Understanding Post-Surgery Adhesions and Twists in Colorectal Cancer Patients
Why do adhesions or bowel obstructions occur after surgery? Hello Dr. Ke: I would like to ask you again whether most patients with colorectal cancer experience adhesions or bowel obstructions after surgery. If adhesions or obstructions occur and a second surgery is performed, is ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, any patient who has undergone abdominal surgery, whether it be an appendectomy or a resection for colorectal cancer, may experience intestinal adhesions. The indication for surgical treatment of intestinal adhesions is complete obstruction tha...[Read More] Understanding Post-Surgery Adhesions and Twists in Colorectal Cancer Patients
Post-Surgery Abdominal Pain: What to Do After Colorectal Cancer Surgery?
What should I do if I experience abdominal pain after colorectal cancer surgery? Hello Doctor: My father is unable to pass gas or have bowel movements, and his abdomen is swollen. A few days ago, I noticed a hard, swollen area slightly to the right of his abdomen, but we don'...
Dr. Ke Fangxu Reply:
Hello: In response to your question, since I am not aware of the surgical method used, I cannot definitively identify the issue. However, if it has been three months since the surgery, I wonder why there is still a drainage tube in place. Generally, anastomotic leaks should occur...[Read More] Post-Surgery Abdominal Pain: What to Do After Colorectal Cancer Surgery?
Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
What should be done if there is an intestinal obstruction after rectal cancer surgery? Dear Doctor, My father is in the terminal stage of rectal cancer. Initially, he received radiation and chemotherapy at Kaohsiung Medical University for a period of time. Later, the doctor info...
Dr. Hou Yongji Reply:
Hello: 1. Colorectal cancer can be classified into stages I, II, III, and IV. The term "end-stage" refers to stage IV, where the treatment outcomes are typically not 90%. Generally, the success rate for a cure in stage IV colorectal cancer is less than 40%. 2. Kaohsiung...[Read More] Post-Surgery Bowel Obstruction in Rectal Cancer: What Are the Options?
Managing Post-Surgery Abdominal Pain After Colorectal Cancer Treatment
What should I do if I experience abdominal pain after colorectal cancer surgery? I would like to consult the attending physician in the colorectal surgery department at your hospital. My father has progressed from stage III to stage IV rectal cancer. He has been receiving radiati...
Dr. Ke Fangxu Reply:
Hello: In response to your question. You are truly a devoted daughter. Based on your description, it seems that your father has rectal cancer and underwent preoperative radiation therapy followed by chemotherapy before the surgical resection. Generally, patients who receive radia...[Read More] Managing Post-Surgery Abdominal Pain After Colorectal Cancer Treatment
Which Medical Specialty Should I See for Suspected Intestinal Adhesions?
If you suspect intestinal adhesions, you should consult a gastroenterologist or a surgeon? Hello Doctor: I have been experiencing chronic abdominal pain, and I have not been able to find relief at the clinic. The doctor mentioned that I might have intestinal adhesions (as I had a...
Dr. Hou Yongji Reply:
Please schedule an appointment with the gastrointestinal surgery outpatient clinic and discuss in detail with your physician. Intestinal adhesions are not easy to diagnose and treat. Thank you. Dr. Hou Yong-ji.[Read More] Which Medical Specialty Should I See for Suspected Intestinal Adhesions?
Understanding Ventral Hernia: Symptoms, Surgery, and Recovery Time
Ventral Hernia Hello Doctor, I am currently abroad and have been experiencing upper abdominal pain for the past two months. Initially, the doctor diagnosed it as gastritis, but the pain has worsened day by day, accompanied by loss of appetite and severe constipation (having a bow...
Dr. Xu Kaixi Reply:
Dear Selina, Dr. Hsu Kai-Hsi from the Tainan Hospital, Department of Surgery, would like to inform you that the surgical approach for a ventral hernia is determined by its size. Larger ventral hernias typically require the use of a prosthetic mesh for repair, which can be perfor...[Read More] Understanding Ventral Hernia: Symptoms, Surgery, and Recovery Time
Understanding Chest and Side Pain: Causes Beyond Developmental Changes
Pain I apologize for the inquiry: During the breast development period, is it normal to experience pain on the outer sides of the breasts? I previously consulted a surgeon who mentioned that it was due to developmental changes, but I still feel something is not quite right since ...
Dr. Lin Kecheng Reply:
A 17-year-old girl experiencing breast pain who has already seen a surgeon, if no other causes are identified, is likely dealing with developmental issues. Due to good nutrition, breast development may continue until the age of 17. Most women experience breast tenderness around t...[Read More] Understanding Chest and Side Pain: Causes Beyond Developmental Changes
Post-Surgery Care Tips for Faster Recovery After Abdominal Surgery
Postoperative care? Hello Doctor: I have a classmate who was hospitalized at the end of July due to abdominal pain. The doctors initially suspected appendicitis, but after surgery, they discovered it was not the case. Due to the delay in seeking medical attention and the long wai...
Dr. Ke Fangxu Reply:
Hello: In response to your question, there are three main causes of intestinal perforation in young individuals: 1. Appendicitis leading to perforation of the small or large intestine. 2. Perforation of a small bowel diverticulum. 3. Perforation of a duodenal ulcer. If appendicit...[Read More] Post-Surgery Care Tips for Faster Recovery After Abdominal Surgery
Understanding Right Upper Abdominal Pain: Causes and Next Steps
Abdominal pain issues? Hello Dr. Lee: I often experience pain in my upper right abdomen. Initially, the pain would only occur when there was a slight bulge, but now it hurts even without any bulging. I consulted an obstetrician-gynecologist, who said there was no issue related to...
Dr. Li Junde Reply:
Hello Ms. Huang: Regarding your right upper abdominal pain, considering the external appearance, it may be related to issues with the skin, subcutaneous tissue, or abdominal wall. Possible causes include skin inflammation, infection, tumors, abdominal wall muscle inflammation, ...[Read More] Understanding Right Upper Abdominal Pain: Causes and Next Steps
Post-Surgery Recovery Tips for Elderly Patients with Peritonitis and Kidney Stones
How to recover after surgery for peritonitis and kidney stones? Hello, Doctor. My father underwent surgery for abdominal pain complicated by peritonitis in June and is scheduled for extracorporeal shock wave lithotripsy for kidney stones. What kind of post-treatment care should h...
Dr. He Zhenming Reply:
For body conditioning, it is more suitable to consult a traditional Chinese medicine physician. Dr. He Zhenming.[Read More] Post-Surgery Recovery Tips for Elderly Patients with Peritonitis and Kidney Stones
Struggling with Persistent Anal Fistula: What Are Your Options?
Is the anal fistula not healing? Two years ago, I was hospitalized for 12 days due to abdominal pain. After examinations, the doctor suspected Crohn's disease. Six months later, I developed symptoms of an anal fistula and underwent surgery. The results showed the presence of...
Dr. Hou Yongji Reply:
Based on your description, you may have intestinal tuberculosis or Crohn's disease. Please obtain all your medical records and test reports from your original hospital, and then consult a colorectal surgeon (preferably at a medical center) for a detailed diagnosis and treatm...[Read More] Struggling with Persistent Anal Fistula: What Are Your Options?
Understanding Symptoms of Narrow Stools and Blood in Stool: A Guide
The stool is very thin, has blood, is painless, and there is an urgency to defecate? Dr. Hou: Hello! I would like to ask about my condition. For a long time (about 2-3 years), I have experienced a frequent urge to defecate shortly after eating, with my stools being thin (about th...
Dr. Hou Yongji Reply:
Based on your description, it is possible that you have colitis or irritable bowel syndrome combined with hemorrhoids. However, a definitive diagnosis cannot be made. Please consult a colorectal specialist for further evaluation and treatment.[Read More] Understanding Symptoms of Narrow Stools and Blood in Stool: A Guide
Unexplained Leg Abnormalities: Seeking Answers and Treatment Options
Leg abnormalities with an undetermined cause? Hello, this is my sister's medical condition. After she fell down in junior high school, she started experiencing symptoms in her right leg, which has become thicker and shorter than the other leg. There is a noticeable discrepan...
Dr. Chen Junxing Reply:
1. Orthopedics: Check for dislocation or fracture of the hip joint. 2. Dermatology: Examine skin lesions for lichensification. 3. Neurology: Assess the head and neck for abnormalities that may cause headaches or dizziness. 4. It is recommended to visit a tertiary care hospi...[Read More] Unexplained Leg Abnormalities: Seeking Answers and Treatment Options
Understanding Gastric Hemangiomas: Causes, Symptoms, and Treatment Options
Gastric hemangioma How does it form? Will there be noticeable discomfort in the body? What is the severity? Will it disappear on its own? How should it be treated?
Dr. Huang Zhihui Reply:
Gastric hemangioma is a non-epithelial benign tumor of the stomach, accounting for 3.2% of benign gastric tumors, and is considered a rare tumor. It is essentially a congenital vascular malformation that cannot be resolved through medication or injections. Due to its typically sm...[Read More] Understanding Gastric Hemangiomas: Causes, Symptoms, and Treatment Options
Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Severe abdominal pain of unknown origin? Hello, Dr. Lin! This is the first time I feel this unwell! I woke up today with severe abdominal pain and bloating! I have no appetite at all, and I feel like vomiting after eating! Yesterday, I accidentally swallowed a fish bone, which wa...
Dr. Lin Kecheng Reply:
Hello Kevin: Is the abdominal pain caused by swallowing a fishbone, or is it due to indigestion from the food consumed? It is really difficult to diagnose based solely on an email without the benefit of observation, inquiry, and examination. I cannot provide you with incorrect in...[Read More] Severe Abdominal Pain After Accidentally Swallowing a Fish Bone
Post-Hemorrhoid Banding: Understanding Bleeding and Future Screening Needs
Post-hemorrhoid ligation? I noticed a small amount of blood on the toilet paper after having a bowel movement, so I visited a colorectal specialist. He performed a hemorrhoid ligation and mentioned that it might take about three sessions since the hemorrhoids are not small. Howev...
Dr. Ke Fangxu Reply:
Hello: In response to your questions. 1. It is possible to experience a small amount of bleeding after hemorrhoid ligation. As long as the bleeding is not significant (such as large amounts of bright red blood or blood clots), it is generally not a concern. 2. Your grandmother is...[Read More] Post-Hemorrhoid Banding: Understanding Bleeding and Future Screening Needs
Post-Appendicitis Pain: Understanding Complications and Recovery
Right lower abdominal pain after appendicitis? In mid-December last year, I experienced severe pain in my lower right abdomen and went to the emergency department at National Taiwan University Hospital. Since I am a leukemia patient (three years post-transplant), the doctors were...
Dr. Xie Wenhuai Reply:
After an appendectomy, there may be several complications, including wound infection, abdominal wall hernia, intra-abdominal abscess, and intestinal obstruction. Additionally, there may be a lump near the incision site, which is a scar from the wound closure and typically stabili...[Read More] Post-Appendicitis Pain: Understanding Complications and Recovery
Understanding Symptoms: Blood in Stool and Abdominal Pain Concerns
Suspected intestinal issues? I would like to ask, if there is bleeding during bowel movements, along with constipation, and sometimes pain in the lower abdomen, what should I do? Could I have colon cancer, or is it possibly an issue with colitis?
Dr. Lin Kecheng Reply:
Experiencing constipation and rectal bleeding during bowel movements, considering your age and symptoms, is likely due to long-term poor bowel habits. At this point, you should visit a local regional hospital or higher-level medical facility to have an anal examination performed ...[Read More] Understanding Symptoms: Blood in Stool and Abdominal Pain Concerns
Understanding the Differences Between Hemorrhoids and Anal Fissures
What is the difference between hemorrhoids and anal fissures? Dr. Lin, I would like to ask you about the differences between hemorrhoids and anal fissures. For the past six months, I have been experiencing pain in the anal area during bowel movements, and occasionally I notice so...
Dr. Lin Hongmao Reply:
Hello, Xiao Xiao: Anal fissures occur when hard stools tear the anal mucosa, leading to pain during bowel movements. The pain associated with bowel movements makes patients more reluctant to use the restroom, worsening constipation and creating a vicious cycle. If external hemorr...[Read More] Understanding the Differences Between Hemorrhoids and Anal Fissures
Abdominal Pain When Pressing: Possible Causes and Concerns
Pressing on the abdomen causes pain? I have pain when pressing on my abdomen (about 2-3 centimeters above the navel on the right side). It feels like there is something there, but it also feels like there isn't. Could this be a lipoma, gallstones, or another condition? Thank...
Dr. He Zhenming Reply:
Hello: Based on your symptoms, it doesn't seem like gallstones. Please visit the outpatient clinic for an ultrasound examination, which should help determine if there is anything abnormal. Wishing you good health.[Read More] Abdominal Pain When Pressing: Possible Causes and Concerns