Severe Pain After Hemorrhoid Ligation: What to Do Next?
Severe pain after hemorrhoid ligation? Hello Doctor, three days ago I underwent a hemorrhoid ligation surgery at the Taipei City Hospital Zhongxiao Branch. I am experiencing severe pain, and prior to the surgery, I had repeatedly requested a minimally invasive procedure, but the ...
Dr. Ke Fangxu Reply:
Typically, severe pain after hemorrhoid ligation is caused by insufficient depth of the ligation. In such cases, the rubber band should be removed, and the patient should wait for the wound to heal before proceeding with the next stage of treatment planning.[Read More] Severe Pain After Hemorrhoid Ligation: What to Do Next?
Do Sleep Aids Affect Anesthesia Effectiveness During Surgery?
Do sleep medications affect the effectiveness of anesthesia? Hello, doctor. I am scheduled for an outpatient procedure under local anesthesia soon, but I regularly take Ambien (for sleep). I've heard that sleeping pills can affect the effectiveness of anesthesia, so I'm...
Dr. Zhang Shuhao Reply:
The effectiveness of local anesthesia depends on the injection site and the type of medication used, and it is less related to oral sedatives. However, whether to discontinue medication should primarily follow the surgeon's instructions.[Read More] Do Sleep Aids Affect Anesthesia Effectiveness During Surgery?
Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Post-excision of earlobe keloid? Doctor: My brother has a keloid tendency. Before the keloid developed, he had his ears pierced, but after the keloid formed, he developed keloids on his earlobes (in a ring shape). He previously underwent surgery to remove the keloids, and since b...
Dr. Zhou Hongzhang Reply:
Earlobe reconstruction is possible, but it is quite challenging. For general keloids, they can be excised and then gradually treated with injections, which may improve their appearance over time.[Read More] Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Reinnervation of the recurrent laryngeal nerve in vocal cord paralysis? Hello Doctor, last March I was involved in a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy due to concerns about its initial placeme...
Dr. Lai Zhaokang Reply:
Hello: 1. This field belongs to otolaryngology, and currently, most treatments can only target non-closure of the vocal cords through injection of fillers, such as hyaluronic acid or others. 2. There are few reports, both domestically and internationally, regarding the reconstruc...[Read More] Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma
Nerve repair issues Hello Doctor, last March I was sent to the emergency room due to a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy because the initial placement was deemed suboptimal. This may have caus...
Dr. Zhang Junwei Reply:
I apologize, but regarding this issue, I am currently not familiar with the relevant research and cannot provide an answer. I recommend consulting a neurosurgery or otolaryngology department at a medical center.[Read More] Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma
Preventing Hypertrophic Scars: Effective Strategies and Treatments
Hypertrophic scar Hello, Doctor: Today I visited a dermatology clinic for the treatment of keloids. There are some smaller red circular lesions, and the doctor mentioned that they are hypertrophic scars. Since health insurance does not cover this treatment, I was not given an inj...
Dr. Lu Daokuan Reply:
Our outpatient clinic is covered by health insurance, and typically, the only out-of-pocket expense is for maintenance artificial skin. Using artificial skin for care after wound healing can reduce the occurrence of hypertrophic scars.[Read More] Preventing Hypertrophic Scars: Effective Strategies and Treatments
Reducing Skin Bumps on Dialysis Access Sites: Expert Tips
Dialysis catheter Hello Director Li! I am a dialysis patient and have been undergoing hemodialysis for about 5 years. I have an autologous fistula in my left arm, and currently, the injection site has a slight protrusion. Could you please advise on ways to reduce the skin protrus...
Dr. Li Qinglong Reply:
Hello Mr. Cheng: Each time you undergo dialysis and the catheter is inserted, it causes vascular injury. If, after dialysis, you apply appropriate pressure to both needle insertion sites, it should help reduce the swelling of the skin. The Hualien Hospital of the Ministry of Heal...[Read More] Reducing Skin Bumps on Dialysis Access Sites: Expert Tips
Understanding the Side Effects of Anti-Nausea Injections: What to Expect
Side effects of anti-nausea medication? Two days ago, I went to the emergency room due to a fever, and the doctor administered an injection for dizziness in my arm. Over the past two days, the injection site has been experiencing numbness. When I raise my arm or perform other mov...
Dr. Chen Bingze Reply:
Hello, it should just be some effects from the subcutaneous nerves. It has been two to three days since your injection, so you can try applying a warm compress.[Read More] Understanding the Side Effects of Anti-Nausea Injections: What to Expect
Understanding Botox Treatment for Anal Fissures: What to Expect
Botulinum toxin treatment for anal fissures I would like to ask the doctor if you have heard of this treatment method? How is it typically performed? Is the injection administered from the outside or inside of the anus? What is the level of pain during the injection? Can a bowel ...
Dr. Zhang Shuhao Reply:
Chronic anal fissures can sometimes be caused by excessive tension in the anal sphincter. In such cases, botulinum toxin can be injected near the sphincter to relax the muscle and facilitate the healing of the fissure. The injection can be administered directly from the lateral s...[Read More] Understanding Botox Treatment for Anal Fissures: What to Expect
Should You Inject Collagen After Sebaceous Cyst Surgery on Earlobe?
Recovery after surgery for sebaceous cyst? I have had a sebaceous cyst on my earlobe for six months. After evaluation by a doctor, the tumor is somewhat large, and they mentioned that the incision would be bigger. There may be some shrinkage of the earlobe post-surgery, and colla...
Dr. Lü Mingchuan Reply:
You can visit the plastic surgery outpatient clinic for an evaluation.[Read More] Should You Inject Collagen After Sebaceous Cyst Surgery on Earlobe?
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent Pain Around Surgical Scar: When to Consult a Surgeon?
Postoperative scar pain? Hello, I would like to ask about my wrist tunnel surgery. It has been six months since the procedure, and the scar area still experiences sharp pain, along with discomfort around the scar. I have undergone rehabilitation and injection therapy, but there h...
Dr. Xu Kaixi Reply:
Hello: Your question mentions that six months after carpal tunnel surgery, there is significant stabbing pain at the scar site and surrounding area, which has not improved with treatment and is even affecting your work. This scar-related pain could be due to neuropathic pain asso...[Read More] Persistent Pain Around Surgical Scar: When to Consult a Surgeon?
Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Forehead augmentation results in a prominent vein that may cause tingling in the scalp (using Water Microcrystal and Ellanse)? Hello! I would like to inquire if this situation is urgent! Recently, after receiving forehead fillers (water microcrystals, Ellanse), I have developed a...
Dr. Zhou Hongzhang Reply:
1. It is likely an inflammatory reaction caused by the medication (water microcrystals, Ilanes) that is irritating the supraorbital nerve, resulting in a tingling sensation in the scalp. 2. This nerve (supraorbital nerve) is a sensory nerve and will not cause motor impairment. ...[Read More] Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions
Pain in the upper back and rib area? Hello, my mother is 66 years old. She was first diagnosed with COVID-19 on December 9, 2022, and tested negative on December 19. During her infection, she experienced severe throat pain and loss of smell, which have not yet recovered. She has ...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that there may be a thoracolumbar compression fracture or other conditions. It is recommended to consult a spine specialist surgeon. An MRI evaluation is advised. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Spine Surgery, Changhua Hos...[Read More] Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu Reply:
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Cervical and Shoulder Pain MRI Report 2023/11/30 MRI REPORT Summary: The patient has experienced soreness and pain over the right shoulder joint for several months, with recent onset of numbness and pain radiating to the forearm and fingertips. There are noted sleep disturbances...
Dr. Lai Zhaokang Reply:
Hello: 1. Based on the information you provided, there is nerve root compression in the cervical spine, but it does not seem to be severe. 2. To assess the need for surgery, it is important to consider the patient's actual condition, the relevant X-ray and MRI images, and th...[Read More] Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Understanding Right Foot Pain: When to See a Specialist?
Soreness in the right foot sole? Initially, there was a strain in the left foot, and after gradually recovering, symptoms of soreness began to appear in other areas, currently in the right foot. At first, certain areas of the foot's sole were noticeably sore. I visited a reh...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult with 1. the Rehabilitation Department for a follow-up ultrasound and to arrange for physical therapy or injection treatment. 2. You may also consider seeing a specialist in Orthopedics: Foot and Ankle or Sports Medicine. Wishing you a speedy re...[Read More] Understanding Right Foot Pain: When to See a Specialist?
Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Lumbar spine issues Hello Doctor, I went for an MRI due to lower back pain and found two herniated discs. Here is the link to the images: (https://drive.google.com/file/d/1lS-KgDRs9jKT1D_toQgb0SpUsl3ep7fV/view?usp=drivesdk). Currently, I am experiencing swelling in the front of m...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to start with conservative treatment, including medication and rehabilitation. If there is no improvement, you may consider lumbar epidural steroid injection or even minimally invasive surgery. You can find more information at the following link: https...[Read More] Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Herniated disc Hello Dr. Lai, I went to see an orthopedic doctor due to lower back pain and found out that I have a herniated disc. I would like to ask if rehabilitation can improve my condition, or if surgery is the only option. I'm not sure how to upload images.
Dr. Lai Zhaokang Reply:
Hello: A lumbar disc herniation may not necessarily present with discomfort. If you are already experiencing back pain or nerve pain symptoms, it is advisable to proceed step by step: first, protect your back by avoiding bending and heavy lifting. Use anti-inflammatory and analge...[Read More] Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Postoperative foot numbness and swelling after herniated disc surgery? Hello Doctor, I would like to consult you regarding my condition. I underwent endoscopic decompression and discectomy surgery on September 26 due to L4-L5 stenosis and L5-S1 herniation. Prior to the surgery, I...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to continue rehabilitation therapy, take B12 and vitamin supplements, undergo acupuncture, apply heat therapy, and engage in self-exercise training for 3-6 months. 2. If budget allows, consider consulting for hyperbaric oxygen therapy. 3. If budget all...[Read More] Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns