Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new wounds? Hello Dr. Chou, I would like to consult with you regarding my father, who has kidney disease (not on dialysis), diabetes, a history of stroke, and v...
Dr. Zhou Hongzhang Reply:
Vascular obstruction can indeed lead to new wounds (even minor injuries or contusions can cause this). Additionally, old wounds may not heal easily. However, there are slight differences in the common sites of wounds caused by vascular diseases compared to those caused by pressur...[Read More] Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
Can Anal Abscess Coexist Without Surgery? Understanding the Risks
Can an anal abscess coexist with other conditions? In January, I discovered a hard lump and initially thought it was an inflamed abrasion. Later, I noticed it had grown larger and was painful when pressed, which prompted me to see a doctor. I was subsequently diagnosed with a sus...
Dr. Zhang Shuhao Reply:
Based on the description, it appears that there has been no pain or other discomfort for some time, indicating that the anal abscess may have resolved. Tissue inflammation or fibrosis can also present as a lump, so the doctor's suggestion to coexist with the mass is reasonab...[Read More] Can Anal Abscess Coexist Without Surgery? Understanding the Risks
Managing Cuts and Wound Care for Diabetics: Key Considerations
Laceration wound Hello doctor, a few days ago I cut myself on the edge of a can, about two centimeters deep. Since I have diabetes (my HbA1c is usually between 6.1 and 6.5), I went to see a doctor the same day for the wound, and I mentioned that I needed a tetanus shot, medicatio...
Dr. Zhang Shuhao Reply:
If the injury is properly disinfected at the time of occurrence, there are no foreign bodies in the wound, and the blood circulation to the flap is adequate, the wound still has the potential to heal. With proper dressing changes, the risk of infection is low. However, if the wou...[Read More] Managing Cuts and Wound Care for Diabetics: Key Considerations
Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
The incision for the removal of a sebaceous cyst is located very close to the anus? Hello Doctor, I am the questioner #204580. I would like to ask if, after having a sebaceous cyst removed near the anus, poor wound care could lead to the formation of an anal fistula? I have a wou...
Dr. Ke Fangxu Reply:
Wounds around the anal area typically heal more slowly, and it is normal for discharge to occur before the epidermis is fully healed. Cleaning the wound with tap water is sufficient, as this area is not a sterile environment. After cleaning, it is important to keep the area as dr...[Read More] Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
Understanding Numbness in the Second Toe: Causes and Treatment Options
Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...
Dr. Zhang Junwei Reply:
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options
Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Lumbar and sacral vertebrae resection and spinal fusion surgery inquiry? Hello Dr. Lai, in the past six months, I have been experiencing frequent soreness and numbness in my right leg, along with a limp. Despite rehabilitation and rest, there has been no improvement. After a medi...
Dr. Lai Zhaokang Reply:
Hello: 1. Your concerns are valid, but the risk is very low. It is important to have a detailed discussion with your surgeon and anesthesiologist before the surgery. 2. The fusion time for the human spine is at least 3 months. After the surgery, you can engage in simple basic act...[Read More] Understanding Lumbar and Sacral Surgery: Risks and Recovery Insights
Post-COVID Spine Pain: Exploring Inflammation and Management Options
Post-diagnosis spinal pain suspected to be inflammation? I have diabetes, and it has been three weeks since my diagnosis. I am currently experiencing abnormal spinal pain, which is usually accompanied by fever. The pain does not alleviate whether I am sitting or lying down, and I...
Dr. Zhao Shaoqing Reply:
Hello: You may need to schedule further examinations at the neurosurgery outpatient clinic for an MRI. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Post-COVID Spine Pain: Exploring Inflammation and Management Options
Managing Burn Treatment: Concerns for Diabetic Patients
Burn treatment medications Hello Doctor, on July 12, I had a car accident and fell, causing the exhaust pipe to burn my right inner ankle, resulting in a burn area of approximately 7x10 cm, with second-degree to third-degree burns. I am also a diabetic patient, so I am a bit worr...
Dr. Li Zhonghuai Reply:
Hello! "Using this ointment tends to produce yellow exudate": this is necrotic tissue, which needs to be removed each time the dressing is changed. If possible, it is recommended to change the dressing three times a day. The tissue damage caused by burns is ongoing, and...[Read More] Managing Burn Treatment: Concerns for Diabetic Patients
Persistent Wound in Groin After Surgery: Concerns and Next Steps
Wound in the groin that is not healing? Hello Doctor, I underwent a fistula surgery on January 3rd this year, and there is a small wound in the gluteal cleft, between the coccyx and the anal area, that has not healed. According to the surgeon, the wound is very small, similar to ...
Dr. Ke Fangxu Reply:
If the wound is located at the surgical site and has not healed after six months, it is important to consider the possibility of recurrence. However, erosion of the coccyx is unlikely to occur. It is advisable to have a colorectal surgeon reassess the situation.[Read More] Persistent Wound in Groin After Surgery: Concerns and Next Steps
Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis
Aneurysm rupture, currently in a coma? Hello, Doctor: I would like to ask about a 71-year-old patient who has no poor dietary habits and maintains a normal daily routine, but is small in stature and has a weak immune system. Health checks show no signs of hypertension, diabetes, ...
Dr. Zhang Junwei Reply:
1. Theoretically, a person in a coma does not feel pain. 2. Not necessarily.[Read More] Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis
Why Did My Surgical Wound Split Open After Stitches Were Removed?
The wound immediately opened after the stitches were removed! I originally went to the hospital for surgery to remove a lipoma and thought that since I was already undergoing surgery, I would also have three small fibromas removed at the same time. On the day of stitch removal, t...
Dr. Li Zhonghuai Reply:
Hello! The patient's age, history of diabetes, smoking and alcohol consumption (including secondhand smoke), presence of autoimmune diseases, and liver cirrhosis should all be taken into consideration. Additionally, the location of the sutures in relation to the joints is im...[Read More] Why Did My Surgical Wound Split Open After Stitches Were Removed?
Understanding Cervical Spine Surgery: Key Considerations for Recovery
Cervical spine spinal cord injury, laminectomy decompression surgery, discectomy, mobile artificial intervertebral disc? The mother is 62 years old and has diabetes, but it is uncertain whether she has osteoporosis. She fell off her bike on the road and was urgently taken to the ...
Dr. Lai Zhaokang Reply:
Hello: A. The principles of surgical treatment for cervical spinal cord injury are 1. Decompression 2. Reconstruction. You have already undergone posterior decompression (without fixation), but if your symptoms have not improved and follow-up MRI shows significant anterior compre...[Read More] Understanding Cervical Spine Surgery: Key Considerations for Recovery
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:
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?
Overcoming Nail Cutting Addiction: A Guide for Diabetics
Inquire about nail-related issues? Hello, doctor. I have had a bad habit of cutting my nails since my school days. Although I have a fixed schedule for how often I trim them, I prefer to cut them shorter and shorter. Currently, I have no nails on four of my toes, except for the b...
Dr. Chen Bingze Reply:
Hello, if you know that this is clearly a bad habit but can't seem to change it, you might want to consider seeing a psychiatrist or psychologist. A surgeon may not be able to help you with this issue.[Read More] Overcoming Nail Cutting Addiction: A Guide for Diabetics
Managing Diabetic Foot Necrosis: Amputation Decisions and Challenges
The issue of amputating necrotic toes in diabetic patients? My family member is approximately 55 years old and has diabetes along with septic shock, which has resulted in complete necrosis of the toes. However, the doctors have assessed that there is severe circulatory impairment...
Dr. Lü Mingchuan Reply:
You can visit the outpatient clinic for evaluation.[Read More] Managing Diabetic Foot Necrosis: Amputation Decisions and Challenges
Managing Injuries in Diabetic Seniors: Care Tips and Warning Signs
Diabetes-related falls and injuries? Hello, the elder in my family fell while trying to start riding a bicycle to buy groceries, as the basket was too heavy. They hit about 10 cm below the right knee, resulting in swelling without any obvious wounds. Currently, they can walk and ...
Dr. Zhang Shuhao Reply:
Elderly individuals who sustain injuries often develop large bruises, typically due to decreased coagulation function, which is related to age, liver function, and the use of anticoagulant or antiplatelet medications. Most bruises and hematomas will gradually be absorbed. Care sh...[Read More] Managing Injuries in Diabetic Seniors: Care Tips and Warning Signs
Managing Non-Healing Surgical Wounds: A Case Study
How to manage an unhealed surgical wound? On March 7, I underwent surgery for facial lipomas, resulting in five incisions. The sutures were removed on March 15. The following day, during a dressing change, I noticed that one of the incisions, approximately 2 cm in size, had a por...
Dr. Chen Ronghong Reply:
Hello, Yan Liu. Among the five wounds, only one has poor healing, which is more likely due to a localized infection causing inflammation. The contents of the cyst could potentially lead to a bacterial infection. Please continue using the antibiotic ointment, avoid pulling on the ...[Read More] Managing Non-Healing Surgical Wounds: A Case Study
Should You Seek Medical Attention for a Stubborn Toenail Scab?
Questions after toenail removal of the little toe? I had my little toe nail removed a week ago, and it formed a scab. However, after a month, there has been no change; the scab hasn't fallen off, and I haven't seen any new nail growth. Although there is no pain or itchi...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to return for evaluation. Generally, it takes about a month to heal, but poor blood circulation (such as from smoking, diabetes, or dialysis) can also have an impact. Take care! Changhua Hospital cares about you![Read More] Should You Seek Medical Attention for a Stubborn Toenail Scab?
Understanding Black Toenails: Causes and When to Seek Medical Help
Nail (or nail bed) discoloration to black? Hello, doctor. I need your help because I'm not sure which specialty to consult. A couple of days ago, I noticed that my left big toe nail has a dark spot, but I didn't pay much attention to it at first, thinking it was just in...
Dr. Chen Bingze Reply:
Hello, this sounds less like diabetic foot. If the black spot gradually moves forward with the growth of the nail, it may indicate a bruise. However, if the black spot is fixed in position and continues to enlarge, it is advisable to seek medical attention for a physician to exam...[Read More] Understanding Black Toenails: Causes and When to Seek Medical Help
Understanding Thumb Pain After Nail Care: When to Seek Medical Attention
Thumb swelling and pain? Hello Doctor, a few days ago I accidentally cut my thumb while trimming my nails and ended up cutting a small piece of skin, leaving a small wound. At the time, I didn't think much of it and didn't take any special precautions. However, in the p...
Dr. Chen Ronghong Reply:
Hello, if the wound is still swollen and painful, there is a concern for secondary infection. If the patient has a history of diabetes or immunocompromised status, extra caution is warranted. It is advisable to seek medical evaluation to determine if topical antibiotic ointment o...[Read More] Understanding Thumb Pain After Nail Care: When to Seek Medical Attention