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 Post-Concussion Symptoms: When to Seek Medical Attention
Post-concussion syndrome? Hello, doctor. On January 2, 2019, I was involved in a motorcycle accident where I collided with another vehicle, causing me to be thrown off and hit my head. I don't remember whether my knee, buttocks, or head was the first point of impact. I did n...
Dr. Zhang Junwei Reply:
It is important to monitor whether the current symptoms worsen or persist without improvement. Generally, such symptoms tend to improve with adequate rest. If there is no improvement, a consultation with a neurosurgery outpatient clinic should be scheduled for further evaluation ...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Hyperhidrosis (Excessive Sweating) Hello, Doctor! 1. I have been experiencing palmar and plantar hyperhidrosis for a long time. Currently, I am managing my hand sweating with iontophoresis, but it seems to have compensated with sweating all over my body and feet. I have tried t...
Dr. Lai Zhaokang Reply:
Hello: If you cannot coexist peacefully with hand sweating, you may consider trying medication short-term if you can accept the side effects. After that, reassess and decide whether to pursue long-term management. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang. 1. Glycopyrrola...[Read More] Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Understanding Uncontrolled Diarrhea During Acute Gastroenteritis
Inability to control bowel movements during diarrhea? Recently, I experienced severe abdominal pain accompanied by vomiting, diarrhea, and fever. After seeking medical attention, I was diagnosed with acute gastroenteritis. During the first few days when the symptoms were severe, ...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like acute gastroenteritis, irritable bowel syndrome, or lactose intolerance could be the cause. It is advisable to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. Increasin...[Read More] Understanding Uncontrolled Diarrhea During Acute Gastroenteritis
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...[Read More] Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
Acute appendicitis and localized peritonitis? Hello doctor, my wife underwent laparoscopic appendectomy on September 14th. It has been a week since the surgery, and she is still experiencing some issues, so I have a few questions: 1. On the first day after the surgery, she only...
Dr. Xu Kaixi Reply:
1. The patient underwent laparoscopic appendectomy on September 14. On September 21, they experienced bloating and poor digestion, and were taking pain medication, experiencing gastric distension, and antibiotics. This may be due to a postoperative inflammatory response that has ...[Read More] Post-Appendectomy Concerns: Gas, Nausea, and Wound Issues
Persistent Head Issues After Injury: When to Seek Medical Attention?
Head issues Hello, doctor. I am currently a senior in college. When I was in the third year of junior high, I was playing in the restroom and kicked water, causing myself to fly up and hit my head on the ground. At that moment, I couldn't hear anything and was dazed for a wh...
Dr. Zhang Junwei Reply:
It is impossible for a blood clot from the third year of junior high to remain until now; it can only be said that this is a consequence of head trauma. Alternatively, you may want to consult an otolaryngologist to check if there is an issue with your inner ear causing your dizzi...[Read More] Persistent Head Issues After Injury: When to Seek Medical Attention?
Post-Cholecystectomy: Persistent Nausea and Appetite Loss in Elderly Patients
After gallbladder stone surgery, experiencing loss of appetite and nausea for several days? The grandmother had a loss of appetite, nausea, and constipation for 19 days prior to her examination, which revealed choledocholithiasis. She underwent a cholecystectomy on July 2, 2018, ...
Dr. Chen Jiaming Reply:
Elderly patients who undergo major surgery are at an increased risk of developing stress-induced gastritis or ulcers. It is recommended to consult a clinical physician for prescriptions related to reducing gastric acid, minimizing vomiting, and enhancing gastric emptying and inte...[Read More] Post-Cholecystectomy: Persistent Nausea and Appetite Loss in Elderly Patients
Understanding Post-Surgery Abdominal Distension in Elderly Patients
Abdominal issues? (1) It is possible for your father to have a paralytic ileus, especially since he has undergone surgery recently. This condition can occur after surgery due to decreased bowel motility. (2) Given his history of traditional surgery for gallstones, if there is an...
Dr. Yu Mingchang Reply:
Hello: As we age, paralytic ileus is quite common and requires gastrointestinal care. The surgical team at Changhua Hospital is here to support you.[Read More] Understanding Post-Surgery Abdominal Distension in Elderly Patients
Understanding Abdominal Issues: Surgical and Non-Surgical Approaches
Abdominal issues 1. How long should a patient with paralytic ileus be observed in the hospital without the need for surgery? 2. In the case of adhesive bowel obstruction following surgery, is surgery necessary? If the patient only has mild abdominal distension, vomiting, and is...
Dr. Ke Fangxu Reply:
1. Paralytic ileus is generally associated with prolonged bed rest or other medical conditions. If it is related to the former, significant improvement is unlikely; if it is due to the latter, the prognosis depends on the treatment progress of the underlying medical condition. ...[Read More] Understanding Abdominal Issues: Surgical and Non-Surgical Approaches
Understanding Anal Redness and Swelling After Diarrhea: When to Seek Help
Redness and swelling of the anus after diarrhea? Hello, doctor. A few days ago, I had food poisoning and experienced vomiting and diarrhea all night. The next morning, although I didn't vomit or have diarrhea anymore, I noticed a red, swollen area around my anus that feels l...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. The fundamental treatment is to improve bowel habits, and warm si...[Read More] Understanding Anal Redness and Swelling After Diarrhea: When to Seek Help
Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer
I'm sorry, could you please clarify your question? Recently, I have lost about forty pounds over the past six months, and my appetite has significantly decreased. I have been experiencing continuous rectal bleeding, almost no appetite, and symptoms of nausea and vomiting. So...
Dr. Ke Fangxu Reply:
Answer: Losing 40 kilograms in six months is an astonishing change. While the likelihood of developing colorectal cancer at the age of 23 is not zero, it is generally considered to be low. Given your situation, it would be advisable to first consult a metabolic specialist to chec...[Read More] Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer
Understanding Skull Fractures: Pain, Healing, and Recovery Time
I would like to inquire about skull fractures? Hello, Doctor. I have a few questions I would like to ask you: Q1: In the case of a closed depressed skull fracture (located at the central top of the head), is it common for the affected area to always be accompanied by significan...
Dr. Lai Zhaokang Reply:
Hello: A1. In the case of traumatic closed depressed skull fractures, there may not be obvious symptoms. A2. If the depressed fracture is less than 1 cm and there are no significant symptoms, conservative treatment and observation for three months may be sufficient. A3. If the de...[Read More] Understanding Skull Fractures: Pain, Healing, and Recovery Time
Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Amnesia due to a car accident? On December 2, 2017, I had a motorcycle accident and I can't clearly remember what happened at that time. The possible cause of the accident might be slipping due to the rain, which led to a fall. I realized I had an accident because there was ...
Dr. Lai Zhaokang Reply:
Hello: In cases of head trauma, the most important factors to assess in the first three days are whether there is any loss of consciousness, limb weakness, fatigue, seizures, or epilepsy, as these may indicate the risk of intracranial hemorrhage. However, if none of these symptom...[Read More] Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Post-operative drowsiness, refusal to eat or drink, and left-sided incoordination following brain tumor surgery? Hello Doctor, my younger brother is 23 years old. Before the surgery, he only exhibited symptoms of left eyelid ptosis and mild hearing impairment in the left ear. Thi...
Dr. Zhang Junwei Reply:
It is recommended to continue monitoring, and it should gradually improve.[Read More] Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Should You Worry? Head Injury Symptoms in Teens After a Fall
The back of the head hit the floor? Hello Dr. Chang: My son turned 16 in September. Last night, he was playing with his brother in their room and was lying on a mattress on the floor. He didn't realize that his head extended beyond the mattress and hit the ground. This morni...
Dr. Zhang Junwei Reply:
Observe first, and if there is severe and persistent vomiting, then schedule an outpatient appointment.[Read More] Should You Worry? Head Injury Symptoms in Teens After a Fall
Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems
Dr. Chang, does the ventricular-peritoneal shunt system have a lifespan or can it become damaged? Hello Dr. Chang, my mother is currently 57 years old. At the end of 2015, she underwent surgery for a cerebral hemorrhage at Linkou Chang Gung Memorial Hospital, where a cerebral ane...
Dr. Zhang Junwei Reply:
Basically, the likelihood of damage to the ventricular-peritoneal shunt system is low, but there is a possibility of incorrect pressure or blockage. Please visit the neurosurgery outpatient clinic for a physician evaluation.[Read More] Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems
Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Swelling in the lower right abdomen resembling intestinal distension? I can feel a tubular structure in my lower right abdomen that sometimes is very noticeable and other times less so, but I can still feel it. I went to the hospital and had a CT scan, and the doctor mentioned th...
Dr. Chen Jiaming Reply:
First, we generally use the umbilical region to differentiate between the upper and lower abdomen. You described feeling something like the intestines in the right lower abdomen. As for the previous examinations arranged by the physician, they seem to be aimed at diagnosing Super...[Read More] Understanding Right Lower Abdominal Swelling: Causes and Necessary Tests
Severe Constipation for Four Days: Seeking Help from Abroad
Severe constipation for four days? Hello, doctor! I am currently in South Korea and unable to seek medical attention, so I am reaching out online for help. Last week, I ate two or three roasted sweet potatoes and included more coarse vegetables in my diet, but I neglected to drin...
Dr. Ke Fangxu Reply:
Answer: Persistent constipation in young women is a common issue. It is generally recommended to increase dietary fiber intake and fluid consumption to improve the condition. If these measures are ineffective, the use of stool softeners may be necessary. If returning home for med...[Read More] Severe Constipation for Four Days: Seeking Help from Abroad