Understanding Knee Bruises and Treatment Options for Soft Tissue Injuries
Bruising on the side of the knee due to a contusion? Hello, doctor. About a year ago, I was in a car accident, and I developed a bruise on the side of my right knee, which gradually faded to a light gray mark. However, a lump formed in one area that is very painful to the touch. ...
Dr. Zhou Hongzhang Reply:
1. This is a scar issue; if the injury was severe initially, the scar may appear more unsightly, and both atrophic and hypertrophic scars can form. 2. It is important to care for the scar during its initial formation, for at least three months. If it still looks unsightly afterw...[Read More] Understanding Knee Bruises and Treatment Options for Soft Tissue Injuries
Understanding Fibroadenomas: Concerns and Management Strategies
The concerns of fibroepithelial tumors? Hello Dr. Lee, I would like to briefly summarize my medical history: In 2016, I underwent a right mastectomy. Prior to the surgery, detailed examinations revealed a 1.5 cm tumor in my left breast. In July 2016, a core needle biopsy indicat...
Dr. Li Zhonghuai Reply:
Hello! 1. The location of the fibroadenoma differs between two hospitals; one is on December 3rd (performed by a radiologist) and the other on January 2nd (performed by a physician). Why is there such a discrepancy? ==> The difference is not significant; it's purely a r...[Read More] Understanding Fibroadenomas: Concerns and Management Strategies
Should You Consider Surgery for Recurring Anal Issues?
Should I undergo surgery to resolve the issue in one go? I have a habit of constipation and irregular bowel movements. However, since last year, I have noticed that whenever I experience constipation and cannot pass stool, small hard lumps appear near my anus. I researched online...
Dr. Ke Fangxu Reply:
Self-administering injections to treat anal lesions is very dangerous and could lead to sepsis due to bacterial infection. It should not be attempted lightly. Based on your description, it seems more like an anal fistula infection with an accompanying abscess. A proper diagnosis ...[Read More] Should You Consider Surgery for Recurring Anal Issues?
Understanding Post-Injection Bleeding and Bowel Issues After Skin Treatment
After receiving an injection for an internal mole, there has been bleeding on the day of the procedure, and there are blood stains in the stool every day since then? Hello Dr. Ke, About a month ago, I noticed some blood stains in my stool and experienced a burning sensation in m...
Dr. Ke Fangxu Reply:
Based on your description, the bleeding does not seem to be severe. If there is no pain or inflammation, there is no need to rush back for a follow-up. The injection of hemostatic agents can cause damage to the hemorrhoidal tissue, so mild bleeding is a normal occurrence. During ...[Read More] Understanding Post-Injection Bleeding and Bowel Issues After Skin Treatment
Is Your Nose Bridge Uneven After Surgery? Expert Insights and Solutions
Uneven nasal dorsum after rhinoplasty? Hello, Doctor: I underwent an allograft rib cartilage rhinoplasty for my nasal tip and columella in mid-February. The wound has mostly healed, and I am satisfied with the height of my nasal bridge, so I only added grafting starting from half...
Dr. Zhou Hongzhang Reply:
1. Applying beauty tape may lead to a smoother appearance over time. 2. There are other repair methods available, such as hyaluronic acid or fat injections, or removing the original allogenic rib and reshaping it.[Read More] Is Your Nose Bridge Uneven After Surgery? Expert Insights and Solutions
Understanding Foot Pain: Is It Cellulitis or Something Else?
Abnormal inflammation of the toes at the front of the left foot? Hello, last week a cold front hit, and I developed small cracks between my toes. I didn't pay much attention to it, but around Tuesday or Wednesday at work, I suddenly felt sharp pain in the front of my left fo...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to consult a general surgeon. Please avoid exposing the wound to tap water for now. Blood tests for localized cellulitis are mostly normal. Take care! Changhua Hospital is concerned about you![Read More] Understanding Foot Pain: Is It Cellulitis or Something Else?
Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Postoperative discharge after anal fissure surgery? Dear Dr. Ko, I underwent surgery for an acute thrombosis on October 31. Less than ten days later, I developed a granulation tissue that was larger than the thrombosis itself, and it was very painful during those days. During m...
Dr. Ke Fangxu Reply:
There are two different surgical methods for thrombosed hemorrhoids: incision and excision. It is unclear which one you underwent, but generally, only excision surgery can lead to the complication of granuloma. Postoperative pain may be due to anal stenosis caused by surgical sut...[Read More] Post-Surgery Discharge After Anal Fissure Treatment: What to Expect
Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Anal issues Hello, first of all, thank you, doctor, for clarifying my concerns regarding case number 130869. I truly appreciate it! I visited regional hospitals and clinics to confirm my condition, including a colorectal specialist (who performed a digital rectal examination), a ...
Dr. Ke Fangxu Reply:
1. Excessive sphincter muscle tension can lead to chronic anal fissures, which is a condition that has historically troubled colorectal surgeons. Conservative treatments often yield poor results, yet the situation may not be severe enough to warrant surgical intervention. Warm si...[Read More] Understanding Anal Issues: Symptoms, Causes, and Treatment Options
Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Severe palmar-plantar hyperhidrosis? Since entering high school, I often experience excessive sweating in my hands and feet, whether I'm using my phone, engaging in social activities, or riding a bike—the grips are always wet, which is very bothersome. My hands are always da...
Dr. Lai Zhaokang Reply:
Hello, currently the only definitive treatment is thoracoscopic surgery. However, there is a risk of compensatory sweating as a side effect. Unless you are truly suffering and can accept the potential long-term consequences, I suggest you think carefully. It is also advisable to ...[Read More] Understanding Severe Hand and Foot Sweating: Causes and Treatment Options
Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps
Numbness and tingling in the left foot accompanied by a burning sensation on the dorsum of the foot? Dear Dr. Lai, I have an 82-year-old elder at home who has been experiencing numbness in the left leg (from behind the left knee to the sole of the foot) for about ten years. Addi...
Dr. Lai Zhaokang Reply:
Hello: Based on what you mentioned: 1. After the surgery, the symptoms of soreness and burning sensation have not improved at all. Are there any other possible causes? 2. We live in New Taipei City; do you have any recommended hospitals, doctors, specialties, or treatment methods...[Read More] Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps
Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Non-healing wounds after minimally invasive hemorrhoidectomy? Hello, Dr. Ko. Three months ago, I underwent a dry minimally invasive treatment for hemorrhoids at a specialized clinic in Kaohsiung. This involved injecting a drying agent into the base of the hemorrhoid to allow it t...
Dr. Ke Fangxu Reply:
Based on your description, it seems that this is a traditional sclerotherapy treatment, just referred to by a different name. Typically, the wound heals within two to four weeks after the injection. This type of treatment is less commonly performed by physicians now due to the di...[Read More] Managing Non-Healing Wounds After Minimally Invasive Hemorrhoid Treatment
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block procedure Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only h...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block technique Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, particularly in my left middle and ring fingers, which not only...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Post-Surgery Complications: Understanding Heavy Bleeding and Clots After Hemorrhoid Surgery
Postoperative hemorrhage and blood clots after hemorrhoid surgery? Hello Dr. Ke: I underwent a complete excision of internal and external hemorrhoids on August 8 and used a self-paid tissue coagulation device. After being discharged on August 11, my bowel movements were normal wi...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is possible to experience significant bleeding complications about a week later. This is often due to the absorption or detachment of sutures. By changing the type of sutures and the suturing technique, the occurrence of this issue can be effectively ...[Read More] Post-Surgery Complications: Understanding Heavy Bleeding and Clots After Hemorrhoid Surgery
Understanding Anal Fissures: Symptoms, Treatments, and Management
Anal fissure issues? Hello Doctor: Since late April to early May, after experiencing diarrhea, I began to have issues with anal fissures. Initially, the pain was very severe, and about a week later, I visited a clinic for treatment. After applying medication for about a week, I f...
Dr. Ke Fangxu Reply:
1. If the stool is hard, experiencing pain during bowel movements is a normal phenomenon and does not necessarily indicate an anal fissure. 2. If it is a self-paid purchase, I believe it is unnecessary because flavonoids are classified as food products and have not received medi...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Management
Understanding Local Anesthesia for Scrotal Surgery: What to Expect
Scrotal sebaceous cyst Hello, Doctor: I have a severe case of sebaceous cysts on my scrotum, totaling eight, with one measuring 1 cm and the others ranging from 3 to 5 mm. I would like to ask: Is local anesthesia administered via injection in the scrotum as well? If only a topica...
Dr. Chen Jiaming Reply:
It is administered via injection! Injecting into the scrotal skin will not cause any issues with the reproductive system (deeper structures), so please rest assured![Read More] Understanding Local Anesthesia for Scrotal Surgery: What to Expect
Post-Surgery Leg Cramps After Lumbar Disc Herniation: Causes and Solutions
Postoperative leg cramps after herniated disc surgery? Hello, I underwent surgery on the fifth lumbar vertebra and the first coccygeal vertebra about three weeks ago due to a rupture of the intervertebral disc, which caused a herniation that compressed the nerve in my left leg. F...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to first return to the original surgeon for evaluation. If there is no clear improvement, then seek assistance from another neurosurgeon. Wishing you the best.[Read More] Post-Surgery Leg Cramps After Lumbar Disc Herniation: Causes and Solutions
Choosing Between Traditional and Minimally Invasive Surgery for Sciatica
Surgical Issues Related to Sciatica Three months ago, I suddenly started experiencing pain at work, which requires lifting heavy objects. I went to Asia University Hospital for an MRI, and they told me that my fourth and fifth lumbar vertebrae and the fifth lumbar vertebra are co...
Dr. Lai Zhaokang Reply:
Hello: Lumbar nerve compression is causing your sciatica, leading to pain and discomfort. If you are not satisfied with the pain relief from conservative treatment, it is indeed time to consider more aggressive treatment options. 1. Radiofrequency ablation: This can provide tem...[Read More] Choosing Between Traditional and Minimally Invasive Surgery for Sciatica
How to Correct Excessive Circumcision: Options for Restoration
What should be done if too much foreskin has been removed? Hello Dr. Chou, I underwent a circumcision surgery over a decade ago due to phimosis. At that time, I was quite young and thought it would be sufficient for the glans to be exposed. Later, I began to notice that it seeme...
Dr. Zhou Hongzhang Reply:
1. When there are scars or insufficient skin, contractures may occur, leading to deformities. 2. To address this issue, the following methods are commonly used: 1. Z or Y scar reconstruction 2. Tissue expanders: for skin expansion 3. Skin grafting 4. Flap surgery 5. Scar injectio...[Read More] How to Correct Excessive Circumcision: Options for Restoration
Muscle Numbness After Injections: When to Seek Medical Attention?
Muscle paralysis after injection? Hello Doctor: Three days ago, I woke up in the morning with a sudden severe headache and nausea, which made me feel like vomiting. I went to the hospital and saw an emergency doctor who administered two injections in my left upper arm: a pain rel...
Dr. Ke Fangxu Reply:
Answer: Since I am unaware of the medications you received and the diagnosis at that time, I cannot provide you with a definitive answer. If it is related to the emergency treatment, you should return to the emergency department for evaluation. If it pertains to follow-up care fo...[Read More] Muscle Numbness After Injections: When to Seek Medical Attention?