Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Perianal folliculitis Hello Doctor: At the beginning of June, I developed two folliculitis lesions about one centimeter to the left of my anus. Initially, they were pinhead-sized conical papules, gradually growing to about 0.8 centimeters. One of them is painful, causing discomfo...
Dr. Chen Bingze Reply:
Hello, I understand that the inflammatory condition in this area must be quite bothersome for you. Whether it's folliculitis or hidradenitis, both are types of inflammatory responses. You should have consulted a colorectal surgeon, who should have also assessed the possibili...[Read More] Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Understanding Head Injuries: When to Seek Further Medical Attention
Regarding head injuries? Dear Doctor, My mother bumped her head against a clothesline (metal) last Thursday or Friday. After the incident, she applied some medication herself, cooked dinner, and went to bed without eating. This morning, she felt very dizzy and nauseous and final...
Dr. Zhang Junwei Reply:
If you experience increased dizziness or vomiting one or two days after taking the medication, it is recommended to visit the neurosurgery outpatient clinic for further evaluation.[Read More] Understanding Head Injuries: When to Seek Further Medical Attention
Understanding Post-Fall Symptoms: Is It Sinusitis or Something More?
Fell and hit the back of the head on the ground? Hello, Dr. Peng. I accidentally slipped and fell at 5 PM the day before yesterday, hitting the back of my head without being able to protect it. The next morning, I started to have phlegm. I found online that others who experienced...
Dr. Peng Xianwen Reply:
Hello Ms. Chen: Based on your condition, it seems more like sinusitis. Nasal tissue fluid would only occur in the case of a skull base fracture. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Understanding Post-Fall Symptoms: Is It Sinusitis or Something More?
Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Does hydrocephalus cause the brain to enlarge? Hello Doctor: I visited the neurology department at Yunji Hospital over ten years ago. At that time, my symptoms included hand tremors and numbness. Since no definitive cause was found (I underwent nerve and EEG tests but with no sig...
Dr. Zhang Junwei Reply:
You are likely referring to a blister or fluid accumulation, which can potentially increase in size. If there are any concerns, it is advisable to consult a neurosurgeon for evaluation.[Read More] Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Understanding Bumps on the Skull: Causes and Concerns
Protrusion of the cranial bones? Hello Doctor, I recently noticed a bump near the top of my head. If I divide the area into front, back, left, and right, the front and right sides feel like a normal continuous contour. However, when I touch the back and left sides, there is a sud...
Dr. Zhang Junwei Reply:
It is possible that the irregularities were always present, and you have only recently noticed them. It is recommended to observe for another month or two.[Read More] Understanding Bumps on the Skull: Causes and Concerns
Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Chronic dizziness Hello, doctor. I have been experiencing long-term dizziness (not vertigo, and I do not feel unbalanced). I do not have any chronic illnesses and have consulted a neurologist. My EEG results were normal, and I have been taking a medication called Nootropil for a ...
Dr. Zhang Junwei Reply:
Without a detailed physical examination, it is impossible to determine; it could be present or it could be absent.[Read More] Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Understanding Skull Bumps: When to Seek Further Medical Evaluation
Slight protrusion of the skull? Hello Doctor, I recently noticed a bony protrusion near the top of my head. I consulted a neurosurgeon who performed a brief physical examination and said it felt normal (as I don't have any symptoms or discomfort). He advised me to monitor it...
Dr. Zhang Junwei Reply:
1. Very difficult. 2. Agree to observe further.[Read More] Understanding Skull Bumps: When to Seek Further Medical Evaluation
Post-Surgery Falls in Hydrocephalus Patients: When to Seek Medical Attention?
Postoperative falls in patients with hydrocephalus? Hello, I would like to ask about my mother. She underwent surgery for hydrocephalus on June 7, and today, June 16, she fell in the bathroom and hit her head. However, the impact was not on the surgical site, which is on the left...
Dr. Zhang Junwei Reply:
If the patient is alert and shows no neurological deficits, observation is sufficient. If any issues arise, promptly refer to a neurosurgery outpatient clinic or the emergency department.[Read More] Post-Surgery Falls in Hydrocephalus Patients: When to Seek Medical Attention?
Understanding Head Injuries: What to Do After a Fall
Fell and hit the back of the head? Hello, doctor. Yesterday, I accidentally fell and hit the back of my head. It immediately swelled up significantly, and aside from the redness, swelling, and pain at the impact site, there were no other unusual symptoms that day. I applied ice, ...
Dr. Zhao Shaoqing Reply:
Hello: Common symptoms of head trauma include concussion symptoms, headache, dizziness, nausea, and vomiting. Typically, these symptoms will gradually improve. If there are any changes, you can follow up at a neurosurgery outpatient clinic. Generally, after 48 hours, you may appl...[Read More] Understanding Head Injuries: What to Do After a Fall
Understanding Post-Car Accident Head Injuries and Symptoms
Head injury from a car accident? Hello, Doctor. A few days ago, I was in a car accident where I hit a tree. The left side of my face is bruised and swollen, and there are slight fractures in my orbital bone and skull. I have bruises on my neck and limbs. The doctor said it would ...
Dr. Zhao Shaoqing Reply:
Hello: You can schedule an appointment for a consultation in the neurosurgery department for a detailed evaluation and examination. Issues related to trauma can sometimes manifest later. If new problems arise, further examinations can be arranged for confirmation. Changhua Hospit...[Read More] Understanding Post-Car Accident Head Injuries and Symptoms
Understanding the Causes of Arm Numbness Upon Waking Up
The causes of waking up with numbness in the arm? Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wake up, the entire arm feels ...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that you may have issues related to cervical nerve, shoulder and neck, or even brachial plexus, which could lead you to unconsciously sleep in this position to relieve pressure in those areas. This posture can affect blood circulation in the shoulder a...[Read More] Understanding the Causes of Arm Numbness Upon Waking Up
Autologous Fat Grafting for Localized Scleroderma: Is It Available in Taiwan?
Localized scleroderma autologous fat grafting Hello Doctor, I have localized scleroderma lesions on my face, which have caused atrophy in my left forehead and left nasal wing. I have looked into current overseas treatment methods, including autologous fat grafting, and have found...
Dr. Lu Daokuan Reply:
You are a 17-year-old male. Generally speaking, unless you are significantly overweight, there may be issues with the source of fat for autologous fat grafting. You can personally consult with a physician experienced in autologous fat transfer to discuss your treatment plan.[Read More] Autologous Fat Grafting for Localized Scleroderma: Is It Available in Taiwan?
Understanding Cerebellar Hemorrhage: Challenges and Recovery Insights
Spontaneous cerebellar hemorrhage Hello, my husband has experienced spontaneous cerebellar hemorrhage and has a drainage tube in place. He is 46 years old and underwent surgery on January 2, 2023. He was in a coma for a month with a Glasgow Coma Scale score of 3. Later, he develo...
Dr. Zhang Junwei Reply:
Infection is not a sequela of neurosurgery; however, when fever occurs, the issue of the drainage tube should be considered first.[Read More] Understanding Cerebellar Hemorrhage: Challenges and Recovery Insights
Can Long-Term Eyewear Use Cause Skull Indentation?
Skull issues Is it true that wearing glasses for a long time can cause a depression in the skull? I started wearing glasses at the age of 14, and in recent years, due to the pandemic, I have been wearing goggles all day, which are made of plastic. I feel a pressure on the sides o...
Dr. Lai Zhaokang Reply:
Hello: It is unlikely that there is a depression in the skull. It is suspected to be a depression in the subcutaneous tissue. If you have any doubts, please seek medical attention. Let a doctor confirm with X-rays or a CT scan. Best wishes, Dr. Lai Chao-Kang, Neurosurgery.[Read More] Can Long-Term Eyewear Use Cause Skull Indentation?
Can Brain Aneurysms Disappear? Insights from a Neurology Case
Arterial aneurysm Hello Dr. Chang, I was diagnosed with a cerebral aneurysm after experiencing severe headaches and undergoing a CT scan in 2017. Subsequently, I had MRI and angiography arranged. Over the past few years, I have had two follow-up MRIs, and the results indicated th...
Dr. Zhang Junwei Reply:
Theoretically, it is unlikely for it to disappear, but nothing is absolute. It may be necessary to inquire in detail with the physician about the size and type of the aneurysm, among other factors.[Read More] Can Brain Aneurysms Disappear? Insights from a Neurology Case
Understanding Gunshot Wounds to the Head: Causes and Effects
Curious question? When a bullet penetrates the head, the reason for blood spattering is due to the high velocity and energy of the bullet causing significant damage to blood vessels and brain tissue, leading to a rapid release of blood. The term "blowout" refers to a si...
Dr. Zhao Shaoqing Reply:
Unable to answer this question.[Read More] Understanding Gunshot Wounds to the Head: Causes and Effects
Managing Post-Traumatic Head Bumps: Treatment Options and Concerns
A lump remaining after a head injury? Hello Doctor, five years ago I sustained an injury to my head (near the hairline on my forehead) when I was hit by someone, resulting in a swelling about the size of a 50 NT dollar coin. At the time, I was too afraid to tell my parents. Now, ...
Dr. Li Zhonghuai Reply:
Hello! It may be advisable to perform an ultrasound first. If it appears to be fluid, it can be aspirated with a needle. However, if it has been present for a long time, it is likely to have formed a solid mass, which usually does not require intervention. If you wish to remove a...[Read More] Managing Post-Traumatic Head Bumps: Treatment Options and Concerns
Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Anal fissure issues (continued) Hello Dr. Ke: Thank you for taking the time to respond on May 1st. After visiting another clinic, I realized that the wound on the right posterior side is about one centimeter inside the anal area, which is not a large wound. Therefore, after using...
Dr. Ke Fangxu Reply:
1. Symptoms that persist for more than one month are considered chronic. 2. Sitz baths are recommended 3-4 times a day for 15 minutes each time, with water temperature not exceeding 36-38 degrees Celsius. If discomfort occurs after the bath, a topical ointment can be applied. ...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options