Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Issues Related to Sexual Activity or Childbirth After Anal Fistula Surgery Hello Doctor, I underwent anal fistula surgery in early March, but from May to July, I experienced swelling and even pus formation. I consulted my original surgeon, who addressed the issues, and after a pr...
Dr. Ke Fangxu Reply:
1. If there is still swelling and purulent discharge, it may indicate a recurrence. As long as there is no anal intercourse, it should not affect sexual activity. 2. If the fistula is not connected to the vagina, then it should not be related. 3. It depends on the subsequent ...[Read More] Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Managing Intestinal Perforation After Liver Ablation Therapy: What to Know
What to do if liver ablation treatment leads to intestinal perforation? Hello, Doctor. My father is 74 years old and has liver cancer. After the Lunar New Year this year, he underwent "radiofrequency ablation therapy" for his liver. He had previously undergone the same ...
Dr. Chen Jiaming Reply:
The occurrence of intestinal perforation due to ablative treatment for liver tumors is not very common, but it is indeed a potential complication associated with this treatment method. During the process of ablating the liver tumor, heat is generated, and the peristaltic movement...[Read More] Managing Intestinal Perforation After Liver Ablation Therapy: What to Know
Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions
Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...
Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions
Post-Surgery Care for Mole Removal: Managing Pain and Infection Risks
Post-operative care for mole removal? Hello, I underwent traditional excision of moles on January 26, and during my follow-up appointment on February 19, the doctor only examined the surface and said I didn't need to return. I noticed that there was less discharge and less p...
Dr. Zhang Shuhao Reply:
1. Prolonged cycling can affect the surgical wound, which typically takes six to eight weeks to heal completely postoperatively. Extended periods of cycling may lead to poor venous return in the pelvic region, resulting in swelling and pain at the hemorrhoidal site. It is advisab...[Read More] Post-Surgery Care for Mole Removal: Managing Pain and Infection Risks
Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Cerebral hemorrhage of 80cc? Hello Doctor: On June 27, 2023, my brother was brought to the hospital, where he was diagnosed with a left-sided intracerebral hemorrhage with an initial volume of 68cc, which increased to 80cc after 6 hours. He has impaired mobility on the right side...
Dr. Zhang Junwei Reply:
There are no right or wrong choices, only what is suitable or not. Given the patient's special condition (coagulation dysfunction), a thorough discussion with the physician is necessary to make a decision.[Read More] Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello, doctor. I have been experiencing abdominal pain recently, concentrated in the upper abdomen. 1. Last Monday, I went to the emergency room where I had an abdominal ultrasound and X-ray. The diagnosis was severe constipation causing a blockage in the inte...
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. Spicy and irritating fo...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Postpartum hemorrhoids Hello, doctor. I would like to ask about hemorrhoids. I gave birth on May 1st, and afterward, I noticed two small polyps around my anus. They don't hurt when I touch them, but I do see a little blood when I go to the bathroom. I suspect I have develope...
Dr. Zhang Shuhao Reply:
If there are no specific symptoms during pregnancy and hemorrhoids occur only after delivery, surgery may not be necessary. It is advisable to start with warm sitz baths, use hemorrhoid ointments, and increase fluid and dietary fiber intake to prevent constipation, as these measu...[Read More] Postpartum Hemorrhoids: Symptoms, Treatment Options, and When to Seek Surgery
Understanding Urachal Cysts: Symptoms, Diagnosis, and Treatment Options
Urachal tumor My brother has been experiencing a high fever of 40 degrees Celsius for several days, and he has a pus-filled abscess in the lower left abdomen. He was hospitalized on Tuesday for treatment (trying medication to see if it can reduce his body temperature). On Wednesd...
Dr. Chen Bingze Reply:
Hello, I believe your concerns are valid. Your attending physician should be fully engaged in collaborating with other specialists to assist in your brother's treatment. However, we may need to wait for the pathology report to determine the exact issue.[Read More] Understanding Urachal Cysts: Symptoms, Diagnosis, and Treatment Options
Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Liver abscess due to bacterial infection of the colon? Hello, Dr. Hsu: I would like to ask if having a history of bacterial infection in the colon and rectum, which led to the bacteria spreading to the liver and resulting in an amoebic liver abscess that required drainage surgery...
Dr. Xu Kaixi Reply:
Currently, there is no significant evidence showing a correlation between amoebic liver abscess and colorectal cancer.[Read More] Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Postoperative Issues After Laparoscopic Surgery Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time. On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incisio...
Dr. Chen Jiaming Reply:
1. Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling. Therefore, such sensations are o...[Read More] Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Effective Strategies for Accelerating Wound Healing After Injury
Wound healing issues Hello Doctor: I had a car accident on September 10, and the skin below my left ankle was abrasively injured (approximately 1.5 cm wide and 3.5 cm long) due to the motorcycle falling. I have been receiving treatment at a surgical clinic, but the wound is still...
Dr. Li Zhonghuai Reply:
Hello! Hepatitis B itself may lead to cirrhosis, and many patients are unaware of this. Sometimes, ultrasound and CT scans may not diagnose it; it is only during laparoscopic surgery that cirrhosis or pure liver fibrosis may be observed. Wound healing will be very slow in such ca...[Read More] Effective Strategies for Accelerating Wound Healing After Injury
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming Reply:
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Why Did My Surgical Wound Split Open After Stitches Were Removed?
The wound immediately opened after the stitches were removed! I originally went to the hospital for surgery to remove a lipoma and thought that since I was already undergoing surgery, I would also have three small fibromas removed at the same time. On the day of stitch removal, t...
Dr. Li Zhonghuai Reply:
Hello! The patient's age, history of diabetes, smoking and alcohol consumption (including secondhand smoke), presence of autoimmune diseases, and liver cirrhosis should all be taken into consideration. Additionally, the location of the sutures in relation to the joints is im...[Read More] Why Did My Surgical Wound Split Open After Stitches Were Removed?
Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Sphincter muscle weakness or injury Hello Doctor, I have been experiencing scar pain, a foreign body sensation, fecal incontinence, and leakage after bowel movements since undergoing hemorrhoid surgery postpartum. After undergoing anorectal manometry and anal ultrasound, the do...
Dr. Zhang Shuhao Reply:
1. Training the pelvic floor muscles and conservative treatments such as physical therapy have about a 60% chance of improvement. 2. If conservative treatments are ineffective, sphincter repair surgery is still recommended. Even if the remaining muscle strength is insufficient,...[Read More] Understanding Anal Sphincter Dysfunction After Childbirth and Surgery
Natural Birth After Disc Surgery: Is It Safe for Pregnant Women?
Natural delivery after surgery for herniated disc in pregnant women? Hello, Doctor: I am currently over 7 months pregnant. In early August of this year, I underwent surgery for a herniated disc at the L4-L5 level due to nerve compression, where only the protruding portion was rem...
Dr. Lai Zhaokang Reply:
Hello: 1. You should be able to have a natural delivery (please consult with your obstetrician). 2. An epidural for painless labor should also be possible (please consult with your anesthesiologist). 3. If you continue to experience discomfort in your lower back and legs after de...[Read More] Natural Birth After Disc Surgery: Is It Safe for Pregnant Women?
Post-Surgery Complications: Managing Colostomy Closure Wound Issues
The surgical wound from the closure of the stoma has opened after the sutures were removed, resulting in continuous leakage of fecal matter? Hello, Dr. Ke. My father is 68 years old and had a temporary colostomy placed in the right upper abdomen after undergoing surgery for recta...
Dr. Ke Fangxu Reply:
The issue your father is facing is a leak at the site of the stoma closure. There are two viable options. The first is to temporarily withhold food and wait for the leak to heal on its own. The benefits of this approach are that it avoids the need for another surgery. However, th...[Read More] Post-Surgery Complications: Managing Colostomy Closure Wound Issues
Understanding Sciatica: Symptoms, Causes, and When to Seek Help
Sciatica I have been suffering from lower back pain for at least two years without seeing a doctor. The pain comes and goes, and when I turn over in bed, I experience sharp pain from my lower back to my buttocks and thighs. Sometimes the pain is so severe that I am afraid to move...
Dr. Lai Zhaokang Reply:
Hello: The symptoms suggest sciatica, which is usually caused by lumbar spondylolisthesis or herniated discs that compress the nerves. However, to confirm the diagnosis, X-rays combined with MRI are needed. Considering that you are 30 weeks pregnant, it is generally recommended f...[Read More] Understanding Sciatica: Symptoms, Causes, and When to Seek Help
Understanding Bowel Issues: When to Seek Medical Advice
Bowel-related issues? Hello Doctor: A few months ago, I had a bowel movement with bright red blood, but it was small pieces of red that could separate from the stool. I was quite anxious about it, and the next day it happened again, which made me even more worried. Additionally, ...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...[Read More] Understanding Bowel Issues: When to Seek Medical Advice
Monitoring Simple Spleen Cysts: Key Questions and Health Tips
Follow-up of simple splenic cysts? Good afternoon, Doctor. Thank you very much for your response to my previous questions. I have a few more questions regarding my ongoing condition. 1. Do cysts only continue to grow larger? What symptoms or size of the cyst should I be aware o...
Dr. Chen Bingze Reply:
Hello, 1. It may not necessarily grow larger; it could remain the same. It is recommended to regularly follow up with your attending physician, as they are most familiar with your condition. 2. This cyst should not have a significant impact on the liver. 3. You can maintain a...[Read More] Monitoring Simple Spleen Cysts: Key Questions and Health Tips
Post-Surgery Concerns: Managing Symptoms After Hemorrhoid Surgery
Postoperative descent and fecal discharge? Hello Doctor, I am the one who asked question #184914 yesterday. I had a natural delivery and underwent surgery for hemorrhoids. I consulted an obstetrician to inquire if it was related to childbirth, and the obstetrician said I only had...
Dr. Zhang Shuhao Reply:
1. If the anal sphincter is injured during childbirth, performing Kegel exercises can help strengthen the pelvic floor muscles, and one may also consider undergoing sphincter repair surgery. 2. Abnormal sensations after anal surgery may improve over time. 3. It is advisable to mo...[Read More] Post-Surgery Concerns: Managing Symptoms After Hemorrhoid Surgery