Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Anal issues Hello, Dr. Ke. I discovered I had two internal hemorrhoids and one external hemorrhoid during an examination at a nearby clinic around July or August of this year. Initially, I underwent a ligation procedure for the two internal hemorrhoids, while the external hemorrh...
Dr. Ke Fangxu Reply:
A burning sensation is not necessarily caused by hemorrhoids resulting from treatment; the hemorrhoids themselves can also lead to abnormal sensations in the anal area. However, this does not pose a threat to life. It is recommended to use topical ointments for treatment. If it c...[Read More] Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Understanding L5-S1 Disc Herniation: Symptoms, Treatment, and Surgery Options
Herniated disc Doctor, I'm sorry, but I have an L5-S1 herniation, centrally displaced to the right. I mainly experience discomfort in my buttocks and calves. After undergoing acupuncture and manual therapy with traditional Chinese medicine, I've improved significantly. ...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination of your condition, I can only provide a suggestion based on your description. Generally speaking, if muscle atrophy has already occurred, surgical intervention is typically recommended. Such conditions are not life-threatening, but they c...[Read More] Understanding L5-S1 Disc Herniation: Symptoms, Treatment, and Surgery Options
Understanding Disc Herniation After Car Accidents: Treatment Options
Herniated disc after a car accident? The image above is an MRI scan. I would like to ask the physician to take a moment to respond to the following questions. Thank you. Dear Doctor, I was involved in a car accident on June 8, 2011, and the MRI scan shows a C3 nerve root contus...
Dr. Xie Bojun Reply:
1. The MRI images cannot be opened. 2. Online consultations are not entirely accurate. Although you have described your symptoms clearly, the physician still needs to perform a physical assessment and neurological examination in person to address your concerns! 3. For outpati...[Read More] Understanding Disc Herniation After Car Accidents: Treatment Options
Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Tension in the temples and cognitive impairment? I have been experiencing tightness in my temples for a long time, making it difficult for me to concentrate and remember things. I often forget things and my thought processes are slow. Sometimes, I become fixated on a problem and ...
Dr. Zhang Yuanyi Reply:
Dear Xiao Li, Hello, please visit the neurology outpatient clinic for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Essential Care Tips for Severe Burn Recovery: A Guide for Patients
Severe Burns (Forwarded from the Director's Mailbox) Hello! I am a member of the public, Jack! Several years ago, I experienced a severe second-degree burn from scalding hot water, and the wound was quite serious. I would like to ask what precautions I should take to ensure ...
Dr. Huang Junxiong Reply:
Hello: The principles for the emergency treatment of burns are: rinse, remove, soak, cover, and transport. For second-degree burns or higher, please follow the physician's instructions for dressing changes and follow-up care. If you have any questions, it is recommended to v...[Read More] Essential Care Tips for Severe Burn Recovery: A Guide for Patients
Understanding Pain from Ear to Collarbone: When to Seek Medical Help
Sharp pain under the left ear, radiating down the neck to the clavicle? Hello, doctor. For the past two days, I have been experiencing sharp pain under the left ear, radiating down the neck to the clavicle, while the right side is unaffected. The sensation is intermittent, descri...
Dr. Ding Xianwei Reply:
Regarding your issue, it may be a sternocleidomastoid muscle strain. It is advised not to keep your neck in a fixed position for too long. Another possible cause could be neuropathic pain, in which case heat therapy and rest are recommended. It is suggested that you first consult...[Read More] Understanding Pain from Ear to Collarbone: When to Seek Medical Help
Effective Wound Care for Second-Degree Burns: Best Practices and Tips
Wound care issues for burns and scalds? Hello Doctor: I accidentally burned my foot on the exhaust pipe on July 26, resulting in a large wound. Concerned about infection, I sought treatment at a nearby clinic, where the doctor diagnosed it as a second-degree burn. For the past fe...
Dr. Huang Junxiong Reply:
1. This is a second to third degree burn. 2. For wound dressing changes, Silver Sulfadiazine ointment can be used, once a day. 3. Currently, the use of "artificial skin" dressings is not appropriate. 4. Dressing changes are needed approximately every 2-3 weeks for the w...[Read More] Effective Wound Care for Second-Degree Burns: Best Practices and Tips
Understanding Risks and Long-Term Effects of L5-S1 Spine Surgery
Risks and complications of L5-S1 spinal surgery? I was diagnosed with spondylolisthesis due to numbness in my legs. An MRI revealed a herniated disc, which the doctor said is mild; however, I experience daily numbness below the knees and a burning sensation. I have undergone phys...
Dr. Ding Xianwei Reply:
Since I have not personally reviewed your information, the following suggestions are for reference only. If there is spondylolisthesis, it is generally due to degeneration of the spine leading to joint instability, which typically requires surgical intervention for stabilization....[Read More] Understanding Risks and Long-Term Effects of L5-S1 Spine Surgery
Understanding Foot Pain and Numbness: When to Seek Specialist Help
Soreness and numbness in the soles of the feet? Dear Doctor: My feet experience numbness followed by a burning sensation, then soreness, and finally pain whether I am sitting or standing. I have seen an orthopedic specialist, had X-rays of my spine which showed no issues, and tri...
Dr. Zhang Yuanyi Reply:
Dear SEN: Hello, issues with the cervical and lumbar spine can both potentially cause similar symptoms. Additionally, individuals with a history of diabetes may experience this condition due to peripheral neuropathy. It is recommended to visit a neurosurgery outpatient clinic for...[Read More] Understanding Foot Pain and Numbness: When to Seek Specialist Help
Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Is it advisable to add Betadine to warm sitz baths after anal fistula surgery? Hello, Doctor: I would like to ask if it is necessary to add a few drops of povidone-iodine to the warm water during sitz baths after anal fistula surgery. I have seen some people online mention that a...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the principle of warm water sitz baths with povidone-iodine is to utilize the released iodine ions for their antibacterial effect, which is very helpful in keeping the surgical wound clean. However, using too much povidone-iodine can actually ...[Read More] Is Adding Betadine to Sitz Baths After Anal Fistula Surgery Necessary?
Seeking Solutions for Nasal Reconstruction After Failed Surgery
Remedy for the Nose~ Hello Doctor: I am a victim of a nasal procedure performed by a traditional Chinese medicine practitioner ten years ago. Due to improper handling by the physician, I have developed adhesion and deviation of the nasal septum, resulting in uneven thermal injury...
Dr. Zhou Hongzhang Reply:
Our hospital is currently unable to provide this type of rhinoplasty. You may seek consultation and assistance at a larger medical center in Taipei.[Read More] Seeking Solutions for Nasal Reconstruction After Failed Surgery
Understanding Hemorrhoids: Symptoms, Treatment, and Surgery Concerns
Please ask me some questions? Hello, I would like to ask you some questions. 1. Does staying up late (staying up until 2 or 3 AM, or even all night), sitting for long periods, standing for long periods, or squatting for long periods really worsen the symptoms of hemorrhoids? ...
Dr. Ke Fangxu Reply:
Hello, 1. There is no medical evidence to support that staying up late causes hemorrhoids; however, many patients with hemorrhoid flare-ups in the clinic do not have other contributing factors besides lack of sleep. Prolonged sitting, standing, or squatting can lead to poor blo...[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Surgery Concerns
Understanding Anal Fistula Treatment: Is Bacitracin-Neomycin Ointment Effective?
Issues related to anal fistulas? Hello, Doctor: I have a problem with an anal fistula, and the doctor prescribed me an ointment called Bacitracin-Neomycin Ointment 30g/tube. The label states that it is for first aid, prevention, and relief of infections from cuts, scrapes, and bu...
Dr. Ke Fangxu Reply:
Hello, in response to your question. To be honest, no matter what ointment is applied, an anal fistula will not heal. The antibiotic ointment prescribed by your doctor is used to prevent bacterial infection, while the hemorrhoid ointment is for reducing swelling and pain. These t...[Read More] Understanding Anal Fistula Treatment: Is Bacitracin-Neomycin Ointment Effective?
Understanding Burn Treatment for Children: Common Questions Answered
Inquiry about burn injuries in a 3-year-old? Dear Doctor, My daughter suffered a second-degree burn on the back of her hand, approximately 10 cm in size, from hot water on the afternoon of October 17. During the emergency treatment, we were instructed to use saline solution dail...
Dr. Shi Wenbin Reply:
Hello, reader's mother: If a burn is properly cleaned and disinfected immediately, and if the amount of exudate is minimal and the wound is not large, it is reasonable to consider changing the dressing every two days. The method of dressing change also matters; for example, ...[Read More] Understanding Burn Treatment for Children: Common Questions Answered
Understanding Lumbar Burst Fractures and Nerve Injury Management
Lumbar vertebra burst fracture with spinal nerve injury? Hello Doctor: 1. I underwent lumbar spine surgery approximately ten years ago, during which I had a total of three to four surgeries. Recently, I have been experiencing lower back pain, leg numbness, and a burning sensati...
Dr. Zhang Yuanyi Reply:
Dear Jack, After surgery for lumbar nerve compression, it is common for some neurological symptoms to persist. This is because the relief of nerve compression does not always guarantee a return to original function. Currently, there are no specific treatment options available, a...[Read More] Understanding Lumbar Burst Fractures and Nerve Injury Management
Persistent Anal Pain: Seeking Effective Treatment Options
Anal swelling and pain? Hello Dr. Ke: Since early March, I have been experiencing sudden anal swelling and pain, along with a burning sensation (prior to the onset of symptoms, my bowel movements were normal, with no constipation or diarrhea). I have consulted several colorectal ...
Dr. Ke Fangxu Reply:
Hello Diano: The prolonged symptoms of anal swelling, pain, and burning for six months are quite unusual. Since you have already undergone both internal and external hemorrhoidectomy, we should consider whether this could be caused by coccygeal nerve pain. Additionally, is there ...[Read More] Persistent Anal Pain: Seeking Effective Treatment Options
Understanding the Transmission and Prevention of Genital Warts
The transmission vectors of cauliflower? Hello, doctor. I would like to ask what the transmission medium for genital warts is and how to prevent infection. For example, should clothing be washed separately, and should utensils be washed separately as well? I have been examined ...
Dr. Huang Zhihui Reply:
1. The transmission route of genital warts (condylomata acuminata) is primarily through sexual intercourse. During sexual activity, minor abrasions may occur, allowing HPV to enter through these small wounds and reach the basal layer of the epidermis at the site of epithelial dam...[Read More] Understanding the Transmission and Prevention of Genital Warts
Understanding Enzymatic Dressings for Burn Wound Care
::: About Burn Wounds Dear Dr. Shih, thank you. I am the patient who asked a question last time. Due to my fear of scissors and sharp objects, I have been very resistant to the surgical debridement method. A friend informed me that there are specific dressings that can dissolve y...
Dr. Shi Wenbin Reply:
In fact, the gel has a debridement and moisturizing effect on all types of wounds, not just limited to pressure ulcers. So you don't need to worry too much. Consider this: isn't a pressure ulcer just a very deep wound? (In fact, pressure ulcers can vary in depth.) It ca...[Read More] Understanding Enzymatic Dressings for Burn Wound Care
Understanding Facial Burns in Children: Severity, Treatment, and Scar Management
Facial burn Hello: My daughter is three years old and a few days ago she got burned by incense. The burned area appears dead white, is sunken, and doesn't hurt much. Could you please tell me what degree of burn this is? The wound is about 0.5 cm in diameter. I'm also co...
Dr. Lu Daokuan Reply:
For burns that may be classified as 2nd to 3rd degree, both types of ointments are effective in the initial stages. Once the wound stabilizes, a synthetic skin should be applied for 6 months for a wound size of 0.5 centimeters.[Read More] Understanding Facial Burns in Children: Severity, Treatment, and Scar Management
Understanding Burn Wound Care: Insights from Plastic Surgery
Regarding burn wounds? Hello, Doctor. I had a motorcycle accident and was treated at the hospital, where the physician assessed my wounds as second and third-degree burns. A week ago, I was prescribed Silvadene (silver sulfadiazine) cream to apply at home. After applying the medi...
Dr. Shi Wenbin Reply:
In deeper wounds, eschar forms, with dry black eschar being hard and, after being softened by moisture, turning into white soft eschar, which is easier to remove. Once removed, the wound can heal more readily. The white burn ointment provided to you can promote the softening of t...[Read More] Understanding Burn Wound Care: Insights from Plastic Surgery