Can Hyaluronic Acid Restore Facial Volume in Scleroderma Patients?
Skin diseases can lead to facial indentations? Hello doctor, I would like to ask about a patient with limited scleroderma who has multiple lesions on the face causing indentations. Can hyaluronic acid be used to fill in the depressed lesions and restore skin elasticity in this au...
Dr. Zhou Hongzhang Reply:
1. Skin indentations caused by scleroderma are difficult to improve with hyaluronic acid. 2. You may consult with a plastic surgery outpatient clinic to see if there are other options for assistance.[Read More] Can Hyaluronic Acid Restore Facial Volume in Scleroderma Patients?
Understanding Umbilical Issues: When to Seek Further Medical Help
Umbilical issues Hello, I have been experiencing inflammation of the navel since January. I consulted a dermatologist who mentioned that there is a cyst in the navel. I am currently applying iodine medication for treatment. In the past few days, my navel has been emitting a foul ...
Dr. Chen Ronghong Reply:
Hello Janet, the discharge from your navel may be due to a simple subcutaneous infection, an epidermoid cyst, or, less commonly, an adult urachal cyst. It is recommended that you visit a general surgeon to examine the wound for any residual cyst wall or even a tumor that may be c...[Read More] Understanding Umbilical Issues: When to Seek Further Medical Help
Post-Surgery Aesthetic Concerns: Coverage for Thigh Liposuction?
Post-operative cosmetic issues? Hello, doctor! I have previously undergone coronary artery bypass surgery using a saphenous vein graft. After the surgery, I experienced fat displacement concentrated in the groin area from an incision made on my right thigh, resulting in asymmetry...
Dr. Zhou Hongzhang Reply:
1. Liposuction is a cosmetic procedure and is not covered by health insurance. 2. If there are issues such as skin friction or abrasions, you may consult a local plastic surgeon.[Read More] Post-Surgery Aesthetic Concerns: Coverage for Thigh Liposuction?
Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Post-Concussion Syndrome Consultation Hello Dr. Zhao, I was hospitalized in the emergency department for 3 days due to a head injury 4 months ago (I was 19 years old at the time). I lost consciousness until I regained it after the ambulance arrived, and there were no seizures at ...
Dr. Zhao Shaoqing Reply:
Hello: After a brain injury, seizures may occur. It is recommended that patients maintain a regular and normal lifestyle to reduce the frequency of seizures. You have currently returned to a normal life and your postoperative condition is good. Many symptoms will improve, and mai...[Read More] Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Understanding Breast Ultrasound Reports: Evaluating Growth Rates and Concerns
Breast ultrasound report and inquiry about growth rate? Hello, Doctor. Last July, the ultrasound report indicated a size of 0.71 cm, and the doctor mentioned it was a fibrocystic condition. The report details are as follows: - Position: Right ( ) Left ( ) Bilateral (+) - Size: ...
Dr. Tang Yuxiong Reply:
Ms. Aa: 99% of fibrocystic lesions are benign. There are many reasons for their occurrence, and just because they were not seen previously and are discovered later does not necessarily indicate an abnormality. It is recommended to have regular follow-ups every six months. If the ...[Read More] Understanding Breast Ultrasound Reports: Evaluating Growth Rates and Concerns
Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Brain injury - auditory comprehension (communication difficulties) and visual comprehension levels? Hello Doctor: Since the car accident two months ago, I have been experiencing strange phenomena. Over the past two months, I have noticed that when I answer phone calls, I often ha...
Dr. Zhao Shaoqing Reply:
Hello: Brain injuries can have many sequelae, and the symptoms will vary depending on the location of the injury. Most patients clinically show continuous improvement and can benefit from rehabilitation therapy. Hyperbaric oxygen therapy may also be consulted to aid in brain reco...[Read More] Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Anal abscess?? Anal fistula?? I found a lump near my anus after using the restroom. Later, the doctor said it was a fistula and that I needed surgery. However, after researching online, it seems like it could be an anal abscess, and I haven't developed any small openings (wh...
Dr. Ke Fangxu Reply:
The National Health Insurance Quick Access is not a doctor; it can only provide general information for reference. Accurate diagnosis still relies on a physician. I understand that you may not comprehend why the doctor diagnosed you with a fistula. I can appreciate your reluctanc...[Read More] Understanding Anal Abscesses and Fistulas: Do They Always Require Surgery?
Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Can an anal abscess heal on its own? I previously had a bump near my anus that caused discomfort (only the anus was itchy and slightly painful, but it improved significantly after applying medication). I consulted a colorectal specialist who mentioned it might be a fistula and su...
Dr. Ke Fangxu Reply:
After the infection of an anal fistula subsides, the opening may heal, but symptoms can still recur. It is advisable to have another physician evaluate the condition. If both physicians share the same opinion, the likelihood of it being an anal fistula is greater.[Read More] Do Anal Abscesses Heal on Their Own? Understanding Treatment Options
Understanding Changes in Stool Shape: Causes and Concerns
Concerns about having a narrow and short stool? Hello Doctor: I had a colonoscopy in 2021, which diagnosed me with intestinal adhesions. I also have a history of internal hemorrhoids and anal fissures. Recently, I noticed that the end of my stool is narrower while the front is th...
Dr. Zhang Shuhao Reply:
Internal hemorrhoids themselves do not affect the shape of bowel movements, but discomfort from hemorrhoids may influence straining, which can further alter the shape of stool. Intestinal adhesions, if they do not cause bowel obstruction, will not affect the shape of stool. If a ...[Read More] Understanding Changes in Stool Shape: Causes and Concerns
Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Perianal mass Hello, doctor. I have a hard lump about 4 cm outside the anus that has been present for about a year. Last month, it suddenly became a bit red and swollen, but after a week, it returned to being a smooth hard lump. I did not experience any symptoms of an abscess, so...
Dr. Zhang Shuhao Reply:
A sebaceous cyst originates from inflammation of the sebaceous glands and subcutaneous tissue, while an anal fistula arises from inflammation of the anal glands. Therefore, an anal fistula is connected to the rectum, and as long as the connecting passage is not excised, recurrenc...[Read More] Understanding Perianal Hard Lumps: Causes, Treatments, and Recovery
Understanding Recovery from Brainstem Injury: A Case Study
Brainstem injury My boyfriend, who is 26 years old and working across the strait, was involved in a car accident where he was rear-ended. He suffered from intracranial hemorrhage and brainstem injury, along with multiple fractures. He underwent minimally invasive craniotomy surge...
Dr. Zhao Shaoqing Reply:
Hello: Will your boyfriend return to Taiwan for medical treatment? A detailed explanation and assessment can be provided after an evaluation at the outpatient clinic. Changhua Hospital is concerned about you.[Read More] Understanding Recovery from Brainstem Injury: A Case Study
Blood After Wiping: Understanding Causes and Precautions
There is blood when wiping after using the toilet? Hello Doctor: I have undergone hemorrhoid surgery three times and often experience anal fissures, but I haven't had an episode for a while. However, after using the restroom these past two days, I wiped twice without any blo...
Dr. Zhang Shuhao Reply:
Bleeding during a rotational wipe may be due to friction against the surface of hemorrhoids, causing minor bleeding, or it could be that the rotation is more likely to irritate internal hemorrhoids, leading to bleeding. If there are no other discomforts, it should be fine; you ca...[Read More] Blood After Wiping: Understanding Causes and Precautions
Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Concussion or delayed intracranial hemorrhage from a car accident? Hello Dr. Zhao! My mother was involved in a car accident six years ago, where her left posterior brain impacted the left side window. The force was significant, but the airbags did not deploy. At that time, we app...
Dr. Zhao Shaoqing Reply:
Hello: Generally, delayed intracerebral hemorrhage is most likely to occur within one week of an acute bleed, while chronic bleeding may occur within three months. The likelihood of occurrence is significantly lower after six years. However, if there has been a history of trauma,...[Read More] Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Seeking Help for Hemorrhoids: How to Share Your Concerns Effectively
Hemorrhoids distress? Hello Dr. Ke, I would like to ask how I can show you photos of my hemorrhoids, as I have been unable to find a place to upload them. I'm quite frustrated because I don't know the current condition of my hemorrhoids, and I lack the courage to consid...
Dr. Ke Fangxu Reply:
Many patients use Google Drive to share images; you might want to consider whether surgery is necessary. I generally recommend surgical intervention in three specific situations: significant bleeding leading to anemia, acute episodes of severe pain, and hemorrhoidal prolapse that...[Read More] Seeking Help for Hemorrhoids: How to Share Your Concerns Effectively
Post-Surgery Concerns: Managing Complications After Hemorrhoidectomy
Postoperative Issues After Hemorrhoid Surgery Hello Dr. Ke, 1. I underwent excision surgery for internal and external hemorrhoids (Grade III) on February 20, and it has been two weeks since then. However, on March 1, after my follow-up appointment, I experienced a sudden onset o...
Dr. Ke Fangxu Reply:
If you are experiencing persistent bleeding and pain, it is advisable to return to the outpatient clinic for an examination by a surgeon. Visiting the emergency department may not be necessary at this time. However, since it has been two weeks post-surgery and such symptoms are u...[Read More] Post-Surgery Concerns: Managing Complications After Hemorrhoidectomy
Post-Spinal Surgery Pain: Treatment Options and Recovery Insights
Postoperative pain after spinal surgery I have rheumatoid arthritis and after undergoing L4-L5 spinal surgery last July, I still experience soreness, numbness, pain, stiffness, tightness, and weakness from my right hip to my calf, and I still need a walker. Is this a phenomenon o...
Dr. Lai Zhaokang Reply:
Hello: Your condition of neural adhesion is just one possible cause. There may be other reasons as well. I recommend that you bring your pre-operative and post-operative X-rays and MRI for an in-person consultation. If it is not convenient for you to come to Changhua Hospital, pl...[Read More] Post-Spinal Surgery Pain: Treatment Options and Recovery Insights
Post-Discectomy Pain: Understanding Recovery and Future Risks
Postoperative care for herniated disc surgery? I apologize, I had spinal disc surgery three months ago, where only part of the disc was removed and nothing was implanted. Sometimes I still experience pain in my buttocks, and when sitting, if my back is not straight and my head is...
Dr. Lai Zhaokang Reply:
Hello: 1. Your condition may indicate that the nerves have not fully healed. It is also possible that scar tissue is adhering to the nerves, or it could be a sign of recurrence. Of course, there may be other reasons as well. I recommend that you bring your pre-operative and pos...[Read More] Post-Discectomy Pain: Understanding Recovery and Future Risks
Post-Banding Bleeding After Hemorrhoid Surgery: What to Do?
Post-banding bleeding of internal hemorrhoids? Hello, over the past week I have experienced bleeding from mixed internal and external hemorrhoids (bright red in the toilet). Yesterday, I underwent a procedure at a nearby major hospital to ligate the internal hemorrhoid and have s...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, they may undergo ischemia and gradually fall off. The wound after detachment may have a small amount of bleeding, which is normal as long as the amount is not significant, and there is no need for an urgent follow-up. However, if there ...[Read More] Post-Banding Bleeding After Hemorrhoid Surgery: What to Do?
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu Reply:
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Managing AVM Complications: Insights on Treatment Options and Transfers
Arteriovenous malformation of the brain with associated intracerebral hemorrhage? Dear Doctor: My family member, in their forties, was diagnosed with an arteriovenous malformation (AVM) two years ago. After angiography, surgery was deemed too risky due to the deep location of the...
Dr. Zhang Junwei Reply:
Currently, there does not seem to be a better treatment option available, but since each individual's condition varies, it is still recommended to have a detailed consultation in an outpatient setting.[Read More] Managing AVM Complications: Insights on Treatment Options and Transfers