General Surgery

General Surgery | Minimally Invasive, Gastrointestinal, Gallbladder, Hernia, Thyroid and Breast Care

General surgery is not limited to conditions that require an operation. Abdominal pain, gallstones, hernia, rectal bleeding, haemorrhoids, gastrointestinal polyps, thyroid or breast lumps and subcutaneous lumps can first be assessed before observation, medication, endoscopy, a minimally invasive procedure or surgery is considered.

Browse by Symptom

Which Situation Applies to You?

Right upper abdominal pain, especially after fatty food

Gallstones or gallbladder inflammation can cause upper abdominal pain, nausea, fever or jaundice.

Learn More:Right upper abdominal pain, especially after fatty food

A lump in the groin or around the navel

A lump that is more obvious when standing, coughing or straining may be a hernia.

Learn More:A lump in the groin or around the navel

Upper abdominal pain, reflux or swallowing difficulty

A doctor can assess whether gastroscopy is appropriate for persistent symptoms, black stool or indigestion.

Learn More:Upper abdominal pain, reflux or swallowing difficulty

Blood in stool or a change in bowel habit

Bleeding, persistent bowel-habit change, anaemia or family history may require further assessment.

Learn More:Blood in stool or a change in bowel habit

Anal pain, bleeding or a lump

Haemorrhoids, fissures, abscesses and fistulas require different treatment, so diagnosis comes first.

Learn More:Anal pain, bleeding or a lump

A lump in the neck

Most thyroid nodules are benign, but some require ultrasound, needle sampling or surgical assessment.

Learn More:A lump in the neck

A breast lump

A breast lump, nipple discharge or skin change should be assessed even though it does not always indicate cancer.

Learn More:A breast lump

A skin or subcutaneous lump

Lumps that grow quickly, harden, become painful or inflamed, or remain uncertain should be assessed.

Learn More:A skin or subcutaneous lump

Sudden persistent abdominal pain

Seek prompt medical care if pain is severe or accompanied by fever, persistent vomiting or marked illness.

Learn More:Sudden persistent abdominal pain

Common General Surgery Areas

Choose Information by Condition

Many surgical conditions do not require immediate surgery. A general surgeon first reviews symptoms and examination findings, then arranges imaging, endoscopy or other tests when appropriate before discussing treatment options.

Gallbladder, Gallstones and Bile Duct Conditions

Assessment of right upper abdominal pain, gallstones, cholecystitis, polyps and bile-duct concerns.

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Hernia

Assessment of groin, femoral, umbilical, incisional and abdominal-wall hernias.

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Gastroscopy and Upper Gastrointestinal Conditions

Assessment of upper abdominal pain, reflux, swallowing difficulty, black stool and related symptoms.

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Colonoscopy, Polyps and Colorectal Screening

Assessment of bleeding, bowel-habit change, polyps and individual screening needs.

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Haemorrhoids and Anal Conditions

Diagnosis and treatment planning for haemorrhoids, fissures, severe pain, swelling or discharge.

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Thyroid Surgery

Assessment of neck lumps and thyroid nodules, including ultrasound and FNA when appropriate.

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Breast Surgery

Assessment of breast lumps, nipple discharge, skin changes and imaging abnormalities.

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Skin and Subcutaneous Lumps

Assessment and suitable minor procedures for lipomas, cysts and other superficial lumps.

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Assessment Before Treatment

Does Seeing a General Surgeon Mean I Need Surgery?

No. General surgeons also assess abdominal, gastrointestinal, gallbladder, hernia, anal, thyroid, breast and subcutaneous-lump conditions. Some need only observation, lifestyle measures, medication, endoscopy or follow-up. Surgery is discussed only when its expected benefits outweigh its risks.

Which Symptoms Need Prompt Medical Care?

Sudden or progressively worsening abdominal pain
Severe right upper abdominal pain with fever
Jaundice
Persistent vomiting or inability to drink
A hernia that becomes hard, very painful or cannot be reduced
Heavy or persistent gastrointestinal bleeding
Black stool with dizziness or weakness
Severe anal pain, swelling and fever
High fever or a worsening infected wound after surgery

Seek emergency medical care if symptoms are severe, rapidly worsening or may represent an emergency.

Specialist in General Surgery

Dr Chow Man Po

Clinical interests include gastrointestinal and hepatobiliary surgery, thyroid and breast conditions, hernia and subcutaneous lumps, with endoscopy and suitable minimally invasive procedures.

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