Understanding Calf Pain: Causes and Solutions for Students
Dull pain in the calf? Hello, doctor. I am a student, and during this summer vacation, I spend most of my time studying, but I make sure to engage in at least 20 minutes of exercise each day (such as dancing, jogging, or basic strength training). My diet and sleep are also normal...
Dr. Lai Zhaokang Reply:
Hello: Your discomfort is in the knee and ankle joint areas, which is suspected to be due to strain on the ligaments and tendons, related to your reported poor posture. It is recommended to improve your posture, perform warm-up exercises before physical activity, apply heat to th...[Read More] Understanding Calf Pain: Causes and Solutions for Students
Understanding the Risks of Pilonidal Cysts and Anal Abscesses
I'm sorry, but I cannot assist with that? Hello, doctor. I think I should describe the situation more completely. During the first occurrence of the cyst, it resolved with medication. However, during the second occurrence, it became infected and ruptured, releasing a signifi...
Dr. Chen Bingze Reply:
Hello, I still recommend that you consult a colorectal surgeon for a personal examination for a more accurate assessment.[Read More] Understanding the Risks of Pilonidal Cysts and Anal Abscesses
Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Occasional bleeding after hemorrhoid surgery? Thank you for your previous response. The issue of redness, swelling, and itching has improved after changing medication. It has been almost two months since my surgery on June 15. Occasionally, I notice a little blood after bowel mov...
Dr. Zhang Shuhao Reply:
Typically, new anal fissures can occur due to friction at the surgical wound site or from straining during bowel movements. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber. If there is no improvement, further evaluation should be sought.[Read More] Post-Surgery Bleeding and Discomfort: Is It Normal After Hemorrhoid Surgery?
Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Perianal folliculitis Hello Doctor: At the beginning of June, I developed two folliculitis lesions about one centimeter to the left of my anus. Initially, they were pinhead-sized conical papules, gradually growing to about 0.8 centimeters. One of them is painful, causing discomfo...
Dr. Chen Bingze Reply:
Hello, I understand that the inflammatory condition in this area must be quite bothersome for you. Whether it's folliculitis or hidradenitis, both are types of inflammatory responses. You should have consulted a colorectal surgeon, who should have also assessed the possibili...[Read More] Understanding Perianal Folliculitis: Symptoms, Recovery, and Concerns
Understanding Painful Nipple Growth: Causes and Treatment Options
A small tumor on the nipple? Dear Dr. Tang, A few months ago, I started experiencing pain in one nipple when it comes into contact with fabric or skin, particularly when it protrudes. Recently, I noticed a small growth at the tip of the affected nipple, approximately the size of...
Dr. Tang Yuxiong Reply:
Hello Ms. Chen: Based on your description, it is not possible to determine the actual issue. It is recommended that you directly consult a breast surgery clinic to assess whether there is a need for ultrasound or biopsy to obtain further information.[Read More] Understanding Painful Nipple Growth: Causes and Treatment Options
Post-COVID Spine Pain: Exploring Inflammation and Management Options
Post-diagnosis spinal pain suspected to be inflammation? I have diabetes, and it has been three weeks since my diagnosis. I am currently experiencing abnormal spinal pain, which is usually accompanied by fever. The pain does not alleviate whether I am sitting or lying down, and I...
Dr. Zhao Shaoqing Reply:
Hello: You may need to schedule further examinations at the neurosurgery outpatient clinic for an MRI. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Post-COVID Spine Pain: Exploring Inflammation and Management Options
Understanding Wound Care: What to Do When There's a Gap After Stitches
The sutured wound still has a gap? My son is currently 1 year and 10 months old. Last Sunday, he fell and needed three stitches due to bleeding. Today, during the stitch removal, the doctor informed us that we could apply a whitening gel or use scar tape after waiting one day. Ho...
Dr. Peng Xianwen Reply:
Hello, Mrs. Chang: The whitening gel will only be effective after the scab falls off. We will assess the wound during your follow-up visit and make a decision then. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Understanding Wound Care: What to Do When There's a Gap After Stitches
Blood on Toilet Paper After Bowel Movement: What You Should Know
Blood on toilet paper after a bowel movement? Yesterday, when I went to the bathroom, I had to exert more effort, and I felt that my anus was stretched more than usual. After the bowel movement, the stool appeared harder and larger. When I wiped, I noticed blood on the toilet pap...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The pain often lasts for several days, sometimes exceeding a week. The common causes are usually constipation or diarrh...[Read More] Blood on Toilet Paper After Bowel Movement: What You Should Know
Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy
Post-operative fecal leakage after minimally invasive surgery? Hello Doctor, I underwent a minimally invasive hemorrhoidectomy using Thunderbeat on July 3rd, primarily removing external hemorrhoids at the 12 o'clock and 6 o'clock positions. I had inquired about this bef...
Dr. Zhang Shuhao Reply:
If the wound has not fully healed four weeks post-surgery, there may still be serous drainage. If diarrhea occurs, there may also be a small amount of fecal leakage, but it typically is not enough to cause significant incontinence. Maintaining cleanliness and avoiding diarrhea ca...[Read More] Post-Surgery Concerns: Managing Moisture and Odor After Minimally Invasive Hemorrhoidectomy
Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Pancreatic cancer, biliary-enteric anastomosis? My mother, 56 years old, is in the late stages of pancreatic cancer. Due to a bile duct obstruction, she underwent a biliary-enteric anastomosis last month. A week after the surgery, she began experiencing vomiting symptoms, even af...
Dr. Chen Jiaming Reply:
Your mother's condition is quite complex, and there are many potential reasons for postoperative vomiting. It is advisable to consult her primary physician to see if they can arrange for an upper gastrointestinal series (UGI series) or a small bowel series to further investi...[Read More] Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Reconstructive surgery Hello Doctor, the patient underwent neck reconstruction surgery 20 days ago due to osteoradionecrosis from oral cancer. After debridement of the left cheek, a flap from the left thigh was transplanted. Following the doctor's advice, the patient is curr...
Dr. Zhou Hongzhang Reply:
1. If it is a "oral-cutaneous" fistula, it may be difficult to heal. 2. If there is leakage of saliva (or fluid) from the corner of the mouth, you can wait until the wound has healed and the scar has matured before reassessing. 3. If there are any other concerns, you ca...[Read More] Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Understanding Rectal Pain During Urination: Causes and Next Steps
Anal pain during urination? I have been experiencing chronic prostatitis for about five years, and currently, I am in a state of coexistence with it. Earlier this year, I underwent surgery to remove a fistula, but now I often feel a pulling sensation deep in the anus and a slight...
Dr. Ke Fangxu Reply:
The so-called fistula refers to an anal fistula or other locations? Is it connected to the prostate? If it is a simple anal fistula, experiencing mild pulling pain after surgery due to scar contraction is considered a normal phenomenon and should gradually improve over time.[Read More] Understanding Rectal Pain During Urination: Causes and Next Steps
Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Anal issues Hello Doctor, 1. I would like to ask about the feeling I had the day before yesterday morning, where I constantly felt the urge to have a bowel movement. I sat in the bathroom for a long time but couldn't pass anything. By the afternoon, I finally had some sign...
Dr. Zhang Shuhao Reply:
1. Pain during bowel movements that feels like cutting, accompanied by bleeding, is a typical symptom of anal fissures. It is advisable to take warm sitz baths, avoid irritating the anal wound, and increase fluid intake to prevent constipation. If the pain is severe, it is recomm...[Read More] Understanding Anal Pain: Causes, Symptoms, and When to Seek Help
Understanding Head Injuries: When to Seek Further Medical Attention
Regarding head injuries? Dear Doctor, My mother bumped her head against a clothesline (metal) last Thursday or Friday. After the incident, she applied some medication herself, cooked dinner, and went to bed without eating. This morning, she felt very dizzy and nauseous and final...
Dr. Zhang Junwei Reply:
If you experience increased dizziness or vomiting one or two days after taking the medication, it is recommended to visit the neurosurgery outpatient clinic for further evaluation.[Read More] Understanding Head Injuries: When to Seek Further Medical Attention
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Post-Fall Symptoms: Is It Sinusitis or Something More?
Fell and hit the back of the head on the ground? Hello, Dr. Peng. I accidentally slipped and fell at 5 PM the day before yesterday, hitting the back of my head without being able to protect it. The next morning, I started to have phlegm. I found online that others who experienced...
Dr. Peng Xianwen Reply:
Hello Ms. Chen: Based on your condition, it seems more like sinusitis. Nasal tissue fluid would only occur in the case of a skull base fracture. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Understanding Post-Fall Symptoms: Is It Sinusitis or Something More?
Understanding Hardness After Breast Surgery: Causes and Remedies
Post-operative lumps after breast surgery? Hello, doctor. It has been almost three months since I underwent minimally invasive breast surgery. The area where the tumor was removed and the surrounding tissue still feels firm, but it is not painful. What could be the reason for thi...
Dr. Li Zhonghuai Reply:
Hello! An ultrasound is needed to determine the situation. Some cases involve flap reconstruction, which may feel firm for a period after surgery. Others may involve seroma, which can decrease with electrical therapy. If discomfort persists, you can have some fluid drained during...[Read More] Understanding Hardness After Breast Surgery: Causes and Remedies