Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Postoperative Consultation for L5-S1 Surgery Hello Dr. Lai, I previously underwent an anterior spinal fusion surgery due to grade II spondylolisthesis at the L5-S1 level. (Before the surgery, I experienced persistent pain on the left side, while the right side had no symptoms.)...
Dr. Lai Zhaokang Reply:
Hello: 1. Indeed, some individuals may experience symptoms on the opposite side after a dislocation is reduced, which could be due to temporary discomfort in the new environment following the renovation of an old house. 2. It would be advisable to discuss this further with the or...[Read More] Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Bicycle accident resulting in a concussion? Hello, doctor. Two weeks ago, I fell off my bicycle and landed on my back, remaining conscious. I experienced a concussion, and I lost memory of events before and after the fall. When I took a bite of dinner that evening, I immediately ...
Dr. Zhao Shaoqing Reply:
You can return for a follow-up appointment to discuss further treatment.[Read More] Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Managing Head Injuries in Children: Ice or Heat for Swelling?
A child fell down? If a young child accidentally bumps their head while playing and initially cries but is comforted, it is important to monitor them for 72 hours. If there are no symptoms such as vomiting, excessive sleepiness, fainting, and they are eating and drinking normally...
Dr. Zhang Junwei Reply:
Typically, apply ice for the first three days, then switch to warm compresses.[Read More] Managing Head Injuries in Children: Ice or Heat for Swelling?
Head Injury from Door Frame: What to Watch For and Signs of Concern
What should you pay attention to after hitting a door frame? Hello, doctor. Earlier, I accidentally bumped the upper right side of my head against a door frame because I didn't pay attention to its height. My mom saw it and said it was quite a hard hit, but currently, there ...
Dr. Zhang Junwei Reply:
The likelihood of a brain hemorrhage is low, but if there are persistent symptoms such as headache, dizziness, nausea, vomiting, or altered consciousness, it is important to seek medical attention immediately.[Read More] Head Injury from Door Frame: What to Watch For and Signs of Concern
Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Cerebral hemorrhage with a hematoma, undergoing drainage surgery, with a Glasgow Coma Scale score of 3? Hello, I apologize for disturbing the doctor during work and rest hours. My younger brother, who is 46 years old and was born in the Year of the Snake, had a family gathering o...
Dr. Zhang Junwei Reply:
Without a detailed neurological examination and computed tomography assessment, it is difficult to provide an accurate answer. However, if the coma scale is indeed 3, the chances of recovery are very low, and even if recovery occurs, there will likely be severe neurological defic...[Read More] Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head injury, with pain at the site of impact? Hello, doctor. On August 26, while playing on a water slide, I may have slid down incorrectly and hit the back of my head against the slide. At that moment, I felt pain, but there were no other obvious discomforts. Later, the impact p...
Dr. Zhang Junwei Reply:
The primary concern with head trauma is intracranial hemorrhage. If there are accompanying symptoms of nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head Injury from Baseball: Understanding Eye Symptoms and Recovery
A baseball hit on the top of the head? Three days ago, I was hit on the forehead just above the hairline (toward the right) by a high fly ball. At the moment of impact, the upper half of my right eye's field of vision was normal, while the lower half was completely black and...
Dr. Zhang Junwei Reply:
Head trauma often accompanies headaches and dizziness, but the more concerning issue is intracranial hemorrhage. If dizziness is accompanied by nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Head Injury from Baseball: Understanding Eye Symptoms and Recovery
Understanding Black Stool After Surgery: Causes and Concerns
Postoperative black stools? Hello Doctor, I underwent traditional hemorrhoid surgery on September 28, and it has been 12 days since then. I have been taking a laxative called Lacto for constipation, 20ml once a day, but my stools have been consistently dark. On October 4, I had a...
Dr. Zhang Shuhao Reply:
1. If there is black stool without obvious bright red blood, it is likely caused by upper gastrointestinal bleeding, with the most common reason being bleeding from a gastric ulcer due to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In this case, taking magnesium oxi...[Read More] Understanding Black Stool After Surgery: Causes and Concerns
How to Handle Pain and Swelling After Abdominal Injury?
Belly bumped into the table? After bumping into a table, there is redness and swelling about eight centimeters to the left of the navel, and it hurts only when touched. How should this be managed?
Dr. Xu Kaixi Reply:
In cases of abdominal blunt trauma, if there are no gastrointestinal symptoms such as vomiting or nausea, observation is sufficient. However, if pain persists or worsens, it is essential to seek immediate medical attention in the emergency department for evaluation.[Read More] How to Handle Pain and Swelling After Abdominal Injury?
Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Intestinal obstruction issues? Hello Doctor, I would like to inquire about my mother (68 years old) regarding her intestinal obstruction issue. About two weeks ago, she went to the emergency room at night due to abdominal pain. After an abdominal X-ray, her attending physician in...
Dr. Chen Jiaming Reply:
The causes of intestinal obstruction can vary among patients, and each attending physician may have different choices of medications. It is possible that your mother's attending physician has prescribed some medications to promote (maintain) intestinal motility or laxatives,...[Read More] Understanding Post-Operative Bowel Obstruction: Symptoms and Concerns
Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
I hit the upper left side of my head; is there a possibility of a brain hemorrhage, and can the swelling be reduced? Doctor, I apologize for the interruption! Last night around 9 PM, while bending down to return the communal laundry basket in the laundry room of my dormitory, I a...
Dr. Zhang Junwei Reply:
1. The swelling should resolve on its own. 2. The likelihood of intracranial hemorrhage is low; however, if there is persistent headache, dizziness, nausea, or vomiting, seek immediate evaluation from a neurosurgeon or go to the emergency department.[Read More] Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Pancreatic cancer, biliary-enteric anastomosis? My mother, 56 years old, is in the late stages of pancreatic cancer. Due to a bile duct obstruction, she underwent a biliary-enteric anastomosis last month. A week after the surgery, she began experiencing vomiting symptoms, even af...
Dr. Chen Jiaming Reply:
Your mother's condition is quite complex, and there are many potential reasons for postoperative vomiting. It is advisable to consult her primary physician to see if they can arrange for an upper gastrointestinal series (UGI series) or a small bowel series to further investi...[Read More] Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Understanding Head Injuries: When to Seek Further Medical Attention
Regarding head injuries? Dear Doctor, My mother bumped her head against a clothesline (metal) last Thursday or Friday. After the incident, she applied some medication herself, cooked dinner, and went to bed without eating. This morning, she felt very dizzy and nauseous and final...
Dr. Zhang Junwei Reply:
If you experience increased dizziness or vomiting one or two days after taking the medication, it is recommended to visit the neurosurgery outpatient clinic for further evaluation.[Read More] Understanding Head Injuries: When to Seek Further Medical Attention
Understanding Head Injuries: What to Do After a Fall
Fell and hit the back of the head? Hello, doctor. Yesterday, I accidentally fell and hit the back of my head. It immediately swelled up significantly, and aside from the redness, swelling, and pain at the impact site, there were no other unusual symptoms that day. I applied ice, ...
Dr. Zhao Shaoqing Reply:
Hello: Common symptoms of head trauma include concussion symptoms, headache, dizziness, nausea, and vomiting. Typically, these symptoms will gradually improve. If there are any changes, you can follow up at a neurosurgery outpatient clinic. Generally, after 48 hours, you may appl...[Read More] Understanding Head Injuries: What to Do After a Fall
Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Brain issues Hello doctor, I would like to ask about a relative who underwent a biopsy surgery for a brain tumor. They were originally scheduled for discharge, but before leaving the hospital, they experienced seizures, vomiting, and loss of bowel and bladder control. Subsequentl...
Dr. Zhang Junwei Reply:
Magnetic resonance imaging (MRI) cannot detect all brain issues; a normal scan does not mean there are no problems in the brain. There may be other causes for the patient's coma.[Read More] Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Follow-up after a 3-year-old child falls and hits their head? A 3-year-old child (100 cm) fell and hit their head yesterday morning at 9 AM. There were no external injuries or swelling. The child cried for over an hour while clinging to their mother, but then returned to normal p...
Dr. Lai Zhaokang Reply:
Hello: The first 72 hours after a head injury are the most critical; as time passes, the risk decreases. If a child is alert, has normal vision, is active, and can eat and play without any specific complaints, they can be monitored further. However, if there is confusion, unstead...[Read More] Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Head Injury from Bumping: When to Seek Medical Attention?
Head trauma - impact injury Doctor, I have a question. This afternoon (February 28), while I was organizing my home, I squatted down to look for something. When I stood up, I forgot there was something above me and instinctively stood up, resulting in a significant impact on the ...
Dr. Lai Zhaokang Reply:
Hello: You experienced an incident on February 28, and today is March 1, which means it has been nearly 24 hours. If your symptoms persist, especially if you have severe headaches, nausea, vomiting, seizures, or weakness in your limbs, you should see a doctor as soon as possible....[Read More] Head Injury from Bumping: When to Seek Medical Attention?
Is My Child's Forehead Injury Serious? When to Seek Medical Attention
Hit the forehead from a fall? An eight-year-old child at home fell and hit their forehead. On the first day, there was swelling only on the right side of the forehead, and ice was applied. Now, four days later, there is swelling and bruising at the bridge of the nose and under th...
Dr. Chen Jiaming Reply:
A forehead hematoma, over the course of several days, will begin to spread and disperse subcutaneously as the internal bruising resolves, which is a normal occurrence. The larger the hematoma, the further it can spread, potentially reaching the chin. Most of the time, it will be ...[Read More] Is My Child's Forehead Injury Serious? When to Seek Medical Attention
Can Handling Raw Meat with a Phone Affect My Child's Health?
Will this have an impact on the child? Hello Doctor, I inquired about handling raw food last night and would like to ask you again. My husband handled raw meat and took out his phone, and we are unsure if he touched other items or even our young child afterward. He is concerned t...
Dr. Chen Bingze Reply:
Actually, no physician can provide you with a definitive answer to your question. If the procedure has already been done, just monitor the child over the next few days for any signs of diarrhea or vomiting. If there are none, then everything should be fine. Also, remember to wash...[Read More] Can Handling Raw Meat with a Phone Affect My Child's Health?
Dog Bite Infection: When to Seek Medical Attention for Cellulitis
The finger was bitten by a dog and developed cellulitis? Last Friday, I was bitten on the finger by my pet dog. At the time, it was red and swollen, but I didn't think much of it and only disinfected and applied medication. As the redness and swelling became more pronounced,...
Dr. Li Zhonghuai Reply:
Hello! For dog bite wounds, each time you change the dressing, you should use the smallest cotton swab to clean the wound thoroughly. Some antibiotics may have gastrointestinal side effects, which can vary from person to person. It is recommended to return for a follow-up evaluat...[Read More] Dog Bite Infection: When to Seek Medical Attention for Cellulitis