Can You Take Birth Control After AVM Surgery? Expert Insights
Hello, doctor. May I ask about post-operative care for arteriovenous malformation? Hello Dr. Peng, may I ask if it is safe to take contraceptive pills after undergoing surgery for arteriovenous malformation? I took them about 25 years ago when I first started dating my husband, b...
Dr. Peng Shiwei Reply:
Currently, contraceptive pills carry a certain risk of thrombosis in the brain; however, research indicates that the risk of venous thromboembolism is greater. Your condition is classified as arteriovenous malformation, and the literature presents mixed findings. Some studies sug...[Read More] Can You Take Birth Control After AVM Surgery? Expert Insights
Understanding Urethral Warts: Treatment Options and Concerns
Cauliflower grows inside the urethra? As mentioned, my cauliflower (genital warts) has grown inside the urethral opening. I used a magnifying glass to slightly open the urethral opening and can still see a bit of it. When I consulted a doctor, he only performed electrosurgery on ...
Dr. Li Minghui Reply:
Hello: You can undergo transurethral electrosurgery using a cystoscope at the hospital.[Read More] Understanding Urethral Warts: Treatment Options and Concerns
Managing Persistent Elevated PSA Levels After Two Benign Biopsies
If the PSA levels are abnormal and persistently elevated, and two biopsies have confirmed benign results, the next steps in management may include: 1. **Active Surveillance**: Continue monitoring PSA levels and perform regular follow-up exams, including digital rectal exams (DRE...
Dr. Cai Zhuorong Reply:
In addition to PSA and free PSA, the volume of the prostate and the PHI score can also be considered for a comprehensive assessment. Furthermore, whether the MRI conducted in September raises suspicion of potential prostate cancer lesions is also an important reference. Evaluatin...[Read More] Managing Persistent Elevated PSA Levels After Two Benign Biopsies
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Concerns About Rubber Ring in Circumcision Surgery: Healing Issues
The issue with the rubber ring of the circumcision device? Hello, doctor. I chose the circumcision procedure with a rubber ring, and today is the ninth day post-surgery. However, the wound has not healed and continues to secrete serous fluid. After researching online, I found tha...
Dr. Du Shixi Reply:
Hello: I don't have much personal experience, please return for a follow-up. Wishing you good health.[Read More] Concerns About Rubber Ring in Circumcision Surgery: Healing Issues
Understanding White Bumps Around the Penis: When to Seek Help
Penile issues I would like to ask about the white area around the frenulum that is not painful, itchy, or raised. What could it be? If there is indeed a problem, would it be serious enough to require surgery? Thank you for your response. 🙏 Here is the photo: https://iiil.io/pQsE
Dr. Li Xinyi Reply:
Sorry, I won't click on unknown links. If the white substance can be washed away, it may be a fungal infection. It is advisable to visit a urologist for an examination and discuss it with the doctor.[Read More] Understanding White Bumps Around the Penis: When to Seek Help
Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Leg problems After the aortic dissection surgery, the incision site on the inner right thigh (near the groin) showed swelling a few days after the second follow-up visit, along with a tingling sensation in the front of the thigh (without pain or other symptoms). However, in recen...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that your mother is experiencing "numbness in the front of her thigh... and the lower part of her knee." This may be due to compression of the nerve root at the third lumbar vertebra, or a hematoma from a femoral artery puncture compressing the...[Read More] Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi Reply:
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Post-Circumcision Concerns: Swelling and Pain After Surgery
Postoperative care after circumcision? Hello doctor, I underwent circumcision surgery, and on the same day, my penile shaft became engorged and swollen (about three times its normal size). Additionally, there is a soft, movable lump that appears, which causes slight discomfort wh...
Dr. Jian Weihong Reply:
Hello: For swelling, it is advisable to consult a physician, as it is often a hematoma. Wishing you good health.[Read More] Post-Circumcision Concerns: Swelling and Pain After Surgery
Post-Circumcision Concerns: Swelling and Pain After Surgery
Postoperative care after circumcision? Hello doctor, I underwent circumcision surgery, and on the same day, my penile shaft became engorged and swollen (about three times its usual size). Additionally, there is a soft, movable mass that feels somewhat painful when pressed. As of ...
Dr. Du Shixi Reply:
Hello: For swelling, you can consult a physician; it is mostly a hematoma. Wishing you good health.[Read More] Post-Circumcision Concerns: Swelling and Pain After Surgery
Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Postoperative nerve compression phenomenon Hello Dr. Jiang, after undergoing brain tumor resection surgery, I have developed facial issues corresponding to CN4 to CN8 damage. Despite undergoing blood tests, nerve conduction studies, anticonvulsant medications, acupuncture, and ot...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned "CN4 to CN8 injury... could it be caused by postoperative nerve compression from scar tissue?" This aspect can be evaluated through imaging studies (such as a CT scan or MRI of the brain) and through nerve conduction studies (evoked potenti...[Read More] Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Post-Circumcision Morning Erections: Understanding Pain and Discomfort
Experiencing pain during morning erections after circumcision is common? After surgery, I have been having trouble sleeping at night. I experience pain during morning erections, but it's not at the incision site; rather, it's a pain at the base that feels like the skin ...
Dr. Du Shixi Reply:
Hello: Since the pain you mentioned is uncommon, it is recommended to return for an evaluation. Wishing you good health.[Read More] Post-Circumcision Morning Erections: Understanding Pain and Discomfort
Is Swelling and Discoloration Normal After Circumcision?
Post-circumcision care Is it normal to experience swelling and darkening (similar to a blackish color) at the site where anesthesia was administered, starting from the evening of February 5th, after having surgery at 5 PM on January 31st? I also feel occasional sharp pain when li...
Dr. Du Shixi Reply:
Hello: Bruises that turn black are common and usually do not appear red, with minimal leakage. Wishing you good health.[Read More] Is Swelling and Discoloration Normal After Circumcision?
Understanding Ligament Injury Risks After Electrocautery for Warts
Ligament rupture caused by electrosurgical treatment for cauliflower? Hello, doctor. I would like to ask about a previous condition I had. I had genital warts and underwent electrosurgery at a large hospital to remove several small lesions on the ligaments. However, after healing...
Dr. Du Shixi Reply:
Hello: It is common for growths on ligaments to sometimes loosen during electrical stimulation, while others may become tight due to scarring. Wishing you good health.[Read More] Understanding Ligament Injury Risks After Electrocautery for Warts
Persistent Prepuce Edema: Seeking Solutions After Six Months
The foreskin has been swollen for six months and has not improved? Hello Doctor: I had a circumcision during the summer vacation. Initially, all the expected symptoms appeared after the procedure, and the sutured area healed quickly. However, I have persistent edema of the remain...
Dr. Du Shixi Reply:
Hello: If there is significant swelling, you may consult a plastic surgeon to determine if further intervention is necessary. Wishing you good health.[Read More] Persistent Prepuce Edema: Seeking Solutions After Six Months
Post-Surgery Care: Managing Stitches After Circumcision
Post-operative suture removal after circumcision? Today is the 10th day post-surgery, and two clearly visible screws have been removed. The others are somewhat embedded in the tissue, with some covered by scabs. I would like to ask if the screws will gradually work their way to t...
Dr. Du Shixi Reply:
Hello: To keep the area clean and dry will help reduce scabbing. You can express your fear of pain to your doctor, and they will understand. Wishing you good health.[Read More] Post-Surgery Care: Managing Stitches After Circumcision
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei Reply:
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms