Persistent Anal Swelling: Causes and Treatment Options Explained
From mid-December last year to mid-March this year, there has been a sensation of swelling around the anus? Hello Doctor, I work in an office, but I make sure to get up and walk around for five minutes every half hour on average. I have been doing this for years. In April of the ...
Dr. Zhang Shuhao Reply:
The swelling sensation caused by internal hemorrhoids may recur and can persist for several months. Most rectal and anal-related issues can be diagnosed through a clinical examination. If further evaluation is needed, options may include colonoscopy, rectal ultrasound, or pelvic ...[Read More] Persistent Anal Swelling: Causes and Treatment Options Explained
Understanding Stainless Steel Fixation Devices After Laparoscopic Cholecystectomy
Regarding the stainless steel fixation devices left after laparoscopic cholecystectomy? Hello Doctor, I underwent surgery for acute cholecystitis on December 31. During my follow-up appointment on January 6, while you were explaining my condition, I noticed some staples or fixati...
Dr. Chen Bingze Reply:
The clamp that holds the gallbladder duct and blood vessels is used in every laparoscopic surgery, so it's normal.[Read More] Understanding Stainless Steel Fixation Devices After Laparoscopic Cholecystectomy
Understanding Post-Cholecystectomy Pain and Recovery Concerns
Gallbladder removal surgery consultation Hello doctor, I had my gallbladder removed on March 2nd. Is it normal to feel occasional pain at the site where the gallbladder was removed? Also, there is some slight redness and swelling around my navel, possibly due to the sutures. Shou...
Dr. Chen Jiaming Reply:
It is common to experience occasional pain within a month after surgery, as the abdominal wall muscles have not fully healed. The umbilical wound appears red and swollen, but the likelihood of a hernia is low. However, based solely on your description, it is not possible to deter...[Read More] Understanding Post-Cholecystectomy Pain and Recovery Concerns
Post-Cholecystectomy: Can Probiotics Help Reduce Diarrhea?
Cholecystectomy Consultation After gallbladder removal, is it advisable to consume gastrointestinal probiotics to reduce diarrhea? Or what can be consumed to lessen diarrhea? Thank you, doctor.
Dr. Chen Jiaming Reply:
Temporary incomplete lipid absorption after cholecystectomy lasts for about one month. During this period, reducing fat intake can help improve the condition. If diarrhea persists beyond this timeframe, it may be due to changes in the gut microbiota caused by short-term antibioti...[Read More] Post-Cholecystectomy: Can Probiotics Help Reduce Diarrhea?
Impact of Menstruation on Gallbladder Surgery: Can You Take Delay Medications?
Cholecystectomy during menstruation? If a patient experiences menstruation during gallbladder removal surgery, is it permissible to take medications to delay menstruation? Or does menstruation actually have no impact on the surgery? Thank you, doctor.
Dr. Chen Jiaming Reply:
Having your menstrual period will not affect the performance of gallbladder surgery. You should inform the nursing staff before your hospitalization. Generally, you will need to wear a surgical gown before entering the operating room. If you need to use sanitary pads, you can sti...[Read More] Impact of Menstruation on Gallbladder Surgery: Can You Take Delay Medications?
Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Postoperative Issues After Laparoscopic Surgery Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time. On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incisio...
Dr. Chen Jiaming Reply:
1. Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling. Therefore, such sensations are o...[Read More] Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...
Dr. Chen Ronghong Reply:
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...[Read More] Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming Reply:
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Should You Consider Surgery for Anal Fistula? Expert Insights
Should I undergo surgery for an anal fistula? Dr. Ke: Hello! The physician at the outpatient clinic told me I have an anal fistula. Initially, it resolved after a week of antibiotics, but after some time, it became swollen again. I went back to see the doctor, who said that surge...
Dr. Ke Fangxu Reply:
An anal fistula does not necessarily need to be surgically treated only during an acute infection; in fact, surgery may result in a quicker recovery when there is no infection present. If the previous diagnosis is confirmed to be accurate, surgery can be performed at this time.[Read More] Should You Consider Surgery for Anal Fistula? Expert Insights
Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, my father has been on peritoneal dialysis for 15 years and has experienced several episodes of peritonitis, which were successfully treated. At the end of last year, he developed peritonitis again; the first treatmen...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis due to its difficulty in treatment and high recurrence rate. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more sus...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients
Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Peritoneal dialysis patients develop peritonitis? Hello Dr. Ke, My father has been undergoing peritoneal dialysis for 15 years and has experienced several episodes of peritonitis during this time, which were successfully treated. At the end of last year, he developed peritoniti...
Dr. Ke Fangxu Reply:
Peritonitis is the most troublesome complication of peritoneal dialysis because it is difficult to treat and prone to recurrence. Switching to hemodialysis is the correct approach; however, patients with renal failure often have compromised immune systems, making them more suscep...[Read More] Managing Recurrent Peritonitis in Long-Term Dialysis Patients: Treatment Options
Understanding Gallstones and Cholecystectomy: Key Questions Answered
Consultation for Gallstones and Cholecystectomy? Hello Dr. Yu, I have a family history of: 1. pancreatic cancer 2. hypertension 3. diabetes 4. gallstones. My personal medical history includes ultrasound findings of: 1. gallstones (one stone measuring 2.04 cm, while the CT sca...
Dr. Yu Mingchang Reply:
Hello: 1. Symptoms may not always be present; they vary from person to person. Upper abdominal cramping may occur due to individual digestive issues. 2. Laparoscopic cholecystectomy typically requires a hospital stay of 3 to 5 days. 3. The cost ranges from 30,000 to 50,000. 4. It...[Read More] Understanding Gallstones and Cholecystectomy: Key Questions Answered
Post-Surgery Concerns: Understanding Hemorrhoid Recovery and Diet
One month after hemorrhoid surgery issues? On December 31, 2020, I underwent traditional surgery for thrombosed external hemorrhoids. I did not have any issues with constipation, as my gallbladder was removed in 2012. During a follow-up appointment on January 21, the doctor perfo...
Dr. Yu Mingchang Reply:
Hello: After a laparoscopic cholecystectomy for constipation, the Ministry of Health and Welfare Changhua Hospital is concerned about your well-being post-surgery.[Read More] Post-Surgery Concerns: Understanding Hemorrhoid Recovery and Diet
Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Continuous bleeding from the drainage tube after cholecystectomy? Hello Dr. Chen: My father underwent gallbladder removal surgery around 3 AM on December 9, 2020. The surgery ended at approximately 5:50 AM, and he was transferred from the recovery room to the emergency ward aroun...
Dr. Chen Jiaming Reply:
A gallbladder surgery performed at 3 AM is typically indicative of acute cholecystitis. However, the duration of the surgery aligns with standard gallbladder procedures, suggesting that the lead surgeon successfully completed the operation without complications. Regarding the inc...[Read More] Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Elder brother has been suffering from chronic stomach pain? Hello Dr. Chen, my brother is 32 years old. He has a smoking habit and an unhealthy diet (he enjoys fried foods and late-night snacks). For the past two years, he has been experiencing "stomach pain (severe enough t...
Dr. Chen Jiaming Reply:
Based solely on your description, it seems that you often experience pain while "sleeping." If the pain symptoms resemble gastroesophageal reflux (such as chest discomfort, nausea, and burning sensations), you might consider trying antacids or acid reducers to see if th...[Read More] Chronic Stomach Pain in a 32-Year-Old: Seeking Medical Guidance
Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Location of abdominal pain 1. If you are experiencing pain in the left upper abdomen today, it could be related to several issues, including gastritis, splenic problems, or even issues with the pancreas or stomach. 2. If you just felt a slight pain in the right upper abdomen, wh...
Dr. Ke Fangxu Reply:
The upper right abdomen is the location of the liver and gallbladder, so pain in this area typically leads to consideration of these organs. However, at such a young age, it could also be related to issues with the stomach or duodenum. I recommend starting with a light diet and o...[Read More] Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Colonoscopy issues? Hello, Doctor. After undergoing an upper gastrointestinal endoscopy, the physician mentioned that I have some erosion in my stomach (but not to the level of an ulcer) and mild inflammation in the duodenum. The doctor prescribed Omeprazole (20 mg), Magnesium Ox...
Dr. Ke Fangxu Reply:
1. Gastroesophageal reflux is not related to the intestines; it may be influenced by magnesium oxide. If diarrhea occurs, magnesium oxide can be discontinued. 2. If a polypectomy was performed this time, a follow-up colonoscopy should be done in 1-2 years to check for new polyps...[Read More] Understanding Gastrointestinal Issues: From Endoscopy to Polyp Concerns
Severe Left Upper Abdominal Pain at Night: Causes and Solutions
Severe pain in the upper left abdomen at night? The elder at home sometimes experiences severe pain in the upper middle abdomen at night, which can be so intense that sitting does not relieve it, requiring pain medication for relief. The pain subsides only after the medication ta...
Dr. Xu Kaixi Reply:
In addition to the stomach and intestinal systems, upper abdominal pain should also consider visceral organs such as the liver, gallbladder, and pancreas, while also ruling out cardiac issues. If gastroscopy and colonoscopy have been performed and found to be normal, it is recomm...[Read More] Severe Left Upper Abdominal Pain at Night: Causes and Solutions
Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Post-cholecystectomy Can I masturbate one week after gallbladder removal surgery? How long until I can lift heavy objects and go for a jog?
Dr. Chen Jiaming Reply:
Postoperative recovery varies from person to person. In principle, once the stitches have been removed or the wound is healed enough to come into contact with water, you can engage in light work or exercise, as there is no concern about sweat contaminating the wound. As for the l...[Read More] Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Post-Gallbladder Surgery: When Can You Return to Weight Training?
Could you please clarify your question regarding surgery for gallstones? How long after gallbladder surgery can I return to the gym for weight training? Is there any need for out-of-pocket expenses for gallbladder surgery?
Dr. Xu Kaixi Reply:
After laparoscopic cholecystectomy for gallstones, it is recommended to rest for about three months before engaging in vigorous activities, including weight training.[Read More] Post-Gallbladder Surgery: When Can You Return to Weight Training?