Managing External Hemorrhoids: Symptoms and Treatment Options
Suspected hemorrhoids protruding? Hello, Dr. Chang. Recently, I've been experiencing harder stools, and it seems like an external hemorrhoid is protruding. It feels soft to the touch and is leaking fluid. When my anus retracts, I feel something unusual in that area, and it t...
Dr. Zhang Shuhao Reply:
Based on your description, it seems that after straining during a bowel movement, the internal hemorrhoid may slightly protrude, which is referred to as hemorrhoidal prolapse. At this time, intestinal fluid or watery stools may be more likely to leak out. It is recommended to tak...[Read More] Managing External Hemorrhoids: Symptoms and Treatment Options
Understanding Chronic Anal Fissures: Treatment Options and Concerns
Inquiry about anal fissure issues? Hello, doctor. A few months ago, I visited a clinic due to an anal fissure, and after the physician prescribed me a suppository, I recovered quite well. However, a few weeks ago, I experienced another anal fissure, possibly due to constipation. ...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissures are generally defined as symptoms persisting for more than eight weeks and are difficult to relieve with conservative treatment. 2. Improving constipation symptoms can be achieved by increasing fluid and dietary fiber intake, reducing time spent on the to...[Read More] Understanding Chronic Anal Fissures: Treatment Options and Concerns
Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...
Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered
Understanding Red Residue in Stool: Causes and Concerns
Red residue in stool? Hello Doctor: I had a normal bowel movement yesterday morning, but later in the evening, I might have eaten something too oily. Shortly after taking probiotics, I experienced diarrhea. Since I had diarrhea once before bed the previous night, I didn't fe...
Dr. Zhang Shuhao Reply:
Given your age, unless there is a significant family history of cancer, your risk of cancer is quite low. The symptoms you described are more likely related to dietary issues. It is advisable to continue monitoring for any blood in the stool or other abdominal discomfort. You may...[Read More] Understanding Red Residue in Stool: Causes and Concerns
Post-Nail Injury Care: When to Seek Medical Attention?
Inquiry about the wound one week after a nail crush injury? Doctor, a week ago I injured my middle and ring fingers when a door slammed on them. I went to the hospital to have my nails removed and the nail beds sutured. Since then, I've been resting at home for a week. Just ...
Dr. Li Zhonghuai Reply:
Hello! First, let's rule out any wound infection issues. If you're still concerned, please return for a follow-up. Taking Danzen and Vitamin B12 can help reduce swelling more quickly and promote nerve repair. Take care! Changhua Hospital is here for you![Read More] Post-Nail Injury Care: When to Seek Medical Attention?
Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Gastrointestinal discomfort Hello Doctor, Recently, I have been experiencing diarrhea once a week at the end of January, during the Lunar New Year period, at the end of February, and twice in March. The doctors have diagnosed me with gastroenteritis. In March, there was one ins...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it is difficult to attribute them to a specific cause, including irritable bowel syndrome and hemorrhoids. Diarrhea and the presence of red material in the stool are common symptoms of colonic inflammation. To determine if there are lesions ca...[Read More] Understanding Gastrointestinal Issues: Diarrhea, IBS, and Dietary Impact
Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...
Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults
Head injury Hello, Doctor. Today, while I was reading and preparing to take a nap, I accidentally bumped my head against the wall. At that moment, I only felt pain and did not experience loss of consciousness, dizziness, or blurred vision. I accidentally rubbed the impact area bu...
Dr. Zhang Junwei Reply:
1. Extremely low possibility. 2. Extremely low possibility.[Read More] Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults
Exploring Surgical Options for Unusual Skull Shape and Thickness
The shape of the skull is abnormal at birth, featuring two prominent angles? Since birth, my head has been shaped like a square television. The bones on the top and sides of my skull feel particularly thick. I had a CT scan done at my own expense, and the doctor confirmed that my...
Dr. Zhang Junwei Reply:
I haven't encountered this issue either; I recommend seeking assistance at a medical center's neurosurgery outpatient clinic.[Read More] Exploring Surgical Options for Unusual Skull Shape and Thickness
Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Diarrhea and constipation? Hello doctor, I underwent a colonoscopy around May to July last year due to frequent diarrhea, which had a yellow, muddy consistency and lasted for over six months. After the colonoscopy, the doctor said there were no issues, but the diarrhea persisted....
Dr. Xu Kaixi Reply:
The characteristics of stool can vary with diet and lifestyle habits. If you had a colonoscopy last year that showed no abnormalities, there is no need to worry about changes in stool characteristics being related to colon issues. However, it cannot be ruled out that these change...[Read More] Understanding Diarrhea and Constipation: Insights on Gastrointestinal Health
Understanding Rectal Ulcers: Concerns, Treatment, and Cancer Risks
Rectal ulcer My mother is 63 years old. She had a colonoscopy on January 31st and went to see the report on February 21st. The doctor mentioned there was ulcerative bleeding (the pathology report was normal) and prescribed iron supplements and stool softeners. We were advised to ...
Dr. Yu Mingchang Reply:
Hello: Rectal ulcers are not uncommon and require regular follow-up colonoscopies every 1-2 years. There is a possibility of malignant transformation, so ongoing monitoring is necessary.[Read More] Understanding Rectal Ulcers: Concerns, Treatment, and Cancer Risks
Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
More than four months post-surgery? Hello Doctor, I underwent minimally invasive surgery for anal fissures and hemorrhoids over four months ago, and I am still experiencing discomfort. This week, the symptoms have become more pronounced. The discomfort feels like a sharp pain o...
Dr. Zhang Shuhao Reply:
1. You can gently touch the area while applying medication or during a sitz bath to distinguish between pain from the skin at the wound site and deeper pain from the contraction of the levator ani muscle. It is advisable to discuss your concerns in detail with the original surgeo...[Read More] Post-Surgery Discomfort: Understanding Recovery After Hemorrhoid and Fissure Surgery
Understanding Rectal Ulcers: Risks, Symptoms, and Treatment Options
Rectal issues Hello Doctor, my mother (63) had a positive fecal occult blood test in January and underwent a colonoscopy, which revealed a rectal ulcer approximately 3-4 cm in size. She was told to have another examination in March, and when we went for that visit, the condition ...
Dr. Yu Mingchang Reply:
Hello: Rectal ulcers are not uncommon and require regular follow-up colonoscopies every 1-2 years. There is a possibility of malignant transformation, so ongoing monitoring is necessary.[Read More] Understanding Rectal Ulcers: Risks, Symptoms, and Treatment Options
Understanding Causes of Rectal Bleeding Without Pain
Rectal bleeding Bleeding during bowel movements without associated tearing pain can have several potential causes. Since a doctor performed a digital rectal examination and did not find hemorrhoids or fissures, other possibilities may include: 1. **Anal Fissures**: Even if not v...
Dr. Chen Jiaming Reply:
If no lesions can be found from the anal canal to the rectum, it is recommended to arrange a colonoscopy to confirm whether there are tumors or bleeding points in the higher segments of the intestine.[Read More] Understanding Causes of Rectal Bleeding Without Pain
Post-Laparoscopic Surgery: Understanding Umbilical Changes and Symptoms
Post-laparoscopic surgery Hello Doctor, I underwent laparoscopic surgery eight years ago. Last year, my navel became inflamed for 4-5 months, and now it appears very dark (it looks like hyperpigmentation and has remained this way for a long time without returning to its original ...
Dr. Zhang Shuhao Reply:
Umbilical pigmentation is caused by chronic inflammation of the wound and is usually not related to the recovery of internal organs. If the scar tissue exhibits symptoms of pain or itching, it is advisable to seek medical evaluation to check for signs of infection.[Read More] Post-Laparoscopic Surgery: Understanding Umbilical Changes and Symptoms
Understanding Rectal Ulcers: Causes, Treatment, and Cancer Risks
Colorectal ulcer Hello Doctor, my mother is 63 years old. In January of this year, she underwent a colonoscopy and a rectal ulcer measuring approximately 3-4 cm was found. In March, she had another sigmoidoscopy, and the ulcer showed little change. The doctor only prescribed a st...
Dr. Zhang Shuhao Reply:
This pathology report indicates rectal ulceration with chronic inflammation and no malignant cells. However, the pathology report must be interpreted in conjunction with clinical information and endoscopic images to be accurately understood. The report alone does not provide insi...[Read More] Understanding Rectal Ulcers: Causes, Treatment, and Cancer Risks
Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...
Dr. Zhang Junwei Reply:
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Should You Get Checked After a Basketball Hits Your Head?
Hit on the top of the head? This morning around 9:20, I was hit on the top of my head by a basketball. It hurt a little at the moment, but the pain went away after a minute or two. I haven't experienced any other symptoms since then. Do I need to get checked?
Dr. Zhang Junwei Reply:
If there are no further symptoms, no follow-up examinations are necessary.[Read More] Should You Get Checked After a Basketball Hits Your Head?
Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey
Postoperative discomfort after hemorrhoid surgery? Hello Dr. Ke, I would like to ask about my situation. Three years ago, I underwent a circular excision hemorrhoid surgery at a certain hospital. Last year, due to a recurrence, I went to a gynecology clinic for another hemorrhoid...
Dr. Ke Fangxu Reply:
If the tingling sensation has disappeared, what other issues need to be addressed? It is possible that the staples from the first surgery are causing concerns, and it may depend on how the second surgery was performed or what instruments or materials were used. It is also possibl...[Read More] Post-Surgery Discomfort After Hemorrhoid Procedures: A Patient's Journey