Should You Get Rabies Vaccination After a Dog Bite?
Dog bite injury Hello, I was bitten by my dog (which I brought home from a pet store, three months old, and has not been vaccinated for rabies) a day ago. There was bleeding, and at the time, I only disinfected the wound with hydrogen peroxide. Should I get a rabies vaccine or so...
Dr. Zhang Shuhao Reply:
There is no need for a specific rabies vaccine, but it is still recommended to receive a tetanus vaccine. Additionally, it is important to monitor for signs of wound infection, such as redness, swelling, heat, and pain.[Read More] Should You Get Rabies Vaccination After a Dog Bite?
Painful Sensation Around Hairy Anal Area: Causes and Solutions
The area around the anus with hair feels prickly? Doctor, every summer my buttocks and groin area become damp! Recently, I've noticed a stinging sensation around the hair-covered area near my anus (it feels like broken skin)! This is especially noticeable when walking or swe...
Dr. Zhang Shuhao Reply:
Based on the description, it is likely to be pruritus ani. It is recommended to maintain local ventilation and dryness, avoid excessive cleaning, and ensure that bath water is not too hot. You may visit a clinic to obtain prescription antihistamine ointments and oral medications.[Read More] Painful Sensation Around Hairy Anal Area: Causes and Solutions
Is Ice Pack Effective for Cuts? Understanding First Aid Techniques
Wound issues Hello, is it appropriate to apply ice to a cut wound? I read in my school health textbook that ice can be used for cut wounds when necessary. I would like to know if it should be combined with pressure to stop bleeding, and if not, which should be prioritized? Additi...
Dr. Li Zhonghuai Reply:
Hello! For a laceration, it is recommended to go to the hospital to see if sutures are needed and to receive a tetanus shot. Once the bleeding is controlled, there is no need for ice or heat application. If you have a nosebleed that won't stop, you can also go to the emergen...[Read More] Is Ice Pack Effective for Cuts? Understanding First Aid Techniques
Understanding Discomfort Around the Anus: Causes and Solutions
There is a soreness in a specific area around the anus? Yesterday, after having a bowel movement, I didn't feel much. However, after sitting in my room, I started to feel a soreness around the area near my anus. When I pressed on it, I found a point that felt sore when press...
Dr. Zhang Shuhao Reply:
The cause of localized soreness may be due to injury or fatigue of the sphincter muscle. A small percentage may be attributed to deeper anal abscesses, which may not be visible externally but present as soreness. It is recommended to take warm sitz baths to help relax, avoid cons...[Read More] Understanding Discomfort Around the Anus: Causes and Solutions
Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
Rectal bleeding, with a history of hemorrhoids and previous genital warts? In the past week, I've noticed blood stains on the toilet paper after wiping. Although I've experienced this before, it usually resolves within a day or two. This time, however, it has persisted ...
Dr. Zhang Shuhao Reply:
Anal fissures and internal hemorrhoids can cause rectal bleeding, which is not necessarily related to warts. Recurrences of warts in the anal canal are often difficult to self-detect, so it is recommended to visit a colorectal clinic for diagnosis using an anoscope.[Read More] Understanding Rectal Bleeding: Hemorrhoids and Potential Recurrence Concerns
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:
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?
Understanding Rectal Masses: Symptoms, Concerns, and Diagnosis
Anal mass I have noticed that my stool consistently has grooves, and when I reach about one and a half fingers above my anus, I can feel a hard lump the size of a ten-dollar coin that can be pushed upwards. It feels more like a hard mass pressing from outside the intestines rathe...
Dr. Zhang Shuhao Reply:
The structures located above the anus and below the coccyx are primarily composed of pelvic floor muscles and ligaments. If a painless hard mass is palpated, it is most commonly the tip of the coccyx; however, in rare cases, it may be a presacral tumor of neurogenic or osseous or...[Read More] Understanding Rectal Masses: Symptoms, Concerns, and Diagnosis
Understanding Hemorrhoids: Types, Treatment Options, and Risks
Inquiry Consultation Hello Dr. Ke: I have a hemorrhoid located on the right side inside my anus. When touched, it feels like a semi-spherical shape and is usually retracted into the anus when not swollen, approximately 0.5 to 1 cm in size. I need to exert a little force to open t...
Dr. Ke Fangxu Reply:
1. It is considered an internal hemorrhoid. 2. If there is no prolapse or bleeding, the improvement after ligation treatment may not be significant, and there are no indications for this treatment according to health insurance and clinical guidelines. 3. The pain experienced ...[Read More] Understanding Hemorrhoids: Types, Treatment Options, and Risks
Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Anal fistula is a condition that may have potential complications when treated with seton management surgery? Dear Director Ke, I have an anal fistula that began treatment with a seton placement surgery on February 25, 2022. One-third of the fistula's total length is locate...
Dr. Ke Fangxu Reply:
The indentation and the rubber band should not be related, and there is no reason for it not to heal on its own. It is more likely a remnant left from wound healing. If there is no pain or infection, no special treatment is necessary. If surgical repair is considered, I cannot an...[Read More] Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Managing Perianal Skin Irritation: Tips for Healing and Care
Perianal skin fissures? Previously, due to internal hemorrhoids and anal fissures, I consulted doctors who advised me to take sitz baths without any restrictions on frequency. I diligently followed this advice and applied medication, but after more than a month, I noticed skin ir...
Dr. Ke Fangxu Reply:
The anal area is naturally a moist and warm environment, and intentionally maintaining excessive dryness may not be beneficial. If there are no abnormal secretions, there is no need to be overly concerned. Applying petroleum jelly is acceptable as it contains no medicinal ingredi...[Read More] Managing Perianal Skin Irritation: Tips for Healing and Care
Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Follow-up Inquiry #187406 Dear Dr. Chang, Thank you very much for your response to my inquiry in “#187406 Consultation.” I have generally understood your explanations. I would like to ask Dr. Chang the following questions: Q1. Recently, I have been treating my hemorrhoid with w...
Dr. Zhang Shuhao Reply:
1. It should be internal hemorrhoids. 2. If there are no symptoms, no treatment is necessary. 3. It will not change to malignant. 4. It is possible.[Read More] Understanding Hemorrhoids: Types, Treatment Options, and Surgical Considerations
Understanding Recurring Thrombosed Hemorrhoids: Expert Insights and Management
Inquiry Consultation Dear Dr. Chang, A few months ago, I asked you about a thrombosed hemorrhoid located on the right side of my anus (approximately 0.5-1 cm). The situation later changed as the thrombosed hemorrhoid ruptured and bled due to friction during bowel movements, whic...
Dr. Zhang Shuhao Reply:
1. Recurrence. 2. Thrombosed hemorrhoids can be absorbed, but the prolapsed soft tissue will not disappear. It can be reduced with medication and sitz baths, but to completely remove it, surgical excision is the only option. 3. The same conservative treatment can be used, such as...[Read More] Understanding Recurring Thrombosed Hemorrhoids: Expert Insights and Management
Understanding Rectal Bleeding: Is It Anal Fissure?
Blood in the stool? Hello, Doctor: I have previously experienced pain and bleeding from the anus due to hard stools. However, in the past few days, even when my stools are soft or loose, I still feel a sharp pain in the anus, and there is bright red blood on the toilet paper afte...
Dr. Zhang Shuhao Reply:
The sharp pain during and after bowel movements, accompanied by bleeding, is a typical symptom of anal fissure. It is advisable to take warm sitz baths, use topical ointments, and adjust your diet to prevent constipation. If you are concerned, you can seek medical attention for a...[Read More] Understanding Rectal Bleeding: Is It Anal Fissure?
Understanding Post-Surgery Rectal Issues: Is Residual Stool Normal?
Residual stool in the rectum? Hello, doctor. A year ago, I underwent a tissue coagulation hemorrhoid surgery, and since then, my anus has become narrow. I have to exert a lot of effort to pass stool, and even when I insert my finger into the anus to clean, there is still residual...
Dr. Yu Mingchang Reply:
Take some stool softeners and check in with the colorectal department at Changhua Hospital when you have the chance. We care about your health.[Read More] Understanding Post-Surgery Rectal Issues: Is Residual Stool Normal?
Post-Surgery Complications: Managing Colostomy Closure Wound Issues
The surgical wound from the closure of the stoma has opened after the sutures were removed, resulting in continuous leakage of fecal matter? Hello, Dr. Ke. My father is 68 years old and had a temporary colostomy placed in the right upper abdomen after undergoing surgery for recta...
Dr. Ke Fangxu Reply:
The issue your father is facing is a leak at the site of the stoma closure. There are two viable options. The first is to temporarily withhold food and wait for the leak to heal on its own. The benefits of this approach are that it avoids the need for another surgery. However, th...[Read More] Post-Surgery Complications: Managing Colostomy Closure Wound Issues
Understanding Rectal Discomfort: Risks and Surgical Options
Bowel movement issues Hello Doctor: Recently, I have been experiencing discomfort in my anus after having a bowel movement (it doesn't hurt, but it feels like there's something at the anal opening). I later realized that I had pulled my anal sphincter out, and I managed...
Dr. Zhang Shuhao Reply:
The tissue that protrudes after bowel movements is a prolapsed internal hemorrhoid, which can be manually pushed back into place. Sometimes, taking warm sitz baths can help reduce swelling and improve the condition. If this occurs frequently and causes distress, it is advisable t...[Read More] Understanding Rectal Discomfort: Risks and Surgical Options
Managing Post-Surgery Bowel Issues: Tips for Relief and Care
Bowel movement issues? Hello, doctor. Ever since I underwent the LIGASUR tissue coagulation procedure, I have been experiencing anal narrowing, which makes bowel movements very difficult. My attending physician has stated that there is no issue with narrowing, but after each bowe...
Dr. Zhang Shuhao Reply:
After surgery, the scar tissue may lose some elasticity, and some individuals may experience a sensation of foreign body presence, feeling as if it hasn't been cleaned properly. It is advisable to wash with water or first wipe with a wet wipe before using toilet paper, witho...[Read More] Managing Post-Surgery Bowel Issues: Tips for Relief and Care
Post-Surgery Recovery Questions for Anal Fistula Treatment
Postoperative Recovery Questions Regarding Anal Fistula Surgery Hello Dr. Ke: I underwent anal fistula surgery on July 28th of this year. On August 21st, the doctor told me that I no longer needed to see him. Now, on September 20th, the external appearance of the wound seems fine...
Dr. Ke Fangxu Reply:
The wound from a typical fistula surgery usually takes about a month to fully heal, while larger wounds may require a longer time. If there is no redness, swelling, or pain, it should not be a concern; otherwise, it is advisable to consult the surgeon to check whether the wound i...[Read More] Post-Surgery Recovery Questions for Anal Fistula Treatment
Post-Surgery Recovery: Can You Masturbate Without Causing Bleeding?
When bleeding occurs, it is necessary to apply pressure with a gauze to stop the bleeding? Hello, doctor. I would like to ask if I need to wait until I am completely healed before engaging in masturbation. Since my discharge, I have masturbated twice, and both times I experienced...
Dr. Zhang Shuhao Reply:
During ejaculation, the contraction of the entire pelvic floor muscles can lead to the contraction of the external sphincter; however, this rarely causes direct bleeding from a wound. If bleeding persists, it is advisable to return for a follow-up examination of the wound. In the...[Read More] Post-Surgery Recovery: Can You Masturbate Without Causing Bleeding?
Understanding Hard Lumps Near the Anus: Causes and Concerns
Perianal mass Hello Doctor, I have recently noticed a small hard lump at the very front of my anus (closest to the genital area). I'm not sure what it is. I don't feel any pain when standing or sitting, as long as I don't touch it, but I do feel some discomfort whe...
Dr. Zhang Shuhao Reply:
A sudden lump appearing at the anus is most commonly a thrombosed hemorrhoid, which is generally referred to as an exacerbation of hemorrhoids. This condition arises when the blood vessels within the hemorrhoid become compressed, leading to subcutaneous bleeding and swelling, whi...[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns