Dr. Li Zhonghuai reply Surgery Question - Page 23

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Understanding Tetanus Risks After a Rusty Cut: What You Need to Know

Questions related to tetanus? Hello, doctor. I accidentally cut myself with a rusty piece of metal and there was bleeding. Since the wound is not very deep, I would like to ask if there is a possibility of tetanus infection. Additionally, if I only apply medication on my own and ...


Dr. Li Zhonghuai reply Surgery
Hello! If you haven't received a tetanus vaccine in the past year, it is recommended to go directly to the hospital to get the tetanus vaccine. Whether you contract tetanus is a matter of probability; for unfortunate individuals, the probability is 100%. Avoid exposing the w...

[Read More] Understanding Tetanus Risks After a Rusty Cut: What You Need to Know


Understanding Dog-Ear Deformity After Facial Surgery: Causes and Solutions

Surgical facial suturing can result in dog-ear deformity scars? Doctor, will the dog-ear deformity caused by facial suturing surgery disappear on its own? It appears as a bulge on both sides of the wound, resembling a lump, but it doesn't look like a scar (it seems to be a d...


Dr. Li Zhonghuai reply Surgery
Hello! Dog ear tape will gradually flatten on its own without the need for scar removal injections, as it is not hypertrophic scarring or keloids. After surgery, swelling can sometimes persist for a long time, and I have encountered cases where it took six months to soften. Take ...

[Read More] Understanding Dog-Ear Deformity After Facial Surgery: Causes and Solutions


Post-Surgery Concerns: Hard Lump and Muscle Pain After Lipoma Removal

Post-operative care after chest lipoma surgery..? I had a lipoma removed from below my breast in early September (treated with electrocautery). The wound has healed, but after more than a month... 1. I noticed swelling and a hard lump in the breast area, which is larger than the ...


Dr. Li Zhonghuai reply Surgery
Hello! It is more likely to be hypertrophic scarring. It is recommended to return for treatment. Take care! Changhua Hospital cares about you!

[Read More] Post-Surgery Concerns: Hard Lump and Muscle Pain After Lipoma Removal


Post-Surgery Concerns: Understanding Complications After Incision and Drainage

Postoperative issues? Hello, I previously went to the hospital for an abscess examination near the left lower vulva, close to the vaginal opening. Initially, I thought it was a Bartholin's gland abscess, but later the doctor said it seemed to be in the wrong location and dia...


Dr. Li Zhonghuai reply Surgery
Hello! If the abscess is very close to the anus, it should be treated as an anal abscess, and during surgery, an anoscope will be used for examination. Without a photo, it's difficult to determine the exact location of your abscess. If you continue to experience discomfort, ...

[Read More] Post-Surgery Concerns: Understanding Complications After Incision and Drainage


Managing Sensitive Breast Wounds: Expert Advice on Healing and Care

Wound issues? Dear Doctor: I have a wound on my left breast that resulted from an allergic reaction to adhesive tape (the wound occurred two months ago and has since scabbed over). The wound was initially small, but due to necrotic tissue, I applied a burn ointment prescribed by ...


Dr. Li Zhonghuai reply Surgery
Hello! You can perform daily wound care with sterile saline solution (not just a gentle wipe, but thoroughly removing any dirty secretions and old ointment). Apply a skin protectant and clean the wound 2 to 3 times a day. If you're concerned about allergies, use hypoallergen...

[Read More] Managing Sensitive Breast Wounds: Expert Advice on Healing and Care


Should You Seek Medical Attention for Non-Healing Injection Wounds?

Wound issues I previously received a testosterone injection, and the day after, I experienced redness, swelling, and blistering with pus. I thought it was nothing serious, but a month later, the wound hasn't closed and has developed a hole. However, it doesn't hurt, and...


Dr. Li Zhonghuai reply Surgery
Hello! If you have a hole, I suggest you consult a physician who can help you with testosterone therapy. Take care! Changhua Hospital cares about you!

[Read More] Should You Seek Medical Attention for Non-Healing Injection Wounds?


Understanding Blood Clots in Stool: Causes and When to Seek Help

Blood clots in stool? Hello, doctor. I noticed some blood clots and blood symptoms after straining during a bowel movement. I usually don't have blood clots, but I sometimes see blood when I have a bowel movement. After a while, the bleeding usually stops. I also drink very ...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a colorectal surgeon and undergo both an anoscopy and a colonoscopy. Take care! Changhua Hospital cares about you!

[Read More] Understanding Blood Clots in Stool: Causes and When to Seek Help


Managing Large Bruises and Blood Clots After a Car Accident

After the car accident, there is extensive bruising and hematoma in the thigh? Hello, I was in a car accident on October 17. Currently, I have bruising on almost half of my right thigh, and there is a hard lump that is slightly larger than a baseball. Sometimes, the area with the...


Dr. Li Zhonghuai reply Surgery
Hello! Walking normally is not an issue, but blood clots may not always be reabsorbed on their own. Clinically, we have encountered cases where clots have not been reabsorbed even after 4 to 5 years, and instead, they formed a layer of encapsulating membrane. Surgical debridement...

[Read More] Managing Large Bruises and Blood Clots After a Car Accident


Post-Injection Symptoms: Are Headaches and Nausea Normal After Tetanus Shot?

Post-injection symptoms Hello Dr. Lee, I was stung by a bee yesterday and went to the hospital. The outpatient physician said I needed a tetanus shot. After receiving the shot, I experienced symptoms of headache, stomach pain, nausea, and a slight fever. Is this normal?


Dr. Li Zhonghuai reply Surgery
Hello! Most people experience redness, swelling, and pain at the injection site. Fever is less common, while headaches, stomach pain, and nausea are even rarer. As long as there is no persistent fever, it is not a concern. However, if you experience severe allergic symptoms such ...

[Read More] Post-Injection Symptoms: Are Headaches and Nausea Normal After Tetanus Shot?


Understanding Painful Bumps Near the Anus: Possible Causes and Insights

A lump near the anus? Hello doctor, I'm not very good at describing, so I took a picture. What could the bump circled in red be? http://imgur.com/ixuJgUb In the same photo, the area circled in blue feels like a papule when touched, and it hurts when pressed... I’m not sure w...


Dr. Li Zhonghuai reply Surgery
Hello! I have seen the photos, but a proper diagnosis requires a physical examination along with a rectal examination. I recommend visiting a colorectal surgery outpatient clinic. Take care! Changhua Hospital cares about you!

[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Insights


Cost of Male Gynecomastia Surgery: Is Chang Gung Hospital a Cheaper Option?

Cost of male gynecomastia gland removal? Hello, doctor. I was quite overweight in middle school and had a problem with enlarged breasts from the beginning. I continued to lose weight in high school, and now I am 175 cm tall and weigh 73 kg, which is a significant reduction. Howev...


Dr. Li Zhonghuai reply Surgery
Hello! You will need to inquire about the costs yourself. Are you certain it's gynecomastia, or is it simply a thicker layer of fat? Have you had multiple ultrasounds? If it's just a thicker layer of fat, exercising the chest muscles should suffice. Changhua Hospital ca...

[Read More] Cost of Male Gynecomastia Surgery: Is Chang Gung Hospital a Cheaper Option?


Will Breast Surgery Cause Dents? Understanding Tumor Removal Concerns

Breast issues Doctor, I have a 1.9 cm breast tumor. If I undergo a standard surgery, will there be a depression in my breast? I'm so scared.


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to perform a core needle biopsy to confirm the diagnosis before proceeding with excision. Generally, after the removal of a breast tumor, the cavity will be filled with tissue fluid and will not result in a depression. Wishing you well! Changhua Hospital ...

[Read More] Will Breast Surgery Cause Dents? Understanding Tumor Removal Concerns


Understanding Fibrocystic Changes: What to Expect and When to Worry

Fibrocystic changes Hello Doctor, I have previously asked questions twice regarding <a href="https://adoctor.tw/article/112982">#112982</a> and <a href="https://adoctor.tw/article/113475">#113475</a>. I returned for a follow-up appointm...


Dr. Li Zhonghuai reply Surgery
Hello! It is acceptable for fibrocystic changes to fluctuate in size with the menstrual cycle. If there is pain, symptomatic treatment can be provided. If a cyst enlarges, it may be drained if necessary. Additionally, fibrocystic changes typically present as a diffuse area rather...

[Read More] Understanding Fibrocystic Changes: What to Expect and When to Worry


Post-Operative Concerns After Inguinal Hernia Surgery: What to Expect

Postoperative Issues After Hernia Surgery Hello, doctor. I had inguinal hernia surgery last week, and after the procedure, the doctor applied a cosmetic adhesive to the wound and covered it with gauze. Now, about five days post-surgery, the wound is not fully healed and is slight...


Dr. Li Zhonghuai reply Surgery
Hello! When changing the dressing, it is essential to perform a completely sterile procedure. Use 20cc of saline solution, and use one bottle each time. Try to express any blood or serous fluid using a cotton swab, and avoid contact with tap water, as it may cause additional pain...

[Read More] Post-Operative Concerns After Inguinal Hernia Surgery: What to Expect


Understanding Ultrasound Costs and Core Needle Biopsy Results

Ultrasound out-of-pocket & fine needle aspiration? Hello Doctor, I previously asked about the issue of an enlarging breast lump. I went for a follow-up appointment, and the doctor intended to arrange another ultrasound for me. However, since I had my last ultrasound on August...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to bring your original hospital records to another facility to seek assistance. Regarding the needle insertion point, it will definitely not be directly above the tumor, as the needle can extend 2 centimeters, which poses a risk of puncturing the lung for...

[Read More] Understanding Ultrasound Costs and Core Needle Biopsy Results


Persistent Ankle Injury After Accident: Treatment Options and Recovery

Ankle laceration from a car accident, slow to heal after sutures were removed? Hello, Doctor. I had a car accident in 2013, resulting in a laceration to my left ankle. I was taken to the emergency room where the wound was sutured. A few weeks later, the stitches were removed, and...


Dr. Li Zhonghuai reply Surgery
Hello! It sounds more like a hypertrophic scar. There is no wound, so there's no need to worry about it. The symptoms become more pronounced with pressure. Take care! Changhua Hospital is concerned about you!

[Read More] Persistent Ankle Injury After Accident: Treatment Options and Recovery


Persistent Pain After Nail Trimming: Understanding Paronychia Issues

After trimming the nail, the paronychia continues to be painful? Hello, doctor. I have a question. Previously, I experienced inflammation due to cutting my nails too short, which gradually developed into paronychia. I subsequently visited a clinic for treatment, where the doctor ...


Dr. Li Zhonghuai reply Surgery
Hello! Nail bed surgery can be a more permanent solution. Do not cut the edges of your nails too short. Take care! Changhua Hospital cares about you!

[Read More] Persistent Pain After Nail Trimming: Understanding Paronychia Issues


Understanding Triple-Negative Breast Cancer During Pregnancy: A Patient's Journey

Regarding triple-negative breast cancer and pathology reports, thank you, doctor? Due to my pregnancy, I am currently almost 7 months along. I was diagnosed with breast cancer at five months. On August 22, 2016, I underwent surgery to remove the tumor, which was later classified ...


Dr. Li Zhonghuai reply Surgery
Hello! Your cancer recurrence index is as high as 136 (>30 indicates a high recurrence rate). It is recommended that you undergo chemotherapy and radiation therapy after giving birth. For chemotherapy, it is suggested to start with European paclitaxel combined with cisplatin; ...

[Read More] Understanding Triple-Negative Breast Cancer During Pregnancy: A Patient's Journey


Understanding Skin Swelling: Causes and Treatments for Allergic Reactions

There is a lump on the skin? I have a skin allergy to ultraviolet rays and heat, and I am currently undergoing treatment. However, about three to four months ago, a specific area of my skin would become red and develop blisters after sun exposure. It healed after treatment, but w...


Dr. Li Zhonghuai reply Surgery
Hello! If only this area of skin has issues after sun exposure while other areas do not, it is likely not an allergy to ultraviolet light or heat. Continuous treatment has been provided; what could the diagnosis be? If it keeps recurring, a biopsy is recommended. Take care! Chang...

[Read More] Understanding Skin Swelling: Causes and Treatments for Allergic Reactions


Understanding Recurring Fibrocystic Cysts: Causes and Treatment Options

Fibrocystic recurrence Hello Dr. Lee, I apologize for bothering you. In 2014, I consulted with a doctor who diagnosed me with a fibrocystic condition and I underwent an outpatient procedure. However, since then, I have experienced continuous recurrences. Each time, it starts with...


Dr. Li Zhonghuai reply Surgery
Hello! 1. Is it normal for a fibrocystic cyst to keep recurring and produce pus? ==> Is there a pathology report? Is it confirmed to be a fibrocystic cyst? 2. The fibrocystic cyst is located in the upper right, but I feel pain in the lower left each time. Is this kind of p...

[Read More] Understanding Recurring Fibrocystic Cysts: Causes and Treatment Options


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