Is Surgery Necessary for 37-Degree Scoliosis? Exploring Treatment Options
Does scoliosis require surgery? Dear Director Hsieh, I was diagnosed with a 37-degree lumbar scoliosis at the orthopedic outpatient clinic. Although I currently do not have any discomfort, the physician has recommended surgery. I feel a bit scared and hesitant because it seems li...
Dr. Xie Bojun Reply:
Dear Zhu Zhu: Scoliosis does not necessarily require surgical correction, especially since you do not have any discomfort symptoms. What is the purpose of the surgery?[Read More] Is Surgery Necessary for 37-Degree Scoliosis? Exploring Treatment Options
Understanding Fractional Laser Treatment for Scar Improvement
Fractional laser Hello, Doctor. I previously underwent scar revision surgery on my face due to a burn injury. If I want to undergo fractional laser treatment to make the scar smoother, should I wait until the scar has turned white and matured before proceeding? The scar is curren...
Dr. Lu Daokuan Reply:
Laser treatment for scars primarily focuses on pigment reduction. There are many variables involved in treating facial scars with laser therapy, including tissue irregularities and fibrosis. Regular follow-up is reasonable, but frequent treatments may actually be harmful.[Read More] Understanding Fractional Laser Treatment for Scar Improvement
Challenges After Deep Anal Abscess Drainage: Healing and Complications
After the drainage of a deep anal abscess, issues that may arise following wound healing include: Hello Dr. Ke, First of all, thank you for taking the time to address my questions. Last September, I underwent surgery at Linkou Chang Gung Memorial Hospital for a large deep peria...
Dr. Ke Fangxu Reply:
1. The so-called fistulography involves injecting a contrast agent into the fistula and then taking images. If the pressure within the fistula is too high or if the rectal outlet is too narrow, it may indeed lead to a failure in imaging. 2. Based on your description, it is unfo...[Read More] Challenges After Deep Anal Abscess Drainage: Healing and Complications
Can Liposuction Be Used for Multiple Lipomas? Expert Insights
Liposuction for lipomas Hello, doctor. I have multiple lipomas, with about twenty of various sizes on my limbs. Some have grown quite large, and I am concerned that surgical removal will leave me with numerous scars. I have seen reports suggesting that liposuction can be used to ...
Dr. Lu Daokuan Reply:
Multiple lipomas are often associated with strong oxidative stress in the body, smoking, lack of sleep, insufficient vitamin intake, and individual constitution may all be contributing factors. Liposuction to remove lipomas is not technically unfeasible, but it may not be economi...[Read More] Can Liposuction Be Used for Multiple Lipomas? Expert Insights
Understanding Black Stool: When to Seek Medical Attention
After having a bowel movement, the water appears to be a dark color? Today I had three bowel movements. The first two were loose stools, but the third one really scared me. When I got up and looked in the toilet, the water was completely black, and there were dark green stools in...
Dr. Ke Fangxu Reply:
If you have already undergone both gastroscopy and colonoscopy, there is likely not much to worry about. Abnormal stool patterns are often related to diet; if you have consumed darker or more irritating foods in the past few days, this could reflect in your stool. Additionally, s...[Read More] Understanding Black Stool: When to Seek Medical Attention
Understanding Post-Injury Swelling and Scar Healing in the Foot
The wound has scabbed over and left a scar, and there is still some slight swelling? About a month ago, I fell while riding a bike, and I have a scrape on the dorsum of my right foot that is approximately 5 centimeters long (starting 4 centimeters behind the big toe). The scab fe...
Dr. Zhang Jinlong Reply:
Hello: (1) The injury and swelling of the right big toe may affect the bending of the big toe, indicating that it has not fully healed. (2) The area of numbness on the left side of the wound may be due to damage to the epidermal nerves in the skin at the time of injury. (3) As fo...[Read More] Understanding Post-Injury Swelling and Scar Healing in the Foot
Understanding Pulsating Facial Vessels: Causes, Treatments, and Concerns
Pulsatile vascular point on the face? 1. Hello, doctor: About 2.5 cm from my mouth, a slight protrusion suddenly appeared 3 to 5 months ago. I thought it was a pimple or comedo, so I ignored it. However, two weeks ago, it suddenly started pulsating, measuring approximately 1 cm x...
Dr. Lu Daokuan Reply:
In adults, a pulsatile mass should be classified as a vascular malformation (a type of hemangioma). Sclerotherapy is generally not recommended, as the one-year recurrence rate can be as high as 50%. Additionally, sclerotherapy can result in the formation of a hard lump. Surgery (...[Read More] Understanding Pulsating Facial Vessels: Causes, Treatments, and Concerns
Post-Surgery Concerns: Persistent Discharge After Anal Canal Surgery
Post-operative discharge after anal and rectal surgery? Hello Doctor, I underwent an anal fistula and drainage tube removal surgery at Taitung Hospital on March 27, 2013. The doctor opted for a non-sutured natural healing method, so I followed the doctor's instructions to wa...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the wound from anal fistula surgery typically takes about one month to heal completely, and the scar tissue should soften within three months, at which point you should no longer feel any hard tissue. However, a small percentage of patients ma...[Read More] Post-Surgery Concerns: Persistent Discharge After Anal Canal Surgery
Post-Surgery Concerns: Yellow Discharge from Belly Button After Showering
Postoperative complications I would like to ask the doctor, during my hospitalization, everything was normal. After being discharged for 4 days, I visited the outpatient clinic and the doctor said it was okay to shower and get the area wet. After I showered, I noticed that the sc...
Dr. Zai Yunsheng Reply:
Dear Sir/Madam: You may have a wound infection. Please return to the hospital where you had the surgery for evaluation. Thank you.[Read More] Post-Surgery Concerns: Yellow Discharge from Belly Button After Showering
Understanding Bumps Near the Buttocks: Causes and Treatment Options
There is a growth next to the buttocks? I'm sorry, doctor. I would like to ask a question. About two days ago, I developed a pimple on my buttocks. After that, I started to scratch it, and it became swollen. The next day, I noticed that it hurt whenever I sat down and presse...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be an infection of the skin tissue, but it is necessary to conduct a physical examination to determine the exact type. However, it is confirmed that cellulitis has already developed. I recommend that you visit a surgical department at a hosp...[Read More] Understanding Bumps Near the Buttocks: Causes and Treatment Options
Effective Wound Care Tips for Finger Cuts: Pain Relief and Healing
I would like to ask about wound care issues (lacerations)? Recently, I accidentally cut a small deep wound on my finger. I went to the hospital for suturing. The wound is about the width of my finger, but since it’s on my finger, it’s very inconvenient and tends to hurt. Here are...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Department of Surgery, Tainan Hospital, Ministry of Health and Welfare: 1. Avoid touching the wound area as much as possible to reduce pain. If the pain is severe, pain relief medication may be taken. 2. A balanced diet is sufficient; there is no need...[Read More] Effective Wound Care Tips for Finger Cuts: Pain Relief and Healing
Understanding Philtrum Surgery: Risks, Scarring, and Solutions
Philtrum issues Previously, my philtrum was not very long. After pouting my lips twice, my philtrum became longer. I want to shorten my philtrum. Will there be any scarring?
Dr. Lu Daokuan Reply:
The philtrum area is prone to scarring, and surgery is not recommended.[Read More] Understanding Philtrum Surgery: Risks, Scarring, and Solutions
Blood After Bowel Movements: Causes and Concerns Explained
There is fresh blood when wiping after a bowel movement? Hello Doctor: I have been experiencing fresh blood on the toilet paper after bowel movements for four consecutive days. The amount is not significant; usually, there is more blood the first time I wipe, and then none afterw...
Dr. Yu Mingchang Reply:
Hello^^ I recommend that you visit a colorectal specialist for a sigmoidoscopy to check for any internal hemorrhoids or anal fissures. Thank you!![Read More] Blood After Bowel Movements: Causes and Concerns Explained
Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Anal issues Hello, Dr. Ke. I discovered I had two internal hemorrhoids and one external hemorrhoid during an examination at a nearby clinic around July or August of this year. Initially, I underwent a ligation procedure for the two internal hemorrhoids, while the external hemorrh...
Dr. Ke Fangxu Reply:
A burning sensation is not necessarily caused by hemorrhoids resulting from treatment; the hemorrhoids themselves can also lead to abnormal sensations in the anal area. However, this does not pose a threat to life. It is recommended to use topical ointments for treatment. If it c...[Read More] Understanding Anal Issues: Causes of Pain, Discomfort, and Treatment Options
Post-Surgery Scar Bleeding: Is It Normal After Colonic Perforation Repair?
A small amount of oozing from the scar left after intestinal perforation surgery? Hello: When I was 5 years old, I had a persistent high fever and underwent surgery for a perforated sigmoid colon at Chang Gung Memorial Hospital. The healed scar resembles a straight line about 13 ...
Dr. Yu Mingchang Reply:
Hello, you may need to follow up on the wound condition at the surgical outpatient clinic. Thank you![Read More] Post-Surgery Scar Bleeding: Is It Normal After Colonic Perforation Repair?
Effective Treatments for Skull Base Pseudotumors: Chemotherapy, Surgery, and More
Chemotherapy, augmented with surgery? How should a physician treat a pseudotumor at the skull base, which is characterized by fibrosis (also known as scarring), in order to achieve healing? Is chemotherapy, radiation therapy, or surgery recommended? Thank you!
Dr. Xie Bojun Reply:
Hello, WANG~ Currently, our hospital does not offer chemotherapy combined with surgical procedures. We recommend that you consult with other medical centers. Thank you.[Read More] Effective Treatments for Skull Base Pseudotumors: Chemotherapy, Surgery, and More
Understanding Chronic Pain After Old Trauma: When to Seek Help
Trauma-related pain from years ago? Hello, doctor! I would like to ask a question. Several years ago, my arm was deeply bitten by a dog, approximately 3 centimeters deep. The wound healed, but now I occasionally experience sharp pain for about 10 seconds before it returns to norm...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Surgery Department at Tainan Hospital, Department of Health, Executive Yuan: We recommend that you visit the surgical outpatient clinic for further examination. Wishing you good health and safety from the Surgery Department at Tainan Hospital, Departme...[Read More] Understanding Chronic Pain After Old Trauma: When to Seek Help
Understanding Unformed Stool: Causes, Concerns, and Treatment Options
Loose stools? Hello Doctor: For the past month, my bowel movements have been soft and unformed, occurring two to four times a day. I feel anxious just thinking about it, and whenever I get anxious, I have the urge to go, but there is no abdominal pain—just the urge. Occasionally,...
Dr. Ke Fangxu Reply:
Loose stools combined with irregular bowel movements are typical symptoms of Irritable Bowel Syndrome (IBS), also known as Irritable Bowel Disorder. Reducing fat intake and increasing dietary fiber can help improve symptoms. If these measures are ineffective, medications are avai...[Read More] Understanding Unformed Stool: Causes, Concerns, and Treatment Options
Post-Surgery Complications: Managing Scar Tissue and Coughing Issues
Post-operative issues Hello Doctor: About five or six years ago, I underwent two surgeries to remove my thyroid completely. The surgeries were done using laser techniques. After the procedure, the doctor advised me to use medical-grade adhesive bandages, but I forgot the specific...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Tainan Hospital, Department of Surgery, Executive Yuan Health Department: Hello, there are many causes of cough, with common ones including upper respiratory infections (colds). If there is a suspicion of nodules in the throat, a laryngoscopy is neces...[Read More] Post-Surgery Complications: Managing Scar Tissue and Coughing Issues
Severe Pain and Bleeding During Bowel Movements: What to Know
Painful bowel movements with significant blood loss? Hello, doctor. Previously, I experienced some pain during bowel movements and noticed a small amount of blood when wiping. At that time, I thought it was due to dehydration causing hard stools. However, recently, the pain durin...
Dr. Ke Fangxu Reply:
At the age of 22, the likelihood of cancer is relatively low. Based on your description, it seems more like an anal fissure, which is often caused by constipation and can sometimes be accompanied by hemorrhoidal bleeding, which may result in a larger volume of blood. I recommend ...[Read More] Severe Pain and Bleeding During Bowel Movements: What to Know