Understanding Disc Herniation: When to Seek MRI for Back Pain Relief
Herniated disc Hello doctor, I have been experiencing persistent lower back pain, which is so severe that it even hurts to walk. My shoulders and neck are also very tense, and when I feel discomfort in my neck, it can lead to headaches, dizziness, and nausea. Additionally, I have...
Dr. Lai Zhaokang Reply:
Hello: You may have nerve compression in your cervical spine and also have lesions in your lumbar spine. If you have already tried conservative treatment along with injection therapy without improvement, it is recommended to consider scheduling an MRI for further evaluation. Best...[Read More] Understanding Disc Herniation: When to Seek MRI for Back Pain Relief
Understanding Irregularities in the Occipital Region: A Neurosurgical Perspective
Regarding the issue of irregularities in the occipital region? Hello, doctor. About a month ago, I noticed some irregularities in the center of the back of my head (specifically at the intersection of a line extending horizontally from the upper part of my ear and a line extendin...
Dr. Lai Zhaokang Reply:
Hello: 1. As your previous orthopedic doctor mentioned, it should be a normal skull. 2. A CT scan has also been performed, and if the doctor determines it to be normal, you can feel more at ease. 3. If you are still concerned, consider consulting a neurosurgeon for another evalua...[Read More] Understanding Irregularities in the Occipital Region: A Neurosurgical Perspective
Understanding Post-Surgery Confusion After Brain Hemorrhage Drainage
Altered consciousness after drainage of a cerebral hemorrhage? Hello, doctor! My father was sent to the hospital three weeks after a fall due to headaches. After examination, he was found to have a subdural hematoma. The physician recommended drainage for quicker recovery (and he...
Dr. Zhang Junwei Reply:
Without detailed computed tomography and examinations, it is not possible to provide an interpretation or prognosis based on specific medical conditions.[Read More] Understanding Post-Surgery Confusion After Brain Hemorrhage Drainage
Understanding Post-Concussion Symptoms: Headaches and Focus Issues
Head-related consultation? Hello, doctor. Four years ago (during middle school), I slipped and fell while running in a hurry, hitting the back of my head. Since then, I've experienced some mild migraines and difficulty concentrating. Is this considered a normal aftereffect? ...
Dr. Lai Zhaokang Reply:
Hello: 1. If you started experiencing symptoms such as migraines and difficulty concentrating immediately after the impact, it may be a post-concussion syndrome. However, it is uncommon for these symptoms to persist for more than three months. 2. If you developed the aforemention...[Read More] Understanding Post-Concussion Symptoms: Headaches and Focus Issues
Can I Surgically Remove a Boil on the Back of My Neck?
Can a boil on the back of the neck be excised? Hello, Doctor: I have been suffering from furuncles recently, having had multiple occurrences in the same location. The furuncles are located in the center of the back of my neck. They cause severe pain when I lie down to sleep, and ...
Dr. Ke Fangxu Reply:
If a benign skin tumor repeatedly becomes infected, surgical excision can be performed to eliminate the issue permanently. Alternatively, antibiotic treatment can be used first to reduce the size of the lesion before surgery. Therefore, the answers to both of your questions are a...[Read More] Can I Surgically Remove a Boil on the Back of My Neck?
Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...
Dr. Chen Ronghong Reply:
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...[Read More] Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options
Chronic cerebral hemorrhage with hematoma compressing the brain? Hello Dr. Zhang, my father (born in 1943) had a severe head injury from a fall down the stairs at the end of August, resulting in significant bleeding that required emergency care. A CT scan at that time showed only...
Dr. Zhang Junwei Reply:
Without detailed CT scans and neurological examinations, it is not possible to determine an accurate treatment plan. It is recommended to bring the discharge summary and CT scans to an outpatient appointment for discussion with the physician.[Read More] Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options
Is It Safe to Fly Years After Skull Surgery? Understanding the Risks
Is there still a high risk of flying years after cranial surgery? Hello, doctor. I was in a serious car accident four years ago, during which I sustained a brain injury and had a portion of my skull about the size of a fist removed. Later, a titanium plate was used to replace the...
Dr. Zhang Junwei Reply:
There is basically no risk anymore, but it is still advisable to consult with the surgeon who originally performed your operation.[Read More] Is It Safe to Fly Years After Skull Surgery? Understanding the Risks
Can Subarachnoid Hemorrhage Go Unidentified on Scans?
Subarachnoid hemorrhage with no identifiable bleeding source? Is it possible that a relative diagnosed with subarachnoid hemorrhage due to sudden severe headache might still not have a detectable bleeding source after undergoing relevant imaging studies?
Dr. Zhang Junwei Reply:
It's possible.[Read More] Can Subarachnoid Hemorrhage Go Unidentified on Scans?
Understanding Head Injuries from Motorcycle and Bicycle Accidents
Injuries caused by car accidents? A collision between a motorcycle and a bicycle resulted in a fall that caused head trauma, leading to initial loss of consciousness and confusion. Bystanders attempted to rouse the individual with no response, and then a second motorcycle struck ...
Dr. Zhang Junwei Reply:
Yes, it is a concussion, it will.[Read More] Understanding Head Injuries from Motorcycle and Bicycle Accidents
Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Excessive cleaning of the anus can lead to itching? I have always had obsessive cleanliness habits, so I tend to wipe until there are no traces left after using the restroom (I know this isn't good, but I often can't help it). Recently, due to the stress of midterms, I ...
Dr. Ke Fangxu Reply:
Excessive cleaning that leads to anal itching is quite common. Aside from medication, the fundamental solution is simple: do not over-clean. Excessive washing and wiping can cause damage and inflammation to the anal skin. Hot water sitz baths can further exacerbate the dermatitis...[Read More] Understanding Itchy Anus: The Effects of Over-Cleaning and Hygiene Habits
Understanding Cervical Spine Surgery: Key Considerations for Recovery
Cervical spine spinal cord injury, laminectomy decompression surgery, discectomy, mobile artificial intervertebral disc? The mother is 62 years old and has diabetes, but it is uncertain whether she has osteoporosis. She fell off her bike on the road and was urgently taken to the ...
Dr. Lai Zhaokang Reply:
Hello: A. The principles of surgical treatment for cervical spinal cord injury are 1. Decompression 2. Reconstruction. You have already undergone posterior decompression (without fixation), but if your symptoms have not improved and follow-up MRI shows significant anterior compre...[Read More] Understanding Cervical Spine Surgery: Key Considerations for Recovery
Understanding Head Injuries: Symptoms, Diagnosis, and Concerns
Head trauma On the evening of October 22, I stood up in the dormitory (about 40 cm) and hit the top of my head (on the right side). At that moment, I did not lose consciousness, just felt a brief pain. I immediately applied ice, and that night I only experienced mild pressure pai...
Dr. Peng Xianwen Reply:
On October 26, there was a head impact, and by November 1, after one week, it can be determined that there are no serious issues with the brain. The symptoms of muscle spasms and coughing are not related to the brain. If there are still any physical discomforts, it is recommended...[Read More] Understanding Head Injuries: Symptoms, Diagnosis, and Concerns
Understanding Pain and Swelling After Head Trauma: What to Do?
A lump on the head that causes pain when pressed? A month ago, I was playfully hit on the left back of my head. I applied ice within 24 hours and thought everything was fine, so I didn't continue with heat therapy. Today, after sleeping on a hard chair, I woke up with pain i...
Dr. Peng Xianwen Reply:
If the hot compress is ineffective and the lump is not large, it may not be a concern. However, if it is too large, it may require intervention. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Understanding Pain and Swelling After Head Trauma: What to Do?
Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Sphincter muscle weakness or injury Hello Doctor, I have been experiencing scar pain, a foreign body sensation, fecal incontinence, and leakage after bowel movements since undergoing hemorrhoid surgery postpartum. After undergoing anorectal manometry and anal ultrasound, the do...
Dr. Zhang Shuhao Reply:
1. Training the pelvic floor muscles and conservative treatments such as physical therapy have about a 60% chance of improvement. 2. If conservative treatments are ineffective, sphincter repair surgery is still recommended. Even if the remaining muscle strength is insufficient,...[Read More] Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery
Dural arteriovenous fistula (DAVF) Hello Doctor: My mother underwent a transarterial embolization procedure for tinnitus at the end of August. The procedure was performed near the area below her ear, with access from the groin up to the neck. Immediately after waking up from the ...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon to evaluate the spinal cord or sympathetic nerves in the head and neck region for any lesions. Best wishes, Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, Doctor. Two years ago, I was struck on the head by a metal pipe while working. At that time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray, and the doctor said there was no fracture in the skull. After two months, I saw a n...
Dr. Lai Zhaokang Reply:
Hello: 1. According to medical principles, head trauma should be monitored for 3 months. If there is no further deterioration, the injury is considered stable. 2. If there is indeed intracranial hemorrhage, it will typically resolve and be absorbed within 1-2 months (similar to h...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Understanding Craniofacial Measurements and Corrections for Malocclusion
Measurement and Correction of the Head and Face Hello, doctor. I have a bit of an issue with malocclusion, and I would like to ask: 1. Should I go to the craniofacial orthodontics department for correction? 2. Will the craniofacial orthodontics department provide services for mea...
Dr. Lü Mingchuan Reply:
1. Can 2 have[Read More] Understanding Craniofacial Measurements and Corrections for Malocclusion
Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Depression of the skull About a year ago, I noticed a prominent indentation on the right side of my scalp, which has a groove that is higher at the front and back and lower in the middle. When I experience headaches, that area tends to hurt more. I don't recall having this i...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for medical evaluation.[Read More] Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Recurrence of hemorrhoids after surgery? Hello Dr. Ke: My husband underwent hemorrhoid surgery at National Taiwan University several years ago. Initially, everything was normal post-surgery, but due to severe anxiety over the past six months, he has experienced a loss of appetite...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is generally possible to remain symptom-free for up to ten years. However, if good bowel habits and dietary practices are not maintained, recurrence of symptoms within 1-2 years is also a common occurrence. Aiofuro is a type of venous constrictor and ...[Read More] Managing Recurring Hemorrhoids After Surgery: A Patient's Journey