Post-Surgery Concerns: Numbness and Pain After Stitches and Delayed Removal
Two questions: the first is about suturing, and the second is about delayed suture removal? I would like to ask my first question: Is it normal to experience localized numbness and pain in the thumb after wound suturing, and even to feel similar numbness and pain when extending t...
Dr. Xu Kaixi reply Surgery
1. "The occurrence of localized numbness and pain in the thumb after wound suturing, as well as similar numbness and pain when extending the arm, lasting for 21 days, is not normal. It is recommended to return for a follow-up examination of the wound." 2. "For wo...[Read More] Post-Surgery Concerns: Numbness and Pain After Stitches and Delayed Removal
Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
In the past two weeks, there have been orange speckled particles in the stool? Since being diagnosed last December, I have experienced frequent gastrointestinal motility and flatulence. I have been taking traditional Chinese medicine for adjustment, and in March, I underwent a fe...
Dr. Xu Kaixi reply Surgery
It is possible that the medication has not been fully digested, or that components of traditional Chinese medicine are adhering to the fiber in the stool, so there is no need to worry too much. If the situation persists and does not improve, it is advisable to visit a hospital fo...[Read More] Understanding Recent Orange Spots in Stool: When to Seek Further Medical Evaluation
Understanding Anal Fissures and Small Polyps: Will They Heal?
Anal fissures and small polyps, will the small polyps resolve on their own? A week ago, I noticed a small amount of blood after having a bowel movement, so I went to see a doctor. After a digital examination, the doctor diagnosed me with a grade one internal hemorrhoid. Externall...
Dr. Xu Kaixi reply Surgery
Gastrointestinal polyps are benign tumors that may grow larger over time and have the potential for dysplasia. Therefore, surgical removal is recommended.[Read More] Understanding Anal Fissures and Small Polyps: Will They Heal?
Understanding Rectal Bleeding: When to Seek Medical Attention
Rectal bleeding I noticed blood for the first time during a bowel movement, but I have never experienced this before. I found the blood when wiping; it wasn't liquid but rather small dark red clots, very minimal, somewhat similar to dried nosebleed. The bowel movements thems...
Dr. Xu Kaixi reply Surgery
Hello: Based on your description, mild rectal bleeding is more likely caused by hemorrhoids, but other possibilities cannot be ruled out. If it does not improve over time, it is recommended to seek further examination at a hospital.[Read More] Understanding Rectal Bleeding: When to Seek Medical Attention
Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Can chronic anal fissures lead to the formation of ulcers or fistulas? I have had an anal fissure for five years, and it has never been excruciating. Recently, I visited a major hospital and noticed the issue of a fistula. 1. I would like to know if a chronic anal fissure can lea...
Dr. Xu Kaixi reply Surgery
1. Chronic anal fissures and fistulas do not have a direct causal relationship. 2. The management of anal fissures primarily involves maintaining a regular lifestyle, adopting good dietary habits to prevent constipation, and using warm sitz baths. If there is no improvement over ...[Read More] Can Chronic Anal Fissures Lead to Ulcers or Fistulas?
Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes
Issues related to internal hemorrhoids? Since last week, I have been experiencing occasional sharp pain and a foreign body sensation in my anus. I visited a nearby clinic, where they performed an anoscopy and diagnosed me with internal hemorrhoids. I was prescribed oral medicatio...
Dr. Xu Kaixi reply Surgery
Hemorrhoids (including internal and external hemorrhoids) are varicosities of the veins around the anus, and theoretically, they cannot be cured but can only be managed to prevent worsening and inflammation. Dietary management includes reducing or avoiding excessive alcohol consu...[Read More] Understanding Internal Hemorrhoids: Healing, Risks, and Lifestyle Changes
Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Liver abscess due to bacterial infection of the colon? Hello, Dr. Hsu: I would like to ask if having a history of bacterial infection in the colon and rectum, which led to the bacteria spreading to the liver and resulting in an amoebic liver abscess that required drainage surgery...
Dr. Xu Kaixi reply Surgery
Currently, there is no significant evidence showing a correlation between amoebic liver abscess and colorectal cancer.[Read More] Does Previous Colorectal Infection Increase Colorectal Cancer Risk?
Understanding Post-Surgery Pain After Umbilical Hernia Repair
Post-Hernia Surgery After undergoing surgery for an umbilical hernia, experiencing pain in the anus after having a bowel movement can be attributed to several factors. It may be due to irritation or inflammation in the surrounding tissues, changes in bowel habits post-surgery, or...
Dr. Xu Kaixi reply Surgery
Post-operative pain in the anus after umbilical hernia surgery is not directly related. It may be due to changes in diet and lifestyle after the surgery, leading to altered bowel habits and resulting in hemorrhoidal inflammation and pain. It is recommended to visit a surgical out...[Read More] Understanding Post-Surgery Pain After Umbilical Hernia Repair
Understanding Groin Lumps: Post-Surgery Concerns and Lymph Node Issues
Inguinal mass Recently, three lymph nodes have been found in the right groin area, one of which has been present for a long time, while the other two were discovered recently (currently with no significant changes). A surgeon was consulted to excise one for biopsy, and the result...
Dr. Xu Kaixi reply Surgery
1. Temporary swelling of the surgical wound is a normal phenomenon. 2. The 0.5 cm lymph node on the left side can be monitored; if there are any changes, return for an outpatient examination. 3. Similarly, if it enlarges or presents other symptoms, a follow-up examination is ...[Read More] Understanding Groin Lumps: Post-Surgery Concerns and Lymph Node Issues
Understanding Groin Lumps: When to Worry and What to Do Next
Inguinal mass? Hello, doctor. Recently, I noticed three hard lumps in my right groin area (close to the crease), which are about 1 cm in size and can only be felt clearly when standing. They feel similar to the hardness of muscle tendons, and I can only feel them deeply when lyin...
Dr. Xu Kaixi reply Surgery
1. Based on your description, it resembles lymphatic tissue (lymph nodes). 2. If there are significant changes in a short period (in terms of quantity or size), it is recommended to undergo a biopsy to confirm the diagnosis.[Read More] Understanding Groin Lumps: When to Worry and What to Do Next
How to Evaluate a Possible Lipoma on Your Face: A Guide
There is a lump on the facial skin that appears to be a lipoma? Hello, one day I noticed a small, pea-sized lump on my cheek that feels slightly movable and smooth when I press it with my fingertip. It seems to be closer to the cheekbone rather than the surface of the skin. It is...
Dr. Xu Kaixi reply Surgery
It is recommended to visit the surgical outpatient clinic for an examination, and an ultrasound can be performed for confirmation.[Read More] How to Evaluate a Possible Lipoma on Your Face: A Guide
Post-Surgery Nail Growth Issues After Ingrown Toenail Removal
After the surgery for paronychia, the nail is growing back in an unusual manner? After undergoing surgery to remove one-third of the right side of the left big toenail due to paronychia, the wound has healed, but the remaining nail on the left side has not grown much towards the ...
Dr. Xu Kaixi reply Surgery
Nails grow from the base towards the tip, so the removed portion will not grow together with the unremoved part. The newly grown nail will grow out completely from the base. Thank you for your question.[Read More] Post-Surgery Nail Growth Issues After Ingrown Toenail Removal
White Spots Near the Anus: Causes and When to Seek Help
There are white spots near the anus? I have a history of hemorrhoids and sometimes experience severe symptoms, but I haven't had any issues for about six months. However, I now have some individual white spots in the area. I usually wash with water after using the restroom, ...
Dr. Xu Kaixi reply Surgery
The white spots near the anus could possibly be polyps or other tumors. It is recommended to visit an outpatient clinic for examination. Thank you for your inquiry.[Read More] White Spots Near the Anus: Causes and When to Seek Help
Post-Surgery Wound Care: Understanding Pain and Healing After Incision
Wound after debridement surgery? Hello, doctor! I had a pilonidal cyst excision surgery at the end of May, followed by debridement the following week. I had gauze packed in the wound and changed it daily at the hospital. It has been three months since the wound has been healing! ...
Dr. Xu Kaixi reply Surgery
I apologize for the late response. The symptoms you described, including tenderness around the wound, hyperpigmentation causing a darker color, and the formation of scars, are all part of the normal wound healing process and should theoretically improve over time.[Read More] Post-Surgery Wound Care: Understanding Pain and Healing After Incision
Understanding Appendectomy Recovery: When to Remove Stitches?
Post-appendectomy Hello Doctor: I underwent laparoscopic appendectomy on September 4th, with no rupture or drainage. I was discharged three days later, and a week after the surgery, the wound hardly hurts and is healing well. I searched online and found that it is generally said ...
Dr. Xu Kaixi reply Surgery
The typical time for suture removal after surgery ranges from 7 to 14 days, depending on various factors such as the patient's physical condition (nutrition, chronic diseases like diabetes), the location of the wound, and the degree of contamination of the surgical site. For...[Read More] Understanding Appendectomy Recovery: When to Remove Stitches?
Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
External hemorrhoid thrombosis has ruptured on its own? Doctor, you mentioned that I visited a proctologist yesterday who diagnosed me with acute thrombosed external hemorrhoids that had slightly ruptured. He said I just needed to apply medication and be mindful of my routine. Ho...
Dr. Xu Kaixi reply Surgery
Thrombosed external hemorrhoids are classified as venous bleeding. In theory, applying pressure for a few minutes should stop the bleeding on its own. If the bleeding does not stop, it is recommended to seek medical attention at a hospital for evaluation.[Read More] Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture
Can I Have Surgery for Both Warts and Hemorrhoids at Once?
Cauliflower and hemorrhoids? Hello doctor, I have developed warts around my anus, and despite applying medication, they haven't improved. I also unexpectedly have hemorrhoids, which are quite painful. The hemorrhoids have progressed to the point of prolapse and bleeding. I w...
Dr. Xu Kaixi reply Surgery
It is possible to address and excise cauliflower lesions and hemorrhoids in the same surgical procedure.[Read More] Can I Have Surgery for Both Warts and Hemorrhoids at Once?
Risks of Installing Artificial Vessels After Long-Term Chemotherapy
Questions about chemotherapy and artificial blood vessels? 1. If chemotherapy has been administered for over a year before placing a vascular access device, what risks might be involved? The patient was informed by the nurse that one arm was not suitable for access, which led to ...
Dr. Xu Kaixi reply Surgery
1 and 2. Aside from the potential for chemotherapy drugs to cause poorer vascular quality (such as the brittleness and lack of elasticity you mentioned), there are no additional risks. 3. There is a possibility of vascular complications, such as vasculitis. 4. The risk of infecti...[Read More] Risks of Installing Artificial Vessels After Long-Term Chemotherapy
Over-Cleansing the Anus: A Surgeon’s Advice on Proper Care
For several years, there has been excessive cleaning of the anus? The doctor told me that my anus looks like that of an old man. After each bowel movement, washing with water has resulted in my anus having no secretions. He instructed me not to wash my butt for two weeks and to o...
Dr. Xu Kaixi reply Surgery
According to your physician's current advice, it is believed that your issues will gradually improve.[Read More] Over-Cleansing the Anus: A Surgeon’s Advice on Proper Care
Understanding Wound Healing Issues: When to See a Doctor?
Wound healing issues Due to friction between the index and ring fingers and a wall during work, the fingertip of the middle finger has a loss of tissue, and the ring finger has a laceration. After one month of healing, the injured area on the fingertip of the middle finger feels ...
Dr. Xu Kaixi reply Surgery
Based on your description, this is fibrous tissue that has developed after wound healing. If there are no accompanying symptoms of redness, swelling, or inflammation, it should theoretically improve over time.[Read More] Understanding Wound Healing Issues: When to See a Doctor?