How to Manage External Moles for LGBTQ+ Individuals
How should individuals with external moles handle them? Hello doctor, I have noticed an external mole near my anus. I consulted a colorectal specialist, but he said it was nothing to worry about! I would like to know how to best manage this external mole. As I am a gay man with a...
Dr. Zhang Shuhao Reply:
If external hemorrhoids do not present symptoms such as redness, swelling, or pain, no special treatment is necessary, and they will not affect the ability to engage in anal intercourse. If anal intercourse is desired, adequate lubrication should be used to minimize friction and ...[Read More] How to Manage External Moles for LGBTQ+ Individuals
Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Hemorrhoid surgery Hello, doctor. May I ask if the difference between minimally invasive hemorrhoid surgery using a coagulation knife and traditional hemorrhoid surgery is just the instruments used, but the postoperative pain and recovery periods are about the same? Because the d...
Dr. Zhang Shuhao Reply:
For severe grade IV hemorrhoids, traditional surgery is the standard procedure. The use of a tissue coagulator can reduce surgical bleeding and slightly decrease pain, which is worth considering; however, there is still a significant gap compared to the advertised minimally invas...[Read More] Understanding the Differences Between Minimally Invasive and Traditional Hemorrhoid Surgery
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbar L345 fusion surgery, postoperative issues? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing some soreness (not pain) on ...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbosacral fusion surgery at the L3-L5 levels, postoperative complications? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17th. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
More than a month after surgery for anal abscess? Hello! I had surgery for an anal abscess over a month ago, and I've been taking sitz baths and applying medication daily. However, currently, the affected area feels like there is a bag with a pressing sensation and a watery ...
Dr. Zhang Shuhao Reply:
Generally, the condition after an anal abscess drainage surgery stabilizes within four to six weeks. However, due to factors such as the size and depth of the abscess, the degree of soft tissue inflammation, and individual differences in immune response, healing may take longer. ...[Read More] Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
Understanding Pancreatic Neuroendocrine Tumors: Surgery and Risks Explained
Pancreatic neuroendocrine tumor (PNET) Recently, a neuroendocrine tumor measuring 0.8 cm was found in the pancreas, located towards the middle, closer to the head of the pancreas. The doctor indicated that it is a well-differentiated G1 tumor, but due to personal concerns about t...
Dr. Chen Bingze Reply:
Hello, these questions may still need to be addressed by your attending physician, as the type of resection depends on the location. However, if a pancreaticoduodenectomy is necessary, it is a significant surgery, and it is difficult to guarantee that there won't be any issu...[Read More] Understanding Pancreatic Neuroendocrine Tumors: Surgery and Risks Explained
Post-Laparoscopic Cholecystectomy: Understanding Bile Drainage and Healing
Postoperative care after laparoscopic cholecystectomy? Hello, doctor. I underwent laparoscopic cholecystectomy on May 31, and I have a drainage tube in place postoperatively. For the past two days, the drainage fluid has been bile with no blood, and the drainage tube has been in ...
Dr. Li Qinglong Reply:
Hello Ms. Chen: The amount of bile drainage from the postoperative drainage tube is related to whether the common bile duct was injured during the cholecystectomy or other factors that only your surgeon is aware of. We cannot address your concerns here. It is recommended that you...[Read More] Post-Laparoscopic Cholecystectomy: Understanding Bile Drainage and Healing
Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Herniated disc I would like to consult Dr. Lai regarding my condition. I have cervical spine compression at levels C4, C5, and C6 affecting the spinal cord, and a ruptured intervertebral disc at the lumbar spine L5-S1. I underwent an anterior cervical discectomy on February 22. P...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is severe preoperative compression of the cervical spinal cord that has already caused damage, some patients may experience abnormal sensations postoperatively and may require medication in conjunction with rehabilitation therapy. 2. It is also occasionally obs...[Read More] Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Colorectal issues, Irritable Bowel Syndrome (IBS) In the past, I often experienced diarrhea due to exam-related anxiety during my school years. Later, in my early twenties, I underwent a colostomy due to rectal cancer, with the stoma located approximately between the ascending co...
Dr. Ke Fangxu Reply:
It is normal to experience frequent bowel movements as a postoperative complication after rectal cancer surgery. This is due to the shortening of the rectum, which reduces the capacity for stool storage. Besides taking medications to control the frequency of bowel movements, ther...[Read More] Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Postoperative wounds from hemorrhoid surgery? Hello Doctor: Almost three months ago, I underwent laser surgery for hemorrhoids, as the hemorrhoids had prolapsed outside the anus, and the doctor also excised the prolapsed portion. However, I feel that the wound has not fully heale...
Dr. Zhang Shuhao Reply:
If there is a fan-shaped wound, it indicates that the anally internal mucosal sutures have not healed and are in an open state. This is a common postoperative condition; as long as the wound is kept clean and not overly stimulated, it will gradually heal over time. The symptoms y...[Read More] Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...
Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips
Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with part of it prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. It has been n...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
Difficult wound healing after hemorrhoid surgery? Hello, Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. Therefore, on March 8 of this year, I underwent laser hemorrhoid ablation combined with partial excision. Nearly two m...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even aft...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Journey
Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Difficult wound healing after hemorrhoid surgery? Hello Doctor: I developed a grade 3-4 mixed hemorrhoid last year, with some parts prolapsing outside the anus. On March 8 of this year, I underwent laser hemorrhoidectomy combined with partial excision. Nearly two months have pass...
Dr. Zhang Shuhao Reply:
The recovery speed of hemorrhoid surgery wounds is related to the severity of the original hemorrhoids, the surgical method, the extent of the surgery, postoperative care, and individual constitution. Occasionally, there are cases where complete recovery has not occurred even two...[Read More] Challenges in Healing After Hemorrhoid Surgery: A Patient's Experience
Post-Appendectomy Fever: When to Seek Medical Attention
Post-appendectomy, the patient experiences fever? Hello Doctor, I underwent laparoscopic appendectomy on April 26 and was discharged home on April 30. Since my discharge, I have experienced mild tenderness and discomfort in the right lower abdomen, and I have been taking Acetamin...
Dr. Chen Jiaming Reply:
Based on your description, I would recommend that you return to the original surgical hospital for further evaluation. Arrange for blood tests to confirm whether there is a common postoperative complication of appendicitis, such as an intra-abdominal abscess. If the blood tests s...[Read More] Post-Appendectomy Fever: When to Seek Medical Attention
Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Postoperative Consultation for L5-S1 Surgery Hello Dr. Lai, I previously underwent an anterior spinal fusion surgery due to grade II spondylolisthesis at the L5-S1 level. (Before the surgery, I experienced persistent pain on the left side, while the right side had no symptoms.)...
Dr. Lai Zhaokang Reply:
Hello: 1. Indeed, some individuals may experience symptoms on the opposite side after a dislocation is reduced, which could be due to temporary discomfort in the new environment following the renovation of an old house. 2. It would be advisable to discuss this further with the or...[Read More] Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Understanding Polyp Growth and Scar Formation After Surgery
Question 207997 follow-up? Hello, Doctor: Regarding the second point, I have some questions I would like to understand based on your response. Is it possible for polyps to develop during the wound healing process? Because there was originally no polyp, but during the second laser...
Dr. Zhang Shuhao Reply:
During the wound healing process, it is possible for the area to appear uneven and form a raised bump, commonly referred to as a skin tag. This is different from the polyp-like growths that can occur in the intestinal mucosa. If there are no symptoms, no treatment is necessary. T...[Read More] Understanding Polyp Growth and Scar Formation After Surgery
Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Hemorrhoid surgery issues I underwent traditional surgery for internal and external hemorrhoids on March 19. Postoperatively, aside from the expected pain, the biggest issue has been my inability to urinate on my own. After having a catheter inserted for one day, I produced a lot...
Dr. Zhang Shuhao Reply:
Urinary retention is a common complication after hemorrhoid surgery, caused by pain at the anal wound, leading to pelvic muscle tension and excessive sympathetic nervous system stimulation. Temporary catheterization, analgesics for relaxation, or medications that assist bladder c...[Read More] Post-Surgery Urinary Issues After Hemorrhoidectomy: Causes and Solutions
Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent anal fistula surgery on March 14. During my follow-up appointment on March 22, it was confirmed that the external wound was healing well. However, starting from the night of March 23, I developed a fever of about 38.7°C and began exp...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, if the wound is in an open state, the risk of infection is low. Pain associated with anal inflammation and abscess is usually quite pronounced. If there are symptoms such as fever and diarrhea, along with cold-like symptoms, it may indicate a viral inf...[Read More] Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery