Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Cervical spine surgery due to a car accident? Over two months ago, I was hit directly from behind by a truck while waiting at a red light. After initial treatment for my external injuries, I was about to go home, but I started experiencing persistent pain in my neck. The orthoped...
Dr. Lai Zhaokang Reply:
Hello: You have repeated your question, so I will answer it here. 1. If you have improved after surgery, it indicates that your nerves were more severely damaged before the procedure. You will need to be patient and continue with medication and rehabilitation, while your physicia...[Read More] Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Understanding Narrow Stool: Causes and When to Worry About Colon Cancer
Stool becomes thin? I would like to ask about my recent bowel movements, which have become thin but without any blood. I have a history of constipation that has led to hemorrhoids, and I consulted a doctor who prescribed a stool softener. Recently, my stools have been about the t...
Dr. Yu Mingchang Reply:
Hello: Eating more fruits and vegetables is beneficial. Please take some time to check the colorectal department at Changhua Hospital, Ministry of Health and Welfare, as they care about your health.[Read More] Understanding Narrow Stool: Causes and When to Worry About Colon Cancer
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding Hello Doctor, I was diagnosed with lupus erythematosus earlier this year. Recently, I have been taking methotrexate (MTX) for control, and my condition has stabilized with only steroids and colchicine. I have a history of gastrointestinal discomfort when taking co...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like hemorrhoidal bleeding; however, systemic lupus erythematosus can indeed have complications such as ischemic colitis. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods shoul...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Anal Fissures: Pain Management and Treatment Options
Anal fissure or enteritis? Hello Dr. Ke: Since March, I have been experiencing severe pain in my anal area after using the bathroom, feeling like a knife is cutting me, and the pain lasts for a long time. Therefore, I went to a major hospital for consultation. The doctor performe...
Dr. Ke Fangxu Reply:
1. Anal dilation is indeed one of the traditional treatments for anal fissures; however, it is generally considered to be ineffective and painful. If you can tolerate it, you might consider trying it. 2. The typical symptoms of an anal fissure include pain during bowel movement...[Read More] Understanding Anal Fissures: Pain Management and Treatment Options
Intermittent Pain in Left Middle Finger: Possible Causes and Solutions
Sometimes, there is intermittent sharp pain in the middle finger of the left hand? Hello, this morning I woke up and sometimes I experience intermittent sharp pain in my left middle finger, but each episode lasts only a few seconds. There is a slight discomfort when I move it, an...
Dr. Zhang Junwei Reply:
Tendonitis of the fingers.[Read More] Intermittent Pain in Left Middle Finger: Possible Causes and Solutions
Understanding Rectal Bleeding: Causes and Treatment Options
Rectal bleeding Hello, doctor. Recently, for the past week, I have felt no urge to have a bowel movement. However, when I checked manually, I found stool (with blood streaks). The stool is not particularly hard, but sometimes I feel discomfort in my anus. After digging, I found s...
Dr. Xu Kaixi Reply:
If the anal mucosa is damaged due to external force or friction from fingers, it may result in bleeding. It is recommended that you visit a hospital for a fecal occult blood test to rule out the possibility of internal bleeding in the gastrointestinal tract.[Read More] Understanding Rectal Bleeding: Causes and Treatment Options
Post-Accident Recovery: Managing Pelvic Misalignment and Nerve Issues
In May 2016, I was involved in a car accident that resulted in a pelvic misalignment and numbness in my little finger? Hello Dr. Chang, I was in a car accident last year and suffered a comminuted fracture of the first lumbar vertebra. In June 2017, I underwent surgery to remove s...
Dr. Zhang Junwei Reply:
Without seeing imaging studies such as X-rays or CT scans, it is really difficult to answer your question. I recommend bringing your imaging reports and complete medical history to an outpatient clinic to discuss with a physician.[Read More] Post-Accident Recovery: Managing Pelvic Misalignment and Nerve Issues
Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Challenges
Postoperative Issues Related to Hemorrhoid Surgery Hello Dr. Ke, I underwent a complete excision of internal and external hemorrhoids (using a tissue coagulator) in early January of this year, and it has been almost three months since the surgery. I have been taking magnesium oxi...
Dr. Ke Fangxu Reply:
1. A normal anus should be able to accommodate four fingers under anesthesia, and if not anesthetized, it should be able to accommodate one finger without pain. If normal bowel movements can be achieved, surgery may not be necessary. However, if there are difficulties with bowel ...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Surgery Recovery Challenges
Concerns About Excessive Cleaning and Hygiene Practices for the Anus
Due to obsessive cleanliness, I wipe thoroughly and wash my anus after bowel movements? Hello, doctor. I have obsessive-compulsive tendencies, so after each bowel movement, I wash my anus with soap or body wash. If I have a bowel movement at night, I might take a shower immediate...
Dr. Ke Fangxu Reply:
Long-term excessive cleaning may lead to the loss of natural oils in the skin around the anal area, resulting in skin inflammation. Inserting fingers into the anus can potentially cause injury to hemorrhoidal tissue or the rectal mucosa, leading to bleeding or infection. If the f...[Read More] Concerns About Excessive Cleaning and Hygiene Practices for the Anus
Understanding Finger Numbness and Calluses: A Neurological Perspective
Numbness in the fingers, followed by the development of calluses? Hello, Doctor. Last week, after welcoming a newborn and frequently holding the baby, I started experiencing a tingling sensation in my right thumb, index, and middle fingers on the third day. By the fifth day, the ...
Dr. Lai Zhaokang Reply:
First of all, congratulations on the arrival of your baby! 1. Your description suggests that the first possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist. You can try wrist exercises, heat therapy, and using a wrist brace. Addit...[Read More] Understanding Finger Numbness and Calluses: A Neurological Perspective
Scar Revision and Skin Grafting for Burn Injuries on Hands
Burn injury on the dorsal side of the hand at the finger joints? Hello Doctor, I sustained a second-degree burn on the joints of my fingers on the back of my hand at the end of February this year, and I underwent debridement surgery without skin grafting. However, as of December,...
Dr. Zhou Hongzhang Reply:
1. Burns on the dorsal side of the fingers are prone to developing severe scarring issues. 2. If, after an injury, there is limited range of motion (ROM) in the fingers even after aggressive rehabilitation for one year, skin grafting surgery may be considered for treatment. At th...[Read More] Scar Revision and Skin Grafting for Burn Injuries on Hands
Understanding Positive Fecal Occult Blood Test Results: Key Concerns
Positive fecal occult blood test issue? Hello Dr. Ke, I am Ah-Jie. I have a habit of exercising and consuming fruits and vegetables regularly, but I still experience constipation. Therefore, I have been taking the following medications for a long time: magnesium oxide, motility...
Dr. Ke Fangxu Reply:
1. It is necessary to confirm the diagnosis through a physician's examination. 2. There may be a direct correlation between the values presented by the immunological test and the amount of bleeding; if the bleeding is minimal, it is possible to obtain lower values. 3. It...[Read More] Understanding Positive Fecal Occult Blood Test Results: Key Concerns
Understanding Anal Warts: Risks of Self-Examination and Infection
Anal warts If I touch cauliflower-like growths around the anal area and want to insert my hand to check if there are any inside, could this lead to an infection?
Dr. Ke Fangxu Reply:
Anal warts are a sexually transmitted infection that is transmitted through direct contact. Theoretically, if there is no anal intercourse or unprotected sexual activity, one would not contract this disease. Therefore, if you can be certain that there has been absolutely no such ...[Read More] Understanding Anal Warts: Risks of Self-Examination and Infection
Post-Bowel Movement Hygiene: Managing Hemorrhoids and Concerns
Post-defecation hygiene and internal/external hemorrhoids? Hello Doctor, I would like to consult you. I have been experiencing hemorrhoids for about 10 years. Initially, there were no significant issues, but over time, the hemorrhoids began to protrude from the anus in a complete...
Dr. Ke Fangxu Reply:
1. It is impossible to clean the intestines thoroughly because feces will continuously be expelled from the upper section. The colon is a total of 180 centimeters long, so how deep do you need to wipe to consider it clean? Therefore, using wet wipes is meaningless; this practice ...[Read More] Post-Bowel Movement Hygiene: Managing Hemorrhoids and Concerns
Can Applying Lotion Before Bowel Movements Reduce Bleeding Risks?
Is it advisable to apply lotion or similar products before a bowel movement to reduce the chance of bleeding? Due to having second-degree hemorrhoids, I often experience bleeding during bowel movements, usually with a small amount of blood. A doctor mentioned that this is caused ...
Dr. Ke Fangxu Reply:
1. Applying lotion does not affect normal bowel movements, so it is not a concern. 2. Non-professionals are advised against inserting fingers into the anus to avoid injuring the anal or rectal mucosa, which could lead to bleeding or infection. 3. If there is a persistent presence...[Read More] Can Applying Lotion Before Bowel Movements Reduce Bleeding Risks?
Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Carpal Tunnel Syndrome The neurology clinic diagnosed me with carpal tunnel syndrome and treated me with corticosteroids for one week, along with almost daily rehabilitation (including heat therapy, electrical stimulation, and laser therapy). As of my follow-up appointment on Sep...
Dr. Zhang Junwei Reply:
Based on your description, it seems to be carpal tunnel syndrome. If the outpatient examination confirms this, surgery can quickly resolve your issue![Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Understanding Changes in Bowel Habits: Signs and Concerns
Bowel issues In the past week or two, I have been having bowel movements 1 to 2 times a day, with a maximum of 3 times, whereas previously I would only have a bowel movement every 3 to 4 days. Recently, my stools have been about 2 to 3 centimeters long and the width is about the ...
Dr. Ke Fangxu Reply:
At the age of 19, the likelihood of developing colorectal cancer is not zero, but generally, it is extremely low. Based on your description, it seems more like irritable bowel syndrome (IBS). It is recommended to maintain a light diet and a good lifestyle routine. If symptoms per...[Read More] Understanding Changes in Bowel Habits: Signs and Concerns
Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
Issues related to internal hemorrhoids? Hello, Dr. Ke! I would like to consult you regarding an issue with internal hemorrhoids. (I apologize for the lengthy description, as I am quite confused and troubled. Thank you in advance for your response.) For the past six months, I have...
Dr. Ke Fangxu Reply:
It is generally not recommended to insert fingers too deeply when using hemorrhoid ointments to avoid accidental rectal injury. If applying the ointment is not very convenient, suppositories are also a practical option. To improve bowel habits, in addition to the intake of fiber ...[Read More] Understanding Internal Hemorrhoids: Symptoms, Treatment, and Management
Managing Severe Finger Injuries: What to Do After Amputation
Finger amputation, follow-up consultation? Hello, doctor! My father accidentally severed his left hand's index, middle, and ring fingers while working on the 12th of last month. He was immediately taken to Longtan Military Hospital. The doctors mentioned that when he arrived...
Dr. Zhou Hongzhang Reply:
This appears to be a complication of nearly complete amputation. Most of the blood vessels have been severed, and the remaining blood flow is insufficient to supply the remaining amputated tissue. Generally, a period of observation is recommended to see if collateral circulation ...[Read More] Managing Severe Finger Injuries: What to Do After Amputation
Managing Finger Amputation Recovery: Bruising and Nerve Healing Insights
Traumatic amputation of the distal phalanx of the index finger? Hello Doctor, I recently suffered an accident that resulted in the amputation of the first phalanx of my index finger. After surgery, the severed phalanx could not be reattached, and the wound has since healed. Howev...
Dr. Xu Kaixi Reply:
Bruising at the site of reattached fingers is a temporary phenomenon. If there is no impact on function and no further deterioration, there is no need for concern. Numbness at the surgical suture site may be due to damaged nerves that have not yet recovered.[Read More] Managing Finger Amputation Recovery: Bruising and Nerve Healing Insights