Do You Need a Tetanus Shot After a Minor Cut from a Rusty Blade?
The necessity of administering the tetanus vaccine? Hello, Doctor. Today I accidentally cut myself with a rusty utility knife. The cut is about 5mm long and appears to be 1-2mm deep, but it did bleed a bit. At the time, I rinsed it under running water while squeezing to expel the...
Dr. Chen Ronghong reply Surgery
Hello, Panda. If your wound is shallow and has been cleaned and disinfected immediately, the risk of tetanus infection is very low. However, even if the wound is not infected or purulent, infection cannot be completely ruled out. If it is temporarily inconvenient for you to seek ...[Read More] Do You Need a Tetanus Shot After a Minor Cut from a Rusty Blade?
Understanding Cellulitis: Symptoms, Treatment, and Recovery Concerns
Cellulitis issues Hello, doctor. Last Wednesday, I bumped my hand and it swelled up. On Thursday, I went to the hospital for an examination and was diagnosed with cellulitis. They performed an incision and drainage, and I have been taking antibiotics daily. The wound has been alm...
Dr. Chen Ronghong reply Surgery
Hello Ashu, in patients with cellulitis accompanied by systemic symptoms, the originally inflamed area typically continues to exhibit redness, swelling, heat, and pain, with an expanding range. Systemic symptoms may include fever, tachycardia, and altered consciousness. You menti...[Read More] Understanding Cellulitis: Symptoms, Treatment, and Recovery Concerns
Understanding Left Axillary Pain: Possible Causes and When to Seek Help
There is a slight stabbing pain near the axillary area close to the accessory breast on the left side? I have mild heart disease (mitral valve regurgitation) that only requires annual outpatient follow-up and no need for regular medication. Recently, I have been experiencing occa...
Dr. Chen Ronghong reply Surgery
Hello Amy, based on your description, the area involves subcutaneous tissue, breast tissue, lymph nodes, or the pectoralis major muscle. Therefore, possible conditions include a subcutaneous tumor, breast tumor, physiological breast tenderness (often occurring before menstruation...[Read More] Understanding Left Axillary Pain: Possible Causes and When to Seek Help
Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Is it a symptom of anal fissure? How can it be prevented? Hello, I have an adequate water intake in my daily life, and my bowel movements are smooth with no hard stools. However, I notice a very small amount of blood (less than a normal drop) almost every time I wipe after a bowe...
Dr. Chen Ronghong reply Surgery
Hello KB, given your age, the presence of blood in your stool is more likely related to anal fissures or hemorrhoids. You mentioned that there is usually no pain, and bleeding and pain only occur after wiping post-defecation, which strongly suggests the possibility of an anal fis...[Read More] Understanding Anal Fissures: Symptoms, Prevention, and Treatment Options
Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Chemotherapy followed by lumpectomy for breast cancer... Regarding the question about the "pathology report stating" that cancer cells are dead, what related issues should be considered? Hello, the relevant tests and biopsy indicated "triple-negative, 4 cm." A...
Dr. Chen Ronghong reply Surgery
Hello, Xiaowen. Based on your description, it seems that your tumor has responded very well to neoadjuvant chemotherapy, achieving "complete remission." In this situation, the resected tissue shows no cancer cells under the microscope, which is why the doctor would tell...[Read More] Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Should I Remove a Half-Detached Nail After Injury?
My entire fingernail has come off? After my nail came off, I used a small pair of scissors to cut away the gel manicure portion. The left side of the nail has come out from the nail bed, while the right side is still attached, so it's half detached and half still connected. ...
Dr. Chen Ronghong reply Surgery
Hello, based on your description, there is no need to remove the nail unless the remaining part is causing pain or is prone to snagging on objects, in which case medical intervention for removal would be necessary.[Read More] Should I Remove a Half-Detached Nail After Injury?
Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Difficulty in bowel movements and bleeding four months after hemorrhoid surgery? I underwent a self-funded minimally invasive ligature surgery at the beginning of January this year, and I am still experiencing difficulties with bowel movements and bleeding. I feel weakness in the...
Dr. Chen Ronghong reply Surgery
Hello Becky, some patients experience postoperative anal stenosis, which can lead to difficulty in bowel movements. However, since you mentioned using your fingers to dig out stool, if your fingers can enter the anus, it is less likely to be anal stenosis. Hard and dry stools can...[Read More] Post-Surgery Bowel Issues: Difficulty and Bleeding After Hemorrhoid Surgery
Managing Non-Healing Surgical Wounds: A Case Study
How to manage an unhealed surgical wound? On March 7, I underwent surgery for facial lipomas, resulting in five incisions. The sutures were removed on March 15. The following day, during a dressing change, I noticed that one of the incisions, approximately 2 cm in size, had a por...
Dr. Chen Ronghong reply Surgery
Hello, Yan Liu. Among the five wounds, only one has poor healing, which is more likely due to a localized infection causing inflammation. The contents of the cyst could potentially lead to a bacterial infection. Please continue using the antibiotic ointment, avoid pulling on the ...[Read More] Managing Non-Healing Surgical Wounds: A Case Study
Is Immediate Surgery Necessary for Hernia in Children?
The urgency of hernia surgery? Hello doctor, my daughter has recently been diagnosed with a hernia. We initially wanted to schedule surgery right away, but the physician mentioned that after the surgery, she cannot run, jump, or fall. Since she is currently in school, I am concer...
Dr. Chen Ronghong reply Surgery
Hello FG, based on your description, your daughter’s hernia is likely located at the umbilical or inguinal region. If the protruding mass can be easily pushed back into the abdominal cavity and does not become incarcerated, you can wait until summer vacation for surgery. However,...[Read More] Is Immediate Surgery Necessary for Hernia in Children?
Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Anal fistula? Anal abscess? The polyp is still present? Hello Doctor, regarding the consultation case you submitted <a href="https://adoctor.tw/article/180079">#180079</a>, there are two symptoms. I apologize for the lengthy description (I have already sough...
Dr. Chen Ronghong reply Surgery
The most likely diagnosis for this lesion is an anal fistula. If it is only incised and drained without excising the fistula, it is likely to recur easily. Whether a complete surgical excision is necessary depends on the frequency and severity of the symptoms. It is recommended t...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
When Is Nail Surgery Necessary for Paronychia? Understanding Severity and Treatment Options
Severity of Paronychia Issues Hello Doctor: What degree of paronychia requires nail avulsion surgery? Will it be painful? (I cannot upload images, so I will describe it in words.) My condition is that there is a small amount of skin overlapping the edge of the nail, but it is not...
Dr. Chen Ronghong reply Surgery
Hello YJH, based on your description, you can start by applying antibiotic ointment, and it may not be necessary to take oral antibiotics. If the pain gradually improves, there may be no need to remove the nail. However, if the pain does not improve or if the redness and swelling...[Read More] When Is Nail Surgery Necessary for Paronychia? Understanding Severity and Treatment Options
Understanding Anal Issues: Could It Be an Anal Cyst?
Anal issues I have experienced slight constipation for the past two to three days, and I have felt a hard lump located slightly posterior to the right side of the anus. It is a bit painful when pressed. There is also slight pain during bowel movements and when the anal sphincter ...
Dr. Chen Ronghong reply Surgery
Hello, pain and lumps around the anus are most commonly caused by inflammation of the anal glands leading to the formation of an abscess. It is recommended to seek medical attention and take antibiotics. A doctor should also check for any connection to the rectum that may form a ...[Read More] Understanding Anal Issues: Could It Be an Anal Cyst?
Cat Bite Injuries: When to Get Tetanus Shots After a Wild Cat Bite
Cat bite? I was bitten by a stray cat and I'm unsure how to assess the depth of the wound. I received the Moderna vaccine on March 1st. How long should I wait to get the tetanus vaccine? I found online that it can be administered after 7 days, but I'm concerned about th...
Dr. Chen Ronghong reply Surgery
Hello, if you have received a tetanus vaccine within the last 10 years, you do not need to get vaccinated again. If you are unsure of the date of your last vaccination or have never been vaccinated, it is recommended to seek medical evaluation to assess the risk of tetanus infect...[Read More] Cat Bite Injuries: When to Get Tetanus Shots After a Wild Cat Bite
Understanding Post-Injection Discomfort: When to Seek Further Evaluation
Injection issues? Hello, doctor. I would like to ask about something. On January 23rd, I received an antibiotic injection at the clinic for certain reasons, but my arm still feels slightly sore (I can feel it when pressed or during certain movements). What could be the reason for...
Dr. Chen Ronghong reply Surgery
Hello KIKI, if the injection was administered directly into the arm as an intramuscular injection, soreness is a common occurrence and will gradually alleviate over time. However, if there is redness, swelling, or warmth in the arm, it is advisable to seek medical evaluation. If ...[Read More] Understanding Post-Injection Discomfort: When to Seek Further Evaluation
Understanding Thumb Pain After Nail Care: When to Seek Medical Attention
Thumb swelling and pain? Hello Doctor, a few days ago I accidentally cut my thumb while trimming my nails and ended up cutting a small piece of skin, leaving a small wound. At the time, I didn't think much of it and didn't take any special precautions. However, in the p...
Dr. Chen Ronghong reply Surgery
Hello, if the wound is still swollen and painful, there is a concern for secondary infection. If the patient has a history of diabetes or immunocompromised status, extra caution is warranted. It is advisable to seek medical evaluation to determine if topical antibiotic ointment o...[Read More] Understanding Thumb Pain After Nail Care: When to Seek Medical Attention
Post-Injury Knee Pain: Understanding Numbness and Discomfort After Healing
After the knee wound has healed, there is a tingling pain when pressure is applied? Hello, I had a motorcycle accident on November 21, 2021, and it took about two months to heal. However, on February 8, 2022, I started experiencing numbness and pain when pressing on the wound are...
Dr. Chen Ronghong reply Surgery
Hello, Miss Ruan. Surface injuries often cause damage to the sensory nerves in the skin, so even after the injury has healed, you may still experience sensations such as numbness, tingling, or itching. Supplementing with B vitamins may help alleviate nerve pain slightly. If the i...[Read More] Post-Injury Knee Pain: Understanding Numbness and Discomfort After Healing
Managing Persistent Swelling After Lip Stitching from Car Accident
Laceration on the upper lip requiring stitches after a car accident? Hello doctor, I had four stitches on my upper lip due to a car accident. After the stitches were removed, the left half of the wound has developed a white hard lump (swollen and white) that has not disappeared f...
Dr. Chen Ronghong reply Surgery
Hello Eva, a common occurrence of subcutaneous lumps after trauma is the fibrous tissue that forms during the wound healing process. The swelling will typically subside over time, but the fibrous tissue may persist. If you feel it affects your appearance, it is advisable to consu...[Read More] Managing Persistent Swelling After Lip Stitching from Car Accident
Caring for Hernia Above the Navel: Tips and Surgical Considerations for Seniors
How should umbilical hernias above the navel be cared for? Hello Doctor: Recently, my father (71 years old) visited a doctor due to a bulge above his navel, which was diagnosed as a hernia in the abdominal wall. The doctor mentioned that the incision would be small and that the i...
Dr. Chen Ronghong reply Surgery
Hello, if you do not wish to undergo surgery for an abdominal wall hernia temporarily, you may consider using a "hernia belt" to increase the support of the abdominal wall. Hernia belts can be purchased at medical supply stores. They can only reduce the likelihood of th...[Read More] Caring for Hernia Above the Navel: Tips and Surgical Considerations for Seniors
Post-Surgery Complications: Bleeding and Pain After Hemorrhoid Surgery
Postoperative swelling and bleeding during bowel movements after hemorrhoid surgery? Hello Doctor: I underwent a mixed hemorrhoidectomy in mid-October, and the surgeon confirmed that the postoperative wound was healing well. However, one month after the surgery, I experienced dif...
Dr. Chen Ronghong reply Surgery
Hello Shih, based on your description, it is possible that the anal canal has become narrower after hemorrhoid surgery. The cause could be swelling at the surgical site or an actual structural narrowing. It is advisable to seek medical evaluation to determine if gradual anal dila...[Read More] Post-Surgery Complications: Bleeding and Pain After Hemorrhoid Surgery
Understanding a Hard Lump After a Month of Bruising on the Arm
Bruise on the arm? After a month of bruising from an arm impact, there is a flat, approximately 1 cm long hard lump at the site of the impact. What could this be?
Dr. Chen Ronghong reply Surgery
Hello Mr. Huang, first please recall if there was a possibility of a foreign object penetrating when your arm was injured. If there is any suspicion, you should seek medical attention for removal. If the skin has remained intact, then the lump you mentioned is more likely a subcu...[Read More] Understanding a Hard Lump After a Month of Bruising on the Arm