Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Deciding on surgery for a vestibular schwannoma is challenging? I have consulted four hospitals and four neurosurgeons regarding my condition. I currently have poorly controlled diabetes and an acoustic neuroma approximately 2 cm in size, which only slightly touches the brainstem...
Dr. Zhang Junwei Reply:
A 2 cm neuroma can actually be treated with a gamma knife![Read More] Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Intracranial pressure monitor Dear Doctor: After a brain tumor surgery, is it true that the Glasgow Coma Scale (GCS) score is always 3 immediately post-operation? Additionally, is it mandatory to place an intracranial pressure (ICP) monitor after the surgery?
Dr. Zhang Junwei Reply:
Regardless of the type of surgery, immediately after general anesthesia, the level of consciousness is typically at 3. It is not always necessary to place an intracranial pressure monitor.[Read More] Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Understanding Digestive Issues: What Your Symptoms Might Indicate
Bowel movement issues? Hello doctor, I am 19 years old. The day before yesterday, after having breakfast, I felt stomach pain and went to the bathroom. The stool I passed was somewhat loose and there were two drops of reddish (more like a dark red but not bright red) blood in it....
Dr. Ke Fangxu Reply:
At the age of 19, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like mild hemorrhoidal bleeding. I recommend starting with a light diet and maintaining a good lifestyle. Spicy, irr...[Read More] Understanding Digestive Issues: What Your Symptoms Might Indicate
Understanding Phyllodes Tumors: When to Consider Surgery
Phyllodes tumor of the breast Recently, I noticed a hard lump on the lower outer side of my right breast. Following the advice of my gynecologist, I underwent a breast ultrasound. The ultrasound revealed a hard lump approximately two centimeters in size, so I had a core needle bi...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to undergo surgical removal, mainly due to concerns about potential malignancy in the future. Please schedule a time for the surgery at your convenience. Wishing you well! Changhua Hospital cares about you![Read More] Understanding Phyllodes Tumors: When to Consider Surgery
Bright Red Blood When Wiping: Causes and When to See a Doctor
Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions Hello doctor, this morning when I had a bowel movement, I noticed bright red blood on the toilet paper, but there was no blood in the...
Dr. Chen Jiaming Reply:
Although the most common causes of blood on wiping after a bowel movement are hemorrhoids or damage to the intestinal mucosa (such as after multiple episodes of diarrhea), it is important to rule out the possibility of benign or malignant tumors in the intestines or other lesions...[Read More] Bright Red Blood When Wiping: Causes and When to See a Doctor
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort I tend to get nervous easily and have been experiencing gastrointestinal discomfort. Sometimes, I have to rush to the bathroom to have diarrhea right after breakfast. Last year, I noticed blood in my stool, but I didn't see any blood when wiping. ...
Dr. Chen Jiaming Reply:
The most common cause of symptoms is actually gastroenteritis, which is often managed with oral medications that control some of the symptoms. Most cases of gastroenteritis will resolve on their own. If you are very concerned about conditions such as intestinal tumors, you should...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Understanding Rectal Bleeding with Clots: When to Seek Medical Attention
Blood in stool with blood clots? I previously had a gastric ulcer. For the past five days, I have been experiencing blood in my stool every time I have a bowel movement, with a volume similar to menstrual bleeding, and I have also noticed blood clots. I have a bowel movement almo...
Dr. Chen Jiaming Reply:
The presence of blood in the stool is most commonly caused by hemorrhoids or damage to the intestinal mucosa (such as after multiple episodes of diarrhea). However, it is important to rule out the possibility of benign or malignant tumors in the intestines or other lesions. If sy...[Read More] Understanding Rectal Bleeding with Clots: When to Seek Medical Attention
Understanding Breast Fibromas: Size Limits and Potential Complications
Breast fibroma How large can a breast fibroadenoma grow? If left untreated, could it lead to any complications?
Dr. Li Zhonghuai Reply:
Hello! Generally, a size of 2 to 3 centimeters is not likely to cause any complications if left untreated. Of course, there is a type of giant fibroadenoma that can exceed 5 centimeters; the risk of it becoming malignant if untreated is extremely low. However, if it continues to ...[Read More] Understanding Breast Fibromas: Size Limits and Potential Complications
Understanding Armpit Swelling: When to See a Specialist
Axillary swelling and pain? Hello, I would like to ask about a problem I have been experiencing. I usually have swelling and pain in my armpits before my menstrual period, which resolves after it ends. However, in the past few days, I have noticed lumps in both armpits, and one s...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to see a breast surgeon to rule out any tumor issues. Take care! Changhua Hospital cares about you.[Read More] Understanding Armpit Swelling: When to See a Specialist
Understanding a Bump Under the Left Clavicle: Lipoma or Vascular Tumor?
Protrusion under the left clavicle? I have had a lump on my body for several years, which I first noticed in middle school. Recently, I accidentally pressed on it and experienced pain along with a sensation of the lump pulsating. After researching online, I became worried that it...
Dr. Li Zhonghuai Reply:
Hello! Don't worry for now! Skin lumps are mainly lipomas and sebaceous cysts, and you can visit a general surgeon who will help you with the treatment. Take care! Changhua Hospital cares about you![Read More] Understanding a Bump Under the Left Clavicle: Lipoma or Vascular Tumor?
Why Does Pain Persist After Nerve Tumor Surgery?
Why is there still pain after the surgery to remove it? Hello, doctor. About ten days ago, I underwent surgery to remove a neuroma from my elbow. However, since the surgery, I have been experiencing sharp pain in the veins on the back of my hand (before the surgery, the pain was ...
Dr. Zhang Junwei Reply:
Due to not being able to see the postoperative wound and not being clear about the surgical procedure, I am unable to provide an answer.[Read More] Why Does Pain Persist After Nerve Tumor Surgery?
Identifying Tumors and Digestive Issues: What You Need to Know
Discovered a tumor while taking a shower? First question: I noticed a painful lump on my lower left abdomen while applying body wash during a shower. Could this be a tumor? I have a lipoma on my neck that was confirmed to be benign. Second question: After eating too much meat, s...
Dr. Ke Fangxu Reply:
1. A diagnosis cannot be made without a physical examination; however, at this age, such conditions are mostly benign skin lesions. 2. The likelihood of developing colorectal cancer at the age of 24, while not zero, is generally very low. Based on your description, it seems more ...[Read More] Identifying Tumors and Digestive Issues: What You Need to Know
Understanding Breast Lump Excision: Surgery, Recovery, and Concerns
Breast lump excision? Hello Doctor, I previously asked questions regarding cases #112982, #113475, and #113684. After an ultrasound on November 8th, it was found that the tumor size increased from 1.2 cm to 2 cm. The doctor mentioned that it is growing quite rapidly and recommend...
Dr. Li Zhonghuai Reply:
Hello! There will be no impact. Whether or not to remove the stitches depends on the type of sutures used. Take care! Changhua Hospital cares about you![Read More] Understanding Breast Lump Excision: Surgery, Recovery, and Concerns
Monitoring for Neurofibroma Recurrence: Key Questions Answered
How to monitor for recurrence of a neuroblastoma? Hello, Dr. Chang. I was hospitalized earlier this year for surgery to remove a neuroma from my elbow. The doctor mentioned that there was a 5% portion that could not be removed due to the risk of nerve damage. During my last outpa...
Dr. Zhang Junwei Reply:
1. Yes. 2. Not the same.[Read More] Monitoring for Neurofibroma Recurrence: Key Questions Answered
Understanding and Treating Unnoticed Growths on the Buttocks
There is a growth on the buttock? It has been several years since a lump the size of a ten-dollar coin has been protruding from the flesh on my buttocks. It has been painless and itchless, and I don't feel anything when I pinch it, so I haven't paid much attention to it...
Dr. Xu Kaixi Reply:
Hello: Common tumors in the buttocks include subcutaneous cysts and lipomas. It is recommended that you visit a surgical outpatient clinic for examination.[Read More] Understanding and Treating Unnoticed Growths on the Buttocks
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, Doctor. I usually have regular bowel movements (once a day), and my stools are not hard. However, for the past week, I have been experiencing blood in my stool every day since last week. The blood appears along with the stool, and it disappears after wiping...
Dr. Xu Kaixi Reply:
Hello: Blood in the stool, along with changes in bowel habits or other accompanying symptoms, can indicate a range of possible diagnoses, from common hemorrhoids to more serious gastrointestinal conditions such as inflammatory bowel disease or tumors. However, if you have describ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Which Specialist Should Remove a Nerve Tumor on the Thigh?
If there is a neuroma on the thigh, the appropriate specialty for surgery would be the orthopedic surgery department or possibly the neurosurgery department, depending on the specific characteristics and location of the neuroma? A neurofibroma approximately one centimeter in size...
Dr. Zhang Junwei Reply:
Orthopedic surgery can be performed using traditional surgical methods.[Read More] Which Specialist Should Remove a Nerve Tumor on the Thigh?
Should You Get a Colonoscopy? Understanding Symptoms and Concerns
Should I get a colonoscopy? Hello, doctor. I had a fever two days ago, experienced weakness in my limbs, and felt discomfort in the upper abdomen. After vomiting, my fever subsided. The next day, I started to have frequent hiccups and flatulence, which lasted for a day. Additiona...
Dr. Ke Fangxu Reply:
At the age of 20, the likelihood of developing a malignant tumor is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like a gastrointestinal issue. I recommend starting with a light diet and maintaining a good lifestyle. If the symp...[Read More] Should You Get a Colonoscopy? Understanding Symptoms and Concerns
Understanding Breast Fibroadenomas: Causes, Monitoring, and Risks
Breast fibroadenoma Doctor, I apologize for bothering you. I would like to ask about something. A few days ago, while taking a shower, I felt a lump, so I went to the hospital for an ultrasound. The doctor said it was a benign fibroadenoma. The doctor only mentioned that I should...
Dr. Li Zhonghuai Reply:
Hello! Breast fibroadenomas are very common benign tumors with an unclear etiology. Upon initial discovery, close monitoring is usually sufficient, and ultrasound can be used for diagnosis. Unless they continue to grow, cause significant pain, or there is suspicion of malignancy,...[Read More] Understanding Breast Fibroadenomas: Causes, Monitoring, and Risks
Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Severe migraine Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and when using the computer screen, I couldn't focus my vision. After taking some painkillers and sleeping, I felt better the next day. Howeve...
Dr. Zhang Junwei Reply:
It is usually a migraine. Since the examination has been scheduled, we will wait for the results and then discuss them with the doctor.[Read More] Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options