Understanding Abdominal Pain: Possible Causes and Next Steps
Pain in the lower abdomen may be associated with a mass or tumor? Hello, doctor. Over the past two weeks, I have experienced lower abdominal pain, initially accompanied by bruising, which has since resolved. Upon palpation, I can feel two lumps, each less than 1 cm in size. They ...
Dr. Chen Bingze Reply:
In fact, X-rays are generally unable to determine the nature of the gallstone; a biopsy may be necessary for further analysis. If gallstones are present, it is important to consider the possibility of inflammation. If there is cholecystitis, it can also lead to abdominal discomfo...[Read More] Understanding Abdominal Pain: Possible Causes and Next Steps
Understanding Right Abdominal Pain: Is Surgery Necessary for Adhesions?
Gastrointestinal bloating issues with sharp pain? Hello Doctor, thank you for your previous response regarding my issue with binge eating and bloating. I would like to ask you again: I often feel discomfort on the right side of my abdomen, sometimes experiencing sharp pain below ...
Dr. Chen Jiaming Reply:
I suggest you arrange for an abdominal ultrasound to check for any issues with gallstones or bile sludge. Rapid weight loss can sometimes lead to the formation of gallstones and symptoms of biliary colic, and the timing of your symptoms makes it quite likely that further confirma...[Read More] Understanding Right Abdominal Pain: Is Surgery Necessary for Adhesions?
Post-Laparoscopic Surgery: Understanding Wound Changes and Care
Postoperative wounds after laparoscopic surgery? Hello Doctor: A month ago, I underwent a minimally invasive single-port laparoscopic surgery for gallstones (without the need for stitches). The condition of the surgical wound had been recovering well, and I did not notice any abn...
Dr. Chen Jiaming Reply:
From your description, it is not possible to confirm whether this is a phenomenon of scar tissue hypertrophy. If there are concerns, it is advisable to seek further evaluation at a medical facility. Generally, the formation of scars (or keloids) varies from person to person, and ...[Read More] Post-Laparoscopic Surgery: Understanding Wound Changes and Care
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 Dietary Guidelines: Supplements and Foods to Avoid After Spleen and Pancreas Removal
After a splenectomy and distal pancreatectomy, it is generally advisable to consult with a healthcare professional regarding the use of dietary supplements. Some supplements may interact with medications or affect your health. Additionally, it is important to avoid certain foods ...
Dr. Chen Jiaming Reply:
Based on your description, it is unclear why you underwent splenectomy and distal pancreatectomy, so it is also unclear which organ your surgeon was referring to regarding the stones (gallstones? kidney stones? etc.). As for cranberry concentrate tablets, the purpose of your use ...[Read More] Post-Surgery Dietary Guidelines: Supplements and Foods to Avoid After Spleen and Pancreas Removal
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 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
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?
Understanding Post-Surgery Abdominal Distension in Elderly Patients
Abdominal issues? (1) It is possible for your father to have a paralytic ileus, especially since he has undergone surgery recently. This condition can occur after surgery due to decreased bowel motility. (2) Given his history of traditional surgery for gallstones, if there is an...
Dr. Yu Mingchang Reply:
Hello: As we age, paralytic ileus is quite common and requires gastrointestinal care. The surgical team at Changhua Hospital is here to support you.[Read More] Understanding Post-Surgery Abdominal Distension in Elderly Patients
How Long Does It Take for Surgical Sutures to Dissolve?
How long does it take for surgical sutures to be absorbed? Two years ago, I underwent laparoscopic surgery to remove my gallbladder due to gallstones. The incision at my navel was closed with absorbable sutures, but after two years, the sutures are still present. Occasionally, wh...
Dr. Chen Jiaming Reply:
The "meat line" refers to absorbable sutures, which are designed to be absorbed in the subcutaneous tissue (the "meat"). Once exposed to the surface, they will not be absorbed. However, after two years, the internal portion should have loosened and disintegrat...[Read More] How Long Does It Take for Surgical Sutures to Dissolve?
Gallbladder Surgery Options After Previous C-Section: Laparoscopic vs. Open
Gallbladder surgery issues? My wife has been diagnosed with gallstones, and because she is experiencing pain, the doctor has recommended surgery. However, she had a cesarean section five years ago. Can laparoscopic surgery still be performed, or will it need to be done using trad...
Dr. Chen Jiaming Reply:
In general, a simple cesarean section is less likely to result in complications such as intestinal adhesions due to its non-infectious nature, the close proximity of the uterine structure to the anterior abdominal wall, and the surgical techniques employed by obstetricians. Furth...[Read More] Gallbladder Surgery Options After Previous C-Section: Laparoscopic vs. Open
Post-Surgery Weight Gain: How to Manage Increased Appetite After Gallbladder Surgery
Is it normal to have recovery after surgery, and do I need to return for a follow-up appointment? Director, in July 2015, you performed surgery for my gallstones and cholecystitis. After the surgery, I have been taking the prescribed medications regularly, but since the operation...
Dr. Yu Mingchang Reply:
Hello; please come back for a follow-up appointment at the Changhua Hospital of the Ministry of Health and Welfare. We care about you.[Read More] Post-Surgery Weight Gain: How to Manage Increased Appetite After Gallbladder Surgery
Post-Surgery Questions After Cholecystectomy: Recovery Tips and Guidelines
What are the issues after a lobectomy? Director, I have a few questions I would like to ask. I have been diagnosed with gallstones combined with cholecystitis, and after my surgery, my last follow-up appointment was on the 10th. I no longer need to return for follow-ups, but I ha...
Dr. Yu Mingchang Reply:
Hello: The tree attachment has been in place for half a month. You can only have one and a half cups of coffee a day. After half a month, you can resume heavy work, and then you can apply the beauty gel again... #34910; Changhua Hospital, Ministry of Health and Welfare cares abou...[Read More] Post-Surgery Questions After Cholecystectomy: Recovery Tips and Guidelines
Do You Need Bile Salt Supplements After Gallbladder Removal?
Supplementation of bile salts 1. I am a postoperative patient of rectal cancer and had my gallbladder removed due to gallstones two years ago. Should I supplement with bile salts since I no longer have a gallbladder and bile flows directly into the intestines? 2. Without a gall...
Dr. Xu Kaixi Reply:
After cholecystectomy, the bile produced by the liver is not affected, and the physiological system automatically adjusts to digest food without the need for special supplementation of bile salts or related enzymes. Additional supplementation is not beneficial.[Read More] Do You Need Bile Salt Supplements After Gallbladder Removal?
Understanding Post-Cholecystectomy Complications and Management
Post-cholecystectomy (after gallbladder surgery) Hello, my grandmother underwent laparoscopic cholecystectomy for gallstones a year ago and was hospitalized for 10 days. Three months ago, she was hospitalized due to cholangitis and fever. At that time, the outpatient physician re...
Dr. Huang Zhihui Reply:
Based on your description, postoperative complications such as retained tubes, titanium clips dislodging causing bile leakage and inflammation, or recurrent bile duct stones and retrograde bacterial infections are all possible. However, without seeing the patient and the detailed...[Read More] Understanding Post-Cholecystectomy Complications and Management
Understanding Recurrence of Gallstones: Causes and Dietary Restrictions
The issue of recurrent liver stones? Hello, doctor. My mother underwent surgery for liver stones ten years ago, but they recurred a few years later, requiring another operation. She has just recently recovered, and it’s always difficult for me to see her suffer during these episo...
Dr. Xie Wenhuai Reply:
Intrahepatic stones, usually composed of calcium bilirubinate, are difficult to dissolve with medication. They often present with chronic inflammation, and their quantity can vary from few to many. Diagnostic methods include ultrasound, computed tomography (CT), and cholangiograp...[Read More] Understanding Recurrence of Gallstones: Causes and Dietary Restrictions
Managing Post-Operative Infections After Laparoscopic Gallbladder Surgery
Pus discharge from the incision site after endoscopic gallstone removal? Dear Director He, My mother is 72 years old and underwent laparoscopic cholecystectomy for gallstones ten years ago, with a good recovery afterward. However, a month ago, a small white pus-filled bump appea...
Dr. He Zhenming Reply:
Please take your mother to the hospital for a general surgery consultation. The physician needs to examine the wound to determine the cause of the condition.[Read More] Managing Post-Operative Infections After Laparoscopic Gallbladder Surgery
Cholecystitis: Surgical Options and Considerations for High-Risk Patients
Cholecystitis Hello, my mother is a dialysis patient with hypertension and diabetes. Recently, she has experienced loss of appetite and vomiting. An ultrasound revealed that she has gastritis and chronic cholecystitis. The doctor has recommended gallbladder removal. Given that my...
Dr. He Zhenming Reply:
Diabetes mellitus with cholecystitis and gallstones is an indication for laparoscopic cholecystectomy. It is recommended to perform an upper gastrointestinal endoscopy to rule out any gastric issues, and to schedule the laparoscopic cholecystectomy surgery after adequate preparat...[Read More] Cholecystitis: Surgical Options and Considerations for High-Risk Patients