Understanding Anal Polyps and Bowel Movement Issues
Anal polyps, bowel movement issues? I previously noticed that there seems to be a growth at my anal opening (the growth is not painful), and every time I strain during a bowel movement, it obstructs the passage, making it difficult to pass stool. What could this phenomenon be? Ad...
Dr. Xu Kaixi reply Surgery
Hello: The painless mass or foreign body at the anal opening may be hemorrhoidal tissue; the presence of mucus with stool is not a normal condition. It is recommended that you visit a surgical outpatient clinic for a thorough examination. Thank you for your inquiry.[Read More] Understanding Anal Polyps and Bowel Movement Issues
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, yesterday I noticed a large amount of bright red blood when wiping my anus after a bowel movement. There was no blood in the stool, but today there is no blood when I had a bowel movement, although I do have a slight pain in the anus. What could this situat...
Dr. Xu Kaixi reply Surgery
Hello: Blood in the stool is considered an abnormal symptom and can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, hemorrhoids are the most likely cause of the bleeding. It is recommended that you visit a hospital's surgi...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Rectal Pain and Bleeding: Causes and Solutions
Painful bleeding during bowel movements? Hello Doctor, in the past two to three weeks, I have been experiencing sharp pain in my anus when having a bowel movement, along with bleeding. I have noticed small blood clots when wiping, and there is a lot of blood in the toilet. My men...
Dr. Xu Kaixi reply Surgery
Hello: Blood in the stool is considered an abnormal symptom and can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal bleeding is the highest. It is recommended that you visit a hospital's surg...[Read More] Understanding Rectal Pain and Bleeding: Causes and Solutions
Understanding Anal Discomfort: What Could That Bump Be?
There is a lump in the anus? Hello, six days ago after I went fishing, I noticed that my anus was red and burning. I thought it might be due to being in the heat for too long while fishing. After two days, I found that the pain was still very mild, but the redness had gone away, ...
Dr. Xu Kaixi reply Surgery
Hello: Based on your description, the hard lump at the anal opening may be an external hemorrhoid with thrombosis. It is recommended that you visit a surgical outpatient clinic for further examination and treatment. Thank you for your inquiry.[Read More] Understanding Anal Discomfort: What Could That Bump Be?
Accidentally Cutting a Hernia Scar: What You Need to Know
Accidentally cut an old scar from a hernia? Hello, Dr. Hsu: About 15 years ago, I underwent traditional sutured surgery for an indirect inguinal hernia on my right side. The surface was sutured with absorbable stitches, resulting in a scar approximately 10 cm long. The end of the...
Dr. Xu Kaixi reply Surgery
Hello: The abrasion on the surface of the scar after hernia surgery will not affect the previous hernia repair. It can be treated like a regular skin abrasion, and you can change the dressing daily. Thank you for your question.[Read More] Accidentally Cutting a Hernia Scar: What You Need to Know
Managing Post-Surgery Seroma After Breast Cancer Treatment
Postoperative seroma after breast cancer surgery? Dear Dr. Hsu, I was diagnosed with stage I breast cancer last July. The doctor assessed that I needed six rounds of chemotherapy, a year of targeted therapy, 22 sessions of radiation therapy, and 5 to 10 years of hormone therapy....
Dr. Xu Kaixi reply Surgery
Hello, based on your description, the newly formed fluid accumulation is related to the surgical wound from last year's partial mastectomy. According to the physician's assessment, there is currently only a 2.5 cm small wound remaining. However, since it has been three ...[Read More] Managing Post-Surgery Seroma After Breast Cancer Treatment
How to Care for a Partially Detached Nail After Injury: Tips for Recovery
One-third of the nail bed on the lateral side of the nail is detached due to injury, and there is also some detachment at the nail matrix area? If the side of your nail has been injured and one-third of it has detached from the nail bed, while the root area also shows some detach...
Dr. Xu Kaixi reply Surgery
You need to visit the surgical outpatient clinic in person to have your injured nail examined to determine if it needs to be removed.[Read More] How to Care for a Partially Detached Nail After Injury: Tips for Recovery
Understanding Anal Fistulas: Do You Still Need Surgery After Drainage?
Anal fistula Hello Doctor, about two weeks ago, I noticed a lump the size of a thumb near my anus, which made it difficult to sit comfortably. I went to the hospital for an examination and was diagnosed with an anal fistula. On the same day, the doctor drained the pus from the fi...
Dr. Xu Kaixi reply Surgery
After the anal fistula becomes infected and receives initial drainage and antibiotic treatment, symptoms may improve; however, there is still a possibility of recurrence, which varies from person to person. To achieve a complete cure of the anal fistula, surgical excision is the ...[Read More] Understanding Anal Fistulas: Do You Still Need Surgery After Drainage?
Addressing Post-Surgery Indentations After Gynecomastia Surgery
Depression after surgery? Hello Doctor, since my surgery for gynecomastia in October 2017, I have had a noticeable indentation near my areola on the left side where the tissue was removed. The indentation is quite prominent due to some muscle definition in my upper left chest. I ...
Dr. Xu Kaixi reply Surgery
Hello, if there are still unsatisfactory areas in the appearance after male gynecomastia surgery, such as the indentations you mentioned, it may be due to a thinner layer of fat. This can potentially be addressed through other methods. It is recommended that you discuss your foll...[Read More] Addressing Post-Surgery Indentations After Gynecomastia Surgery
Understanding Pre-Closure Colostomy: Key Considerations and Risks
Preoperative stoma closure Hello, Dr. Hsu. About a year ago, I underwent a temporary colostomy due to Fournier's gangrene, and I am now considering closure of the stoma. I would like to ask why a colonoscopy is necessary before closing the stoma. Initially, the debridement h...
Dr. Xu Kaixi reply Surgery
A colonoscopy is performed to ensure that there are no other conditions in the colon. Since your temporary stoma was due to necrotizing fasciitis of the soft tissue in the perineal area (also known as Fournier's gangrene) rather than a colonic pathology, the recovery of colo...[Read More] Understanding Pre-Closure Colostomy: Key Considerations and Risks
Understanding Pain from External Mole Surgery: Causes and Recovery Time
Pain in the external mole wound while lying down to sleep? The external mole wound suddenly started to hurt two months after surgery, and the pain occurs mainly when lying down to sleep. The doctor mentioned that it could be due to the scar tissue pressing on a nerve, and recomme...
Dr. Xu Kaixi reply Surgery
Two months after hemorrhoid surgery, the wound should have healed. If there is localized pain, it is important to consider the possibility of inflammation or infection. It is recommended to visit a surgical outpatient clinic for examination.[Read More] Understanding Pain from External Mole Surgery: Causes and Recovery Time
Understanding Subcutaneous Hard Lumps After Multiple Surgeries
Subcutaneous induration? Hello Doctor: I have undergone surgery four times already, but for this fifth time, the doctor said that due to the difficulty in suturing the right posterior calf, the surgery was not performed. Instead, anesthesia was administered to drain the pus, as i...
Dr. Xu Kaixi reply Surgery
Fibrous masses that develop after infection can be monitored for changes. If there is a recurrence, surgical removal may be considered. During the inflammatory infection period, treatment options may include either conservative medication management or surgery, depending on the s...[Read More] Understanding Subcutaneous Hard Lumps After Multiple Surgeries
Understanding Black Soft Bumps After Car Accidents: Are They Bruises?
Black soft mass from a car accident? After a car accident, if there is a black soft lump on a bruise, is it a hematoma? What could it be?
Dr. Xu Kaixi reply Surgery
Based on the limited information you provided, it could be a blood clot or scab. Please visit the surgical outpatient clinic for a thorough examination and confirmation.[Read More] Understanding Black Soft Bumps After Car Accidents: Are They Bruises?
Post-Laparoscopic Cholecystectomy: Understanding Right Upper Abdominal Pain
Questions regarding laparoscopic cholecystectomy? Hello Dr. Hsu, thank you very much for taking the time to respond to my concerns regarding the laparoscopic cholecystectomy I underwent on April 26 during your visit on May 15. I have noticed that when I lie flat at night to sleep...
Dr. Xu Kaixi reply Surgery
These symptoms are more indicative of postoperative neuropathic pain, which typically does not require treatment. However, if the symptoms persist without improvement, it is advisable to return to the original surgeon's clinic for an examination to rule out any internal abdo...[Read More] Post-Laparoscopic Cholecystectomy: Understanding Right Upper Abdominal Pain
Understanding Painful Swelling Near the Anus: Symptoms and Solutions
Swelling near the anus? Hello, doctor. Recently, I have experienced swelling around the anal area, which is accompanied by severe pain when pressed. I also feel pain while walking and sitting, along with body fever and cold sweats. There is also pain when the anus is retracted. W...
Dr. Xu Kaixi reply Surgery
It may be an inflammation of hemorrhoids or a localized infection. You need to visit the surgical outpatient department in person for an examination to confirm the diagnosis.[Read More] Understanding Painful Swelling Near the Anus: Symptoms and Solutions
Understanding Early Stage Varicose Veins: Symptoms, Treatment, and Prevention
Varicose veins Hello Doctor, due to my long periods of sitting and lack of exercise, I recently noticed some purplish-red spider veins on the outer side of my calves, and a slight bluish vein on the inner side, although it hasn't progressed to the point of being raised. I co...
Dr. Xu Kaixi reply Surgery
1 and 2. Varicose veins are irreversible vascular changes; exercise combined with compression stockings can delay progression but cannot cure the condition. 3. Elevating the legs can promote venous return from the lower limbs and improve circulation, with the duration based on co...[Read More] Understanding Early Stage Varicose Veins: Symptoms, Treatment, and Prevention
Can You Transmit Genital Warts Through Intimate Contact?
Cauliflower (masturbation, intimate contact) Hello doctor, I am certain that I have genital warts. I would like to ask, if my sexual partner touches my anus (where my warts are located) and then masturbates, will he contract genital warts? Thank you.
Dr. Xu Kaixi reply Surgery
Commonly known as cauliflower, condylomata acuminata is a type of contact-transmitted disease caused by a virus. Therefore, any skin-to-skin contact can potentially lead to transmission between individuals.[Read More] Can You Transmit Genital Warts Through Intimate Contact?
Post-Laparoscopic Cholecystectomy: When Can I Resume Running and Swimming?
Hello Doctor, I underwent laparoscopic cholecystectomy on April 26. When can I start exercising, such as running and swimming? Thank you for taking the time to respond? Hello Doctor, I underwent laparoscopic cholecystectomy on April 26. When can I start exercising, such as runnin...
Dr. Xu Kaixi reply Surgery
It is recommended to start engaging in more intense exercise two months post-surgery, and to gradually increase the intensity and frequency of the workouts in a step-by-step manner.[Read More] Post-Laparoscopic Cholecystectomy: When Can I Resume Running and Swimming?
Can Surgical Revision Improve Sensation After Finger Injury?
Post-traumatic suturing Hello doctor, when I was about 16 years old, I accidentally injured the tip of my index finger while working in a factory, where it got caught in a machine. I later had it stitched up. Now, the area that was injured and the stitching site feel different fr...
Dr. Xu Kaixi reply Surgery
Due to the long time elapsed since the injury (16 years old) until now (40 years old), if the nerve in the finger was damaged at the time of the injury, it may no longer be recoverable. A visit to the plastic surgery outpatient clinic for examination and confirmation is recommend...[Read More] Can Surgical Revision Improve Sensation After Finger Injury?
Post-Hemorrhoid Banding: Understanding Bleeding and Next Steps
After undergoing hemorrhoid ligation for internal hemorrhoids? I previously had blood in my stool and underwent a colonoscopy on March 18, which revealed internal hemorrhoids, but no polyps in the intestines. After the ligation, I experienced a small amount of bleeding today duri...
Dr. Xu Kaixi reply Surgery
About a month after the ligation of internal hemorrhoids, it is still possible for the wound to bleed due to mucosal tearing. It is recommended to return to the original surgical hospital for outpatient examination and treatment.[Read More] Post-Hemorrhoid Banding: Understanding Bleeding and Next Steps