Understanding Pressure Ulcer Healing: Concerns and Solutions for Wheelchair Users
Pressure ulcer wound..? Hello doctor, I am a person who needs to sit in a wheelchair for a long time, and I do not have diabetes. Two years ago, I developed a pressure ulcer on my ischial area, which required debridement at the hospital. The ulcer was about 2.5 cm deep and had a ...
Dr. Lü Mingchuan Reply:
Hello: Depending on the situation, skin grafting or flap surgery can be arranged. You can come to the outpatient clinic for an appointment.[Read More] Understanding Pressure Ulcer Healing: Concerns and Solutions for Wheelchair Users
Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
Postoperative wound expansion and difficulty healing after external hemorrhoid ultrasound knife surgery! Hello, Doctor! Thank you for taking the time to respond to my message! The situation is as follows: My husband, who is 48 years old, has diabetes and hyperlipidemia. Recently,...
Dr. Ke Fangxu Reply:
It may be caused by a rupture of the wound from the ultrasound knife. At this time, the only options are to enhance sitz baths and apply topical medications. If there is pain or inflammation, oral medications can also be added for treatment while waiting for the wound to heal. At...[Read More] Post-Surgery Complications: Understanding Wound Healing After Hemorrhoid Surgery
Managing Recurrent Cellulitis: Treatment Options and Concerns
Recurrent cellulitis Hello, Doctor. My father had a serious car accident the year after I was born (in 1981), and after surgery, he had a prosthetic plastic bone implanted in his left thigh, which has caused him to walk with a limp ever since. He has experienced recurrent celluli...
Dr. Li Zhonghuai Reply:
Hello! This is mostly chronic osteomyelitis, which generally causes significant suffering for patients and their families. It is recommended to seek treatment at a hospital that offers hyperbaric oxygen therapy. Of course, smoking and alcohol should be completely avoided, and fam...[Read More] Managing Recurrent Cellulitis: Treatment Options and Concerns
Preventing Anal Fistulas in Wheelchair Users: Key Insights
Anal fistula in individuals with limited mobility? Dear Dr. Ke: I apologize for taking up your valuable time. I would like to ask if individuals with lower limb disabilities who spend all day in a wheelchair are more prone to developing anal fistulas. Are there any preventive mea...
Dr. Ke Fangxu Reply:
Anal fistula is a complication resulting from an anal abscess. Lower limb impairment is not a risk factor for its occurrence. It is important to maintain local hygiene, and individuals with diabetes should pay attention to blood sugar control.[Read More] Preventing Anal Fistulas in Wheelchair Users: Key Insights
Delayed Healing After Appendectomy: Concerns and Recovery Insights
The incision from appendicitis surgery has not healed one month post-operation? Hello doctor, I would like to ask a question for my mother. It has been nearly a month since she had her appendectomy. Two weeks after the surgery, she went to another clinic to have her stitches remo...
Dr. Chen Jiaming Reply:
The wound healing status varies based on the original condition (appendicitis -> appendicitis is classified as an intra-abdominal infection), age, nutritional status, diabetes, and wound care methods, among other factors. Although it has been a month, since the doctor indicate...[Read More] Delayed Healing After Appendectomy: Concerns and Recovery Insights
Understanding Carpal Tunnel Syndrome: Surgery, Recovery, and Risks
Carpal Tunnel Syndrome Hello Doctor: I was recently diagnosed with carpal tunnel syndrome due to severe numbness in both hands. I underwent nerve conduction studies, which showed 4.1 for the left hand and 4.9 for the right hand, both of which are abnormal. I am currently undergoi...
Dr. Zhang Junwei Reply:
1. The outpatient surgery is self-funded and typically requires one month of rest. 2. All options are available. 3. Any surgery carries risks.[Read More] Understanding Carpal Tunnel Syndrome: Surgery, Recovery, and Risks
Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Bowel issues, weight loss, and fatigue? Hello Doctor: Recently, I have noticed that my bowel movements are sometimes loose and thin, while at other times they are normal, but there is always mucus present. Previously, I noticed a small amount of blood in the mucus when wiping. Ev...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 17 can be considered negligible. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and uphold a good lifestyle routine. Spicy, irritating, and greas...[Read More] Understanding Weight Loss, Fatigue, and Bowel Issues: What You Need to Know
Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Persistent bleeding after fistula surgery? Hello Doctor, I underwent a fistula incision surgery three months ago, but I am still experiencing oozing blood. I have also noticed a red and swollen area at the anal opening (as shown in the linked photo) https://img.onl/YnRMTb. After ...
Dr. Ke Fangxu Reply:
If the surgery was performed three months ago, it is possible that there is a recurrence of the fistula. If there is a history of diabetes, this could indeed lead to delayed wound healing. It is recommended to observe for another six months; if the wound has not healed by then, a...[Read More] Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Managing Cellulitis: Symptoms, Treatment, and Recovery Tips
Cellulitis Hello doctor, from March 29 to April 2, I experienced pain when my slippers touched the skin on the dorsum of my foot. However, the pain was not localized; only the area between my big toe and the second toe was slightly swollen and tender. Additionally, there was mild...
Dr. Li Zhonghuai Reply:
Hello! For athlete's foot combined with a bacterial infection, you should clean the spaces between your toes daily with sterile saline solution and apply ointment afterward. Avoid contact with tap water. Cover with gauze, and wear blue and white sandals (not flip-flops) duri...[Read More] Managing Cellulitis: Symptoms, Treatment, and Recovery Tips
Understanding Gallstones and Cholecystectomy: Key Questions Answered
Consultation for Gallstones and Cholecystectomy? Hello Dr. Yu, I have a family history of: 1. pancreatic cancer 2. hypertension 3. diabetes 4. gallstones. My personal medical history includes ultrasound findings of: 1. gallstones (one stone measuring 2.04 cm, while the CT sca...
Dr. Yu Mingchang Reply:
Hello: 1. Symptoms may not always be present; they vary from person to person. Upper abdominal cramping may occur due to individual digestive issues. 2. Laparoscopic cholecystectomy typically requires a hospital stay of 3 to 5 days. 3. The cost ranges from 30,000 to 50,000. 4. It...[Read More] Understanding Gallstones and Cholecystectomy: Key Questions Answered
Understanding Slow Healing Finger Injuries: Causes and Solutions
Fingers are prone to injury, and wounds are difficult to heal? Hello Doctor: Over the past two years, my fingers have frequently been injured, such as cuts from knives or injuries resembling paronychia when trimming my nails. Each time, the wound expands from a small point to an ...
Dr. Li Zhonghuai Reply:
Hello! There are many reasons for wounds to heal poorly, including diabetes, impaired kidney function, autoimmune diseases (such as psoriasis and rheumatoid arthritis), smoking (including secondhand and thirdhand smoke), alcohol consumption, long-term use of corticosteroids, prev...[Read More] Understanding Slow Healing Finger Injuries: Causes and Solutions
Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Nutritional absorption issues due to the presence of a stoma? Hello, Doctor. My father underwent surgery for acute intestinal obstruction in mid-December last year, during which a portion of his small and large intestine was removed. It has been nearly four months since the surge...
Dr. Chen Jiaming Reply:
First, it is unclear whether the stoma is an ileostomy or a colostomy. If it is an ileostomy, there may be issues related to fluid and electrolyte balance, which can be more complex. If it is a colostomy, it depends on whether there are any bowel function issues, such as diarrhea...[Read More] Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Understanding Posterior Longitudinal Ligament Calcification and Its Management
Regarding posterior longitudinal ligament calcification? Hello Director Lai, I have a problem with calcification of the posterior longitudinal ligament, which has already caused discomfort in my neck. I heard that this is a condition unique to Asians. May I ask, Director Lai, is ...
Dr. Lai Zhaokang Reply:
Hello: According to the literature: 1. Ossification of the posterior longitudinal ligament (OPLL) is associated with various congenital genetic factors and multiple influencing factors. 2. Individuals who prefer pickled foods, such as kimchi, and staple foods like rice have a sig...[Read More] Understanding Posterior Longitudinal Ligament Calcification and Its Management
Understanding Appendicitis: Why Testing is Essential After Surgery
Appendicitis tests Hello Doctor, my mother experienced severe abdominal pain around 1:00 AM on February 28th and was continuously vomiting (including the sleeping pills she took before bed). We took her to the emergency room, where she underwent X-rays, a chest X-ray, and a CT sc...
Dr. Chen Jiaming Reply:
No need to worry! Under the National Health Insurance system, it is standard procedure to send the excised inflamed appendiceal tissue for pathological examination after an appendectomy. This surgical approach complies with the health insurance billing process. It is not that you...[Read More] Understanding Appendicitis: Why Testing is Essential After Surgery
Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Postoperative issues following patent urachus closure surgery? Hello Doctor, I was diagnosed with a patent urachus about a month ago and underwent surgical excision. Since I have type 1 diabetes, the doctor advised me to be cautious about the possibility of recurrent infections. ...
Dr. Chen Jiaming Reply:
Postoperative conditions can vary depending on the type of surgery performed. Based on your description, it does not appear to be a specific complication issue, as the original condition was an infection, and antibiotic treatment was likely administered during the treatment proce...[Read More] Post-Surgery Concerns for Umbilical Urachal Remnant Closure
Understanding Arm Issues: Cysts, Tumors, and Weight Loss Surgery Options
Upper arm issues? Hello Dr. Chen, 1. A few days ago, I accidentally felt a small lump (cyst?) in the muscle layer on the inner side of my left upper arm. Sometimes I can feel it, and sometimes I can't. When I do feel it, it seems to be fixed in place and does not move (isn&...
Dr. Chen Jiaming Reply:
1. For skin or subcutaneous tissue masses, it is recommended to first consult a general surgeon for evaluation. The choice of diagnostic tests will be determined based on the clinical physician's assessment during the examination (and in some cases, no tests may be necessary...[Read More] Understanding Arm Issues: Cysts, Tumors, and Weight Loss Surgery Options
Understanding Swollen and Painful Fingers: Possible Causes and Treatments
Finger issues Hello, doctor. My father suddenly experienced swelling and pain in his finger two days ago. He applied iodine to the area at that time. Over the next two days, the redness and swelling persisted, but today I noticed a distinct yellow area at the junction of the nail...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be paronychia. If there is pus accumulation, an incision and drainage may be necessary. It is recommended that he visit a surgical outpatient clinic to prevent the infection from spreading.[Read More] Understanding Swollen and Painful Fingers: Possible Causes and Treatments
Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
About Multiple Sclerosis? Hello, Doctor. A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist. The result was that everyth...
Dr. Lai Zhaokang Reply:
I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about. If it is not, focus on living your life without attributing symptoms to yourself. Your future is long, so concentrate on your studies a...[Read More] Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
Understanding Brain AVMs: Symptoms, Risks, and Diagnosis Explained
I have a slight numbness and pain in my head? 1. Can a brain ultrasound performed during infancy detect arteriovenous malformations (AVMs)? 2. If there is no family history of stroke or arteriovenous malformations, but there is a history of diabetes and hypertension, what is my a...
Dr. Lai Zhaokang Reply:
Hello: 1. If the malformation is superficial and large enough, a brain ultrasound may be able to detect it. However, as the infant grows, it may not be visible at that time. Over the years, the congenital arteriovenous malformation may also change and enlarge, potentially being d...[Read More] Understanding Brain AVMs: Symptoms, Risks, and Diagnosis Explained
Should You Use Degradable Mesh for Hernia Surgery? Expert Insights on Benefits and Risks
Is it recommended to use biodegradable mesh for hernia surgery? My mother (59 years old) has been diagnosed with a hernia (a lump in the lower right abdomen near the groin). She has had two cesarean sections and often lifts heavy objects, but she does not have any issues with hyp...
Dr. Chen Jiaming Reply:
Hernia surgery is a very common procedure in Taiwan, with approximately 30,000 surgeries performed each year. The technique has evolved from traditional tissue repair methods to the current mainstream approach of tension-free repair using synthetic mesh. A wide variety of synthet...[Read More] Should You Use Degradable Mesh for Hernia Surgery? Expert Insights on Benefits and Risks