Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
It is difficult to differentiate between an anal fistula and a skin tumor, making it challenging to provide the appropriate treatment? Hello Doctor, my husband has had a hard lump near his anus since April, which has changed color, is painful when pressed, and even affects his wa...
Dr. Zhang Shuhao Reply:
Based on your description of wounds around the anus that are bleeding, discharging pus, and prone to recurrence, there is a high suspicion of an anal fistula. The difference between an anal fistula and a skin tumor is that the fistula is connected to the anal glands, so both the ...[Read More] Confusion Between Anal Fistula and Skin Tumor: Seeking Clarity for Proper Treatment
Understanding Bowel and Gas Issues After Colorectal Surgery
Bowel and flatulence issues? Hello Dr. Chang, I would like to consult you regarding my mother. She underwent surgery for stage 2B colon cancer in August of last year, specifically in the area of the transverse colon near the descending colon, using laparoscopic minimally invasiv...
Dr. Zhang Shuhao Reply:
Post-operative follow-up with gastroscopy and colonoscopy showed no issues, and both the CT scan and blood tests were normal, indicating a low likelihood of tumor metastasis. The surgery on the left half of the colon should not affect the sciatic nerve; therefore, it is likely du...[Read More] Understanding Bowel and Gas Issues After Colorectal Surgery
Post-Surgical Complications: Managing Rectal Abscess and Sepsis
Postoperative issues related to rectal abscess leading to sepsis? Hello, doctor. My mother underwent Da Vinci surgery for low rectal cancer about two years ago. After a temporary colostomy, it was reversed, but she has been experiencing fecal incontinence since the surgery. Recen...
Dr. Zhang Shuhao Reply:
Postoperative rectal abscess in low rectal cancer requires exclusion of anastomotic leakage or local recurrence. Emergency management includes the current colostomy along with abscess drainage, and arranging for a computed tomography scan and colonoscopy to check for recurrence. ...[Read More] Post-Surgical Complications: Managing Rectal Abscess and Sepsis
Understanding Rectal Bleeding: Causes and Concerns
Rectal bleeding during bowel movements? Hello, Dr. Chang. I've been experiencing a burning and itching sensation around my anus for the past couple of days. My stools have been somewhat soft, and after bowel movements, I've noticed dark red liquid on the toilet paper, b...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first caus...[Read More] Understanding Rectal Bleeding: Causes and Concerns
Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
A hard lump the size of a half green bean felt inside the anus? Recently, I felt a hard lump about the size of a fingertip in the anal area. It doesn't feel like a surface protrusion but rather a firm mass beneath the skin that is not painful and does not feel like a foreign...
Dr. Zhang Shuhao Reply:
1. Based on your description, it is most likely a thrombosed hemorrhoid, which is a lump formed by bleeding from the hemorrhoidal vessels under the skin. Warts typically present with localized lesions; tumors are very rare at your age. 2. Applying medication, taking warm sitz b...[Read More] Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
Post-Surgery Complications: Is Manual Compression After Breast Tumor Surgery Standard?
Postoperative care for breast tumors? Approximately 5 hours after minimally invasive breast tumor surgery, there was bleeding and hematoma formation. The physician performed an ultrasound and stated that there was too much blood clot, necessitating reopening the incision and enla...
Dr. Tang Yuxiong Reply:
Hello, Miss Manman~ The probability of hematoma after minimally invasive surgery is approximately 5%. The experience with ultrasound-guided hemostasis varies among hospitals, and the method of hemostasis largely depends on the bleeding situation at the time. If there is no swelli...[Read More] Post-Surgery Complications: Is Manual Compression After Breast Tumor Surgery Standard?
Post-Surgery Taste Loss: Understanding Causes and Recovery Options
Postoperative loss of taste? Hello Doctor, my mother is currently over 60 years old. About a month ago, she was diagnosed with a 2 cm pituitary tumor that had hemorrhaged. She underwent minimally invasive surgery through the nasal cavity to remove it, and currently, her nasal pas...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed examination and diagnosis.[Read More] Post-Surgery Taste Loss: Understanding Causes and Recovery Options
Understanding Painful Nipple Growth: Causes and Treatment Options
A small tumor on the nipple? Dear Dr. Tang, A few months ago, I started experiencing pain in one nipple when it comes into contact with fabric or skin, particularly when it protrudes. Recently, I noticed a small growth at the tip of the affected nipple, approximately the size of...
Dr. Tang Yuxiong Reply:
Hello Ms. Chen: Based on your description, it is not possible to determine the actual issue. It is recommended that you directly consult a breast surgery clinic to assess whether there is a need for ultrasound or biopsy to obtain further information.[Read More] Understanding Painful Nipple Growth: Causes and Treatment Options
Minimally Invasive Techniques for Lipoma Removal: What You Need to Know
Liposarcoma excision Hello, doctor. I have a 41mm x 14mm lipoma on the left abdominal wall. If I want to minimize the incision, can I use vacuum-assisted excision from minimally invasive surgery to perform the procedure? Is this considered a type of liposuction? Can the tumor be ...
Dr. Chen Bingze Reply:
It is indeed possible to remove lipomas and sebaceous cysts using vacuum suction; however, the issue of the capsule is relevant for sebaceous cysts. Lipomas do not have a capsule and are benign, so it doesn't matter how they are removed, even if they grow larger.[Read More] Minimally Invasive Techniques for Lipoma Removal: What You Need to Know
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Understanding Hardness After Breast Surgery: Causes and Remedies
Post-operative lumps after breast surgery? Hello, doctor. It has been almost three months since I underwent minimally invasive breast surgery. The area where the tumor was removed and the surrounding tissue still feels firm, but it is not painful. What could be the reason for thi...
Dr. Li Zhonghuai Reply:
Hello! An ultrasound is needed to determine the situation. Some cases involve flap reconstruction, which may feel firm for a period after surgery. Others may involve seroma, which can decrease with electrical therapy. If discomfort persists, you can have some fluid drained during...[Read More] Understanding Hardness After Breast Surgery: Causes and Remedies
Understanding Fibroadenomas: When to Seek Medical Attention for Pain
Fibroadenoma Hello, doctor. I have a 2.8 cm fibroadenoma in my right breast, and recently the area where the tumor is located has been experiencing intermittent sharp pain (the duration is short, but the frequency is quite high). I would like to ask if this is normal, or if I nee...
Dr. Chen Ronghong Reply:
Hello, if the doctor recommended a biopsy in April or if you need to return for a follow-up in three months, it is advisable for you to seek medical attention. If neither of these situations applies, but the pain is affecting your daily life and you have confirmed that the pain i...[Read More] Understanding Fibroadenomas: When to Seek Medical Attention for Pain
Understanding Post-Surgery Hardness After Minimally Invasive Breast Surgery
Minimally Invasive Breast Surgery Hello, doctor. I underwent minimally invasive surgery to remove a 1 cm fibrocystic mass at the end of April this year. Currently, there is no pain in my breast, and there is no pain when I press on it. However, the area where the tumor was remove...
Dr. Chen Bingze Reply:
A lump can sometimes be a normal inflammatory response after surgery, but it may also be a hematoma. If you are truly concerned, it is advisable to return to your surgeon so they can examine and palpate the area around the lump.[Read More] Understanding Post-Surgery Hardness After Minimally Invasive Breast Surgery
Understanding a Bruise and Lump on the Left Side of the Abdomen
There is a hard lump with a bruise on the left side of the abdomen? About a week ago, my husband suddenly noticed a very dark bruise on the skin on the left side of his abdomen. When he touched it, there was a swollen lump. Initially, I thought he might have bumped into something...
Dr. Chen Ronghong Reply:
Hello, based on your description, it is quite possible that the lump is caused by a blunt injury, especially since it is accompanied by pain and bruising, and it may dissipate within a few days. However, we cannot rule out the possibility of a pre-existing subcutaneous tumor, so ...[Read More] Understanding a Bruise and Lump on the Left Side of the Abdomen
Understanding Umbilical Swelling: Causes and When to Seek Help
Umbilical swelling Recently, a lump suddenly appeared on the left side of my navel. A few days ago, it was painful even without touching it, but after nearly a week, it only hurts when I touch it. The lump is soft and round, almost obscuring the center of the navel. I have been t...
Dr. Chen Bingze Reply:
It seems to be an infected tumor complicated by cellulitis; it is recommended to seek medical attention at a hospital as soon as possible.[Read More] Understanding Umbilical Swelling: Causes and When to Seek Help
Understanding Non-Painful Groin Masses: When to See a Specialist
Red swollen lump above the groin? Hello, doctor. I have had a red swelling in my groin since childhood. From the outside, the line in my groin appears distorted due to this swelling, resembling the right half of the letter "D." When I touch it, I can feel the shape of m...
Dr. Chen Ronghong Reply:
Hello, Xiao Wen. It is recommended to first see a general surgeon for an evaluation. If it is assessed to be a subcutaneous tumor, it can be directly surgically removed. If the tumor is too large, you may be referred to a plastic surgeon. If it is determined that the tumor is con...[Read More] Understanding Non-Painful Groin Masses: When to See a Specialist
Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Is it suitable for someone with a fibrocystic adenoma to take oral contraceptives? Hello, doctor. Two years ago, I was diagnosed with a fibroadenoma in my right breast, which is currently being monitored (it is now 2.8 cm). I would like to ask if it is appropriate for me to take ...
Dr. Chen Ronghong Reply:
Hello, a fibroadenoma is a benign tumor, and it is possible to take contraceptive pills. However, long-term use of contraceptive pills may increase the risk of breast cancer. If you have a family history of breast cancer (meaning that relatives related by blood have had breast ca...[Read More] Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Understanding Lipoma Surgery: Risks, Specialists, and Recovery
Examination and Surgery for Lipoma in the Nuchal Region Hello Doctor, I would like to inquire about some questions regarding lipoma surgery for my father. He has a lipoma located at the center of the back of his neck, which he had checked about ten years ago. At that time, it was...
Dr. Chen Bingze Reply:
Hello, if this tumor is indeed a malignant sarcoma, it would not be possible for it to remain for over a decade; there would likely be many issues arising within a year. Tumors located in the posterior neck area are primarily addressed by surgical or plastic surgeons. The risks a...[Read More] Understanding Lipoma Surgery: Risks, Specialists, and Recovery
Understanding Post-Operative Changes After Minimally Invasive Breast Surgery
About minimally invasive breast surgery? Hello Doctor, I underwent minimally invasive surgery at the end of April to remove a benign tumor measuring over one centimeter from my right breast. A week after the surgery, during my follow-up visit, it was discovered that I had a hemat...
Dr. Tang Yuxiong Reply:
Hello Ms. Chen: Based on your description, it may be postoperative fibrosis. It is recommended that you return to the clinic for an ultrasound evaluation.[Read More] Understanding Post-Operative Changes After Minimally Invasive Breast Surgery