Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Pain from the upper abdomen to the neck? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I went to a gastroenterologist and had an endoscopy, which showed only mild ga...
Dr. Zhang Junwei Reply:
What they refer to as neuropathic pain is essentially pain for which no identifiable cause can be found, and thus it is classified as neuropathic pain.[Read More] Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Understanding Ruptured Hemorrhoids: Symptoms, Treatment, and When to Seek Help
Hemorrhoid rupture? Hello Doctor: A few days ago, my hemorrhoid ruptured, and I consulted with a doctor about its severity. The day after it ruptured, I had a bowel movement and noticed a small amount of blood. When wiping, I found a small, elongated piece that looked like flesh ...
Dr. Ke Fangxu Reply:
What has fallen out and what is protruding cannot be determined without a personal examination. If it is a thrombosed external hemorrhoid, light bleeding within a week after it ruptures is considered normal. However, if the bleeding lasts more than a week, it is advisable to cons...[Read More] Understanding Ruptured Hemorrhoids: Symptoms, Treatment, and When to Seek Help
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
Is It Safe to Exercise After a Head Injury? Expert Insights
Exercise after a head injury? Hello, doctor. Two days ago in the afternoon, I bumped my head while playfully pushing back with a friend. At that moment, my consciousness was normal, but it hurt a bit, so I went to the health center for ice treatment. It seems to have swollen a li...
Dr. Zhang Junwei Reply:
Exercise can increase uncomfortable symptoms. Typically, this is observed for about a week.[Read More] Is It Safe to Exercise After a Head Injury? Expert Insights
Which Specialist to Consult for Rising Thyroglobulin Levels?
Which outpatient clinic should I go to? This year, my thyroid antibody index for Thyroglobulin seems to be continuously rising. After receiving high-dose I-131 treatment, my immunoglobulin levels were stable at 1-2 for several years, but suddenly increased to 10 at the beginning ...
Dr. Ke Fangxu Reply:
Have you undergone a total thyroidectomy due to malignant thyroid tumors after receiving Iodine-131 treatment? Iodine-131 destroys all thyroid tissue, so future sources of thyroid hormones must come from oral supplementation. Rapid heartbeat may be due to elevated thyroid hormone...[Read More] Which Specialist to Consult for Rising Thyroglobulin Levels?
Understanding a Painful Lump Near the Belly Button: Causes and Concerns
There is a swelling approximately two centimeters in length, located about five centimeters below the right side of the navel? In recent days, I have noticed a swelling about two centimeters in size, located approximately five centimeters below my right navel (in a horizontal str...
Dr. Chen Jiaming Reply:
Although you have made a great effort to describe your condition clearly, a definitive diagnosis of skin or subcutaneous masses requires an in-person consultation. Online consultations are not sufficient for this purpose. It is recommended that you visit a general surgery outpati...[Read More] Understanding a Painful Lump Near the Belly Button: Causes and Concerns
Should I Delay My Surgery Appointment Due to Current Symptoms?
Should I wait to seek medical attention later? The situation is as follows: I have noticed some blood during bowel movements and anal pain. Coincidentally, the hemorrhoid suppositories I had previously were likely thrown away by a family member while cleaning. Given my history of...
Dr. Yu Mingchang Reply:
Hello: You can directly consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Should I Delay My Surgery Appointment Due to Current Symptoms?
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
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei Reply:
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Understanding Colorectal Concerns: When to Revisit Your Doctor
Colonoscopy issues? Hello, doctor. Three years ago, I had a colonoscopy due to blood in my stool, which was performed by a gastroenterologist. The result showed that I had hemorrhoids. Since then, I occasionally notice blood in my stool, which is mixed with mucus and adheres to t...
Dr. Ke Fangxu Reply:
1. There is no need for a colonoscopy at the age of 24 if there are no specific symptoms; a follow-up colonoscopy every five years is sufficient. 2. A skilled physician can indeed perform the procedure in less than six minutes if there are no particular lesions, and it typicall...[Read More] Understanding Colorectal Concerns: When to Revisit Your Doctor
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
Understanding Persistent Anal Itching: Causes and Treatment Options
Anal itching Hello, doctor. Recently, I have been experiencing anal itching that occurs at a similar frequency both day and night. Could this indicate that it is less likely to be caused by a pinworm infection? Previously, I was diagnosed with eczema in the groin area by a physic...
Dr. Ke Fangxu Reply:
Anal itching may be caused by excessive wiping and is generally unrelated to parasitic infections. In addition to medication and topical treatments, there are three important considerations: avoid scratching to prevent wound infection, temporarily refrain from consuming spicy foo...[Read More] Understanding Persistent Anal Itching: Causes and Treatment Options
Managing Persistent Bleeding from Thrombosed External Hemorrhoids: What You Need to Know
Persistent bleeding from a thrombosed external hemorrhoid? Hello doctor, I occasionally experience constipation due to stress, which led to the development of internal hemorrhoids during my university years. Last Friday, while using the restroom, I exerted myself improperly, resu...
Dr. Ke Fangxu Reply:
The symptoms of thrombosed hemorrhoids will evolve from pain to swelling, and subsequently, the rupture of the thrombus may lead to mild bleeding, which typically resolves within three to five days. This is a normal healing process, and as long as there is no significant bleeding...[Read More] Managing Persistent Bleeding from Thrombosed External Hemorrhoids: What You Need to Know
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 Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello doctor, I have been experiencing rectal bleeding for about four months. Initially, I visited a family medicine clinic for hemorrhoids and used some topical medication, but there has been no improvement. I do not feel any pain during bowel movements, and the ...
Dr. Ke Fangxu Reply:
This situation is likely indicative of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Warm sitz baths may also help alleviate sympt...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Post-Car Accident Dizziness and Nausea: When to Seek Medical Help
Dizziness and vomiting after a car accident? About a week ago, I was hit by a driver who ran a red light while I was walking on the crosswalk with the green light. At the time, my head was swollen, but since it was a Saturday and there weren't any good hospitals in the area,...
Dr. Zhang Junwei Reply:
Abnormal, please consult a neurosurgeon or an otolaryngologist (suspected inner ear issues causing dizziness).[Read More] Post-Car Accident Dizziness and Nausea: When to Seek Medical Help
Understanding Symptoms: Weakness, Bloating, and Irregular Bowel Movements
Weakness in the limbs, abdominal distension, and thin or unformed stools? Hello doctor, I had issues with intestinal colic when I was a child, and for the past five years, I have been experiencing irritable bowel syndrome (IBS). Recently, I have had a sudden increase in constipat...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 22 is not zero, but generally, it is very, very low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to start with a light diet and maintain a good lifestyle. If symptoms ...[Read More] Understanding Symptoms: Weakness, Bloating, and Irregular Bowel Movements
Understanding a Bump on Your Rib: When to See a Specialist
I have a lump on the bone of my right rib? Hello doctor, I would like to ask you about something. At the end of February, I contracted influenza type A, and I experienced severe pain in my ribs from coughing. In mid-March, I had a chest X-ray, and the doctor said there was no iss...
Dr. Li Zhonghuai Reply:
Hello! If it is lymphadenitis, it is indeed advisable to try medication first. The physician's intention is likely to increase blood circulation to the area, allowing the antibiotics to reach it more effectively. However, it is common for sebaceous cysts to become inflamed, ...[Read More] Understanding a Bump on Your Rib: When to See a Specialist
Which Specialist Should You See for Persistent Underarm Swelling?
Which specialty should I consult for treatment? Hello, doctor. I would like to ask you some questions. Recently, I have been feeling a swelling and tightness in my left armpit (without any trauma or obvious redness). I have previously visited a family medicine clinic for treatmen...
Dr. Li Zhonghuai Reply:
Hello! First, to rule out any tumor issues, it is recommended to see a breast surgeon. Next, consult an orthopedic specialist to exclude any musculoskeletal problems. If everything is clear, we should consider the possibility of venous embolism, which may require a contrast-enhan...[Read More] Which Specialist Should You See for Persistent Underarm Swelling?