Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei Reply:
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
I don't know what's wrong with me? Hello Doctor, two months ago I experienced discomfort in my body (my heart sometimes races and beats irregularly, I have difficulty breathing, occasional diarrhea, occasional constipation, and a feeling of abdominal bloating. Sometimes...
Dr. Chen Jiaming Reply:
You have described too many nonspecific symptoms, making it difficult to provide a clear direction for diagnosis and treatment (it's not just a single organ issue). However, "staying up late" itself can lead to various systemic disorders and changes in constitution...[Read More] Understanding Unexplained Symptoms: When to Seek Further Medical Evaluation
Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Regarding my father's pituitary tumor and related issues? Hello doctor, my father suddenly experienced severe headaches, high fever, and vomiting at the end of last month, which led to an emergency visit. It was discovered that he has a pituitary tumor. After a lumbar punctu...
Dr. Zhang Junwei Reply:
Although I would like to help you, your question is too complex, and without medical history and results from imaging studies such as CT scans, it is really difficult to provide an answer. I recommend scheduling an appointment with your father's attending physician to discus...[Read More] Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Understanding Changes in Bowel Habits: When to Seek Medical Attention
Change in bowel habits I am 20 years old, and my bowel movements used to be quite normal and smooth, as I would eat a lot and have a large stool volume. However, in the past few weeks, I have been experiencing some constipation, sometimes going 2 to 3 days without a bowel movemen...
Dr. Ke Fangxu Reply:
At the age of 20, the likelihood of developing colorectal cancer can be considered negligible. Based on your description, it does not seem to indicate any issues. I recommend starting with a light diet and maintaining a good lifestyle routine. It is advisable to avoid spicy, irri...[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Attention
Managing Frequent Bowel Urges and Mood Swings Before Surgery
Frequent urge to defecate and feelings of depression? Dr. Ke: Hello, I have surgery scheduled for mid-May for stage IV hemorrhoids, but recently I've been experiencing frequent anal moisture and a constant urge to have a bowel movement (multiple times a day), which is quite ...
Dr. Ke Fangxu Reply:
Answer: Taking warm sitz baths along with topical ointments should be helpful. Since a colonoscopy has already been performed, the possibility of malignant tumors can be ruled out. For frequent bowel movements, increasing dietary fiber intake or taking fiber supplements may be be...[Read More] Managing Frequent Bowel Urges and Mood Swings Before Surgery
Understanding Frequent Urges to Defecate: Insights from a Surgical Perspective
Frequent urge to defecate? Dr. Ke: I am Ms. Hou. I apologize for interrupting, but I would like to add that I underwent a colonoscopy at Taichung Veterans General Hospital on March 11, and everything was normal.
Dr. Ke Fangxu Reply:
Answer: Taking warm sitz baths more frequently along with topical ointments should be helpful. Since a colonoscopy has already been performed, the possibility of malignant tumors can be ruled out. For frequent bowel movements, increasing dietary fiber intake or taking fiber suppl...[Read More] Understanding Frequent Urges to Defecate: Insights from a Surgical Perspective
Post-Surgery Concerns: Managing Breast Lump Removal and Healing
Postoperative Issues Related to Breast Masses Hello Doctor, I underwent a breast tumor excision surgery last October, and the biopsy revealed it was a phyllodes tumor. During my postoperative follow-up, the doctor told me that I could wash the area and not to remove the adhesive,...
Dr. Li Zhonghuai Reply:
Hello, the phyllodes tumor requires close monitoring. The area where the mass was located still feels hard. It is recommended to return for a follow-up as soon as possible. After surgery, there will be swelling for a period of time, but it has been five months; how has the situat...[Read More] Post-Surgery Concerns: Managing Breast Lump Removal and Healing
Understanding Anal Tumors: Symptoms, Causes, and Treatment Options
Anal sarcoma? A growth has developed at the anal opening, which is not painful but causes itching and discharge of pus. The pus has gradually decreased, and there is a whitish appearance around the anal area.
Dr. Xu Kaixi Reply:
Based on your description, it seems more like a perianal skin cyst (subcutaneous cyst). To confirm, I recommend that you visit a surgical outpatient clinic for an examination.[Read More] Understanding Anal Tumors: Symptoms, Causes, and Treatment Options
Concerns About Polyps and Tumors in My 11-Year-Old Daughter
A young girl has developed polyps/tumors in the rectum? My daughter is 11 years old and has had small fibromas/polyps in her nasal passages since she was about 2 years old, with 2 to 3 of them present, one of which is larger, approximately 1 cm in size. Several years ago, we had ...
Dr. Chen Jiaming Reply:
Skin tags, which are benign growths, generally do not require excessive concern if they do not continue to change or grow, causing cosmetic or other issues. Moreover, since the child is young, it is advisable to wait until she is older to make her own decision regarding surgical ...[Read More] Concerns About Polyps and Tumors in My 11-Year-Old Daughter
Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-operative care for brain tumor surgery? My father had surgery last May, and since then he has been experiencing severe diabetes insipidus (drinking nearly 10,000 cc of water daily). However, he also has heart failure, with blood pressure typically ranging from 180 to 200 mmH...
Dr. Zhang Junwei Reply:
If you have so many issues, I recommend visiting a hospital's integrative medicine department or a family medicine clinic. They will address your conditions comprehensively, rather than treating each symptom in isolation.[Read More] Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Managing Rectovaginal Fistulas in Stage III Cervical Cancer Patients
Cervical cancer stage III B with rectovaginal fistula? My mother is currently in stage III cervical cancer and has developed a rectovaginal fistula, which has led to the creation of a colostomy. However, the doctor did not mention how to manage the fistula moving forward. Is surg...
Dr. Xu Kaixi Reply:
The rectovaginal fistula caused by cervical cancer has undergone colostomy. The subsequent treatment plan will depend on the extent of tumor involvement and should be discussed with your treating physician.[Read More] Managing Rectovaginal Fistulas in Stage III Cervical Cancer Patients
Managing Lip Wounds: Care Tips and Treatment Options for Healing
Lip wound Dear Dr. Chen, A few days ago, my father had a small tumor on his lower lip removed by a dermatologist, resulting in a wound measuring 0.5 x 0.3 cm (it wasn't this large initially). However, it became slightly red and swollen after possibly coming into contact wit...
Dr. Chen Jiaming Reply:
1. Lip wounds are difficult to bandage, but silver-containing compounds can inhibit bacteria, so they can be used! 2. Since the wound has white necrotic tissue, while artificial skin can absorb secretions or block external saliva, it is uncertain whether the internal wound will...[Read More] Managing Lip Wounds: Care Tips and Treatment Options for Healing
Understanding the Role of Radiation Therapy Before Rectal Surgery
Radiation Therapy and Surgery I have some questions for the doctor, but I am being admitted on Monday and scheduled for surgery on Tuesday, so there doesn't seem to be much time to ask. 1. I have come across information suggesting that for rectal cancer, radiation therapy ...
Dr. Ke Fangxu Reply:
1. For rectal cancer, administering radiation therapy before surgery can reduce the likelihood of metastasis and recurrence. Some patients may even find that their cancer cells have completely disappeared; however, it is still recommended to undergo a rectal resection to achieve ...[Read More] Understanding the Role of Radiation Therapy Before Rectal Surgery
Understanding Breast Changes in Men: What to Know After Ultrasound
An ultrasound examination has been performed, but there are still many concerns? First of all, I am male. Two weeks ago, I discovered a few hard lumps on the upper part of my left nipple that have elongated. Out of fear, I proactively underwent an ultrasound examination. The bloo...
Dr. Li Zhonghuai Reply:
Hello! "There are several hard lumps that have grown into elongated shapes." It can only be assessed in person; it's difficult to explain online! Young males often experience gynecomastia, while others mostly have skin-related conditions. Take care! Changhua Hospit...[Read More] Understanding Breast Changes in Men: What to Know After Ultrasound
Understanding Post-Surgery Hardness and Compression Garment Use
After the removal of a lipoma, the surgical area may feel firm to the touch? Hello Doctor: About a month ago, I underwent surgery to remove a lobular tumor from my right breast. I have been following the doctor's advice and performing massages. I have a few questions to ask ...
Dr. Tang Yuxiong Reply:
Hello, if you feel something hard upon touch, it is advisable to return for a follow-up with your physician to discuss and undergo further examination. Generally, after surgery, a compression garment is worn to apply pressure to the wound, which helps reduce bleeding and tissue f...[Read More] Understanding Post-Surgery Hardness and Compression Garment Use
Understanding Abnormal Stool: Causes of White and Yellow Mucus in Constipation
Feces and the anus? Hello doctor, I have the following condition: my stool contains white, thick substances, and I have issues with constipation. Sometimes, when I experience constipation, I use my fingers to dig, and I find yellow, thick substances. Occasionally, the yellow thic...
Dr. Ke Fangxu Reply:
The white, thick substance in the stool is often related to intestinal mucosa and mucus, commonly associated with constipation and prolonged bowel movements. However, this phenomenon can also occur with colorectal polyps or tumors. It is advisable to first address the constipatio...[Read More] Understanding Abnormal Stool: Causes of White and Yellow Mucus in Constipation
Understanding Back Masses: What Could That Lump Be?
Lumbar mass? Hello, a few days ago I bumped my lower back against something, and when I touched it, I found a round lump. It doesn't hurt much even when I press hard, and it seems to be on top of a nerve. What could this be? Is it a tumor...?
Dr. Chen Jiaming Reply:
Based solely on your description, it is not possible to determine what you have touched. It is recommended that you visit a clinic or hospital for a physical examination by a physician to obtain an accurate diagnosis.[Read More] Understanding Back Masses: What Could That Lump Be?
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 Rectal Bleeding: Causes and Concerns for Constipation Relief
Rectal bleeding Due to having a larger and longer intestine, I have always experienced issues with constipation. Recently, I started taking laxatives (Lactulose) to alleviate my constipation, taking them about three times a week. Initially, I took two pills, but now I need to tak...
Dr. Ke Fangxu Reply:
At the age of 17, the likelihood of developing colorectal cancer can be considered negligible. Based on your description, it seems more like mild hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and greasy foods...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Constipation Relief
Understanding Pink Water in Toilet: Causes and Concerns
When flushing the toilet, I noticed that the water in the bowl appeared pink? Hello doctor, I have noticed an increase in the frequency of flatulence this year. When I feel the urge to have a bowel movement, the frequency of passing gas seems to be higher. Recently, I occasionall...
Dr. Chen Jiaming Reply:
Changes in the frequency and volume of intestinal gas are related to the gas production status of the intestines, which is influenced by the composition of the diet and the gut microbiota. Additionally, the absence of visible red blood in the stool does not necessarily indicate t...[Read More] Understanding Pink Water in Toilet: Causes and Concerns