Understanding Painful Anal Masses: Causes and When to Seek Help
External anal mass Hello Doctor, recently I have noticed a swollen hard lump on the left posterior side of my anus. I can clearly feel it when I press on the inner layer of the skin, and it is painful to touch. I also feel pain while sitting, and there is an itching sensation aro...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delaying treatment, which could lead to worsening of...[Read More] Understanding Painful Anal Masses: Causes and When to Seek Help
Understanding Soft Finger Lumps and Unusual Skin Spots: When to Seek Help
There are lumps on the fingers and skin lesions resembling pimples on the abdomen? 1. Recently, I noticed a lump on my father's right finger. He mentioned that it doesn't hurt, and it feels soft to the touch. Which specialty should we consult for this situation? 2. Rec...
Dr. Ke Fangxu Reply:
1. Skin lumps can have many possibilities; if there is no discomfort or significant change, they are mostly benign tumors. If removal is desired, you can consult a general surgeon for assistance. 2. If it is your father, it is likely to be age spots; if it is yourself, it may b...[Read More] Understanding Soft Finger Lumps and Unusual Skin Spots: When to Seek Help
Understanding Biopsy Results After Colonoscopy and Endoscopy
After colonoscopy and gastroscopy Hello, if the reports after a colonoscopy and gastroscopy show no abnormalities, does that mean the biopsy results are unlikely to reveal significant pathology?
Dr. Ke Fangxu Reply:
If there are no abnormalities, why is a biopsy necessary? Is the biopsy taken from a polyp, tumor, ulcer, or for a Helicobacter pylori test? Please clarify these questions with your physician, as an online consultation may not be able to provide detailed explanations.[Read More] Understanding Biopsy Results After Colonoscopy and Endoscopy
Understanding Urgency with Heaviness in Surgical Contexts
urgency with a feeling of incomplete evacuation Thank you for the doctor's previous response. I would like to ask about the medical condition known as "urgency with a feeling of incomplete evacuation." What are the detailed circumstances surrounding this condition?...
Dr. Ke Fangxu Reply:
The term "tenesmus" refers to the persistent feeling of needing to have a bowel movement, often accompanied by little or no stool being passed. This condition is typically caused by rectal tumors or mucosal prolapse. In younger individuals, it is often just a sensitivit...[Read More] Understanding Urgency with Heaviness in Surgical Contexts
Understanding Urgency with Heaviness in Surgical Contexts: Key Insights
urgency with a feeling of incomplete evacuation Thank you for the doctor's previous response. I would like to ask about the medical condition known as "urgency with incomplete evacuation." What are the detailed circumstances surrounding this condition? I often feel...
Dr. Ke Fangxu Reply:
The term "tenesmus" refers to the persistent feeling of needing to have a bowel movement, despite little or no stool being passed. This condition is often caused by rectal tumors or mucosal prolapse. In younger individuals, it is usually just a sensitivity issue. If one...[Read More] Understanding Urgency with Heaviness in Surgical Contexts: Key Insights
Understanding Painful Lumps: What Could This Spine Growth Be?
The lump is painful? Yesterday, I discovered a hard lump approximately 1 to 2 centimeters to the right side of my spine, measuring about 1.5 centimeters in length. It is painful when pressed, but I do not feel any discomfort when it is not touched. This lump has been present for ...
Dr. Chen Jiaming Reply:
I sincerely apologize, but an online consultation cannot provide a further diagnosis based solely on your description, as it is difficult to determine whether there are visible skin lesions or a subcutaneous tumor. I recommend asking a family member or friend for assistance in co...[Read More] Understanding Painful Lumps: What Could This Spine Growth Be?
Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Computed Tomography (CT) scan of the brain? Hello, doctor. I underwent a decompression surgery for left-sided facial spasms at the end of 2016. At that time, the physician informed me that the surgical method involved creating an opening in the left posterior part of the brain an...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally, it is unlikely. 2. It depends on the actual imaging. 3. An MRI of the cervical spine should be performed to assess whether the symptoms are caused by cervical nerve compression. 4. Cerebral calcifications can be classified into physiological and pathological ...[Read More] Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Spinal Tumor Surgery in Children: Risks and Post-Operative Considerations
Spinal tumor surgery and subsequent issues with hardware (screws)? Hello Doctor, my child is currently 5 years and 7 months old. A spinal tumor was detected at birth, and initially, we were just monitoring it regularly. During this time, we learned that the tumor had grown into t...
Dr. Zhang Junwei Reply:
Since the child is only 5 years old and there is no detailed medical history, this issue is too specialized and complex, falling under the scope of pediatric neurosurgery. It is recommended to consult a physician in an outpatient setting.[Read More] Spinal Tumor Surgery in Children: Risks and Post-Operative Considerations
Managing Colon Tumors in Elderly Patients with Parkinson's Disease
Colorectal tumor + Parkinson's disease + elderly age Dear Dr. Ke, My mother is 83 years old and has a history of Parkinson's disease for about 20 years. She has lost her ability to move independently and requires assistance with feeding (not via a nasogastric tube). Re...
Dr. Ke Fangxu Reply:
The issue of colorectal tumors is quite complicated because if surgery is not performed, it can lead to bowel obstruction, resulting in an inability to eat. Of course, if the patient is elderly and has underlying health issues, the physician should understand the decision not to ...[Read More] Managing Colon Tumors in Elderly Patients with Parkinson's Disease
Understanding Facial Nerve Disorders: Treatment Options and Insights
Facial nerve spasms? Hello, doctor... I have been experiencing facial nerve issues for over six years. I previously consulted traditional Chinese medicine, but my mouth continues to twitch and hasn't fully recovered. Is it really impossible to treat? Would switching to a pla...
Dr. Lai Zhaokang Reply:
Hello: 1. Your symptoms are likely indicative of facial nerve spasms. It is recommended to consult a senior neurosurgeon at a medical center. 2. Common causes include compression of the facial nerve in the brain by nearby blood vessels, leading to abnormal electrical short-circui...[Read More] Understanding Facial Nerve Disorders: Treatment Options and Insights
Understanding Neurofibromas and Lipomas: Surgical Risks and Health Tips
Lipoma or neurofibroma Hello, doctor. I was diagnosed with neurofibromatosis in my childhood, and I have multiple café-au-lait spots and various sizes of tumors on my body, including lipomas and fibromas. I have also undergone surgery to remove some tumors. Recently, I read an ar...
Dr. Li Zhonghuai Reply:
Hello! Your situation with tumors seems to be ongoing, and it is recommended to address any symptomatic ones or those that are rapidly increasing in size. A full health check-up is not necessary at your age, but if you have insurance, you may consider doing it. There is no need t...[Read More] Understanding Neurofibromas and Lipomas: Surgical Risks and Health Tips
Scalp Bumps and Unexplained Weight Loss: What to Do Next?
Scalp nodules and weight loss? Hello Doctor: Recently, I have been experiencing an itchy scalp for unknown reasons, and at night, it even becomes painful enough to prevent me from sleeping. I also have small red spots on my neck that are itchy. After seeing a doctor, I was told i...
Dr. Li Zhonghuai Reply:
Hello! If you are experiencing unexplained weight loss, it is recommended to see a hematologist-oncologist to rule out any tumor-related issues. Take care! Changhua Hospital is concerned about you![Read More] Scalp Bumps and Unexplained Weight Loss: What to Do Next?
Sudden Sharp Pain in Right Breast: What Could It Mean?
Sudden sharp pain in the right breast? Hello doctor, this morning I woke up with a sudden sharp pain in my right breast (below the nipple). I would like to know if this is normal. My period is due in 4.5 days, and I usually experience breast tenderness before my period. Recently,...
Dr. Li Zhonghuai Reply:
Hello! There are many causes of breast pain, and often the exact reason cannot be identified. Generally, after ruling out tumors, the focus is on symptomatic treatment. You had a breast ultrasound at the beginning of the month, which has essentially ruled out any tumor issues. Pa...[Read More] Sudden Sharp Pain in Right Breast: What Could It Mean?
Understanding Hemorrhoids: Symptoms, Causes, and Concerns
Hemorrhoids? Or something undesirable? Hello Doctor, I have some questions I would like to ask: 1. Recently, I suddenly recalled an instance when I noticed my stool appeared red from a distance, but upon closer inspection, it was brown. However, I cannot deny that there was like...
Dr. Ke Fangxu Reply:
1. At the age of 4.17 years, the likelihood of developing colorectal cancer can be considered negligible. Judging the cause of bleeding based on its appearance to determine whether it is hemorrhoidal or colorectal cancer bleeding is inaccurate. Your condition is likely due to hem...[Read More] Understanding Hemorrhoids: Symptoms, Causes, and Concerns
Understanding Blood in Stool: Is It Hemorrhoids or Inflammatory Bowel Disease?
Loose stools mixed with blood? Last February, I had a colonoscopy due to blood in my stool. The results indicated non-specific colitis, and after taking medication for a week, I was told I was fine and did not undergo further testing. During this time, I have visited the doctor m...
Dr. Xu Kaixi Reply:
The presence of blood in the stool is an abnormal symptom that can range from common hemorrhoids to other serious gastrointestinal diseases. Since you had a colonoscopy last year, the possibility of a tumor can be initially ruled out. As for whether it is due to inflammatory bowe...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Inflammatory Bowel Disease?
Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Submucosal tumor of the appendix? Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed and no removal was done because the doctor believed that the wall of the cecum was thinner, and re...
Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the procedure. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Submucosal tumor of the appendix Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed and no removal was done because the doctor believed that the wall of the cecum was thinner, and rem...
Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the procedure. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Submucosal tumor of the appendix? Doctor, I recently underwent a colonoscopy and a tumor approximately 2 cm in size was found in the cecum. At that time, only a biopsy was performed, and the tumor was not removed because the doctor believed that the wall of the cecum was too thin...
Dr. Yu Mingchang Reply:
Hello; it is possible to first perform an appendectomy and send the tissue for frozen section examination during the surgery. If acute appendicitis is confirmed, then a colectomy may be considered. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Appendiceal Submucosal Tumors: Surgical Approaches and Considerations
Post-Surgery Concerns: Understanding Subcutaneous Hard Lumps After Surgery
Subcutaneous lump after surgery? Due to a subcutaneous tumor in the thigh, surgery was performed on February 4th for excision. Afterward, during a follow-up appointment to discuss the pathology report, it was confirmed to be a nodular fasciitis measuring 2x1.2x0.9 cm. It has been...
Dr. Yu Mingchang Reply:
Hello: After the surgery, it is normal for the wound to be firmer, but it should soften after three months. Changhua Hospital cares about you.[Read More] Post-Surgery Concerns: Understanding Subcutaneous Hard Lumps After Surgery
Post-Surgery Concerns: Managing Wound Issues After Adenoma Removal
Questions about the wound after adenoma surgery? Hello, doctor. I apologize for the lengthy description, but I appreciate your help! About a month ago, I underwent surgery for a breast tumor (approximately 2 cm adenoma). The wound did not require stitches to be removed and was dr...
Dr. Yu Mingchang Reply:
Hello; when you have time, please return to the original hospital for an evaluation by your original surgeon. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Post-Surgery Concerns: Managing Wound Issues After Adenoma Removal