Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Unexplained itching sensation? Hello Doctor, in the past few days, I have been experiencing a sudden and frequent sensation of unexplained swelling or itching deep in my intestines, rectum, or pelvic area. It feels like there is a spasm, and I constantly feel the urge to tighten ...
Dr. Zhang Shuhao Reply:
This sensation may originate from the gastrointestinal tract, pelvic floor muscles, or gynecological issues. It is advisable to consult a colorectal specialist and a gynecologist for a physical examination and ultrasound to rule out any organ-related problems. If the organs are f...[Read More] Unexplained Itching: Understanding Deep Discomfort in the Abdomen and Groin
Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...
Dr. Ke Fangxu Reply:
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Managing Gut Health: Addressing Constipation and Digestive Issues
Some gastrointestinal issues? I have been on a high-protein diet for a long time, going to the gym regularly 4 to 6 days a week. I consume about 170 to 180 grams of protein daily (considering only protein as a nutrient). Recently, my sleep has been very irregular; sometimes I sle...
Dr. Zhang Shuhao Reply:
1. Constipation is primarily due to insufficient dietary fiber; even a high-protein diet should include adequate fiber intake. Increased bowel movement and mucus in the stool are manifestations of enteritis. Fermented foods like kimchi can easily irritate the gastrointestinal tra...[Read More] Managing Gut Health: Addressing Constipation and Digestive Issues
Understanding Tetanus and Bacterial Infections: Risks and Vaccination
Tetanus or bacterial infection Hello Doctor: I often have skin breaks near my fingernails, and sometimes I accidentally tear them off, leaving a small red mark that hurts. It also hurts when I apply alcohol to it. However, I frequently encounter this while doing housework. I read...
Dr. Li Zhonghuai Reply:
Hello! It exists in the "gastrointestinal tract of mammals" and "soil." Elderly individuals, diabetics, and drug addicts are more susceptible to infection, although cases are rare. Generally, infections are more likely to occur when there are injuries contamin...[Read More] Understanding Tetanus and Bacterial Infections: Risks and Vaccination
Understanding Breast Tumor Biopsy Results: What You Need to Know
Breast tumor biopsy issues? Hello Doctor, I am 27 years old and have no family history of breast cancer. Last week, I went for a breast surgery consultation and found a 1 cm tumor. The doctor suggested a biopsy and believed the likelihood of malignancy was low, so it was a precau...
Dr. Chen Jiaming Reply:
The biopsy results of the breast tumor show squamous metaplasia. The clinician recommends complete excision of the tumor due to concerns that it may be metaplastic squamous cell carcinoma (SCC). Generally, the likelihood of such malignant tumors occurring in the breast is very lo...[Read More] Understanding Breast Tumor Biopsy Results: What You Need to Know
Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Tetanus vaccine and wound issues? 1. I received a Tetanus vaccine around March 16. I would like to know if the vaccine becomes effective the day after administration. How long does it take for the vaccine to provide protection? 2. Yesterday, on March 26, after picking at my nail...
Dr. Chen Jiaming Reply:
There is no risk of tetanus infection from a wound that has come into contact with human feces.[Read More] Understanding Tetanus Vaccine Effectiveness and Wound Care Risks
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu Reply:
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Understanding Gastrostomy Challenges: Common Issues and Solutions
Gastrostomy complications Dear Dr. Chang, I humbly seek your advice regarding some issues I've been experiencing since I had a gastrostomy tube placed two years ago due to my inability to swallow. I have several questions: 1. After each feeding, about 20 minutes later, mil...
Dr. Zhang Shuhao Reply:
Replying to the physician: General Surgery Dr. Chen Rong-Hong. Hello Jelly, since the gastrostomy is part of the upper gastrointestinal tract, I will respond on behalf of Dr. Chang Shu-Hao. 1. First, after feeding, you should flush any residual milk into the stomach with clear ...[Read More] Understanding Gastrostomy Challenges: Common Issues and Solutions
Understanding Black Spots in Stool: Causes and Concerns
Black spots in the stool? In the past two days, I have experienced difficulty with bowel movements. Today, I had a bowel movement with a normal amount, but the surface of the stool is covered with small black spots. What could this indicate? (I have never undergone a colonoscopy,...
Dr. Zhang Shuhao Reply:
Changes in stool color are mostly related to food, but bleeding in the gastrointestinal tract can also present as black stools. If concerned, it is advisable to first visit an outpatient clinic to check for issues such as hemorrhoids or anal fissures, and then perform a fecal occ...[Read More] Understanding Black Spots in Stool: Causes and Concerns
Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Gastrointestinal issues Dear Doctor, I lost 26 kilograms through two months of fasting two years ago, and then I binge-eated for a week. Since then, I have been experiencing bloating that has not improved for over a year. I underwent endoscopy and CT scans, all of which were no...
Dr. Chen Jiaming Reply:
It is still a functional issue of the gastrointestinal tract, and dietary habits need to be readjusted. It is advisable to find a meticulous gastroenterologist to gradually work on adjusting the gastrointestinal condition. The likelihood of adhesions without prior surgery is quit...[Read More] Understanding Bloating After Rapid Weight Loss: Is Adhesion Surgery Necessary?
Managing Colostomy Complications After Surgery: A Patient's Journey
After undergoing a colostomy, a fistula developed in the abdomen? I have undergone major surgery, resulting in 100% intestinal adhesions, and I had my stomach and duodenum removed, followed by a bypass surgery. Eighteen years after the surgery, I had to undergo another operation ...
Dr. Xu Kaixi Reply:
Based on your description, it seems you have undergone surgery for an abdominal wall hernia, which has resulted in a fistula between the intestine and the abdominal wall as well as the skin. In some severe abdominal surgeries, there is indeed a small percentage of cases that may ...[Read More] Managing Colostomy Complications After Surgery: A Patient's Journey
Understanding Changes in Bowel Habits After Gastrointestinal Inflammation
Bowel issues Hello Doctor, about a month ago I had mild inflammation of the gastrointestinal tract and took medication for it. Two weeks ago, I experienced pain in my right abdomen when applying light pressure and consulted a doctor, who said it was just a digestive issue. Howeve...
Dr. Ke Fangxu Reply:
Gastroenteritis symptoms should not last this long. It is common for patients to avoid normal eating after gastroenteritis, which can lead to abnormal bowel movements. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy fo...[Read More] Understanding Changes in Bowel Habits After Gastrointestinal Inflammation
Understanding Stoma Dysfunction After Total Gastrectomy: Causes and Solutions
Fistula surgery In October 2019, I went to the emergency department at Chung Cheng Hospital due to intestinal obstruction. As a result, I underwent a stoma procedure, which revealed that stomach cancer had metastasized to the colon. However, about six months later, my attending p...
Dr. Yu Mingchang Reply:
Hello: Jejunum? Failure? Redo? Stoma function? What type of stoma?[Read More] Understanding Stoma Dysfunction After Total Gastrectomy: Causes and Solutions
Understanding Appendicitis: Why Testing is Essential After Surgery
Appendicitis tests Hello Doctor, my mother experienced severe abdominal pain around 1:00 AM on February 28th and was continuously vomiting (including the sleeping pills she took before bed). We took her to the emergency room, where she underwent X-rays, a chest X-ray, and a CT sc...
Dr. Chen Jiaming Reply:
No need to worry! Under the National Health Insurance system, it is standard procedure to send the excised inflamed appendiceal tissue for pathological examination after an appendectomy. This surgical approach complies with the health insurance billing process. It is not that you...[Read More] Understanding Appendicitis: Why Testing is Essential After Surgery
Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Bowel issues, rectal bleeding? Hello Doctor, I am 20 years old and a few months ago, I started noticing blood on the toilet paper after having a bowel movement. This situation occurs about 1 to 2 times a month (though I can't remember exactly if it's every month), lasti...
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, shorten the time spent on bowel movements, and increase the intake of di...[Read More] Understanding Rectal Bleeding: Causes, Concerns, and When to Seek Help
Understanding Movable Right Abdominal Mass: Causes and Concerns
Right abdominal mass? Hello doctor, two months ago I felt a movable hard lump in the middle of my right abdomen (it feels somewhat elongated). However, when I lie down and try to touch my abdomen, I cannot feel that lump. Since I am currently abroad, what could be the possible re...
Dr. Xu Kaixi Reply:
It can be palpated on the body surface, and the location is likely within the subcutaneous soft tissue layer, which may be fat, fibrous tissue, or a subcutaneous cyst. Its correlation with the gastrointestinal tract in the abdominal cavity is relatively low. It is recommended to ...[Read More] Understanding Movable Right Abdominal Mass: Causes and Concerns
Post-Hemorrhoid Surgery: Persistent Pain and Bleeding After Two Months
Two months after hemorrhoid surgery, it has still not healed? Hello, I underwent hemorrhoidectomy on June 29, 2020, using a minimally invasive tissue coagulation device. Online searches indicate that recovery from hemorrhoid surgery typically takes about 1 to 2 months, but even t...
Dr. Ke Fangxu Reply:
1. Traditional surgery does not typically exhibit this phenomenon. Personally, I do not use minimally invasive tissue coagulation devices, so I am unsure if this is a specific complication associated with such procedures. However, there have been a few patients in the past who ha...[Read More] Post-Hemorrhoid Surgery: Persistent Pain and Bleeding After Two Months
Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help
Abdominal pain and lower body soreness? Initially, the symptoms were only pain in the uterus, and after three days, I went to the gynecology department for an ultrasound, which showed no significant issues. It was suggested that it might be due to a delayed menstrual period. Afte...
Dr. Chen Jiaming Reply:
Many young women experience pelvic discomfort or cramping before their menstrual period, which is known as dysmenorrhea and is not considered a disease. If the symptoms are difficult to tolerate, taking acetaminophen (Tylenol) for a day or two can provide temporary relief. As for...[Read More] Understanding Pelvic Pain and Gastrointestinal Discomfort: When to Seek Help