision u...[Read More] Persistent Wound Issues After Appendicitis Surgery: Seeking Answers
Understanding Neurofibromas: Are They Always Genetic?
Neurofibromas are benign tumors that arise from the nerve sheath, primarily composed of Schwann cells. They are commonly associated with neurofibromatosis type 1 (NF1), a genetic disorder characterized by the development of multiple neurofib Hello Doctor: I recently underwent a t...
Dr. Lai Jihong Reply:
The neurofibroma you have developed is sporadic and represents a single lesion. If there were multiple lesions and tumors with a pathological report indicating neurofibromas, one would need to consider whether it is a hereditary condition. Generally, multiple neurofibromas origin...[Read More] Understanding Neurofibromas: Are They Always Genetic?
Understanding Hernias and Bowel Issues: A Guide for Patients
Hernia & Bowel Movement Issues Hello Dr. Wang, my mother had a hernia caused by her small intestine about 8 or 9 years ago and had a synthetic mesh implanted. Now her lower abdomen is swollen, feels hard, and is distended, which is different from being overweight. After she h...
Dr. Wang Zhitang Reply:
Dear Ms. Chang, Regarding your mother's condition, she underwent surgery for a hernia nine years ago, during which a synthetic mesh was used for abdominal wall repair. The synthetic mesh is made of non-absorbable materials, so it will not be absorbed over time and will not ...[Read More] Understanding Hernias and Bowel Issues: A Guide for Patients
Post-Surgery Pain After Gallbladder Removal: What to Expect?
Post-surgery Director: Hello, I had a traditional cholecystectomy four months ago. Today, after cutting something hard (using abdominal strength), I felt pain in my anterior abdomen and back (near the incision site). Should I undergo any specific examinations? Will there be any l...
Dr. He Zhenming Reply:
Hello: After traditional cholecystectomy, there may be a feeling of a lump at the incision site, which typically hardens for about three to six months. It is advisable to have an abdominal ultrasound if time permits. Wishing you good health![Read More] Post-Surgery Pain After Gallbladder Removal: What to Expect?
Monitoring Liver Health After Trauma: Key Questions Answered
Liver follow-up examinations? Hello Doctor: I was in a car accident in December 2003, and at that time, the doctor diagnosed me with a grade IV liver laceration. I underwent hepatic embolization for hemostasis, and imaging studies, including ultrasound and CT, revealed a 7 cm inj...
Dr. He Zhenming Reply:
Hello: According to what you mentioned, liver lacerations should heal without the need for further examinations. Liver function will return to normal unless there are underlying pathologies, and the liver will not progress to cirrhosis. Wishing you good health![Read More] Monitoring Liver Health After Trauma: Key Questions Answered