Managing Post-Traumatic Head Bumps: Treatment Options and Concerns
A lump remaining after a head injury? Hello Doctor, five years ago I sustained an injury to my head (near the hairline on my forehead) when I was hit by someone, resulting in a swelling about the size of a 50 NT dollar coin. At the time, I was too afraid to tell my parents. Now, ...
Dr. Li Zhonghuai Reply:
Hello! It may be advisable to perform an ultrasound first. If it appears to be fluid, it can be aspirated with a needle. However, if it has been present for a long time, it is likely to have formed a solid mass, which usually does not require intervention. If you wish to remove a...[Read More] Managing Post-Traumatic Head Bumps: Treatment Options and Concerns
Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Anal fissure issues? Hello, Doctor! I would like to ask the following questions: 1. I have had an anal fissure for several months, and after a hospital examination, it was determined to be a fresh wound. Does this not count as chronic? (I have been doing sitz baths and using su...
Dr. Ke Fangxu Reply:
1. It is also possible to have a chronic anal fissure combined with an acute wound. 2. The irritation from the anal fissure may trigger the urge to defecate, and this urge can cause relaxation of the anal sphincter, leading to moisture, which is a normal phenomenon. 3. As you...[Read More] Understanding Anal Fissures: Symptoms, Treatment, and Surgical Options
Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
It has been about six months since the anal fistula surgery, and there is still bleeding? Hello, I underwent anal and fistula surgery around the end of October last year. I have been recovering since then, and most of the wounds have healed. However, I have a wound inside the anu...
Dr. Zhang Shuhao Reply:
Typically, the wound from a fistula surgery should have healed after six months. However, if the anal area is tight or if there is straining during bowel movements, the initially healed wound may easily reopen or become irritated, leading to symptoms similar to anal fissures. It ...[Read More] Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Severe anal spasms and constipation after hemorrhoid surgery? Hello Doctor, I just had a hemorrhoidectomy on Thursday, and until today, Sunday, I have had no urge to have a bowel movement and cannot pass stool. I have been using sitz baths before attempting to have a bowel moveme...
Dr. Ke Fangxu Reply:
In theory, the use of a tissue coagulator should not result in such phenomena. It is advisable for you to consult the surgeon again without worrying about the appointment time and to seek medical attention promptly. Regardless of the type of surgery, it is essential to avoid cons...[Read More] Post-Hemorrhoid Surgery: Severe Pain, Constipation, and Concerns
Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
It has been over a year since the hemorrhoid surgery, and I am experiencing difficulty with bowel movements and a lack of sensation during defecation? Hello Doctor, after my hemorrhoid surgery last year following the Lunar New Year (the doctor mentioned that a significant amount ...
Dr. Zhang Shuhao Reply:
Postoperative difficulty in bowel movements after hemorrhoid surgery may be due to sensory or structural abnormalities. Sensory abnormalities occur when nerve endings are damaged, leading to an inability to accurately perceive the urge to defecate, which typically improves gradua...[Read More] Post-Hemorrhoid Surgery: Struggling with Bowel Movements and Discomfort
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
Managing Post-Surgery Neurological Scarring After Brain Tumor Removal
Neurogenic scar tissue after brain tumor surgery? Hello Dr. Chang, I had a brain tumor removed in mid-last year, and I have been experiencing persistent symptoms such as tinnitus, diplopia, facial numbness, and trigeminal nerve issues as postoperative sequelae. I would like to kn...
Dr. Zhang Junwei Reply:
The term "scarring in the central nervous system" refers to the formation of scar tissue following nerve damage. It appears similar to nerve injury, and currently, there are no particularly effective treatment options available.[Read More] Managing Post-Surgery Neurological Scarring After Brain Tumor Removal
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-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Open mesh repair for inguinal hernia surgery? Hello, doctor. May I ask you a few questions? After an open mesh inguinal hernia repair surgery: 1) Ten days post-surgery, the white blood cell count (10.99) has increased, and the neutrophil (88.4%)/lymphocyte (7.7%) ratio (11.48) is...
Dr. Chen Jiaming Reply:
It is advisable to consult the original surgeon regarding postoperative clinical issues. Each individual's recovery after surgery varies, and there is no absolute standard.[Read More] Post-Operative Concerns After Open Plug/Mesh Inguinal Hernia Surgery
Understanding Spinal Fusion Surgery: Risks and Benefits for Seniors
Evaluation of Spinal Fusion Surgery Hello, doctor. My mother is 71 years old and has chronic diseases. Currently, she experiences difficulty walking for extended periods, accompanied by lower back pain and numbness in both legs. She has undergone X-rays and an MRI, and the doctor...
Dr. Lai Zhaokang Reply:
Hello: Spinal disorders that compress nerves can cause symptoms such as aching, cramping, numbness, weakness, and limping. While these conditions are not life-threatening, they can significantly impact quality of life and dignity. In severe cases, they may lead to impaired mobili...[Read More] Understanding Spinal Fusion Surgery: Risks and Benefits for Seniors
Understanding Post-Surgery Breast Pain: Is It Normal After Fibroadenoma Removal?
Breast issues Hello, doctor! I underwent a breast fibroadenoma excision surgery last February, and I occasionally experience pain that occurs irregularly. However, when I press on my chest, I do not feel any pain due to external pressure. I would like to know if this type of pain...
Dr. Chen Ronghong Reply:
Hello, breast tumor surgery involves incisions in the skin, which inevitably results in some damage to the sensory nerves. Common sequelae include a prickling or itching sensation at the scar site. If this affects your daily life, you may consult a physician for relief, which can...[Read More] Understanding Post-Surgery Breast Pain: Is It Normal After Fibroadenoma Removal?
Can I Have Full Anesthesia for Multiple Cyst Removals?
Subcutaneous cyst Hello doctor, I would like to ask about cysts that have developed on my back, buttocks, face, and pubic area. I am considering having them all removed at once, but I am very afraid of pain. Is it possible to have general anesthesia for the entire procedure? Than...
Dr. Chen Bingze Reply:
Hello, but having several wounds from this procedure may make postoperative care more challenging for you.[Read More] Can I Have Full Anesthesia for Multiple Cyst Removals?
Do You Need to Stay in the Hospital for Hemorrhoid Surgery?
Is hospitalization necessary for hemorrhoid surgery? Hello Dr. Chang, I am considering surgery to remove my hemorrhoids. The cost of minimally invasive surgery is a bit too high for me, so I would prefer traditional surgery. I found online that traditional surgery usually require...
Dr. Zhang Shuhao Reply:
Even traditional surgery does not necessarily require hospitalization. Simple hemorrhoids can even be treated with local anesthesia. However, if the hemorrhoids are larger, prone to bleeding, or if there are multiple hemorrhoids, hospitalization is recommended. The benefits of ho...[Read More] Do You Need to Stay in the Hospital for Hemorrhoid Surgery?
Understanding Anal Skin Tags: Treatment Options and Concerns
Issues related to anal masses? Hello doctor, recently I noticed a visible lump at my anal opening. It varies in size, sometimes soft (like a flesh ball) and other times slightly harder. Its color can be flesh-toned or sometimes purplish. Someone mentioned that it might be hemorrh...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids; the position of internal and external hemorrhoids relative to the anal dentate line needs to be examined to confirm the diagnosis. Regular warm sitz baths and the application of topical ointments can help the thrombosed blood vessels within the hemorrhoid...[Read More] Understanding Anal Skin Tags: Treatment Options and Concerns
Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Postoperative care for herniated disc surgery? Hello Doctor, I underwent traditional surgery for an L4-L5 herniated disc at the beginning of November, without the use of a spacer. Postoperatively, my calf pain improved, but in early January, I suddenly experienced persistent shoo...
Dr. Lai Zhaokang Reply:
Hello: After your decompression surgery in November, there was improvement, but in January, you experienced a recurrence of symptoms. I would like to speculate that it may be a relapse; of course, adhesions or other reasons are also possible. I recommend that you return for a fol...[Read More] Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Issues related to abdominal pressure? Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed. This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis. I have a few...
Dr. Chen Jiaming Reply:
1. For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer. 2. If the internal wound does not heal properly, it can lead to weak points in the fascia...[Read More] Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery
Understanding Complications of L3 Spinal Surgery: A Patient's Journey
Misplacement of L3 pedicle screw in lumbar spine surgery? Hello, doctor. My father is 72 years old. Preoperative X-rays showed signs of scoliosis and spondylolisthesis, with complaints of inability to walk for long periods due to lower back pain and numbness in his legs when sitt...
Dr. Lai Zhaokang Reply:
Hello: 1. Postoperative follow-up shows that the original symptoms have not improved and have worsened after surgery. If imaging reveals that a steel screw has penetrated the nerve canal, there are no other options but to adjust and perform another surgery (unless the patient is ...[Read More] Understanding Complications of L3 Spinal Surgery: A Patient's Journey
Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Postoperative wound issues after peritonitis surgery? I underwent laparoscopic removal of an ovarian cyst, but developed a rectal perforation that led to peritonitis, requiring another abdominal surgery. The incision extends about 14 centimeters from my lower abdomen to my navel....
Dr. Chen Jiaming Reply:
Scar tissue from such a long vertical abdominal wall incision often experiences occasional mild pain within one to two years post-surgery. It is recommended to use a supportive abdominal binder for the first six months postoperatively to prevent hypertrophy of the scar tissue and...[Read More] Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery
Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery
Postoperative Recovery Period for Trigeminal Neuralgia Decompression Surgery Hello, doctor. I underwent craniotomy for severe trigeminal neuralgia and it has been about one month since the surgery. I still experience occasional dizziness and unsteadiness while standing, but I hav...
Dr. Lai Zhaokang Reply:
Hello: Generally speaking, if the surgical wound is clean and the stitches are removed, one can gradually return to daily activities. More stable healing typically occurs around three months. However, the details of postoperative recovery can vary individually. You should consult...[Read More] Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery
Understanding Insurance Coverage for Internal Hemorrhoid Surgery Options
Hemorrhoid surgery and insurance reimbursement? Hello Doctor, I recently had an examination at the hospital and was diagnosed with internal hemorrhoids. Afterward, I confirmed with my insurance agent that for the surgery to be covered, it must include anesthesia, incision, and su...
Dr. Zhang Shuhao Reply:
Even laser minimally invasive surgery involves steps such as anesthesia, incision, and suturing, but these steps are performed using laser instruments. Whether insurance will cover the procedure is determined by the insurance company. Circular excision, laser surgery, and traditi...[Read More] Understanding Insurance Coverage for Internal Hemorrhoid Surgery Options