Post-Surgery Concerns: Managing Issues After Anal Fistula and Hemorrhoid Removal
Issues after anal fistula and minor hemorrhoidectomy? I had surgery last Friday and was discharged on Saturday. Today is January 15th, and I have some questions: 1. What constitutes excessive bleeding? The day after my discharge, I changed the dressing 6 or 7 times, and each ti...
Dr. Ke Fangxu Reply:
1. As long as there are no blood clots or significant bleeding, the frequency of bleeding can gradually decrease without concern. 2. This is normal. 3. Warm sitz baths are preferable to rinsing because rinsing can cause irritation that leads to anal contractions, thereby incr...[Read More] Post-Surgery Concerns: Managing Issues After Anal Fistula and Hemorrhoid Removal
Understanding Anal Discomfort: Causes and Solutions for Young Adults
Anal issues Hello Doctor, I am 21 years old. Since middle school, I have experienced frequent diarrhea and abdominal pain. Therefore, in September of this year, I underwent a colonoscopy at a large hospital. The doctor said my colon was clean, with only a small hemorrhoid, and si...
Dr. Ke Fangxu Reply:
This is damage to the mucosa and skin caused by excessive cleaning of the anus, similar to how obsessive-compulsive disorder can lead to "dishpan hands" from over-washing. Although your cleaning frequency may not be high, the skin and mucosa around the anus are quite de...[Read More] Understanding Anal Discomfort: Causes and Solutions for Young Adults
Post-Injury Finger Healing: Fluid Buildup and Joint Mobility Issues
After a finger laceration, there seems to be fluid accumulation post-healing, and there is difficulty bending the joint? The ring finger joint was cut by a processed iron piece (the semi-finished product had rust-proof oil and iron filings residue). In the emergency department, o...
Dr. Li Zhonghuai Reply:
Hello! Dirty lacerations often present two issues: the presence of foreign bodies and partial tears of muscles or tendons. It is important to consult the surgeon who performed your operation to understand the condition at that time. Take care! Changhua Hospital is concerned about...[Read More] Post-Injury Finger Healing: Fluid Buildup and Joint Mobility Issues
Understanding Stool Shape Changes: Is It a Sign of Colon Cancer?
Issues with stool shape? Hello doctor, for the past three days, my stools have been about two fingers wide but slightly flat, not like the round cylindrical shape of a banana. I saw my family physician two days ago, and he mentioned that I have a polyp at the anal opening and pre...
Dr. Ke Fangxu Reply:
At the age of 23, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is very, very low. Based on your description, it seems more likely that the changes in stool shape are due to pressure from hemorrhoids. I recommend starting with a light diet...[Read More] Understanding Stool Shape Changes: Is It a Sign of Colon Cancer?
Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Radicular syndrome with hand numbness? My mother has been experiencing numbness in her middle and index fingers after prolonged activities such as reviewing documents, washing dishes, brushing her teeth, and combing her hair over the past two years. A doctor diagnosed her with ce...
Dr. Zhang Junwei Reply:
Since the nerve conduction study indicates two underlying issues simultaneously, and there has been no improvement after wrist surgery, cervical spine surgery may need to be considered.[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...
Dr. Zhang Junwei Reply:
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei Reply:
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Understanding Postural Numbness: Is It Just Cervical Compression?
Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...
Dr. Zhang Junwei Reply:
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?
Managing Crush Injuries: Care for Exposed Tissue on Fingers
Finger crush injury I accidentally injured my finger with a heavy metal object during an experiment. An X-ray showed that the bones are fine, but there is a laceration on my finger due to the pressure. While changing the dressing myself, I noticed that some tissue has been extrud...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to consult a general surgeon. Remove the necrotic tissue; if it can be sutured, do so; if not, allow for granulation tissue to form. At the very least, avoid excessive indentation that could affect aesthetics. Wishing you well! Changhua Hospital cares abo...[Read More] Managing Crush Injuries: Care for Exposed Tissue on Fingers
Thorn Injury to Thumb and Palm: Is There a Risk of Tetanus or Cellulitis?
The joints of the thumb and palm have been punctured, the wound has scabbed over, but there is still nearby throbbing pain? Hello Doctor: Three days ago, I was punctured by the metal frame of a water bottle on the joint of my thumb and palm, specifically on the palm side. The wou...
Dr. Li Zhonghuai Reply:
Hello! "Three days ago, I was punctured by a metal frame of a water bottle." It has been three days, and there are no signs of tetanus. However, there is cellulitis present. It is advisable to see a surgeon to clean the wound, apply antibiotic ointment, and avoid contac...[Read More] Thorn Injury to Thumb and Palm: Is There a Risk of Tetanus or Cellulitis?
Is It Normal to See Suppository Residue in Stool After Hemorrhoid Treatment?
Is it normal to have hemorrhoid suppositories in the stool? Hello, Dr. Ko. I recently experienced swelling and discomfort in my anus, and after visiting the hospital, I was diagnosed with internal hemorrhoids causing the swelling. I was prescribed a two-week course of suppositori...
Dr. Ke Fangxu Reply:
The new immunological fecal occult blood screening method is not affected by medications and is only related to the presence or absence of red blood cells. Suppositories may have some residual medication due to incomplete absorption, but this is not a concern.[Read More] Is It Normal to See Suppository Residue in Stool After Hemorrhoid Treatment?
Severe Chest Pain After Motorcycle Accident: What to Do Next?
Severe chest pain after a car accident? Hello Doctor, I am currently 37 years old. Seven days ago, I was involved in a motorcycle accident where I fell asleep and crashed into a car. The next day, I went to the emergency room, and the physician assessed that I only had external b...
Dr. Li Zhonghuai Reply:
Hello! A chest contusion is indeed very painful. Your ribs are not fractured, but if it were an elderly woman experiencing the same impact, she might fracture several ribs. It is recommended to take pain relievers and muscle relaxants as prescribed; otherwise, the pain may keep y...[Read More] Severe Chest Pain After Motorcycle Accident: What to Do Next?
Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-fistula surgery Hello Doctor: I underwent fistula surgery on December 20, 2018, and was discharged three days later. I had previously looked in the mirror and saw that the surgical incision was about 2-3 cm next to the sphincter, with an external incision of 2-3 cm that was ...
Dr. Chen Jiaming Reply:
1. The depth of the anal fistula varies among individuals, and the healing time for surgical wounds also differs. 2. It is common to have discharge from the anus after anal fistula surgery; however, some may experience pus while others may only have normal intestinal secretions...[Read More] Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-Surgery Pain Management for Severe Hemorrhoids and Anal Conditions
Surgery for fourth-degree internal and external hemorrhoids, rectal prolapse, and anal ulcers? Hello Doctor, I underwent surgery on January 16, but five days later, the wound is still extremely painful. I need to take two painkillers every 3 to 4 hours; otherwise, the pain causes...
Dr. Ke Fangxu Reply:
1. Generally, after this type of surgery, there will be more pain within the first week, but the pain should gradually decrease after that. If you experience severe pain after bowel movements, you can take a warm sitz bath to alleviate the discomfort. 2. Mild bleeding after bow...[Read More] Post-Surgery Pain Management for Severe Hemorrhoids and Anal Conditions
Post-Hemorrhoid Banding: Persistent Discomfort and Blood Concerns
Ten days after the ligation of internal hemorrhoids, there is still a slight sensation of skin irritation in the anal area, and occasionally there is a small amount of blood on the toilet paper after wiping? I would like to ask the doctor, after completing three sessions of rubbe...
Dr. Ke Fangxu Reply:
If the location of the hemorrhoid ligation is closer to the anal opening, there may be some sharp pain. It is advisable to take warm sitz baths and wait for the wound to heal. If there is no significant discomfort, there is no need to use ointments. If there is concern about skin...[Read More] Post-Hemorrhoid Banding: Persistent Discomfort and Blood Concerns
Soft Lump Near Anus: Understanding Symptoms and Concerns
There is a soft, fleshy lump at the anus that feels soft to the touch, is not painful, and does not bleed during bowel movements? Recently, I've been straining a lot during bowel movements, and after finishing, there's a patch of tissue near my anus that has become prot...
Dr. Ke Fangxu Reply:
This situation likely indicates a higher possibility of hemorrhoidal prolapse. As long as there is no further swelling or pain, it should not be a major concern. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Increasing die...[Read More] Soft Lump Near Anus: Understanding Symptoms and Concerns
Do Minor Cuts on Fingers Need Treatment? Infection Risks Explained
Finger issues Hello Doctor, I have a small question: Recently, my hands have frequently been cut by objects, but these are only superficial wounds without bleeding, so I haven't done much to treat them. Do these types of wounds need to be treated? Is there a risk of infectio...
Dr. Chen Jiaming Reply:
For superficial wounds on the hands (even if there is no bleeding), it is generally recommended to disinfect the area immediately. If there is a stinging sensation from the disinfectant, it indicates that the wound may have some depth, and standard wound care should be implemente...[Read More] Do Minor Cuts on Fingers Need Treatment? Infection Risks Explained
Understanding Cubital Tunnel Syndrome: Symptoms and Causes Explained
Regarding cubital tunnel syndrome? About a year ago, both of my elbows were impacted, resulting in significant bruising and swelling. However, X-rays confirmed that there were no bone injuries. Since I already have arthritis, joint pain is quite common for me, so I didn't pa...
Dr. Li Zhonghuai Reply:
Hello! "Is this due to a severe impact on both elbows a year ago? However, there is no significant numbness or pain in the fingers; it’s just that when the palms of both hands are flat, the ring fingers tremble (the trembling worsens after exercise), and when holding light o...[Read More] Understanding Cubital Tunnel Syndrome: Symptoms and Causes Explained
Understanding Abnormal Stool: Causes of White and Yellow Mucus in Constipation
Feces and the anus? Hello doctor, I have the following condition: my stool contains white, thick substances, and I have issues with constipation. Sometimes, when I experience constipation, I use my fingers to dig, and I find yellow, thick substances. Occasionally, the yellow thic...
Dr. Ke Fangxu Reply:
The white, thick substance in the stool is often related to intestinal mucosa and mucus, commonly associated with constipation and prolonged bowel movements. However, this phenomenon can also occur with colorectal polyps or tumors. It is advisable to first address the constipatio...[Read More] Understanding Abnormal Stool: Causes of White and Yellow Mucus in Constipation