Head, Surgery FAQ

Understanding Temporary Vision Loss After Concussion in Children

A concussion can cause temporary vision impairment in one eye? Hello, a 4-year-old child has sustained a concussion due to a head injury. A CT scan of the brain showed no bleeding, and an ophthalmologist confirmed that there are no issues with the optic nerve or retina. However, ...

Dr. Zhang Junwei Reply:
If there is no improvement, it is recommended to consult a neurosurgeon, as there may be an injury to the optic nerve, and an MRI may be necessary.

Understanding Post-Concussion Symptoms: When to Seek Medical Attention

Post-concussion syndrome? Hello, doctor. On January 2, 2019, I was involved in a motorcycle accident where I collided with another vehicle, causing me to be thrown off and hit my head. I don't remember whether my knee, buttocks, or head was the first point of impact. I did n...

Dr. Zhang Junwei Reply:
It is important to monitor whether the current symptoms worsen or persist without improvement. Generally, such symptoms tend to improve with adequate rest. If there is no improvement, a consultation with a neurosurgery outpatient clinic should be scheduled for further evaluation ...

Understanding Changes in Anal Tightness After Hemorrhoid Surgery

After hemorrhoid surgery, it feels like the anus is not as tight as before? Hello, Dr. Hsu: Several years ago, I underwent a rubber band ligation procedure to treat multiple hemorrhoids, which were tied off externally for about seven days. Within three months post-surgery, I freq...

Dr. Xu Kaixi Reply:
The tightness and looseness of the anus are controlled by the anal sphincter muscles. To assess the function of the anal sphincter, it is recommended that you visit a surgical outpatient clinic for a digital rectal examination or other assessments.

Understanding Post-Trauma Head Injuries: Symptoms and Recovery After a Car Accident

Head trauma from a car accident? The patient sustained a trauma to the right posterior aspect of the head from a car accident. A CT scan did not reveal any intracranial hemorrhage; however, due to significant external bleeding, the emergency sutures later led to the need for a de...

Dr. Li Zhonghuai Reply:
Hello! A car accident has caused a laceration, and after the wound heals, it may remain swollen and hard for some time, sometimes even up to a year. Head injuries may cause intermittent dizziness and headaches within six months, but these symptoms will gradually improve after tha...

Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives

Hyperhidrosis (Excessive Sweating) Hello, Doctor! 1. I have been experiencing palmar and plantar hyperhidrosis for a long time. Currently, I am managing my hand sweating with iontophoresis, but it seems to have compensated with sweating all over my body and feet. I have tried t...

Dr. Lai Zhaokang Reply:
Hello: If you cannot coexist peacefully with hand sweating, you may consider trying medication short-term if you can accept the side effects. After that, reassess and decide whether to pursue long-term management. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang. 1. Glycopyrrola...

Understanding Head Masses: Possible Causes and Concerns

Head mass I discovered some lumps a while ago on both sides of the back of my head, slightly towards the left and right. There are three lumps on each side, and they seem a bit asymmetrical. The two lumps on the sides are not painful when pressed, but they are movable. Additional...

Dr. Peng Xianwen Reply:
It is not advisable to speculate; it is better to examine the wound on-site. Of course, it is important to confirm what it is. Performing surgery to remove it for examination will provide a definitive diagnosis.

Understanding Skull Indentations: When to Seek Medical Attention for Head Injuries

Depressed skull or cranial depression? Yesterday, my son's classmates were playing tag and ran through damaged playground equipment. A hanging metal rod rebounded and struck my ten-year-old son's head. Although there are no visible external injuries or swelling, there s...

Dr. Zhang Junwei Reply:
Neurological surgery outpatient visit.

Understanding Intracranial Hemorrhage: Treatment and Prognosis After Trauma

Intracranial hemorrhage My husband fell down the stairs on the night of October 13 and suffered a significant impact. There were no obvious external injuries to the head, but he bled profusely from his ears. He was taken to Linkou Chang Gung Memorial Hospital and was already in a...

Dr. Zhang Junwei Reply:
Without a complete medical history and assessment, it is not possible to provide an accurate response. I apologize!

Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders

Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...

Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize!

Understanding Treatment Options for Cervical Myelopathy and Syringomyelia

Treatment of cervical syringomyelia I went to New Taipei Hospital for consultation due to tightness and pain in my neck and shoulders. An MRI on July 27 revealed that the nerve root is being compressed between the C4 and C5 vertebrae, and there is spinal cord compression between ...

Dr. Zhao Shaoqing Reply:
Spinal cord compression can lead to sensory and motor neurological symptoms, including pain, numbness, and weakness in the neck and both upper limbs. If there is a presence of syringomyelia, it generally indicates irreversible damage to the spinal cord. Surgical intervention on t...

Understanding Cervical Spine Surgery and Sympathetic Nerve Issues

Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...

Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...

Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options

Cervical vertebra 2 (C2) Hello Dr. Lai, I previously raised a question regarding my right arm feeling poor blood circulation (#140649). Thank you for your response. On October 16, I was struck from behind by a taxi, and when I fell, I landed on my hands. I went to the emergency r...

Dr. Lai Zhaokang Reply:
Hello: 1. What you mentioned: "There is an old fracture at the second cervical vertebra, but it has healed; however, the ligaments may have become lax." Generally speaking, if there is ligament laxity at C2, the symptoms often include occipital pain. Additionally, laxit...

Understanding Head Bumps: Causes, Symptoms, and Recovery Tips

Head mass Hello, last month I was pulled and fell hard on the ground, hitting the back left side of my head directly on the asphalt. At the moment of impact, I felt very dizzy and couldn't stand up. When I regained my senses, I noticed a large swelling on the back left side ...

Dr. Li Zhonghuai Reply:
Hello! "I have been experiencing occasional severe headaches until now, and I currently have a hard lump about the size of a five-dollar coin on the left back of my head. It feels very hard and painful to touch. There is a small area where the original wound is, and there is...

Understanding Surgery for Hemorrhoids and Polyps: Risks and Recovery

Hemorrhoid and wart surgery issues? Hello, Doctor. I have a small polyp in my rectum that has caused occasional bleeding during bowel movements. After consulting with doctors, they have all said that surgery is not necessary, partly because I am an HIV carrier. However, the topic...

Dr. Yu Mingchang Reply:
Hemorrhoid surgery will not cause incontinence. After the surgery, it is recommended to take warm sitz baths! Please undergo the surgery as soon as possible! Thank you!

Chronic Anal Fissure: Seeking Solutions for Persistent Pain and Discomfort

The anal fissure has persisted for over a month without improvement? Hello Doctor, I experienced a mild anal fissure due to bowel movements in early August. After a few days, thinking I had recovered, I engaged in anal intercourse. Since then, my fissure has not healed. Initially...

Dr. Ke Fangxu Reply:
The inflammation of the anal mucosa is not related to washing the buttocks with water unless water is being forced into the rectum, which is a very dangerous practice and should never be done. If there are anal fissures, it is essential to avoid constipation and diarrhea, as well...

Understanding Neck and Head Issues After a Slip and Fall Accident

Slip and fall, head and neck issues? Hello, doctor. Last week, I slipped and fell backward due to a wet floor. I'm not sure if I hit the back of my head, but I felt dizzy and experienced tinnitus immediately after getting up. I've still been feeling somewhat dizzy these...

Dr. Zhao Shaoqing Reply:
A posterior impact to the head and neck raises concerns about potential injuries to the cerebellum or cervical spine. Symptoms may include dizziness, headaches, neck pain, and poor balance. If these symptoms persist without improvement, it is advisable to seek medical evaluation ...

Understanding Painful Scalp Lumps: When to Seek Medical Help

Lump on the scalp? Hello Dr. Li: About eight months ago, I discovered a lump on the top of my head that was painful when pressed. In the past two to three months, I have noticed several more lumps (in a row) that are also painful when pressed, but they are more painful than befor...

Dr. Li Qinglong Reply:
Dear Miss Hsiao-Hua, Your medical history is quite unique. In surgery, physical examination is crucial, and without examining the mass, I truly cannot answer your questions. I recommend that you visit the surgical outpatient clinic to assess the condition of the mass. The Huali...

Head Injury Concerns: Potential Risks and Management After Impact

Top of the head impact issues? Hello Director Chang, Today, while I was getting into a government van, I didn't notice the height difference and hit my head hard against the door frame. It was very painful at the moment, and the pain radiated to the back of my head. By the ...

Dr. Zhang Junwei Reply:
Based on your description, it seems to be a mild head injury. If discomfort persists, you may want to schedule an appointment with a surgical outpatient clinic for further evaluation.

Concerns After a Slip and Fall: Understanding Head Injury Symptoms

Slip backward? Hello Doctor, I slipped and fell backward the day before yesterday due to a wet floor. I had my hair in a ponytail, and I’m not sure if the back of my head hit the ground. At that moment, I experienced some tinnitus and dizziness, but I did not have any significant...

Dr. Zhao Shaoqing Reply:
If there is persistent clear nasal discharge, and the possibility of a skull base fracture has been ruled out, it is necessary to go to a major hospital for examination.

Understanding Head Injuries: Symptoms and When to Seek Help

Head issues I accidentally bumped my head against a car door while rushing to school on Wednesday. At that moment, my head didn't swell, but it was a bit painful. The next day, I started to notice some issues with concentration. Additionally, I wasn't feeling well at th...

Dr. Zhao Shaoqing Reply:
Symptoms of a mild concussion typically last for 2-3 weeks. It is important to rest and avoid vigorous activities or prolonged reading and watching television. If persistent nasal discharge occurs, it is necessary to visit a major hospital to rule out the possibility of a skull b...

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