Pre and Post-Operative Care for Pilonidal Sinus Surgery
Preoperative and postoperative care for pilonidal sinus surgery? Recently, I need to undergo surgery for a pilonidal sinus located in the groin area. I would like to inquire whether preoperative bowel preparation, such as an enema, is necessary, and if there are any other prepara...
Dr. Ke Fangxu reply Surgery
Pilonidal sinus is not a serious condition, but it can be quite troublesome. Due to the high tension at the surgical site, the rate of poor wound healing is relatively high, and the likelihood of recurrence is also significant. After surgery, it is advisable to avoid deep squatti...[Read More] Pre and Post-Operative Care for Pilonidal Sinus Surgery
Post-Surgery Concerns: How Long Will Knee Swelling Last?
Postoperative issues? Hello, doctor. I had my knee scar sutured this morning, and due to the anesthesia, it still feels a bit swollen until midnight. How long is it normal for the swelling sensation to last?
Dr. Ke Fangxu reply Surgery
Local anesthesia generally wears off in 2 to 4 hours, although some patients may experience a longer or shorter duration. By the time you read this response, you should have already returned to normal.[Read More] Post-Surgery Concerns: How Long Will Knee Swelling Last?
Understanding Wound Healing Issues After a Car Accident
Wound healing issues after a car accident? Hello, I had a car accident around mid-April, resulting in a severe abrasion on my knee. I started using artificial skin once the exudate decreased, and I stopped using it when the wound healed. However, due to the impact, my knee has si...
Dr. Ke Fangxu reply Surgery
Based on your description, it seems to be a hypertrophic scar. As long as there is no redness, swelling, heat, or pain, it should not be a concern. Generally, scar tissue matures and begins to absorb over a period of about six months. It is advisable to continue monitoring for an...[Read More] Understanding Wound Healing Issues After a Car Accident
Minimally Invasive Surgery for Anal Fistula: What You Need to Know
Minimally Invasive Treatment for Anal Fistula Hello Doctor, I would like to inquire about my issue with anal fistulas. Most of the information I found discusses traditional surgical methods, which require a longer recovery time and are somewhat uncertain. Recently, I came across ...
Dr. Ke Fangxu reply Surgery
Minimally invasive surgery for anal fistulas is not available in every hospital, and the recurrence rates vary according to different opinions. Personally, I have not undergone this procedure, so I recommend that you consult with a physician who actually performs it to get clear ...[Read More] Minimally Invasive Surgery for Anal Fistula: What You Need to Know
Understanding Rectal Bleeding: When to Seek Medical Advice
Rectal bleeding Hello Doctor, I am 29 years old and have been experiencing constipation issues. I usually have a bowel movement every 3 to 5 days. However, except during my menstrual period when my stools are normal and I feel completely empty, my regular bowel movements are ofte...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colorectal cancer at the age of 29 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like hemorrhoidal bleeding. It is advisable to start with a light diet and maintain a good lifestyle. Spicy, irritat...[Read More] Understanding Rectal Bleeding: When to Seek Medical Advice
Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu reply Surgery
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Understanding Appetite Loss and Anxiety in Gastric Ulcer Patients
Appetite loss and anxiety associated with gastric ulcers? Hello doctor, I have been experiencing persistent loss of appetite. Last Saturday, I underwent an endoscopy which diagnosed me with a gastric ulcer. The doctor prescribed me three medications: 1. Pantoprazole 2. Mosapride ...
Dr. Ke Fangxu reply Surgery
Indeed, early-stage gastric cancer can present in the form of ulcers. If the physician has already performed an endoscopy and taken biopsies, there is no need for concern. Trust that your doctor and the pathology report indicate that a repeat endoscopy is unnecessary. Lack of app...[Read More] Understanding Appetite Loss and Anxiety in Gastric Ulcer Patients
Understanding Abdominal Issues: Causes of Bloating and Discomfort
Abdominal issues? Hello Doctor, I lost 26 kilograms over a two-month period at the end of last year. After that, I engaged in binge eating for a month, and after one particularly large meal, I started experiencing bloating, especially on the right side of my abdomen. There was ev...
Dr. Ke Fangxu reply Surgery
Losing 26 kilograms in two months is quite unusual; are you taking any medications or have you undergone any surgeries? When were the colonoscopy and gastroscopy performed, and how do their timings compare to the CT scan? Your situation is more complex, and it is not advisable to...[Read More] Understanding Abdominal Issues: Causes of Bloating and Discomfort
Can I Contract HPV After Unprotected Sex with an Infected Partner?
If my boyfriend has genital warts and we engage in sexual intercourse after he has undergone electrocautery, am I at risk of being infected? Hello Doctor, I would like to inquire about something. In April of this year, I learned that my partner had genital warts (condyloma) and u...
Dr. Ke Fangxu reply Surgery
There is a possibility, but it is not guaranteed. Currently, it is not possible to determine if an infection has actually occurred. A smear test cannot provide this information, and since we do not know if there is an infection, we cannot initiate preemptive treatment. Administer...[Read More] Can I Contract HPV After Unprotected Sex with an Infected Partner?
Understanding Rectal Pressure and Foreign Body Sensation: Causes and Treatments
Feeling of anal heaviness, sensation of anal foreign body? Hello doctor, recently whenever I stand for 1-2 hours or exercise, such as cycling for an hour or running for an hour, I feel a sensation of something protruding from my anus or experience pain when I contract. After appl...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoids. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber intake can be b...[Read More] Understanding Rectal Pressure and Foreign Body Sensation: Causes and Treatments
Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Anorectal foreign body sensation Hello Dr. Ke: About a week ago, after experiencing diarrhea for two consecutive days, I began to feel a noticeable sensation of a foreign body in my anus (which I have never felt before). At the same time, I experienced a burning sensation after b...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal swelling. The photo appears to show only mild external hemorrhoids. If there is no severe pain or bleeding, specific treatment is not necessary. It is advisable to avoid constipation during this period and short...[Read More] Understanding Rectal Foreign Body Sensation: Causes and Treatment Options
Two Weeks of Constipation: Should I Worry About Colon Cancer?
I have been constipated for two weeks? Hello Doctor, I have been experiencing constipation for two weeks. Every time I go to the bathroom, I have to strain a lot to pass stool, but I only manage to expel a small amount each time. Additionally, after I finish, I feel like I haven&...
Dr. Ke Fangxu reply Surgery
The likelihood of developing colon cancer at the age of 24 is not zero, but generally speaking, it is very, very low. Based on your description, it seems more like typical constipation. It is recommended to start with a light diet and maintain a good lifestyle. Spicy, irritating,...[Read More] Two Weeks of Constipation: Should I Worry About Colon Cancer?
Do You Need a Prescription for Cauliflower Wart Cream? Key Insights Explained
Does the cauliflower ointment require a doctor's prescription? Hello, doctor. I have a few questions to ask: 1. Are medications like LedaMed, TaiYao Gel, and HwaYaoDi available only with a physician's prescription, or can they be purchased over the counter at pharmaci...
Dr. Ke Fangxu reply Surgery
1. These medications are not controlled substances, but they are also not over-the-counter drugs; theoretically, they require a physician's prescription. However, if a prescription is not available, pharmacies are generally not too strict about it. 2. There is currently no...[Read More] Do You Need a Prescription for Cauliflower Wart Cream? Key Insights Explained
Can I Just Remove a Thrombosed Hemorrhoid Without Surgery?
Can a thrombosed hemorrhoid be simply excised? I have a large hemorrhoid located near the vaginal opening on the left side of my anus, and there is a small thrombosis on top of this large hemorrhoid (it has been there for over a month and does not hurt much when pressed). Initial...
Dr. Ke Fangxu reply Surgery
Small thrombosed hemorrhoids can be excised under local anesthesia in an outpatient setting; however, whether your condition is suitable for this procedure should be evaluated by a physician. It is recommended that you schedule an appointment with a colorectal surgeon for further...[Read More] Can I Just Remove a Thrombosed Hemorrhoid Without Surgery?
Understanding Recovery: Four Months Post-Surgery Insights
Postoperative recovery at four months? 1. Hello, doctor. I had a fistula surgery on December 28, and it has been almost four months now, but I still experience pain at times. When I press on the wound while showering, it also hurts. Although there is no bleeding, there is a yello...
Dr. Ke Fangxu reply Surgery
1. Generally, the wound from a fistula surgery takes about 1-2 months to heal. It is relatively uncommon to have discharge after more than four months, so it is advisable to consult your physician for an examination, as there may be a possibility of recurrence. 2. Oral medication...[Read More] Understanding Recovery: Four Months Post-Surgery Insights
Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Please inquire about the recovery situation after anal fissure surgery? Hello Doctor, I underwent anal fissure surgery (LIS) and HET hemorrhoid coagulation surgery on February 17 of this year. It has been two months, and I still occasionally experience some discomfort in the anal...
Dr. Ke Fangxu reply Surgery
1. There have been case reports of poor wound healing associated with the use of energy devices in anal surgeries. If you are considering changing doctors, it would be more appropriate to choose one who has experience performing such procedures. 2. An anoscope is not necessary;...[Read More] Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Understanding Anal Itching: Common Causes and Treatment Options
Anal itching issues? Hello, doctor. I have an issue with anal itching. Whenever I experience itching, there is a small amount of fecal residue when I wipe with toilet paper. The area around my anus is usually a bit moist and has an unpleasant odor. I previously consulted a colore...
Dr. Ke Fangxu reply Surgery
Hello! Anal itching can be alleviated through warm water sitz baths, but if the symptoms do not improve post-surgery, it is advisable to return for a follow-up consultation. Thank you.[Read More] Understanding Anal Itching: Common Causes and Treatment Options
Understanding Rectal Discomfort: Symptoms and Cancer Risks
In the middle of the night, there is a sensation of soreness and fullness in the anal area (distal rectum)? Thank you! Please help me address my concerns. (1) I have experienced two episodes (separated by a long time). Both occurred at night when I felt a dull, bloated sensation ...
Dr. Ke Fangxu reply Surgery
Rectal lesions or diverticula may exhibit this phenomenon. If there are colorectal polyps and a family history, it is advisable to undergo a colonoscopy for better evaluation.[Read More] Understanding Rectal Discomfort: Symptoms and Cancer Risks
Managing Anal Warts: Effective Treatments and Medication Options
Anal warts Hello, doctor. A few months ago, I developed genital warts that have grown inside the anal area. I have undergone two rounds of electrosurgery; the first one was a month ago, but the warts reappeared, leading to a second procedure about three weeks ago. However, I have...
Dr. Ke Fangxu reply Surgery
1. Cauliflower ointment can be irritating, so caution should be exercised when using it on mucous membranes. Both Wart Freeze and Wart Remover contain the same active ingredients; however, the former's instructions explicitly state not to use it on mucous membranes, while th...[Read More] Managing Anal Warts: Effective Treatments and Medication Options
Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Anal fistula Hello, Doctor. 1. I had anal fistula surgery on March 16, and the wound size is approximately 2x21 cm. It's been almost a week, but there is still fecal matter coming out of the wound. Is this normal? 2. The doctor prescribed a stool softener, but I have bee...
Dr. Ke Fangxu reply Surgery
1. If the wound is larger, it is indeed possible for this phenomenon to occur; if the amount is not significant, it is not a concern. 2. If the stool is too soft, the dosage should be reduced or the medication should be stopped, as this may also be a cause of issue one. 3. No...[Read More] Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions