Understanding Anal Abscess: When Is Surgery Necessary?
Anal abscess Hello, Dr. Ke! I would like to ask you about my anal abscess, which has been present for about 8 days. I have seen a doctor at the hospital (I have had three follow-up visits), and the area around my anus is still swollen. The doctor prescribed antibiotics, and I hav...
Dr. Ke Fangxu Reply:
Anal abscesses are generally recommended to be treated surgically. If the symptoms are mild, the procedure can be performed under local anesthesia in an outpatient setting. In more severe cases, hospitalization may be required. If surgery is not performed, even if recovery occurs...[Read More] Understanding Anal Abscess: When Is Surgery Necessary?
Is Surgery Necessary for Appendicitis? Exploring Antibiotic Treatment Options
Does appendicitis always require surgery? Hello Doctor, I visited the emergency room on April 29 and a CT scan revealed appendicitis. Since the inflammation was not severe (it only hurt when pressed, and there was no significant rebound tenderness), the doctor indicated that the ...
Dr. Ke Fangxu Reply:
In cases of non-ruptured appendicitis treated with antibiotics, literature indicates an 85% chance of recovery; however, there is a possibility of recurrence. There is no evidence suggesting that the likelihood of recurrence is increased as a result. Unfortunately, there is curre...[Read More] Is Surgery Necessary for Appendicitis? Exploring Antibiotic Treatment Options
Effective Scar Treatment Options for Hypertrophic Scars After Injury
Scar management methods? Hello, about 10 months ago I had a car accident and injured my knee. The wound has healed, but there is a scar that measures 5 by 3.5 centimeters, which is a red, raised scar that feels harder than normal skin. I have not had any keloids from previous inj...
Dr. Lu Daokuan Reply:
Knee protruding scar requires injection treatment.[Read More] Effective Scar Treatment Options for Hypertrophic Scars After Injury
Which Specialist Should You See for Persistent Underarm Swelling?
Which specialty should I consult for treatment? Hello, doctor. I would like to ask you some questions. Recently, I have been feeling a swelling and tightness in my left armpit (without any trauma or obvious redness). I have previously visited a family medicine clinic for treatmen...
Dr. Li Zhonghuai Reply:
Hello! First, to rule out any tumor issues, it is recommended to see a breast surgeon. Next, consult an orthopedic specialist to exclude any musculoskeletal problems. If everything is clear, we should consider the possibility of venous embolism, which may require a contrast-enhan...[Read More] Which Specialist Should You See for Persistent Underarm Swelling?
Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Sciatica? Piriformis syndrome? Hello Doctor, during this time, I have been experiencing tightness and pain in my right leg, extending from the inner thigh down to the back of the calf. The discomfort is particularly noticeable when bending and straightening my leg. I have consult...
Dr. Zhang Junwei Reply:
Without a physical examination, I cannot provide an answer. Please rest more, and for rehabilitation issues, please consult the rehabilitation department.[Read More] Understanding Sciatica and Piriformis Syndrome: Symptoms and Treatment
Managing Facial Nerve Damage: Treatment Options for Persistent Symptoms
Facial nerve sequelae I have been experiencing residual symptoms from facial nerve damage that occurred 8 months ago. Currently, I have difficulties speaking and eating, and the left side of my face involuntarily closes. When I eat, I also experience tearing, and my eyes close wh...
Dr. Lu Daokuan Reply:
It is best to consult your original physician for evaluation.[Read More] Managing Facial Nerve Damage: Treatment Options for Persistent Symptoms
Head Injury While Sleeping: When to Seek Medical Attention
The back of the head hit the wall after sleeping? Hello Doctor, I accidentally hit the back of my head while lying down to sleep the night before last. At that moment, I experienced a strong, brief stomach pain, but no other symptoms. The next morning, I woke up with severe, inte...
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for treatment.[Read More] Head Injury While Sleeping: When to Seek Medical Attention
How to Treat a Deep Red Swelling After a Hand Injury?
Cut on the hand? If your hand has been injured by a metal fan and there is a deep red, swollen bump that appears to be a bruise under the skin, you should not attempt to peel off the skin. It is important to keep the area clean and monitor it for any signs of infection, such as i...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a general surgeon to incise and drain the hematoma directly in the clinic. Avoid contact with tap water. Wishing you well! Changhua Hospital cares about you![Read More] How to Treat a Deep Red Swelling After a Hand Injury?
Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Herniated discs at the L1 and L2 levels are compressing the nerves? Hello, Doctor: I am 45 years old. I started experiencing pain near the left sciatic area in April 2015. Initially, I thought it was a sports injury causing a muscle strain. After about two months of treatment wit...
Dr. Lai Zhaokang Reply:
Hello, based on your description, it seems you have lumbar nerve compression. Since L1-L2 is a higher level nerve, there are potential risks associated with surgery, and it is recommended that you have an experienced neurosurgeon perform the procedure. Regarding your description ...[Read More] Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Understanding Blood in Stool: Causes and When to Seek Help
Blood in stool? In recent months, I have noticed a small amount of blood in my stool, but in the last three days, the toilet water has been completely filled with blood, and there is also some blood on the toilet paper. My stools are normal and not hard. I have irregular menstrua...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths may als...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Effective Treatments for Fibromas: Managing Recurrence and Aesthetic Concerns
How to treat fibromas? I have a fibroma on the middle phalanx of my left ring finger due to trauma. I have undergone two surgeries, one at Kaohsiung Medical University and the other at E-Da Hospital, but there is still a noticeable protrusion. The doctors at Kaohsiung mentioned t...
Dr. Lu Daokuan Reply:
Scars from traumatic raised lesions near joints tend to have poorer treatment outcomes. It is important to communicate frequently with your physician and be patient with the treatment process.[Read More] Effective Treatments for Fibromas: Managing Recurrence and Aesthetic Concerns
Understanding Hardness in Healing Wounds: When to Seek Further Medical Help
There is a foreign object in the sutured wound? Hello, doctor. I injured my right middle finger and received four stitches. The stitches were removed before the New Year, and the wound has healed. However, there is a hard lump inside the healed wound. It feels slightly painful wh...
Dr. Li Zhonghuai Reply:
Hello! First, let's confirm if the wound has healed. Is there any abscess? If not, it is possible that there is a layer of sutures inside, which may be absorbed slowly or not at all in some patients. Another possibility is hypertrophic scarring, which can be treated with top...[Read More] Understanding Hardness in Healing Wounds: When to Seek Further Medical Help
Understanding Acute Lymphangitis: Symptoms, Treatment, and Care
Inflammation of the lymph nodes with redness and subsequent bleeding? Last week, I discovered a small lump about 1 cm in size in my lower abdomen and on the inner side of my right thigh. It had been there for a while, was movable, and painless. However, it started to become red a...
Dr. Li Zhonghuai Reply:
Hello! It seems more like a sebaceous cyst rupture. Surgical excision is recommended. Please visit a general surgeon. Changhua Hospital cares about you![Read More] Understanding Acute Lymphangitis: Symptoms, Treatment, and Care
Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Acute herniated disc, with pain that cannot be relieved even while lying down? My wife experienced severe pain in her right thigh after lifting a heavy object four days ago. The next day, she also had intense pain in her calf and numbness in her toes. The hospital diagnosed her w...
Dr. Lai Zhaokang Reply:
Hello, you may have a serious lumbar spine issue. 1. If you need to use morphine, it is indeed quite severe. Have you undergone a lumbar MRI? 2. Generally, for symptomatic relief, you can try rest, pain medications, and rehabilitation (though if walking is difficult, rehabilitati...[Read More] Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
New Treatments for Keloids: Options Beyond Steroid Injections
Are there any new treatments for keloids? Hello, Dr. Lu. I sustained six stitches on my chin and multiple abrasions due to a car accident. I have a keloid-prone condition and am very concerned about the red, swollen scars on my face. Besides steroid injections, are there any meth...
Dr. Lu Daokuan Reply:
After removing the stitches, it is important to care for the area with artificial skin for a full six months. If there is any oversight, a corticosteroid injection can be administered; proper care is the key focus.[Read More] New Treatments for Keloids: Options Beyond Steroid Injections
Understanding Post-Tetanus Shot Pain and Concerns: What to Expect
Questions After Tetanus After receiving a tetanus injection in the left arm following a fall, you experienced soreness and a painful lump the next day, which only hurts when touched. The nurse noted that there is no need to massage the injection site. Is this a normal reaction? I...
Dr. Li Zhonghuai Reply:
Hello! Any foreign object injected into the muscle will generally elicit some reaction, so there's no need to be overly concerned. Unless there is significant redness and swelling, the soreness should subside after a few days. Changhua Hospital cares about you![Read More] Understanding Post-Tetanus Shot Pain and Concerns: What to Expect
Managing Post-Surgery Complications: Understanding Bleeding and Healing
Issues related to internal moles and surgical wounds? Hello, doctor. In early January of this year, I had a bacterial infection abscess below the anus, for which I underwent a fistulotomy and hemorrhoidectomy. After about a month of medication (stool softeners and anti-inflammato...
Dr. Ke Fangxu Reply:
Basically, my personal standard is that as long as there isn't a pool of blood in the toilet, there is no need to worry. If you only notice a little bleeding when wiping, it is not a cause for concern. Bleeding from hemorrhoids can occur repeatedly. It is advisable to avoid ...[Read More] Managing Post-Surgery Complications: Understanding Bleeding and Healing
Managing a Bruised Big Toe: Care Tips and Recovery Insights
I have a bruised big toe with nail bed separation? I was crushed on my big toe by a heavy object at work. The next day, I went to see a doctor, and after an X-ray, the doctor said there was no bone injury. I was prescribed medication and an injection for a typical contusion, and ...
Dr. Li Zhonghuai Reply:
Hello! Please go to general surgery! If there is complete separation, proceed with debridement and removal. After debridement, disinfect or rinse with saline solution daily. Avoid contact with tap water. When showering, cover with a plastic bag, and after showering, apply antisep...[Read More] Managing a Bruised Big Toe: Care Tips and Recovery Insights
Understanding Post-Eyelid Surgery Swelling: Duration and Solutions
Post-operative swelling after double eyelid surgery? Hello doctor, today is the 28th day after my double eyelid surgery, but there is still some swelling. I went for a follow-up at the clinic, and the doctor advised me to continue with warm compresses, but the effect is not very ...
Dr. Lu Daokuan Reply:
Postoperative swelling injections are not the appropriate treatment; maintaining a normal routine and allowing the swelling to subside gradually is sufficient.[Read More] Understanding Post-Eyelid Surgery Swelling: Duration and Solutions
Choosing Surgery for Cervical Disc Herniation: Risks and Alternatives
Options for Cervical Disc Rupture Surgery My mother is 56 years old and has been experiencing severe pain in her neck and arms, requiring steroid injections for pain relief. After an MRI, the doctor diagnosed her with a herniated disc at the C3-C4 level and a slipped disc at the ...
Dr. Lai Zhaokang Reply:
Hello, based on your description, I infer that 1. it may increase wear on adjacent segments, referred to as adjacent segment disease. To overcome this, it would be necessary to replace the fixed PEEK cage with a mobile artificial disc, although this option is more expensive. 2. G...[Read More] Choosing Surgery for Cervical Disc Herniation: Risks and Alternatives