Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Recovery status after brain injury? Hello, doctor. My mother fell and suffered a subarachnoid hemorrhage about two weeks ago, primarily affecting the left frontal and temporal lobes. At that time, her Glasgow Coma Scale (GCS) score was 5-6. After undergoing craniotomy, her curren...
Dr. Zhang Junwei Reply:
1. Without a CT scan report and a detailed neurological assessment, it is difficult to answer this question. Based solely on your brief description, it is not possible to determine the extent of the patient's injuries. 2. The process of cognitive recovery can indeed exhibi...[Read More] Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Understanding Blood in Stool: Causes and When to Seek Help
Rectal bleeding I'm sorry to bother you! This afternoon, I experienced pain in my lower left abdomen. After waiting for a while until I felt the urge, I went to the bathroom and noticed some blood at the end of my stool. The shape and consistency were the same as usual, appe...
Dr. Chen Bingze Reply:
Hello, it is actually recommended to have a colorectal surgeon examine the situation to determine whether it is an issue of internal hemorrhoids, external hemorrhoids, or anal fissures.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Difficulty in bowel movements and anal discomfort? Hello Doctor: I have had bowel movement issues since childhood, and due to recurrent allergic purpura, I have been seeing doctors regularly and taking medications such as probiotics and stool softeners to help with bowel movement...
Dr. Zhang Shuhao Reply:
1. In addition to supplementing with probiotics and increasing fluid intake, it is advisable to ask a doctor for fiber supplements and stool softeners. Engaging in regular exercise can promote gastrointestinal motility, maintain abdominal and pelvic muscle strength, and shorten t...[Read More] Overcoming Constipation and Hemorrhoid Discomfort: Expert Advice
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu Reply:
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Hemorrhoids after cauliflower electrosurgery? Hello Dr. Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia. The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to ...
Dr. Ke Fangxu Reply:
1. Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids. If the bleeding is not severe, it should not affect anal intercourse. 2. Hemorrhoids are not related to electrocautery; they likely exi...[Read More] Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions
Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Postoperative care for colorectal cancer? In March and April of 2023, I noticed mucus during bowel movements. Considering that my father had suffered from colon cancer, I carefully decided to visit a gastroenterologist near my home. Following the doctor's advice, I scheduled...
Dr. Yu Mingchang Reply:
You can visit the outpatient clinic for evaluation.[Read More] Post-Surgery Discomfort: Managing Pain After Rectal Cancer Treatment
Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
If the surgical wound stitches have opened, should I return for re-suturing? A cyst has developed near the anal area. During the first episode of inflammation, the doctor performed a drainage procedure and diagnosed it as an anal abscess. However, it has recurred monthly (the doc...
Dr. Zhang Shuhao Reply:
1. If the surgical wound opens up, it is necessary to return to the doctor who performed the surgery for evaluation. Even if re-suturing is not required, a new treatment plan must be established, and instructions on how to care for the wound should be provided. Generally, wounds ...[Read More] Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
Recovering from Subdural Hematoma After a Car Accident: Key Insights
Subdural hematoma caused by a car accident? Hello, Doctor. I was in a car accident on December 4th last year, which resulted in a subdural hematoma. The doctor said that surgery was not necessary and that it would be absorbed on its own. My Glasgow Coma Scale score was between 13...
Dr. Zhao Shaoqing Reply:
Hello; you can generally arrange for a computed tomography (CT) scan of the brain at the outpatient clinic to assess the status of blood absorption before evaluating the work.[Read More] Recovering from Subdural Hematoma After a Car Accident: Key Insights
Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...
Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I am the person who asked question #204895. Thank you for your response last week. I previously inquired about a patient experiencing scar pain after anal fissure surgery. In the past eight months since the...
Dr. Zhang Shuhao Reply:
1. For issues related to scar pain and incontinence, it is advisable to first consult the surgeon regarding any potential surgical complications. Arrange for examinations (such as ultrasound) to assess the integrity of the sphincter and determine if there are suitable medications...[Read More] Persistent Pain After Anal Fissure Surgery: Seeking Solutions
Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage
The cause of hemangiomas is not fully understood? Hello doctor, my family member was hospitalized on January 2nd due to subarachnoid hemorrhage. They underwent a CT scan and angiography, and although they have been continuously examined, no aneurysm has been found. The attending ...
Dr. Zhang Junwei Reply:
That's approximately the reason mentioned above.[Read More] Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage
Understanding Neck Pain: Seeking Answers for Chronic Discomfort
Neck problems Hello Doctor, I am Xiao Yang, and I live in Taichung. I often feel that the bones in my cervical spine are misaligned, which I believe is compressing my breathing and causing difficulty in respiration. My neck feels very tight, as if someone is choking me. This symp...
Dr. Zhang Junwei Reply:
It feels like a case of autonomic nervous system dysfunction or other psychosomatic issues. You may discuss with a neurologist whether it is appropriate to undergo a cervical MRI.[Read More] Understanding Neck Pain: Seeking Answers for Chronic Discomfort
Concerns About Incomplete Suture Removal After Cyst Surgery
Cyst suture removal Hello Doctor, I am the questioner 204748. I would like to ask what happens if the stitches are not completely removed. I had a follow-up appointment on the 22nd, and the doctor said he was hesitant to remove them too early (the doctor mentioned removing the st...
Dr. Ke Fangxu Reply:
Whether the sutures can be removed successfully depends on your physician. An online consultation cannot provide you with an answer regarding the nature of the excised tissue. You should ask the surgeon during your follow-up appointment, as they will have access to the pathology ...[Read More] Concerns About Incomplete Suture Removal After Cyst Surgery
Post-Surgery Urinary Issues: Understanding Catheter Use and Recovery
Postoperative urinary retention? My wife had her catheter removed the day after surgery, and she was able to urinate normally the following day. However, after holding her urine while waiting for the nurse to assist the patient in the next bed with a shower, she suddenly couldn&#...
Dr. Zhang Shuhao Reply:
I'm not sure what type of surgery your wife underwent, but after anal surgery, it is not uncommon to experience urinary retention due to pain at the surgical site. This can be managed with a single catheterization or oral medications. It is less common for patients undergoin...[Read More] Post-Surgery Urinary Issues: Understanding Catheter Use and Recovery
Managing Anal Abscess: Tips for Proper Healing and Drainage
Anal abscess Hello, doctor. Last week, I was hospitalized for three days on antibiotics due to a ruptured anal abscess. The attending physician made the incision larger to facilitate drainage. However, during my follow-up visit this week, the doctor mentioned that the pus has not...
Dr. Zhang Shuhao Reply:
1. To prevent the wound from healing too quickly, it is necessary to enlarge the wound in the clinic. The direction of the wound can also help the pus drain more effectively when sitting, so taking warm sitz baths can be beneficial. 2. It is possible to manage without gauze, but ...[Read More] Managing Anal Abscess: Tips for Proper Healing and Drainage
Understanding Breast Nodules: Follow-Up and Evaluation Guidelines
Breast nodule Hello Doctor, here are the recent two breast ultrasound reports: 112/08/10 Clinical history: for health examination. Sonography of the breasts was performed. The result showed: Normal echotexture of bilateral breasts with normal glandular tissue and fat. Hypoecho...
Dr. Chen Jiaming Reply:
Some breast specialists consider the presence of blood flow measured within or around a mass as an abnormal sign (although most benign tumors also have internal blood supply). This may be why your examining physician regarded these nodules as suspicious (category 4a). For categor...[Read More] Understanding Breast Nodules: Follow-Up and Evaluation Guidelines
Post-Fibroadenoma Surgery: Managing Wound Concerns and Next Steps
Postoperative care for a fibroepithelial tumor? Hello, Dr. Lee. I had a fibrous tumor surgery two months ago, and last week I noticed pus at the wound site. After squeezing out the pus, I returned for a follow-up the next day. The doctor mentioned it was a reaction to the sutures...
Dr. Li Zhonghuai Reply:
Hello! If you are allergic to absorbable sutures, it is best to remove the suture ends, although it may not be necessary for every stitch. Just remove the suture ends from the infected area. It is advisable to return for a follow-up consultation. Take care! Changhua Hospital care...[Read More] Post-Fibroadenoma Surgery: Managing Wound Concerns and Next Steps
Post-Car Accident Wound Care: Managing Fever and Pain
Wound after a car accident I was in a car accident on the morning of January 17. I started having a fever the following evening, reaching up to 38.6 degrees Celsius. I took antipyretics with my meals, and after the fever subsided, it returned shortly after. This pattern continued...
Dr. Xu Kaixi Reply:
Persistent fever is an abnormal phenomenon. If accompanied by other symptoms (including the bloating and pain you mentioned, as well as the location of the pain you described), it is essential to seek immediate medical attention. It is advisable to go to the emergency department ...[Read More] Post-Car Accident Wound Care: Managing Fever and Pain
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...
Dr. Ke Fangxu Reply:
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
White Bumps Around the Anus: Causes and Concerns
There are small white bumps around the anus? During a shower, I noticed small white bumps around my anus that look somewhat like white pimples on my face when photographed with my phone. They cause a slight pain or a foreign body sensation, but it's not very noticeable. Coul...
Dr. Xu Kaixi Reply:
Based on your description, the white protrusion near the anus could be indicative of several conditions, including a sebaceous cyst, folliculitis, anal papillae, thrombosed hemorrhoids, or anal polyps, among others. Due to the limited information provided, it is recommended to vi...[Read More] White Bumps Around the Anus: Causes and Concerns