Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...
Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...[Read More] Understanding Rectal Resection and Suturing: Risks and Recovery Insights
Understanding Abdominal CT Findings: What to Know About Retroperitoneal Masses
Abdominal CT scan mass? Hello Doctor: My girlfriend is 25 years old. On the early morning of October 31, she visited the emergency room due to acute gastroenteritis. Although she experienced prolonged abdominal bloating and pain, blood tests and abdominal ultrasound showed no sig...
Dr. Chen Bingze Reply:
1. The MRI may be scheduled for January 30th due to a high volume of appointments at the hospital. 2. You need to request the imaging from the original hospital because the cloud images cannot be accessed with the health insurance card. 3. You will need to consult a surgeon, ...[Read More] Understanding Abdominal CT Findings: What to Know About Retroperitoneal Masses
Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Abdominal hard tissue Hello, doctor. I would like to ask if it is necessary for me to undergo further examinations. At the beginning of September, I sought medical attention due to persistent dull pain in the lower right abdomen, which was not very severe—about 1/10 of the pain o...
Dr. Ke Fangxu Reply:
The so-called hardened tissue cannot provide a possible answer without a personal examination. However, at this age, it is mostly likely a benign subcutaneous tumor. Abdominal ultrasound generally does not pay much attention to subcutaneous tissue. Malignant tumors do not necessa...[Read More] Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Post-Surgery Complications: Managing Colostomy Closure Wound Issues
The surgical wound from the closure of the stoma has opened after the sutures were removed, resulting in continuous leakage of fecal matter? Hello, Dr. Ke. My father is 68 years old and had a temporary colostomy placed in the right upper abdomen after undergoing surgery for recta...
Dr. Ke Fangxu Reply:
The issue your father is facing is a leak at the site of the stoma closure. There are two viable options. The first is to temporarily withhold food and wait for the leak to heal on its own. The benefits of this approach are that it avoids the need for another surgery. However, th...[Read More] Post-Surgery Complications: Managing Colostomy Closure Wound Issues
Is Abdominal Pain After a Kick a Cause for Concern?
Kicked in the abdomen by a classmate? If I was kicked in the left abdomen by a classmate, will I have any issues? It hurts when I bend to the left; should I be concerned?
Dr. Chen Bingze Reply:
In general, if abdominal pain worsens or if you experience shortness of breath or a rapid heartbeat, it may indicate the possibility of internal bleeding in the abdomen, which would require an emergency visit. If these symptoms are not present, it is likely not serious, but if yo...[Read More] Is Abdominal Pain After a Kick a Cause for Concern?
Understanding Rectal Discomfort: Insights on Hemorrhoids and Treatment
Hello, Dr. Chang. I have been to the clinic for an examination, and a finger palpation was performed? I went to the clinic, and during the doctor's examination, I felt quite uncomfortable. I know it sounds trivial, but I've heard some people say that a digital rectal ex...
Dr. Zhang Shuhao Reply:
1. The sensation of a foreign body caused by hemorrhoids is similar to the feeling of incomplete bowel evacuation, as if something is stuck at the anal opening. However, this can vary from person to person depending on the condition, and your symptoms may also be due to a hemorrh...[Read More] Understanding Rectal Discomfort: Insights on Hemorrhoids and Treatment
Understanding Recovery Time After Mole Removal Surgery
Recovery time after mole removal surgery? Hello, doctor. I have read that using an ultrasound knife may lead to slower wound healing. What is the reason for this? I underwent a self-paid ultrasound knife procedure to remove a pilonidal cyst on July 26. Since my first bowel moveme...
Dr. Ke Fangxu Reply:
Not all patients who undergo ultrasonic scalpel surgery experience delayed healing; in fact, the majority of patients typically heal normally. I am not sure why this is the case. However, if there is still discharge and pain one month after surgery, that is indeed unusual. I reco...[Read More] Understanding Recovery Time After Mole Removal Surgery
Understanding Rectal Discomfort: Symptoms and Possible Causes
Hello, Dr. Chang. I have been experiencing discomfort in the anal area since September 3rd until today? On September 3rd, I experienced a sensation where I felt like I couldn't fully empty my bowels, even though I had already passed some stool. Suddenly, I had a feeling simi...
Dr. Zhang Shuhao Reply:
The photo appears to show a prolapsed hemorrhoid, which can cause a persistent sensation of foreign body in the anal area and may lead to the feeling of incomplete bowel movements when swollen. It is recommended to start with warm sitz baths, gently pushing the hemorrhoid back du...[Read More] Understanding Rectal Discomfort: Symptoms and Possible Causes
Understanding Bowel Issues: When to Seek Medical Advice
Bowel-related issues? Hello Doctor: A few months ago, I had a bowel movement with bright red blood, but it was small pieces of red that could separate from the stool. I was quite anxious about it, and the next day it happened again, which made me even more worried. Additionally, ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Bowel Issues: When to Seek Medical Advice
Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Dull pain in the lower left abdomen after anoscopy? On August 26, I went to the hospital due to anal pain. The doctor performed a sigmoidoscopy and concluded that there was no major issue, just some skin irritation. However, during the procedure, it seemed to irritate my intestin...
Dr. Zhang Shuhao Reply:
In-office anal or rectal examinations rarely cause direct damage to the intestinal wall; most often, they result in mild inflammation or mucosal abrasions. It is advisable to increase fluid intake, enhance the proportion of a liquid diet, and reduce vigorous activities. If abdomi...[Read More] Post-Sigmoidoscopy Left Lower Abdominal Pain: Causes and Concerns
Post-Endoscopy Abdominal Pain: When to Seek Medical Advice?
It is common to experience upper abdominal pain after undergoing an upper gastrointestinal endoscopy? A few days ago, I experienced blood in my stool due to taking antibiotics and underwent an upper gastrointestinal endoscopy. A week after the procedure, I've been feeling di...
Dr. Zhang Shuhao Reply:
Based on your description, it seems more like a functional gastrointestinal issue, which can be improved with medication. You can keep track of the frequency of symptom occurrence and its relation to food intake, and then discuss any necessary adjustments to your medication with ...[Read More] Post-Endoscopy Abdominal Pain: When to Seek Medical Advice?
Post-Appendectomy Pain: Understanding Complications After Surgery
One month after appendectomy, sudden pain in the lower right abdomen? Hello, doctor. I was diagnosed with acute appendicitis on June 17 and underwent surgery that same night. There was not much pus in my abdomen, so no drainage tube was inserted. The surgeon only cleaned the pus ...
Dr. Xu Kaixi Reply:
Based on your description, this is postoperative neuropathic pain following acute appendicitis. Currently, only conservative treatment is available, which includes the use of oral analgesics.[Read More] Post-Appendectomy Pain: Understanding Complications After Surgery
Occasional Blood in Stool: Understanding Symptoms and Concerns
Occasional blood in the stool? Hello: I have been experiencing rectal bleeding during bowel movements for some time now, but the bleeding occurs inconsistently—sometimes there is blood, and sometimes there isn't. The intervals can vary from a couple of days to a few months o...
Dr. Zhang Shuhao Reply:
The incidence of colorectal cancer in young people is lower than in older adults, and there is no need for excessive concern unless there is a specific family history. It is recommended to visit an outpatient clinic to check for obvious causes of bleeding, such as hemorrhoids. If...[Read More] Occasional Blood in Stool: Understanding Symptoms and Concerns
Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Bleeding from internal and external hemorrhoids? Hello, doctor. I would like to ask you a few questions. I have both internal and external hemorrhoids. Previously, when I had frequent bowel movements or constipation, my external hemorrhoids would protrude, and there would be bloo...
Dr. Zhang Shuhao Reply:
1. If the gastroscopy shows no issues, medication may not be necessary. Doctors may prescribe medication based on gastrointestinal symptoms, but usually, treatment for Helicobacter pylori is not required. 2. It is generally unrelated to rectal polyps. 3. It is not necessarily rel...[Read More] Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Liposarcoma-related issues? I previously discovered that I have lipomas. After asking my family, my father mentioned that he also has them, suggesting a hereditary factor. At that time, I found four lipomas: one in the lower right abdomen, one on my back near the spine, and two o...
Dr. Chen Bingze Reply:
Hello, it sounds like there is a high likelihood of a lipoma. Lipomas are generally benign and rarely become malignant. You can monitor it for any changes in size, and if it increases, you may consider surgical removal. Additionally, the lipoma is not related to your loose stools...[Read More] Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Understanding Gastrostomy Challenges: Common Issues and Solutions
Gastrostomy complications Dear Dr. Chang, I humbly seek your advice regarding some issues I've been experiencing since I had a gastrostomy tube placed two years ago due to my inability to swallow. I have several questions: 1. After each feeding, about 20 minutes later, mil...
Dr. Zhang Shuhao Reply:
Replying to the physician: General Surgery Dr. Chen Rong-Hong. Hello Jelly, since the gastrostomy is part of the upper gastrointestinal tract, I will respond on behalf of Dr. Chang Shu-Hao. 1. First, after feeding, you should flush any residual milk into the stomach with clear ...[Read More] Understanding Gastrostomy Challenges: Common Issues and Solutions
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu Reply:
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing
Understanding Bloating After Fasting: Possible Causes and Solutions
Gastrointestinal bloating Hello Doctor, I am a patient from https://adoctor.tw/article/181332 &sat=1. I wonder if you remember me. I did not use any medication; I only practiced intermittent fasting, mostly drinking water or eating just one dragon fruit or one apple a day. To...
Dr. Ke Fangxu Reply:
At the age of 31, structural abdominal issues are relatively uncommon. A CT scan shows that the rectum requires further examination. I personally recommend undergoing a sigmoidoscopy. Engaging in extreme fasting followed by a return to a normal diet can lead to gastrointestinal f...[Read More] Understanding Bloating After Fasting: Possible Causes and Solutions
Understanding Pediatric Scrotal Edema: Concerns and Questions for Parents
Pediatric scrotal hydrocele 1. Is it possible for scrotal swelling to develop into a hernia? Can we really just observe until two years old before deciding on surgery? 2. When we took him to the doctor yesterday morning, the swelling was less pronounced. However, the doctor pres...
Dr. Chen Bingze Reply:
Hello, first of all, hydrocele and hernia are two unrelated conditions, so hydrocele does not cause hernia. Currently, there is indeed a problem with hydrocele, but it is still important to monitor for potential hernia issues in the future. Hernias are generally diagnosed through...[Read More] Understanding Pediatric Scrotal Edema: Concerns and Questions for Parents
Understanding Abdominal Bloating: Causes and Surgical Concerns
Abdominal bloating and abdominal issues? Thank you, doctor, for answering my questions. I am a patient from the article at https://adoctor.tw/article/183389. I have not found the cause of the thickening of the small intestine inflammation. The doctor also noted that my right colo...
Dr. Chen Ronghong Reply:
Hello Mr. Zhang, the CT scan currently shows obvious inflammation, but it is limited to the small intestine. Binge eating should not cause inflammation. Performing a laparoscopic examination will not lead to significant new adhesions (as the incisions are small). If you do not ha...[Read More] Understanding Abdominal Bloating: Causes and Surgical Concerns