Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Prolactinoma Hello Doctor: My wife was diagnosed with a 0.4 cm prolactinoma five years ago after experiencing amenorrhea. She had some bleeding at that time, which has since resolved. She has been on Dostinex, which has effectively controlled the tumor, and there has been some sh...
Dr. Zhang Junwei Reply:
Before answering the questions, please note that the responses are for reference only due to the lack of detailed medical history and imaging reports. 1. No, medication can be taken for observation. 2. It will likely be absorbed on its own. 3. It may be permanent. 4. No obvious c...[Read More] Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Understanding Fibrocystic Changes: When to Consider Surgical Intervention
Fibrocystic changes Hello, doctor. I have a predisposition to fibrocystic changes (cysts) and have been experiencing this since middle school. There is no family history of breast cancer, and I have been undergoing regular check-ups every six months. On October 21, I discovered m...
Dr. Chen Bingze Reply:
It is advisable to conduct a tissue biopsy for safety when rapid growth occurs in a short period of time, as no one can guarantee that everything is fine without proper testing.[Read More] Understanding Fibrocystic Changes: When to Consider Surgical Intervention
Returning to Work After Mild Brain Injury: Key Recovery Insights
I would like to consult about issues related to brain injury? Hello, Doctor! According to your response that "the most important thing for a concussion is rest, and it will naturally recover over time," I would like to ask how much longer it might take before I can retu...
Dr. Zhang Junwei Reply:
Mild subarachnoid hemorrhage typically allows for a full recovery to previous levels of activity after a period of rest.[Read More] Returning to Work After Mild Brain Injury: Key Recovery Insights
Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
The condition of hydrocephalus is recurrent? Hello Doctor: My mother (65 years old) underwent a ventriculoperitoneal shunt surgery for hydrocephalus in June of this year. She has been regularly returning for follow-up appointments to assess her postoperative condition and determi...
Dr. Zhang Junwei Reply:
Theoretically, with the presence of a ventriculoperitoneal shunt, continuous drainage of cerebrospinal fluid can be maintained, significantly reducing the likelihood of developing hydrocephalus again.[Read More] Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
Understanding Left Lower Abdominal Pain: Causes and Specialist Consultations
Possible causes of left lower abdominal pain and recommended medical specialties for consultation? Hello, doctor. Since I was young, I have had a hard lump about the size of a fingertip in my left lower abdomen that hurts when pressed. I also feel a dull pain when my menstrual pe...
Dr. Xu Kaixi Reply:
Based on your description, the symptoms in the groin have led to suspicions of an inguinal hernia after evaluations by different physicians and examinations, including a detailed CT scan, which ultimately did not yield a definitive diagnosis. Physical examination alone cannot con...[Read More] Understanding Left Lower Abdominal Pain: Causes and Specialist Consultations
Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Why must a patient be discharged after surgery for an anal abscess or fistula as long as they are able to have bowel movements? I would like to ask the doctor why, after my anal abscess fistula recurrence surgery, the doctor said that as long as I had a bowel movement, regardless...
Dr. Zhang Shuhao Reply:
Whether it is for anal fistula or other surgeries, patients must be stable postoperatively, not requiring intravenous fluids, and able to perform daily activities before being discharged. There is no absolute correlation between the ability to have bowel movements and discharge r...[Read More] Why Patients with Anal Abscess Surgery Must Discharge After Bowel Movement
Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
I would like to inquire if fever can occur after hemorrhoid surgery? Hello, I would like to inquire about my father's hemorrhoid banding surgery at the postal hospital on November 18. Is postoperative fever a normal phenomenon, or is it related to individual constitution? Ad...
Dr. Zhang Shuhao Reply:
Generally, rubber band ligation for internal hemorrhoids does not cause fever. However, if fever is accompanied by chills, palpitations, shortness of breath, low blood pressure, or severe anal-rectal pain, immediate medical attention is required. If there is a mild fever without ...[Read More] Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Does it look like hemorrhoids? In recent months, I have experienced a situation where a lump protrudes from my anus after each bowel movement, and I have to push it back in with my hand; otherwise, it remains stuck at the anal opening. There is no bleeding, but I have noticed som...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Post-Surgery Leakage: Understanding Fistula Repair Complications
Fistula surgery with postoperative leakage after bowel movement? Hello doctor, I had a fistula surgery on September 26, and it has been almost two months since then. I still have some yellowish discharge, and I’ve noticed a small amount of fecal leakage about half an hour after e...
Dr. Zhang Shuhao Reply:
If the wound from the fistula surgery is relatively large, it is common to have some discharge before healing is complete. As long as there are no signs of infection such as redness, swelling, heat, pain, or fever, it can be monitored. It is also quite common to experience a slig...[Read More] Post-Surgery Leakage: Understanding Fistula Repair Complications
Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Numbness and tingling in the hands and feet, muscle twitching? Eight years ago, I underwent an MRI examination that revealed herniated discs at cervical levels C3-4-5-6, which caused pain in my left shoulder and neck, as well as discomfort in my left arm, skin tingling, and occas...
Dr. Zhang Junwei Reply:
It is possible for the symptoms of a herniated disc to be intermittent and to occur on both sides.[Read More] Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Cerebral hemorrhage with a hematoma, undergoing drainage surgery, with a Glasgow Coma Scale score of 3? Hello, I apologize for disturbing the doctor during work and rest hours. My younger brother, who is 46 years old and was born in the Year of the Snake, had a family gathering o...
Dr. Zhang Junwei Reply:
Without a detailed neurological examination and computed tomography assessment, it is difficult to provide an accurate answer. However, if the coma scale is indeed 3, the chances of recovery are very low, and even if recovery occurs, there will likely be severe neurological defic...[Read More] Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Dealing with Discharge Near the Anus: When to Seek Medical Help
If there is discharge near the anus, what should I do? Recently, I experienced gastroenteritis with diarrhea, and suddenly I had pain near the anus. Upon examination, I felt a small lump close to the anus that was painful when pressed. Generally, I only felt pain when sitting dow...
Dr. Zhang Shuhao Reply:
After diarrhea, if there is swelling and pain around the anus accompanied by purulent discharge, it may be indicative of an anal fistula. If symptoms persist, it is advisable to seek medical evaluation. An experienced colorectal surgeon can diagnose an anal fistula through a phys...[Read More] Dealing with Discharge Near the Anus: When to Seek Medical Help
Post-Surgery Healing Concerns for Ear Lobe Cyst Removal
Postoperative wound healing issues after sebaceous cyst removal? I had a surgery for an earlobe lipoma on November 7, and I returned for a follow-up appointment on November 14 to have the stitches removed. The doctor said the wound is healing well and advised me to apply cosmetic...
Dr. Chen Bingze Reply:
It sounds like it should be okay. If you're concerned, you can schedule a follow-up appointment with your attending physician.[Read More] Post-Surgery Healing Concerns for Ear Lobe Cyst Removal
Understanding Subdural Hematoma Recovery After Motorcycle Accident
Subdural hematoma and cerebellar hemorrhage due to a car accident; the patient was unconscious prior to hospital admission. Craniotomy was performed on October 20. Currently, the patient is at E1M2V? Hello, doctor. My friend's mother had a motorcycle accident in mid-October,...
Dr. Zhao Shaoqing Reply:
Currently, the structure is classified as 4, indicating severe reconstruction with a complex condition requiring hospitalization. You may use the hospitalization as a basis for assessing the imaging CD and inquire about subsequent treatment at the outpatient clinic. The Ministry ...[Read More] Understanding Subdural Hematoma Recovery After Motorcycle Accident
Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Postoperative foot numbness and swelling after herniated disc surgery? Hello Doctor, I would like to consult you regarding my condition. I underwent endoscopic decompression and discectomy surgery on September 26 due to L4-L5 stenosis and L5-S1 herniation. Prior to the surgery, I...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to continue rehabilitation therapy, take B12 and vitamin supplements, undergo acupuncture, apply heat therapy, and engage in self-exercise training for 3-6 months. 2. If budget allows, consider consulting for hyperbaric oxygen therapy. 3. If budget all...[Read More] Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Concerns About Neck Injuries in Children from Playful Lifting
Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....
Dr. Lai Zhaokang Reply:
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...[Read More] Concerns About Neck Injuries in Children from Playful Lifting
Understanding Digestive Issues: From Stress to Potential IBS Concerns
Bowel movement issues Hello, doctor! After entering junior high school, I don't know if it's due to increased stress, but I've started experiencing a habit of abdominal pain and diarrhea. It was fine before, but it became uncontrollable after I entered the second y...
Dr. Zhang Shuhao Reply:
Hello, if there is no significant family history of disease, the likelihood of developing colorectal cancer at your age is very low. It is more likely that irregular gastrointestinal motility is caused by stress, which is a symptom of irritable bowel syndrome (IBS). IBS can be ma...[Read More] Understanding Digestive Issues: From Stress to Potential IBS Concerns
Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
Embolization coil Hello, doctor. A relative of mine has been diagnosed with an early-stage cerebral aneurysm. The doctor recommended endovascular coil embolization as a minimally invasive treatment. At the time, the person was too anxious and forgot to ask the doctor some questio...
Dr. Zhang Junwei Reply:
1. Remain in the brain, not to be removed. 2. There are coils available for MRI. 3. Same as above.[Read More] Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained
Cervical intervertebral disc herniation compression Approximately 8-9 years ago, an MRI examination revealed herniated discs at the C3-4-5-6 levels, which are compressing the nerves and causing symptoms of pain and numbness in the left shoulder, neck, arm, and fingers. After unde...
Dr. Zhang Junwei Reply:
Muscle twitching is not necessarily caused by a herniated disc. Yes, it can indeed switch from one side to the other at times.[Read More] Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained