Exploring Serratiopeptidase for Cervical Radiculopathy Relief
Cervical radiculopathy (starting from February) Regarding the use of serratiopeptidase for cervical radiculopathy, it is important to consult with your physician before starting any new supplement or medication. Serratiopeptidase is an enzyme that may have anti-inflammatory prope...
Dr. Zhang Junwei Reply:
Without a detailed clinical assessment, it is not possible to address medication-related questions.[Read More] Exploring Serratiopeptidase for Cervical Radiculopathy Relief
Understanding Cervical Disc Herniation: To Operate or Not?
Cervical intervertebral disc herniation..? Hello Dr. Lai: I visited for arm numbness and pain last November, and it was found that I have a herniated disc at the C5 and C6 vertebrae. At that time, I underwent traction therapy and acupuncture, which helped a bit, but I did not ful...
Dr. Lai Zhaokang Reply:
Hello: Whether to perform surgery for cervical disc herniation compressing the nerves depends on: 1. The urgency of the situation, such as if there is already paralysis or weakness; 2. The effectiveness of conservative treatments, such as medications and physical therapy; if thes...[Read More] Understanding Cervical Disc Herniation: To Operate or Not?
Post-Surgery Complications: Managing Colostomy Closure Wound Issues
The surgical wound from the closure of the stoma has opened after the sutures were removed, resulting in continuous leakage of fecal matter? Hello, Dr. Ke. My father is 68 years old and had a temporary colostomy placed in the right upper abdomen after undergoing surgery for recta...
Dr. Ke Fangxu Reply:
The issue your father is facing is a leak at the site of the stoma closure. There are two viable options. The first is to temporarily withhold food and wait for the leak to heal on its own. The benefits of this approach are that it avoids the need for another surgery. However, th...[Read More] Post-Surgery Complications: Managing Colostomy Closure Wound Issues
Understanding Rectal Discomfort: Risks and Surgical Options
Bowel movement issues Hello Doctor: Recently, I have been experiencing discomfort in my anus after having a bowel movement (it doesn't hurt, but it feels like there's something at the anal opening). I later realized that I had pulled my anal sphincter out, and I managed...
Dr. Zhang Shuhao Reply:
The tissue that protrudes after bowel movements is a prolapsed internal hemorrhoid, which can be manually pushed back into place. Sometimes, taking warm sitz baths can help reduce swelling and improve the condition. If this occurs frequently and causes distress, it is advisable t...[Read More] Understanding Rectal Discomfort: Risks and Surgical Options
Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Is pain during bowel movements a sign of anal fissure? Hello, doctor. I have both internal and external moles, and I have coexisted with them peacefully for a long time. However, after experiencing constipation and passing hard stools, I now have sharp pain during each bowel move...
Dr. Zhang Shuhao Reply:
Pain during or after bowel movements that feels like a knife cutting is a typical symptom of anal fissures. This is caused by tension in the sphincter muscle or excessive straining during defecation, leading to a tear. Some anal fissures may be accompanied by symptoms such as ana...[Read More] Understanding Painful Bowel Movements: Fissures, Hemorrhoids, or Polyps?
Understanding Painful Swelling in the Right Armpit: Causes and Next Steps
There is a lump under my right armpit that is soft to the touch and painful? During a shower, I noticed a lump in my right armpit that is larger than the left. When I pressed it, I didn't feel a hard mass, but I experienced pain when pressing at the junction of the deep side...
Dr. Chen Bingze Reply:
Hello, if you are really concerned, it might be a good idea to consult another physician. This way, you may feel more at ease.[Read More] Understanding Painful Swelling in the Right Armpit: Causes and Next Steps
Understanding Hard Lumps Near the Anus: Causes and Concerns
Perianal mass Hello Doctor, I have recently noticed a small hard lump at the very front of my anus (closest to the genital area). I'm not sure what it is. I don't feel any pain when standing or sitting, as long as I don't touch it, but I do feel some discomfort whe...
Dr. Zhang Shuhao Reply:
A sudden lump appearing at the anus is most commonly a thrombosed hemorrhoid, which is generally referred to as an exacerbation of hemorrhoids. This condition arises when the blood vessels within the hemorrhoid become compressed, leading to subcutaneous bleeding and swelling, whi...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns
Risks of Installing Artificial Vessels After Long-Term Chemotherapy
Questions about chemotherapy and artificial blood vessels? 1. If chemotherapy has been administered for over a year before placing a vascular access device, what risks might be involved? The patient was informed by the nurse that one arm was not suitable for access, which led to ...
Dr. Xu Kaixi Reply:
1 and 2. Aside from the potential for chemotherapy drugs to cause poorer vascular quality (such as the brittleness and lack of elasticity you mentioned), there are no additional risks. 3. There is a possibility of vascular complications, such as vasculitis. 4. The risk of infecti...[Read More] Risks of Installing Artificial Vessels After Long-Term Chemotherapy
Managing Suture Dehiscence After Fistula Excision Surgery
Dehiscence of the suture line after fistula excision surgery? Hello Dr. Chang, Today is the third day post-fistula excision surgery. While caring for the wound, I noticed that the original sutures have come undone. Should any action be taken? There is no significant bleeding fr...
Dr. Zhang Shuhao Reply:
The fistula surgery uses absorbable sutures, which will mostly start to fall out in about a week. However, if they fall out earlier, it is not a concern. As long as there is no bleeding, you can continue with the usual care, including taking warm sitz baths and changing the ointm...[Read More] Managing Suture Dehiscence After Fistula Excision Surgery
Should You See a Surgeon for a Lump Near the Anus?
Spherical mass near the anus? About a month ago, I discovered a round lump while taking a shower, approximately 1.2 centimeters in diameter. I have a habit of sitting for long periods, and it usually doesn't hurt. However, sometimes when I sit on a hard chair and accidentall...
Dr. Zhang Shuhao Reply:
A sudden appearance of a round, hard lump is most commonly associated with a thrombosed hemorrhoid, which is commonly referred to as an exacerbation of hemorrhoids. This condition arises from subcutaneous bleeding due to the compression of blood vessels within the hemorrhoid. It ...[Read More] Should You See a Surgeon for a Lump Near the Anus?
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Is It a Thrombosed External Hemorrhoid or Another Issue?
I'm not sure if it's a thrombosed external hemorrhoid? Hello, Doctor. Last month, I underwent rubber band ligation for internal hemorrhoids at the hospital, and they mentioned that I would have another procedure for a different internal hemorrhoid next month. A few days...
Dr. Ke Fangxu Reply:
1. Based on the photo, it is possible that it is a small thrombosed external hemorrhoid, which may occur after ligation. 2. Anal fissures are located inside the anal canal and cannot be seen with the naked eye from the outside; they require a digital rectal examination or anoscop...[Read More] Is It a Thrombosed External Hemorrhoid or Another Issue?
Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Hello, Dr. Chang, I would like to ask some questions? I am the one sending these two images: https://imgur.com/a/u4AZ5bq and https://imgur.com/a/Xm8FuM4. I would like to ask the following: 1. Regarding the hemorrhoids shown, can second-degree hemorrhoids be caused by my incorrec...
Dr. Zhang Shuhao Reply:
1. Enlarged hemorrhoids almost always have thrombosis due to bleeding, which is caused by straining during bowel movements. Therefore, it is recommended to minimize the duration of straining. Severe swelling of hemorrhoids can also lead to a sensation of urgency. 2. Improving l...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Lifestyle Tips
Understanding Axillary Hyperhidrosis and Surgical Options for Body Odor
Axillary bromhidrosis, axillary hyperhidrosis, microcautery bromhidrosis surgery, ultrasonic bromhidrosis surgery, and liposuction bromhidrosis surgery? Recently, I have noticed increased sweating and body odor in my armpits, which I believe is hereditary (though not particularly...
Dr. Zhou Hongzhang Reply:
1. This is a significant issue, and you can consult a physician at a local plastic surgery clinic for more detailed information. 2. Each type of surgery and each hospital or clinic has its own advantages and disadvantages, and the prices vary as well. 3. Generally speaking, a...[Read More] Understanding Axillary Hyperhidrosis and Surgical Options for Body Odor
Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Hello, Dr. Chang. I have already visited the large hospital? The situation has become more severe. I always thought I had hard stools, but it turns out I have hemorrhoids. Can hemorrhoids really become that swollen? Did I mistakenly think it was due to hard stools and excessive p...
Dr. Zhang Shuhao Reply:
The image appears to show a prolapsed hemorrhoid, and at this stage, surgical intervention is usually recommended. If you are still hesitant about surgery, it is advisable to perform warm sitz baths, along with the use of topical ointments and oral anti-inflammatory medications, ...[Read More] Understanding Severe Hemorrhoids: Symptoms, Treatment, and Concerns
Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Postoperative axillary swelling and fluid accumulation after ductal carcinoma in situ? Hello Doctor: I would like to ask about ductal carcinoma in situ. After undergoing a partial mastectomy, two sentinel lymph nodes were removed during the surgery, which showed no metastasis. Po...
Dr. Yu Mingchang Reply:
Lymph nodes are not a concern. If there is fluid accumulation, it can be drained. If there is a fistula, it depends on your body's ability to absorb it. Changhua Hospital cares about you.[Read More] Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Postoperative axillary swelling and pain after ductal carcinoma in situ (DCIS) surgery? Hello Doctor, I would like to ask about ductal carcinoma in situ. I have undergone a partial mastectomy, during which two sentinel lymph nodes were removed, and they showed no cancer cell meta...
Dr. Li Zhonghuai Reply:
Hello! Fluid accumulation in the axilla is produced by lymphatic vessels. Generally, lymphatic vessels will repair themselves after surgery, and the fluid will gradually be absorbed. You can use a compression garment to apply slight pressure, but some patients may require multipl...[Read More] Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Understanding Rectal Discomfort: Symptoms and Possible Causes
Hello, Dr. Chang. I have been experiencing discomfort in the anal area since September 3rd until today? On September 3rd, I experienced a sensation where I felt like I couldn't fully empty my bowels, even though I had already passed some stool. Suddenly, I had a feeling simi...
Dr. Zhang Shuhao Reply:
The photo appears to show a prolapsed hemorrhoid, which can cause a persistent sensation of foreign body in the anal area and may lead to the feeling of incomplete bowel movements when swollen. It is recommended to start with warm sitz baths, gently pushing the hemorrhoid back du...[Read More] Understanding Rectal Discomfort: Symptoms and Possible Causes
Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Postoperative complications of hemorrhoid surgery? Hello, Doctor: About a month ago, I underwent minimally invasive surgery for hemorrhoids, which involved approximately 17,000 procedures. Although a month has passed, I still feel that my anus is very tight and narrow when having...
Dr. Chen Ronghong Reply:
Whether traditional or minimally invasive hemorrhoid surgery, as long as the anal sphincter is not damaged, there should be no postoperative stricture issues. However, some so-called minimally invasive surgeries may use multiple incisions, leading to wounds that are too close tog...[Read More] Post-Surgery Complications: Understanding Anal Tightness After Hemorrhoid Surgery
Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms
Post-operative pain during bowel movements after mole removal? Hello doctor, I underwent a third-degree hemorrhoidectomy and anal fissure surgery on July 26, and I opted for self-paid ultrasonic scalpel treatment. Postoperatively, the wound is not very painful, but I experience s...
Dr. Zhang Shuhao Reply:
Early hemorrhoid surgery often resulted in anal stenosis due to injury to the sphincter muscle. However, with advancements in current hemorrhoid surgical techniques, the occurrence of anal stenosis has significantly decreased. Based on your description, it seems that the wound ha...[Read More] Post-Surgery Pain During Bowel Movements: Understanding Your Symptoms