Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery
Post-operative muscle cramps in the right leg following a herniated disc surgery? Hello Doctor: My father is 73 years old. After undergoing surgery for a herniated disc last month, he has been experiencing intermittent cramps and spasms in his right leg about two weeks post-opera...
Dr. Lai Zhaokang Reply:
Hello: If you are unable to improve with the treatment from your original surgeon, you may consider obtaining pre-operative MRI copies and consulting with another neurosurgeon. Wishing you the best. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery
Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Nutritional absorption issues due to the presence of a stoma? Hello, Doctor. My father underwent surgery for acute intestinal obstruction in mid-December last year, during which a portion of his small and large intestine was removed. It has been nearly four months since the surge...
Dr. Chen Jiaming Reply:
First, it is unclear whether the stoma is an ileostomy or a colostomy. If it is an ileostomy, there may be issues related to fluid and electrolyte balance, which can be more complex. If it is a colostomy, it depends on whether there are any bowel function issues, such as diarrhea...[Read More] Nutrition Challenges After Ostomy Surgery: Weight Loss and Dietary Solutions
Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Case 166293 Follow-up Inquiry - Subsequent Issues After Treatment for Perforated Stomach Leading to Peritonitis Dear Dr. Chen, Thank you for your response. Currently, my family member is still fasting and has not consumed any water or food. They are receiving nutritional injecti...
Dr. Chen Jiaming Reply:
Currently, the administration of nutritional injections, lipids, and saline solution is only a part of the "maintenance" treatment. As for investigating the underlying causes, a comprehensive assessment of the clinical condition is necessary. Although you have made grea...[Read More] Post-Surgery Concerns: Managing Vomiting After Gastric Perforation
Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-treatment issues following gastric perforation leading to peritonitis? Dear Dr. Chen, I hope this message finds you well. I would like to provide a detailed account of my family member's clinical course due to a gastric perforation leading to peritonitis, in hopes of r...
Dr. Chen Jiaming Reply:
It has been tough for your family to experience such a condition. Since the attending physician has already discussed the situation with other specialists, they have likely considered various common causes of vomiting without arriving at a more refined opinion. I can only offer m...[Read More] Post-Surgery Complications After Gastric Perforation and Peritonitis Treatment
Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Case #165471 Follow-up - Home Care Issues After Surgery for Perforated Stomach Causing Peritonitis Dear Dr. Chen, Thank you for your response. This morning, my family member began experiencing sharp pain in the swollen area, so we hurried back to the original hospital's eme...
Dr. Chen Jiaming Reply:
As you mentioned, the emergency physician expressed a significant amount of purulent fluid from the umbilical wound, and the patient's temperature is elevated. This "wound infection with subcutaneous abscess formation" increases the likelihood of elevated white blo...[Read More] Post-Surgery Care Challenges for Perforated Ulcer and Peritonitis Patients
Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights
Persistent pain in the buttocks that prevents sitting, standing, or lying down? The patient has been experiencing severe pain in the buttocks (especially the right side) while sitting, standing, and lying down for a year. This pain began shortly after undergoing arthroscopic surg...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have already undergone multiple ineffective treatments from other physicians and it is considered a complex case, it is not possible to diagnose and arrange treatment based solely on a few written words. It is recommended to make an appointment and have the patie...[Read More] Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights
Understanding Hypertrophic Scars After Laser Tattoo Removal: Solutions and Insights
Laser tattoo removal can cause hypertrophic scars? Hello, Doctor: Recently, I underwent laser tattoo removal, and after two or three sessions, the area where the red dye was initially present has raised up, forming what is known as a hypertrophic scar. Despite receiving several t...
Dr. Lu Daokuan Reply:
To achieve a long-lasting tattoo, it needs to be placed at the bottom of the dermis (therefore, if you are considering getting a tattoo, it's best not to think about removal). Tattoo removal is performed using lasers, which target deeper colors as they absorb more energy, th...[Read More] Understanding Hypertrophic Scars After Laser Tattoo Removal: Solutions and Insights
Managing Cellulitis After Dog Bite and Rusty Cut: A Guide
I was cut by a rusty instrument while being bitten by a dog four days ago? I would like to ask the doctor, four days ago I was cut on my left forearm by a rusty object. Initially, there was no swelling, just a little bleeding. Then I was bitten by my neighbor's dog. That sam...
Dr. Ke Fangxu Reply:
The treatment for cellulitis relies on oral antibiotics, and the wound needs to be disinfected and cleaned daily, using povidone-iodine. Please consult a surgeon for examination and wound care; do not make judgments on your own. Proper treatment is essential to prevent a small wo...[Read More] Managing Cellulitis After Dog Bite and Rusty Cut: A Guide
Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello, three years ago I had a mole removed, and during the healing process, I experienced inflammation of the sutures. There is excess skin around the anal area, and within a year, I developed pain in the scar tissue that radiates to my left thigh, making...
Dr. Ke Fangxu Reply:
I have never heard of a case of anal keloids, nor have I seen anyone receive steroid injections in the anal area. I recommend that you visit a large hospital and consult a colorectal surgeon for a proper diagnosis before proceeding with any treatment. Personally, I am more inclin...[Read More] Post-Surgery Complications: Managing Pain and Scar Tissue After Hemorrhoid Surgery
Understanding Anal Fistulas: Causes, Symptoms, and Treatment Options
Anal fistula Last month, I underwent surgery for hemorrhoids at the hospital. After the operation, I went home to take medication and soak my buttocks. I experienced pus every day. During my first follow-up appointment and the last one, I asked the doctor about a large lump that ...
Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound before healing after hemorrhoid surgery. As for the prolapse after using the restroom, it needs to be evaluated by a physician to determine if it is an unresolved external hemorrhoid or excess skin. It could also be rectal mucosal pro...[Read More] Understanding Anal Fistulas: Causes, Symptoms, and Treatment Options
Understanding Recovery Time and Support After Brain Hemorrhage
The recovery of consciousness after a brain hemorrhage can vary significantly depending on the severity of the hemorrhage, the location in the brain, and the individual's overall health. In some cases, consciousness may return within hours to days, while in others, it may ta...
Dr. Zhang Junwei Reply:
Hemorrhages in different areas of the brain can lead to varying effects. In the brainstem, even a small amount of bleeding can result in coma or even a vegetative state. Conversely, in less critical areas, a larger hemorrhage may not produce any symptoms at all. The impact largel...[Read More] Understanding Recovery Time and Support After Brain Hemorrhage
Uneven Botox Results: Why Is One Side of My Face Still Hard?
Botulinum toxin for facial slimming issues? Hello Doctor, I would like to ask a question. On August 21, I received six Botox injections on each side of my face for jawline slimming. However, even now, when I clench my jaw tightly, the muscle on the left side still feels firm and ...
Dr. Lü Mingchuan Reply:
Hello: It is possible that the injection did not reach the muscle on the left side, or that there is more muscle mass on the left side. It is recommended to receive a booster shot at the Changhua Hospital of the Ministry of Health and Welfare. We care about you.[Read More] Uneven Botox Results: Why Is One Side of My Face Still Hard?
Concerns After Botox: Uneven Muscle Bump on One Side
Questions after receiving Botox injections? I received Botox injections on August 21, and since then, I've noticed a muscle bulge on the left side when I clench my teeth, while there is none on the right side. The doctor mentioned that the muscle on the right side was larger...
Dr. Zhou Hongzhang Reply:
1. It may be due to habitual use of different sides of the muscles, issues with dental occlusion, or inconsistent dosage administration, among other factors. 2. You can consult with your original physician for further advice.[Read More] Concerns After Botox: Uneven Muscle Bump on One Side
Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery [Continuation 159006] Hello, Doctor. I recently underwent my third excision surgery on August 6, with the surgical site located at the 12 o'clock position above the anus and near the perineum. The wound measures approximately 2cm x...
Dr. Ke Fangxu Reply:
1. It is normal to have a small amount of discharge after fistula surgery before the wound has completely healed. 2. No. 3. No, different bacterial infections can produce different odors; any description of this is subjective. If there is no redness, swelling, heat, or pain, ...[Read More] Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Scar Aesthetics: Effective Treatments and Expert Advice for Healing
Scar aesthetic options Hello, doctor. I would like to ask about scar aesthetics. I had a car accident in September of the year before last, resulting in a 4 cm laceration on my face. In December of the same year, I sought help from a nearby aesthetic clinic and underwent wound re...
Dr. Lu Daokuan Reply:
Poor wound healing after re-suturing may be due to an allergic reaction to the sutures. Despite receiving nutritional injections and laser treatment, if the results are still unsatisfactory, it is advisable to consult a plastic surgery outpatient clinic for a comprehensive evalua...[Read More] Scar Aesthetics: Effective Treatments and Expert Advice for Healing
Understanding Lumbar Spine Issues: Addressing Nerve Compression and Surgical Options
Questions regarding adjacent segments of the lumbar spine? Hello, Doctor: I have the following questions that I hope you can clarify: The patient is a 59-year-old female who underwent successful lumbar spine surgery at the L5 and S1 levels in 2012 (with interbody fusion and screw...
Dr. Lai Zhaokang Reply:
Hello: 1. It is important to determine if the compressed nerve root corresponds to the patient's symptoms. Generally, compression at the L4-5 segment affects the L5 nerve root, which typically presents as pain radiating from the buttock down to the lateral aspect of the calf...[Read More] Understanding Lumbar Spine Issues: Addressing Nerve Compression and Surgical Options
Understanding Hypertrophic Scarring After Laser Tattoo Removal
Laser treatment for keloids after tattoo removal? Hello, I recently underwent laser tattoo removal at a cosmetic clinic, and after the wound healed, I noticed some areas are raised, but not the entire tattoo design—only certain spots are elevated after the laser treatment. This w...
Dr. Lu Daokuan Reply:
Let's try using scar treatment injections first.[Read More] Understanding Hypertrophic Scarring After Laser Tattoo Removal
Managing Hypertrophic Scars After Arm Surgery: What to Expect
Postoperative scars on the arm? Doctor, I had surgery for a fracture in my left upper arm last June, which left a fairly long scar that has developed into a hypertrophic scar. I will be returning to the hospital soon to have the internal fixation plate removed. I would like to as...
Dr. Zhou Hongzhang Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Managing Hypertrophic Scars After Arm Surgery: What to Expect
Understanding Facial Nerve Disorders: Treatment Options and Insights
Facial nerve spasms? Hello, doctor... I have been experiencing facial nerve issues for over six years. I previously consulted traditional Chinese medicine, but my mouth continues to twitch and hasn't fully recovered. Is it really impossible to treat? Would switching to a pla...
Dr. Lai Zhaokang Reply:
Hello: 1. Your symptoms are likely indicative of facial nerve spasms. It is recommended to consult a senior neurosurgeon at a medical center. 2. Common causes include compression of the facial nerve in the brain by nearby blood vessels, leading to abnormal electrical short-circui...[Read More] Understanding Facial Nerve Disorders: Treatment Options and Insights
Understanding Anal Itching: Causes, Diagnosis, and Treatment Options
Anal itching Hello Doctor, today I visited the colorectal department at Chang Gung Hospital due to itching around my anus that started last week. It might have been triggered by the hot weather during the weekend, as I was awakened by the itching in the middle of the night, and i...
Dr. Xu Kaixi Reply:
I'm sorry, but I cannot guess the specific injection administered by your physician during your visit. I recommend that you return for a follow-up appointment and ask the administering physician directly.[Read More] Understanding Anal Itching: Causes, Diagnosis, and Treatment Options