Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?
Regarding Vitamin D3 supplementation? My mother was hospitalized for examination (not at your hospital) in early December, where she was diagnosed with severe malnutrition, acute pancreatitis, and mild issues with her kidneys and liver. She has undergone surgery and returned home...
Dr. Chen Jiaming Reply:
First, you need to confirm that your mother's cramping symptoms are due to "hypocalcemia." It is rare for this to be the cause in most individuals, but you mentioned that your mother has severe malnutrition, acute pancreatitis, and kidney issues, all of which could...[Read More] Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?
Understanding Functional Gastrointestinal Disorders: A Patient's Journey
Gastrointestinal issues Hello, doctor. I started feeling unwell around the end of August and went to a clinic where the doctor diagnosed me with acute gastroenteritis. I was prescribed medication for three days at a time and visited about four times, but the medication didn'...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like Irritable Bowel Syndrome (IBS). It is recommended to start with a light diet and maintain a good daily routine. If symptoms persist without improvement, you may consult a physician for medication. In cases of severe symptoms, taking m...[Read More] Understanding Functional Gastrointestinal Disorders: A Patient's Journey
Post-Surgery Fever and Pain Management After Hemorrhoid Surgery
Traditional hemorrhoid surgery on September 29, fever started on October 2? On September 29, I underwent traditional surgery for hemorrhoids. The doctor indicated that the wound is larger, which is why I am experiencing more pain. Post-surgery, my bowel movements are normal, but ...
Dr. Yu Mingchang Reply:
Hello; as you mentioned, wounds in the genital area or anal region may have a higher likelihood of causing fever. It is recommended for the public to undergo screening to confirm if the wound infection is related to a tumor. The Ministry of Health and Welfare Changhua Hospital ca...[Read More] Post-Surgery Fever and Pain Management After Hemorrhoid Surgery
Understanding Gynecomastia: Causes, Risks, and Follow-Up Care for Men
Gynecomastia Hello! I have a lump under my right areola, so I went for an ultrasound. The report is as follows: ULTRASOUND OF RIGHT BREAST LUMP: In the right subareolar region, where the palpable mass is located, there is a hypoechoic structure measuring 0.72 x 0.72 cm. It likely...
Dr. Zhou Hongzhang Reply:
1. There are several causes of gynecomastia in males, such as abnormal secretion of prolactin, liver dysfunction, individual constitution issues, and endocrine disorders, among others. 2. If there are no other underlying diseases, isolated gynecomastia can be considered for surgi...[Read More] Understanding Gynecomastia: Causes, Risks, and Follow-Up Care for Men
Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding During my elementary and middle school years, I noticed blood in the toilet after having a bowel movement, so I went to the hospital. The doctor diagnosed me with hemorrhoids and prescribed some topical medication. I didn't follow up with any further examinat...
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 Rectal Bleeding: When to Seek Medical Attention
Blood in Stool After Childbirth: Is It from Dragon Fruit or Hemorrhoids?
Blood in the stool? I just gave birth three months ago. Before giving birth, I did not have any issues with constipation, but after delivery, I started experiencing constipation and developed hemorrhoids. The hemorrhoids can be pushed back in, but they still protrude. Currently, ...
Dr. Ke Fangxu Reply:
Both possibilities exist. If the phenomenon disappears after stopping the consumption of dragon fruit, then it is not a concern. Otherwise, a fecal occult blood test can be performed to determine whether there is any bleeding.[Read More] Blood in Stool After Childbirth: Is It from Dragon Fruit or Hemorrhoids?
Understanding Transparent Mucus and Blood Clots After Bowel Movements
Presence of transparent mucus and blood clots after bowel movement? Hello Doctor: I previously experienced bleeding from an internal hemorrhoid, and after my first pregnancy, the bleeding became more severe and external hemorrhoids developed, occasionally bleeding with bright red...
Dr. Xu Kaixi Reply:
Hemorrhoids can worsen during pregnancy due to increased pressure in the abdominal cavity, and they typically improve over time after delivery. Therefore, it is expected that there may be bleeding from hemorrhoids during the postpartum recovery period. However, if the bleeding pe...[Read More] Understanding Transparent Mucus and Blood Clots After Bowel Movements
Understanding Digestive Issues: Symptoms and Solutions for Constipation
My stomach feels a bit strange? I previously had a severe constipation issue, where I could only have a bowel movement about once a week during class. I usually went to the bathroom late at night, around one to three in the morning, so I thought it might be because I was too tire...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like Irritable Bowel Syndrome (IBS). I recommend starting with a light diet and maintaining a good daily routine. If the symptoms persist without improvement, you may consult a physician for medication. The band-like structure located abou...[Read More] Understanding Digestive Issues: Symptoms and Solutions for Constipation
Managing Itching and Hemorrhoids: Proper Application of Topical Treatments
Itching and topical medication for internal hemorrhoids? Hello doctor, I have itching around my anus and also in the groin area towards the coccyx. Recently, I visited a colorectal surgeon, and the day before my appointment, I noticed a little redness after using the toilet. Afte...
Dr. Ke Fangxu Reply:
Mild hemorrhoidal bleeding that does not persist does not require excessive concern. Hemorrhoid ointment is theoretically applied by inserting the applicator into the anus and delivering the ointment; however, if one is apprehensive, it can be directly applied externally or a sma...[Read More] Managing Itching and Hemorrhoids: Proper Application of Topical Treatments
Understanding Painful Bowel Movements: Is It Hemorrhoids?
Painful bowel movements? Before giving birth, I had hemorrhoids. After taking warm baths, they improved, but they reappeared after delivery. After my postpartum confinement, I felt almost normal! However, recently my stools have been very hard, and it hurts a lot when I need to p...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like hemorrhoidal swelling. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths should also help alleviate the symptoms. If the symptoms persist without improvement, ...[Read More] Understanding Painful Bowel Movements: Is It Hemorrhoids?
Managing Breast Lumps and Hemorrhoids After Childbirth: A Guide
Hemorrhoids & Breast Lump Hello, Dr. Yu. I am currently less than a month postpartum, having given birth on June 6. I am exclusively breastfeeding my baby, but recently I noticed a small hard lump under my left armpit that hurts when pressed. Additionally, I experience pain w...
Dr. Yu Mingchang Reply:
Hello: Eating more fruits and vegetables, and using clean water to cleanse the anus after using the restroom. Regarding breast issues, please take the time to consult a general surgeon to understand the problem. The Changhua Hospital of the Ministry of Health and Welfare cares ab...[Read More] Managing Breast Lumps and Hemorrhoids After Childbirth: A Guide
Can Gynecomastia Recur After Surgery? Prevention Tips and Insights
Will there be a recurrence after surgery? Is there a possibility of recurrence after gynecomastia surgery? How can one prevent the occurrence and recurrence of gynecomastia in daily life?
Dr. Lu Daokuan Reply:
After surgery, it is important to pay attention to diet and metabolic status. Limit the intake of fried foods and foods containing environmental hormones, and monitor liver function.[Read More] Can Gynecomastia Recur After Surgery? Prevention Tips and Insights
Considering Natural Birth After Anal Fissure: A Mother's Dilemma
Anal fissure issues? Hello Dr. Chen, I live in Europe and I am currently 36 weeks pregnant. Today I went to the hospital for a check-up, and my baby currently weighs 3400g with a head circumference of 35 cm. For my first child in February 2014, I had a natural delivery, but the b...
Dr. Chen Jiaming Reply:
You might want to share your concerns with your obstetrician, as a colorectal surgeon would typically recommend a cesarean section to avoid the risk of perineal tears during a subsequent delivery. This recommendation also considers that the scar tissue from previous tears is less...[Read More] Considering Natural Birth After Anal Fissure: A Mother's Dilemma
Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey
Malignant tumor of the descending colon? Hello. I would like to ask the doctor about my mother's recent issues. 1. Due to long-term constipation, she was diagnosed with intestinal obstruction, and further examination revealed a tumor located 40 centimeters in the colon. A bi...
Dr. Chen Jiaming Reply:
First of all, each individual's tumor treatment will have its specific circumstances. You may need to accompany your mother to her outpatient appointment to confirm the questions you have raised one by one, rather than seeking advice from other doctors on this platform! The ...[Read More] Understanding Colorectal Cancer Staging and Treatment: A Patient's Journey
Blood in Stool During Pregnancy: Causes and What to Do
Blood in the stool? Doctor, I am currently pregnant and had pre-existing constipation issues before my pregnancy. A few days ago, I experienced blood in my stool and pain at the anal area, with a noticeable flow of blood. The next day, I noticed some light blood traces when wipin...
Dr. Ke Fangxu Reply:
If you are close to labor and the amount of bleeding is not significant, it is generally not a concern. If you wish to undergo related examinations, it is recommended to wait until after delivery and the postpartum period. Currently, a light diet with an emphasis on consuming mor...[Read More] Blood in Stool During Pregnancy: Causes and What to Do
Understanding Deep Anal Pain: Causes, Diagnosis, and Treatment Options
Deep anal pain? Hello Dr. Ke, I have been experiencing deep anal pain for three months. Last October, during a digital examination, the doctor found a small lump and diagnosed it as an internal hemorrhoid. However, I have been feeling a persistent burning sensation deep in the an...
Dr. Ke Fangxu Reply:
The pubic bone is located in the front and the coccyx is in the back. To determine the reference for the pain, it is important to assess the location of the pain. It is recommended that you first complete an MRI examination, and then based on the results, consider whether additio...[Read More] Understanding Deep Anal Pain: Causes, Diagnosis, and Treatment Options
Managing Immunoglobulin Decline After Liver Transplant: Key Considerations
How to manage decreased immunoglobulin levels after liver transplantation? 1. Is it necessary to administer immunoglobulin injections? 2. At what level of the immune system is it necessary to administer immunoglobulin injections? 3. Does health insurance cover immunoglobulin inje...
Dr. Yu Mingchang Reply:
Hello: Please visit the liver transplant outpatient clinic for further examination. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Managing Immunoglobulin Decline After Liver Transplant: Key Considerations
Can Thyroidless Individuals Safely Donate Their Liver?
Is a person who has had their thyroid gland removed suitable for donating a liver? Dear Director Tsai, My wife previously had abnormal thyroid tests (suspected thyroid cancer) and later underwent examination at National Taiwan University Hospital. The hospital recommended a surg...
Dr. Cai Xingzhi Reply:
Thyroid diseases do not affect liver donation. As for whether Mr. Zheng's liver can be donated, it still needs to be evaluated by a specialist at the hospital.[Read More] Can Thyroidless Individuals Safely Donate Their Liver?
Postpartum Rectal Prolapse: Understanding Symptoms and Treatment Options
Postpartum rectal prolapse Hello Doctor: I am a first-time mother who just gave birth naturally two weeks ago. Due to excessive straining during delivery, my colorectal doctor mentioned that I have a condition known as "rectal prolapse," with three pieces of tissue prot...
Dr. Ke Fangxu Reply:
If hemorrhoids protrude and cannot be pushed back in, it is classified as grade IV hemorrhoids. In this situation, medication may reduce the size, but it will not completely resolve the issue. If complete resolution is desired, surgical intervention is the only option. However, i...[Read More] Postpartum Rectal Prolapse: Understanding Symptoms and Treatment Options
Understanding Rectal Bleeding and Blood Clots During Pregnancy
Blood in the stool with blood clots? I am 36 weeks pregnant and due to poor gastrointestinal motility during pregnancy, I have not been having daily bowel movements, sometimes going three to four days without one. Last night, I experienced some cramping in my abdomen and decided ...
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 and shorten the time spent on bowel movements during this period. If bleeding persists, it i...[Read More] Understanding Rectal Bleeding and Blood Clots During Pregnancy