Post-Surgery Leakage: Understanding Fistula Repair Complications
Fistula surgery with postoperative leakage after bowel movement? Hello doctor, I had a fistula surgery on September 26, and it has been almost two months since then. I still have some yellowish discharge, and I’ve noticed a small amount of fecal leakage about half an hour after e...
Dr. Zhang Shuhao Reply:
If the wound from the fistula surgery is relatively large, it is common to have some discharge before healing is complete. As long as there are no signs of infection such as redness, swelling, heat, pain, or fever, it can be monitored. It is also quite common to experience a slig...[Read More] Post-Surgery Leakage: Understanding Fistula Repair Complications
Post-Surgery Care: Understanding Sitz Baths and Wound Healing After Fistula Surgery
Post-operative care for fistula surgery: sitz baths and wiping issues? Hello, Doctor. I underwent a fistula excision surgery on November 3rd (Friday) and returned for a follow-up appointment today, November 9th (Thursday). I had been using sitz baths to care for the postoperative...
Dr. Zhang Shuhao Reply:
Postoperative wound healing typically involves the formation of granulation tissue. However, if the tissue is not overly prominent or prone to bleeding, it is generally not a concern. In the outpatient setting, silver nitrate can be used to cauterize and control the growth of gra...[Read More] Post-Surgery Care: Understanding Sitz Baths and Wound Healing After Fistula Surgery
Post-Surgical Complications: Managing Rectal Abscess and Sepsis
Postoperative issues related to rectal abscess leading to sepsis? Hello, doctor. My mother underwent Da Vinci surgery for low rectal cancer about two years ago. After a temporary colostomy, it was reversed, but she has been experiencing fecal incontinence since the surgery. Recen...
Dr. Zhang Shuhao Reply:
Postoperative rectal abscess in low rectal cancer requires exclusion of anastomotic leakage or local recurrence. Emergency management includes the current colostomy along with abscess drainage, and arranging for a computed tomography scan and colonoscopy to check for recurrence. ...[Read More] Post-Surgical Complications: Managing Rectal Abscess and Sepsis
Post-Appendectomy Pain: Understanding Symptoms Three Months Later
It is not uncommon to experience pain three months after an appendectomy. Some patients may have lingering discomfort due to factors such as scar tissue formation, nerve irritation, or other complications. If the pain persists or worsens, it is advisable to consult a Hello, docto...
Dr. Chen Jiaming Reply:
It has been three months post-surgery, and based on your symptoms, it seems highly likely that you are experiencing intestinal bloating. After appendicitis treatment with antibiotics, the gut microbiota is often altered, and an increase in gas-producing bacteria can lead to bloat...[Read More] Post-Appendectomy Pain: Understanding Symptoms Three Months Later
Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Fistula surgery with hemorrhoids has recurred for the second time, only five months apart? After surgery, my blood sugar has been maintained between 300-500 for three days. I have been taking sitz baths after bowel movements. The doctor prescribed a lot of pain medication, but I ...
Dr. Ke Fangxu Reply:
Anal fistulas are inherently prone to recurrence. Poor blood sugar control can affect immune function and tissue repair, making healing more difficult and increasing the likelihood of recurrence. Postoperative wound drainage is a normal phenomenon; it is recommended to change the...[Read More] Managing Post-Surgery Pain and Complications After Fistula and Hemorrhoid Surgery
Understanding Healing After Anal Fistula Surgery: What to Expect
Healing after anal fistula surgery? Hello, I underwent anal fistula surgery around mid-August this year. I have been recovering since then, and most of the wound has healed, but for some reason, there is a small wound on the outside of the fistula that has not yet healed (I have ...
Dr. Zhang Shuhao Reply:
Fistula surgery may take several weeks or even months to fully heal, depending on the size of the wound. If there is a small wound without signs of redness, swelling, heat, pain, or purulent discharge, it can be monitored, and regular follow-up appointments can be scheduled to as...[Read More] Understanding Healing After Anal Fistula Surgery: What to Expect
Recovery After Toenail Removal: What to Expect with Black Scabs
Post-operative recovery status after toenail removal? Hello, Doctor: I would like to ask you, about a month ago I had my left big toenail removed at the hospital. Now, during the postoperative recovery period, there is a thick black scab that has formed on the nail bed. It seems ...
Dr. Li Zhonghuai Reply:
Hello! If possible, please remove it; the toenail will heal faster. Take care! Changhua Hospital cares about you![Read More] Recovery After Toenail Removal: What to Expect with Black Scabs
Post-Surgery Pain Management: Understanding Recovery After Drain Tube Placement
Post-fistula surgery Hello Doctor, I had surgery for a gluteal abscess and the excision of some necrotic muscle fascia at the beginning of July. The surgical site is located in the buttock area, very close to the anal opening. A drainage tube was left in place postoperatively for...
Dr. Zhang Shuhao Reply:
1. After the epidermis has healed, the underlying muscle and soft tissue may not be fully healed yet. If there are no other discomforts, it is advisable to take warm sitz baths and attend regular follow-up appointments to monitor symptoms for three months to see if they improve. ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Drain Tube Placement
Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Postoperative ointment for hemorrhoids? Hello Dr. Chang, I visited you a few months ago, and you diagnosed me with grade III hemorrhoids, which were not severe enough to require surgery. However, after experiencing intermittent flare-ups, I decided to undergo traditional hemorrho...
Dr. Zhang Shuhao Reply:
In addition to pain-relieving ingredients like Lidocaine, hemorrhoid ointments often contain steroids, which can be detrimental to postoperative wound healing. Postoperative pain management for hemorrhoid surgery primarily involves warm sitz baths and oral anti-inflammatory pain ...[Read More] Post-Surgery Pain Relief: Why Some Ointments Are Not Recommended
Post-Surgery Pain After Laparoscopic Hernia Repair: What to Know
Postoperative care for hernia surgery? Hello Doctor: I underwent laparoscopic surgery for an umbilical hernia with a 3 cm defect on August 25, using self-paying staples (14 staples). About 3 to 4 days post-operation, I started experiencing pain in the right abdomen that feels lik...
Dr. Chen Bingze Reply:
It is possible that some postoperative myofascial pain can be managed conservatively with medication to see if it gradually alleviates.[Read More] Post-Surgery Pain After Laparoscopic Hernia Repair: What to Know
Understanding Subdural Hematoma and Hydrocephalus: Treatment Options Explained
Subdural hematoma and hydrocephalus? Dear Vice President, 1. My father had a history of stroke due to hypertension seven years ago. The medical advice indicated that the bleeding was minimal, and he was observed for spontaneous absorption without surgery. He has left-sided hemip...
Dr. Zhang Junwei Reply:
1. Subdural hematoma cannot be resolved by third ventriculostomy. Third ventriculostomy is a procedure used to manage hydrocephalus.[Read More] Understanding Subdural Hematoma and Hydrocephalus: Treatment Options Explained
Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Pancreatic cancer, biliary-enteric anastomosis? My mother, 56 years old, is in the late stages of pancreatic cancer. Due to a bile duct obstruction, she underwent a biliary-enteric anastomosis last month. A week after the surgery, she began experiencing vomiting symptoms, even af...
Dr. Chen Jiaming Reply:
Your mother's condition is quite complex, and there are many potential reasons for postoperative vomiting. It is advisable to consult her primary physician to see if they can arrange for an upper gastrointestinal series (UGI series) or a small bowel series to further investi...[Read More] Managing Post-Operative Vomiting After Biliary Enteric Bypass Surgery
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Postoperative condition after traditional hemorrhoid surgery? Hello Dr. Chang, I would like to ask you a question. I have hemorrhoids and underwent traditional hemorrhoid surgery on June 23 at a hospital. It has now been a month since the surgery. During my follow-up appointment ...
Dr. Zhang Shuhao Reply:
1. Postoperative hemorrhoids will not affect the frequency of flatulence; however, sometimes stool softeners or fiber supplements may be added after surgery, as these medications can promote intestinal motility. After discontinuation of the medication, bowel function will return ...[Read More] Post-Surgery Concerns: Understanding Gas and Dietary Restrictions After Hemorrhoid Surgery
Understanding Recovery Time After Cervical Disc Replacement Surgery
Questions about cervical spine surgery and artificial discs? I would like to ask about my recent cervical disc herniation. I am considering undergoing a self-funded artificial disc replacement surgery. Considering the recovery time, I would like to know, doctor, how long it typic...
Dr. Lai Zhaokang Reply:
Hello: If your preoperative symptoms do not include walking issues, but rather pain and numbness in the shoulders and upper limbs, as my postoperative patients, you can attempt to get out of bed and walk on the same day. Once the wound is clean (approximately one week), you can r...[Read More] Understanding Recovery Time After Cervical Disc Replacement Surgery
Post-Surgery Dietary Guidance for Anal Fistula Patients: Low Residue Diet Options
Post-anal fistula surgery Hello, doctor. I had a fistula surgery on July 1 and was discharged on July 3. Since then, I have been experiencing continuous diarrhea (averaging once an hour). I stopped using stool softeners, and my condition has slightly improved. The postoperative m...
Dr. Zhang Shuhao Reply:
Fistula surgery is different from hemorrhoid surgery, and generally, there is no need for stool softeners postoperatively. If there is concern about bowel movements irritating the wound, a low-residue diet can help reduce stool volume. Once the wound has healed more, a return to ...[Read More] Post-Surgery Dietary Guidance for Anal Fistula Patients: Low Residue Diet Options
Post-Spinal Surgery: Understanding Unilateral Ankle Edema and Numbness
Postoperative edema below the ankle in one leg after spinal surgery? My father developed an abscess between the 5th and 7th vertebrae that was compressing the nerves during the Lunar New Year. He underwent surgery and drainage of the abscess, and after being discharged, he has be...
Dr. Lai Zhaokang Reply:
Hello: There are several possible speculations: 1. The original spinal nerves may have been damaged prior to surgery, resulting in incomplete recovery postoperatively. 2. There may be local peripheral nerve or vascular lesions in the foot's fascia. 3. There could be poor blo...[Read More] Post-Spinal Surgery: Understanding Unilateral Ankle Edema and Numbness
Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Incontinence after anal fissure surgery? Hello Dr. Ke, I have undergone sentinel tag and anal sphincter relaxation surgery due to chronic anal fissures. It has been about a month and a half since the procedure, and I am still experiencing discomfort and episodes of incontinence....
Dr. Ke Fangxu Reply:
1. Generally, healing can take about a month; if pain persists, it is advisable to consult the surgeon to check for any abnormalities. 2. Postoperatively, mild incontinence may occur due to incomplete healing of the wound, which is caused by sensitivity and irritation of the in...[Read More] Post-Surgery Incontinence After Anal Fissure Treatment: What to Expect
Understanding Fibroadenomas: Post-Surgery Care and Recovery Tips
Fibroadenoma Hello, doctor. At the end of May, I had a biopsy on both sides of my breasts which revealed a fibroadenoma and a fibrocystic change. I have since undergone surgery to remove them, and my wounds are still covered with silicone gel. However, the areas around my nipples...
Dr. Chen Bingze Reply:
As long as the surgical area is confirmed to be free of postoperative hematoma, it is normal for there to be an inflammatory response after surgery, which may cause hardness in the area. If the silicone tape has been in place for more than three weeks, it can actually be removed,...[Read More] Understanding Fibroadenomas: Post-Surgery Care and Recovery Tips
Understanding Post-Operative Changes After Minimally Invasive Breast Surgery
About minimally invasive breast surgery? Hello Doctor, I underwent minimally invasive surgery at the end of April to remove a benign tumor measuring over one centimeter from my right breast. A week after the surgery, during my follow-up visit, it was discovered that I had a hemat...
Dr. Tang Yuxiong Reply:
Hello Ms. Chen: Based on your description, it may be postoperative fibrosis. It is recommended that you return to the clinic for an ultrasound evaluation.[Read More] Understanding Post-Operative Changes After Minimally Invasive Breast Surgery