Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Lumbar and sacral vertebrae resection and spinal fusion surgery inquiry? Hello Dr. Lai, in the past six months, I have been experiencing frequent soreness and numbness in my right leg, along with a limp. Despite rehabilitation and rest, there has been no improvement. After a medi...
Dr. Lai Zhaokang Reply:
Hello: 1. Your concerns are valid, but the risk is very low. It is important to have a detailed discussion with your surgeon and anesthesiologist before the surgery. 2. The fusion time for the human spine is at least 3 months. After the surgery, you can engage in simple basic act...[Read More] Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Is It Normal to See Menstrual Blood Sticking to Toilet Walls?
Bowel movement issues Hello doctor, I would like to ask if it is normal for menstrual blood to stick to the toilet bowl during bowel movements, or could it possibly indicate a gastrointestinal issue? (Attached is an image)
Dr. Zhang Shuhao Reply:
You can wait until the menstrual period ends to see if there is any continued bleeding, observing the amount and color of the bleeding, as well as any accompanying pain or abdominal symptoms. If the bleeding persists, it is recommended to consult a gastroenterologist or a colorec...[Read More] Is It Normal to See Menstrual Blood Sticking to Toilet Walls?
Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Bowel issues Previously, my bowel movements were very smooth, and I felt the urge to go without straining. However, recently I've been experiencing some gastrointestinal issues with bloating, and I've been under a lot of stress, worrying about my health. I've been ...
Dr. Ke Fangxu Reply:
To improve bowel movement issues, it is important to increase dietary fiber intake, drink plenty of water, and maintain adequate physical activity. At this age, improving dietary habits and daily routines is usually sufficient; otherwise, the use of laxatives may become necessary...[Read More] Overcoming Constipation: Tips for Managing Anxiety and Bowel Health
Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Pancreatic cancer, biliary-enteric anastomosis? My mother, 56 years old, is in the late stages of pancreatic cancer. Due to a bile duct obstruction, she underwent a biliary-enteric anastomosis last month. A week after the surgery, she began experiencing vomiting symptoms, even af...
Dr. Chen Jiaming Reply:
Your mother's condition is quite complex, and there are many potential reasons for postoperative vomiting. It is advisable to consult her primary physician to see if they can arrange for an upper gastrointestinal series (UGI series) or a small bowel series to further investi...[Read More] Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
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 Blood After Bowel Movements: Causes and Concerns
Blood on toilet paper after wiping can indicate several potential issues, including hemorrhoids, anal fissures, or other gastrointestinal conditions? Recently, after having a bowel movement, I noticed that sometimes there are small red specks in my stool. I think it might be remn...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger...[Read More] Understanding Blood After Bowel Movements: Causes and Concerns
Understanding Blood in Stool During COVID: When to Seek Gastroenterology Care
Blood streaks during the COVID-19 period? Hello, Doctor: I would like to ask you two questions. 1. I recently had COVID-19 and my fever has subsided, but I am now experiencing intermittent abdominal pain. During my first bowel movement, I had difficulty passing stool and notice...
Dr. Chen Bingze Reply:
If you do not meet the criteria for antiviral medication, the doctor cannot prescribe COVID-19 antiviral drugs to you, and you will only receive symptomatic treatment. After diagnosis, some individuals may experience lingering symptoms. I recommend that you consider undergoing a ...[Read More] Understanding Blood in Stool During COVID: When to Seek Gastroenterology Care
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 Anal Fissures: Symptoms, Treatment, and Surgical Options
Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...
Dr. Ke Fangxu Reply:
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Should I Get Another Endoscopy After Recent Stomach Issues?
Issues related to gastroscopy? Hello doctor, I had an upper gastrointestinal endoscopy a month ago, which showed only mild gastritis. However, last Thursday, after eating a not-so-clean lunch box, I experienced intermittent abdominal pain and a decrease in appetite. I would like ...
Dr. Chen Bingze Reply:
Basically, if you have just undergone a procedure, you can be reassured that it might just be a temporary gastrointestinal discomfort. However, if the discomfort persists, you may consider additional tests such as an ultrasound and a colonoscopy. It's important to have these...[Read More] Should I Get Another Endoscopy After Recent Stomach Issues?
Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
In the past two weeks, there have been orange speckled particles in the stool? Since being diagnosed last December, I have experienced frequent gastrointestinal motility and flatulence. I have been taking traditional Chinese medicine for adjustment, and in March, I underwent a fe...
Dr. Xu Kaixi Reply:
It is possible that the medication has not been fully digested, or that components of traditional Chinese medicine are adhering to the fiber in the stool, so there is no need to worry too much. If the situation persists and does not improve, it is advisable to visit a hospital fo...[Read More] Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
Understanding Anal Fissures and Small Polyps: Will They Heal?
Anal fissures and small polyps, will the small polyps resolve on their own? A week ago, I noticed a small amount of blood after having a bowel movement, so I went to see a doctor. After a digital examination, the doctor diagnosed me with a grade one internal hemorrhoid. Externall...
Dr. Xu Kaixi Reply:
Gastrointestinal polyps are benign tumors that may grow larger over time and have the potential for dysplasia. Therefore, surgical removal is recommended.[Read More] Understanding Anal Fissures and Small Polyps: Will They Heal?
Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
Anal fissure surgery issues? Some time ago, I developed an anal fissure due to gastrointestinal issues. Although my gastrointestinal problems have been resolved and the fissure has healed, I still experience recurrent pain after several days of soft stools. Medical examinations c...
Dr. Ke Fangxu Reply:
Anal fissures can be classified into two types based on the pressure of the sphincter muscle. If the sphincter pressure is excessively high, surgical intervention tends to yield better outcomes. Conversely, if the sphincter pressure is insufficient, the results of surgery may be ...[Read More] Understanding Chronic Anal Fissures: Surgery Options and Treatment Concerns
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
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?
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continued Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small red object in my stool, which is more pronounced than yesterday (the link below has a picture). I would like to know if this is related to ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Causes and When to Seek Help
Bowel Issues - Continuation Hello Doctor, I am the one who asked about #192075 yesterday. Today, when I went to the bathroom, I noticed a small piece of red in my stool, which is more noticeable than yesterday (the link below has a picture). I would like to know if this could be ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation causing minor bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly mor...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Blood in Stool: Hemorrhoids or Something More Serious?
Bowel issues Hello doctor, today when I went to the bathroom, I noticed a thin red line about 0.5 cm long in my stool (the part circled in the image in the link). I have previously been diagnosed with internal hemorrhoids and a mild anal fissure. Additionally, I ate some carrots ...
Dr. Zhang Shuhao Reply:
These two photos do not appear to show signs of gastrointestinal bleeding, but intestinal bleeding can sometimes be undetectable to the naked eye. Therefore, a fecal occult blood test is conducted to identify microscopic bleeding that is not visible. If there are concerns, you ca...[Read More] Understanding Blood in Stool: Hemorrhoids or Something More Serious?
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? A few days ago, the doctor noticed that the stool was harder than usual, and there was blood when wiping afterward. In recent days, there has also been blood on the tissue after bowel movements. The blood is bright red but not mixed in with the stool; it is on...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...[Read More] Understanding Blood in Stool: Causes and When to Seek Help