Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Hyperhidrosis issues? Hello, doctor. I would like to inquire about which specialty I should consult for the evaluation of hyperhidrosis. I have researched surgical options, but I am hesitant to decide due to potential compensatory sweating and other postoperative issues. Addition...
Dr. Lai Zhaokang Reply:
Hello: 1. The causes of hyperhidrosis can be divided into primary and secondary; primary hyperhidrosis accounts for the majority and is mainly caused by hyperactivity of the sympathetic nervous system leading to abnormal sweating. Secondary hyperhidrosis is often due to condition...[Read More] Understanding Hyperhidrosis: Choosing the Right Specialist and Treatment Options
Understanding Persistent Itching: What to Do About Nipple Discomfort
The issue of itchy nipples? Hello, doctor. I have a question. I am a 43-year-old male, 178 cm tall, and weigh 68 kg. About three months ago, I started experiencing itching on my left nipple, which has been localized to that area. The itching occurs intermittently; sometimes it st...
Dr. Peng Xianwen Reply:
A physical examination is still necessary for an accurate diagnosis. Currently, it is suspected to be eczema. Dr. Peng Hsien-Wen, Nantou Hospital.[Read More] Understanding Persistent Itching: What to Do About Nipple Discomfort
Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Cerebral atrophy leading to compensatory hydrocephalus with dementia symptoms, is it suitable for ventriculoperitoneal shunt surgery? Hello Doctor, my father is 66 years old and has a history of Parkinson's disease, epilepsy, diabetes, and mental illness. In October 2019, he...
Dr. Zhang Junwei Reply:
If a patient experiences compensatory ventricular enlargement due to cerebral atrophy, performing a ventriculoperitoneal shunt surgery is indeed not effective. It will not lead to significant improvement in the patient's dementia condition.[Read More] Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide
Regarding total splenectomy and partial pancreatic resection (30-40%) surgical issues? I am a 24-year-old male, non-smoker and non-drinker. My father has a history of diabetes. In October, I was diagnosed with a large cyst (approximately 13x10 cm) located between my spleen and pa...
Dr. Chen Jiaming Reply:
1. For emergency splenectomy, it is recommended to administer vaccinations two weeks post-surgery; for elective surgeries (scheduled), it is advised to administer vaccinations two weeks prior to the procedure. 2. The following individual vaccines are recommended: (a) Strep...[Read More] Spleen and Partial Pancreas Removal: Pre-Op Vaccination and Care Guide
Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-operative care for brain tumor surgery? My father had surgery last May, and since then he has been experiencing severe diabetes insipidus (drinking nearly 10,000 cc of water daily). However, he also has heart failure, with blood pressure typically ranging from 180 to 200 mmH...
Dr. Zhang Junwei Reply:
If you have so many issues, I recommend visiting a hospital's integrative medicine department or a family medicine clinic. They will address your conditions comprehensively, rather than treating each symptom in isolation.[Read More] Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-Operative Care Challenges for Craniopharyngioma Patients
Postoperative care issues following craniopharyngioma surgery? Hello Dr. Lai, my father underwent surgery for a craniopharyngioma in May and is currently resting at home. His condition is as follows: 1. He is experiencing diabetes insipidus, but the doctor has not prescribed an...
Dr. Lai Zhaokang Reply:
Hello: 1. The diabetes insipidus is excessive; it is recommended to return to the original surgeon for a follow-up. 2. This excessive diabetes insipidus can interfere with the body's fluid and electrolyte balance, leading to potential issues such as shock, which poses a risk...[Read More] Post-Operative Care Challenges for Craniopharyngioma Patients
Understanding Leg and Foot Pain: A Guide for Diabetic Patients
Regarding pain from the thigh to the calf and foot? Hello, Doctor. I apologize for bothering you, but I would like to consult you about a situation I experienced. I have a history of type 2 diabetes. The night before last, after I finished my walking exercise and returned home, I...
Dr. Lai Zhaokang Reply:
Hello: It may be sciatica; I recommend seeing a neurosurgeon for examination. Best wishes. // Director Lai Chao-Kang, Spine Neurosurgery.[Read More] Understanding Leg and Foot Pain: A Guide for Diabetic Patients
Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer
I'm sorry, could you please clarify your question? Recently, I have lost about forty pounds over the past six months, and my appetite has significantly decreased. I have been experiencing continuous rectal bleeding, almost no appetite, and symptoms of nausea and vomiting. So...
Dr. Ke Fangxu Reply:
Answer: Losing 40 kilograms in six months is an astonishing change. While the likelihood of developing colorectal cancer at the age of 23 is not zero, it is generally considered to be low. Given your situation, it would be advisable to first consult a metabolic specialist to chec...[Read More] Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer
Effectiveness of Antibiotic Treatment for Unruptured Appendiceal Abscess
The presence of an abscess in the appendix that has not ruptured can be effectively treated with antibiotics? Hello Doctor: My father is 70 years old and has diabetes. He was admitted to the hospital on February 12 (Monday) afternoon due to unusual abdominal pain. A CT scan revea...
Dr. Ke Fangxu Reply:
Based on your description, the patient's recovery seems to be good. The white blood cell count has returned to normal, and there is no drainage of ascitic fluid from the drain, indicating that the patient is likely in a condition suitable for discharge. If the patient is hav...[Read More] Effectiveness of Antibiotic Treatment for Unruptured Appendiceal Abscess
Understanding Brain Tumors: A Case Study of Severe Complications
The brain tumor has affected the brainstem? (My mom has diabetes) My mom went to the emergency room at midnight due to a headache. A CT scan revealed a 7 cm tumor at the front of her brain. An MRI was performed, and she was admitted to the hospital at 6 PM the same day. During he...
Dr. Zhang Junwei Reply:
Without seeing the brain CT scan and the actual medical history, I cannot provide you with an accurate answer, but it does not seem optimistic.[Read More] Understanding Brain Tumors: A Case Study of Severe Complications
Understanding Ganglion Cysts: When to Seek Surgery and Risks Involved
Ganglion cyst Hello Doctor, I have lupus erythematosus, and there is a family history of diabetes. Earlier this year, I consulted a doctor who said surgery was an option and that I could choose not to proceed. I initially thought I would ignore it since I wasn't in pain. How...
Dr. Wu Yuting Reply:
Hello, please visit the outpatient clinic for a consultation, as the physician will provide a clearer explanation.[Read More] Understanding Ganglion Cysts: When to Seek Surgery and Risks Involved
Post-Surgery Complications: Managing Wound Healing After Heart Surgery
Postoperative issues? Hello Dr. Lee, First of all, I would like to thank this platform and the doctors for providing such a valuable service to the public for free. I truly appreciate your efforts to help others. My father underwent open-heart surgery in May due to his advance...
Dr. Li Zhonghuai Reply:
Hello! If the wound is deep, do not use artificial skin. Moreover, since your father has multiple chronic diseases, it is advisable to see a general surgeon or a plastic surgeon as soon as possible to address the wound issue. Take care! Changhua Hospital cares about you![Read More] Post-Surgery Complications: Managing Wound Healing After Heart Surgery
Post-Rectal Cancer Surgery: Understanding Symptoms and Recovery Tips
Symptoms after rectal malignant tumor resection? Hello, my father-in-law underwent a rectal tumor resection surgery two to three weeks ago. He is now going to the bathroom several times a day, experiencing constant bloating, and has swelling in both legs. Is this a normal post-op...
Dr. Ke Fangxu Reply:
Answer: Rectal cancer resection surgery can lead to an increased frequency of bowel movements due to the removal of the rectum. If this increase in frequency affects daily life, patients can consult their physician for medication. Post-surgery, if nutritional status is poor, it m...[Read More] Post-Rectal Cancer Surgery: Understanding Symptoms and Recovery Tips
Managing Deep Wounds After Cyst Removal: What You Need to Know
The wound from the cyst excision is very deep and has opened up? Hello Doctor, my mother has diabetes and a sebaceous cyst near her breast, which was excised at the end of July. She has been following up regularly. Due to work commitments, I couldn't accompany her to her app...
Dr. Li Zhonghuai Reply:
Hello! If the wound does not heal properly after suturing, it is not recommended to suture again for diabetic patients. Instead, allow the wound to gradually close on its own, and change the dressing at least twice a day. Changhua Christian Hospital cares about you![Read More] Managing Deep Wounds After Cyst Removal: What You Need to Know
Understanding Post-Surgery Symptoms of Anal Fistula: What to Expect
Anal fistula surgery Hello, Dr. Ko. This year, after an anal abscess in June, I underwent an anal fistula incision surgery on July 19 (there was no pus discharge normally). At that time, the doctor mentioned that it was considered a superficial fistula. Both the hospital informat...
Dr. Ke Fangxu Reply:
Answer: It has been exactly one month since your surgery. I recommend that you increase the frequency of sitz baths and observe for a few more weeks. Based on your description, it is indeed possible that there is a recurrence, but it could also be due to slower wound healing. Fac...[Read More] Understanding Post-Surgery Symptoms of Anal Fistula: What to Expect
Is Catheterization Necessary for Pituitary Tumor Surgery?
Is it necessary to insert a urinary catheter for pituitary tumor surgery? Hello, doctor. I am preparing to undergo surgery for a pituitary tumor, and I've been reading articles from other patients. I noticed that some of them had to have a urinary catheter inserted, which ma...
Dr. Zhang Junwei Reply:
1. Prolonged general anesthesia during surgery requires the insertion of a urinary catheter, which is unrelated to pituitary gland surgery. 2. Diabetes insipidus refers to the production of large volumes of urine in a short period of time.[Read More] Is Catheterization Necessary for Pituitary Tumor Surgery?
Understanding Mild Carotid Atherosclerosis: Causes, Symptoms, and Management
Mild carotid atherosclerosis Hello Dr. Chang, In the past three weeks, I have frequently felt a bit dizzy while eating, and I also experience occasional dizziness at other times, sometimes with a sensation of spinning. I have visited an otolaryngologist for dizziness tests and ...
Dr. Zhang Junwei Reply:
This issue falls under the field of neurology.[Read More] Understanding Mild Carotid Atherosclerosis: Causes, Symptoms, and Management
Understanding Cellulitis: Does It Always Require an Open Wound?
Cellulitis Is cellulitis only likely to occur if there is a wound? My father recently complained of sudden pain in his right calf, which appears red and swollen, but there is no visible wound. The size of the redness and swelling is about 5x5 cm. Additionally, my father has diabe...
Dr. Li Qinglong Reply:
Dear Mr. Wenlong: The information you have reviewed may indicate a potential issue. It is recommended that you seek treatment at a surgical outpatient clinic. The Hualien Hospital of the Ministry of Health and Welfare cares about your well-being.[Read More] Understanding Cellulitis: Does It Always Require an Open Wound?
Understanding Rectal Bleeding and Weight Loss: Key Concerns for Young Adults
In mid-January, there was blood in the stool? 1. Regarding your question, after experiencing bright red blood in your stool in mid-January, you promptly consulted a colorectal specialist who performed a flexible sigmoidoscopy and diagnosed you with a mild anal fissure. Following ...
Dr. Ke Fangxu Reply:
The anoscope, as you described, is a method for examining the anus and does not cover the rectal area. Since a colonoscopy has already been scheduled, there is no need to dwell on it. You likely already know the results when you saw the email response. It is true that patients wi...[Read More] Understanding Rectal Bleeding and Weight Loss: Key Concerns for Young Adults
Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Deciding on surgery for a vestibular schwannoma is challenging? I have consulted four hospitals and four neurosurgeons regarding my condition. I currently have poorly controlled diabetes and an acoustic neuroma approximately 2 cm in size, which only slightly touches the brainstem...
Dr. Zhang Junwei Reply:
A 2 cm neuroma can actually be treated with a gamma knife![Read More] Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma