Is Your Abdominal Lump a Lipoma or an Internal Tumor?
A palpable mass in the abdomen could potentially be a lipoma or an internal organ tumor? Hello Dr. Ke, I recently noticed that my abdomen feels uneven when pressed, and I can feel several hard lumps. I have polycystic ovary syndrome, which has contributed to my obesity, and I hav...
Dr. Ke Fangxu Reply:
If the size is only 1-2 centimeters, it is more likely to be a lipoma. If, as you mentioned, you have an obese body type, such a small intra-abdominal tumor would not be palpable on the surface. If you are still concerned, you can consult a family medicine physician or a general ...[Read More] Is Your Abdominal Lump a Lipoma or an Internal Tumor?
Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
After a car accident with no obvious external injuries, but experiencing nausea and a feeling of wanting to vomit, is further examination necessary? Hello, two days ago in the evening, I was involved in a collision with a motorcycle. I only have a slight abrasion on my left eyeli...
Dr. Zhang Junwei Reply:
Hello, it is common to experience headaches and dizziness after a head injury. It is recommended to stop working and rest for two to three days. If discomfort persists, it is advisable to schedule an appointment with a neurosurgery clinic for evaluation.[Read More] Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
Understanding Gastrointestinal Issues: Symptoms and Concerns Explained
Gastrointestinal issues Hello, Dr. Ke. I recently asked about the issue of positive fecal occult blood and would like to inquire about it along with my symptoms. I apologize for the lengthy message. About a month ago, I started experiencing a dull, stabbing pain in my lower abdom...
Dr. Ke Fangxu Reply:
The likelihood of developing colorectal cancer at the age of 18 is not zero, but it is generally very low. Based on your description, the probability of irritable bowel syndrome (IBS) seems higher. It is recommended to start with a light diet and maintain a good lifestyle. If sym...[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns Explained
Understanding the Connection Between Mental and Physical Health Issues
Psychiatry? Ophthalmology? Neurology? What is the greater likelihood that psychological factors cause physiological issues, or that physiological issues lead to psychological discomfort? Hello, I am 21 years old and have a history of seeking psychiatric treatment over the past si...
Dr. Ding Xianwei Reply:
It is recommended that you start with a visit to a family medicine physician.[Read More] Understanding the Connection Between Mental and Physical Health Issues
Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Pressing in the middle of the chest causes pain? Hello Dr. Ding: I have seen several doctors but none have been able to identify the cause of my symptoms. I would like to ask you some questions, as I am unsure which specialty I should consult. Thank you! In mid-September, I sud...
Dr. Ding Xianwei Reply:
It is recommended that you start with family medicine.[Read More] Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Understanding Headaches: Could Cold Water Showers Be the Cause?
Regarding headaches? Hello doctor, today while I was taking a shower, I initially used hot water, but later the water became cool. I didn't pay much attention to it and didn't rinse my head immediately; instead, I rinsed my body first and then my head. After finishing, ...
Dr. Ding Xianwei Reply:
It is recommended that you follow up with a neurologist or a family medicine physician.[Read More] Understanding Headaches: Could Cold Water Showers Be the Cause?
Understanding Exhaust Pipe Burns: Healing and Treatment Options
Exhaust pipe burn Hello doctor, I have had a burn for almost two weeks now. I initially went to a family medicine clinic, but later I went to the hospital for dressing changes. The nurse removed some of the dead skin and I have had the wound dressed for a week. The wound still fe...
Dr. Xu Kaixi Reply:
The wound from a burn that has developed blisters and has broken skin is classified as a second-degree burn. When the blisters rupture and the overlying skin is removed, it will resemble an abrasion. The appearance of small white granulation tissue on the wound is due to the rege...[Read More] Understanding Exhaust Pipe Burns: Healing and Treatment Options
Understanding Hemostatic Dressings Used in Surgical Procedures
Regarding hemostatic patches used in surgery? First, I would like to clarify that this is neither a report nor an assignment. I have also consulted with a family medicine physician who mentioned that many years ago, he saw in a certain journal (which he cannot recall) that patien...
Dr. Xu Kaixi Reply:
Hello, to my knowledge, there are currently no hemostatic patches used in surgical procedures in clinical settings, either domestically or internationally, as you mentioned.[Read More] Understanding Hemostatic Dressings Used in Surgical Procedures
Understanding Persistent Diarrhea: Insights into Colitis and Digestive Health
Persistent loose stools? This summer, on July 13, I suddenly developed a fever and diarrhea (without pain). After that, I continued to have diarrhea (I consulted a doctor at a clinic). Around July 23, I was referred to Taipei Veterans General Hospital for further evaluation, wher...
Dr. Ke Fangxu Reply:
Hello: If the Veterans General Hospital performed a complete colonoscopy and reported no issues, then there should be no need for excessive worry. However, the change in diagnosis from irritable bowel syndrome (IBS) to ulcerative colitis should be clarified with your physician. I...[Read More] Understanding Persistent Diarrhea: Insights into Colitis and Digestive Health
Could This Be an Anal Fistula? Understanding Symptoms and Diagnosis
Do I have an anal fistula? I developed a hard lump and swelling on the inner thigh before the Lunar New Year. I visited a family medicine clinic, and the doctor diagnosed it as an acne lesion, prescribing antibiotics and anti-inflammatory medication. However, after a week, the le...
Dr. Yu Mingchang Reply:
Hello^^ I recommend that you first consult a colorectal surgeon for confirmation! Thank you![Read More] Could This Be an Anal Fistula? Understanding Symptoms and Diagnosis
Understanding Occasional Blood in Stool: Causes and Concerns
Blood in the stool once a week? Dear Doctor, I would like to consult you regarding the issue of blood in my stool. Symptoms: I often notice blood on my stool after diarrhea (either from holding it too long or having multiple bowel movements at once). The blood is usually just ...
Dr. Ke Fangxu Reply:
1. Essentially, the presence of blood in the stool is not a normal phenomenon, so any occurrence of this should be addressed by identifying the underlying cause. 2. Diarrhea can also lead to hemorrhoidal bleeding; based on your description, this possibility seems more likely. 3...[Read More] Understanding Occasional Blood in Stool: Causes and Concerns
Understanding Painful Anal Bumps: Fistula, Abscess, or Hemorrhoids?
A lump near the anus that is discharging pus could be an anal fistula or hemorrhoids? I am almost 30 years old and currently working on an offshore island. Recently, for the past two months, I have developed a small, red, swollen lump near my anus that occasionally discharges a s...
Dr. Yu Mingchang Reply:
Hello^^ Based on what you described, it seems to be a ruptured anal abscess that has developed into an anal fistula. You should consult a colorectal surgeon for confirmation and surgical treatment. Thank you!![Read More] Understanding Painful Anal Bumps: Fistula, Abscess, or Hemorrhoids?
Understanding Right Groin Discomfort: Seeking the Right Specialist
Right groin? Since last summer, I've been experiencing discomfort on the right side of my body. Initially, there was pain that is hard to describe, located in the area to the right of my right testicle, the right side of the perineum, and the upper right side of the anus (it...
Dr. Ke Fangxu Reply:
Chronic pain in the perineal area, aside from muscle strain, is more likely to be neuropathic pain. Older patients may experience chronic pelvic pain, while this type of pain is less common in younger individuals. In younger patients, chronic pain may be caused by issues related ...[Read More] Understanding Right Groin Discomfort: Seeking the Right Specialist
Emergency Response to DNR Orders in Young Patients: A Critical Analysis
Regarding Emergency Care and DNR (Do Not Resuscitate) Orders If someone ingests 2.5g of Imovane and is found hanging next to a signed Do Not Resuscitate (DNR) order (with only their signature), and they are under 20 years old without a guardian's signature, what actions woul...
Dr. Huang Junxiong Reply:
Hello: This falls under the scope of medical ethics, and there is no standard answer. In my opinion, if the patient is under the legal age and the guardian cannot be contacted, necessary emergency care should still be provided according to medical protocols.[Read More] Emergency Response to DNR Orders in Young Patients: A Critical Analysis
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
Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Hemorrhagic stool First, I would like to describe my recent health condition. At the beginning of October, I experienced rectal bleeding due to hard stools for about two weeks. After improving my diet, this issue resolved. On the evening of October 23, I suddenly developed a feve...
Dr. Ke Fangxu Reply:
Hello: Generally speaking, blood in the stool is a fairly common issue, and whether further examination is needed depends on several related factors: 1. Age: If the patient is over 50 years old, as this is the age group where colorectal cancer is more prevalent, a colonoscopy is ...[Read More] Understanding Blood in Stool: When to Seek Colonoscopy Evaluation
Understanding Hard Lumps in the Neck and Shoulder Area: Causes and Insights
Shoulder and neck? There is a hard lump (very hard) when pressing down on the area where the shoulder and neck connect. Also, what is the name of the triangular area between the clavicle and the shoulder? Because when I press there, I can also feel a protruding hard lump that is ...
Dr. Zhang Yuanyi Reply:
Dear Xiao T: There are many possibilities for the lump. Please first visit a family medicine clinic for evaluation, and then determine which specialty is needed for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurg...[Read More] Understanding Hard Lumps in the Neck and Shoulder Area: Causes and Insights
Understanding the Difference: Hernia or Tumor in the Abdomen?
Is it a hernia or a tumor? Hello doctor, I have a lump in the lower right side of my abdomen (close to where it connects to my thigh). The article mentioned that "the typical symptom of a hernia is the appearance of a bulge in the groin area when standing or straining, such ...
Dr. Zhuang Renbin Reply:
Dear Sir/Madam, Based on your symptoms, it seems less likely that you are experiencing an inguinal hernia. However, in females, diagnosing a femoral hernia often requires a physical examination. Additionally, subcutaneous tumors or lymphadenopathy also necessitate a physical exa...[Read More] Understanding the Difference: Hernia or Tumor in the Abdomen?
Understanding Right Upper Abdominal Pain: Causes and Next Steps
Abdominal pain issues? Hello Dr. Lee: I often experience pain in my upper right abdomen. Initially, the pain would only occur when there was a slight bulge, but now it hurts even without any bulging. I consulted an obstetrician-gynecologist, who said there was no issue related to...
Dr. Li Junde Reply:
Hello Ms. Huang: Regarding your right upper abdominal pain, considering the external appearance, it may be related to issues with the skin, subcutaneous tissue, or abdominal wall. Possible causes include skin inflammation, infection, tumors, abdominal wall muscle inflammation, ...[Read More] Understanding Right Upper Abdominal Pain: Causes and Next Steps
Understanding Occasional Lung Pain: Causes and When to Seek Help
My body? Why do I sometimes experience sharp pain in a specific area of my body, and recently it has been in my lungs (although it is occasional)?
Dr. Ke Fangxu Reply:
Hello: In the case of a 13-year-old girl experiencing breast pain, it is often due to pain associated with the developmental stage. If there are no accompanying pulmonary symptoms (such as persistent cough, coughing up blood, or blood-stained sputum), there is usually no need for...[Read More] Understanding Occasional Lung Pain: Causes and When to Seek Help