Understanding Rectal Bleeding and Gastrointestinal Distress: Causes and Solutions
What is the etiology? In recent months, after several bowel movements, I have noticed that even after wiping with toilet paper multiple times, the anal area still feels unclean. If I continue to wipe, a small amount of feces is still present, and eventually, there are also traces...
Dr. Wang Qichao Reply:
1. After using the restroom, if you are unable to clean yourself properly: If possible, it is best to wash the anal area with warm water. If there is any bleeding, you should visit a colorectal surgeon at the hospital to check for conditions such as hemorrhoids with skin breakdow...[Read More] Understanding Rectal Bleeding and Gastrointestinal Distress: Causes and Solutions
Understanding Hand Sweating: Surgical Options and Recovery Tips
Palmar hyperhidrosis Hello, doctor. My son just graduated from elementary school, and we would like to take him for surgery to treat his hyperhidrosis during the summer vacation. We live in Puli and would like your recommendation for a nearby hospital and doctor. Also, how long a...
Dr. Ding Xianwei Reply:
Hello: Hyperhidrosis is not a disease but a symptom. The most commonly used method currently is endoscopic sympathetic nerve resection. If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four h...[Read More] Understanding Hand Sweating: Surgical Options and Recovery Tips
Cost and Recovery Time for Surgery on Rectal Polyps and Constipation
The cost of surgery for an external anal polyp and bowel irregularity can vary widely depending on factors such as the healthcare facility, the surgeon's fees, anesthesia, and any additional procedures required. In the United States, the total cost could range from a few tho...
Dr. Wang Qichao Reply:
The main causes of rectal bleeding and pain are commonly hemorrhoids (especially mixed hemorrhoids), anal fissures, anal fistulas or abscesses, and tumors, among others. It is essential to identify the cause before discussing treatment and costs. A physical examination in the out...[Read More] Cost and Recovery Time for Surgery on Rectal Polyps and Constipation
Understanding Abdominal and Back Pain: Possible Causes and Solutions
Stomach pain and back pain? I experience stomach pain approximately every three months, and it can be severe enough to require an emergency room visit at night. I have undergone an endoscopy, which revealed some mild erosion, but overall my stomach was considered healthy. The pai...
Dr. Li Junde Reply:
Your symptoms of abdominal pain and back pain, along with sharp pain in the upper left and right abdomen, may indicate issues with the organs in the upper abdomen or retroperitoneal organs. If there are concerns regarding the liver, gallbladder, pancreas, kidneys, or spine, pleas...[Read More] Understanding Abdominal and Back Pain: Possible Causes and Solutions
Understanding Lipoma Formation: Causes, Prevention, and Treatment Options
Factors contributing to the formation of lipomas, how to suppress them, and how to eliminate them? When I was a child, I had a lipoma on my arm (which I only learned about when I grew up). After turning 28, I began to develop many lipomas of varying sizes on my body, including my...
Dr. Li Junde Reply:
According to your description, Mr. Zhou, your condition appears to be multiple subcutaneous lipomas, which are mostly benign tumors. Unless there are symptoms, cosmetic concerns, or rapid changes in size, they can be monitored over time. If there is no significant change, surgery...[Read More] Understanding Lipoma Formation: Causes, Prevention, and Treatment Options
Understanding Anal Itching: Is It Pinworms or Something Else?
Ascaris lumbricoides (roundworm) Hello, doctor: I often experience itching around the anal area while sleeping at night. Could this be due to having roundworms in my abdomen? Is it contagious to my family? Or could there be other reasons? Which specialist should I see? Thank you!
Dr. Wang Qichao Reply:
Anal itching may be caused by a pinworm infection or sensitivity of the skin around the anus. In the case of a pinworm infection, it can be transmitted to family members, so a stool test should be conducted to check for the presence of eggs. Please schedule an appointment with a ...[Read More] Understanding Anal Itching: Is It Pinworms or Something Else?
Gallstones: Understanding Risks, Treatment Options, and Prevention Tips
Gallstones Recently, I visited a doctor due to persistent abdominal bloating and discovered that I have multiple gallstones. I consulted two large, reputable hospitals. One repeatedly emphasized the need to remove the gallbladder to prevent future complications, but my family dis...
Dr. Huang Zhihui Reply:
"Gallstones," more accurately referred to as "gallbladder stones," are a common condition. According to foreign literature, approximately over 10% of the adult population has gallstones, and the incidence increases with age, with rates as high as 30-40% among ...[Read More] Gallstones: Understanding Risks, Treatment Options, and Prevention Tips
Understanding Gallbladder Polyps: Risks and Next Steps for Patients
Gallbladder polyp I was hospitalized for acute hepatitis in 1993, and since then, my liver function tests have been normal, although I have been diagnosed with fatty liver and am under follow-up treatment. In 1998, I experienced severe gastroesophageal reflux, where I would regur...
Dr. Li Mingjie Reply:
In general, polyps larger than 1 centimeter, with irregular shapes or those that are gradually increasing in size, have a higher chance of being malignant. It is recommended to undergo ultrasound examinations every six months to a year for regular monitoring, as early diagnosis a...[Read More] Understanding Gallbladder Polyps: Risks and Next Steps for Patients
Understanding Urinary Tract Stones: Causes, Treatment, and Recurrence
Urinary tract stones Hello Dr. Liu: I have severe pain in my lower abdomen due to urinary tract stones, and sometimes the pain is so intense that I feel like I might faint. A friend suggested that I go to the hospital to have it removed, but will it grow back after removal?
Dr. Liu Mingyue Reply:
1. For urinary tract stones, it is essential to determine the size and location of the stones. Generally, stones smaller than 0.5 cm are often managed with conservative medical treatment, unless they cause severe obstruction symptoms or pain, in which case invasive procedures may...[Read More] Understanding Urinary Tract Stones: Causes, Treatment, and Recurrence
Seeking Dr. Wang's Insights on Abdominal Pain and Hair Loss Issues
I would like to inquire about the causes of two medical conditions. I would greatly appreciate Dr. Wang's insights? I have two questions for Dr. Wang: 1. In the middle of the night, I suddenly experienced severe pain in my lower left abdomen that lasted for over three hours....
Dr. Wang Qichao Reply:
Abdominal pain can be approached from two perspectives: 1) Consult a reliable obstetrician-gynecologist to check for the possibility of pelvic inflammatory disease or even pelvic tumors. 2) Seek assistance from a gastroenterologist or colorectal surgeon to examine for any organic...[Read More] Seeking Dr. Wang's Insights on Abdominal Pain and Hair Loss Issues
Understanding Hyperhidrosis: Which Specialist to Consult and Surgery Costs
Palmar hyperhidrosis Which specialty should I consult for palmar hyperhidrosis, and if surgical treatment is required, what would the cost be? Thank you!
Dr. Ding Xianwei Reply:
Hyperhidrosis is not a disease but a symptom. The most commonly used method for treatment is endoscopic sympathetic nerve resection. If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four hour...[Read More] Understanding Hyperhidrosis: Which Specialist to Consult and Surgery Costs
Understanding Abdominal Cramping: Causes and Concerns After Colon Surgery
Abdominal cramping? Hello Doctor: I have the following questions I would like to ask you for clarification, thank you! My aunt is approximately 47 years old and has a history of stage III colorectal cancer. She underwent a colectomy about 3.4 years ago and has been regularly moni...
Dr. Wang Qichao Reply:
Postoperative follow-up for colorectal cancer typically requires regular physical examinations and the following tests: ① tumor markers ② liver and kidney function tests and complete blood count ③ chest X-ray ④ abdominal ultrasound ⑤ colonoscopy. If necessary, additional tests su...[Read More] Understanding Abdominal Cramping: Causes and Concerns After Colon Surgery