Understanding Postpartum Fecal Leakage and Rectal Pressure: Insights and Solutions
Fecal incontinence and a sensation of falling? Hello, doctor. I gave birth on December 1st of last year, and at that time, my hemorrhoid condition was very severe and painful. On December 10th, I underwent a ligasure procedure for the excision of internal and external hemorrhoids...
Dr. Zhang Shuhao Reply:
1. If the hemorrhoids were severe initially and a significant amount of tissue was removed, along with the presence of wounds, some individuals may experience a feeling of incontinence during episodes of bowel urgency. This sensation should improve after a period of recovery when...[Read More] Understanding Postpartum Fecal Leakage and Rectal Pressure: Insights and Solutions
Will Hemorrhoid Cream Affect My Health Check-Up Results?
Inquiry Consultation Hello Dr. Chang, Today I am experiencing hemorrhoid swelling and pain due to diarrhea (the pain is sharp when sitting). I would like to use an over-the-counter ointment (Hiyu Zhi) to reduce the swelling and alleviate the pain, but I have a health check-up pl...
Dr. Zhang Shuhao Reply:
Hemorrhoid ointments primarily contain anti-inflammatory and analgesic ingredients, and some may contain trace amounts of corticosteroids. However, topical application is unlikely to affect health check-up results, so you can rest assured.[Read More] Will Hemorrhoid Cream Affect My Health Check-Up Results?
Understanding Iodine-131 Treatment and Imaging for Thyroid Cancer
Iodine-131 therapy Hello, Doctor. 1. On June 3, I underwent a contrast-enhanced imaging examination in the emergency room of Far Eastern Memorial Hospital after a total thyroidectomy due to a hematoma. Can this imaging technique detect other cancer cells? Is there a possibility...
Dr. Chen Ronghong Reply:
Hello, Cool Dragon. 1.2. The examinations performed in the emergency department typically include a CT scan. If any other abnormalities are detected, they will be noted in the report. Please consult Dr. Yadong for assistance with the inquiry. 3.4. Iodine-131 imaging is a type of ...[Read More] Understanding Iodine-131 Treatment and Imaging for Thyroid Cancer
Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
After total thyroidectomy Hello, Doctor. 1. I had a contrast agent injection in the emergency room of Far Eastern Memorial Hospital on June 3 for a hematoma check after a total thyroidectomy. I would like to know how long I need to wait before undergoing a lung examination that...
Dr. Chen Ronghong Reply:
Hello, Cool Dragon. 1. Since you are scheduled for iodine-131 treatment on July 18, if you need to receive a contrast agent, you should wait until after the treatment is completed. 2. It is difficult to determine whether it is a bacterial infection based on your description; y...[Read More] Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Recurrent fever after surgery for ampullary cancer? Hello Dr. Chen, my mother is 75 years old. She was diagnosed with ampullary cancer at the end of May and underwent laparoscopic pancreaticoduodenectomy on June 9, during which the tumor was removed. The pathology report indicate...
Dr. Chen Ronghong Reply:
Hello, Ms. Lin. After pancreatic surgery, fever is most commonly associated with anastomotic leakage, as well as pneumonia, urinary tract infections, and bloodstream infections. I believe your mother's doctor has considered these possibilities, especially since you mentioned...[Read More] Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Understanding Bloating After Fasting: Possible Causes and Solutions
Gastrointestinal bloating Hello Doctor, I am a patient from https://adoctor.tw/article/181332 &sat=1. I wonder if you remember me. I did not use any medication; I only practiced intermittent fasting, mostly drinking water or eating just one dragon fruit or one apple a day. To...
Dr. Ke Fangxu Reply:
At the age of 31, structural abdominal issues are relatively uncommon. A CT scan shows that the rectum requires further examination. I personally recommend undergoing a sigmoidoscopy. Engaging in extreme fasting followed by a return to a normal diet can lead to gastrointestinal f...[Read More] Understanding Bloating After Fasting: Possible Causes and Solutions
Understanding Radioactive Iodine Treatment: FAQs on Thyroid Cancer and Diet
Total thyroidectomy Hello Doctor, 1. Can radioactive iodine-131 be used to check for tumors or cancer cells throughout the body, or is it only for detecting thyroid cancer cells? 2. Does radioactive iodine-131 only target residual thyroid cancer cells, or can it also kill cance...
Dr. Chen Ronghong Reply:
Hello, Kulong. 1. Iodine-131 is used to check for local residual thyroid cancer or distant metastasis; it cannot detect cancer cells from other sources. 2. Only cells originating from the thyroid will absorb iodine-131; cancer cells from other sources cannot be targeted. 3. R...[Read More] Understanding Radioactive Iodine Treatment: FAQs on Thyroid Cancer and Diet
Managing Injuries in Diabetic Seniors: Care Tips and Warning Signs
Diabetes-related falls and injuries? Hello, the elder in my family fell while trying to start riding a bicycle to buy groceries, as the basket was too heavy. They hit about 10 cm below the right knee, resulting in swelling without any obvious wounds. Currently, they can walk and ...
Dr. Zhang Shuhao Reply:
Elderly individuals who sustain injuries often develop large bruises, typically due to decreased coagulation function, which is related to age, liver function, and the use of anticoagulant or antiplatelet medications. Most bruises and hematomas will gradually be absorbed. Care sh...[Read More] Managing Injuries in Diabetic Seniors: Care Tips and Warning Signs
Managing Blisters in Cancer Patients Undergoing Chemotherapy
Blister issues? Hello, I am a patient with primary malignant liver tumor and currently undergoing chemotherapy. I have significant ascites, leading to edema in my lower extremities. Recently, I noticed a blister on the skin of my penis, which is very thin. It got accidentally com...
Dr. Yu Mingchang Reply:
Hello: For wounds related to hepatobiliary and gastrointestinal surgery, it is sufficient to apply ointment. Do not soak in water. Changhua Hospital cares about you.[Read More] Managing Blisters in Cancer Patients Undergoing Chemotherapy
Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Hepatic hemangioma Hello, Doctor: I am a breast cancer patient (stage I). Last week, my breast surgeon arranged for a follow-up abdominal ultrasound. Out of curiosity, I checked the report on the National Health Insurance app and found that it mentioned a 0.9 cm hyperechoic lesio...
Dr. Chen Jiaming Reply:
Hepatic hemangiomas are common benign tumors of the liver that typically only require monitoring (if they remain stable after a few follow-ups, further monitoring may not be necessary). Generally, further intervention is only needed if they continue to grow. Since you are a breas...[Read More] Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Understanding Albumin Use and Fungal Infections in Elderly Patients
Medication Use / Fungal Infection 1. Under what circumstances is it necessary to administer human albumin? 2. My mother, who is 90 years old, was hospitalized due to a preliminary diagnosis of thrombosis in her left calf (with a temperature of 37.6 degrees Celsius). After being ...
Dr. Ke Fangxu Reply:
1. Albumin is typically used when a patient has low albumin levels. The indications covered by health insurance include burns, shock, pulmonary edema, renal failure, liver cirrhosis, and liver transplantation. Occasionally, surgeons may recommend its use for malnourished surgical...[Read More] Understanding Albumin Use and Fungal Infections in Elderly Patients
Impact of Depression on Liver Donation: What You Need to Know
Liver Donor Evaluation My father may need a liver transplant soon, but I am a patient with depression and have been taking antidepressant medications for a long time. Will this affect my ability to donate a portion of my liver to my father?
Dr. Chen Jiaming Reply:
The donor assessment includes both physical and mental health evaluations. It is advisable to consult with the transplant coordinator or transplant nurse at the liver transplant center regarding the donor's evaluation. There are many aspects to consider in the donor assessme...[Read More] Impact of Depression on Liver Donation: What You Need to Know
Concerns About Rectal Symptoms During Pregnancy: Alternatives to Colonoscopy
Stool with a circular groove? Hello, recently I noticed a circular groove on one side of my stool from the beginning to the end, and there was blood after wiping. I underwent a digital rectal examination and a sigmoidoscopy, which revealed internal hemorrhoids but no tumors. I ha...
Dr. Ke Fangxu Reply:
Pregnancy does not necessarily preclude undergoing a colonoscopy; however, if there is no strong suspicion of colorectal cancer, it is advisable to avoid the procedure if possible. Based on your situation, it seems more likely that you are experiencing bleeding related to hemorrh...[Read More] Concerns About Rectal Symptoms During Pregnancy: Alternatives to Colonoscopy
Understanding Gallstones and Cholecystectomy: Key Questions Answered
Consultation for Gallstones and Cholecystectomy? Hello Dr. Yu, I have a family history of: 1. pancreatic cancer 2. hypertension 3. diabetes 4. gallstones. My personal medical history includes ultrasound findings of: 1. gallstones (one stone measuring 2.04 cm, while the CT sca...
Dr. Yu Mingchang Reply:
Hello: 1. Symptoms may not always be present; they vary from person to person. Upper abdominal cramping may occur due to individual digestive issues. 2. Laparoscopic cholecystectomy typically requires a hospital stay of 3 to 5 days. 3. The cost ranges from 30,000 to 50,000. 4. It...[Read More] Understanding Gallstones and Cholecystectomy: Key Questions Answered
Understanding Appendicitis: Why Testing is Essential After Surgery
Appendicitis tests Hello Doctor, my mother experienced severe abdominal pain around 1:00 AM on February 28th and was continuously vomiting (including the sleeping pills she took before bed). We took her to the emergency room, where she underwent X-rays, a chest X-ray, and a CT sc...
Dr. Chen Jiaming Reply:
No need to worry! Under the National Health Insurance system, it is standard procedure to send the excised inflamed appendiceal tissue for pathological examination after an appendectomy. This surgical approach complies with the health insurance billing process. It is not that you...[Read More] Understanding Appendicitis: Why Testing is Essential After Surgery
Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Continuous bleeding from the drainage tube after cholecystectomy? Hello Dr. Chen: My father underwent gallbladder removal surgery around 3 AM on December 9, 2020. The surgery ended at approximately 5:50 AM, and he was transferred from the recovery room to the emergency ward aroun...
Dr. Chen Jiaming Reply:
A gallbladder surgery performed at 3 AM is typically indicative of acute cholecystitis. However, the duration of the surgery aligns with standard gallbladder procedures, suggesting that the lead surgeon successfully completed the operation without complications. Regarding the inc...[Read More] Post-Cholecystectomy Hemorrhage: Understanding Causes and Concerns
Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Location of abdominal pain 1. If you are experiencing pain in the left upper abdomen today, it could be related to several issues, including gastritis, splenic problems, or even issues with the pancreas or stomach. 2. If you just felt a slight pain in the right upper abdomen, wh...
Dr. Ke Fangxu Reply:
The upper right abdomen is the location of the liver and gallbladder, so pain in this area typically leads to consideration of these organs. However, at such a young age, it could also be related to issues with the stomach or duodenum. I recommend starting with a light diet and o...[Read More] Understanding Abdominal Pain: What Left and Right Upper Discomfort May Indicate
Understanding Post-Surgery HPV: Recovery, Risks, and Pregnancy Concerns
Postoperative care for cauliflower (likely referring to cauliflower ear or a similar condition)? 1. If someone had genital warts five years ago and underwent electrosurgery and topical treatment, with the last consultation two years ago indicating no signs of disease, and there h...
Dr. Ke Fangxu Reply:
1. If there has been no recurrence for two years after treatment, it can be considered cured; however, there is still a possibility of being an asymptomatic carrier. 2. If you are currently cured, the risk of transmitting the infection to the child during pregnancy and delivery ...[Read More] Understanding Post-Surgery HPV: Recovery, Risks, and Pregnancy Concerns
Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
What should I do if I have itching, mild pain, and a feeling of heaviness due to hemorrhoids? Hello Doctor: Thank you for your response last time (on April 7). I later experienced significant discomfort and mustered the courage to see a doctor. The doctor diagnosed me with thromb...
Dr. Ke Fangxu Reply:
1. If there is currently no pain or bleeding, continue with the current treatment or take warm sitz baths, but avoid constipation and shorten the time spent on bowel movements; this should help alleviate the feeling of bloating. 2. Indeed, some patients may experience worsening h...[Read More] Managing Painful Hemorrhoids: Tips for Relief and Future Considerations
Managing Colon Tumors in Elderly Patients with Parkinson's Disease
Colorectal tumor + Parkinson's disease + elderly age Dear Dr. Ke, My mother is 83 years old and has a history of Parkinson's disease for about 20 years. She has lost her ability to move independently and requires assistance with feeding (not via a nasogastric tube). Re...
Dr. Ke Fangxu Reply:
The issue of colorectal tumors is quite complicated because if surgery is not performed, it can lead to bowel obstruction, resulting in an inability to eat. Of course, if the patient is elderly and has underlying health issues, the physician should understand the decision not to ...[Read More] Managing Colon Tumors in Elderly Patients with Parkinson's Disease