Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
The risks of performing peritonitis and splenectomy in patients with liver cirrhosis? My mother is suffering from liver cirrhosis and lymphoma, for which she is undergoing chemotherapy and taking liver support medications. Recently, she was hospitalized due to hematuria. During h...
Dr. Huang Zhihui Reply:
Peritonitis is classified into primary and secondary types. Primary peritonitis is mostly caused by decreased immunity due to liver cirrhosis, has a low incidence rate, and requires the exclusion of secondary peritonitis as a possibility for diagnosis. However, this exclusion pro...[Read More] Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
Understanding Appendicitis and Post-Surgery Recovery Challenges
Appendectomy for peritonitis? Hello Doctor: I am currently serving in the military. At the end of February, I was taken to the emergency room due to acute appendicitis. I stayed in the emergency room for over 10 hours! A few hours before the surgery, my attending surgeon wanted t...
Dr. Xie Wenhuai Reply:
You asked many questions, and I will respond to each one. 1. Pain from appendicitis? Answer: Early appendicitis pain can present as discomfort in the upper abdomen (below the xiphoid process), which then migrates to the right lower abdomen. If the condition is prolonged, the in...[Read More] Understanding Appendicitis and Post-Surgery Recovery Challenges
Post-Appendectomy Fever: Understanding Complications and Care
Recurrent fever after appendectomy? Hello: My wife experienced abdominal pain on Friday, December 19. After half a day of observation and an ultrasound examination, she was diagnosed with acute appendicitis and underwent traditional open surgery. She was discharged on Sunday, Dec...
Dr. Xu Kaixi Reply:
Dear Leo, This is Dr. Hsu Kai-Hsi from the Department of Surgery at Tainan Hospital, Ministry of Health and Welfare. Regarding the postoperative dressing changes for acute appendicitis, it depends on the situation. If the risk of wound infection is low in early acute appendici...[Read More] Post-Appendectomy Fever: Understanding Complications and Care
Understanding Rectal Symptoms: Is It Hemorrhoids or Something Else?
Anus Hello, I have been experiencing irregular bowel movements for quite some time. Sometimes I have normal bowel movements once a day or multiple times, while other times I only go once a week. I occasionally feel abdominal pain, but the stool is normal. I initially thought it w...
Dr. Hou Yongji Reply:
Based on your description, a precise diagnosis cannot be made. Typically, conditions related to the rectum and anus cannot be diagnosed remotely; the evaluation must include a thorough medical history, visual examination, digital rectal examination, and possibly endoscopy or X-ra...[Read More] Understanding Rectal Symptoms: Is It Hemorrhoids or Something Else?
Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Could you please provide the content you would like me to translate? Recently, due to changes in my work and lifestyle, I've been going to bed around 2 or 3 AM. My last menstrual period was about 17 days ago, and I've noticed an increase in vaginal discharge during this...
Dr. Hou Yongji Reply:
Based on your description, it is not possible to accurately interpret and diagnose your condition; however, it is more likely to be related to a gynecological issue. Please consult a nearby obstetrician-gynecologist for evaluation. If there is no improvement, then consider seekin...[Read More] Understanding Abdominal Pain and Unusual Discharge: A Surgical Perspective
Understanding the Differences Between Acute and Chronic Pancreatitis
Pancreatitis What are the differences between acute pancreatitis and chronic pancreatitis? What kind of situations can occur?
Dr. Huang Yuanhui Reply:
Hello: The main differences between acute pancreatitis and chronic pancreatitis lie in the frequency of episodes, symptoms, and pathological changes. Acute pancreatitis typically refers to a single episode of pancreatitis, commonly seen in patients with gallstones, with the prima...[Read More] Understanding the Differences Between Acute and Chronic Pancreatitis
Understanding Anal Pain: Causes and When to Seek Medical Advice
Anal issues Hello, doctor: About a week ago, I noticed pain around my anus, which coincided with my menstrual period and a vaginal infection. At first, I didn't think much of it, but after a week, the pain around my anus persisted. I looked in the mirror and discovered a pro...
Dr. Ke Fangxu Reply:
Dear Xiao Dai, First, I apologize for the delayed response due to the lost email. 1. Based on your description, there are two possible conditions. One is a small thrombosed hemorrhoid, which may appear dark blue or black and can occur at any position around the anus. It may fee...[Read More] Understanding Anal Pain: Causes and When to Seek Medical Advice
Post-Banding Surgery Concerns: Understanding Symptoms and Recovery
After undergoing rubber band ligation? Hello, Doctor. I have a concern. On June 28, I underwent a rubber band ligation procedure at E-Da Hospital. After the outpatient procedure, the doctor prescribed a sedative, an anti-flatulence medication, and a suppository. The doctor did no...
Dr. Hou Yongji Reply:
1. Attached are the precautions for hemorrhoid ligation at our hospital. 2. Regarding abdominal pain and improvement after passing gas, the colonoscopy performed in February of this year was normal, so it is likely a functional issue. Please relax, as this should help improve y...[Read More] Post-Banding Surgery Concerns: Understanding Symptoms and Recovery
Understanding Post-Appendectomy Symptoms: High White Blood Cell Count Concerns
Appendicitis I would like to ask if having elevated white blood cell counts during a follow-up visit after appendicitis drainage tube removal indicates a potential recurrence or if it could be due to other issues. What could happen if the drainage tube was removed before proper d...
Dr. Ke Fangxu Reply:
Hello Ms. Chang: After an appendectomy, if a drainage tube was placed, there may be a temporary increase in white blood cell count after its removal. This is often due to the slower healing of the drainage site. However, it is important to consider how high the white blood cell c...[Read More] Understanding Post-Appendectomy Symptoms: High White Blood Cell Count Concerns
Understanding Jelly-like Fluid in Appendicitis: A Patient's Journey
Jelly? My father is 72 years old. Today, he was taken to the hospital due to abdominal pain and underwent various tests. The doctor diagnosed him with peritonitis and immediately sent him to the operating room. After the surgery, he was moved to the intensive care unit for observ...
Dr. Fan Zhilian Reply:
Dear Xiaoyun: Your father may have developed peritonitis after experiencing abdominal pain for two to three days. Appendicitis can lead to rupture and result in peritonitis within two to three days. The term "jelly" refers to the purulent fluid that leaks out when the a...[Read More] Understanding Jelly-like Fluid in Appendicitis: A Patient's Journey
Understanding Post-Surgery Abdominal Pain: Causes and Solutions
Abdominal pain Hello doctor, it has been three and a half years since my surgery, but recently I have been experiencing frequent abdominal pain and bloating. There is an unexplained pain near the surgical site [once]. I visited a doctor six months ago, and he said it is not due t...
Dr. Xie Wenhuai Reply:
After abdominal surgery, some patients may experience intestinal adhesions, with symptoms including the inability to pass gas and intermittent abdominal cramping. When they present to the emergency room, doctors often suspect intestinal obstruction due to adhesions. An abdominal ...[Read More] Understanding Post-Surgery Abdominal Pain: Causes and Solutions
Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Parlodel medication Taking one tablet of Parlodel daily to treat a 0.2 cm pituitary tumor can cause side effects such as dizziness, nausea, nasal congestion, and rapid heartbeat. These are considered common side effects. There are alternative medications available, and it may be ...
Dr. Zhang Yuanyi Reply:
Parlodel may have side effects such as nausea, vomiting, abdominal pain, dizziness, facial flushing, orthostatic hypotension, insomnia, headache, nasal congestion, tinnitus, and abnormal liver function. The usual dosage of Parlodel is 2.5 mg, with a recommended daily dose of 2.5 ...[Read More] Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Distinguishing between internal and external hemorrhoids, and medication precautions? Hello Dr. Hou, I have some questions for you. About three months ago, I experienced severe abdominal pain and developed hemorrhoids after a bowel movement, which gradually resolved after the wee...
Dr. Hou Yongji Reply:
Hello: 1. Anoscopy may be necessary for differential diagnosis, as relying solely on medical history cannot provide an accurate diagnosis. 2. You may consult with Deputy Director Dr. Chuang Yuan-Chiang at Taoyuan General Hospital, or search for qualified specialists on the Taiwan...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Constipation and Abdominal Pain: Causes and Solutions
Constipation and stomach pain? During bowel movements, I experience a transparent, white, sticky substance, and sometimes there is blood. Additionally, I cannot exert any effort while defecating; if I do, my anus feels like it is slightly protruding. There is a hard area about 1 ...
Dr. Hou Yongji Reply:
Hello: 1. Please visit the colorectal surgery outpatient clinic nearby and inform them how long you have been experiencing the above symptoms. Before your visit, it is recommended to adjust your dietary habits by increasing fiber intake and hydration (eat more fruits and vegetabl...[Read More] Understanding Constipation and Abdominal Pain: Causes and Solutions
Post-Surgery Recovery: Managing Pain and Discomfort After Bowel Strain
Inquiry I have been experiencing issues with bowel movements for over 20 years. Straining to defecate has resulted in injuries from head to toe, and now I often feel headaches or dizziness after bowel movements. If I experience discomfort after defecating, such as abdominal pain,...
Dr. Ke Fangxu Reply:
Hello: 1. If you are feeling unwell, it is certainly advisable not to force yourself to exercise; however, it also depends on the type of exercise. If it is just light exercise, it may not necessarily need to be stopped. 2. It is normal for the surgeon to inquire about the level ...[Read More] Post-Surgery Recovery: Managing Pain and Discomfort After Bowel Strain
Understanding Long-Term Constipation and Unusual Stool Symptoms: A Surgical Perspective
Consultation I have been suffering from chronic constipation for 24 years. I am 163 cm tall and weigh 50 kg. Because I used to endure it when I was younger, I often strained during bowel movements (of course, I controlled my diet and tried other methods). 1: However, there is s...
Dr. Ke Fangxu Reply:
Hello: In response to your questions. 1. Some plant seed coats or fruit skins are not easily digested, which is why they may appear in the stool. In addition to chili peppers, tomatoes, sweet peppers, and corn are commonly seen during colonoscopy. Sometimes, these food residues m...[Read More] Understanding Long-Term Constipation and Unusual Stool Symptoms: A Surgical Perspective
Understanding Septic Shock: A Family's Struggle with Cancer and Complications
Could you please help me, doctor? Dear Dr. Ke, I hope you remember me; it has been a while since I last asked a question. During this time, my father's bowel obstruction issue has not been resolved, and his condition has been deteriorating. On September 9 of this year, my f...
Dr. Ke Fangxu Reply:
I am very sorry to hear about your father's condition. However, if the cancer cells have already metastasized, the tumor staging should be T3N2M1-2. The cause of septic shock may be related to bowel obstruction, as bowel obstruction can lead to increased intestinal pressure,...[Read More] Understanding Septic Shock: A Family's Struggle with Cancer and Complications
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Yesterday afternoon, while using the restroom, after squatting for a while, I only passed gas and did not have a bowel movement. Upon looking down, I noticed what appeared to be blood spraying from my anus, with several drops around the toilet, and it was bright r...
Dr. Lin Shaojie Reply:
Dear Jorbin, This is Dr. Zhuang Ren-bin from the Tainan Hospital of the Department of Health, Executive Yuan. The presence of bright red or dark red stools, blood on the stool or toilet paper, or the passage of only blood in a watery form, often results from conditions such as h...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Abdominal Pain: What Could Be Causing My Father's Symptoms?
Could you please consult Dr. Ko? Hello Dr. Ke: I apologize for bothering you again, but I have another question to ask. My father has a small, swollen area on the right side of his abdomen, near the navel, and he reports that this swollen area is particularly painful. I am unsure...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if the lump disappears or becomes softer when your father is lying flat, it may be a postoperative abdominal wall hernia. An abdominal wall hernia is caused by poor healing of the fascial layer after abdominal surgery. If it is not very painfu...[Read More] Understanding Abdominal Pain: What Could Be Causing My Father's Symptoms?
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