Navigating Disability Claims for Multiple Health Issues: A Guide
Please consult regarding the application for disability due to multiple conditions such as scoliosis, temporomandibular joint disorder (TMJ), and psychological issues, along with related recommendations? # Medical History Summary Scoliosis: 58 degrees, unable to sit or stand for...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, 1. It may be possible to assess the applicability of the "Disability Assessment Form," specifically Category I or Category VII. However, it is necessary to have a fixed long-term follow-up for a certain period before a specialist physic...[Read More] Navigating Disability Claims for Multiple Health Issues: A Guide
Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Laxative dependence, anal fissure? Hello, Doctor. My problem is as follows: Whenever my stool is hard (but not rock-like), it causes anal fissures. I previously tried drinking Uni-President high-fiber soy milk (chicory fiber) to maintain softer stools, but sometimes my stool is s...
Dr. Zhang Shuhao Reply:
The ingredients and mechanisms of traditional Chinese medicine are unclear, but if you have been taking it for five years and have only recently experienced weight loss, it may not necessarily be related to the herbal medicine. If you are concerned about gastrointestinal issues, ...[Read More] Managing Constipation and Anal Fissures: Alternatives to Long-Term Herbal Use
Is This Varicose Veins? Understanding Symptoms and Treatment Options
Is this varicose veins? Hello, Doctor: I have purple, indented marks on the inner sides of both thighs (in the groin area) that have been present for about 20 years. They look quite unattractive, but they are painless and itch-free. Could this be considered varicose veins? Do I n...
Dr. Ke Fangxu Reply:
This appears to be skin stretch marks rather than varicose veins. The mechanism of occurrence is similar to that of striae gravidarum. Individuals who experience rapid weight loss or have a long-term use of corticosteroids are more prone to this phenomenon. To eliminate them, it ...[Read More] Is This Varicose Veins? Understanding Symptoms and Treatment Options
Optimal Body Fat Percentage for Male Gynecomastia Surgery
What is the appropriate body fat percentage for men with gynecomastia to consider surgery? I (male) have been diagnosed with gynecomastia by a gynecologist at a major hospital after a physical examination (they did not charge me a consultation fee). Currently, I am classified as ...
Dr. Li Zhonghuai Reply:
Hello! I only perform simple excision for gynecomastia. If there is excessive body fat, you would need to consult a plastic surgeon for liposuction. In cases of Grade 3 gynecomastia, the breast tissue is noticeably sagging when standing. However, I always start with an ultrasound...[Read More] Optimal Body Fat Percentage for Male Gynecomastia Surgery
Understanding Intestinal Adhesions: Risks After Surgery and Weight Fluctuations
Gastrointestinal issues Fasting led to a rapid weight loss of 26 kilograms. After two months of binge eating, could this cause intestinal adhesions? A doctor suspects I have intestinal adhesions. If I undergo surgery to release the adhesions, will they reoccur afterward?
Dr. Zhang Shuhao Reply:
Fasting and extreme weight loss, as well as binge eating, can put stress on the body, which may affect the digestive system; however, this is usually functional and less likely to cause adhesions. Intestinal adhesions typically occur after abdominal surgery or following infection...[Read More] Understanding Intestinal Adhesions: Risks After Surgery and Weight Fluctuations
Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Rectal bleeding? If a 63-year-old woman experiences rectal bleeding after wiping, it is important to determine whether it is due to hemorrhoids or another cause. Since this is her first occurrence, and considering that she had a colonoscopy last month where the doctor noted ulcer...
Dr. Zhang Shuhao Reply:
For the situation of bleeding when wiping, the following recommendations are suggested: 1. Bleeding characteristics: It is important to observe the color, amount, and nature of the bleeding. If the blood is bright red, it is usually associated with hemorrhoids; if the color is da...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something Else?
Understanding Blood in Stool: When to Seek Medical Attention
Rectal bleeding Hello, Doctor. Since I am in a rural area with limited medical resources, I would like to consult online before deciding whether to go to the hospital. Here’s the situation: about five months ago, I noticed blood in my stool. It wasn't completely red but conc...
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low. Based on your description, it seems more like hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating, and...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Is a Colonoscopy Necessary After Experiencing Blood in Stool?
Do I need to undergo a colonoscopy? Hello doctor, in the past six months, I have experienced two instances of bright red blood after bowel movements. The most alarming incident occurred while I was squatting to wash my hair, resulting in a pool of fresh blood on the floor. I susp...
Dr. Zhang Shuhao Reply:
The presence of fresh blood in the stool may be caused by hemorrhoids; therefore, it is advisable to first examine the anal and rectal area for any obvious sources of bleeding. If no clear cause of bleeding is identified, a colonoscopy should be performed. Generally, individuals ...[Read More] Is a Colonoscopy Necessary After Experiencing Blood in Stool?
Sudden Change in Stool Thickness: What to Watch For?
Sudden change in stool caliber to a thinner shape? If you notice that your stool has suddenly become thinner, there are several factors to observe and consider. Pay attention to any accompanying symptoms such as abdominal pain, changes in bowel habits, or the presence of blood in...
Dr. Chen Bingze Reply:
Basically, the risk of colorectal cancer at your age is quite low. However, if you are really concerned, it is advisable to undergo a colonoscopy with sedation.[Read More] Sudden Change in Stool Thickness: What to Watch For?
Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
External anal skin tag Hello Doctor, about two years ago, I felt a small lump between my anus and vagina. There was no bleeding after bowel movements, but it felt a bit itchy when touched. I have already consulted a colorectal surgeon at the hospital, who performed a physical exa...
Dr. Zhang Shuhao Reply:
The colorectal surgeon diagnosed the polyps caused by excessive straining during bowel movements, which are actually anal skin tags commonly associated with anal fissures. They typically do not present any symptoms, but may occasionally become swollen and painful due to external ...[Read More] Understanding Anal Skin Tags: Symptoms, Concerns, and When to Seek Help
Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Continuing from #199688? Hello, doctor. I would like to ask if the accuracy rates for digital rectal examination and anoscopy are high. If both of these examinations show no significant issues, does that indicate that there is likely not a major problem? Also, I am currently 22 y...
Dr. Zhang Shuhao Reply:
Digital rectal examination and anoscopy are accurate for diagnosing hemorrhoids and anal fissures. If these two examinations reveal signs of bleeding, it is almost certain that the bleeding originates from the anal area, and a colonoscopy is not necessary. At 22 years old, if the...[Read More] Understanding the Accuracy of Digital Rectal Exams and Colonoscopies
Understanding Blood in Stool: Possible Causes and When to Seek Help
Blood in the stool? I was diagnosed with hemorrhoids over 10 years ago. This year, I have had three instances of blood in my stool, which appears to be bright red rather than dark. The occurrences are spaced over a month apart, and there is no blood the day after the bleeding. Cu...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Understanding Blood in Stool: Possible Causes and When to Seek Help
Impact of Liposuction on Hormones and Body Fat Distribution
The effects of liposuction on the body? After researching the effects of facial liposuction on the body, I have a few questions to ask: 1. Online information indicates that fat is an important organ in the body that secretes various hormones. Does this mean that liposuction cou...
Dr. Zhou Hongzhang Reply:
1. The amount of fat removed during facial liposuction is minimal and will not cause significant effects. A small volume of liposuction will not lead to hormonal or endocrine imbalances in the body. The theory of stem cells is still not fully established and requires further rese...[Read More] Impact of Liposuction on Hormones and Body Fat Distribution
Understanding Changes in Stool: When to Worry About Your Health
Stools that are thin or irregularly shaped, resembling small pellets? During my senior year of high school, I noticed that my stools became increasingly thin and sticky, and this has continued until now. However, there has been no blood in my stools. Last summer, I visited a doct...
Dr. Zhang Shuhao Reply:
It is recommended to increase fluid and dietary fiber intake, along with moderate exercise to enhance bowel motility. If concerns persist, you may consult a gastroenterologist or a colorectal specialist to evaluate whether medication or further testing is necessary.[Read More] Understanding Changes in Stool: When to Worry About Your Health
Understanding Groin Lymphadenopathy: When to Seek Further Medical Attention
Inguinal lymphadenopathy I have discovered four swollen lymph nodes in the groin area of my left leg. One of them is approximately two centimeters in size, while the others are around one centimeter. They are all movable, not as hard as a stone, but not very soft either; the smal...
Dr. Chen Ronghong Reply:
Hello, inguinal lymphadenopathy with tenderness is most commonly caused by infections of the lower extremities or genital organs. If your viral warts are also located on the left foot, they are likely related, and no further intervention is needed. However, if the viral warts are...[Read More] Understanding Groin Lymphadenopathy: When to Seek Further Medical Attention
Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Inguinal lymphadenopathy Hello, doctor. Recently, I discovered about three swollen lymph nodes in my groin area. One of them has been present for a long time, while the other two were found recently (currently, there hasn't been much change). I had a surgeon remove one for b...
Dr. Chen Ronghong Reply:
Hello, 1. Surgery is an invasive procedure, so it is common to experience mild swelling and pain at the incision site. However, if there is accompanying redness, significant tenderness, or pus drainage, medical evaluation is necessary to assess for infection. 2. The cause is unkn...[Read More] Understanding Groin Lymph Node Swelling: Post-Surgery Concerns and Diagnosis
Understanding Painful Bowel Movements: Causes and Treatments
Recurrent sharp pain and bleeding during bowel movements? I had been taking weight loss pills for 2-3 years, which led to constipation. Recently, when I had a bowel movement, my stool seemed very hard, and the moment I exerted myself, it felt like I was being cut with a knife, ca...
Dr. Yu Mingchang Reply:
There is a higher possibility of anal fissures, so it is advisable to consult a colorectal specialist.[Read More] Understanding Painful Bowel Movements: Causes and Treatments
Occasional Blood in Stool: Understanding Symptoms and Concerns
Occasional blood in the stool? Hello: I have been experiencing rectal bleeding during bowel movements for some time now, but the bleeding occurs inconsistently—sometimes there is blood, and sometimes there isn't. The intervals can vary from a couple of days to a few months o...
Dr. Zhang Shuhao Reply:
The incidence of colorectal cancer in young people is lower than in older adults, and there is no need for excessive concern unless there is a specific family history. It is recommended to visit an outpatient clinic to check for obvious causes of bleeding, such as hemorrhoids. If...[Read More] Occasional Blood in Stool: Understanding Symptoms and Concerns
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu Reply:
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing