Understanding Anal Fissures: Challenges and Treatment Options
Anal issues Hello Doctor, I inquired at the beginning of January about a situation that has been ongoing since last summer (it's been a whole year!). Due to an anal fissure, I used ointments, sitz baths, and suppositories. By October of last year, I developed a dermatitis fr...
Dr. Ke Fangxu Reply:
If the pain from an anal fissure is severe, surgical treatment may be considered. If there is also increased pressure in the anal sphincter, a sphincterotomy may be necessary. However, I have encountered cases where anal pain was actually caused by nerve pain due to a herniated d...[Read More] Understanding Anal Fissures: Challenges and Treatment Options
Understanding Post-Cholecystectomy Pain and Recovery Concerns
Gallbladder removal surgery consultation Hello doctor, I had my gallbladder removed on March 2nd. Is it normal to feel occasional pain at the site where the gallbladder was removed? Also, there is some slight redness and swelling around my navel, possibly due to the sutures. Shou...
Dr. Chen Jiaming Reply:
It is common to experience occasional pain within a month after surgery, as the abdominal wall muscles have not fully healed. The umbilical wound appears red and swollen, but the likelihood of a hernia is low. However, based solely on your description, it is not possible to deter...[Read More] Understanding Post-Cholecystectomy Pain and Recovery Concerns
Understanding Post-Surgery Symptoms After Cervical Spine Injury
Questions After Cervical Spine Surgery Due to Car Accident Hello Doctor: Due to a car accident last November, I experienced compression of the cervical spine from the helmet, resulting in a herniated disc at C3-C7 and spinal cord edema. I underwent a discectomy and fusion surgery...
Dr. Zhang Junwei Reply:
Nerve conduction studies can help clarify your concerns.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Injury
Post-Discectomy Pain: Understanding Recovery and Future Risks
Postoperative care for herniated disc surgery? I apologize, I had spinal disc surgery three months ago, where only part of the disc was removed and nothing was implanted. Sometimes I still experience pain in my buttocks, and when sitting, if my back is not straight and my head is...
Dr. Lai Zhaokang Reply:
Hello: 1. Your condition may indicate that the nerves have not fully healed. It is also possible that scar tissue is adhering to the nerves, or it could be a sign of recurrence. Of course, there may be other reasons as well. I recommend that you bring your pre-operative and pos...[Read More] Post-Discectomy Pain: Understanding Recovery and Future Risks
Understanding Hernia Surgery Options After Previous Laparoscopic Procedures
Inquiry about hernia surgery? Hello, doctor: Recently, I have noticed a bulge in my lower right abdomen, and after examination, it has been confirmed as a hernia. I am considering surgical treatment for it, but I have previously undergone two laparoscopic surgeries (cholecystecto...
Dr. Chen Ronghong Reply:
Hello Mr. Li, 1. Laparoscopic appendectomy may present some increased surgical difficulty due to the overlapping location of the abdominal wall incision with that of the laparoscopic extraperitoneal hernia repair; however, laparoscopic surgery remains a viable option. 2. Lapa...[Read More] Understanding Hernia Surgery Options After Previous Laparoscopic Procedures
Do All Laparoscopic Surgeons Have Skills in Both Intra- and Extraperitoneal Hernia Repair?
Hernia surgery When consulting a physician again, do all surgeons who perform laparoscopic minimally invasive hernia surgery possess the skills for both intraperitoneal and extraperitoneal hernia repair techniques?
Dr. Chen Ronghong Reply:
Hello Mr. Li, it is not necessarily the case; the techniques of the two procedures have slight differences, and the physician may have only learned (or be accustomed to) one of the techniques.[Read More] Do All Laparoscopic Surgeons Have Skills in Both Intra- and Extraperitoneal Hernia Repair?
Understanding Pain After Hernia Surgery: When to Consider Mesh Removal
Removal of artificial retina? Hello, doctor. I underwent a laparoscopic hernia repair surgery with mesh placement for an indirect inguinal hernia two weeks ago. Now, the entire area feels like it is experiencing electric shocks, stabbing pain, and pinpricks, similar to trigeminal...
Dr. Chen Bingze Reply:
Hello, your current situation is indeed quite troubling and it is a very rare condition. However, it is essentially not removable for two main reasons: first, removing it would cause your intestines to protrude from these two areas; second, the membranes are significantly adhered...[Read More] Understanding Pain After Hernia Surgery: When to Consider Mesh Removal
Post-Surgery Concerns: Understanding Recovery After Hernia Repair
Postoperative care for hernia surgery? Thank you for your response, doctor. I live in Taoyuan. May I ask you a few questions? After open mesh inguinal hernia surgery: 1) Ten days post-surgery, my white blood cell count is 10.99, with neutrophils at 88.4% and lymphocytes at 7.7%, ...
Dr. Chen Bingze Reply:
Hello, regarding the issue you mentioned, since you have just undergone surgery, I believe it would be best to monitor these data for now. However, the persistent stabbing pain you are experiencing really needs to be addressed as a priority.[Read More] Post-Surgery Concerns: Understanding Recovery After Hernia Repair
Post-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Open mesh repair for inguinal hernia surgery? Hello, doctor. May I ask you a few questions? After an open mesh inguinal hernia repair surgery: 1) Ten days post-surgery, the white blood cell count (10.99) has increased, and the neutrophil (88.4%)/lymphocyte (7.7%) ratio (11.48) is...
Dr. Chen Jiaming Reply:
It is advisable to consult the original surgeon regarding postoperative clinical issues. Each individual's recovery after surgery varies, and there is no absolute standard.[Read More] Post-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Understanding Post-Surgery Pain After Umbilical Hernia Repair
Post-Hernia Surgery After undergoing surgery for an umbilical hernia, experiencing pain in the anus after having a bowel movement can be attributed to several factors. It may be due to irritation or inflammation in the surrounding tissues, changes in bowel habits post-surgery, or...
Dr. Xu Kaixi Reply:
Post-operative pain in the anus after umbilical hernia surgery is not directly related. It may be due to changes in diet and lifestyle after the surgery, leading to altered bowel habits and resulting in hemorrhoidal inflammation and pain. It is recommended to visit a surgical out...[Read More] Understanding Post-Surgery Pain After Umbilical Hernia Repair
Best Pillows for Herniated Discs: Finding Comfort and Support
What type of pillow is recommended for a herniated disc? Hello Director Lai, I have been dealing with cervical disc herniation for 18 years. Back then, I experienced constant pain while awake, but after a year of rehabilitation, the pain disappeared. I have been very mindful of m...
Dr. Lai Zhaokang Reply:
Hello: According to evidence-based medicine, when selecting a pillow, the key points are for back sleeping or side sleeping: 1. The area between the head, neck, and shoulders should have proper support (there should be no gaps, and the neck should not be suspended). 2. The cervic...[Read More] Best Pillows for Herniated Discs: Finding Comfort and Support
Understanding Hernias: Symptoms, Risks, and Exercise Guidelines
Hernia issues? Hello, Doctor. I have a few questions I would like to ask you: 1. I recently noticed a bulge in my lower right abdomen and I'm unsure if it is a hernia. If I wait until summer to see a doctor, will it worsen the hernia? 2. Can I still exercise if I have a h...
Dr. Chen Bingze Reply:
1. It is recommended to come for an outpatient evaluation first. If it is indeed a hernia, and the intestine is protruding, there is a concern that it could become incarcerated, which could lead to necrosis and complicate the situation. 2. Both exercise and coughing can increas...[Read More] Understanding Hernias: Symptoms, Risks, and Exercise Guidelines
Post-Surgery Recovery Insights for Lumbar Disc Herniation Treatment
Postoperative care after disc herniation surgery? 1. Disease Name: Lumbar Disc Herniation at the L4-L5 Level 2. Surgery Name: Percutaneous Endoscopic Discectomy 3. Reason for Surgery: To relieve nerve compression On December 27, the surgery was performed due to a right low...
Dr. Lai Zhaokang Reply:
Hello: After your surgery, your original symptoms have improved, and the wound has healed, which indicates a good recovery. Please continue to use lumbar support for protection. If you are still concerned, feel free to schedule an earlier follow-up appointment. Best wishes, Dr. C...[Read More] Post-Surgery Recovery Insights for Lumbar Disc Herniation Treatment
Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Postoperative Issues After Laparoscopic Surgery Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time. On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incisio...
Dr. Chen Jiaming Reply:
1. Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling. Therefore, such sensations are o...[Read More] Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
Hello Dr. Lai: Issues after intervertebral disc herniation surgery? Dear Director Lai, I apologize for taking up your time with this lengthy message, but I would like to know what the next steps should be. 1. After waking up from surgery, I experienced pain in my left lower bac...
Dr. Lai Zhaokang Reply:
Hello: 1. After lying flat for an extended period, the compressed nerves can become more vulnerable. Under certain conditions, poor blood circulation in the surrounding area may trigger pain and numbness, which is not uncommon. You can apply warmth through heat packs, adjust yo...[Read More] Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
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
Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Postoperative care for herniated disc surgery? Hello Doctor, I underwent traditional surgery for an L4-L5 herniated disc at the beginning of November, without the use of a spacer. Postoperatively, my calf pain improved, but in early January, I suddenly experienced persistent shoo...
Dr. Lai Zhaokang Reply:
Hello: After your decompression surgery in November, there was improvement, but in January, you experienced a recurrence of symptoms. I would like to speculate that it may be a relapse; of course, adhesions or other reasons are also possible. I recommend that you return for a fol...[Read More] Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming Reply:
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Managing Post-Car Accident Symptoms: Effective Treatments for Pain Relief
Post-traumatic sequelae from a car accident? I was involved in a car accident in mid-July last year when I was stopped at a red light and was rear-ended. At that moment, my knees hit the trunk of the car, resulting in a blunt injury to my lower back. The next day, my knees were b...
Dr. Lai Zhaokang Reply:
Hello: 1. Lower back pain and leg numbness are suspected to be related to lumbar spine conditions. 2. There is a herniation at the fifth lumbar intervertebral disc, and water-cooled radiofrequency treatment could be considered. However, it is recommended to seek medical attention...[Read More] Managing Post-Car Accident Symptoms: Effective Treatments for Pain Relief
Understanding Shoulder and Neck Sounds: When to Seek Medical Advice
Shoulder and neck sound concerns? Recently, I've been experiencing occasional cracking sounds at the junction of my shoulder and cervical spine. Sometimes, even when I move my shoulder or take a deep breath, I hear noises, but it doesn't happen when I only move my neck....
Dr. Lai Zhaokang Reply:
Hello, it is suspected that the joint connecting the shoulder to the cervical spine is producing abnormal sounds. This may be due to being underweight, lack of exercise, and insufficient flexibility. The noise during movement could be attributed to a lack of synovial fluid, simil...[Read More] Understanding Shoulder and Neck Sounds: When to Seek Medical Advice