Post-Appendectomy: Understanding Right Lower Abdominal Pain and Recovery
Post-appendectomy, there is still a cramping sensation in the lower right abdomen? Hello, Doctor. I underwent laparoscopic appendectomy on May 13th. I have two incisions below my navel. A few hours after the surgery, I was able to get out of bed and urinate. Since then, I have be...
Dr. Chen Jiaming Reply:
Appendicitis, commonly known as appendicitis, can cause inflammation of the surrounding peritoneal tissue, leading to pain. Although surgery is performed, the healing of the peritoneal inflammation takes time, so pain may still occur during this period. Additionally, sometimes pa...[Read More] Post-Appendectomy: Understanding Right Lower Abdominal Pain and Recovery
Post-Appendectomy: Managing Pain and Redness Around the Belly Button
Redness and pain around the navel after appendectomy? Hello, Doctor. I underwent laparoscopic appendectomy in early April this year. During this time, I followed the doctor's advice and avoided lifting heavy objects. However, one month later, in May, I started to carry my 15...
Dr. Chen Jiaming Reply:
It has been one month post-surgery, and theoretically, it is unlikely to be an issue of wound infection. Since the discomfort clearly arises after activities that involve straining your abdomen, it is necessary to consider the possibility of a tear in the internal muscle fascia l...[Read More] Post-Appendectomy: Managing Pain and Redness Around the Belly Button
Understanding Blood in Stool: When to Seek Medical Attention
Blood in the stool? Hello Doctor, last night while exercising, I suddenly felt the urge to have a bowel movement. Since there were no restrooms nearby, I held it in and walked home, which took about 10 minutes. During the walk, I had multiple urges to go, and towards the end, I f...
Dr. Chen Jiaming Reply:
Based on your description, the first instance of urgent bowel movements seems more like mucosal bleeding caused by rapid defecation. Today's incident appears to be more related to consuming watermelon. Therefore, you can continue to observe for any subsequent changes, and if...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, my father has been on peritoneal dialysis for 15 years and has experienced several episodes of peritonitis, which were successfully treated. At the end of last year, he developed peritonitis again; the first treatmen...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis due to its difficulty in treatment and high recurrence rate. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more sus...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, My father has been undergoing peritoneal dialysis for 15 years and has experienced several episodes of peritonitis during this time, which were successfully treated. At the end of last year, he developed peritoniti...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis because it is difficult to treat and prone to recurrence. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more suscep...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Left abdominal cramping with diarrhea containing mucus and blood? Hello Doctor, after dinner yesterday, I suddenly experienced cramping pain in my left abdomen (I usually feel some discomfort to the left of my navel). I immediately went to the bathroom and had diarrhea, with my s...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. Increasing dietary fiber int...[Read More] Left Abdominal Cramping and Diarrhea with Mucus and Blood: What to Do?
Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Testicular displacement after hernia surgery? Hello, I would like to ask a question! I just underwent surgery for an inguinal hernia in my right lower abdomen. Five days later, I noticed that my right testicle has moved up into my abdominal area and cannot descend. The doctor sai...
Dr. Chen Jiaming Reply:
Since you just had hernia surgery, it is recommended that you discuss this situation with your original surgeon and explore any possible solutions. As for whether the surgery caused this issue, only you are aware of your condition prior to the operation.[Read More] Post-Hernia Surgery: Addressing Testicular Displacement Concerns
Understanding Gallstones and Cholecystectomy: Key Questions Answered
Consultation for Gallstones and Cholecystectomy? Hello Dr. Yu, I have a family history of: 1. pancreatic cancer 2. hypertension 3. diabetes 4. gallstones. My personal medical history includes ultrasound findings of: 1. gallstones (one stone measuring 2.04 cm, while the CT sca...
Dr. Yu Mingchang Reply:
Hello: 1. Symptoms may not always be present; they vary from person to person. Upper abdominal cramping may occur due to individual digestive issues. 2. Laparoscopic cholecystectomy typically requires a hospital stay of 3 to 5 days. 3. The cost ranges from 30,000 to 50,000. 4. It...[Read More] Understanding Gallstones and Cholecystectomy: Key Questions Answered
Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissure and hemorrhoid excision on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have ...
Dr. Ke Fangxu Reply:
At the age of 36, it may not be necessary to undergo a colonoscopy so frequently. The persistent urge to defecate could also be caused by irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Taking warm s...[Read More] Post-Surgery Bowel Urgency: Understanding Your Symptoms After Hemorrhoid Surgery
Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Persistent urge to defecate after hemorrhoid surgery? Hello Dr. Ke, I underwent surgery for anal fissures and hemorrhoids on February 1st of this year. Initially, my bowel movements were normal, and I had stopped taking stool softeners. However, since early March, I have been ex...
Dr. Ke Fangxu Reply:
At the age of 36, it may not be necessary to undergo colonoscopy so frequently. The persistent urge to defecate could also be due to irritation from surgical scars. If the wound has healed, topical ointments or suppositories can be used to alleviate discomfort. Additionally, taki...[Read More] Persistent Urge to Defecate After Hemorrhoid Surgery: What to Know
Understanding T9 Compression Fractures: Symptoms and Treatment Options
Compression fracture of the ninth thoracic vertebra (T9) with nerve compression? Hello Dr. Lai, my mother is 75 years old. Six months ago, she began experiencing cramping pain in the upper abdomen and near the sides of her rib cage. After undergoing a spinal MRI at Chang Gung Mem...
Dr. Lai Zhaokang Reply:
Hello: 1. The nerve at T9 is compressed, which can lead to back pain, followed by radicular chest and abdominal intercostal pain. Additionally, vertebral collapse and kyphosis can cause visceral compression discomfort, and in severe cases, spinal cord injury and paralysis, as wel...[Read More] Understanding T9 Compression Fractures: Symptoms and Treatment Options
Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-treatment issues following gastric perforation leading to peritonitis? Dear Dr. Chen, I hope this message finds you well. I would like to provide a detailed account of my family member's clinical course due to a gastric perforation leading to peritonitis, in hopes of r...
Dr. Chen Jiaming Reply:
It has been tough for your family to experience such a condition. Since the attending physician has already discussed the situation with other specialists, they have likely considered various common causes of vomiting without arriving at a more refined opinion. I can only offer m...[Read More] Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-Surgery Care for Perforated Stomach and Peritonitis: Key Concerns
Post-operative home care issues following surgery for perforated gastric ulcer leading to peritonitis? Hello Doctor: A family member (57-year-old female) underwent emergency surgery due to a gastric perforation that led to peritonitis, resulting in a total hospital stay of 45 day...
Dr. Chen Jiaming Reply:
Due to the lack of specific details regarding the clinical course (such as the interval between the second surgery and the discharge date), along with the observed changes during the medication change after discharge (suspected wound infection), it is advisable for you to return ...[Read More] Post-Surgery Care for Perforated Stomach and Peritonitis: Key Concerns
Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Case #165471 Follow-up - Home Care Issues After Surgery for Perforated Stomach Causing Peritonitis Dear Dr. Chen, Thank you for your response. This morning, my family member began experiencing sharp pain in the swollen area, so we hurried back to the original hospital's eme...
Dr. Chen Jiaming Reply:
As you mentioned, the emergency physician expressed a significant amount of purulent fluid from the umbilical wound, and the patient's temperature is elevated. This "wound infection with subcutaneous abscess formation" increases the likelihood of elevated white blo...[Read More] Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Understanding Blood-Like Substances in Stool: Causes and Concerns
Stool with blood-like substances attached? Hello, Dr. Ke. I apologize for bothering you, but I would like to ask for your advice. I am currently taking Biyikui and two weeks ago I sought medical attention due to diarrhea lasting nearly a week, during which I noticed blood streaks...
Dr. Ke Fangxu Reply:
Red-colored stool does not necessarily indicate the presence of blood in the stool. Fecal occult blood testing should be evaluated based on whether it is a chemical method or an immunological method. If it is a chemical method, an immunological test targeting red blood cells can ...[Read More] Understanding Blood-Like Substances in Stool: Causes and Concerns
Post-Laparoscopic Surgery: Is Your Belly Button Pain Normal?
Post-laparoscopic surgery, issues with the umbilicus? I underwent laparoscopic appendectomy about 5-6 years ago, which resulted in three incisions. Recently, I've been experiencing pain in the area around my navel where the surgery was performed. This pain occurs when walkin...
Dr. Chen Jiaming Reply:
Previous laparoscopic incisions can lead to openings in the rectus sheath, which are subsequently filled with scar tissue during the healing process. Young individuals often engage in high-intensity abdominal muscle activities, and certain positions may cause pain. It is importan...[Read More] Post-Laparoscopic Surgery: Is Your Belly Button Pain Normal?
Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Postoperative issues following patent urachus closure surgery? Hello Doctor, I was diagnosed with a patent urachus about a month ago and underwent surgical excision. Since I have type 1 diabetes, the doctor advised me to be cautious about the possibility of recurrent infections. ...
Dr. Chen Jiaming Reply:
Postoperative conditions can vary depending on the type of surgery performed. Based on your description, it does not appear to be a specific complication issue, as the original condition was an infection, and antibiotic treatment was likely administered during the treatment proce...[Read More] Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Blood in Stool and Urine: Should You Worry About Colon Cancer?
Blood in the stool, along with blood in the urine on the same day? That day, my stool was hard and appeared golden yellow, but the toilet was filled with blood, and the toilet paper was also stained with blood. I also noticed blood in my urine that day. Later in the evening, the ...
Dr. Xu Kaixi Reply:
Blood in the stool or the presence of blood is considered an abnormal symptom. Possible diagnoses range from common hemorrhoids to various gastrointestinal diseases. Given your age, the likelihood of colorectal cancer is low; it is more probable that the bleeding is caused by hem...[Read More] Blood in Stool and Urine: Should You Worry About Colon Cancer?
Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Persistent dull pain in the lower right abdomen? Dear Dr. Ke, I have been experiencing persistent pain in my lower right abdomen, along with a constant sensation of incomplete bowel evacuation. My gastroenterologist has arranged for a lower gastrointestinal (GI) series, but I ha...
Dr. Ke Fangxu Reply:
1. If a colonoscopy was performed two years ago without any abnormalities, then a lower gastrointestinal imaging may not be necessary. It is advisable to first conduct a fecal occult blood test, and if the result is positive, then consider proceeding with lower gastrointestinal i...[Read More] Chronic Right Lower Abdominal Pain: Causes and Diagnostic Options
Post-Splenectomy Recovery: Managing Pain and Vaccination Concerns
Post-splenectomy Hello Dr. Chen, I am currently two and a half months post-splenectomy due to a car accident. 1. Recently, I have been experiencing swelling and soreness in my left abdomen and lower back. Is this condition normal, and what can I do to alleviate it? 2. Since m...
Dr. Chen Jiaming Reply:
Trauma from a car accident can cause splenic injury, indicating that the left upper abdomen or lateral chest and abdomen has sustained a significant degree of impact and contusion. Although it has been two and a half months, if there are residual symptoms from the muscle contusio...[Read More] Post-Splenectomy Recovery: Managing Pain and Vaccination Concerns