Should You Get a Colonoscopy for Rectal Bleeding and Internal Hemorrhoids?
Should a colonoscopy be performed? I only have internal hemorrhoids, and a few years ago I had one banded. Later, when the hospital changed doctors, I received an injection during my next visit. After that, I didn't see a doctor again until recently when I started to feel li...
Dr. Ke Fangxu Reply:
Hello Mr. Hong: If you have hemorrhoids, it can also cause the symptoms you mentioned. Generally, a colonoscopy is not necessary. However, if you have ankylosing spondylitis, there is a possibility of having ulcerative colitis, which is also an autoimmune disease, and a colonosco...[Read More] Should You Get a Colonoscopy for Rectal Bleeding and Internal Hemorrhoids?
Understanding Post-Appendectomy Pain and Recovery Challenges
Appendectomy for appendicitis? Hello, doctor. My boyfriend underwent laparoscopic appendectomy on July 1st around noon, and the surgery was completed by around 2 PM. When I visited him at around 6 PM, he said, "The pain is unbearable." The nurse administered a strong pa...
Dr. Lai Jihong Reply:
1. Endoscopic surgery requires general anesthesia, which can affect gastrointestinal motility due to the anesthesia, leading to bloating and discomfort or pain in the abdomen. 2. Generally, it takes about half a day to a day for normal motility to resume after surgery. If there ...[Read More] Understanding Post-Appendectomy Pain and Recovery Challenges
Post-Surgery Complications: Managing Fever and Albumin Levels
Post-operative deterioration after gastric surgery with recurrent fever? -3 Hello, doctor. It has been a month since I last asked a question, and I appreciate your response. My mother has been in the ICU for 2.5 months and has been intubated for the same duration. She has been ex...
Dr. Ke Fangxu Reply:
Hello: In response to your question, whey protein is a complete protein that contains all essential amino acids required by the body and is easily absorbed. However, it is generally taken orally and is not suitable for injection. Albumin, on the other hand, can be administered vi...[Read More] Post-Surgery Complications: Managing Fever and Albumin Levels
Understanding Nail Bed Surgery: Local Anesthesia Challenges and Options
Nail bed reconstruction surgery and anesthesia issues? Is it possible for local anesthesia to be ineffective during nail bed reconstruction surgery if there is already inflammation and pus? Since I tend to get anxious easily, can I request to pay out of pocket for inhalation gene...
Dr. Shi Wenbin Reply:
Hello: From your question, it seems that you may be dealing with issues related to paronychia or onychitis that need to be addressed. If it is just a single nail (toenail), local anesthesia should be effective in providing pain relief. After the anesthetic injection, it is advisa...[Read More] Understanding Nail Bed Surgery: Local Anesthesia Challenges and Options
Understanding Osteoporotic Vertebral Compression Fractures in Seniors
Vertebral compression fractures caused by osteoporosis? The mother is 76 years old and had a crush fracture in her lumbar spine due to a fall four years ago. She is currently visiting the hospital for consultation. The doctor mentioned the need for bone cement injection. Could yo...
Dr. Ding Xianwei Reply:
Hello, generally speaking, fractures in the elderly are usually due to osteoporosis. However, due to insufficient data, I cannot provide specific recommendations. If it has been four years, whether a vertebroplasty is necessary would depend on the patient's condition, which ...[Read More] Understanding Osteoporotic Vertebral Compression Fractures in Seniors
Concerns Over Unauthorized Macrolane Injections in Cosmetic Surgery
Administering Macrolane directly to the cheeks without the patient's consent? My sister went to a medical aesthetics clinic on December 3, 2009, to purchase a treatment for cheek augmentation and tear trough filling. The treatment consisted of SubQ 2 c.c. x 2 and Touch 0.5 c...
Dr. Lu Daokuan Reply:
Basically, legal and approved medications should be used domestically. Of course, unapproved drugs in the market cannot be completely eliminated, possibly due to lower costs. Whether your sister's face has issues may not be absolutely related to legality; after all, her firs...[Read More] Concerns Over Unauthorized Macrolane Injections in Cosmetic Surgery
Botox for Migraine Relief: Efficacy, Costs, and Treatment Areas
Migraine & Botulinum Toxin 1. I apologize. Previously, I received Botox injections at a clinic for cosmetic reasons and unexpectedly discovered that I had not experienced a migraine for over six months! Is there a certain efficacy of Botox for migraines? 2. Additionally, if ...
Dr. Zhou Hongzhang Reply:
1. Botulinum toxin can be used to treat certain specific neuromuscular disorders; for detailed information, a consultation with a neurologist is recommended. 2. Cosmetic surgery centers only perform botulinum toxin applications for aesthetic purposes, such as glabellar lines. 3. ...[Read More] Botox for Migraine Relief: Efficacy, Costs, and Treatment Areas
Understanding Post-Surgery Pain and Potential Complications After Finger Reattachment
I'm sorry, but I need content to translate? Hello Doctor, I apologize for bothering you again with this question, as I asked you a few days ago and perhaps you were too busy to notice it. I am having difficulty understanding your previous response. My question is: My friend ...
Dr. Zhou Hongzhang Reply:
At the injection site of anesthetic drugs, it is generally expected that the anesthetic will be completely absorbed within 1-3 days without any symptoms. If the injection site continues to be red, swollen, warm, and painful, it may indicate a bacterial infection at the injection ...[Read More] Understanding Post-Surgery Pain and Potential Complications After Finger Reattachment
Understanding Lumbar Burst Fractures and Nerve Injury Management
Lumbar vertebra burst fracture with spinal nerve injury? Hello Doctor: 1. I underwent lumbar spine surgery approximately ten years ago, during which I had a total of three to four surgeries. Recently, I have been experiencing lower back pain, leg numbness, and a burning sensati...
Dr. Zhang Yuanyi Reply:
Dear Jack, After surgery for lumbar nerve compression, it is common for some neurological symptoms to persist. This is because the relief of nerve compression does not always guarantee a return to original function. Currently, there are no specific treatment options available, a...[Read More] Understanding Lumbar Burst Fractures and Nerve Injury Management
Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
The risks of performing peritonitis and splenectomy in patients with liver cirrhosis? My mother is suffering from liver cirrhosis and lymphoma, for which she is undergoing chemotherapy and taking liver support medications. Recently, she was hospitalized due to hematuria. During h...
Dr. Huang Zhihui Reply:
Peritonitis is classified into primary and secondary types. Primary peritonitis is mostly caused by decreased immunity due to liver cirrhosis, has a low incidence rate, and requires the exclusion of secondary peritonitis as a possibility for diagnosis. However, this exclusion pro...[Read More] Risks of Peritoneal Infection and Splenectomy in Cirrhosis Patients
Effective Treatments for Keloids: Options and Insurance Coverage
Keloid I accidentally injured my arm while working part-time in my sophomore year, and now I have a 2 cm long keloid. I had surgery, but it has grown back. I have been using beauty tape to cover it. What methods can I use to remove it? Will health insurance provide any subsidies?...
Dr. Shi Wenbin Reply:
Hello: Keloids are generally not treated with surgical excision, as surgery may worsen the condition. If the treatment is solely for symptoms (itching or pain), local corticosteroid injections can be considered (covered by health insurance). If significant improvement in appearan...[Read More] Effective Treatments for Keloids: Options and Insurance Coverage
Cheek Augmentation: Options, Risks, Recovery, and Costs Explained
Full cheeks My cheeks are thin, and the degree of thinning is different on both sides. What are the methods for cheek augmentation? What are the risks? How long is the recovery period for each method? What are the costs involved? If I want to improve the tightness of my facial sk...
Dr. Zhou Hongzhang Reply:
1. Hyaluronic acid injection: The amount to be injected in cubic centimeters (CC) is determined by the degree of hollowness, with an average cost of around 30,000 to 50,000 TWD. The effects last for about six months. 2. Fat grafting surgery: The cost depends on the complexity a...[Read More] Cheek Augmentation: Options, Risks, Recovery, and Costs Explained
Understanding Underarm Hyperhidrosis: Surgery, Botox, and Costs Explained
Axillary hyperhidrosis? If I undergo axillary sweat gland removal, will the amount of sweating under my arms decrease? What kind of surgery can the doctor perform to ensure there won't be compensatory sweating? How long can I expect to be sweat-free after receiving Botox inj...
Dr. Lu Daokuan Reply:
Axillary hyperhidrosis is not the same as palmar hyperhidrosis, and a procedure such as axillary sweat gland excision can indeed reduce sweat production. Compensatory sweating typically occurs after a sympathectomy. The cost for sweat gland excision is approximately NT$20,000, wh...[Read More] Understanding Underarm Hyperhidrosis: Surgery, Botox, and Costs Explained
Understanding Axillary Hyperhidrosis: Surgery, Botox, and Costs Explained
Question Will removing the apocrine glands in the armpits reduce the amount of sweating? What type of surgery can ensure there is no compensatory sweating? Can botulinum toxin be used to treat axillary hyperhidrosis? How is the cost calculated? Please help me with these questions...
Dr. Lu Daokuan Reply:
Axillary hyperhidrosis is not the same as palmar hyperhidrosis, and a major sweat gland excision can reduce sweat production. Compensatory sweating occurs only after sympathetic ganglionectomy. The cost for gland excision is approximately NT$20,000. Botulinum toxin injections can...[Read More] Understanding Axillary Hyperhidrosis: Surgery, Botox, and Costs Explained
Differentiating HHNK from DKA: Key Clinical Insights
How to differentiate between HHNK and DKA? HHNK and DKA are both hyperglycemic conditions caused by diabetes, and they both involve the production of ketone bodies. How can they be differentiated clinically?
Dr. Huang Yuanhui Reply:
Diabetic ketoacidosis (DKA) primarily occurs in type 1 diabetes due to a severe deficiency of insulin, which prevents the suppression of fatty acid breakdown, leading to ketoacidotic blood. The blood glucose levels are typically lower than in hyperglycemic hyperosmolar nonketotic...[Read More] Differentiating HHNK from DKA: Key Clinical Insights
Do I Need Further Treatment for My Hemorrhoid Concerns?
Do I still need treatment? Hello Doctor, I had an injection of sclerotherapy and a rubber band ligation for internal hemorrhoids at the end of June due to bleeding. However, today when I went to the bathroom, I noticed some spotty bleeding after wiping, which was not very noticea...
Dr. Hou Yongji Reply:
1. It is recommended to consult with your original colorectal surgeon for diagnosis and treatment. The purpose of the consultation includes examination and diagnosis, not just medication or treatment. 2. The diagnostic rate of colonoscopy is 95%, but there may still be some pol...[Read More] Do I Need Further Treatment for My Hemorrhoid Concerns?
Transforming Square Faces: Botox Treatments and Costs Explained
Changing a square-shaped face? I would like to change my square face, and I've heard that Botox can help. Could you please tell me the cost?
Dr. Zhou Hongzhang Reply:
1. Generally, if a square face is classified as "muscular," Botox injections may be suitable. However, if it is classified as "skeletal," injections are less appropriate, and surgical intervention is recommended. 2. The cost is approximately 10,000 to 20,000 T...[Read More] Transforming Square Faces: Botox Treatments and Costs Explained
Understanding Hemorrhoids: Treatment Options and Concerns Explained
Please provide the content you would like me to translate? Hello, Doctor. A few days ago, I experienced sudden rectal bleeding while having a bowel movement. Whenever I exert myself, bright red blood flows out. For two consecutive days, oral and topical medications, as well as su...
Dr. Hou Yongji Reply:
Dear Patient, 1. The diagnosis and treatment of diseases typically require not only a medical history and symptom description but also physical examination, palpation, and even colonoscopy. Based on your description, a definitive diagnosis cannot be made. Please ensure that you ...[Read More] Understanding Hemorrhoids: Treatment Options and Concerns Explained
Dealing with Itchy Scars: Tips for Relief and Healing
The scar is unbearably itchy? Dear Doctor: My postoperative scar is extremely itchy, as if a line of mosquitoes is constantly biting it. I am a working professional, and this has affected my sleep and daily life. During work, I can only pat my abdomen to relieve the itch. I face ...
Dr. Zhou Hongzhang Reply:
1. Hypertrophic scars or keloids can be treated with intralesional steroid injections, which can alleviate itching and treat the lesions, with injections administered once every one to three months. 2. It is recommended to apply anti-itch cream during the day and use ice packs a...[Read More] Dealing with Itchy Scars: Tips for Relief and Healing
Understanding Persistent Left Leg Pain: Possible Causes and Solutions
Left foot numbness? Hello Dr. Chiu, I have been experiencing frequent numbness and tingling in my left leg, extending from my buttocks to my heel, particularly in the heel area. The symptoms worsen when I stand still for a few minutes or squat down to use the toilet, but I have n...
Dr. Qiu Yushu Reply:
Hello: 1. Inferior vena cava obstruction may cause the reported symptoms. 2. MRI is very accurate for intervertebral disc diseases and spinal cord disorders, and there should be no blind spots. 3. Please consult a psychiatrist regarding whether antidepressants can cause periphera...[Read More] Understanding Persistent Left Leg Pain: Possible Causes and Solutions