Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
After total thyroidectomy Hello, Doctor. 1. I had a contrast agent injection in the emergency room of Far Eastern Memorial Hospital on June 3 for a hematoma check after a total thyroidectomy. I would like to know how long I need to wait before undergoing a lung examination that...
Dr. Chen Ronghong Reply:
Hello, Cool Dragon. 1. Since you are scheduled for iodine-131 treatment on July 18, if you need to receive a contrast agent, you should wait until after the treatment is completed. 2. It is difficult to determine whether it is a bacterial infection based on your description; y...[Read More] Post-Thyroidectomy Care: Key Questions on Imaging and Infection Management
Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Abnormal Conditions After Surgery for Intervertebral Disc Stenosis and Herniation Hello Doctor, I would like to consult you regarding my condition. I have been diagnosed with L4-L5 disc stenosis and L5-S1 disc herniation. On February 10th of this year, I underwent endoscopic deco...
Dr. Lai Zhaokang Reply:
Hello Xiaowen: Physical therapy can be implemented. However, you have already undergone two surgeries by other doctors, and the situation is more complex. The second surgery was 1.5 months ago. It is advisable to have a physician evaluate whether an MRI follow-up is necessary. Be...[Read More] Post-Surgery Complications of Lumbar Disc Herniation: A Patient's Journey
Post-Surgery Brown Discharge: Is It Normal After Hemorrhoid Ligation?
After hemorrhoid ligation, there is brown discharge from the vagina? Hello, doctor. I underwent a ligation for internal hemorrhoids in the outpatient clinic this morning. That evening and the next day, after using the restroom (urinating) and cleaning myself, I noticed deep brown...
Dr. Zhang Shuhao Reply:
If the ligation site is located closer to the anterior side, there may sometimes be vaginal-related symptoms, but most of these are caused by mild inflammation, and a fistula is unlikely to form on the same day or the following day. If it is not during menstruation, taking warm s...[Read More] Post-Surgery Brown Discharge: Is It Normal After Hemorrhoid Ligation?
Post-Fistula Surgery: Do You Need Assistance for Recovery?
Post-fistula surgery After the fistula surgery, will I need assistance, or can I manage all my daily activities independently until discharge? The surgery has already been scheduled, and the doctor mentioned that I can be discharged the day after the surgery. Also, will I be able...
Dr. Zhang Shuhao Reply:
Postoperative pain is the main concern after a simple fistula surgery. With appropriate analgesics, daily activities can be managed independently. Patients can resume normal bowel movements and bathing after the procedure. There may be a small amount of blood and discharge from t...[Read More] Post-Fistula Surgery: Do You Need Assistance for Recovery?
Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Hemorrhoid and anal fissure surgery issues? Hello Doctor, I have recently scheduled anal surgery, which includes an internal sphincterotomy and hemorrhoid surgery, and these two procedures will be performed simultaneously. However, my attending physician mentioned that I would no...
Dr. Zhang Shuhao Reply:
1. Chronic anal fissure internal sphincterotomy and hemorrhoid surgery can usually be performed simultaneously. The need for hospitalization is related to the severity of the hemorrhoids. Hospitalization allows for better pain control, a wider range of anesthesia options, and mor...[Read More] Understanding Hemorrhoid and Anal Fissure Surgery: What to Expect
Post-Pneumothorax Surgery: When to Resume Exercise and Alcohol?
How long after a pneumothorax surgery can one exercise or drink alcohol? Hello, I have a puncture wound that caused a lung rupture, resulting in a pneumothorax. After my surgery, how long should I wait before drinking alcohol and exercising? Thank you. 🙏
Dr. Xu Kaixi Reply:
Postoperative dietary restrictions are generally not specific; however, alcohol consumption and exercise may be related to the size of your lung defect and the specifics of the surgery. More detailed information is needed for a proper assessment, so it is advisable to consult you...[Read More] Post-Pneumothorax Surgery: When to Resume Exercise and Alcohol?
Post-Colon Cancer Surgery: Should We Change Hospitals for Lung Tumor Surgery?
Inquiry about lung surgery after colorectal cancer surgery? Hello, doctor. I would like to ask about my family member who has recently undergone surgery for colon cancer and has also developed tumors in the lungs. Despite having received preoperative chemotherapy, new lung tumors...
Dr. Xu Kaixi Reply:
Your family member has a condition of post-colon cancer surgery, with suspected lung tumors that may have metastasized from the colon cancer. If the lung tumors are indeed suspected to be metastatic from the colon cancer and are operable, it is certainly worth considering a surgi...[Read More] Post-Colon Cancer Surgery: Should We Change Hospitals for Lung Tumor Surgery?
Pre and Post-Operative Care for Pilonidal Sinus Surgery
Preoperative and postoperative care for pilonidal sinus surgery? Recently, I need to undergo surgery for a pilonidal sinus located in the groin area. I would like to inquire whether preoperative bowel preparation, such as an enema, is necessary, and if there are any other prepara...
Dr. Ke Fangxu Reply:
Pilonidal sinus is not a serious condition, but it can be quite troublesome. Due to the high tension at the surgical site, the rate of poor wound healing is relatively high, and the likelihood of recurrence is also significant. After surgery, it is advisable to avoid deep squatti...[Read More] Pre and Post-Operative Care for Pilonidal Sinus Surgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Postoperative Pain Issues After Hemorrhoid Surgery I had a hemorrhoidectomy with a tissue coagulation device five days ago. The doctor mentioned that the pain would subside after three days, but it is still very painful after five days. Is this normal? Also, I would like to know ...
Dr. Zhang Shuhao Reply:
Tissue adhesive devices can reduce surgical time and the use of sutures, thereby alleviating postoperative pain. However, the primary impact is still on the size of the external hemorrhoid wound and the tension of the sutures, with some patients experiencing pain for more than tw...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Post-Hemorrhoid Surgery: When Is It Safe to Resume Sexual Activity?
Post-hemorrhoidectomy How long after hemorrhoid surgery can I masturbate? Sorry.
Dr. Zhang Shuhao Reply:
The surgery itself does not affect masturbation; you can resume once the postoperative pain has subsided. Just be sure to adopt positions that minimize movement around the surgical site.[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Sexual Activity?
Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Chemotherapy followed by lumpectomy for breast cancer... Regarding the question about the "pathology report stating" that cancer cells are dead, what related issues should be considered? Hello, the relevant tests and biopsy indicated "triple-negative, 4 cm." A...
Dr. Chen Ronghong Reply:
Hello, Xiaowen. Based on your description, it seems that your tumor has responded very well to neoadjuvant chemotherapy, achieving "complete remission." In this situation, the resected tissue shows no cancer cells under the microscope, which is why the doctor would tell...[Read More] Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Difficulty in bowel movements and bleeding four months after hemorrhoid surgery? I underwent a self-funded minimally invasive ligature surgery at the beginning of January this year, and I am still experiencing difficulties with bowel movements and bleeding. I feel weakness in the...
Dr. Chen Ronghong Reply:
Hello Becky, some patients experience postoperative anal stenosis, which can lead to difficulty in bowel movements. However, since you mentioned using your fingers to dig out stool, if your fingers can enter the anus, it is less likely to be anal stenosis. Hard and dry stools can...[Read More] Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Risks and Aftereffects of Craniopharyngioma Surgery: What to Expect
Surgical issues Is the risk of surgery high for a craniopharyngioma after a craniotomy? What are the potential postoperative complications?
Dr. Lai Zhaokang Reply:
Hello: Brain tumor surgery carries certain risks. I want to help you, but the information you provided is too brief for a professional neurosurgeon. I recommend that you have a thorough discussion with your surgical team preparing for the brain tumor surgery. The issues you are f...[Read More] Risks and Aftereffects of Craniopharyngioma Surgery: What to Expect
Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Post-anal fistula surgery Hello Doctor, I have undergone four fistula surgeries, and the fourth one was finally successful. Now, nine months post-operation, the wound has healed, but I still occasionally notice a small amount of yellow discharge from my anus daily, which resemble...
Dr. Ke Fangxu Reply:
If an anal fistula has undergone four surgeries, some degree of sphincter damage is inevitable. Mild bleeding is not a concern and may be caused by internal hemorrhoids. If there is yellow discharge, it could possibly be rectal mucus or fecal matter. If the amount is small, it ca...[Read More] Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Post-Surgery Swelling Concerns After Minimally Invasive Hemorrhoid Surgery
Postoperative swelling that does not subside after minimally invasive hemorrhoid surgery? Dear Dr. Chang, I underwent a Legasure procedure 18 days ago to excise two external hemorrhoids and one mixed hemorrhoid (and possibly one or two internal hemorrhoids). Post-surgery, I have...
Dr. Zhang Shuhao Reply:
In general, after a complete excision of internal and external hemorrhoids, there will be significant swelling at the surgical site. The degree and duration of the swelling are related to the severity of the original hemorrhoids, and it is common for patients to experience swelli...[Read More] Post-Surgery Swelling Concerns After Minimally Invasive Hemorrhoid Surgery
Post-Surgery Care: Why Soaking is Allowed After Fistula Removal?
Postoperative sitz bath and irrigation issues? After general surgical procedures, doctors often advise patients to avoid getting the wound wet to prevent infection. However, after a fistula excision surgery, it is necessary to take sitz baths and rinse the wound. This is because ...
Dr. Zhang Shuhao Reply:
Wounds from anal surgeries, such as hemorrhoidectomy or fistula surgery, have different characteristics compared to wounds in other areas of the body. They are less prone to infection due to moisture or bacterial contamination (the exact reasons are not yet concluded, but it may ...[Read More] Post-Surgery Care: Why Soaking is Allowed After Fistula Removal?
Understanding Anal Fissures: Surgical Options and Management Tips
Please inquire about anal fissure surgery and bowel movement issues? Hello, Doctor. I have been experiencing anal fissures (located at the six o'clock position, towards the back) for about 1 to 2 years, with episodes of healing and recurrence. Typically, I feel discomfort du...
Dr. Ke Fangxu Reply:
1. No. 2. There is no need for sutures; postoperative pain during bowel movements is unavoidable but should be less severe than before the surgery. Wound care can be managed with sitz baths. 3. It is not necessary to remove them; they can heal on their own regardless of wheth...[Read More] Understanding Anal Fissures: Surgical Options and Management Tips
Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Polyps on internal hemorrhoids? Hello, doctor. Recently, I noticed a small amount of blood when having a bowel movement due to straining. I went to see a colorectal surgeon and was diagnosed with internal hemorrhoids and a polyp approximately 0.3 cm in size, which is located on t...
Dr. Zhang Shuhao Reply:
Internal hemorrhoids and polyps are different conditions. Sometimes, rectal polyps located near the anus are difficult to remove using a colonoscope, and it is usually recommended to excise them via the anus using electrocautery or similar methods. If rubber band ligation is to b...[Read More] Understanding Internal Hemorrhoids and Polyps: Treatment Options Explained
Post-Surgery Insights: Understanding Recovery After Disc Herniation Surgery
Postoperative care after disc herniation removal surgery? Hello, doctor. I am 36 years old and have a herniated disc. I underwent decompression surgery about a month ago (simple decompression). The pre-operative MRI is as follows: https://imgur.com/a/cEEz4Dh. My surgeon informed ...
Dr. Lai Zhaokang Reply:
Hello: You have many questions after your surgery, but since Dr. Lai did not perform your surgery and I did not personally examine you, I will do my best to respond to you. (A bit of a doctor's curiosity: Who was your surgeon? If you were my patient, I would answer all your ...[Read More] Post-Surgery Insights: Understanding Recovery After Disc Herniation Surgery
Understanding Post-Operative Symptoms After Endoscopic Disc Surgery
Endoscopic Discectomy Hello, I would like to ask about my condition. I underwent endoscopic discectomy on January 26th, where a portion of the herniated disc at the L5 level was removed due to stenosis. I was able to walk the day after the surgery, but I am experiencing a tinglin...
Dr. Lai Zhaokang Reply:
Hello: You underwent endoscopic disc surgery on January 26th, and it has been about a week since then. You can start taking the discharge medications prescribed by your original surgeon. /// Are these symptoms post-operative complications? How long will it take to recover? Which ...[Read More] Understanding Post-Operative Symptoms After Endoscopic Disc Surgery