Post-Injury Pain: Understanding Discomfort After Wound Healing
Pain after wound healing? A few weeks ago, I had a car accident that caused a large abrasion near my right ankle. After the abrasion healed, some areas of the wound are painful when pressed. When I straighten my ankle, it feels tight due to the new skin, but when I invert my ankl...
Dr. Li Zhonghuai reply Surgery
Hello! First, check if the wound has completely healed. If it hasn't fully healed and is still oozing, please seek medical treatment. If it has completely healed, you may experience pain for a few weeks, and occasionally sharp pains for up to six months, as the superficial n...[Read More] Post-Injury Pain: Understanding Discomfort After Wound Healing
Managing a Broken Toenail: Healing Time and Care Tips
The toenail of the big toe has been crushed? Last Wednesday, I injured my big toe nail, and the wound has been slightly moist and itchy every time I change the dressing (the wound is covered with artificial skin). Can I apply a scar ointment like Ningbaning after removing the gau...
Dr. Li Zhonghuai reply Surgery
Hello! The thumbnail is fractured and it is recommended to perform a distal nail avulsion. Clean the wound daily with saline solution and apply antibiotic ointment. Avoid contact with tap water and do not apply artificial skin. It is advisable to visit a general surgery outpatien...[Read More] Managing a Broken Toenail: Healing Time and Care Tips
Understanding Swelling on the Dorsum of the Foot After Injury
Swelling of the dorsum of the foot? Hello Doctor, I would like to ask about an incident that occurred on November 20th. I was involved in a minor car accident where the back of my foot was injured. At the time, I had a slight external injury but there was noticeable bruising. I o...
Dr. Li Zhonghuai reply Surgery
Hello! After a minor car accident, there are slight external injuries. Be cautious, as improper wound care may lead to cellulitis. There is noticeable bruising, and it is still somewhat swollen. Be careful of a deep hematoma that may not have been absorbed. It is recommended to s...[Read More] Understanding Swelling on the Dorsum of the Foot After Injury
Sudden Lump on the Back of the Head: Causes and Concerns
There is an unexplained lump on the upper back of the head? Hello, I suddenly noticed a lump on the top back of my head, close to the crown, with a diameter of about 2.5 cm. There is slight tenderness when pressed, but I haven't experienced any trauma; it feels somewhat simi...
Dr. Li Zhonghuai reply Surgery
Hello! A written description is not as effective as a direct diagnosis in the clinic. Please come to our surgical outpatient department for an ultrasound examination. Changhua Hospital cares about you![Read More] Sudden Lump on the Back of the Head: Causes and Concerns
Understanding Tetanus Vaccination After Surgery and Injuries
Tetanus vaccine Hello, I would like to ask if wounds from a car accident generally require a tetanus shot. Today, when I saw the doctor, he asked me if I had received a tetanus shot in recent years. I replied no. The doctor then asked if I had undergone any surgeries, and I menti...
Dr. Li Zhonghuai reply Surgery
Hello! The frequency of vaccinations is actually a topic of much debate. If you haven't received a shot within a year, it's safest to get one dose. If you've been injured and haven't had a shot for more than a day, it's generally okay not to get one; just...[Read More] Understanding Tetanus Vaccination After Surgery and Injuries
Should You Remove a Lipoma? Insights on Surgery and Anesthesia
Lipoma Lipoma Hello Dr. Lee, I have a 2 cm lipoma on my left arm. It causes mild pain when pressed, but there is not much discomfort overall. However, I find it visually unappealing as it slightly protrudes from my arm when I look in the mirror. If there is a possibility that it ...
Dr. Li Zhonghuai reply Surgery
Hello! The main surgical indications for lipomas are cosmetic concerns and discomfort due to pain. If you are concerned about a slight protrusion, excision may be considered, and a local anesthesia of 2 centimeters is sufficient. Changhua Hospital cares about you![Read More] Should You Remove a Lipoma? Insights on Surgery and Anesthesia
Can Anal Skin Tears Cause Bleeding and HIV Infection Risks?
Is it certain that there will be bleeding from a tear on the inner side of the anus? Is there a possibility of contracting HIV? The last time I wiped my bottom, I felt a burning pain (I’m not sure how to describe it). After that, it lasted for a little while. Could this mean that...
Dr. Li Zhonghuai reply Surgery
Hello! Please visit the surgical outpatient department as soon as possible to check for anal disorders. The HIV virus is very fragile in the natural environment, and the likelihood of infection through toilet paper is extremely low. Even during the window period of infection, it ...[Read More] Can Anal Skin Tears Cause Bleeding and HIV Infection Risks?
Understanding Lipomas: Surgical Options and Post-Operative Care
Lipoma - Dermatology / Plastic Surgery Hello Dr. Lee, I have a tumor about 4-5 cm near my spine in the lumbar region. I consulted a dermatologist who visually assessed it and said it appears to be a lipoma, indicating that it may not require treatment, but he couldn't confir...
Dr. Li Zhonghuai reply Surgery
Hello! Dermatologists generally do not perform surgeries and refer patients directly to plastic surgeons. The indications for surgical removal of lipomas include cosmetic concerns and symptoms. Of course, if the lipoma is too large, removal is also recommended. I have encountered...[Read More] Understanding Lipomas: Surgical Options and Post-Operative Care
Understanding Ingrown Toenail Treatment and Recovery Tips
Paronychia issues? Hello, Dr. Li. My right big toe had ingrown toenails on both sides, so I had the nails trimmed down to the middle part. It has been over a week now. During my follow-up appointment for a dressing change, the doctor said that I still have some blood clots remain...
Dr. Li Zhonghuai reply Surgery
Hello! The wound is dry, but the nail on the nail bed hasn't fully grown back yet. It’s been tough for you during this time, so please avoid contact with tap water; otherwise, the bacteria in the tap water can easily enter. At least there should be new nail growth covering t...[Read More] Understanding Ingrown Toenail Treatment and Recovery Tips
Is Your Burn Healing or Developing Cellulitis? Signs to Watch For
Cellulitis My burn on my arm has not healed for two weeks. The exudate from the wound has dried up, but the area around the wound is red and swollen, and it feels bumpy with some tenderness. Could this be an early stage of cellulitis?
Dr. Li Zhonghuai reply Surgery
Hello! This indicates an infection of the burn wound, complicated by cellulitis. Please seek medical treatment as soon as possible. Wishing you a speedy recovery! Changhua Hospital cares about you![Read More] Is Your Burn Healing or Developing Cellulitis? Signs to Watch For
Understanding Surgery for Benign Breast Fibroadenoma: Costs and Considerations
Surgery for breast fibroadenoma I went to see a doctor after feeling a lump, and after undergoing fine needle aspiration and core needle biopsy, it has been ruled out as breast cancer. It is diagnosed as a benign fibroadenoma, but since it is not typical, there is a chance it cou...
Dr. Li Zhonghuai reply Surgery
Hello! If you choose minimally invasive surgery, it will indeed be out-of-pocket expenses, depending on your personal preference for wound aesthetics. Wishing you a speedy recovery! Changhua Hospital cares about you![Read More] Understanding Surgery for Benign Breast Fibroadenoma: Costs and Considerations
Surgical Options for Atypical Ductal Hyperplasia: What to Expect
I would like to inquire about surgical issues related to atypical ductal hyperplasia? Hello Dr. Lee: I have a few questions regarding my recent experience. I previously underwent a core needle biopsy for my breast, and the report indicated atypical ductal hyperplasia. The doctor ...
Dr. Li Zhonghuai reply Surgery
Hello! The report from the breast core needle biopsy indicates atypical ductal hyperplasia, which does not necessarily mean that the entire 1.7 cm tumor is benign. It is recommended to perform a complete excision of the tumor. If only the tumor is removed (i.e., breast-conserving...[Read More] Surgical Options for Atypical Ductal Hyperplasia: What to Expect
Understanding Soft Scalp Lumps: Causes, Risks, and Treatment Options
A lump on the head? It feels a bit soft to the touch, with some mild pain, and the hair on the swollen area has fallen out. Could there be any danger?
Dr. Li Zhonghuai reply Surgery
Hello! A diagnosis cannot be made based solely on description; it is best to come to the clinic for an evaluation and treatment. Changhua Hospital cares about you![Read More] Understanding Soft Scalp Lumps: Causes, Risks, and Treatment Options
Is Swelling After a Tetanus Shot Normal? Here's What to Know
Tetanus swelling? Hello! My girlfriend had a motorcycle accident a few days ago and received a tetanus shot in her left arm. However, her left arm has been swollen and feels hard for the past few days. Is this a normal reaction, doctor?
Dr. Li Zhonghuai reply Surgery
Hello! Please check if there are any wounds on your left arm or if you have sustained a strain from a fall. Tetanus is administered via intramuscular injection, and allergic reactions are uncommon; however, some individuals may be more sensitive to tetanus. Please seek evaluation...[Read More] Is Swelling After a Tetanus Shot Normal? Here's What to Know
Unidentified Bug Bite: Swollen Wound Resembling a Mole
I don't know what kind of insect bit me, but the wound looks similar to a mole and is very swollen? I'm not sure what insect bit me. The wound looks similar to a mole, but it is very swollen.
Dr. Li Zhonghuai reply Surgery
Hello! Please seek medical attention at a nearby clinic or hospital as soon as possible, and avoid contact with tap water. The wound turning black may indicate necrosis. Wishing you a speedy recovery![Read More] Unidentified Bug Bite: Swollen Wound Resembling a Mole
Understanding New Wounds After Cellulitis Drainage Surgery: Healing Tips
A new wound developed after drainage surgery for cellulitis? Hello, I recently underwent surgery for cellulitis and had a small drainage tube placed (it felt like a straw). After it was removed, I noticed that the skin above the surgical incision became increasingly thin, and eve...
Dr. Li Zhonghuai reply Surgery
Hello! After debridement surgery, there may still be drainage for a few days, but do not apply artificial skin. Instead, apply antibiotic ointment and loosely cover with gauze to promote the drainage of tissue fluid. Avoid contact with tap water. Please schedule a follow-up appoi...[Read More] Understanding New Wounds After Cellulitis Drainage Surgery: Healing Tips
Do I Need to Change Dressings After Nail Removal Surgery?
Questions about dressing changes after nail removal? Hello doctor, I had a nail extraction on November 6th, and I have a follow-up appointment on November 10th. During this period, do I need to change the dressing myself? I had one stitch because of bleeding that wouldn't st...
Dr. Li Zhonghuai reply Surgery
Hello! Please clean the wound daily with sterile saline solution, then apply antibiotic ointment. Avoid contact with tap water. Generally, applying pressure with a gauze pad is sufficient to stop bleeding; if bleeding does not stop, please return for a follow-up as soon as possib...[Read More] Do I Need to Change Dressings After Nail Removal Surgery?
Understanding Armpit Pain: Causes and When to Seek Help
Axillary pain Hello Dr. Lee, I would like to ask you about something. About 4 to 5 days before my menstrual period this month, I experienced some pain and slight swelling in my left armpit. Is this a normal phenomenon, or could it indicate something abnormal? Thank you for taking...
Dr. Li Zhonghuai reply Surgery
Hello! Breast tenderness during menstruation is a normal phenomenon. However, if you are experiencing pain and swelling in your left armpit, please visit a nearby hospital for an ultrasound examination in the general surgery or breast surgery outpatient department. Wishing you a ...[Read More] Understanding Armpit Pain: Causes and When to Seek Help
Head Injury Stitches: Tetanus Shot and Follow-Up Care Considerations
Head wound suturing? Hello Dr. Lee: My wife accidentally hit her head with a pot while abroad (in Cambodia) and received three stitches at the hospital, but she did not receive a tetanus shot. I would like to ask if she needs to get a tetanus shot and a CT scan when she returns t...
Dr. Li Zhonghuai reply Surgery
Hello! If you haven't received a tetanus shot in the past six months, it is recommended to get one. If more than 24 hours have passed since the injury and you have no discomfort, you can just observe. For head injuries, the decision to perform a CT scan depends on the severi...[Read More] Head Injury Stitches: Tetanus Shot and Follow-Up Care Considerations
Understanding Wound Suturing: Timing and Treatment After Injury
Traumatic Wound Suturing Issues On October 11, I sustained a cut on my middle finger from glass, approximately 5 centimeters long. I did not seek medical attention immediately. When I visited the doctor on October 12, they mentioned that the optimal time for suturing is within 6 ...
Dr. Li Zhonghuai reply Surgery
Hello! If the wound is not very dirty, perform debridement followed by suturing to control bleeding. Change the dressing daily to express any blood and apply antibiotic ointment.[Read More] Understanding Wound Suturing: Timing and Treatment After Injury