Understanding Lumps in the Armpit: Causes, Diagnosis, and Treatment
There is a hard lump in the armpit? Hello Dr. Chen, I discovered a hard lump in my left armpit in early April of this year while touching it accidentally (it appears as a horizontal strip along the fold of the armpit). I can only feel it when I raise my arm; there are no abnorma...
Dr. Chen Bingze Reply:
Hello, if you have seen a breast surgeon and had an ultrasound, you can feel more reassured because if there are abnormal lymph nodes in the armpit, the ultrasound can detect them. If everything is safe, it is certainly reasonable to follow up with mammograms every three months f...[Read More] Understanding Lumps in the Armpit: Causes, Diagnosis, and Treatment
Understanding Raised Scars: When to Seek Dermatological Advice
The wound is slightly raised? At the end of April this year, I had a minor car accident that resulted in a scar on my wrist joint. Immediately after the accident, I went to the hospital and received treatment, including dressing changes. Eventually, the wound care nurse advised m...
Dr. Chen Bingze Reply:
Hello, it is normal for a wound to appear dark after healing because post-inflammatory hyperpigmentation can occur. Over time, it should become lighter. If there are raised areas, it could be keloids, and it would be advisable to consult a dermatologist.[Read More] Understanding Raised Scars: When to Seek Dermatological Advice
Can You Swim in the Ocean with Suspected Anal Fissures?
If you suspect you have an anal fissure, it is generally advisable to avoid swimming in seawater until the condition improves. Saltwater can irritate the sensitive tissue and may exacerbate discomfort or delay healing. It's best to consult with a healthcare professional for ...
Dr. Xu Kaixi Reply:
Based on your description, it is likely that you have a hemorrhoid with a possible skin tear. Unless there is significant pain or persistent bleeding, theoretically, it should not affect water activities.[Read More] Can You Swim in the Ocean with Suspected Anal Fissures?
Post-Surgery Care for Anal Fistula: Healing Tips and Exercise Guidelines
Post-anal fistula surgery Dear Dr. Chang, I hope this message finds you well. It has been a month since my fistula excision surgery, and during my follow-up visit the day before yesterday, the doctor mentioned that my recovery is progressing well and that I no longer need to ret...
Dr. Zhang Shuhao Reply:
1. If there is still exudate from the wound, it indicates that it has not fully healed. You can clean it normally, pat it dry, and apply a small amount of ointment. Maintain this until the wound is completely dry. 2. You can engage in activities, but you should avoid prolonged ...[Read More] Post-Surgery Care for Anal Fistula: Healing Tips and Exercise Guidelines
Understanding Post-Laser Tattoo Removal: Swelling vs. Cellulitis
Laser tattoo removal on a large area can lead to subcutaneous edema, and there is concern about the possibility of cellulitis? Hello doctor, I underwent laser tattoo removal on my chest and arm. The tattoo area is quite large, so the laser treatment covered a significant area. Af...
Dr. Chen Bingze Reply:
Hello, this sounds less like cellulitis. If it were cellulitis, there would typically be widespread redness, swelling, heat, and pain. However, if you are still concerned, I recommend seeing a doctor for an evaluation.[Read More] Understanding Post-Laser Tattoo Removal: Swelling vs. Cellulitis
Post-Dog Bite Wound Care: When to Seek Further Medical Attention
Post-treatment for dog bite wounds? Last Thursday, on my way to work, I was bitten by a dog that was being kept by a resident. About an hour later, I received a tetanus shot and was prescribed antibiotics. However, by yesterday, Tuesday, the wound was still oozing some red-yellow...
Dr. Chen Bingze Reply:
Hello, it is normal for there to be a yellow fluid exudate from the skin and underlying soft tissue defects caused by a dog bite. Please continue to monitor the wound for any signs of redness or swelling. If there are none, continue taking the antibiotics. When changing the dress...[Read More] Post-Dog Bite Wound Care: When to Seek Further Medical Attention
Recurring Pimples in the Anal Area: Causes and Treatment Options
Pimples on the anal area? Between April and July, I repeatedly developed acne in the same area. At the end of April, I visited a large hospital where the doctor diagnosed it as a furuncle. Prior to the visit, I had accidentally bumped into it, causing it to rupture and scab over....
Dr. Ke Fangxu Reply:
This appears to be an anal fistula, but a digital examination is necessary for confirmation. It is advisable to consult a colorectal specialist for evaluation, and if needed, surgery should be performed as soon as possible.[Read More] Recurring Pimples in the Anal Area: Causes and Treatment Options
Understanding Lateral Lumbar Swelling in Children: When to Seek Help
My son has a lateral protrusion in his lumbar spine that feels like fluid-filled tissue when pressed? My son has a lateral protrusion in the lumbar region that feels like fluid upon palpation, and the skin is reddened. What could be the possible conditions? I have taken photos, b...
Dr. Zhang Junwei Reply:
Spine surgery or neurosurgery.[Read More] Understanding Lateral Lumbar Swelling in Children: When to Seek Help
Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Liposarcoma-related issues? I previously discovered that I have lipomas. After asking my family, my father mentioned that he also has them, suggesting a hereditary factor. At that time, I found four lipomas: one in the lower right abdomen, one on my back near the spine, and two o...
Dr. Chen Bingze Reply:
Hello, it sounds like there is a high likelihood of a lipoma. Lipomas are generally benign and rarely become malignant. You can monitor it for any changes in size, and if it increases, you may consider surgical removal. Additionally, the lipoma is not related to your loose stools...[Read More] Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Understanding Gastrostomy Challenges: Common Issues and Solutions
Gastrostomy complications Dear Dr. Chang, I humbly seek your advice regarding some issues I've been experiencing since I had a gastrostomy tube placed two years ago due to my inability to swallow. I have several questions: 1. After each feeding, about 20 minutes later, mil...
Dr. Zhang Shuhao Reply:
Replying to the physician: General Surgery Dr. Chen Rong-Hong. Hello Jelly, since the gastrostomy is part of the upper gastrointestinal tract, I will respond on behalf of Dr. Chang Shu-Hao. 1. First, after feeding, you should flush any residual milk into the stomach with clear ...[Read More] Understanding Gastrostomy Challenges: Common Issues and Solutions
Managing Scabs and Scarring After Surgical Wound Healing
The wound has scarred and formed a scab? Hello, doctor. It has been almost 1.5 months since I underwent excision and suturing of a pilonidal sinus. After the surgical wound scabbed over, I have been using a non-adhesive dressing for nearly 3 weeks, changing it once a week. Yester...
Dr. Zhang Shuhao Reply:
If the wound is dry with no drainage or bleeding, you can choose not to apply adhesive tape and observe it for two to three days. After simple disinfection, there is no need to apply ointment. If the wound remains free of redness, swelling, or drainage, you can continue using the...[Read More] Managing Scabs and Scarring After Surgical Wound Healing
Understanding Breast Pain: When to Seek Further Medical Evaluation
Breast examination Hello, doctor. I am #183440. Thank you very much for your patient and detailed response. I apologize for asking again, but the day after my inquiry, the tenderness suddenly disappeared (I wonder if it is related to the end of my menstrual period). The discharge...
Dr. Chen Ronghong Reply:
If you don't have a fever or tenderness, the likelihood of mastitis is lower. If the discharge is clear, transparent, and light yellow, you can observe it for a while. However, if the discharge persists, it is still advisable to schedule a breast ultrasound for peace of mind...[Read More] Understanding Breast Pain: When to Seek Further Medical Evaluation
Recovery Tips for Sacral Pressure Injuries After Surgery
Contusion issues Hello Doctor, due to a previous severe injury and subsequent surgery, I experienced significant pain and was unable to care for myself, which led to a pressure sore on my coccyx. During my hospitalization, the necrotic tissue was surgically removed, and now it is...
Dr. Lu Daokuan Reply:
Pressure ulcers occur due to prolonged pressure on the same position, leading to insufficient blood flow and tissue necrosis. After debridement, there may be a significant loss of tissue. Typically, as the wound heals, the indentation will gradually decrease, theoretically by abo...[Read More] Recovery Tips for Sacral Pressure Injuries After Surgery
Understanding Anal Papillae: Common Questions and Concerns Explained
Please provide the content you would like me to translate into English? Dear Dr. Chang, Thank you very much for your responses and guidance regarding inquiries #183646, #183613, and #183580. I apologize for bothering you again with further questions, as there is very little info...
Dr. Zhang Shuhao Reply:
The anal papillomas that protrude during bowel movements are mostly caused by internal hemorrhoids. Based on your description, it aligns with the symptoms of internal hemorrhoids. You can visit a clinic for a digital rectal examination or an anoscopy to obtain a definitive diagno...[Read More] Understanding Anal Papillae: Common Questions and Concerns Explained
Understanding Rectal Bleeding: Causes, Symptoms, and When to See a Doctor
Rectal bleeding? Around March, I developed an anal fissure due to hard stools, which led to the formation of a skin tag at the anal opening. The doctor mentioned that the fissure caused the hemorrhoids to become more pronounced. I experienced significant pain and bleeding after b...
Dr. Yu Mingchang Reply:
Hello: The issue is not significant; just wait for the colonoscopy.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and When to See a Doctor
Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Recurrent fever after surgery for ampullary cancer? Hello Dr. Chen, my mother is 75 years old. She was diagnosed with ampullary cancer at the end of May and underwent laparoscopic pancreaticoduodenectomy on June 9, during which the tumor was removed. The pathology report indicate...
Dr. Chen Ronghong Reply:
Hello, Ms. Lin. After pancreatic surgery, fever is most commonly associated with anastomotic leakage, as well as pneumonia, urinary tract infections, and bloodstream infections. I believe your mother's doctor has considered these possibilities, especially since you mentioned...[Read More] Post-Surgery Fever in Pancreatic Cancer: Causes and Concerns
Understanding the Differences Between Internal Hemorrhoids and Anal Papilla Hypertrophy
Inquiry Consultation Dear Dr. Chang, In recent years, I have noticed that occasionally when I exert myself during bowel movements, a piece of tissue protrudes from my anus; after I finish, it retracts back inside. After researching online, I initially thought it was stage II int...
Dr. Zhang Shuhao Reply:
1. The difference between internal hemorrhoids and anal papillae lies in the fact that hemorrhoids contain a rich supply of blood vessels, which can enlarge due to poor blood circulation or inflammatory stimuli. Anal papillae are proliferations of skin and soft tissue that usuall...[Read More] Understanding the Differences Between Internal Hemorrhoids and Anal Papilla Hypertrophy
Managing Thigh Chafing: Treatment for Skin Irritation and Wound Care
Inner thigh chafing? Last week, I had friction on the inner thigh that caused a skin abrasion. The surface of the wound has a layer of light yellow skin, and the area around the wound is red and itchy. After applying a topical ointment, there is yellow discharge on the gauze. Sho...
Dr. Peng Xianwen Reply:
Based on your description, it is recommended to visit the outpatient clinic for evaluation and treatment. Director Peng Hsien-Wen, General Surgery, Nantou Hospital.[Read More] Managing Thigh Chafing: Treatment for Skin Irritation and Wound Care
Could You Be Pregnant? Understanding Risks and Symptoms
Are you pregnant? Hello doctor, I would like to ask if on May 14th and June 1st, I had intimate touching and genital rubbing with my girlfriend (without using a condom) and ejaculated (on her stomach or hand) without penetration. After each ejaculation, I cleaned up with tissue a...
Dr. Tang Yuxiong Reply:
Hello, I would like to consult with an obstetrician-gynecologist.[Read More] Could You Be Pregnant? Understanding Risks and Symptoms
Post-Hemorrhoid Surgery: Concerns About Protruding Anus Explained
Prolapse of the anus after hemorrhoid surgery? Hello doctor, I had hemorrhoid surgery in mid-May. Although the doctor said the wound is healing well during my follow-up visit, I am still concerned about a part of my anus that is particularly protruding (especially after bowel mov...
Dr. Zhang Shuhao Reply:
The appearance of protrusion after hemorrhoid surgery can be attributed to several reasons. 1. It is possible that the swelling has not completely subsided; continuing sitz baths may help reduce it over time. 2. During the healing process, skin tags may form as a natural result o...[Read More] Post-Hemorrhoid Surgery: Concerns About Protruding Anus Explained