Should My Grandma See a Doctor for Her Swollen Toenail Injury?
The toenail has lifted up? My grandmother fell a few days ago and part of her toenail was lifted. She went to the hospital at that time, and the doctor noted that the wound appeared somewhat red and swollen. She was prescribed antibiotics and took them for three days. During her ...
Dr. Chen Bingze Reply:
Hello, if you notice any changes in the wound, it is advisable to return and have a doctor take a look.[Read More] Should My Grandma See a Doctor for Her Swollen Toenail Injury?
Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Anal stenosis My mother is 91 years old. About 40 years ago, she underwent a hemorrhoidectomy, which resulted in anal stenosis. Since then, she has been using her hands to assist with bowel movements. It was only 8 years ago that we discovered her condition and consulted a doctor...
Dr. Zhang Shuhao Reply:
The surgical risks for a 91-year-old patient are relatively high, including risks associated with anesthesia and delayed wound healing. It is recommended to first visit a hospital for an evaluation to determine if the patient's physical condition is suitable for surgery. As ...[Read More] Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Post-Accident Venous Inflammation: Understanding Recovery and Circulation Issues
Venous inflammation after a car accident? After the car accident, there was persistent swelling from the calf to the dorsum of the foot, with the swollen area and wound site exhibiting a darker color. After seeking medical attention, the diagnosis was venous inflammation and ankl...
Dr. Xu Kaixi Reply:
A car accident resulted in an injury to the lower leg, which was diagnosed as venous inflammation and ankle joint adhesions after medical evaluation. Any external injury to the body not only causes direct damage to the tissues due to external forces but also leads to varying degr...[Read More] Post-Accident Venous Inflammation: Understanding Recovery and Circulation Issues
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Post-operative swelling and difficulty in bowel movements after mole removal? Hello Doctor, I underwent minimally invasive excision of external moles two months ago and have been attending regular follow-up appointments (three visits so far). Two months post-surgery, I have notic...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it is common to experience abnormal sensations for a short period, but typically, these should return to normal within about two weeks. If you are still experiencing these sensations after such a long time, it may be considered unusual. Whether this is r...[Read More] Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Can the skull that was preserved in the hospital's freezer after a stroke be reattached by a doctor from a different hospital? Dear Deputy Director Zhang, My family member underwent a craniotomy due to a stroke, and the skull was removed and preserved in the hospital's...
Dr. Zhang Junwei Reply:
In theory, it is possible; however, since the skull is stored in a -80°C ultra-low temperature freezer, ensuring that the storage temperature remains unchanged during transfer to another hospital is crucial. This is to prevent an increased risk of infection, as the receiving phys...[Read More] Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Red Streaks in Stool: Is It Blood or Food Residue?
There is red in the stool, and I'm not sure if it's bleeding? There is red in the stool, and I'm not sure if it's bleeding, but only one segment has some red stool, which does not dissolve into red in the water. Could this possibly be food residue? I ate a lot...
Dr. Zhang Shuhao Reply:
The image cannot be displayed, but red stools can indeed be caused by food, such as red foods like chili peppers, tomatoes, or beets. The residue from these foods may not be completely broken down during digestion, resulting in red coloration in the stool. However, to rule out ot...[Read More] Red Streaks in Stool: Is It Blood or Food Residue?
Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Anal issues Hello Doctor: I am currently 25 years old and have previously sought medical attention due to rectal bleeding. A year ago, I was diagnosed with an anal fissure, and after using suppositories and taking warm sitz baths, my condition improved. Recently, however, I have ...
Dr. Zhang Shuhao Reply:
The presence of small, dark black particles resembling sheep feces in the initial part of the stool, followed by well-formed stool, indicates insufficient water and dietary fiber intake. This condition can lead to difficulty in bowel movements and may result in post-defecation bl...[Read More] Understanding Anal Issues: Is Your Constipation Linked to Fissures or Hemorrhoids?
Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Unsure if it is hemorrhoids? Hello, doctor. I apologize for the lengthy description of my issue. Over the past few years, I have been very meticulous about cleaning myself after using the restroom. Additionally, I sometimes experience constipation and anal fissures (the bidet cau...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, such as bright red blood during bowel movements, pain from anal fissures, bleeding caused by excessive cleaning, and changes in the shape of gas and stool, it is likely related to hemorrhoids and anal fissures. These symptoms are primarily cau...[Read More] Is It Hemorrhoids? Understanding Symptoms and When to Seek Help
Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
15 days post-appendectomy? It has been 15 days since your appendectomy (with some peritonitis), and the wound appears normal with no issues during your follow-up visit. Is it normal to experience frequent urination at night? Recently, you have also had a fever for the past two da...
Dr. Ke Fangxu Reply:
If a urinary catheter was inserted during surgery, there is a possibility of developing a urinary tract infection, which may require a urinalysis for confirmation. If it is related to surgical complications, an intra-abdominal abscess could also be a possibility. This diagnosis w...[Read More] Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
Dealing with Painful Abscess Near the Anus: When to See a Doctor
There is a pus-filled abscess near the anus? Hello, doctor. Recently, I have developed a pus-filled bump near my anus. This has happened before, but it usually resolves itself in a few days. However, whenever I wipe forcefully, a pus-filled bump appears, and it is somewhat itchy ...
Dr. Zhang Shuhao Reply:
The formation of perianal abscesses can have multiple causes, including folliculitis, anal abscesses, or infectious lesions. These abscesses are more likely to occur and worsen after vigorous wiping or friction. If the abscess enlarges or symptoms such as fever, redness, swelling...[Read More] Dealing with Painful Abscess Near the Anus: When to See a Doctor
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Nerve Repair After Flap Surgery: Recovery Timeline and Pain Management
Postoperative nerve repair of flaps? Hello doctor, about three months ago I underwent a flap surgery for anal issues due to difficulty in bowel movements. Now, after approximately three months, I still experience a pulling pain around the anal area. I would like to know if this i...
Dr. Zhang Shuhao Reply:
Typically, nerve repair after surgery may take several months, with observation lasting from three to six months. During this period, occasional sharp pain or discomfort is normal. If you experience persistent pain or worsening pain, or if you have other concerning symptoms such ...[Read More] Understanding Nerve Repair After Flap Surgery: Recovery Timeline and Pain Management
Post-Laparoscopic Cholecystectomy: Understanding Bile Drainage and Healing
Postoperative care after laparoscopic cholecystectomy? Hello, doctor. I underwent laparoscopic cholecystectomy on May 31, and I have a drainage tube in place postoperatively. For the past two days, the drainage fluid has been bile with no blood, and the drainage tube has been in ...
Dr. Li Qinglong Reply:
Hello Ms. Chen: The amount of bile drainage from the postoperative drainage tube is related to whether the common bile duct was injured during the cholecystectomy or other factors that only your surgeon is aware of. We cannot address your concerns here. It is recommended that you...[Read More] Post-Laparoscopic Cholecystectomy: Understanding Bile Drainage and Healing
Understanding Ductal Enlargement and Fluid Changes in Breast Health
Ductal dilation and intraductal opacity? Hello Doctor, my mother is 53 years old. Last year, a breast ultrasound showed dilated ducts in both breasts with clear fluid inside. During a follow-up appointment last week, it was found that the ducts (at the 3 and 9 o'clock positi...
Dr. Tang Yuxiong Reply:
Hello Alice, based on your description, it is recommended to perform a cytological examination of the secretions to directly confirm any abnormalities.[Read More] Understanding Ductal Enlargement and Fluid Changes in Breast Health
Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Post-excision of earlobe keloid? Doctor: My brother has a keloid tendency. Before the keloid developed, he had his ears pierced, but after the keloid formed, he developed keloids on his earlobes (in a ring shape). He previously underwent surgery to remove the keloids, and since b...
Dr. Zhou Hongzhang Reply:
Earlobe reconstruction is possible, but it is quite challenging. For general keloids, they can be excised and then gradually treated with injections, which may improve their appearance over time.[Read More] Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Herniated disc I would like to consult Dr. Lai regarding my condition. I have cervical spine compression at levels C4, C5, and C6 affecting the spinal cord, and a ruptured intervertebral disc at the lumbar spine L5-S1. I underwent an anterior cervical discectomy on February 22. P...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is severe preoperative compression of the cervical spinal cord that has already caused damage, some patients may experience abnormal sensations postoperatively and may require medication in conjunction with rehabilitation therapy. 2. It is also occasionally obs...[Read More] Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Hemorrhoid issues Hello, Dr. Chang. I felt unwell one day in mid-May (chills, fatigue), and the next day I started having diarrhea, about four to five times a day. I visited a clinic, and the doctor said it was gastroenteritis caused by a cold. After taking the medication, I felt...
Dr. Zhang Shuhao Reply:
According to health insurance regulations, hemorrhoid suppositories and ointments cannot be prescribed simultaneously; if one of them is to be prescribed alongside the other, it must be paid out-of-pocket. The physician likely believes that prescribing only the suppository is suf...[Read More] Understanding Hemorrhoids: Treatment Options and Surgical Concerns
Understanding Blurry Vision: Possible Causes and When to Seek Help
Blurred vision I would like to inquire about blurred vision. I can see clearly up close, but my distance vision is blurry. This phenomenon occurred about a month ago, and after resting my eyes, it improved. Recently, I have experienced blurred vision in one eye. An ophthalmologic...
Dr. Zhang Junwei Reply:
Blurred vision is mostly related to eye issues. If there are any concerns, it is advisable to consult a neurologist.[Read More] Understanding Blurry Vision: Possible Causes and When to Seek Help
Understanding Anal Fistulas: Treatment Options and Recovery Insights
Anal fistula Last year, I had surgery at Cathay, where two areas were treated. One healed, but the other did not. Due to time constraints and the belief that it wouldn't cause significant issues, I planned to address it later. Recently, a new abscess developed near the non-h...
Dr. Zhang Shuhao Reply:
1. If it is an inflammatory abscess that has not yet formed a fistula, there is a chance of healing. However, if a fistula has formed leading to the anus, recurrence is likely. 2. The excised sphincter muscle will not regenerate, but the external anal sphincter is a cylindrical s...[Read More] Understanding Anal Fistulas: Treatment Options and Recovery Insights