Loss of Sensation in Left Calf After Injury: Causes and Solutions
There is no sensation in the skin of the left calf? After my car accident, I had stitches on my left calf, and my entire calf is swollen. After resting for two weeks, I noticed that the skin on both sides near the knee has no sensation and the area seems to be increasing in size....
Dr. Li Zhonghuai Reply:
Hello! The saphenous nerve is located on the inner side of the knee, while the sural nerve is on the outer side. There is one main trunk on the inner front of the thigh and another on the posterior side of the thigh. Therefore, you may have a thigh contusion. Generally speaking, ...[Read More] Loss of Sensation in Left Calf After Injury: Causes and Solutions
Proper Wound Care After a Bike Accident: To Wrap or Not to Wrap?
Wound management after a car accident? There are sutures and abrasions (stage 2) on the elbow, and there are also abrasions on the knee. Regarding wound care, I was initially advised by the doctor to keep it bandaged when I first visited. When I went to the pharmacy to buy medica...
Dr. Li Zhonghuai Reply:
Hello! The wound should be cleaned daily with sterile saline solution and a sterile cotton swab. This method has its advantages, although it can be quite painful. After cleaning, apply antibiotic ointment. Of course, some physicians may have different approaches, such as allowing...[Read More] Proper Wound Care After a Bike Accident: To Wrap or Not to Wrap?
Understanding Anal Skin Tags: Concerns and Treatment Options
Issues related to anal masses? Hello, doctor. I currently have a visible lump at the anal opening. It is not painful and does not affect my daily life. It feels soft to the touch, and when I slightly stretch the anus, I can see that its base extends a bit further inside the anal ...
Dr. Ke Fangxu Reply:
1. Rubber band ligation is not recommended for external hemorrhoids due to potential pain and difficulty in wound care. 2. If there is no pain or discomfort, then there are no contraindications for anal intercourse; adverse effects should be minimal.[Read More] Understanding Anal Skin Tags: Concerns and Treatment Options
Understanding Anal Fistulas: Symptoms and Alternative Diagnoses
Anal fistula Hello Dr. Chang, I have noticed a growth on my buttock that I suspect might be an anal fistula. However, I have researched related information and found that my buttock and anal area do not experience any pain, and the condition has been present for quite a while, wh...
Dr. Zhang Shuhao Reply:
The most common symptoms of an anal fistula include a hard lump around the anus, which may be accompanied by discharge and swelling, and it tends to recur frequently. Based on your description, it may not necessarily be a fistula; it could also be hemorrhoids. It is recommended t...[Read More] Understanding Anal Fistulas: Symptoms and Alternative Diagnoses
Understanding Anal Skin Tags: Treatment Options and Concerns
Issues related to anal masses? Hello doctor, recently I noticed a visible lump at my anal opening. It varies in size, sometimes soft (like a flesh ball) and other times slightly harder. Its color can be flesh-toned or sometimes purplish. Someone mentioned that it might be hemorrh...
Dr. Zhang Shuhao Reply:
It could be hemorrhoids; the position of internal and external hemorrhoids relative to the anal dentate line needs to be examined to confirm the diagnosis. Regular warm sitz baths and the application of topical ointments can help the thrombosed blood vessels within the hemorrhoid...[Read More] Understanding Anal Skin Tags: Treatment Options and Concerns
Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Postoperative Issues After Laparoscopic Surgery Hello doctor, I had a liver transplant in 2000, and my gallbladder was removed at that time. On October 31, 2022, I experienced abdominal pain due to common bile duct stones and underwent traditional surgery through the same incisio...
Dr. Chen Jiaming Reply:
1. Traditional abdominal wall surgery wounds can cause minor superficial nerve damage, leading to abnormal superficial sensations (such as changes in temperature, humidity, and touch pressure), which may result in feelings of numbness or tingling. Therefore, such sensations are o...[Read More] Post-Laparoscopic Surgery: Understanding Pain and Recovery Concerns
Understanding Temporary Anal Swelling After Anal Sex: When to Seek Help
Perianal mass Hello, recently after engaging in anal intercourse with my boyfriend, I noticed swelling around the anal area. It is not painful, itchy, or bleeding, and it disappears on its own after a few minutes. Could this be hemorrhoids? Do I need to see a doctor, or are there...
Dr. Zhang Shuhao Reply:
Swelling of the anal area after sexual intercourse is caused by congestion of the hemorrhoidal tissue. If the swelling subsides naturally and there is no bleeding or persistent prolapse, it is generally not a concern. However, it is important to ensure adequate relaxation and lub...[Read More] Understanding Temporary Anal Swelling After Anal Sex: When to Seek Help
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you may gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure. Durin...[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Understanding Changes in Fibrocystic Breast Lumps: What You Need to Know
Fibrocystic changes enlarged? Hello, doctor. Last September, I discovered a lump under my right breast and went to the hospital for an ultrasound. Since it was movable and had smooth edges, the doctor diagnosed it as a fibrocystic mass. I was advised to have regular follow-ups ev...
Dr. Chen Bingze Reply:
Hello, it is possible for the size to change. You can return to your original physician for a consultation to determine if another ultrasound is necessary.[Read More] Understanding Changes in Fibrocystic Breast Lumps: What You Need to Know
Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
Hello Dr. Lai: Issues after intervertebral disc herniation surgery? Dear Director Lai, I apologize for taking up your time with this lengthy message, but I would like to know what the next steps should be. 1. After waking up from surgery, I experienced pain in my left lower bac...
Dr. Lai Zhaokang Reply:
Hello: 1. After lying flat for an extended period, the compressed nerves can become more vulnerable. Under certain conditions, poor blood circulation in the surrounding area may trigger pain and numbness, which is not uncommon. You can apply warmth through heat packs, adjust yo...[Read More] Post-Surgery Pain Management: Understanding Discomfort After Disc Surgery
How to Differentiate Between Fistula and Hemorrhoids Symptoms
How to differentiate between a fistula and hemorrhoids? Hello, doctor. Recently, I have been experiencing a small amount of foul-smelling liquid leaking from my anus. However, upon examining my anus with a mirror, I did not notice any signs of a fistula (there is no redness, swel...
Dr. Zhang Shuhao Reply:
Anal fistulas and hemorrhoids can occur simultaneously, but the presence of foul-smelling discharge from the anus is not necessarily caused by a fistula. Fistulas typically form after inflammation and swelling, and there may be an external opening on the skin, often accompanied b...[Read More] How to Differentiate Between Fistula and Hemorrhoids Symptoms
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you can gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure.[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Scratched by Wire: Understanding Tetanus Risks from Minor Wounds
Scratched by a wire? I was scratched on my foot by a piece of wire left on the ground. There are two wounds: one is a superficial abrasion with slight bleeding, and the other is a small wound with internal bleeding. I'm concerned whether such an external minor wound with int...
Dr. Ke Fangxu Reply:
Superficial skin wounds do not pose a risk for tetanus infection; it is important to maintain cleanliness and prevent cellulitis.[Read More] Scratched by Wire: Understanding Tetanus Risks from Minor Wounds
Challenges in Healing Foot Wounds: A Case Study of Elderly Care
Poor wound healing in the foot? My grandmother is 90 years old and has developed small wounds on her ankles and the tops of her feet due to her habit of walking barefoot. These wounds became infected after coming into contact with water while bathing, and the infection worsened d...
Dr. Li Zhonghuai Reply:
Hello! Each physician has their own method for dressing changes. The key points are to avoid contact with tap water and not to walk barefoot. Dressings should be changed twice daily, and any necrotic tissue or biofilm must be removed. Therefore, if the wound condition is poor, it...[Read More] Challenges in Healing Foot Wounds: A Case Study of Elderly Care
Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Postoperative care for herniated disc surgery? Hello Doctor, I underwent traditional surgery for an L4-L5 herniated disc at the beginning of November, without the use of a spacer. Postoperatively, my calf pain improved, but in early January, I suddenly experienced persistent shoo...
Dr. Lai Zhaokang Reply:
Hello: After your decompression surgery in November, there was improvement, but in January, you experienced a recurrence of symptoms. I would like to speculate that it may be a relapse; of course, adhesions or other reasons are also possible. I recommend that you return for a fol...[Read More] Post-Surgery Pain After Lumbar Disc Herniation: What to Expect?
Soft Growth Near Anus: Causes and When to Seek Surgery
There are small lumps near the anus? Hello Doctor, I have been experiencing constipation for a long time, and recently I noticed a soft lump near my anus, approximately 0.5 to 1 cm in size. It is very soft, and there is no sensation when I press or touch it. There is no bleeding ...
Dr. Zhang Shuhao Reply:
A painless lump near the anus is most commonly hemorrhoids or skin tags. If there are no symptoms, treatment may not be necessary. However, if there is bleeding, discharge, swelling, hard lumps, or noticeable changes in size, it is advisable to seek medical evaluation. If the ben...[Read More] Soft Growth Near Anus: Causes and When to Seek Surgery
Understanding Irregularities in the Occipital Region: A Neurosurgical Perspective
Regarding the issue of irregularities in the occipital region? Hello, doctor. About a month ago, I noticed some irregularities in the center of the back of my head (specifically at the intersection of a line extending horizontally from the upper part of my ear and a line extendin...
Dr. Lai Zhaokang Reply:
Hello: 1. As your previous orthopedic doctor mentioned, it should be a normal skull. 2. A CT scan has also been performed, and if the doctor determines it to be normal, you can feel more at ease. 3. If you are still concerned, consider consulting a neurosurgeon for another evalua...[Read More] Understanding Irregularities in the Occipital Region: A Neurosurgical Perspective
Post-Spinal Surgery: Addressing Leg Stiffness, Weakness, and Tightness
Post-spinal surgery, experiencing stiffness and weakness in the legs, along with muscle tightness? Hello Dr. Lai! I have rheumatoid arthritis and underwent L4-L5 spinal surgery (with Romeo clamps and health insurance screws) in June 2022 due to pain from slippage. I had another s...
Dr. Lai Zhaokang Reply:
Hello: What you mentioned is all possible, and the treatment options can be considered. However, the key recommendation is to have your doctor arrange for a follow-up MRI for a detailed evaluation, and then plan the subsequent treatment strategy. Best wishes, Dr. Lai Chao-Kang, D...[Read More] Post-Spinal Surgery: Addressing Leg Stiffness, Weakness, and Tightness
Understanding Groin Lymph Node Swelling: Causes and Concerns
Inguinal lymphadenopathy Recently, I discovered three swollen lymph nodes in the right groin area near the crease. One of them has remained unchanged for over a year, while the other two were recently found. Currently, there has been no change observed over the past two weeks (th...
Dr. Chen Ronghong Reply:
Hello Mr. Chuang, 1. In a normal human body, lymph nodes are distributed in the groin and neck, typically measuring less than 1 centimeter. Nodes larger than 1 centimeter are not necessarily abnormal; their length-to-width ratio, shape, and even biopsy results must be considere...[Read More] Understanding Groin Lymph Node Swelling: Causes and Concerns
Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights
Depression of the perianal skin after healing? Previously, I had an anal fissure that led to prolonged sitz baths and the use of hemorrhoid ointments for several months, which resulted in severe dermatitis and skin breakdown. When I visited the hospital, they advised me to discon...
Dr. Ke Fangxu Reply:
In theory, once an anal fissure heals, there should be no pain unless it is due to pre-existing chronic fissures caused by excessive sphincter contraction. If the pain is intolerable and affects daily activities, one can try using rectal suppositories for a period of time. Otherw...[Read More] Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights