Understanding Rectocele and Uterine-Rectal Pouch: Symptoms and Diagnosis
Rectouterine pouch Hello, Doctor: I previously underwent surgery for uterine prolapse, and since the operation, I have been experiencing difficulty with bowel movements. Even when I do manage to pass stool, it is only a small amount, and I feel like I am not fully emptying my bow...
Dr. Ke Fangxu Reply:
Both of these conditions refer to rectocele, which can be diagnosed using a barium enema or defecography, as it is a dynamic issue that becomes more apparent during straining. However, constipation is actually a very complex problem. In addition to rectocele, there may be pelvic ...[Read More] Understanding Rectocele and Uterine-Rectal Pouch: Symptoms and Diagnosis
Understanding Disc Herniation: Rehab Options and Surgical Solutions
Intervertebral disc rupture Recently, an MRI revealed a rupture of the L5-S1 intervertebral disc. I have a few questions for the doctor: 1. Is it appropriate to undergo rehabilitation with lumbar traction therapy for a ruptured disc? Could this worsen the protrusion? 2. If surgic...
Dr. Lai Zhaokang Reply:
Hello: 1. You may consider rehabilitation with lumbar traction, but a professional physician's evaluation is necessary. 2. It is possible to only excise the herniated portion, but preoperative assessment of the damage and stability is required to prevent future recurrence, i...[Read More] Understanding Disc Herniation: Rehab Options and Surgical Solutions
Understanding Pediatric Hernias: When to Consider Surgery for Your Child
Pediatric Hernia Hello Doctor: Our twin boys are now 4 years old. The younger brother has been occasionally complaining of stomach pain, and the pediatrician recommended a consultation with a pediatric surgeon. After the pediatric surgeon's examination, he immediately stated...
Dr. Yu Mingchang Reply:
Hello: You can observe whether there is any protrusion in your abdomen while taking a shower. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Pediatric Hernias: When to Consider Surgery for Your Child
Understanding Swelling Around the Umbilical Hernia Surgery Site
Swelling around the umbilical hernia incision? Hello Doctor: I had umbilical hernia surgery on March 9. Initially, the incision site (located inside the belly button, slightly to the left) was covered with a cosmetic adhesive. However, a week post-surgery, I noticed a lump (sligh...
Dr. Ke Fangxu Reply:
Without a personal examination, I cannot provide you with a definitive answer. However, this situation is generally related to the inner sutures. A small number of individuals may experience swelling due to a hematoma or wound infection. To determine the exact cause, it is essent...[Read More] Understanding Swelling Around the Umbilical Hernia Surgery Site
Can Using Vibrators Cause Hernias in Women? Expert Insights Explained
Does using a vibrator for women lead to hernias? Hello, Doctor: I recently underwent surgery for a left inguinal hernia, and I am still curious about how I developed the hernia. I would like to ask a somewhat embarrassing question: Can the use of a vibrator or a bullet vibrator b...
Dr. Chen Jiaming Reply:
In simple terms, the formation of hernias in young individuals is often related to congenital weak points in the lower abdominal wall, combined with increasing intra-abdominal pressure that pushes outward. This is typically noticed when children cry or strain. Generally, physical...[Read More] Can Using Vibrators Cause Hernias in Women? Expert Insights Explained
Post-Hernia Surgery: Occasional Pain During Exercise and Coughing
Occasional sharp pain one year after hernia surgery? It has been a year since the surgery, and I usually don't have any problems. However, when I do sit-ups, I feel a stabbing or pulling sensation in my abdomen, and coughing too hard also causes pain. I would like to ask the...
Dr. Xu Kaixi Reply:
Hernia surgery typically involves the placement of a prosthetic mesh at the surgical site to prevent recurrence. It is normal to experience nerve pain at the wound site due to scar tissue, which usually improves over time. Activities that significantly increase abdominal pressure...[Read More] Post-Hernia Surgery: Occasional Pain During Exercise and Coughing
Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time
Lumbar disc herniation at the L5-S1 level? I have been doing strength training for nearly a year. At the beginning of October, after playing basketball one night, I felt fine, but the next day I couldn't even sit; I could only lie down without symptoms. Initially, I thought ...
Dr. Lai Zhaokang Reply:
Hello: Both you and the physician agree. The physician suggested surgery because there is confirmed nerve compression. You feel that your symptoms have improved and you do not have symptoms of leg numbness or muscle atrophy, so you do not want to undergo surgery. You are likely t...[Read More] Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time
Can Medical Imaging Accurately Diagnose Hernia Symptoms?
Hernia - Is there an instrument that can confirm the diagnosis? Hello Dr. Hsu, In late July, I experienced discomfort at a point 8 cm to the right of my navel. Throughout the day, I would feel sharp pain about three times, lasting around five seconds each time. Pressing on the a...
Dr. Xu Kaixi Reply:
Based on your description, the likelihood of a hernia is low. For a more accurate diagnosis, a computed tomography (CT) scan may be considered.[Read More] Can Medical Imaging Accurately Diagnose Hernia Symptoms?
Understanding Muscle Tightness and Recovery After Spine Surgery
Feeling muscle tightness? When I lift my legs, I feel tightness in the muscles behind my knees, and my calves are swollen. When lying down, I experience twitching sensations in my buttocks and legs. There are also sounds when I rotate my hip joints, knees, and ankles. Doctor, can...
Dr. Zhang Junwei Reply:
Neurological symptoms generally do not involve a sensation of muscle tightness.[Read More] Understanding Muscle Tightness and Recovery After Spine Surgery
Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Hernia issues Hello Dr. Chen: My father had a temporary colostomy three years ago, and now there is a bulge at the stoma site (it's quite prominent). He went to the hospital for a CT scan, which indicated a hernia, and they recommended laparoscopic surgery to place a mesh fo...
Dr. Chen Jiaming Reply:
Previously, there was a creation of a stoma that caused damage to the abdominal wall muscle fascia, resulting in an "incisional hernia" due to poor healing. Generally, the recurrence rate is lowest when using a mesh implant placed internally in the abdomen for repair. T...[Read More] Understanding Hernia Repair Options: Laparoscopic Surgery Pros and Cons
Understanding Epididymal Lipomas: Surgical Considerations and Options
Spermatic cord lipoma Hello, doctor. When I was about 15 years old, I underwent surgery for an inguinal hernia (traditional suturing surgery, with an incision approximately 10 cm long). Recently, I experienced a muscle strain in the groin area and visited a urologist to check for...
Dr. Chen Jiaming Reply:
Since the lipoma is asymptomatic (discovered only through ultrasound), there is no necessity for surgical removal. First, the presence of lipomas in this area is quite common (especially when found during hernia surgery, they are often removed incidentally). Typically, they are h...[Read More] Understanding Epididymal Lipomas: Surgical Considerations and Options
Post-Appendectomy Abdominal Exercise Concerns: What to Know
Post-appendectomy abdominal exercise issues? Hello Doctor, I had an appendectomy a year and a half ago and have been recovering well without any issues. Recently, I've been training my abdominal muscles with the intensity of a college athlete, which involves exerting force a...
Dr. Chen Jiaming Reply:
First of all, your question did not clearly specify whether the surgical method was a traditional open incision in the right lower abdomen or laparoscopic surgery. Generally, the intestinal end wound from an appendectomy does not rupture due to abdominal strain more than a year l...[Read More] Post-Appendectomy Abdominal Exercise Concerns: What to Know
Should I Consider Minimally Invasive Surgery for Disc Herniation?
MRI shows intervertebral disc herniation? Hello Doctor: I would like to ask if there are two clearly protruding discs that are affecting the nerves, but the cartilage has not yet ruptured, should minimally invasive surgery be considered from the beginning? Current status: I have ...
Dr. Lai Zhaokang Reply:
Hello: 1. An MRI is needed to assess the situation. 2. However, if you feel that your symptoms are manageable and do not affect your quality of life, you can initially try conservative treatment, including rest, a back brace, medication, and rehabilitation therapy, followed by co...[Read More] Should I Consider Minimally Invasive Surgery for Disc Herniation?
Understanding Painful Bumps in Your Belly Button: Causes and Care
There is something inside the belly button? I recently noticed a lump in my navel. It doesn't appear to have changed on the outside, but when I press on it, I can feel a mass that is painful. What could this be, and what should I be aware of?
Dr. Chen Jiaming Reply:
Without a physical examination, I cannot provide a definitive diagnosis. While it may be a benign subcutaneous tumor, one should be cautious of the possibility of an umbilical hernia, as it may gradually enlarge over time, causing protrusion of intra-abdominal tissue. It is advis...[Read More] Understanding Painful Bumps in Your Belly Button: Causes and Care
Understanding Thoracic Disc Herniation: Risks, Recovery, and Treatment Options
Thoracic intervertebral disc herniation Hello doctor, I have been experiencing upper back pain and left anterior chest pain for six months. I consulted with a neurosurgeon at a large teaching hospital and underwent an MRI, which showed a herniated disc at the T4-T5 level compress...
Dr. Lai Zhaokang Reply:
Hello, thoracic disc surgery is relatively risky. If your original physician is not confident, you may consider bringing your MRI to consult with another neurosurgeon. Wishing you the best.[Read More] Understanding Thoracic Disc Herniation: Risks, Recovery, and Treatment Options
Understanding Head Injuries: Managing Symptoms After a Fall
Frequently bumping one's head for no apparent reason? Hello, I have a herniated disc (I haven't had surgery, but I can't bend for too long). Last year, I fell and hit my forehead on the ground. I was diagnosed with mild subarachnoid hemorrhage and was hospitalized....
Dr. Zhang Junwei Reply:
Please schedule an appointment for a detailed examination in the neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: Managing Symptoms After a Fall
Post-Surgery Concerns After Herniated Disc Surgery: What to Expect
Postoperative Issues Following Disc Herniation Surgery Hello Dr. Lai: Previously, I experienced soreness in my hips and legs, as well as numbness in my feet. I recently underwent surgery for a herniated disc and had a support device implanted. For the first two to three days post...
Dr. Lai Zhaokang Reply:
Hello: It is still recommended that you consult your original surgeon, as they can provide you with the most comprehensive explanation. Best wishes to you. // Dr. Lai, Changhua Hospital[Read More] Post-Surgery Concerns After Herniated Disc Surgery: What to Expect
Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Herniated disc Hello Dr. Lai, I have been diagnosed by an overseas physician with a severe L4 disc rupture that requires surgery. I would like to ask: 1) After the surgery to remove the herniated disc material, what methods can be employed to prevent the remaining disc from furth...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: 1) After surgically removing the compressive mass, what methods can be employed to prevent the remaining intervertebral disc from further rupturing and causing recurrent compression? 2) Considering future pregnancy, which places significant strai...[Read More] Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction
Post-spinal surgery, there may be difficulties with bowel and bladder function? In June 2017, I went to the hospital for an examination, and the doctor diagnosed me with a herniated disc at the L4 and L5 levels, recommending surgery. The procedure involved removing the damaged di...
Dr. Lai Zhaokang Reply:
Based on what you described: What is my current condition? I would like to understand my situation. Can I know which nerve is damaged? Is there a possibility of recovery? I plan to go to the hospital for further examination, but which department should I start with? Response: 1. ...[Read More] Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction
Understanding Herniated Discs: Symptoms, Treatment Options, and Surgery Insights
Herniated disc Hello, Doctor. On April 21 of last month, I was diagnosed with a herniated disc, specifically a herniation of the intervertebral disc between the fifth lumbar vertebra and the first sacral vertebra, with nerve compression (left-sided). I subsequently consulted four...
Dr. Zhang Junwei Reply:
A physician must not administer treatment, prescribe medication, or issue a diagnosis certificate without conducting a personal examination (in cases of complex conditions, a detailed medical history is required).[Read More] Understanding Herniated Discs: Symptoms, Treatment Options, and Surgery Insights