Can a Rib Injury from a Softball Impact Rupture the Spleen?
Hit by a ball on the left side of the ribcage? Hello, I was hit in the left side of my ribcage by a softball that bounced off the ground while playing softball. If my rib is not fractured, is it possible for my spleen to rupture from the impact? Or does the rib need to be fractur...
Dr. Chen Ronghong Reply:
Hello, a splenic rupture often accompanies left rib fractures; however, the absence of fractures does not guarantee that the spleen is unharmed. Therefore, it is important to be aware of the symptoms of splenic hemorrhage, which include hypotension (weakness and fatigue) or pain ...[Read More] Can a Rib Injury from a Softball Impact Rupture the Spleen?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello Doctor, from last Thursday to Saturday, I experienced bleeding during bowel movements, but it wasn't blood in the stool. There was blood on the toilet paper when I wiped, but I didn't feel any discomfort, just a little irritation from possibly wipi...
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 Rectal Bleeding: Causes and When to Seek Help
Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...
Dr. Chen Ronghong Reply:
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...[Read More] Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Post-Drainage Recovery Issues After Cyst Surgery: Your Questions Answered
Post-drainage recovery issues of sebaceous cysts? Hello Dr. Chen: I went to see a surgeon the day before yesterday because my cyst had enlarged. The doctor performed a drainage procedure and made an incision of about 1.5 cm, draining a lot of green pus. I was instructed to go hom...
Dr. Chen Bingze Reply:
1. Once it is confirmed that the wound is not infected, even if it requires packing with gauze, it will gradually start to heal; generally, such wounds are less likely to be sutured again. 2. It is permissible to use a protective dressing while showering. 3. You can purchase ...[Read More] Post-Drainage Recovery Issues After Cyst Surgery: Your Questions Answered
Is Swelling After Fistula Surgery for Dialysis Normal?
After undergoing surgery for the creation of an arteriovenous fistula for hemodialysis, what should be considered regarding swelling? A family member underwent an arteriovenous fistula surgery on the left arm for hemodialysis. After the surgery, the doctor instructed to apply ice...
Dr. Li Zhonghuai Reply:
Hello! Is the swelling localized to the wound or is the entire hand swollen? Swelling at the wound site will gradually subside, but if the entire hand is swollen, you should return for a follow-up appointment as soon as possible. Take care! Changhua Hospital cares about you![Read More] Is Swelling After Fistula Surgery for Dialysis Normal?
Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Suspected rectal prolapse? A small piece of tissue about 2 centimeters in size protrudes during bowel movements, but it disappears after a while. There is no pain or bleeding, and I am not straining during bowel movements, but it occurs every time I have a bowel movement.
Dr. Chen Ronghong Reply:
Hello RURU, the likelihood of young people experiencing rectal prolapse is low. Given your age and description, it is more likely that you are experiencing internal hemorrhoid prolapse. Conservative treatment includes increasing fluid and fiber intake to avoid constipation, and w...[Read More] Understanding Rectal Prolapse: Causes, Symptoms, and Treatment
Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery
MgO and Broen-C medication issues? Hello, doctor. Last Sunday, I experienced an acute anal fissure and started taking 250 mg of magnesium oxide (MgO) with meals at noon and in the evening, while also taking 3 to 4 tablets of Broen-C (enteric-coated bromelain and L-cysteine) daily...
Dr. Zhang Shuhao Reply:
1. MgO can be discontinued immediately, as this medication is not habit-forming. 2. Long-term use of Broen C does not pose significant harm, and it can be stopped when there is no discomfort. 3. It is normal for the healing wound to itch, but if there is redness or allergic react...[Read More] Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery
Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
The anal area resembles hemorrhoids? Hello doctor, there is a swollen tissue outside my anus, and I'm not sure if it's hemorrhoids. It protrudes when I relax, but it doesn't hurt and there is no bleeding. I also haven't experienced any bleeding after bowel mov...
Dr. Zhang Shuhao Reply:
The image shows a mixed hemorrhoid (with a milder external hemorrhoid, primarily consisting of internal hemorrhoids). After bowel movements, there may be slight prolapse. If there is no acute onset of swelling, pain, or bleeding, no special treatment is necessary. Regular care ca...[Read More] Understanding Rectal Swellings: Is It Hemorrhoids or Something Else?
Understanding Rectal Issues: Hemorrhoids or Colon Cancer Concerns?
Anal or hemorrhoidal issues? Recently, I have been staying up late due to the university entrance exam, and I have been experiencing frequent urges to defecate. I have tried taking stool softeners and sitting in warm baths, but sometimes I feel that the urge to defecate is less s...
Dr. Zhang Shuhao Reply:
1. Hemorrhoids and colorectal cancer share some similar symptoms, making it difficult for individuals to distinguish between them. 2. It's not too late, but if you're concerned, you can go directly to a clinic for an examination to alleviate your anxiety. 3. Staying...[Read More] Understanding Rectal Issues: Hemorrhoids or Colon Cancer Concerns?
Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Feeling of fullness in the anus? Hello doctor, the academic exam is approaching, so I've been staying up late recently. I have a habit of using my phone while having a bowel movement. A few days ago, I suddenly started feeling a fullness in my anus and the urge to defecate, ...
Dr. Zhang Shuhao Reply:
Staying up late and spending excessive time in the bathroom can exacerbate hemorrhoid symptoms and should be avoided. It is advisable to take warm sitz baths, increase fluid intake, and consume more dietary fiber, while also changing the habit of prolonged bathroom use. If concer...[Read More] Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults
Blood When Wiping: Should You See a Doctor for Anal Pain?
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions In the morning, there was a strong urge to have a bowel movement. While using the toilet, I noticed a small amount of bright red bloo...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Blood When Wiping: Should You See a Doctor for Anal Pain?
Understanding Anal Pain: Could It Be Hemorrhoids?
Anal pain A few days ago, after doing squats, I initially thought it was just muscle soreness, but later I discovered that there is a painful spot near the anus that hurts when pressed. There doesn't seem to be any visible abnormalities, but it hurts a lot when I sneeze or d...
Dr. Zhang Shuhao Reply:
Pain around the anus may be caused by anal fissures, skin wounds, abscesses due to inflammatory infections, hemorrhoids, and other reasons. Squatting can obstruct pelvic venous return, potentially exacerbating hemorrhoid symptoms. Straining during bowel movements can cause sharp,...[Read More] Understanding Anal Pain: Could It Be Hemorrhoids?
Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoid issues Hello Doctor, about a year ago I noticed a lump at the anal opening. At that time, I was experiencing severe constipation and it would bleed. Over the past year, I have slightly improved my constipation habits, and I haven't had any bleeding since. However,...
Dr. Zhang Shuhao Reply:
If internal hemorrhoids prolapse and require manual reduction, it is classified as grade III hemorrhoids. Conditions such as constipation, diarrhea, staying up late, and consuming spicy foods or alcohol can exacerbate hemorrhoid symptoms, making bleeding, swelling, and pain more ...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Medical Help
Rectal bleeding Hello Doctor: After using the restroom, I noticed blood in my stool, as the toilet water was stained red. I couldn't determine if there was blood mixed in with the stool, but I did see some thick blood on the toilet bowl, and there was blood on the toilet pap...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger...[Read More] Understanding Blood in Stool: Causes and When to Seek Medical Help
Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Post-anal fistula surgery Hello, doctor. I underwent anal fistula surgery on November 24, 2022, and since my discharge, I have noticed black specks of discharge at the surgical site. Could this be caused by the absorption of the sutures? I have been using hydrocolloid wound dress...
Dr. Zhang Shuhao Reply:
It is normal for wounds to have discharge; black discharge may be caused by the dressing. You can take warm water sitz baths to maintain cleanliness, and this should improve as the wound heals.[Read More] Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Understanding Anal Fissures: Causes, Treatments, and Relief Tips
Anal fissure issues? Hello, doctor. I have had an anal fissure for the past few days and have several questions: 1. What could be the reason for developing an anal fissure even though my stool is not particularly hard or large? Could it be due to excessive sphincter muscle tens...
Dr. Chen Bingze Reply:
Hello, I understand this issue must be very troubling for you. 1. Typically, increased anal sphincter pressure is a concern. It is recommended to take a warm sitz bath for fifteen minutes daily. 2. If the stool is hard and bulky, it may be difficult to pass. Increasing your wa...[Read More] Understanding Anal Fissures: Causes, Treatments, and Relief Tips
Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Causes, Symptoms, and Management of Anal Fissures Hello, doctor. I usually have a healthy diet, and my bowel movements are mostly normal, but I occasionally experience anal fissures (not often; the last occurrence was two to three months ago). I have a few questions: 1. What co...
Dr. Zhang Shuhao Reply:
1. One of the causes of anal fissures is excessive tension in the sphincter muscle, so sphincterotomy can be used as a treatment. 2. Soaking in warm water and relaxing can be effective; if medication is needed, it is recommended to obtain a prescription from a doctor rather than ...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Anal Pain During Bowel Movements: Causes and Solutions
Experiencing pain in the anus during bowel movements, as well as pain when wiping, can indicate conditions such as anal fissures, hemorrhoids, or other anal disorders. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? I expe...
Dr. Zhang Shuhao Reply:
Pain in the anus that feels like being cut with a knife during and after bowel movements is a typical symptom of anal fissures. This condition is often caused by excessive straining during defecation, leading to tears in the anal canal. Taking warm sitz baths and applying topical...[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions
Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Anal itching, timing for sitz baths? Hello, doctor. I am a university student and have been experiencing symptoms of anxiety and obsessive cleanliness, which become particularly severe during stressful times. Recently, due to midterm exams, my compulsive cleaning behaviors intens...
Dr. Zhang Shuhao Reply:
1. When the anus itches due to excessive cleaning, a sitz bath is not necessary; rinsing with cold water is sufficient. 2. The use of medication three to four years ago is less related to current symptoms; anal pruritus is more associated with allergies, environmental factors, ...[Read More] Understanding Anal Itching: Causes, Treatments, and Bathing Tips
Essential Tips for Post-Surgery Sitz Baths and Bowel Habits
Continuation of question #189135? Thank you for your response, Doctor. I still have some questions to ask: 1. Do I need to add any medications to the warm water sitz bath? What are the recommended frequency and duration? Today, I used warm water, taking a sitz bath in the mornin...
Dr. Zhang Shuhao Reply:
1. Warm water sitz baths do not require the addition of any medications; each session can last 5-10 minutes, and it is recommended to take 2-3 baths a day, with the option to take more if time allows. 2. The main goal is to shorten the time spent in the restroom and to avoid stra...[Read More] Essential Tips for Post-Surgery Sitz Baths and Bowel Habits