Understanding the Risks of Anal Play: Cancer Concerns and Safety Tips
Risk of Anal Cancer and Colorectal Cancer Hello, Dr. Zhang. Last week, I went on my honeymoon with my husband. While preparing to leave, we got a bit excited and engaged in intimate activities. My husband wanted to try anal play, so he inserted his fingers into my anus for about ...
Dr. Zhang Shuhao Reply:
Minimal contact of substances like hair wax with the anal or rectal mucosa does not increase the risk of cancer. The primary risk factor for anal cancer is exposure to human papillomavirus (HPV), such as that associated with genital warts. If there is no HPV exposure, there is no...[Read More] Understanding the Risks of Anal Play: Cancer Concerns and Safety Tips
Understanding Recovery Risks After Bowel Perforation Surgery in Elderly Patients
Currently hospitalized in the intensive care unit following surgery for intestinal perforation with inflammation? Hello, I would like to inquire about a 70-year-old grandmother who has low blood pressure and was involved in a car accident on the 17th, resulting in a ruptured inte...
Dr. Ke Fangxu Reply:
The surgical risks for elderly patients with significant trauma are undoubtedly very high. Based on the description, it seems that the purpose of the emergency surgery for abdominal blunt trauma causing intestinal perforation is not only to control bleeding but also to repair the...[Read More] Understanding Recovery Risks After Bowel Perforation Surgery in Elderly Patients
Understanding and Managing Genital Warts: A Patient's Guide
Cauliflower (Condylomata Acuminata) Hello doctor, I recently noticed a raised bump on my left labia majora near the mons pubis. It is not painful but occasionally itchy. I went to a gynecologist for an examination, and the doctor looked at it without conducting any tests, informi...
Dr. Peng Xianwen Reply:
This condition is prone to recurrence and can be easily observed from its appearance. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding and Managing Genital Warts: A Patient's Guide
Understanding Prolonged Diarrhea: Causes and Recovery Time
I have had diarrhea for 3 to 4 days? Hello doctor, I have been experiencing diarrhea for the past 3 to 4 days, with no other symptoms. I have been having bowel movements about 2 to 3 times a day, and I'm not sure what the cause is. I don't recall eating any unsanitary f...
Dr. Zhang Shuhao Reply:
Recent diarrhea, if there are no obvious food-related factors, is mostly caused by viral infections such as gastroenteritis from rotavirus or norovirus. Specific medication treatment is not necessary; it is important to practice good hand hygiene and maintain personal and environ...[Read More] Understanding Prolonged Diarrhea: Causes and Recovery Time
Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Issues After Hemorrhoid Banding for Internal Hemorrhoids Hello Doctor: I underwent a hemorrhoid ligation procedure on September 21 this year. I felt a bit uncomfortable at the time, but aside from experiencing significant pain during bowel movements on one particular day, I didn&...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, scar tissue will form in the local area, securing the internal hemorrhoids at a higher position in the anal canal. As a result, there may be a sensation of tightness in the anus, but it usually does not cause pain. It is advisable to ta...[Read More] Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Understanding Delayed Healing: Why Your Skin Closed but Not the Wound Inside
The epidermis of the hand wound has healed, but it feels like the internal tissue is not healed? Hello Doctor: About two weeks ago, I sustained a wound on my hand that measures approximately 1 cm in length and 0.5 cm in width, with a slight depth. After a week, I noticed that the...
Dr. Chen Jiaming Reply:
It is not possible to answer your speculation based on your description. I recommend that you visit a surgical outpatient clinic for an actual examination and treatment by a physician, which will provide you with a more accurate response.[Read More] Understanding Delayed Healing: Why Your Skin Closed but Not the Wound Inside
Managing Complications After Thrombolytic Therapy: What to Do About Hand Bruising
The patient is receiving thrombolytic therapy and, due to ignorance, has had their hand massaged, resulting in microvascular rupture and redness all over the hand. What should be done? What complications could arise from the inability to stop the bleeding? Thank you! Hello, docto...
Dr. Chen Bingze Reply:
Hello, the red spots on your hand are likely not significantly related to the recovery of the brain. If you have any questions, you can consult your mother's attending physician for clarification; his responses should be prioritized.[Read More] Managing Complications After Thrombolytic Therapy: What to Do About Hand Bruising
Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Intestinal obstruction issues? Hello Doctor, I would like to inquire about my mother (68 years old) regarding her intestinal obstruction issue. About two weeks ago, she went to the emergency room at night due to abdominal pain. After an abdominal X-ray, her attending physician in...
Dr. Chen Jiaming Reply:
The causes of intestinal obstruction can vary among patients, and each attending physician may have different choices of medications. It is possible that your mother's attending physician has prescribed some medications to promote (maintain) intestinal motility or laxatives,...[Read More] Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Anal issues Hello Doctor, today I noticed a small amount of blood near the back of my underwear, close to the anal area. I just visited a colorectal surgeon two days ago, and after a digital examination, the doctor mentioned that I only had hemorrhoids and some redness and swelli...
Dr. Chen Bingze Reply:
It is possible to monitor the situation and seek medical attention promptly if it worsens.[Read More] Understanding Rectal Bleeding: Causes and Concerns Beyond Hemorrhoids
Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
I hit the upper left side of my head; is there a possibility of a brain hemorrhage, and can the swelling be reduced? Doctor, I apologize for the interruption! Last night around 9 PM, while bending down to return the communal laundry basket in the laundry room of my dormitory, I a...
Dr. Zhang Junwei Reply:
1. The swelling should resolve on its own. 2. The likelihood of intracranial hemorrhage is low; however, if there is persistent headache, dizziness, nausea, or vomiting, seek immediate evaluation from a neurosurgeon or go to the emergency department.[Read More] Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
Post-Surgery Pain Management: Understanding Recovery After Drain Tube Placement
Post-fistula surgery Hello Doctor, I had surgery for a gluteal abscess and the excision of some necrotic muscle fascia at the beginning of July. The surgical site is located in the buttock area, very close to the anal opening. A drainage tube was left in place postoperatively for...
Dr. Zhang Shuhao Reply:
1. After the epidermis has healed, the underlying muscle and soft tissue may not be fully healed yet. If there are no other discomforts, it is advisable to take warm sitz baths and attend regular follow-up appointments to monitor symptoms for three months to see if they improve. ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Drain Tube Placement
Understanding Anal Canal Swelling: Causes of Pain, Itching, and White Bumps
Anal canal swelling, pain, itching, and the presence of white granules? Hello doctor, I have recently experienced swelling in the anal canal and difficulty with bowel movements. I have been taking anti-inflammatory medication and applying hemorrhoid cream, and it has gradually re...
Dr. Zhang Shuhao Reply:
The swollen and prolapsed tissue in the image is indicative of hemorrhoidal tissue, but the white granules are unclear and may suggest inflammation with pus accumulation, or other infectious skin lesions. It is recommended to visit a colorectal clinic for examination. If there is...[Read More] Understanding Anal Canal Swelling: Causes of Pain, Itching, and White Bumps
Impact of Nail Removal on Wound Healing and Recovery Time
The wound has opened after nail removal? Hello, Doctor. Two weeks ago, I had a partial nail avulsion due to paronychia, where 1/5 of my nail was removed at a surgical clinic. The night before last, while changing the dressing, I accidentally removed the scab (the wound has healed...
Dr. Li Zhonghuai Reply:
Hello! After debridement, there will still be a dirty film on the surface the next day that needs to be removed. The cleaner the nail bed, the faster the new toenail will grow. So the scab you mentioned is actually this dirty film that needs to be cleaned off. As for exposure to ...[Read More] Impact of Nail Removal on Wound Healing and Recovery Time
Understanding Head Injuries: Concerns About Skull Indentation
Head issues Hello Doctor, two years ago at school, I was struck twice on the right side of my head near the frontal bone by an emotionally agitated classmate using a wooden broom, which broke in the process. At the time, I only experienced bleeding and no other discomfort. After ...
Dr. Zhang Junwei Reply:
It is difficult to say whether it is related to the present, as it happened two years ago. If there are any concerns, it is recommended to seek consultation at a neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: Concerns About Skull Indentation
Post-Surgery Pain After Laparoscopic Hernia Repair: What to Know
Postoperative care for hernia surgery? Hello Doctor: I underwent laparoscopic surgery for an umbilical hernia with a 3 cm defect on August 25, using self-paying staples (14 staples). About 3 to 4 days post-operation, I started experiencing pain in the right abdomen that feels lik...
Dr. Chen Bingze Reply:
It is possible that some postoperative myofascial pain can be managed conservatively with medication to see if it gradually alleviates.[Read More] Post-Surgery Pain After Laparoscopic Hernia Repair: What to Know
Post-Surgery Taste Loss: Understanding Causes and Recovery Options
Postoperative loss of taste? Hello Doctor, my mother is currently over 60 years old. About a month ago, she was diagnosed with a 2 cm pituitary tumor that had hemorrhaged. She underwent minimally invasive surgery through the nasal cavity to remove it, and currently, her nasal pas...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed examination and diagnosis.[Read More] Post-Surgery Taste Loss: Understanding Causes and Recovery Options
Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
L5 and sacral vertebrae slippage Hello Dr. Lai, I would like to ask about my condition. I have a fifth lumbar vertebra with spondylolysis and spondylolisthesis. Some doctors have said it is grade IV spondylolisthesis, while others have described it as severe. I first discovered t...
Dr. Lai Zhaokang Reply:
Hello: 1. Is it possible for this condition to worsen, or can I coexist with it? A: It may worsen. If you feel you can walk and tolerate the symptoms, you can coexist with it (however, it will not be cured) - think of it like continuing to drive an old car. 2. If I do not hav...[Read More] Understanding L5 Spondylolisthesis: Symptoms, Risks, and Treatment Options
Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Tremor of the left thumb? Ten years ago, I had an MRI that showed herniated discs at the cervical levels C3-C4-C5, with symptoms that fluctuate in severity. When I feel uncomfortable, I go for physical therapy, but recently my discomfort has increased. Turning my neck to the left...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a symptom of cervical nerve involvement. Given your age and symptoms, there is little likelihood of brain issues or Parkinson's disease. Best wishes, Dr. Lai Chao-Kang, Director of the Spine Surgery Department, Changhua Hospital.[Read More] Understanding Thumb Tremors: Is It Related to Cervical Disc Issues?
Why Does My Knee Swell Without Bruising After an Injury?
Why does the knee swell after an impact injury without bruising? Hello Dr. Peng, I recently had an accident while riding my bicycle in long pants and collided with another bicycle, falling to my right side. My right knee is very painful, and after walking home for half an hour, i...
Dr. Peng Xianwen Reply:
Hello, those with concerns: It is possible to develop a hematoma (bleeding with clots) or what you referred to as serous fluid edema. If there is no improvement after two weeks, a medical consultation is necessary for drainage or incision. Director Peng Hsien-Wen, Department of S...[Read More] Why Does My Knee Swell Without Bruising After an Injury?
Post-Discectomy Recovery: Understanding Symptoms and Next Steps
Postoperative care after disc herniation surgery? Hello Doctor, I have a herniated disc at L4-L5 and underwent microdiscectomy about a month ago. The doctor mentioned that the procedure involved decompression and removal of the nucleus pulposus, and no other materials were implan...
Dr. Lai Zhaokang Reply:
Hello: I suggest you undergo another MRI for confirmation. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Post-Discectomy Recovery: Understanding Symptoms and Next Steps