Do You Need a Tetanus Shot for a Non-Bleeding Puncture Wound?
Questions about wounds? Hello, if you get punctured by a metal object but there is no bleeding from the wound, is there a risk of tetanus infection? Should you get a shot? Thank you for your response.
Dr. Chen Jiaming reply Surgery
Although there is no bleeding, if there is skin damage (a wound), there is still a potential risk of infection (such as tetanus or bacterial infections). It is advisable to seek medical attention for a tetanus prophylaxis injection.[Read More] Do You Need a Tetanus Shot for a Non-Bleeding Puncture Wound?
Understanding Post-Surgery Care: Managing Pain and Infection Risks
Has sought medical attention? Hello, doctor. The wound is located 3 centimeters above the anus in the groin area. It has become very painful and swollen after three days. I went to a family clinic that day, and the doctor administered antibiotics and prescribed both oral and topi...
Dr. Chen Jiaming reply Surgery
It is difficult to understand the cause and current state of your wound based solely on your description. Although the swelling and pain have decreased after medication, it is still recommended that you visit a surgical clinic or outpatient department for an actual examination. T...[Read More] Understanding Post-Surgery Care: Managing Pain and Infection Risks
Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-fistula surgery Hello Doctor: I underwent fistula surgery on December 20, 2018, and was discharged three days later. I had previously looked in the mirror and saw that the surgical incision was about 2-3 cm next to the sphincter, with an external incision of 2-3 cm that was ...
Dr. Chen Jiaming reply Surgery
1. The depth of the anal fistula varies among individuals, and the healing time for surgical wounds also differs. 2. It is common to have discharge from the anus after anal fistula surgery; however, some may experience pus while others may only have normal intestinal secretions...[Read More] Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Minimally Invasive Surgery for Left Lobe Liver Resection: Insights and Considerations
Minimally invasive surgery for the resection of the left lobe of the liver? Hello Doctor: I have a benign 10 cm focal nodular hyperplasia (FNH) located in the left lobe of my liver, which almost occupies the entire left lobe. It has been monitored for 10 years without any changes...
Dr. Chen Jiaming reply Surgery
Currently, major medical centers in Taiwan have specialized hepatobiliary surgeons dedicated to the development of laparoscopic liver resection techniques. Laparoscopic left lobectomy is not considered a particularly difficult procedure. As for the surgical incision, it varies ba...[Read More] Minimally Invasive Surgery for Left Lobe Liver Resection: Insights and Considerations
Managing Lip Wounds: Care Tips and Treatment Options for Healing
Lip wound Dear Dr. Chen, A few days ago, my father had a small tumor on his lower lip removed by a dermatologist, resulting in a wound measuring 0.5 x 0.3 cm (it wasn't this large initially). However, it became slightly red and swollen after possibly coming into contact wit...
Dr. Chen Jiaming reply Surgery
1. Lip wounds are difficult to bandage, but silver-containing compounds can inhibit bacteria, so they can be used! 2. Since the wound has white necrotic tissue, while artificial skin can absorb secretions or block external saliva, it is uncertain whether the internal wound will...[Read More] Managing Lip Wounds: Care Tips and Treatment Options for Healing
Understanding Pain Above the Navel: Possible Causes and Concerns
I want to know what is happening with my body? The location is slightly to the left of the position one finger above the navel, and pressing it causes some pain. What kind of internal condition could this indicate?
Dr. Chen Jiaming reply Surgery
There are numerous possibilities for abdominal tenderness, including many non-pathological issues (normal tenderness) that cannot be assessed through online consultation. It is recommended to seek in-person medical evaluation at a healthcare facility.[Read More] Understanding Pain Above the Navel: Possible Causes and Concerns
Post-Laparoscopic Cholecystectomy: Managing Wound Healing Issues
Postoperative Issues Following Laparoscopic Cholecystectomy Hello, doctor. After my surgery, when I returned to have my stitches removed, one of the wounds had not healed and was oozing blood. The doctor advised me to change the dressing and wait for the wound to scab over. After...
Dr. Chen Jiaming reply Surgery
For surgical wounds that are slow to heal, it is recommended to maintain traditional dressing changes (disinfection and covering with gauze) until the entire wound is stable, dry, and fully healed, before using cosmetic tape (although it is also acceptable to forgo its use).[Read More] Post-Laparoscopic Cholecystectomy: Managing Wound Healing Issues
Do Minor Cuts on Fingers Need Treatment? Infection Risks Explained
Finger issues Hello Doctor, I have a small question: Recently, my hands have frequently been cut by objects, but these are only superficial wounds without bleeding, so I haven't done much to treat them. Do these types of wounds need to be treated? Is there a risk of infectio...
Dr. Chen Jiaming reply Surgery
For superficial wounds on the hands (even if there is no bleeding), it is generally recommended to disinfect the area immediately. If there is a stinging sensation from the disinfectant, it indicates that the wound may have some depth, and standard wound care should be implemente...[Read More] Do Minor Cuts on Fingers Need Treatment? Infection Risks Explained
Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Post-cholecystectomy Can I masturbate one week after gallbladder removal surgery? How long until I can lift heavy objects and go for a jog?
Dr. Chen Jiaming reply Surgery
Postoperative recovery varies from person to person. In principle, once the stitches have been removed or the wound is healed enough to come into contact with water, you can engage in light work or exercise, as there is no concern about sweat contaminating the wound. As for the l...[Read More] Post-Cholecystectomy: When Can You Resume Sexual Activity and Exercise?
Should You Get a Tetanus Shot After a Minor Fishing Hook Injury?
I'm not sure whether to get a tetanus shot? Hello, Doctor. Today, while I was at a shrimp fishing venue, I accidentally got hooked on my finger by a fishing hook. It penetrated about 0.1 to 0.2 mm deep, and there is no visible wound or bleeding; only a slightly red circular ...
Dr. Chen Jiaming reply Surgery
It is recommended that you seek evaluation and receive a tetanus shot at a medical facility, as wounds caused by hooks or those that have come into contact with untreated water from aquaculture pose not only a risk for tetanus but also for bacterial infections (such as Vibrio spe...[Read More] Should You Get a Tetanus Shot After a Minor Fishing Hook Injury?
Managing Non-Surgical Site Injuries After Anesthesia: A Patient's Guide
Postoperative non-surgical site injury issues related to anesthesia? Hello Doctor, my mother recently underwent thyroid cancer surgery, and we discovered that a tooth that had undergone root canal treatment fell out due to anesthesia-related factors. The original surgical attendi...
Dr. Chen Jiaming reply Surgery
The issue you are encountering is clearly a communication gap between your original attending physician and the hospital's social services department. You can politely inform your original attending physician about the problems you are facing and request their assistance in ...[Read More] Managing Non-Surgical Site Injuries After Anesthesia: A Patient's Guide
Understanding Back Masses: What Could That Lump Be?
Lumbar mass? Hello, a few days ago I bumped my lower back against something, and when I touched it, I found a round lump. It doesn't hurt much even when I press hard, and it seems to be on top of a nerve. What could this be? Is it a tumor...?
Dr. Chen Jiaming reply Surgery
Based solely on your description, it is not possible to determine what you have touched. It is recommended that you visit a clinic or hospital for a physical examination by a physician to obtain an accurate diagnosis.[Read More] Understanding Back Masses: What Could That Lump Be?
Understanding Pelvic Pain After Car Accident: Causes and Next Steps
Right abdominal injury including pelvic involvement from a car accident? Hello doctor, I was in a car accident in mid-June where I hit the ground on my right side and rolled over twice. After getting up, I felt a significant internal jolt, as if my organs were shaken. I had an ab...
Dr. Chen Jiaming reply Surgery
Trauma can cause contusions to the skeletal muscles. If fractures and other issues are ruled out, after the acute pain phase in the initial stage of the injury, if chronic pain persists, it is primarily advisable to consult an orthopedic specialist or a rehabilitation physician. ...[Read More] Understanding Pelvic Pain After Car Accident: Causes and Next Steps
Understanding Pink Water in Toilet: Causes and Concerns
When flushing the toilet, I noticed that the water in the bowl appeared pink? Hello doctor, I have noticed an increase in the frequency of flatulence this year. When I feel the urge to have a bowel movement, the frequency of passing gas seems to be higher. Recently, I occasionall...
Dr. Chen Jiaming reply Surgery
Changes in the frequency and volume of intestinal gas are related to the gas production status of the intestines, which is influenced by the composition of the diet and the gut microbiota. Additionally, the absence of visible red blood in the stool does not necessarily indicate t...[Read More] Understanding Pink Water in Toilet: Causes and Concerns
Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess
Post-appendectomy intestinal abscess? Hello, I underwent an appendectomy at the beginning of August and experienced complications, including a large abscess approximately 4 cm in size in the intestinal area. After 10 days of antibiotic treatment, I was discharged on August 27. Ho...
Dr. Chen Jiaming reply Surgery
Postoperative complications of acute appendicitis can include intra-abdominal abscesses. If the abscess is located in the interloop space, it may be difficult to achieve effective treatment through drainage alone. Simply administering antibiotics may sometimes fail to provide a c...[Read More] Post-Appendectomy Complications: Understanding Pain from Abdominal Abscess
Understanding Post-Hernia Surgery: Hard Lump Near Incision
Hernia surgery wound lump? Hello Doctor, I had hernia surgery three weeks ago and a synthetic mesh was used. Recently, I have noticed a hard protruding lump near the incision site. It doesn't hurt most of the time, but it does hurt when pressed. Is this normal? How long will...
Dr. Chen Jiaming reply Surgery
The artificial mesh used in hernia repair interacts with surrounding tissues to create a reinforcing effect on the abdominal wall, reducing the chances of recurrence. Generally, its position is deeper and not easily accessible. Based on your description of a hard protruding lump ...[Read More] Understanding Post-Hernia Surgery: Hard Lump Near Incision
Itchy Skin on Right Breast: When to Seek Surgical Evaluation?
Itching of the chest skin? Hello Doctor, I have recently noticed a patch of skin on the right breast, near the center of the body, that has some small bumps, resembling folliculitis, and it is itchy. However, it is not located on the areola or nipple, just on the breast itself, a...
Dr. Chen Jiaming reply Surgery
Based on your description, it seems more likely to be a skin issue. I recommend visiting a dermatologist for evaluation and treatment. If you are concerned about the inconvenience of examining private areas, you can take several photos of the affected skin lesions (from different...[Read More] Itchy Skin on Right Breast: When to Seek Surgical Evaluation?
Post-Weight Loss Breast Sagging: Is It a Sign of Cancer?
Breast sagging and indentation after weight loss? Hello doctor, I have lost 30 kilograms in a year through diet control. My breasts were already sagging due to being too large, and now it feels like the skin is becoming even more lax as I continue to lose weight. Additionally, th...
Dr. Chen Jiaming reply Surgery
Your weight loss can indeed cause such changes, but if you are still concerned, it would not be unreasonable to have another breast ultrasound examination this August, a year after your last one in August of last year. This can help alleviate your worries.[Read More] Post-Weight Loss Breast Sagging: Is It a Sign of Cancer?
Understanding Lower Abdominal and Anal Pain: Causes and Concerns
Lower abdominal pain and anal pain? Hello doctor, I haven't had much bowel movement lately and I usually don't drink much water. Recently, my stomach has been making gurgling sounds, and when I do go, it's only a little bit, thin and soft. Now I have a lot of pain ...
Dr. Chen Jiaming reply Surgery
Based on your description, it seems more like a case of chronic constipation. To address chronic constipation, it's important to increase your daily water intake. Additionally, incorporating oil-rich nuts into your diet can be beneficial. As for fruits and vegetables, they h...[Read More] Understanding Lower Abdominal and Anal Pain: Causes and Concerns
Understanding Anal Discomfort: Is It Hemorrhoids or Something Else?
Anal blockage? Recently, Dr. Ping An has been experiencing a sensation of something wanting to come out of the anus while squatting to use the toilet, but no matter how hard he tries, nothing comes out. Yesterday, he felt a similar sensation while squatting to urinate, with a fee...
Dr. Chen Jiaming reply Surgery
Based on your description, it is indeed quite likely that hemorrhoids are the cause. However, a definitive diagnosis can only be made through an in-person examination by a physician. For the bleeding, it is recommended to reduce friction from wiping; you might try using moist wip...[Read More] Understanding Anal Discomfort: Is It Hemorrhoids or Something Else?