Understanding Hemorrhoid Surgery: Key Questions and Considerations
I would like to ask questions regarding hemorrhoid surgery? Hello Dr. Ke, I have mild hemorrhoids (both internal and external). After seeing a colorectal surgeon, the doctor said they are mild and do not require surgery, but also mentioned that to achieve a complete cure, surgery...
Dr. Ke Fangxu Reply:
1. Smaller hemorrhoids may indeed make it difficult to determine which one is the primary source of symptoms. 2. The healing time for wounds is generally the same; however, the level of pain may be less severe. 3. This is not related to the seasons but rather to the quality of ...[Read More] Understanding Hemorrhoid Surgery: Key Questions and Considerations
Choosing the Best Surgical Treatment for Hemorrhoids: Laser vs. Electrocautery
Management of Hemorrhoids Hello, Dr. Ko. I am currently in the 2nd to 3rd stage of hemorrhoids, with one internal and one external hemorrhoid. I would like to undergo surgery for removal, but I am unsure which type of surgery is better. I am particularly considering electrocoagul...
Dr. Ke Fangxu Reply:
My personal principle is that if hemorrhoids are not bleeding or painful, surgical treatment is not recommended. I am not familiar with electroacupuncture treatment, so I cannot provide advice on that. As for laser treatment, it can be divided into three types: superficial coagul...[Read More] Choosing the Best Surgical Treatment for Hemorrhoids: Laser vs. Electrocautery
Understanding Head Injuries: When to Seek Medical Attention
The head has previously been injured by someone? Your question: I have previously sustained a head injury. On the day of the incident, my scalp felt soft and watery. Now, the soft and watery area of my scalp has formed a hard bump. Normally, the head is rounded, but there is now ...
Dr. Ke Fangxu Reply:
Due to the lack of a physical examination, it is impossible to determine the location, size, and extent of the tear of the wound, so online consultation can only lead to speculation. It is possible that there is a mild linear skull fracture causing localized headaches, or that a ...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Head Injury: Symptoms, Diagnosis, and When to Seek Medical Attention
Head injury I experienced a head injury where my scalp felt soft and watery immediately after the incident. Now, the area has a hard protrusion, and instead of the usual rounded shape of the head, there is a sudden bulge. The affected area is located about 1 to 2 centimeters to t...
Dr. Ke Fangxu Reply:
After a head injury, if there is a subcutaneous edema or hematoma on the scalp, the severity of the injury is generally related to the mechanism of injury. If there is no confusion or weakness in the limbs, it is likely not serious. However, if you are still concerned, you can co...[Read More] Head Injury: Symptoms, Diagnosis, and When to Seek Medical Attention
Should My Child See a Pediatric Surgeon or Dermatologist for a 2cm Scalp Cyst?
A hard cyst approximately 2 cm on the scalp? Hello Dr. Lin, my daughter is currently 3 years old. Recently, while washing her hair, I discovered a hard cyst approximately 2 cm in size on the scalp behind her right ear. Should we see a pediatric surgeon or a dermatologist for this...
Dr. Lin Zhiguang Reply:
Hello Goethe, there is a possibility of a cyst on the scalp, specifically a sebaceous cyst (epidermoid cyst). Some may be related to the ear canal, but a consultation is necessary for a definitive diagnosis. Both pediatric surgery and dermatology should be able to provide a diagn...[Read More] Should My Child See a Pediatric Surgeon or Dermatologist for a 2cm Scalp Cyst?
Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Tension in the temples and cognitive impairment? I have been experiencing tightness in my temples for a long time, making it difficult for me to concentrate and remember things. I often forget things and my thought processes are slow. Sometimes, I become fixated on a problem and ...
Dr. Zhang Yuanyi Reply:
Dear Xiao Li, Hello, please visit the neurology outpatient clinic for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Post-Car Accident Symptoms: Understanding Neurological Issues
Symptoms after a car accident? Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in...
Dr. Ding Xianwei Reply:
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues
Is a 0.6 cm Changing Mole on My Scalp a Cause for Concern?
A 0.6 cm mole has been found on the scalp, and it has changed color? Today, a friend noticed a large mole on the top of my head, near the back of my skull. It has a diameter of about 0.6 centimeters, with a brownish outer edge and a black center that is neither raised nor sunken....
Dr. Zheng Zhong Reply:
You need to see a neurosurgery or plastic surgery outpatient clinic. A direct examination is necessary for diagnosis. Thank you.[Read More] Is a 0.6 cm Changing Mole on My Scalp a Cause for Concern?
Post-Surgery Care: Managing Bowel Issues After Hemorrhoid Surgery
Postoperative care Hello, Doctor: I underwent a complete excision of internal and external hemorrhoids using an ultrasonic scalpel on May 12, 2010. My recovery has been relatively good, and after two follow-up visits, the doctor said there were no issues with the wound and that I...
Dr. Ke Fangxu Reply:
Hello: In response to your questions: 1. It is generally recommended that if there is no longer any discharge from the anus, it indicates that the surgical wound has completely healed, and you can return to your pre-surgery lifestyle. If there are no issues with constipation, s...[Read More] Post-Surgery Care: Managing Bowel Issues After Hemorrhoid Surgery
Understanding Laparoscopic Appendectomy: Hemostatic Clips and Their Impact
Laparoscopic appendectomy Hello, Dr. Wang. After undergoing laparoscopic appendectomy, will there be any hemostatic clips left inside the body? How many will be left? What impact will this have on the body in the future?
Dr. Wang Zhitang Reply:
Hello Peter: The use of hemostatic clips during laparoscopic appendectomy can vary depending on the habits of each surgeon and the equipment available at the hospital. Some surgeons may choose not to use hemostatic clips during laparoscopic appendectomy, opting instead for device...[Read More] Understanding Laparoscopic Appendectomy: Hemostatic Clips and Their Impact
Understanding Scalp Bumps: Causes, Treatment, and When to See a Doctor
A small bump on the top of the head? Hello Doctor: I have a raised lesion on the top of my head, approximately in the center, with a diameter of about one centimeter. The color is slightly more pink than the normal scalp, and it is hard and immovable. It only hurts a bit when pre...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Department of Surgery, Tainan Hospital, Ministry of Health and Welfare: 1. Subcutaneous cysts can develop on the scalp. 2. Surgical intervention is possible, and part of the hair in the surgical area will need to be shaved. 3. Please consult the surgi...[Read More] Understanding Scalp Bumps: Causes, Treatment, and When to See a Doctor
Understanding Post-Surgery Recovery After Traditional Hemorrhoidectomy
Traditional hemorrhoid surgery involves the excision of both internal and external hemorrhoids? Hello Dr. Ke, I underwent traditional internal and external hemorrhoidectomy at Taipei Medical University on May 18 of this year, using a self-paid ultrasonic scalpel. Initially, my r...
Dr. Ke Fangxu Reply:
Hello: First, let me clarify that the surgical approach of ultrasound knife surgery is similar to that of traditional scalpel surgery; the main difference lies in the use of an ultrasound knife for cutting, while a traditional scalpel is used in conventional surgery. The advantag...[Read More] Understanding Post-Surgery Recovery After Traditional Hemorrhoidectomy
Head Injury from Door Frame: When to Seek Medical Attention?
Hit the head on the door frame? Hello Doctor, about two to three years ago, I hit my head on a door frame. At that time, I didn't pay much attention to it, and it healed on its own after a while. However, at the end of October (last month), I hit the same spot again. I didn&...
Dr. Zhang Yuanyi Reply:
Generally, after a head injury, common symptoms include headache and dizziness; the duration of these symptoms can vary from person to person. If the severity or frequency of dizziness increases, or if there are accompanying symptoms such as vomiting, limb weakness, or difficulty...[Read More] Head Injury from Door Frame: When to Seek Medical Attention?
Understanding Hemorrhoid Surgery: Options, Pain Management, and Costs
Please ask questions regarding hemorrhoid surgery? Dear Dr. Hou, I would like to ask Dr. Zhuang a few questions. 1. What are the common surgical methods for hemorrhoid surgery? Which method tends to be less painful during and after the procedure? How much do patients need to p...
Dr. Hou Yongji Reply:
1. Currently, there is only one type of surgery for hemorrhoids, which is hemorrhoidectomy. The ultrasound knife, laser knife, or coagulation device you mentioned are actually tools used during the surgery. Traditional hemorrhoid surgery employs knives, scissors, and electrocaute...[Read More] Understanding Hemorrhoid Surgery: Options, Pain Management, and Costs
Understanding Bouncing Head Sensations: Possible Neurological Causes
Head bump I feel like my entire head is covered by a layer of skin, with a bouncing sensation. Sometimes my scalp itches, I have difficulty hearing, and my eyelids feel heavy. I'm not sure what the cause of this is.
Dr. Ding Xianwei Reply:
Dear Gang: I recommend that you first consult with an ENT specialist regarding your hearing loss, and then proceed with further evaluation and treatment from neurosurgeon Dr. Ding Hsien-Wei. Respectfully,[Read More] Understanding Bouncing Head Sensations: Possible Neurological Causes
Is Hair Dye Safe for Patients with Brain Tumors?
Can I dye my hair if I have a tumor on my head? Doctor: Hello! I was diagnosed with a tumor on my scalp over 10 years ago, but the doctor said it could be removed or left alone for now. Can I dye my hair? (Because I have more gray hair, and the mix of black and gray looks odd.) W...
Dr. Ding Xianwei Reply:
Hello: Hair dyes contain chemical ingredients, so it's best to avoid dyeing if possible. Wishing you good health.[Read More] Is Hair Dye Safe for Patients with Brain Tumors?
Head Injury Concerns: When to See a Neurosurgeon After Trauma
Head trauma Hello, I would like to ask about an incident that occurred three days ago. I was hit on the right front side of my head by an acrylic panel that fell from the ceiling of a restaurant. After being taken to the hospital, I had two steel staples placed in my scalp. Since...
Dr. Ding Xianwei Reply:
Hello: If you are only concerned about allergic reactions to contrast agents, you can opt for examinations that do not require contrast. However, you may go directly to the neurosurgery department for further consultation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Head Injury Concerns: When to See a Neurosurgeon After Trauma
Understanding Gynecomastia: Non-Surgical Options and Surgical Insights
Gynecomastia I am 176 cm tall, weigh 75 kg, and am 27 years old. I am a man who has lost weight from over 100 kg, but I still feel that my condition of gynecomastia has not improved. This issue has existed for a long time. Besides surgery, are there any other methods to improve t...
Dr. Lu Daokuan Reply:
There are several causes of gynecomastia in males. In general, young individuals often experience it due to being overweight, which leads to hormonal metabolism disorders and impaired liver and kidney function. Typically, weight loss does not improve the condition. For health ins...[Read More] Understanding Gynecomastia: Non-Surgical Options and Surgical Insights
Understanding Unusual Head Pressure: A Neurosurgical Perspective
A strange sensation? Hello, doctor: During my university years, as the academic pressure became less intense, I found that my sleep duration increased significantly. I could sleep until 11 AM if I had no classes, and even take a nap in the afternoon without any issues. However, I...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing symptoms due to overuse of your cervical spine, possibly from staring at the television or computer screen. Therefore, it is recommended that you avoid prolonged standing or sitting, and refrain from maintaining a fixed posture for too long, as this...[Read More] Understanding Unusual Head Pressure: A Neurosurgical Perspective
Understanding Head Injuries in Children: When to Seek Further Medical Attention
Head injury My 5-year-old child accidentally fell down the stairs and hit their forehead. We applied ice and cleaned the area to reduce swelling. My child has been able to move around and eat normally, and has been attending kindergarten as usual. A week later, I noticed that the...
Dr. Huang Junxiong Reply:
Most hematomas in the facial area or scalp are self-limiting and typically resolve within two to four weeks. In the initial one to two weeks, aspiration is usually not necessary. However, if the hematoma is large and the resolution is slow, it is recommended to have a follow-up w...[Read More] Understanding Head Injuries in Children: When to Seek Further Medical Attention