Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Cervical vertebra 2 (C2) Hello Dr. Lai, I previously raised a question regarding my right arm feeling poor blood circulation (#140649). Thank you for your response. On October 16, I was struck from behind by a taxi, and when I fell, I landed on my hands. I went to the emergency r...
Dr. Lai Zhaokang Reply:
Hello: 1. What you mentioned: "There is an old fracture at the second cervical vertebra, but it has healed; however, the ligaments may have become lax." Generally speaking, if there is ligament laxity at C2, the symptoms often include occipital pain. Additionally, laxit...[Read More] Understanding C2 Vertebra Issues: Impacts on Arm Circulation and Treatment Options
Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Suspected anal fistula? Hello, Doctor. I apologize for interrupting you during your busy schedule. I underwent anal fistula surgery on July 10 of this year, with the location being slightly to the right of the anal opening. I am recovering well, with only scar tissue remaining an...
Dr. Ke Fangxu Reply:
1. It is also possible that it is a benign subcutaneous tumor or a smaller external hemorrhoid at the anal opening. Since I cannot perform a physical examination, I cannot provide a definitive answer, but I recommend continued observation. 2. Of course, a newly formed fistula i...[Read More] Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Understanding Chest Varicosities: Causes, Symptoms, and Concerns
Chest varices Hello Doctor: I recently noticed that after experiencing a significant emotional upheaval, I discovered a slight venous engorgement (red area) in the upper left side of my chest a few days later, and I feel a bit of discomfort and tightness. I searched for some rela...
Dr. Li Qinglong Reply:
Hello, Miss: The causes of lower extremity varicose veins are fundamentally different from those of chest varicose veins. It is advisable to visit a surgical outpatient clinic to address your concerns. The Hualien Hospital of the Ministry of Health and Welfare cares about your he...[Read More] Understanding Chest Varicosities: Causes, Symptoms, and Concerns
Understanding Anal Itching: Causes, Concerns, and When to Seek Help
Anal itching Hello doctor, I am a high school girl. I often have difficulty passing stool, and once when I visited a doctor, they suggested that I could massage my abdomen and the area around the anus. I have been consistently doing this during bowel movements. However, I am curr...
Dr. Xu Kaixi Reply:
Anal pain and bleeding may likely be caused by hemorrhoids; however, other serious gastrointestinal diseases are also possible. If symptoms persist without improvement, it is recommended to visit a hospital's surgical or gastroenterology department for further evaluation.[Read More] Understanding Anal Itching: Causes, Concerns, and When to Seek Help
Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
Acute appendicitis and localized peritonitis? Hello doctor, my wife underwent laparoscopic appendectomy on September 14th. It has been a week since the surgery, and she is still experiencing some issues, so I have a few questions: 1. On the first day after the surgery, she only...
Dr. Xu Kaixi Reply:
1. The patient underwent laparoscopic appendectomy on September 14. On September 21, they experienced bloating and poor digestion, and were taking pain medication, experiencing gastric distension, and antibiotics. This may be due to a postoperative inflammatory response that has ...[Read More] Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
Post-Stitch Scar Care: Silicone Sheets vs. Beauty Tape
Scar after suture removal Two weeks ago, I had a car accident and during the stitch removal, the doctor advised me to use cosmetic tape for three months, but only after one week of removing the stitches. The wound is raised; should I use silicone sheets or continue using the cosm...
Dr. Lu Daokuan Reply:
Silicone sheets and artificial skin are both effective; however, beauty tape is less effective. Use them for up to 6 months, and if you are not satisfied, consult a plastic surgeon.[Read More] Post-Stitch Scar Care: Silicone Sheets vs. Beauty Tape
Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
More than three months after anal fistula surgery, the anal area still feels hard? Hello Doctor: I underwent fistula surgery in mid-May of this year, and it has been three months since then. The wound has completely healed. I take a sitz bath once a day and apply a topical medica...
Dr. Ke Fangxu Reply:
1. Scar tissue after surgery generally takes about six months to gradually absorb, and it is normal for the wound to feel firm during this period. 2. If it has been more than three months since the surgery, there should be no need to continue applying ointment. If the phenomenon...[Read More] Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
Understanding Knee Bruises and Treatment Options for Soft Tissue Injuries
Bruising on the side of the knee due to a contusion? Hello, doctor. About a year ago, I was in a car accident, and I developed a bruise on the side of my right knee, which gradually faded to a light gray mark. However, a lump formed in one area that is very painful to the touch. ...
Dr. Zhou Hongzhang Reply:
1. This is a scar issue; if the injury was severe initially, the scar may appear more unsightly, and both atrophic and hypertrophic scars can form. 2. It is important to care for the scar during its initial formation, for at least three months. If it still looks unsightly afterw...[Read More] Understanding Knee Bruises and Treatment Options for Soft Tissue Injuries
Understanding Fibroadenomas: Concerns and Management Strategies
The concerns of fibroepithelial tumors? Hello Dr. Lee, I would like to briefly summarize my medical history: In 2016, I underwent a right mastectomy. Prior to the surgery, detailed examinations revealed a 1.5 cm tumor in my left breast. In July 2016, a core needle biopsy indicat...
Dr. Li Zhonghuai Reply:
Hello! 1. The location of the fibroadenoma differs between two hospitals; one is on December 3rd (performed by a radiologist) and the other on January 2nd (performed by a physician). Why is there such a discrepancy? ==> The difference is not significant; it's purely a r...[Read More] Understanding Fibroadenomas: Concerns and Management Strategies
Understanding Post-Hernia Surgery: Hard Lump Near Incision
Hernia surgery wound lump? Hello Doctor, I had hernia surgery three weeks ago and a synthetic mesh was used. Recently, I have noticed a hard protruding lump near the incision site. It doesn't hurt most of the time, but it does hurt when pressed. Is this normal? How long will...
Dr. Chen Jiaming Reply:
The artificial mesh used in hernia repair interacts with surrounding tissues to create a reinforcing effect on the abdominal wall, reducing the chances of recurrence. Generally, its position is deeper and not easily accessible. Based on your description of a hard protruding lump ...[Read More] Understanding Post-Hernia Surgery: Hard Lump Near Incision
Understanding Anal Warts: Symptoms, Treatment, and Recovery Insights
Anal warts Hello, Doctor. A year ago, I had two sessions of electrocautery treatment, but it was really painful, so I switched to using wart removal cream. I applied it occasionally, and sometimes it just looked like it was there, so I endured the pain to apply the medication. Th...
Dr. Ke Fangxu Reply:
Indeed, cauliflower lesions can potentially invade the lower rectum, but whether it is actually cauliflower or scar tissue from electrosurgery can only be determined through a medical examination. Sometimes, if it is difficult to make a judgment, it is recommended to stop medicat...[Read More] Understanding Anal Warts: Symptoms, Treatment, and Recovery Insights
Understanding Lower Abdominal and Anal Pain: Causes and Concerns
Lower abdominal pain and anal pain? Hello doctor, I haven't had much bowel movement lately and I usually don't drink much water. Recently, my stomach has been making gurgling sounds, and when I do go, it's only a little bit, thin and soft. Now I have a lot of pain ...
Dr. Chen Jiaming Reply:
Based on your description, it seems more like a case of chronic constipation. To address chronic constipation, it's important to increase your daily water intake. Additionally, incorporating oil-rich nuts into your diet can be beneficial. As for fruits and vegetables, they h...[Read More] Understanding Lower Abdominal and Anal Pain: Causes and Concerns
Post-Hemorrhoid Surgery: Why Am I Experiencing Blood in Stool?
After hemorrhoid surgery, there may still be bleeding during bowel movements? I had hemorrhoid surgery on May 22, but in the past few days, I've been experiencing some constipation. When I exert myself a little, I notice bright red blood dripping, and it seems like quite a b...
Dr. Ke Fangxu Reply:
After surgery, the wound should be completely healed after more than a month. If there is still some bleeding, it may be due to mild hemorrhoidal bleeding. As long as there is no ongoing bleeding, it should not be a concern. During this period, it is advisable to avoid constipati...[Read More] Post-Hemorrhoid Surgery: Why Am I Experiencing Blood in Stool?
Dog Bite Concerns: What to Do After an Attack and Rabies Risks
Dog bite injury Yesterday, while I was visiting Taroko Gorge, I was suddenly bitten by a stranger's dog while walking on the road. The dog's owner immediately helped me disinfect the wound and assured me that his dog is healthy and up to date on vaccinations. He mention...
Dr. Li Zhonghuai Reply:
Hello! Generally, if you are bitten by a healthy pet dog, rabies vaccination is not required, but it is recommended if bitten by a stray dog. If the dog is domesticated, you can feel more at ease! However, dog bite wounds can be difficult to heal. Take care! Changhua Hospital car...[Read More] Dog Bite Concerns: What to Do After an Attack and Rabies Risks
Effective Ointments for Healing Forehead Injuries and Preventing Scars
Forehead contusion? I fainted on the street and injured my forehead, requiring five stitches. After the stitches were removed, the wound feels itchy. What ointment can I apply to speed up the healing process and prevent scarring?
Dr. Li Zhonghuai Reply:
Hello! After the wound has healed, apply a beauty patch for 1 to 2 weeks, then switch to a scar gel. When going out, be sure to use an umbrella to shield yourself from the sun to reduce pigmentation. If you are still dissatisfied with the scar, the only option is to consult a pla...[Read More] Effective Ointments for Healing Forehead Injuries and Preventing Scars
Accidentally Cutting a Hernia Scar: What You Need to Know
Accidentally cut an old scar from a hernia? Hello, Dr. Hsu: About 15 years ago, I underwent traditional sutured surgery for an indirect inguinal hernia on my right side. The surface was sutured with absorbable stitches, resulting in a scar approximately 10 cm long. The end of the...
Dr. Xu Kaixi Reply:
Hello: The abrasion on the surface of the scar after hernia surgery will not affect the previous hernia repair. It can be treated like a regular skin abrasion, and you can change the dressing daily. Thank you for your question.[Read More] Accidentally Cutting a Hernia Scar: What You Need to Know
Understanding Chin Injury Recovery: Addressing Swelling and Speech Issues
Jaw injury recovery issues? Hello Dr. Chou, I have a question I would like to ask you. I was in a car accident over three years ago and was pierced in the chin (about 1 cm below the lip) by a rebar, resulting in a laceration. I went to the emergency room, and the doctor sutured t...
Dr. Zhou Hongzhang Reply:
1. After an injury, there can sometimes be issues with scar tissue hardening. Blood clots typically get absorbed gradually within a few months post-injury. 2. If speech difficulties are solely due to a lump, then removing the lump may lead to improvement. 3. If the speech dif...[Read More] Understanding Chin Injury Recovery: Addressing Swelling and Speech Issues
Post-Surgery Chin Healing: Managing Fluid and Redness After Stitches
One week after the chin sutures were removed, there is still a small amount of fluid and slight redness? Hello Doctor, I had a car accident recently, resulting in a 3 cm laceration on the right lower corner of my chin (with six needle punctures above and below). The wound is some...
Dr. Zhou Hongzhang Reply:
1. Scar care should only begin once the wound has healed. 2. If there is still exudate, it indicates that the wound has not yet healed, and care should be based on wound management principles. 3. For scar care, silicone gel sheets or scar gels can be used.[Read More] Post-Surgery Chin Healing: Managing Fluid and Redness After Stitches
Understanding Post-Surgery Scar Issues After PPH Procedure for Hemorrhoids
Scar issues after hemorrhoid surgery? Hello Dr. Yu, I have a circumferential mixed hemorrhoid and underwent PPH (Procedure for Prolapse and Hemorrhoids) surgery at a reputable hospital over four months ago. Since then, I have been experiencing anal pain, swelling, and a sense of ...
Dr. Yu Mingchang Reply:
Hello: Scars after surgery may take up to 6 months to soften. Eating more fruits and vegetables is recommended. Changhua Hospital cares about you.[Read More] Understanding Post-Surgery Scar Issues After PPH Procedure for Hemorrhoids
Understanding Pre-Closure Colostomy: Key Considerations and Risks
Preoperative stoma closure Hello, Dr. Hsu. About a year ago, I underwent a temporary colostomy due to Fournier's gangrene, and I am now considering closure of the stoma. I would like to ask why a colonoscopy is necessary before closing the stoma. Initially, the debridement h...
Dr. Xu Kaixi Reply:
A colonoscopy is performed to ensure that there are no other conditions in the colon. Since your temporary stoma was due to necrotizing fasciitis of the soft tissue in the perineal area (also known as Fournier's gangrene) rather than a colonic pathology, the recovery of colo...[Read More] Understanding Pre-Closure Colostomy: Key Considerations and Risks