Post-Electrocautery Care for Anal Warts: Do You Need Medication?
Cauliflower after being cooked? Doctor, I have genital warts in the anal area. I underwent electrosurgery on September 4th. Do I need to take any medication or apply any topical treatments afterward? Or is it just a matter of monitoring for recurrence after the electrosurgery? My...
Dr. Xu Kaixi reply Surgery
The commonly known "cauliflower" warts, or condyloma acuminatum, should be cared for after electrosurgical treatment in the same manner as any other external wound. Topical ointments can be applied, and if any issues arise, a follow-up visit should be scheduled.[Read More] Post-Electrocautery Care for Anal Warts: Do You Need Medication?
Do You Need a Tetanus Booster After Multiple Wound Incidents?
Do I need to get another tetanus shot? Hello, Doctor: This spring, while vaccinating pigs, I accidentally pricked myself. I went to the clinic to treat the wound and received a tetanus shot. At the end of June, I had a fall and sustained some wounds, but due to travel plans, I di...
Dr. Xu Kaixi reply Surgery
If a tetanus vaccine has been administered more than 10 years ago and there is a severe contamination of a wound with a suspicion of tetanus infection, it is recommended to administer a tetanus toxoid vaccine. The body will produce antibodies against tetanus within two days to pr...[Read More] Do You Need a Tetanus Booster After Multiple Wound Incidents?
Post-Surgery Recovery: Understanding Anal Changes After Hemorrhoidectomy
Recovery after hemorrhoidectomy for internal and external hemorrhoids involves several stages. Initially, patients may experience pain, swelling, and discomfort around the anal area. It is common to have some bleeding during the first few days post-surgery. Patients are usually...
Dr. Xu Kaixi reply Surgery
After hemorrhoid surgery, it is normal for some granulation tissue to form during the wound healing process, and this usually improves over time. As for green discharge from the wound, it may be a mixture of wound exudate and gastrointestinal secretions. However, if symptoms such...[Read More] Post-Surgery Recovery: Understanding Anal Changes After Hemorrhoidectomy
Do You Need a Tetanus Booster After a Dog Bite? Understanding Vaccination Guidelines
Tetanus, caused by a dog bite? I would like to ask the attending physician: Two years ago, I received a tetanus shot due to a knife injury. Yesterday, I was bitten by a dog and bled, but the bleeding stopped afterward. Do I need to get a booster shot? I often hear patients who ha...
Dr. Xu Kaixi reply Surgery
There are two types of tetanus vaccines: one is the toxoid vaccine administered during childhood as part of routine immunizations, and the other is tetanus immune globulin. In theory, if a child receives the combined vaccine for diphtheria, tetanus, and pertussis (DTP) on schedul...[Read More] Do You Need a Tetanus Booster After a Dog Bite? Understanding Vaccination Guidelines
Understanding Anal Skin Lesions: Causes and Treatment Options
Anal fissure with the formation of a polyp? There is a skin tear on the left side of the anus, which causes a stinging pain. Applying lotion provides relief, but after a few days, there is again stinging pain after wiping following a bowel movement. Additionally, there is a small...
Dr. Xu Kaixi reply Surgery
Based on your description, it is possible that it is hemorrhoidal tissue. It is recommended to visit a surgical outpatient clinic for examination.[Read More] Understanding Anal Skin Lesions: Causes and Treatment Options
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Removal
Post-hemorrhoid surgery Hello Doctor, I underwent traditional hemorrhoidectomy (internal hemorrhoids) on March 13 of this year, and on April 13, I had the granulation tissue that formed after the surgery removed. Since then, my bowel movements have been smooth, and I haven't...
Dr. Xu Kaixi reply Surgery
As your original physician explained, this is a normal change after the wound healing from hemorrhoid surgery, and it should gradually improve over time. If you have concerns, you can schedule regular follow-up appointments for examination.[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Removal
Understanding Black Polyps: Which Specialist to Consult?
The polyp is black? You should consult a colorectal specialist for your condition, as they specialize in issues related to the rectum and anus.
Dr. Xu Kaixi reply Surgery
Please go to the hospital's general surgery department for an examination.[Read More] Understanding Black Polyps: Which Specialist to Consult?
Managing Painful Bowel Movements Without Bleeding: A Guide
Experiencing frequent pain during bowel movements without any bleeding? I previously had issues with anal abscesses and fistulas. The doctor always advised me to not clean too thoroughly and to allow some dirtiness. After making significant efforts to improve, I haven't expe...
Dr. Xu Kaixi reply Surgery
If there is pain, it may indicate inflammation of the anal mucosa. If there is also bleeding, it could suggest a concurrent mucosal abrasion or tear. It is recommended to consider the use of topical ointments or to combine them with anti-inflammatory and analgesic oral medication...[Read More] Managing Painful Bowel Movements Without Bleeding: A Guide
Could It Be Something Other Than Warts? Understanding Anal Health Concerns
Are there other possibilities besides cauliflower? Hello Doctor, two years ago I was diagnosed with anal warts. Following my doctor's instructions, I underwent approximately three electrosurgical procedures. The last one was in July 2019, and I had follow-up visits for a few...
Dr. Xu Kaixi reply Surgery
Based on your description, it is still unclear; it could possibly be a skin polyp or fold, and recurrence cannot be ruled out. I recommend that you visit a surgical outpatient clinic for examination.[Read More] Could It Be Something Other Than Warts? Understanding Anal Health Concerns
Managing Recurring Anal Fissures: Tips for Relief Before Menstruation
Recurrence of anal fissure Hello Doctor, I have been suffering from anal fissures for the past year. Each time a fissure occurs, it happens 3-5 days before my menstrual period. My stools tend to be harder before my period, and sometimes they are also hard during ovulation. When I...
Dr. Xu Kaixi reply Surgery
Based on your description, your issue is constipation associated with your menstrual period. You have good dietary and lifestyle habits; adequate hydration, high-fiber foods, and exercise can all help improve constipation. If you experience constipation during your menstrual peri...[Read More] Managing Recurring Anal Fissures: Tips for Relief Before Menstruation
How to Restore Indented Scars After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Doctor, I recently suffered a skull fracture from falling down the stairs, resulting in a stitched scar. However, the scar feels like a depression. The surgeon mentioned that this is due to the gap between the bone...
Dr. Xu Kaixi reply Surgery
If there is a depression in the bone, it will take at least two to three months for the bone to heal and for callus formation to fill in the area, resulting in a smoother surface.[Read More] How to Restore Indented Scars After Head Injury Sutures?
Managing Nail Injuries: Recovery Time and Care Tips After Trauma
Nail problems Hello, doctor. I was in a car accident recently, and my entire nail on my right ring finger was flipped up and peeled off (at the time, I saw that both the nail and a layer of skin were lifted, and there was a lot of blood). After that, I went to the hospital to hav...
Dr. Xu Kaixi reply Surgery
About a week after nail removal, the wound will start to scab and become drier, with a decrease in discharge. At this point, the pain from the wound will lessen. A balanced diet and regular routine can aid in wound healing and nail growth.[Read More] Managing Nail Injuries: Recovery Time and Care Tips After Trauma
Managing Recurring Anal Fissures: Tips for Relief Before Menstruation
Anal fissure recurrence Hello Doctor, I have been suffering from anal fissures for the past year. Each time a fissure occurs, it happens 3-5 days before my menstrual period. My stools tend to be harder before my period, and sometimes they are hard during ovulation as well. When I...
Dr. Xu Kaixi reply Surgery
Based on your description, your issue is constipation associated with your menstrual period. You have good dietary and lifestyle habits; adequate hydration, high-fiber foods, and exercise all help improve constipation. If you tend to experience constipation during your menstrual ...[Read More] Managing Recurring Anal Fissures: Tips for Relief Before Menstruation
Understanding Anal Itching: Causes, Diagnosis, and Treatment Options
Anal itching Hello Doctor, today I visited the colorectal department at Chang Gung Hospital due to itching around my anus that started last week. It might have been triggered by the hot weather during the weekend, as I was awakened by the itching in the middle of the night, and i...
Dr. Xu Kaixi reply Surgery
I'm sorry, but I cannot guess the specific injection administered by your physician during your visit. I recommend that you return for a follow-up appointment and ask the administering physician directly.[Read More] Understanding Anal Itching: Causes, Diagnosis, and Treatment Options
Understanding Right Shoulder Pain After Laparoscopic Appendectomy: Causes and Recovery
Underwent laparoscopic surgery due to acute appendicitis? On March 26, 2020, after undergoing laparoscopic surgery, I rested in the hospital bed for a day. When trying to sleep, I experienced pain in my right shoulder, which continued until March 30, 2020. While lying down to rec...
Dr. Xu Kaixi reply Surgery
During the process of laparoscopic surgery, the abdominal cavity is inflated with gas to create space for the procedure. Temporary shoulder pain is a type of referred pain caused by the inflation of the abdomen, and it typically improves over time.[Read More] Understanding Right Shoulder Pain After Laparoscopic Appendectomy: Causes and Recovery
Should You See a Doctor for a Small Growth in the Anus?
Rectal foreign body Hello, doctor. I have a small lump inside my anus that has appeared recently. It is not itchy or painful, and it hasn't gone away. Should I see a doctor?
Dr. Xu Kaixi reply Surgery
It is recommended that you visit the surgical outpatient clinic in person for examination and confirmation.[Read More] Should You See a Doctor for a Small Growth in the Anus?
Understanding Neck Pain: Causes and Remedies for SCM Discomfort
Neck issues? On April 4th in the afternoon, I turned my neck to relax, but I heard a popping sound, and now my neck hurts. The pain is located around the sternocleidomastoid muscle, and it feels numb and painful to the touch. When I palpate along the muscle, some areas feel numb ...
Dr. Xu Kaixi reply Surgery
Based on your description, it is possible that you have a neck muscle strain. The neck muscles consist of many components, including the sternocleidomastoid muscle that you mentioned. If it has been more than two days, it is advisable to apply heat therapy for treatment.[Read More] Understanding Neck Pain: Causes and Remedies for SCM Discomfort
Understanding Rectal Bleeding: Hemorrhoids or Something Else?
Hemorrhoids? Or something else? I would like to ask the doctor a few questions, and I sincerely hope you can help clarify them for me. 1. I started experiencing constipation around the end of November last year, and since then, I have had three instances of what seemed like rec...
Dr. Xu Kaixi reply Surgery
Rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, the likelihood of hemorrhoidal bleeding is the highest. The nature of the bleeding can vary from person to...[Read More] Understanding Rectal Bleeding: Hemorrhoids or Something Else?
Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Symptoms
Post-hemorrhoid surgery Hello Doctor, I had hemorrhoid surgery last December. The severity of my hemorrhoids was classified as grade III. It has been over two months since the surgery, and I have had a follow-up appointment where the doctor said the wound is healing well. However...
Dr. Xu Kaixi reply Surgery
If you had a colonoscopy last year and no abnormalities were found, you can preliminarily rule out issues with the colon itself. Additionally, since you have recently undergone hemorrhoid surgery about two months ago, it is normal for the healing wounds to produce typical postope...[Read More] Post-Hemorrhoid Surgery: Understanding Persistent Urgency and Symptoms
Understanding Abnormal Stool Shapes: Causes and Concerns
Bowel-related issues include stool that is either unformed or flat in shape? Hello, Dr. Hsu: Two years ago, I experienced rectal bleeding, so I underwent a colonoscopy. The doctor diagnosed me with internal hemorrhoids. Recently, I also had a fecal occult blood test, and the doct...
Dr. Xu Kaixi reply Surgery
If you had a colonoscopy two years ago and no abnormalities were found except for internal hemorrhoids, there is no need to worry about colorectal issues. There are many factors that can affect the shape of stool, including the intake of water and dietary fiber.[Read More] Understanding Abnormal Stool Shapes: Causes and Concerns