Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...
Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms
Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Post-concussion syndrome and sequelae with dizziness symptoms lasting for 3 months? Hello, doctor. I was in a car accident on April 18, and I did not experience any loss of consciousness at the time. I was able to answer all the questions from the medical staff. However, after un...
Dr. Zhang Junwei Reply:
Head trauma can also cause vestibular dizziness. It is recommended that you visit an otolaryngologist for an examination.[Read More] Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...
Dr. Zhang Junwei Reply:
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
Head Injury at Home: Understanding Symptoms and When to Seek Help
Hit on the top of the head? On July 24th, Wednesday, at 7:49 PM, I bumped my head against the ceiling while standing on my tiptoes on the second floor of my duplex home due to the low ceiling height. At that moment, I asked my family to check, and there was only slight redness on...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for examination and evaluation.[Read More] Head Injury at Home: Understanding Symptoms and When to Seek Help
Understanding Rectal Issues: When to Seek Surgical Advice
The buttocks feel unusual? Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat. I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything. When I touch the area, I fee...
Dr. Zhang Shuhao Reply:
A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse. When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain. It is recommended to increase fiber and fluid intake to improve di...[Read More] Understanding Rectal Issues: When to Seek Surgical Advice
Post-Surgery Concerns for Chin Hemangioma: What to Expect
Postoperative issues related to hemangioma on the chin? Hello Dr. Lee, about a week ago, I discovered a lump about 1.5 cm on my jaw. Initially, I thought it was a sebaceous cyst, but after visiting an otolaryngology clinic, the doctor diagnosed it as a hemangioma. After taking me...
Dr. Li Zhonghuai Reply:
Hello! Hemangiomas arise from blood vessels and are highly vascularized. When surgical removal is necessary, the blood vessels need to be isolated and clamped; it is not simply a matter of cutting into the vessels. The vessels must be excised to allow for proper anastomosis. Will...[Read More] Post-Surgery Concerns for Chin Hemangioma: What to Expect
Understanding Pancreatic Neuroendocrine Tumors: Surgery and Risks Explained
Pancreatic neuroendocrine tumor (PNET) Recently, a neuroendocrine tumor measuring 0.8 cm was found in the pancreas, located towards the middle, closer to the head of the pancreas. The doctor indicated that it is a well-differentiated G1 tumor, but due to personal concerns about t...
Dr. Chen Bingze Reply:
Hello, these questions may still need to be addressed by your attending physician, as the type of resection depends on the location. However, if a pancreaticoduodenectomy is necessary, it is a significant surgery, and it is difficult to guarantee that there won't be any issu...[Read More] Understanding Pancreatic Neuroendocrine Tumors: Surgery and Risks Explained
Post-Surgery Concerns: Understanding Lipoma Removal Recovery
Postoperative issues related to lipoma removal? Hello Doctor, last November I underwent surgery at Kaohsiung Veterans General Hospital to remove a lipoma the size of a mung bean from my forehead. The surgeon mentioned that the swelling would only last for a short period. I follow...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to return for a follow-up to check if the sutures are absorbable. Currently, the sutures are all manufactured across the strait, and there are no alternatives available. Take care! Changhua Hospital is concerned about you![Read More] Post-Surgery Concerns: Understanding Lipoma Removal Recovery
Should You Monitor Mild Head Injuries After a Fall? Expert Insights
Hello, Dr. Chang. I fell on May 23rd, landing on my back. Should I monitor this type of injury? Although 37 years old is not considered elderly, it is still middle-aged. On May 21, while taking a shower, I accidentally bumped the top left of my head against the metal shower head....
Dr. Zhang Junwei Reply:
Based on your description, it seems to be just symptoms of a head injury, and the likelihood of delayed bleeding is low. The key point is that if there is persistent headache or dizziness, and the symptoms worsen, it is advisable to seek medical attention promptly.[Read More] Should You Monitor Mild Head Injuries After a Fall? Expert Insights
Head Injuries in Seniors: When to Seek Medical Attention After a Fall
Elderly individuals falling and sustaining head injuries? My father is in his 70s and has Parkinson's disease. Yesterday, while sitting in a supportive chair, he leaned forward and hit his forehead on the ground, resulting in a wound and he mentioned that his neck feels comp...
Dr. Zhao Shaoqing Reply:
It would be reassuring to visit a neurosurgery clinic for an examination.[Read More] Head Injuries in Seniors: When to Seek Medical Attention After a Fall
Post-Laparoscopic Surgery Care: Addressing Common Concerns and Best Practices
Postoperative Issues After Laparoscopic Surgery Hello Dr. Lee, I underwent laparoscopic surgery to remove a teratoma on April 30th, and I have a total of four incisions. I have some post-operative questions I would like to ask you. 1) I purchased waterproof gel during the surge...
Dr. Li Zhonghuai Reply:
Hello, 21 days post-surgery, the wound should be mostly healed. 3) The wounds around the navel and left abdomen feel firm to the touch, and the skin appears slightly red ==> Please return for a follow-up appointment for the physician to assess for possible infection. 1) If the...[Read More] Post-Laparoscopic Surgery Care: Addressing Common Concerns and Best Practices
Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery
Subarachnoid hemorrhage My husband experienced a sudden headache last year and fainted in front of the emergency room. The emergency diagnosis was subarachnoid hemorrhage, and I signed the critical condition notice. He was hospitalized for a week to manage hypertension (which he ...
Dr. Zhang Junwei Reply:
If angiography has been performed and no vascular abnormalities are found, then the only option is to monitor the situation.[Read More] Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery
Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Post-concussion syndrome? Hello, Doctor! I would like to ask about my mother's condition. Five years ago, she was driving and hit the left side of her head against the car window. At the time, there was no bleeding, but there was swelling, and she applied ice. She experience...
Dr. Lai Zhaokang Reply:
Hello: In theory, it is rare to have such long-lasting sequelae (five years), but it is still possible. If you are concerned, take her to the hospital to see a neurosurgeon for evaluation. Wishing you all the best. By Dr. Lai Chao-Kang, Neurosurgery.[Read More] Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Postoperative Consultation for L5-S1 Surgery Hello Dr. Lai, I previously underwent an anterior spinal fusion surgery due to grade II spondylolisthesis at the L5-S1 level. (Before the surgery, I experienced persistent pain on the left side, while the right side had no symptoms.)...
Dr. Lai Zhaokang Reply:
Hello: 1. Indeed, some individuals may experience symptoms on the opposite side after a dislocation is reduced, which could be due to temporary discomfort in the new environment following the renovation of an old house. 2. It would be advisable to discuss this further with the or...[Read More] Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Sudden onset of double vision accompanied by an increase in flashes to 200 degrees? Hello Dr. Chang Jun-Wei, I would like to ask you a question. My father is 60 years old and about 1-2 weeks ago, he suddenly experienced double vision while driving during the day. The next day, he...
Dr. Zhang Junwei Reply:
Since the MRI has already been scheduled, we will wait for the examination results. There are too many differential diagnoses to detail individually.[Read More] Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Symptoms after a car accident? Hello doctor, I had a car accident at the end of October last year that resulted in a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left side and a concussion. I was recovering well a...
Dr. Zhang Junwei Reply:
Theoretically, the head trauma from last October is unrelated to the current headaches and dizziness occurring six months later. As for the underlying issue, it will depend on whether the symptoms persist and the results of further examinations.[Read More] Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
There is a pimple on the left side of the anus? Hello, doctor! On April 15th, while taking a shower, I felt a small hard lump on the left side of my anus. It only hurts when I touch it. Over the next few days, it slightly swelled up, about the size of a small green bean. It still...
Dr. Zhang Shuhao Reply:
If it is an anal abscess, it is usually located closer to the anal opening, and topical ointments are often ineffective. Once it ruptures, there will be purulent discharge. Your description is more similar to general folliculitis. If you are concerned, you can visit a colorectal ...[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Treatments
Can MRA Detect Hydrocephalus After Shunt Removal?
Can an MRA detect hydrocephalus? Hello, Doctor. I was diagnosed with hydrocephalus when I was 9 years old, and later had a shunt placed for drainage. Four years ago, the shunt was removed because I was frequently uncomfortable and my doctor determined that there would be no recur...
Dr. Zhang Junwei Reply:
MRA primarily examines blood vessels, but it is a brain scan, and it can also reveal the presence of hydrocephalus.[Read More] Can MRA Detect Hydrocephalus After Shunt Removal?
Is Head Trauma Risk Higher After Intracranial Hemorrhage Surgery?
Postoperative intracranial hemorrhage? If a patient experienced intracranial hemorrhage due to an accident in August 2014 and underwent surgery, resulting in bilateral weakness, is the skull of someone who has had intracranial surgery more fragile than that of an average person? ...
Dr. Li Zhonghuai Reply:
Hello! The human body's self-repair ability is quite strong. Even after 10 years, it does not become more fragile. It has been over 3 years since 2020. It is important to get a CT scan immediately after an injury; otherwise, there will be no evidence. Take care! Changhua Hos...[Read More] Is Head Trauma Risk Higher After Intracranial Hemorrhage Surgery?
Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Hit by a billiard ball? Last week, I was attacked with a cue ball, and afterward, I experienced headaches and memory loss. I am currently suspected of having a mild traumatic brain injury. I would like to know if an attack with a cue ball could potentially cause this, especially ...
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for evaluation and examination.[Read More] Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?