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How Long Does It Take for an Internal Abscess to Heal?

Will the ulcer heal? Hello, I would like to ask how long it will take for my internal ulcer to heal. I went to a county hospital and the doctor gave me an ointment, which has improved compared to before, but how long will it take? Will the internal ulcer heal on its own, or is su...


Dr. Shen Mingyin reply Surgery
Hello: Hemorrhoids are classified into four degrees. Depending on the severity, there are different treatment options. For second and third-degree hemorrhoids, outpatient rubber band ligation may be considered. Fourth-degree hemorrhoids with prolapse may require surgical interven...

[Read More] How Long Does It Take for an Internal Abscess to Heal?


Can Cauliflower Ear Be Completely Cured? Understanding Surgical Options

excuse me? Can cauliflower be cured completely?


Dr. Shen Mingyin reply Surgery
Hello: Cauliflower is associated with human papillomavirus (HPV) infection. This virus can remain latent in human mucosal epithelial cells, so once infected, it may recur when immunity is compromised.

[Read More] Can Cauliflower Ear Be Completely Cured? Understanding Surgical Options


How to Address Unexplained Foul Odor from the Anus

How to manage foul odor from the anus? Hello Doctor: In recent years, I have been experiencing an unusual odor resembling flatulence for no apparent reason, although I do not feel like I am passing gas. The frequency of this odor is quite intense (approximately every 1-2 minutes,...


Dr. Shen Mingyin reply Surgery
Hello: An increase in flatulence or foul odor may stem from the following factors: 1. Inappropriate diet: (1) Certain foods are more likely to produce odors, such as fish, eggs, asparagus, garlic, onions, bell peppers, pickles, turnips, cabbage, broccoli, cantaloupe, and ch...

[Read More] How to Address Unexplained Foul Odor from the Anus


Can I Use Pinasudil Cream for Anal Itching?

Rectal medication Can "Pinasu" be used for itching around the genital area? The doctor prescribed me medication, but I happen to have this one on hand. Can I use it?


Dr. Shen Mingyin reply Surgery
The same named ointment may contain different ingredients, leading to completely different efficacy. Therefore, please seek treatment from a nearby colorectal specialist.

[Read More] Can I Use Pinasudil Cream for Anal Itching?


Is Surgery the Best Option for My 83-Year-Old Grandfather with a Tumor?

Is it appropriate for an 83-year-old grandfather to undergo surgery? Hello, Dr. Shen. I would like to ask you something. The hospital said that my grandfather has a tumor in his intestines that needs to be surgically removed, but he is quite elderly and his overall health is not ...


Dr. Shen Mingyin reply Surgery
The suitability of surgery for the patient's condition requires a thorough evaluation; it cannot be determined with just a few words. Therefore, please discuss in detail with your grandfather's attending physician. I believe in the expertise of your physician, who will ...

[Read More] Is Surgery the Best Option for My 83-Year-Old Grandfather with a Tumor?


Can Hyperbaric Oxygen Therapy Heal Poor Wound Healing After Rectal Cancer Surgery?

excuse me? My father, 83 years old, had a poor healing after rectal cancer surgery, which led to colitis and rectal bleeding. It has been 10 years since the surgery, and the rectal cancer has been cured. His voice remains quite strong. Can this poor healing be treated with hyperb...


Dr. Shen Mingyin reply Surgery
Hello: In principle, hyperbaric oxygen therapy or growth factors can be beneficial for wound healing. However, as mentioned in the previous correspondence, selecting the appropriate treatment for the patient requires a personal examination to provide suitable recommendations. Wis...

[Read More] Can Hyperbaric Oxygen Therapy Heal Poor Wound Healing After Rectal Cancer Surgery?


Understanding Fistulas Caused by Poor Healing After Rectal Cancer Surgery

Fistula caused by rectal cancer? Thank you for your response. The fistula is caused by poor healing after the resection of rectal cancer, which was operated on 10 years ago, and the rectal cancer has been cured. Two years ago, I fell and underwent surgery for drainage from the br...


Dr. Shen Mingyin reply Surgery
Hello: As previously mentioned, in order to choose the appropriate treatment for a patient, it is essential to conduct a thorough medical history and perform a personal examination of the patient. Otherwise, excessive suggestions may only add to your concerns. Thank you for your ...

[Read More] Understanding Fistulas Caused by Poor Healing After Rectal Cancer Surgery


Managing Radiation-Induced Colitis: Painful Abscess and Treatment Options

Radiation therapy-induced colitis with painful hard lumps in the buttocks? Mr. Zhou, an 82-year-old patient, has been cured of rectal cancer for 10 years and has a colostomy. He developed colitis due to radiation therapy, resulting in rectal bleeding of several tens of cc per day...


Dr. Shen Mingyin reply Surgery
Hello: Your question did not specify the reason for undergoing radiation therapy, making it difficult to speculate on the cause of the fistula formation. Whether another surgery is necessary will depend on the actual examination of Mr. Xiong's wound condition, his overall ph...

[Read More] Managing Radiation-Induced Colitis: Painful Abscess and Treatment Options


Understanding Surgical Decisions in Stage III Colon Cancer Treatment

I'm sorry, but I need specific content to translate. Please provide the text you would Dear Doctor, my father was diagnosed with stage III colon cancer. After the first surgery, six days later, there was a leak at the surgical site, which necessitated a second surgery to cre...


Dr. Shen Mingyin reply Surgery
Hello: There is always a certain risk of leakage associated with colon resection and anastomosis surgery. If you still have concerns about the procedure, it is advisable to discuss them further with your surgeon. Thank you.

[Read More] Understanding Surgical Decisions in Stage III Colon Cancer Treatment


Differences Between Hemorrhoidectomy and Rectal Prolapse Treatment Explained

What are the differences between complete excision of internal and external hemorrhoids and the treatment of rectal prolapse? Hello, Dr. Shen. I underwent a complete excision of internal and external hemorrhoids at the end of last year. When I applied for insurance reimbursement,...


Dr. Shen Mingyin reply Surgery
Hello: As the name suggests, partial excision of internal and external hemorrhoids involves removing only a portion of the internal and external hemorrhoids, while complete excision entails the total removal of the pathological internal and external hemorrhoids. The difference li...

[Read More] Differences Between Hemorrhoidectomy and Rectal Prolapse Treatment Explained


Understanding Growths Around the Anus: Causes and Solutions

Growth around the anus? I have a growth near my anus. It doesn't usually hurt, but when I stay up late or am under a lot of stress, it becomes swollen, making it difficult for me to sleep. What should I do?


Dr. Shen Mingyin reply Surgery
Hello: Based on your symptom description, the possible cause may be hemorrhoids, but it is still advisable for you to visit a clinic for a proper diagnosis. The key to managing hemorrhoids is to avoid excessive straining that could lead to acute flare-ups or worsening of the cond...

[Read More] Understanding Growths Around the Anus: Causes and Solutions


Understanding Hemorrhoid Bleeding: When to Seek Medical Attention

Hemorrhoidal bleeding I discovered last month that I have hemorrhoids, and sometimes it hurts a lot when I have a bowel movement, possibly due to skin breakdown. I haven't seen a doctor yet, but today when I wiped with toilet paper after a bowel movement, I noticed a lot of ...


Dr. Shen Mingyin reply Surgery
Based on your description, a correct diagnosis cannot be made. Please seek consultation with a colorectal surgeon as soon as possible (attached is a list of colorectal surgeons).

[Read More] Understanding Hemorrhoid Bleeding: When to Seek Medical Attention