Diagnosed with Appendicitis in Vietnam: What to Do Next?
Diagnosed with appendicitis in Vietnam, but it's not the appendix? On November 26, I experienced bloating and pain in the lower right abdomen, along with nausea for 5-6 days. Since I was on a business trip in Ho Chi Minh City, Vietnam, I visited a local major hospital. The d...
Dr. Yu Mingchang Reply:
Hello: Generally, appendicitis refers to inflammation of the appendix. Please seek medical attention at Changhua Hospital under the Ministry of Health and Welfare in Taiwan as soon as possible. We care about your health.[Read More] Diagnosed with Appendicitis in Vietnam: What to Do Next?
Post-Appendectomy Pain: Understanding Complications After Laparoscopic Surgery
Postoperative Issues Following Laparoscopic Appendectomy After laparoscopic surgery for perforated appendicitis with localized peritonitis (noted adhesions in the ileum and right abdominal wall), I experienced no discomfort for two months. However, two months later, I began to fe...
Dr. Yu Mingchang Reply:
Hello: After surgery, please consume more fruits and vegetables and engage in physical activity. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Post-Appendectomy Pain: Understanding Complications After Laparoscopic Surgery
Understanding Anal Fissures: Causes, Symptoms, and Management
Questions about anal fissures? Three years ago, I had an anal fissure caused by diarrhea. I went to a teaching hospital for a rectal examination, and the doctor immediately noted that there was a large tear. It took about two weeks for it to heal on its own. Since then, I have ex...
Dr. Ke Fangxu Reply:
The typical symptoms of anal fissures include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea, which can lead to large or excessive stools. The fundamental treatment is to improve bowel habits, along with warm sitz ...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Management
Understanding Post-Apendectomy Adhesions: Symptoms and Management
Post-appendectomy intestinal adhesions? Hello, I previously asked about the issue of dull pain in the lower right abdomen four months after surgery for a perforated appendicitis with localized peritonitis. Thank you for your patient response. I would like to ask if symptoms such ...
Dr. Chen Jiaming Reply:
Abdominal infections inevitably lead to varying degrees of intestinal adhesions, a fact well understood by surgeons who perform surgeries. Gastroenterologists may have their own perspectives on this issue. Abdominal pain can manifest as a symptom of many diseases, including adhes...[Read More] Understanding Post-Apendectomy Adhesions: Symptoms and Management
Understanding Post-Appendectomy Pain: Is It Adhesions?
It is common to experience pain after an appendectomy? In mid-July, I underwent laparoscopic surgery for a perforated appendicitis complicated by a localized abscess and peritonitis, involving three ports and one drainage tube, totaling four incisions. I had no significant issues...
Dr. Chen Jiaming Reply:
Appendicitis with perforation and localized peritonitis will inevitably lead to some degree of intra-abdominal adhesions, which will not be altered by your surgical approach (laparoscopy). Individuals may experience varying symptoms based on the extent of intra-abdominal adhesion...[Read More] Understanding Post-Appendectomy Pain: Is It Adhesions?
Post-Surgery Bowel Issues: Managing Constipation After Hemorrhoid Surgery
Postoperative constipation after hemorrhoid surgery? It has been 29 days since my hemorrhoid surgery. I have been eating normally and taking stool softeners, but I have not had a bowel movement for two days. On the third day, I felt the urge to go, but it was very urgent. I feel ...
Dr. Yu Mingchang Reply:
Hello; Eating more fruits and vegetables, as well as increasing your intake of probiotics, is beneficial for your health. The Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Post-Surgery Bowel Issues: Managing Constipation After Hemorrhoid Surgery
Understanding Umbilical Hernia: Symptoms, Diagnosis, and Treatment Options
Suspected umbilical hernia? Hello Doctor: Last month, I noticed that there was an increase in the foam in my urine, and it took a long time to dissipate. Since I had a health check-up scheduled the following week, I did not seek medical attention immediately and decided to monito...
Dr. Chen Jiaming Reply:
In general, a protruding umbilical mass can be evaluated using ultrasound to determine if it is a simple subcutaneous mass (such as a lipoma). If it is a hernia sac extending from the abdominal cavity, a defect in the underlying fascia can be observed. After all, most people'...[Read More] Understanding Umbilical Hernia: Symptoms, Diagnosis, and Treatment Options
Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
The relationship between hemorrhoid surgery and the urethra? Hello! My mother underwent surgery for internal hemorrhoids last Friday, which is generally considered a minor procedure. Therefore, we thought it would be manageable. However, due to her age, she felt uncomfortable ask...
Dr. Xu Kaixi Reply:
Postoperative pain from hemorrhoid surgery can vary depending on the location and severity of the hemorrhoids. During urination, the pelvic cavity, lower abdomen, and perineal muscle groups are engaged, and straining can inadvertently involve the muscles around the anus. As a res...[Read More] Understanding the Connection Between Hemorrhoid Surgery and Urinary Pain
Understanding Movable Right Abdominal Mass: Causes and Concerns
Right abdominal mass? Hello doctor, two months ago I felt a movable hard lump in the middle of my right abdomen (it feels somewhat elongated). However, when I lie down and try to touch my abdomen, I cannot feel that lump. Since I am currently abroad, what could be the possible re...
Dr. Xu Kaixi Reply:
It can be palpated on the body surface, and the location is likely within the subcutaneous soft tissue layer, which may be fat, fibrous tissue, or a subcutaneous cyst. Its correlation with the gastrointestinal tract in the abdominal cavity is relatively low. It is recommended to ...[Read More] Understanding Movable Right Abdominal Mass: Causes and Concerns
Understanding Blood in Mucus-Lined Stool: When to Seek Medical Attention
Blood in mucus in stool? Hello Doctor: I have seen many people asking about mucus in their stool, but I have mucus-covered blood in my stool. I checked the mucus with chopsticks and found blood in it, which I find very strange. Recently, I have been experiencing alternating const...
Dr. Xu Kaixi Reply:
Blood in the stool or the presence of blood is considered an abnormal symptom, which can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, in addition to the bloody stools, there are several other gastrointestinal symptoms. I str...[Read More] Understanding Blood in Mucus-Lined Stool: When to Seek Medical Attention
Understanding Left Upper Abdomen Pain and Chest Flaking Issues
Flaking issues in the left upper abdomen and chest? 1. I have been experiencing pain in my upper left abdomen recently. It's not extremely painful, so it doesn't make me cry out in agony, but sometimes I can't tell if the pain is superficial, related to the bones, ...
Dr. Ke Fangxu Reply:
1. Left-sided abdominal pain is often related to gastric issues. It is recommended to follow a light diet for a few days and consider taking over-the-counter antacids. If there is no improvement, then consult a doctor. 2. It is normal for females in their developmental stage to...[Read More] Understanding Left Upper Abdomen Pain and Chest Flaking Issues
Understanding Hard Bumps in the Rectal Wall: Causes and Concerns
Small bumps on the inner wall of the anus? Hello Doctor: I have been experiencing difficulty with bowel movements, so I often use my fingers to assist with defecation. However, today when I inserted my finger, I felt a row of small hard lumps on the inner wall of the anus, which ...
Dr. Ke Fangxu Reply:
What you feel upon entering the anal canal could be anal polyps or hemorrhoids. If you can feel something about five centimeters in, it is likely the uterus. If there are large fibroids, there is indeed a possibility of compression. Since you have already undergone a colonoscopy,...[Read More] Understanding Hard Bumps in the Rectal Wall: Causes and Concerns
Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Location of abdominal pain 1. If you are experiencing pain in the left upper abdomen today, it could be related to several issues, including gastritis, splenic problems, or even issues with the pancreas or stomach. 2. If you just felt a slight pain in the right upper abdomen, wh...
Dr. Ke Fangxu Reply:
The upper right abdomen is the location of the liver and gallbladder, so pain in this area typically leads to consideration of these organs. However, at such a young age, it could also be related to issues with the stomach or duodenum. I recommend starting with a light diet and o...[Read More] Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Understanding Lymphadenopathy: When to Seek Further Medical Advice
Lymphadenopathy There is a tubular lump located in the lower right abdomen that initially caused some pain, but it has since subsided. The doctor mentioned that it is in the lymphatic area and prescribed medication for me, with a follow-up examination scheduled for November. The ...
Dr. Chen Jiaming Reply:
In general, the initial diagnosis of lymphadenopathy requires ultrasound assistance to confirm whether there are any abnormal changes in the lymph nodes (such as cortical thickening, loss of the hilum, etc.). Simple enlargement does not necessarily indicate abnormal variation. If...[Read More] Understanding Lymphadenopathy: When to Seek Further Medical Advice
Understanding Growth Above the Anus: Causes and Treatment Options
There is a growth above the anus? Hello Doctor, about three to four months ago, I noticed a lump above my anus while showering. It doesn't hurt or itch; the base of the lump is wrinkled and dark, while the top is pink and about one centimeter in size. I have normal bowel mov...
Dr. Yu Mingchang Reply:
Hello: You have swelling and pain from external hemorrhoids. The Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, is concerned about you.[Read More] Understanding Growth Above the Anus: Causes and Treatment Options
Addressing Hyperpigmentation on Back and Buttocks: Solutions and Costs
Hyperpigmentation issues on the back and buttocks? I have developed many dark acne scars on my back and buttocks, with two particularly dark patches on my buttocks. Due to excessive friction, my entire back has uneven skin tone, which looks unappealing and dirty. I also have simi...
Dr. Zhou Hongzhang Reply:
1. Recurrent inflammation can easily lead to hyperpigmentation. 2. The issue of acne inflammation and infection should be treated first, followed by addressing the hyperpigmentation. 3. Most cases of hyperpigmentation have the potential to improve. 4. If there has been no i...[Read More] Addressing Hyperpigmentation on Back and Buttocks: Solutions and Costs
Unusual Abdominal Lump: What Could It Be?
Feeling a strange elongated mass in the abdomen? Hello Doctor: A few days ago, after overeating, I experienced bloating and while massaging my abdomen, I noticed a long, raised structure that extends from the epigastric region (the area around the xiphoid process) down to my nave...
Dr. Li Qinglong Reply:
Ms. SU: Hello, based solely on the symptoms you described, I cannot provide a definitive response. I recommend that you take the time to visit a hospital for a physical examination by a physician. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Unusual Abdominal Lump: What Could It Be?
Managing Hemorrhoids: Softener and Ointment Usage Guidelines
Thrombosed external hemorrhoids: Use of stool softeners and topical ointments? Hello, Doctor. Thank you for your response. I would like to ask for your advice regarding the use of stool softeners and ointments. I have been experiencing bleeding for the past two to three days, so ...
Dr. Ke Fangxu Reply:
1. You can apply the ointment for hemorrhoids as needed without strict limitations on frequency. 2. Hemorrhoids are mostly caused by constipation, so doctors often prescribe laxatives. If your stools become too soft, it is advisable to stop taking them.[Read More] Managing Hemorrhoids: Softener and Ointment Usage Guidelines
Understanding Post-Appendectomy Pain in Children: What to Expect
Appendicitis with perforation complicated by peritonitis? A five-year-old child visited the emergency room on July 23 and was diagnosed with appendicitis. Initially, the doctor considered treating it with antibiotics, but that was ineffective, leading to surgery on July 26. The d...
Dr. Chen Jiaming Reply:
Due to a ruptured appendix leading to peritonitis, there is a widespread inflammatory response within the abdominal cavity, making postoperative intestinal adhesions very likely. Children may experience abdominal distension and complain of pain. Generally, it is important to moni...[Read More] Understanding Post-Appendectomy Pain in Children: What to Expect
Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness
Various Surgical Issues 1. I have been experiencing abdominal pain in the upper left quadrant, usually occurring about half an hour to an hour after breakfast. What could be the cause of this? 2. Recently, I have noticed two or three raised, painful areas on my head. I am concer...
Dr. Chen Jiaming Reply:
1. The left upper abdomen primarily corresponds to the location of the stomach, as well as other parts of the intestines. If there is gastrointestinal pain after meals, it is advisable to consult a gastroenterologist or seek an in-person evaluation to determine whether it is a fu...[Read More] Common Surgical Concerns: Abdominal Pain, Head Bumps, and Dizziness