Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Anal fissure - burning sensation in the buttocks? Hello Doctor: Since March 17, I have been experiencing bleeding when using the restroom, along with swelling and pain in the anal area, and I noticed some protrusions. I visited Mackay Memorial Hospital, where the doctor performed...
Dr. Ke Fangxu Reply:
1. Although there is no longer any bleeding, if there is still pain, you may apply ointment again. 2. The cause of anal fissures is often due to constipation or diarrhea. The fundamental treatment is to improve bowel movements, along with warm sitz baths. Warm sitz baths can hel...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Treatment Options
Understanding Persistent Head Pain After Trauma: A Patient's Journey
Head issues? Hello, Doctor: In 2004, I had a conflict with a classmate, and while I was napping on my desk during lunch, this classmate struck the back right side of my head forcefully with something, possibly a chair, as he is quite large. This was not a single strike! At that t...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to visit a hospital for an ultrasound to determine if there is any residual hematoma. Although the injury occurred years ago, theoretically, the blood clot should have been absorbed. However, in clinical practice, there are cases where the clot does not g...[Read More] Understanding Persistent Head Pain After Trauma: A Patient's Journey
Understanding Post-Surgical Head Pain: Causes and When to Seek Help
The sutured wound on the head may be painful? Three months ago, I sustained a laceration to my forehead from a blunt object, approximately 3 centimeters in length, located at the upper right side of my hairline. Since the stitches were removed, the wound has not been very noticea...
Dr. Peng Xianwen Reply:
Hello Ms. Li: The nausea is likely not related to the impact (concussion), especially since it has been three months. The scar needs to be assessed in person for a better evaluation. Dr. Peng Hsien-Wen, Nantou Hospital.[Read More] Understanding Post-Surgical Head Pain: Causes and When to Seek Help
Do I Need a Tetanus Shot After a Head Injury from Rusty Metal?
Tetanus Issues Hello doctor, today I hit the back of my head against a rusty iron basket in the bathroom. My family checked, and there are no obvious external injuries, just slight redness and swelling. I rinsed my head with clean water at the moment. Do I need to go to the clini...
Dr. Ke Fangxu Reply:
If there is no external injury or skin break, a tetanus shot is not necessary. In fact, if the wound is not deep, it is also not required; however, people have become accustomed to getting it.[Read More] Do I Need a Tetanus Shot After a Head Injury from Rusty Metal?
Understanding Black Spots on the Scalp: Causes and Concerns
Black circular spots on the scalp? Dear Dr. Ke, I recently noticed a black round spot on the scalp at the back of my head (where there is hair), approximately 0.2 to 0.3 centimeters in size. I would like to ask you the following questions: 1. Is it common for benign moles to de...
Dr. Ke Fangxu Reply:
1. There is a possibility of this. 2. It is also possible. 3. If the pigmentation is due to post-inflammatory changes, the color will gradually fade as long as there are no further inflammatory episodes.[Read More] Understanding Black Spots on the Scalp: Causes and Concerns
Understanding Black Spots on the Scalp: Causes and Treatments
Black circular spots on the scalp? Dear Dr. Zhou, I recently discovered a black round spot on the back of my head (where my long hair is), approximately 0.2 to 0.3 centimeters in size. I would like to ask you the following questions: 1. Can benign moles develop on the scalp? Ba...
Dr. Zhou Hongzhang Reply:
1. Benign moles can develop on the scalp. If the mole does not change, it may not require treatment. 2. Yes, the black circular spot on the back of the head could be post-inflammatory hyperpigmentation (PIH). 3. Yes, if it is post-inflammatory hyperpigmentation (PIH), the black c...[Read More] Understanding Black Spots on the Scalp: Causes and Treatments
Understanding Post-Surgery Care for Cauliflower Disease: Common Concerns
Postoperative care for cauliflower (likely referring to cauliflower ear or a similar condition)? Hello doctor, I have been diagnosed with genital warts and have started electrosurgery treatment. So far, I have undergone the procedure five times and am about to have the sixth. Is ...
Dr. Ke Fangxu Reply:
Anal condylomas are inherently prone to recurrence. If there are extensive warts treated with multiple sessions of electrosurgery, this is considered a normal treatment course. However, if there is a recurrence after clearance, it is important to evaluate whether safe sexual prac...[Read More] Understanding Post-Surgery Care for Cauliflower Disease: Common Concerns
Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Moyamoya disease Hello Doctor: I underwent intracranial and extracranial vascular anastomosis surgery in January and April this year due to a hair-like cerebrovascular disease. My recovery has been good, and I have been attending regular follow-up appointments. After my appointme...
Dr. Zhang Junwei Reply:
You should ask the surgeon who performed the operation about this issue![Read More] Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Understanding Post-Surgery Indentations After Inguinal Hernia Repair
After hernia surgery, the surgical site may appear sunken when sitting? Hello Doctor: I underwent traditional left inguinal hernia surgery (with a self-funded mesh implant) on the 24th of last month. For the first ten days, the wound site was normal, and the stitches were almost ...
Dr. Chen Jiaming Reply:
In traditional hernia surgery, after making an incision in the skin, the subcutaneous fat layer is separated, and the external oblique fascia is opened to reach the location of the common hernia sac. In patients with a thicker subcutaneous fat layer or larger original hernia sacs...[Read More] Understanding Post-Surgery Indentations After Inguinal Hernia Repair
Understanding Excess Hair Growth: Laser Treatment Insights for Men
The trouble of excessive hair growth? Hello Doctor: I have a higher and finer voice, and I don't have a prominent Adam's apple, yet I have a lot of hair, enough to cause discomfort. I have facial hair along my jawline, and there is also a significant amount of hair on m...
Dr. Lu Daokuan Reply:
It is normal for a 20-year-old male to have body hair, as the amount of hair is related to individual constitution and family traits. Hair removal is not necessary.[Read More] Understanding Excess Hair Growth: Laser Treatment Insights for Men
Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Understanding Uneven Hairline Recession: Causes and Solutions
One-sided forehead hair loss? Hello, I have noticed that my hairline on the right side of my forehead has been receding rapidly over the past few months, while the right side has not experienced much recession. 1. What could be the reason for this? 2. Is it possible for male patt...
Dr. Ke Fangxu Reply:
It could be male pattern baldness or localized dermatitis causing follicular necrosis and hair loss. It would be more appropriate to consult a dermatologist for a professional opinion on the issue.[Read More] Understanding Uneven Hairline Recession: Causes and Solutions
Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Radicular syndrome with hand numbness? My mother has been experiencing numbness in her middle and index fingers after prolonged activities such as reviewing documents, washing dishes, brushing her teeth, and combing her hair over the past two years. A doctor diagnosed her with ce...
Dr. Zhang Junwei Reply:
Since the nerve conduction study indicates two underlying issues simultaneously, and there has been no improvement after wrist surgery, cervical spine surgery may need to be considered.[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-traumatic intracranial hemorrhage sequelae following a car accident? Hello, doctor. I was in a car accident four months ago, during which I lost consciousness and have no memory of the incident. The diagnosis was: intracranial hemorrhage; cerebral contusion combined with sku...
Dr. Zhang Junwei Reply:
Basically, having sequelae does not mean one cannot write; it depends on the physician's professional judgment.[Read More] Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Understanding Anal Discomfort: Allergies, Hemorrhoids, and Treatment Options
Recently, I visited the doctor for a follow-up appointment, and they mentioned that I have an allergic reaction to the medication? I would like to ask Dr. Ke about my recent discomfort. After a follow-up visit, the doctor examined me and mentioned a medication allergy. He also no...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts could all be potential issues. If it is a drug allergy, applying betamethasone ointment m...[Read More] Understanding Anal Discomfort: Allergies, Hemorrhoids, and Treatment Options
Understanding Postural Numbness: Is It Just Cervical Compression?
Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...
Dr. Zhang Junwei Reply:
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?
Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei Reply:
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Understanding and Treating Purple Bumps on the Areola: A Guide
Areola pimples A week ago, I noticed a purple bump on my areola (I'm not sure if it's a hemangioma, as I've had one on my back before). I tried to squeeze the purple bump, and it bled, but now the raised area hasn't gone down, and there is white pus appearing....
Dr. Yu Mingchang Reply:
Hello: There is a higher possibility of hair loss; please take a look at breast surgery when you have time.[Read More] Understanding and Treating Purple Bumps on the Areola: A Guide
Understanding Perianal Issues: Folliculitis or Fistula?
Suspected folliculitis near the anal area? Hello, on April 1st, I discovered a small lump near the hair follicle around the anus (approximately 2-3 cm from the anal opening). Initially, I thought it was just folliculitis, so I performed warm sitz baths daily and applied anti-infl...
Dr. Ke Fangxu Reply:
The diagnosis on the prescription represents the considerations of the physician, and it is not necessary to overly focus on which specific diagnosis it is; it is best to rely on what the physician states. After all, the diagnosis of such diseases still depends on physical examin...[Read More] Understanding Perianal Issues: Folliculitis or Fistula?
Understanding Unusual Spine Sensations: When to Seek Medical Advice
The lumbar spine feels unusual? Hello Dr. Chang, I apologize for the lengthy message. This morning, after using the restroom, I suddenly felt something unusual in my lumbar spine (it wasn't painful). After struggling to finish, I noticed that walking felt strange (again, no...
Dr. Zhang Junwei Reply:
I recommend that you schedule an appointment with a neurosurgery clinic for an examination; it will be safer and give you peace of mind.[Read More] Understanding Unusual Spine Sensations: When to Seek Medical Advice