Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Skin abrasion from wiping? If you have been experiencing bleeding and pain after wiping too hard, it is possible that you have caused a tear in the anal tissue, commonly known as an anal fissure. This can lead to discomfort, moisture, and bleeding from the anus. It is important t...
Dr. Chen Ronghong reply Surgery
Hello, if there is a tear around the anus, you can temporarily switch to water washing or moist wipes, but be sure to use gentle pressure. At the same time, avoid consuming spicy foods to prevent irritating the wound. If the wound does not heal over time or keeps recurring, you s...[Read More] Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Understanding Fibroadenomas: When to Seek Medical Attention for Pain
Fibroadenoma Hello, doctor. I have a 2.8 cm fibroadenoma in my right breast, and recently the area where the tumor is located has been experiencing intermittent sharp pain (the duration is short, but the frequency is quite high). I would like to ask if this is normal, or if I nee...
Dr. Chen Ronghong reply Surgery
Hello, if the doctor recommended a biopsy in April or if you need to return for a follow-up in three months, it is advisable for you to seek medical attention. If neither of these situations applies, but the pain is affecting your daily life and you have confirmed that the pain i...[Read More] Understanding Fibroadenomas: When to Seek Medical Attention for Pain
Understanding a Bruise and Lump on the Left Side of the Abdomen
There is a hard lump with a bruise on the left side of the abdomen? About a week ago, my husband suddenly noticed a very dark bruise on the skin on the left side of his abdomen. When he touched it, there was a swollen lump. Initially, I thought he might have bumped into something...
Dr. Chen Ronghong reply Surgery
Hello, based on your description, it is quite possible that the lump is caused by a blunt injury, especially since it is accompanied by pain and bruising, and it may dissipate within a few days. However, we cannot rule out the possibility of a pre-existing subcutaneous tumor, so ...[Read More] Understanding a Bruise and Lump on the Left Side of the Abdomen
Understanding Non-Painful Groin Masses: When to See a Specialist
Red swollen lump above the groin? Hello, doctor. I have had a red swelling in my groin since childhood. From the outside, the line in my groin appears distorted due to this swelling, resembling the right half of the letter "D." When I touch it, I can feel the shape of m...
Dr. Chen Ronghong reply Surgery
Hello, Xiao Wen. It is recommended to first see a general surgeon for an evaluation. If it is assessed to be a subcutaneous tumor, it can be directly surgically removed. If the tumor is too large, you may be referred to a plastic surgeon. If it is determined that the tumor is con...[Read More] Understanding Non-Painful Groin Masses: When to See a Specialist
Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Is it suitable for someone with a fibrocystic adenoma to take oral contraceptives? Hello, doctor. Two years ago, I was diagnosed with a fibroadenoma in my right breast, which is currently being monitored (it is now 2.8 cm). I would like to ask if it is appropriate for me to take ...
Dr. Chen Ronghong reply Surgery
Hello, a fibroadenoma is a benign tumor, and it is possible to take contraceptive pills. However, long-term use of contraceptive pills may increase the risk of breast cancer. If you have a family history of breast cancer (meaning that relatives related by blood have had breast ca...[Read More] Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Understanding Growths Around the Areola: Causes and Concerns
Growths around the areola? Hello Doctor: Recently, I noticed a small, hard lump at the junction of the areola and the skin. It feels like a sebaceous cyst, but I haven't seen an opening. Today, I squeezed it, and some fluid and blood came out. The nipple is not itchy. Could ...
Dr. Chen Ronghong reply Surgery
Hello Ms. Chang, regardless of whether it is benign or malignant, the symptoms you described may occur. It is advisable to cover the wound to prevent infection and to seek medical attention from a breast surgeon.[Read More] Understanding Growths Around the Areola: Causes and Concerns
Post-Hemorrhoid Surgery: Addressing Complications and Treatment Options
Post-hemorrhoid surgery My father is 60 years old and underwent traditional hemorrhoid surgery over 20 years ago. He was too busy to have the stitches removed after the surgery. He mentioned having a problem with anal stenosis. Could this issue be caused by not having the stitche...
Dr. Chen Ronghong reply Surgery
Hello, if the physician used absorbable sutures, there is actually no need to remove them. Even with non-absorbable sutures, they generally tend to loosen and fall out gradually as tension increases. Regardless of the type, if anal stenosis causes symptoms such as frequent anal f...[Read More] Post-Hemorrhoid Surgery: Addressing Complications and Treatment Options
Post-Surgery Care for Cellulitis: Understanding Pain and Recovery
Post-operative care for cellulitis? Hello Doctor, my elderly family member had cellulitis on the buttocks and underwent surgery to drain the pus about a month ago. They have completed the medication prescribed by the hospital, and the doctors said the recovery is going well. The ...
Dr. Chen Ronghong reply Surgery
Hello, based on your description of the wound's condition, the redness, swelling, and pus have subsided, which indicates a good recovery. If the residual pain is less severe compared to a month ago, it is usually not a concern, as some individuals are more sensitive to pain ...[Read More] Post-Surgery Care for Cellulitis: Understanding Pain and Recovery
Understanding Thyroid Nodules: What Does Calcification Mean?
Multinodular goiter I would like to ask the doctor, I have multiple thyroid nodules. Initially, there were three nodules, and after follow-up, the doctor mentioned that one of them has become a solid calcified nodule. What does that mean?
Dr. Chen Ronghong reply Surgery
Hello Shuzhen, the incidence of calcification in multinodular goiter is quite high, approximately 40%. However, it is important to note that the presence of calcification itself does not have significant implications. The key factor is that the physician will assess the "sha...[Read More] Understanding Thyroid Nodules: What Does Calcification Mean?
Best Times to Apply Ointment for Anal Fissures: A Guide
Anal fissure ointment I experienced rectal bleeding at the end of my bowel movements for several months. I consulted a doctor who prescribed an ointment. What is the best time to apply it?
Dr. Chen Ronghong reply Surgery
Hello, it can be used after bowel movements, after bathing, or before bedtime.[Read More] Best Times to Apply Ointment for Anal Fissures: A Guide
Understanding Anal Fissures: Treatment and Care Tips
Anal issues In recent months, I have been experiencing rectal bleeding at the end of my bowel movements. I visited a doctor who diagnosed me with an anal fissure and prescribed medication along with a plastic tube. Should I insert that tube or is it sufficient to just place it in...
Dr. Chen Ronghong reply Surgery
Hello, the location of an anal fissure is usually not very deep, so applying medication with a finger is sufficient. If you prefer to use a plastic tube to apply the medication, there is no need to insert the entire tube deeply.[Read More] Understanding Anal Fissures: Treatment and Care Tips
Managing Persistent Pain in Burn Wounds: A Guide for Caregivers
Burn wound One month ago, my mother suffered a burn from a heat pack. The initial area was large, but it has since improved as shown in the picture. However, there is still a yellowish-white patch that hasn't healed. My mother reports that it is painful and she has been cont...
Dr. Chen Ronghong reply Surgery
Hello, Miss Shen. The yellowish-white area in the photo may indicate necrotic tissue. If there is no improvement or if the area does not decrease in size, you may consider consulting a surgeon or a plastic surgeon for debridement to facilitate wound healing.[Read More] Managing Persistent Pain in Burn Wounds: A Guide for Caregivers
Understanding Manganese Poisoning: A Housewife's Journey to Recovery
Housewife suffers from severe poisoning? Hello doctor, I am a housewife. I recently underwent blood tests in a Chinese medicine clinic and was diagnosed with manganese poisoning. I am currently hospitalized and receiving chelation therapy. My manganese levels have decreased to 25...
Dr. Chen Ronghong reply Surgery
Hello Ms. Chen, I apologize, but I am a surgeon and do not have expertise in toxicology. I recommend that you inquire at your hospital if there is a toxicology department or an environmental and occupational medicine department, as they should be more familiar with manganese pois...[Read More] Understanding Manganese Poisoning: A Housewife's Journey to Recovery
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 Surgery
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 Tetanus Vaccine Effectiveness and Wound Care
Tetanus vaccine and wound issues? 1. I received a Tetanus vaccine on March 16. Is this considered a vaccine? I would like to know if it becomes effective the day after administration. How long does it take to become effective? About 5 or 6 years ago, I was injured after falling i...
Dr. Chen Ronghong reply Surgery
Hello, 1. You received a tetanus vaccine, and immunity typically develops about two to four weeks after administration, so your tetanus immunity is derived from your previous vaccination. 2. Symptoms of tetanus infection include abdominal stiffness and muscle spasms, and in more ...[Read More] Understanding Tetanus Vaccine Effectiveness and Wound Care
Understanding Umbilical Issues: When to Seek Further Medical Help
Umbilical issues Hello, I have been experiencing inflammation of the navel since January. I consulted a dermatologist who mentioned that there is a cyst in the navel. I am currently applying iodine medication for treatment. In the past few days, my navel has been emitting a foul ...
Dr. Chen Ronghong reply Surgery
Hello Janet, the discharge from your navel may be due to a simple subcutaneous infection, an epidermoid cyst, or, less commonly, an adult urachal cyst. It is recommended that you visit a general surgeon to examine the wound for any residual cyst wall or even a tumor that may be c...[Read More] Understanding Umbilical Issues: When to Seek Further Medical Help
Understanding Hernia Surgery Options After Previous Laparoscopic Procedures
Inquiry about hernia surgery? Hello, doctor: Recently, I have noticed a bulge in my lower right abdomen, and after examination, it has been confirmed as a hernia. I am considering surgical treatment for it, but I have previously undergone two laparoscopic surgeries (cholecystecto...
Dr. Chen Ronghong reply Surgery
Hello Mr. Li, 1. Laparoscopic appendectomy may present some increased surgical difficulty due to the overlapping location of the abdominal wall incision with that of the laparoscopic extraperitoneal hernia repair; however, laparoscopic surgery remains a viable option. 2. Lapa...[Read More] Understanding Hernia Surgery Options After Previous Laparoscopic Procedures
Do All Laparoscopic Surgeons Have Skills in Both Intra- and Extraperitoneal Hernia Repair?
Hernia surgery When consulting a physician again, do all surgeons who perform laparoscopic minimally invasive hernia surgery possess the skills for both intraperitoneal and extraperitoneal hernia repair techniques?
Dr. Chen Ronghong reply Surgery
Hello Mr. Li, it is not necessarily the case; the techniques of the two procedures have slight differences, and the physician may have only learned (or be accustomed to) one of the techniques.[Read More] Do All Laparoscopic Surgeons Have Skills in Both Intra- and Extraperitoneal Hernia Repair?
Understanding Neurofibromatosis: Surgery and Recovery Insights
Large area neurofibromas of the skin Hello: I would like to ask about a large area neurofibroma on the skin from my left neck to shoulder. If surgery is required, how long should I rest before I can return to work? Is this covered by health insurance?
Dr. Chen Ronghong reply Surgery
Hello, the duration of rest should be determined based on the type of surgery performed. If a large tumor needs to be excised, it usually requires the orthopedic surgeon to plan how to transfer surrounding skin for coverage. Please consult your doctor for recommended rest time wh...[Read More] Understanding Neurofibromatosis: Surgery and Recovery Insights
Post-Surgery Symptoms After Breast Exploration: What to Expect
Postoperative symptoms after breast exploration surgery? Hello Doctor: I underwent a breast exploration surgery on February 8, during which a papilloma and part of the breast tissue were removed. I returned for a follow-up on February 13, and the wound appeared normal. There is n...
Dr. Chen Ronghong reply Surgery
Hello, 1. If follow-up visits are not necessary, it indicates that the surgical wound is healing well; just be careful not to excessively pull on the wound. 2. If the nipple appears inverted, it may indicate that the surgical excision included some of the glandular tissue ben...[Read More] Post-Surgery Symptoms After Breast Exploration: What to Expect