Understanding Wound Healing: When to Worry About Redness and Swelling
Wound management Hello, I had a car accident a month ago, and I have a deeper wound on my left knee (with a shallower area on the side and a small deeper hole in the middle). Recently, it has started to hurt less, and the small hole is almost filled in. However, since I went to t...
Dr. Li Zhonghuai reply Surgery
Hello! There may be an infection inside, but the outer skin has healed. Please avoid using artificial skin for now and visit a general surgery or plastic surgery department. Do not come into contact with tap water yet. Changhua Hospital cares about you![Read More] Understanding Wound Healing: When to Worry About Redness and Swelling
Essential Wound Care Tips for Diabetic Patients: A Guide
Continuing the discussion on wound care for diabetic patients? Thank you for your response, Doctor. I have some questions I would like to ask. Since I do not live at home, I am unable to assist my father with his dressing changes every day, so he goes to the clinic for dressing c...
Dr. Li Zhonghuai reply Surgery
Hello! Just like with general abrasions, if left untreated, a light yellow layer will form on top, containing bacteria, necrotic cells, white blood cells, and so on. Therefore, it's best to change the dressing yourself; do it once before work and once after. Generally, clini...[Read More] Essential Wound Care Tips for Diabetic Patients: A Guide
Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
The anus? Two days ago, I noticed a lump next to my anus that feels soft to the touch. It hurts when I have a bowel movement and also when I wash myself. Sitting on a chair is a bit painful as well, but there is no bleeding. Is this a hemorrhoid, or is it similar to the acne on m...
Dr. Li Zhonghuai reply Surgery
Hello! Please visit a general surgery or colorectal surgery department for examination! Descriptive information may lead to misjudgment! Changhua Hospital cares about you![Read More] Understanding Anal Bumps: Causes, Symptoms, and Treatment Options
Repeated Cellulitis Infections: Do I Need Surgery or More Antibiotics?
It seems like there is a persistent infection of cellulitis? Over a month ago, I was in a car accident and sustained superficial injuries on my limbs, with a wound larger than a cellphone. At that time, my foot was very swollen, and I consulted an infectious disease specialist. T...
Dr. Li Zhonghuai reply Surgery
Hello! Please visit the general surgery or plastic surgery department, and the doctor will discuss the next steps with you. Changhua Hospital cares about you![Read More] Repeated Cellulitis Infections: Do I Need Surgery or More Antibiotics?
Understanding Armpit Inflammation: When to Seek Further Medical Attention
Axillary erythema and swelling? I have recently been experiencing redness, swelling, and inflammation in my armpit, which is painful. The last time I visited a surgeon, the doctor mentioned it was a sebaceous cyst issue and advised me to keep it clean and take medication. However...
Dr. Li Zhonghuai reply Surgery
Hello! If it is a sebaceous cyst, surgical removal is necessary for a complete cure. If it ruptures and comes into contact with tap water, it may become infected. It is recommended to have it removed as soon as possible. Changhua Hospital cares about you![Read More] Understanding Armpit Inflammation: When to Seek Further Medical Attention
Dealing with Fruit Knife Injuries: What to Do When Stitches Break
Fruit knife laceration? I sustained a cut on the third segment of my index finger (closest to the palm) and immediately went to a major hospital for treatment, where I received six stitches. The doctor advised me to come back the next day for a dressing change, but I did not go. ...
Dr. Li Zhonghuai reply Surgery
Hello! The wound should be cleaned daily with saline solution and dressed; avoid using tap water. If you're worried about pain, take pain medication 30 minutes before changing the dressing. If the suture has broken, it's safer to return for a check-up. Changhua Hospital...[Read More] Dealing with Fruit Knife Injuries: What to Do When Stitches Break
Understanding Your Sudden Constipation: Is It Hemorrhoids or Something Else?
Is this constipation or...? Hello doctor, I have had normal and regular bowel movements since I was young, usually going in the morning after I wake up. However, since early December, I suddenly have been unable to pass stool and have lost the urge to go. Now, I have to strain to...
Dr. Li Zhonghuai reply Surgery
Hello! Based on your description, it seems you are still experiencing constipation, and it is quite severe. I recommend that you see a colorectal surgeon for an abdominal X-ray and to have an examination of the anal area for your peace of mind. Long-term misuse of laxatives can i...[Read More] Understanding Your Sudden Constipation: Is It Hemorrhoids or Something Else?
Effective Wound Care for Diabetic Patients: Essential Tips and Guidelines
Wound care for diabetic patients? Hello Doctor, my father is 58 years old and has been diagnosed with diabetes for about three years. His most recent HbA1c level was 7.6, and he has been taking his blood sugar medication as prescribed. On January 28, he stubbed his big toe and we...
Dr. Li Zhonghuai reply Surgery
Hello! Check your blood sugar daily. If there's no issue, elevate the affected leg. You should learn to change the dressing yourself; changing it three times a day is fine. Keep the biological membrane clean to promote healing. The wound should not dry out, as it will not he...[Read More] Effective Wound Care for Diabetic Patients: Essential Tips and Guidelines
Managing Concussion Medication Side Effects in Elderly Patients
Side effects of concussion medications? A 74-year-old grandmother fell and hit her head on January 16, resulting in a large bump on her head. Although the X-ray showed no signs of bleeding or other symptoms, the doctor prescribed medication for a concussion. However, after taking...
Dr. Li Zhonghuai reply Surgery
Hello! It is common to experience pain and dizziness within six months after a head injury, but severe pain, significant dizziness, and overall weakness may require closer monitoring, and a CT scan of the brain may be necessary. There have been previous cases where a stroke due t...[Read More] Managing Concussion Medication Side Effects in Elderly Patients
Managing Post-Surgery Anal Wounds: Tips for Healing and Hygiene
Anal wound Due to a wound in the anal area that hasn't healed, I underwent surgical excision a week ago. The wound is still not healing, and it seems to reopen due to having bowel movements and when wiping with toilet paper. After using the restroom, there is still a bit of ...
Dr. Li Zhonghuai reply Surgery
Hello! Based on your description, I am unsure what type of wound you have. Is it hemorrhoids, an anal abscess, anal fissures, anal fistula, or a perianal sebaceous cyst? How far is it from the anus? What type of surgery was performed? After anal surgery, it is recommended to take...[Read More] Managing Post-Surgery Anal Wounds: Tips for Healing and Hygiene
Understanding Inverted Nipples: Concerns, Care, and Treatment Options
Inverted nipple? Hello, doctor. I am currently 19 years old and have an issue with inverted nipples, which I first noticed during breast development in elementary school. However, I have not addressed it (I visited the hospital twice, but they advised me to wait and observe until...
Dr. Li Zhonghuai reply Surgery
Hello! With the presence of discharge and inversion, the first step is to rule out the possibility of a breast tumor. Although you mentioned, "I first noticed it when my breasts were developing in elementary school," and "my condition has progressed to a stage wher...[Read More] Understanding Inverted Nipples: Concerns, Care, and Treatment Options
Understanding Male Breast Fatty Tumors: Symptoms and Treatment Options
Male left breast lipoma (hyperplasia) About two weeks ago, while taking a nap one afternoon, I experienced a sharp pain in my left breast. I thought I would massage it to relieve the discomfort. However, I seemed to feel a hard, round lump, so I examined it more closely and confi...
Dr. Li Zhonghuai reply Surgery
Hello! Please visit a general surgery or breast surgery clinic. As for the lump you mentioned, it should be continuously monitored. Although male breast cancer is rare and typically occurs in older individuals, it can easily be overlooked. I recommend going back to the hospital f...[Read More] Understanding Male Breast Fatty Tumors: Symptoms and Treatment Options
Understanding Unilateral Breast Tissue Asymmetry: Risks and Concerns
Breast tissue Hello, I previously inquired about this, but it seems another physician misunderstood my question. They thought I was asking about bilateral asymmetry, so I would like to ask again about unilateral (local) asymmetry. Recently, a family member underwent a breast ul...
Dr. Li Zhonghuai reply Surgery
Hello! If there is a family history, it may be worth considering a biopsy. Literature often indicates the probability of malignancy, but if it causes distress to the patient, it might be more reassuring to perform a core needle biopsy. Changhua Hospital cares about you![Read More] Understanding Unilateral Breast Tissue Asymmetry: Risks and Concerns
Understanding Unilateral Breast Tissue Asymmetry: What You Need to Know
Breast tissue symmetry Hello, I previously inquired about this, but another physician seemed to misunderstand my question. I would like to ask again about unilateral asymmetry. A family member recently had a breast ultrasound, and the doctor noted "unilateral" breast ...
Dr. Li Zhonghuai reply Surgery
Hello! May I ask how old your family member is? Has she reached menopause? Is there a family history of breast cancer? Has she undergone a mammogram? Is there a palpable lump in the asymmetrical area of one breast, and does it change with the menstrual cycle? Has she ever been di...[Read More] Understanding Unilateral Breast Tissue Asymmetry: What You Need to Know
Dealing with Swollen Wounds: Should You Drain or Leave It Alone?
Wound impact? Hello, doctor. I had a knee injury from a car accident, and the wound had scabbed over and seemed to have healed. However, yesterday I accidentally bumped it, and although the impact wasn't very strong, it has swollen up, and I feel like there is blood inside. ...
Dr. Li Zhonghuai reply Surgery
Hello! You should visit the clinic or surgical outpatient department again! If you need to break it, you must have sterile preparation. Avoid touching tap water for now, and quickly see a surgeon! Changhua Hospital cares about you![Read More] Dealing with Swollen Wounds: Should You Drain or Leave It Alone?
Understanding Chest Issues: Small Wound and Bruising in Teens
Chest issues Hello Doctor: My daughter is sixteen years old, and recently she developed a small wound the size of half a grain of rice on her breast. A few days later, the wound formed a scab, but underneath the scab, there seems to be a bruise-like area. What could this symptom ...
Dr. Li Zhonghuai reply Surgery
Hello! Please visit a general surgery or breast surgery outpatient clinic for medical evaluation, as a diagnosis cannot be made based solely on description. Wishing you a speedy recovery. Changhua Hospital cares about you![Read More] Understanding Chest Issues: Small Wound and Bruising in Teens
Is That Hard Lump in Your Lower Abdomen a Tumor?
A lump in the abdomen? I have noticed a hard lump in my lower abdomen. Is this a tumor? It wasn't there before, and I just recently discovered it. I can feel it when I touch it, and sometimes it hurts when I press on it.
Dr. Li Zhonghuai reply Surgery
Hello! Please visit the general surgery outpatient clinic. The most common skin conditions are lipomas and sebaceous cysts, but be cautious of tumors that may be located internally, which can grow large enough to be felt externally. Changhua Hospital cares about you![Read More] Is That Hard Lump in Your Lower Abdomen a Tumor?
Understanding Stage III Colon Cancer and Post-Surgery Concerns
Stage III melanoma with lymphatic metastasis? A family member underwent a colonoscopy, which revealed polyps in the intestines. A biopsy confirmed the presence of cancer cells. They had surgery to remove a small section of the intestine and nearby lymphatic tissue, resulting in a...
Dr. Li Zhonghuai reply Surgery
Hello! Please return to your original physician for follow-up. The most likely diagnosis is an incisional hernia, which is often caused by the patient not properly using an abdominal binder. Wishing you a speedy recovery from Changhua Hospital![Read More] Understanding Stage III Colon Cancer and Post-Surgery Concerns
Understanding Lumps on Your Arm: What Could It Be?
Lipoma? There is a raised lump on my arm? If you feel a small, non-visible lump in your arms that is not protruding, has no discoloration, is only noticeable upon touch, and is not painful, it could be a benign condition such as a lipoma (a fatty tumor), a cyst, or a fibroma. How...
Dr. Li Zhonghuai reply Surgery
Hello! When visiting a general surgery clinic, the most common conditions are lipomas or sebaceous cysts. It is recommended to excise sebaceous cysts, and lipomas that are too large or symptomatic should also be excised. Changhua Hospital cares about you![Read More] Understanding Lumps on Your Arm: What Could It Be?
Post-Surgery Nutrition: Foods to Aid Tissue Healing
Surgical repair After hand surgery, it is important to consume foods that promote tissue repair. Recommended foods include: 1. **Lean Proteins**: Chicken, turkey, fish, eggs, and legumes to support muscle and tissue healing. 2. **Fruits and Vegetables**: Rich in vitamins and ant...
Dr. Li Zhonghuai reply Surgery
Hello! After your surgery, did it involve the gastrointestinal tract? If it did not involve the gastrointestinal tract, you can eat normally without being picky, just avoid consuming food from unreliable brands. If it did involve the gastrointestinal tract, it is advisable to avo...[Read More] Post-Surgery Nutrition: Foods to Aid Tissue Healing