Follow-Up Care After Electrosurgery for Genital Warts: Key Questions
Regarding follow-up visits after cauliflower electrosurgery? Hello, Director. First, I want to thank you for your previous assistance; it has been very helpful. I am gradually accepting my current situation and finding an appropriate lifestyle. Now, I would like to inquire about ...
Dr. Ke Fangxu Reply:
1. You can return for a follow-up appointment to determine if there is a recurrence; there is no need to "wait three months for all the latent ones to emerge so they can be treated at once." 2. Generally, the skin can be infected by human papillomavirus (HPV), which is...[Read More] Follow-Up Care After Electrosurgery for Genital Warts: Key Questions
Challenges and Solutions for Nonunion Fractures in Hand Surgery
Nonunion of fractures (Hand Surgery) Hello Doctor: Last October, my finger was crushed by a metal plate. Except for my thumb, the other fingers suffered from bone fractures, as well as vascular and nerve damage. After the first surgery, my middle finger still had poor blood flow,...
Dr. Zhou Hongzhang Reply:
1. This condition may require a complete medical history or a consultation with the original treating physician for a better prognosis. 2. Poor fracture healing can have many causes, such as severe injury, compromised circulation, wound infection, and so on. 3. Hyperbaric oxy...[Read More] Challenges and Solutions for Nonunion Fractures in Hand Surgery
Managing Anal Warts: Treatment, Recurrence, and Self-Examination Risks
Anal warts Hello Dr. Ke, I would like to ask you about anal warts. I am currently using wart removal gel for treatment, but they keep recurring. If I check with my fingers every day while showering, is there a risk of cross-infection to different areas? Is it also possible that b...
Dr. Ke Fangxu Reply:
In theory, cross-infection should not occur from applying ointments; however, if anal warts keep recurring, it is advisable to use electrosurgery treatment instead of continuing with ointments.[Read More] Managing Anal Warts: Treatment, Recurrence, and Self-Examination Risks
Understanding Numbness in the Ring and Pinky Fingers: Causes and Self-Care Tips
Numbness in the ring finger and little finger? Hello doctor, I started feeling numbness in my little finger and ring finger yesterday. Today, in addition to the numbness in those fingers, I also feel a sensation of numbness in the palm below them and along the inner side of my ar...
Dr. Lai Zhaokang Reply:
Hello: It may be ulnar nerve neuropathy or another condition. You can start by applying a warm compress to the affected area and performing arm swinging exercises. If there is no improvement after one week, please consult a neurosurgeon. Best wishes from Dr. Lai Chao-Kang, Neuros...[Read More] Understanding Numbness in the Ring and Pinky Fingers: Causes and Self-Care Tips
Can Severe Hemorrhoids Be Treated with Surgery?
Can severe hemorrhoids be surgically treated? Hello, Doctor. I have been suffering from hemorrhoids for many years. Every time I have a bowel movement, both internal and external hemorrhoids protrude from the anus, and I have to clean them with water and push them back in with my...
Dr. Ke Fangxu Reply:
This level of hemorrhoids may require surgical removal for better outcomes. Generally, if it significantly affects daily life, I would also recommend surgery. Cases where it is too severe to undergo surgery are relatively rare, unless there is a concurrent rectal prolapse. Theref...[Read More] Can Severe Hemorrhoids Be Treated with Surgery?
Understanding Anal Issues: Symptoms, Causes, and Proper Hygiene Tips
Anal issues Hello Doctor, last night before going to bed, I noticed an unusual sensation near my anus, so I used my phone to take a look. I found a white object next to my anus that feels granular, neither soft nor hard, and seems to have a slight movement. This morning, I experi...
Dr. Ke Fangxu Reply:
Answer: Since the link you provided no longer displays the image, I cannot determine the exact issue. However, this situation is often related to hemorrhoidal swelling. To ascertain the underlying problem, it is essential to have a physician examine the area. It is not advisable ...[Read More] Understanding Anal Issues: Symptoms, Causes, and Proper Hygiene Tips
How Doctors Diagnose Foreign Objects in Fingers: A Guide
Finger issues Hello, doctor. A few days ago, I asked you a question. Now my finger suddenly feels numb, and I want to remove the pen refill. If there is no visible foreign object on the surface of my finger, how can the doctor determine the location of the foreign object?
Dr. Ke Fangxu Reply:
The pencil lead does not show up on X-rays, so the physician can only rely on tactile sensation or open the previous wound to search for the smaller foreign body. The smaller the foreign object, the larger the incision needed to find it. This is why I do not recommend performing ...[Read More] How Doctors Diagnose Foreign Objects in Fingers: A Guide
Is It Cellulitis? Understanding Symptoms and Treatment Options
Is this condition cellulitis? How should I manage it? Hello, doctor. Twelve days ago (December 28, 2017), I fell while walking my dog and scraped my knee (the wound is approximately the size of a young woman's index and middle fingers). I cleaned the wound with hydrogen pero...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to avoid using artificial skin for now and to use paraffin gauze instead. Please do not come into contact with tap water. Take care! Changhua Hospital cares about you![Read More] Is It Cellulitis? Understanding Symptoms and Treatment Options
Understanding Rectal Bleeding: Causes and When to See a Doctor
Rectal bleeding Hello doctor, I have been experiencing difficulty with bowel movements recently. After eating hot pot (which was spicy) yesterday, I felt pain in my anus this morning during a bowel movement, but there was no bleeding. About ten minutes later, I still felt the urg...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility 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 bowel movements. Increasing dietary fibe...[Read More] Understanding Rectal Bleeding: Causes and When to See a Doctor
Understanding Anal Protrusions After Spicy Food: Symptoms and Treatment
After eating spicy food, there is a small protrusion inside the anus during bowel movements? You usually do not eat spicy food, but recently you had two moderately spicy meals. Afterward, you experienced a burning sensation and pain during bowel movements, and you noticed a small...
Dr. Ke Fangxu Reply:
This situation is likely due to swelling from hemorrhoids. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Increasing dietary fiber intake can also be helpful. Spicy and irritating foods should be temporarily avoided. W...[Read More] Understanding Anal Protrusions After Spicy Food: Symptoms and Treatment
Post-Hemorrhoid Surgery: Understanding Bowel Movement Difficulties
Post-operative constipation after hemorrhoid surgery? Hello Doctor, I had hemorrhoid surgery on November 1st for mixed hemorrhoids. After the surgery, the doctor did not prescribe any ointment for me, only painkillers, stool softeners, and laxatives. It has been 20 days since the...
Dr. Ke Fangxu Reply:
1. It is normal for the anus to feel tighter after hemorrhoid surgery; it will gradually return to normal as the wound fully heals. The surgical sutures typically take about a month to dissolve. Although it is not recommended to insert fingers into the anus, it is normal to feel ...[Read More] Post-Hemorrhoid Surgery: Understanding Bowel Movement Difficulties
Soft Mass Near Rectal Junction: Could It Be a Polyp or Tumor?
There is a mass at the anal-rectal junction? Hello, doctor. Two years ago, I had a history of blood in my stool along with recurrent diarrhea and constipation accompanied by abdominal pain, which led to a colonoscopy. At that time, the bowel preparation quality was rated as good,...
Dr. Ke Fangxu Reply:
The digital rectal examination is actually a highly specialized procedure, and even specialists need to accumulate years of experience to accurately assess subtle lesions. Therefore, for the general public, we do not recommend performing a digital rectal examination on their own,...[Read More] Soft Mass Near Rectal Junction: Could It Be a Polyp or Tumor?
Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Non-healing wounds after minimally invasive hemorrhoidectomy? Hello, Dr. Ko. Three months ago, I underwent a dry minimally invasive treatment for hemorrhoids at a specialized clinic in Kaohsiung. This involved injecting a drying agent into the base of the hemorrhoid to allow it t...
Dr. Ke Fangxu Reply:
Based on your description, it seems that this is a traditional sclerotherapy treatment, just referred to by a different name. Typically, the wound heals within two to four weeks after the injection. This type of treatment is less commonly performed by physicians now due to the di...[Read More] Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block procedure Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only h...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block technique Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, particularly in my left middle and ring fingers, which not only...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Neck issues Hello Dr. Lai: I was involved in a car accident in mid-May, and after the accident, I underwent artificial disc replacement surgery at the C4 and C5 levels. Post-surgery, I experienced pain in my neck that radiated to the middle and ring fingers of my left hand, accom...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. Of course, a referral can be made, ...[Read More] Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Neck issues Hello Dr. Lai: I was in a car accident in mid-May, and after the accident, I underwent artificial disc replacement surgery at the C4-C5 levels. Post-surgery, I have experienced soreness in my neck that radiates to the middle and ring fingers of my left hand, accompani...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. Of course, a referral is possible, ...[Read More] Understanding Neck Issues After Disc Surgery: Pain and Nerve Block Treatment
Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Finger soreness and weakness? Hello Dr. Lai, I had an injury to my cervical vertebrae C4 and C5 from a car accident in May. After surgery, I have been experiencing pain and weakness extending from my left shoulder down to my hand, particularly in my left middle and ring fingers,...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. A referral is certainly possible, b...[Read More] Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Understanding Head Injuries: Managing Symptoms After a Fall
Frequently bumping one's head for no apparent reason? Hello, I have a herniated disc (I haven't had surgery, but I can't bend for too long). Last year, I fell and hit my forehead on the ground. I was diagnosed with mild subarachnoid hemorrhage and was hospitalized....
Dr. Zhang Junwei Reply:
Please schedule an appointment for a detailed examination in the neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: Managing Symptoms After a Fall
Post-Surgery Complications After Cervical Spine Injury: What to Expect
Cervical spine surgery complications? While stopped at a red light, I was struck from behind by a truck, resulting in injuries to my cervical spine at levels C4 and C5. I underwent cervical spine surgery and had metal screws inserted. After the surgery, I received traditional Chi...
Dr. Lai Zhaokang Reply:
Hello: You have repeated questions, so I will answer them here. 1. If you have improved after surgery, it indicates that your nerves were severely damaged before the procedure. You will need to be patient, take medication, and undergo rehabilitation, with follow-up from your ph...[Read More] Post-Surgery Complications After Cervical Spine Injury: What to Expect