Concerns About Infection: Shoe Contact and Hygiene Practices
Infection Inquiry Hello, Doctor. I would like to ask: 1. If my hand accidentally touches the sole of my shoe while taking it off, is there a risk of infection? Is it effective to wash my hands or use alcohol spray afterward? (I am concerned because the soles of shoes often come...
Dr. Chen Bingze Reply:
It is advisable to wash your hands frequently and use a brush with soap for cleaning.[Read More] Concerns About Infection: Shoe Contact and Hygiene Practices
Understanding Subcutaneous Masses: Should You Remove Without Imaging?
Elongated mass Hello, doctor. There is a slender lump located at the angle between the bottom of my thigh and the perineum, with one end feeling connected to the buttock and the other end feeling disconnected from any other part. The entire lump is mobile under the skin, with a d...
Dr. Chen Ronghong Reply:
Hello, your request can be discussed with the physician. If the physician determines through palpation that the mass is confined to the subcutaneous tissue, then direct surgical removal is feasible. However, if the physician believes that the subcutaneous mass is just the tip of ...[Read More] Understanding Subcutaneous Masses: Should You Remove Without Imaging?
Understanding Breast Pain: Timing, Causes, and Relief Strategies
Breast tenderness? Hello, doctor. Previously, I would experience breast tenderness and swelling before my menstrual period, with pain on both sides. The pain would disappear 1-2 days after my period started. However, this month, I did not have noticeable swelling or pain before m...
Dr. Chen Jiaming Reply:
Since your previous breast ultrasound showed multiple cysts on both sides, it is common to experience noticeable breast tenderness. This tenderness often fluctuates with the menstrual cycle; however, specific diets and medications can alter hormonal changes in the body, which may...[Read More] Understanding Breast Pain: Timing, Causes, and Relief Strategies
Head Injury Concerns: When to Seek Medical Attention After a Bump
Head trauma Hello doctor, yesterday when I was closing the rear car door, I accidentally hit my dad's head without noticing. He was conscious at the time but felt a lot of pain and has a small bruise on the top of his head. Today, he has no other discomfort. Is there a possi...
Dr. Zhang Junwei Reply:
The likelihood of intracranial hemorrhage is low; however, if there is persistent headache and dizziness, immediate medical attention should be sought.[Read More] Head Injury Concerns: When to Seek Medical Attention After a Bump
Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
An anal fistula is characterized by the continuous formation of abscesses either internally or externally? Hello Dr. Chen, I would like to ask about a situation. I had surgery for an anal abscess on May 28, 2022, where it was incised and drained. After the surgery, the wound has ...
Dr. Zhang Shuhao Reply:
If an anal abscess continues to swell and cause pain after drainage, and there is purulent discharge, it may indicate the formation of an anal fistula. It is recommended to visit a colorectal clinic for examination. If a fistula is confirmed, surgical excision is necessary to pre...[Read More] Persistent Anal Fistula: Do I Need Another Surgery for Ongoing Symptoms?
Addressing Anal Stenosis: Surgical and Self-Treatment Options
Anal stenosis issue Hello doctor, I am a member of the LGBTQ+ community. I previously underwent fistula and hemorrhoid surgery at another clinic, but since the surgery, I have found it difficult to engage in anal intercourse, and it feels much narrower than before. The previous p...
Dr. Zhang Shuhao Reply:
After surgery for fistulas and hemorrhoids, the wound area may slightly lose elasticity; however, if the external anal sphincter is not damaged, it will not cause severe stenosis. Mild stenosis can be improved through self-dilation, but it is important to ensure adequate lubricat...[Read More] Addressing Anal Stenosis: Surgical and Self-Treatment Options
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy Hello Doctor, I noticed that the lymph nodes in my groin area on both sides have swollen since early January. There are several nodes on both sides, mostly under 1 cm to about 2 cm in size, with some being elongated and others round (the round ones are sm...
Dr. Chen Ronghong Reply:
Hello, given your age, the most common causes of groin lymphadenopathy with tenderness are infections of the lower extremities or genital organs. Therefore, it is less related to your lifestyle or lack of exercise. If the aforementioned causes are applicable, then appropriate tre...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Should You Remove Titanium Plates After Jaw Fracture Surgery?
Should the facial fracture screws be removed? Hello, Doctor. I was in a car accident on September 22 and sustained a fracture in my mandible (below the lip), which was fixed with a titanium alloy plate. Since I am still young, I would prefer not to have foreign materials in my bo...
Dr. Lu Daokuan Reply:
It should not need to be removed.[Read More] Should You Remove Titanium Plates After Jaw Fracture Surgery?
Do Hemorrhoid Surgeries Leave Scars? Expert Insights and Tips
Doctor, will traditional hemorrhoidectomy leave scars? Hello, doctor. I would like to ask if hemorrhoidectomy will leave scars on the anus, as I found online that some people experienced discomfort due to hardened scars, and I also care about aesthetics. If scarring is likely, wo...
Dr. Zhang Shuhao Reply:
After hemorrhoidectomy, the healing site may slightly lose elasticity due to fibrosis, and like wounds in other parts of the body, there is a chance of scarring. The visibility of scars primarily depends on the individual's constitution and the size of the external hemorrhoi...[Read More] Do Hemorrhoid Surgeries Leave Scars? Expert Insights and Tips
Are Moles Around the Anus Normal? Understanding Skin Changes and Risks
There are some moles around the anal area? I have been experiencing itching around my buttocks, and after seeing a doctor, I was diagnosed with eczema. The doctor also noticed some moles near the folds and edges of the skin around the anal area, but there is still some uncertaint...
Dr. Zhang Shuhao Reply:
It is normal to have moles around the anus, just like on other areas of the skin. Anal melanoma is a rare tumor (with an incidence of less than 0.0005%). If you are concerned, you can visit a dermatologist or a colorectal specialist for an examination, and if necessary, a biopsy ...[Read More] Are Moles Around the Anus Normal? Understanding Skin Changes and Risks
How to Handle a Blister Near the Anus: Safe Treatment Tips
Blister at the anal opening? Yesterday, after using the restroom, I seemed to have wiped too hard, and today I noticed a sizable blister at the anal opening. Can I pop it myself? What should I do next? Thank you!
Dr. Zhang Shuhao Reply:
If the blister is large, it can be slightly punctured under proper disinfection to drain the fluid. If the fluid is clear serous, it is generally not a concern. However, if there is blood or purulent discharge, it is advisable to seek medical attention for medication. If the blis...[Read More] How to Handle a Blister Near the Anus: Safe Treatment Tips
Understanding Anal Foreign Body Sensation After Hemorrhoid Surgery
Hemorrhoids and a sensation of foreign body in the anus? Due to a feeling of a foreign body in the anal area, I underwent a hemorrhoidectomy on January 16. The doctor mentioned that I had an internal hemorrhoid and confirmed that there were no other issues before I left, so no fo...
Dr. Zhang Shuhao Reply:
1. If the rubber band slips off early, it may cause the internal hemorrhoid to prolapse again, or it could be that other internal hemorrhoids are slightly swollen due to obstructed blood flow. 2. It is possible for the rubber band to slip off midway, especially when the hemorrhoi...[Read More] Understanding Anal Foreign Body Sensation After Hemorrhoid Surgery
Dog Bite Injury: Should You Get a Tetanus Shot?
Dog bite injury The doctor would like to ask you: Last night, while trying to remove something from my dog's mouth, I accidentally got bitten. However, the bite did not puncture the skin; it was more like a shallow cut, similar to being grazed by a utility knife, with a smal...
Dr. Chen Bingze Reply:
If you're worried, just call.[Read More] Dog Bite Injury: Should You Get a Tetanus Shot?
Understanding Painful Bowel Movements: Causes and Treatments
Recurrent sharp pain and bleeding during bowel movements? I had been taking weight loss pills for 2-3 years, which led to constipation. Recently, when I had a bowel movement, my stool seemed very hard, and the moment I exerted myself, it felt like I was being cut with a knife, ca...
Dr. Yu Mingchang Reply:
There is a higher possibility of anal fissures, so it is advisable to consult a colorectal specialist.[Read More] Understanding Painful Bowel Movements: Causes and Treatments
Dog Bite Injury: Do You Need Tetanus Shots After a Shallow Cut?
Dog bite injury The doctor would like to ask you: Last night, while trying to remove something from my dog's mouth, I accidentally got bitten. However, the bite didn't create a puncture wound; it was more like a superficial cut, similar to being grazed by a utility knif...
Dr. Chen Bingze Reply:
If you're concerned, you can go to a clinic or hospital that administers the tetanus vaccine within the next few days.[Read More] Dog Bite Injury: Do You Need Tetanus Shots After a Shallow Cut?
Dog Bite Injuries: When to Get Tetanus Shots and Signs of Infection
Dog bite injury Doctor, I am the inquirer with ID 191846. I would like to ask you about a bite I received yesterday. If I do not experience any symptoms in the next couple of days, is it unnecessary for me to get a tetanus shot? The wound looks like a minor scrape, similar to a c...
Dr. Chen Bingze Reply:
In the case of a true tetanus infection, symptoms may not appear quickly. If you are really concerned, it's advisable to get a tetanus vaccine.[Read More] Dog Bite Injuries: When to Get Tetanus Shots and Signs of Infection
Post-Stent Care: When Can My Father Safely Undergo a Gastroscopy?
Inquire about the gastroscopy procedure for my father? Hello Doctor, I would like to ask you about my father (55 years old). He underwent coronary angioplasty and stent placement in early December last year and has been on Aspirin and Plavix therapy since then. His recovery has b...
Dr. Chen Bingze Reply:
If the stent was placed only last December, anticoagulants cannot be stopped recently. It is possible to perform an endoscopy, but if there are any lesions that require biopsy, it may not be feasible due to the inability to discontinue anticoagulants. However, it is still advisab...[Read More] Post-Stent Care: When Can My Father Safely Undergo a Gastroscopy?
Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Anal fistula issues? Hello Dr. Ke, my father has developed something resembling acne near his anus, which has repeatedly become infected and ruptured. The doctor diagnosed it as a fistula and he underwent fistula surgery a week ago. However, during the follow-up appointment one w...
Dr. Ke Fangxu Reply:
The National Health Insurance does not stipulate that an anal fistula surgery can only remove one site at a time. It is likely that another site was not detected during the initial surgery and therefore was not removed. A second surgery may be unavoidable. However, it may be bett...[Read More] Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
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:
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
Do You Need to Stay in the Hospital for Hemorrhoid Surgery?
Is hospitalization necessary for hemorrhoid surgery? Hello Dr. Chang, I am considering surgery to remove my hemorrhoids. The cost of minimally invasive surgery is a bit too high for me, so I would prefer traditional surgery. I found online that traditional surgery usually require...
Dr. Zhang Shuhao Reply:
Even traditional surgery does not necessarily require hospitalization. Simple hemorrhoids can even be treated with local anesthesia. However, if the hemorrhoids are larger, prone to bleeding, or if there are multiple hemorrhoids, hospitalization is recommended. The benefits of ho...[Read More] Do You Need to Stay in the Hospital for Hemorrhoid Surgery?