Can I Undergo Wisdom Tooth Extraction and Minimally Invasive Surgery with Low White Blood Cell Count?
Can a person with leukopenia undergo wisdom tooth extraction or minimally invasive surgery? Hello Dr. Li, It may be related to the side effects of the medication (the drug insert mentions leukopenia). My white blood cell count is currently 2700, down from 3500 in the last blood ...
Dr. Li Zhonghuai Reply:
Hello! 1. I have a total of four wisdom teeth that I want to extract, two of which are horizontally impacted. My white blood cell count is 2700; can I proceed with the extraction? Is there a risk of infection? If it's possible to extract, would you recommend doing it one too...[Read More] Can I Undergo Wisdom Tooth Extraction and Minimally Invasive Surgery with Low White Blood Cell Count?
Understanding Scalp Lipomas: Treatment Options and When to Seek Help
Scalp sarcoma Hello Dr. Ke: I have a small tumor located on the scalp behind my right ear (covered by hair), approximately the size of a green bean. It is not painful or itchy and has been present for several years, with a slight increase in size (it was smaller when first discov...
Dr. Ke Fangxu Reply:
1. Please do not do this. I have seen many cases in the outpatient clinic where the sarcoma did not fall off after such actions, but instead resulted in infection and inflammation. 2. If you want to remove it, please let a general surgeon perform the excision. Dermatology clinic...[Read More] Understanding Scalp Lipomas: Treatment Options and When to Seek Help
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 Blood in Stool: Is It Hemorrhoids or Something More Serious?
Rectal bleeding Hello, doctor. I had treatment for internal hemorrhoids at the end of last year, and there were no issues afterward. However, recently I have noticed that my stool appears to have a reddish color in the water, resembling blood. Visually, there is no blood mixed in...
Dr. Ke Fangxu Reply:
Based on your imaging, it appears more likely that the discoloration resembles pigment from feces rather than bleeding. It is recommended to avoid consuming red fruits and vegetables during this period and to monitor the situation. Additionally, it is common for feces to become d...[Read More] Understanding Blood in Stool: Is It Hemorrhoids or Something More Serious?
Can You Undergo Scalp Tumor Surgery During Your Period?
Surgical Procedure for Scalp Tumor During Menstrual Period Hello doctor, I am scheduled for scalp tumor surgery the day after tomorrow. My tumor is approximately 0.5 centimeters in size, but I just started my menstrual period today. Is it safe to proceed with the surgery? (This m...
Dr. Lin Zhemin Reply:
It is advisable to discuss this with your attending physician.[Read More] Can You Undergo Scalp Tumor Surgery During Your Period?
Understanding Anal Hard Lumps: Diagnosis, Treatment, and Concerns
Hard mass in the anal canal? Hello Doctor, I asked a question a few days ago regarding a small hard lump inside my anus. It is located about one finger's breadth inside the anal opening, not too deep. I have since consulted two other doctors. The first doctor believed it was...
Dr. Ke Fangxu Reply:
First of all, a malignant tumor should not be overlooked by so many physicians, and you are not in a high-risk age group. If this mass is not large and you are not experiencing any discomfort, it is advisable to take a conservative approach and continue to monitor it. If there is...[Read More] Understanding Anal Hard Lumps: Diagnosis, Treatment, and Concerns
Understanding Anal Nodules: Causes, Symptoms, and When to Seek Help
Anal papillae Hello, I have been living normally, but recently I felt something in the bathroom. Out of curiosity, I touched it and found a nipple-like protrusion about one centimeter in size. It feels somewhat like a blood vessel, is not painful or itchy, and I don't have m...
Dr. Ke Fangxu Reply:
The photo you provided is not clear enough, but it appears to be a small thrombosed external hemorrhoid. Applying topical medication usually leads to resolution within 1-2 weeks. If symptoms persist without improvement, you should consult a physician for further evaluation and tr...[Read More] Understanding Anal Nodules: Causes, Symptoms, and When to Seek Help
Understanding Small Hard Lumps in the Anus: Is It Hemorrhoids?
Hard mass in the anal canal? Hello, doctor. I have a question. Recently, I discovered a hard lump about 3 centimeters inside my anus, roughly the size of a grain of rice (when palpated with my finger, it is at the depth of the first knuckle). It is located at approximately the 11...
Dr. Ke Fangxu Reply:
This small hard lump inside the anus is most likely a thrombosed hemorrhoid, which typically resolves on its own within 1-2 weeks. Of course, conditions such as condyloma, low rectal cancer, and squamous cell carcinoma of the anal canal can also present as lumps in the anal area....[Read More] Understanding Small Hard Lumps in the Anus: Is It Hemorrhoids?
Understanding Strawberry Jam-Like Stool: Causes and Concerns
The stool has a strawberry jam-like substance? Hello Doctor: About a month and a half ago, I experienced slight abdominal bloating and pain. At that time, I was drinking insufficient water, and my stools were pellet-like. During wiping, I noticed a strawberry jam-like substance f...
Dr. Ke Fangxu Reply:
The so-called "strawberry jam" substance is mostly the result of a mixture of blood and mucus. In such cases, doctors generally recommend undergoing a colonoscopy. The results usually show no abnormalities; if that is the case, it may be due to prolonged bowel movements...[Read More] Understanding Strawberry Jam-Like Stool: Causes and Concerns
Can Dietary Supplements Affect Benign Breast Tumors? Key Ingredients Explained
Benign breast tumors Can I take dietary supplements containing the following ingredients if I have a benign breast tumor? Will they have any impact on the tumor? ⚜ Selected ingredients: Thai high-purity white high pearl, comprehensive vitamin C, nano-grade pearl powder, Australia...
Dr. Li Bozhang Reply:
General dietary supplements can be suitable for supplementation; however, hormone-containing supplements should be avoided.[Read More] Can Dietary Supplements Affect Benign Breast Tumors? Key Ingredients Explained
Understanding Nipple Inversion After Breast Surgery: Causes and Solutions
Nipple inversion Hello, Doctor: Last April, during a routine check-up, I discovered a lump in my breast. The doctor recommended a surgical excision, so I underwent minimally invasive surgery (with the incision at the corner of my breast). Later, I noticed that the nipple on the o...
Dr. Li Zhonghuai Reply:
Hello! Where was the tumor originally located? Near the nipple or far from it? Generally, after the removal of a benign tumor, there is a possibility of seroma formation, so the likelihood of a depression at the site of the tumor removal is low. If there is persistent depression,...[Read More] Understanding Nipple Inversion After Breast Surgery: Causes and Solutions
Understanding Rectal Swelling and Growth: When to Seek Medical Advice
I'm not sure what to do..? Hello, doctor! I would like to ask you about something. After having a bowel movement, the area around my anus becomes swollen due to irritation. I have touched it slightly while cleaning myself. Also, there is a sizable lump between my vagina and ...
Dr. Ke Fangxu Reply:
Answer: It is impossible to make an accurate diagnosis without a physician's personal examination. Conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts are all possibilities. At the age of 17, it is unlikely to be a malignant tumor, but it i...[Read More] Understanding Rectal Swelling and Growth: When to Seek Medical Advice
Could Rectal Bleeding Indicate Polyps? When to Consider a Colonoscopy
Suspected? There are polyps in the colon! Hello, Director Ke. My surname is Hsu, and I am 47 years old, residing in Changhua City. Last year, I underwent a fecal occult blood test at Changhua Christian Hospital, which returned negative. However, I have a history of internal and e...
Dr. Ke Fangxu Reply:
In this situation, hemorrhoids, polyps, or tumors are all possible causes. If blood is visible in the stool, the results of a fecal occult blood test are no longer relevant. Given your age of 47, a colonoscopy should be performed. I recommend that you undergo the examination as s...[Read More] Could Rectal Bleeding Indicate Polyps? When to Consider a Colonoscopy
Understanding Brain Tumors: A Case Study of Severe Complications
The brain tumor has affected the brainstem? (My mom has diabetes) My mom went to the emergency room at midnight due to a headache. A CT scan revealed a 7 cm tumor at the front of her brain. An MRI was performed, and she was admitted to the hospital at 6 PM the same day. During he...
Dr. Zhang Junwei Reply:
Without seeing the brain CT scan and the actual medical history, I cannot provide you with an accurate answer, but it does not seem optimistic.[Read More] Understanding Brain Tumors: A Case Study of Severe Complications
Understanding Lipomas: Surgical Concerns and Malignancy Risks
Lipoma issues and surgical concerns? Last July, I suddenly noticed a small hard lump on my right upper arm. After an examination, the doctor diagnosed it as a lipoma measuring 2 centimeters. Recently, I went for another check-up and found that it has grown to 4 centimeters. Is it...
Dr. Li Qinglong Reply:
Hello, Miss: Due to the rapid growth of the tumor, it is recommended that you promptly visit the surgical outpatient clinic for treatment. A local anesthesia procedure is advised for better pathological examination. The Hualien Hospital of the Ministry of Health and Welfare cares...[Read More] Understanding Lipomas: Surgical Concerns and Malignancy Risks
Post-Surgery Breast Issues: Understanding Changes After Fibroadenoma Removal
Post-operative issues in the breast after surgery for a breast tumor? I had surgery for a breast tumor in early September this year. The tumor was located in the upper part of my right breast, near the cleavage. There has been a hard lump at the surgical site, and I accidentally ...
Dr. Yu Mingchang Reply:
Hello; please take some time to have a breast ultrasound at Changhua Hospital. We care about you.[Read More] Post-Surgery Breast Issues: Understanding Changes After Fibroadenoma Removal
Exploring Surgical Options for Papilloma Removal in Elderly Patients
Please advise on the surgical options for the excision of papilloma? My mother is 82 years old. The doctors at Tainan City Hospital, New Building, and Chi Mei Hospital believe that she requires general anesthesia for surgery due to her age. We are quite concerned and would like t...
Dr. Xu Kaixi Reply:
If it is a breast papilloma and the tumor is small and superficially located, there is a possibility of surgical excision under local anesthesia. However, if it is an anal papilloma, surgery must be performed under either regional or general anesthesia.[Read More] Exploring Surgical Options for Papilloma Removal in Elderly Patients
Understanding Treatment Options for Anal Warts: Surgery vs. Medication
Anal warts? Last week, I visited two hospitals and was diagnosed with warts near my anus. The opinions from both hospitals were different, so I would like to inquire further. One hospital recommends applying medication first, and if that doesn't work, then considering surger...
Dr. Xu Kaixi Reply:
Anal condyloma, commonly known as cauliflower, is a benign tumor caused by a viral infection. If the size is small, medication treatment may be considered first; if larger, surgical excision under regional or general anesthesia may be necessary. The primary cause of its formation...[Read More] Understanding Treatment Options for Anal Warts: Surgery vs. Medication
Understanding Colostomy: Insights on Surgical Decisions for Colon Cancer
Artificial anus Hello, my mother is 76 years old and has not had a bowel movement for about 10 days, which has caused abdominal distension. On October 12, she went to National Taiwan University Hospital in Yunlin, where they suspected colon cancer and recommended surgery to remov...
Dr. Li Bozhang Reply:
Dear Mr. Huang: Regarding your letter, medical matters require an actual examination of the patient and an objective assessment based on the necessary test results. Therefore, I am unable to respond to your concerns as stated. If you have doubts about any medical negligence, I re...[Read More] Understanding Colostomy: Insights on Surgical Decisions for Colon Cancer
Understanding Post-Surgery Complications: Insights on Hemorrhoid Surgery Recovery
Hemorrhoidectomy for Internal Hemorrhoids The surgical procedure for internal hemorrhoids, known as hemorrhoidectomy, involves the removal of the hemorrhoidal tissue. This procedure is typically indicated for patients who experience significant symptoms such as bleeding, pain, o...
Dr. Ke Fangxu Reply:
After surgery, it is possible to develop skin tags around the anal area, which are remnants of skin after wound healing and do not require excessive concern. Ulcers may indicate slower wound healing; as long as there is no redness, swelling, heat, or pain, it should not be a majo...[Read More] Understanding Post-Surgery Complications: Insights on Hemorrhoid Surgery Recovery