New Treatments for Keloids: Options Beyond Steroid Injections
Are there any new treatments for keloids? Hello, Dr. Lu. I sustained six stitches on my chin and multiple abrasions due to a car accident. I have a keloid-prone condition and am very concerned about the red, swollen scars on my face. Besides steroid injections, are there any meth...
Dr. Lu Daokuan Reply:
After removing the stitches, it is important to care for the area with artificial skin for a full six months. If there is any oversight, a corticosteroid injection can be administered; proper care is the key focus.[Read More] New Treatments for Keloids: Options Beyond Steroid Injections
Understanding Anal Abscesses: Do They Always Lead to Fistulas?
Anal fistula Hello Dr. Ke: I would like to ask if an anal abscess will definitely develop into an anal fistula. I experienced significant pain in my buttocks before the Lunar New Year and finally visited a clinic on the third day of the new year. The doctor diagnosed it as a fist...
Dr. Ke Fangxu Reply:
Not necessarily; about half of the patients may develop a fistula. If the symptoms do not recur, it may be advisable to continue monitoring. Be cautious with clinics that do not have health insurance contracts. The ligation technique is generally used for patients with complex an...[Read More] Understanding Anal Abscesses: Do They Always Lead to Fistulas?
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the anus? Seven days ago, I suddenly noticed bright red blood from my anus. There was no bowel movement! Later, two days passed without a bowel movement, and there was blood again. After that, I had a bowel movement with blood; sometimes there's a little blood (not ...
Dr. Ke Fangxu Reply:
Although rectal bleeding is often caused by hemorrhoids, it is advisable for older patients to undergo a colonoscopy first, as they are at an age where colorectal cancer is more prevalent. If the bleeding is mistakenly attributed to hemorrhoids and treated with over-the-counter m...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Post-Surgery Care for Anal Fistula: Managing Wound Healing Concerns
Doctor, I would like to ask about wound care after anal fistula surgery? Hello Doctor, I had surgery for an anal fistula at Tri-Service General Hospital on January 11. The doctor advised me that I don't need to sit in a sitz bath at home, but I should rinse the wound with wa...
Dr. Xu Kaixi Reply:
As long as the wound is properly cared for and there is no infection, the gauze covering the wound does not hinder healing. Once the wound exudate decreases, the gauze can be removed. Theoretically, after healing, there will be a scar, and while the appearance may be somewhat aff...[Read More] Post-Surgery Care for Anal Fistula: Managing Wound Healing Concerns
Understanding Anal Fistulas and Abscesses: Surgical Insights and Management
Anal fistula? Anal abscess? And preoperative management of abscess issues? Recently, during a bout of constipation in the cold winter, I accidentally splashed some water onto my anus while straining. Two hours later, I noticed a small red and swollen area next to my anus. After 1...
Dr. Ke Fangxu Reply:
1. It is reasonable to observe for one month before deciding whether to proceed with surgery, as an anal abscess can completely heal without developing into an anal fistula. The reason for not performing incision and drainage is that your anal abscess has already ruptured on its ...[Read More] Understanding Anal Fistulas and Abscesses: Surgical Insights and Management
Post-Hemorrhoid Surgery: Managing Bleeding and Recovery Concerns
Post-operative bleeding issues after hemorrhoid surgery? Hello Doctor: It has been about 52 days since I underwent hemorrhoid surgery in mid-December last year. Following the advice of my surgeon, I initially took stool softeners three times a day, gradually reducing it to once a...
Dr. Ke Fangxu Reply:
1. The surgical wound from hemorrhoid surgery will completely heal after one month. Bleeding may occur due to excessive straining. Hemorrhoid surgery does not completely remove all hemorrhoidal tissue, as this could lead to anal incontinence. This is why excessive straining durin...[Read More] Post-Hemorrhoid Surgery: Managing Bleeding and Recovery Concerns
Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Rectal bleeding On Monday morning, I had three bowel movements (including one diarrhea), which caused discomfort in my anus and started to itch. On Tuesday, my anus felt itchy all day, and before bed, I strained to have a bowel movement (the stool volume was very small). On Wedne...
Dr. Ke Fangxu Reply:
If you are undergoing regular follow-up examinations after colon cancer surgery, there is no need to be overly concerned about bleeding issues. Hemorrhoidal bleeding does not necessarily indicate a specific cause or type, and there is no need for repeated rubber band ligation. It...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Something More?
Should I Remove Keloid Scars During Surgery? Dietary Tips for Healing
Inquiry about keloid scars? Hello, doctor. Last year, I had surgery for a clavicle fracture due to a car accident, and after the surgery, I discovered that I had a 15 cm keloid scar. This year, I need to undergo another surgery to remove the internal plate. I would like to know i...
Dr. Lu Daokuan Reply:
Diet should not be a concern. During the removal, a consultation with a plastic surgeon can be arranged for scar management. Afterwards, proper care with artificial skin should be maintained for 3 to 6 months.[Read More] Should I Remove Keloid Scars During Surgery? Dietary Tips for Healing
Understanding Anal Fistula Surgery: Recovery, Healing, and Concerns
Hello doctor, I would like to ask about anal fistulas? Hello, doctor. I would like to ask about anal fistulas. I just had surgery, and the location is above the anal opening. Because the fistula is deeper, the wound is quite large. Every time I change the dressing, I have to open...
Dr. Yu Mingchang Reply:
Hello: Please be patient, it will take about a month and a half to recover. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Healing, and Concerns
Is Surgery for Hemorrhoids Safe for Patients with Keloid Formation?
Is it suitable for individuals with keloid tendency to undergo hemorrhoid surgery? Hello, I have had internal and external hemorrhoids for many years, and the external hemorrhoids cannot be pushed back in. I am considering surgery to treat my long-standing hemorrhoids, but I have...
Dr. Ke Fangxu Reply:
Keloid-prone individuals may indeed experience hypertrophic scarring after surgery; however, I have not heard of or seen cases of keloids forming as a result of anal surgery. Additionally, many reports of keloids from patients in our country are often not true keloids as defined ...[Read More] Is Surgery for Hemorrhoids Safe for Patients with Keloid Formation?
Understanding Anal Fistula Probe Examination and Post-Surgery Concerns
Anal fistula probe examination Hello Dr. Ke: I had anal fistula surgery 18 days ago, and my recovery was going well. However, two days ago, I noticed some redness and swelling around the anal area. I went for a follow-up appointment, but the doctor seemed uncertain about the issu...
Dr. Ke Fangxu Reply:
1. The reason for electrocautery may be to remove granulation tissue from the wound, but the exact reason should be confirmed with the performing physician, as I can only speculate. 2. Generally, the surgical wound from an anal fistula procedure takes about a month to heal, and d...[Read More] Understanding Anal Fistula Probe Examination and Post-Surgery Concerns
Unexplained Diarrhea: Should You Worry About Colon Cancer?
Unexplained diarrhea? Doctor, I've been experiencing unexplained diarrhea lately (without any pain) and I haven't eaten anything unusual! Could it be colon cancer? I'm really scared! Please help me, thank you!
Dr. Ke Fangxu Reply:
Although the probability of developing colorectal cancer at the age of 25 is not zero, it is generally very low. Based on your description, the likelihood of irritable bowel syndrome or gastroenteritis seems higher. It is recommended to maintain a light diet and a good lifestyle....[Read More] Unexplained Diarrhea: Should You Worry About Colon Cancer?
Understanding Lipoma Removal on the Back: What to Expect
Lipoma on the back I have a growth on my back. The doctor said it requires local anesthesia, but I'm really scared! Will I need to be hospitalized after the surgery? Will I feel anything during the procedure with local anesthesia?
Dr. Xu Kaixi Reply:
The excision of a back lipoma under local anesthesia does not require hospitalization. During the procedure, there is only brief pain when the anesthetic is administered; for the rest of the time, although there is tactile sensation, there is no pain sensation.[Read More] Understanding Lipoma Removal on the Back: What to Expect
Managing Anal Fistulas: Pain Relief and Surgical Considerations
Anal fistula Hello, Doctor Ke. I would like to ask a question. If a physician has diagnosed me with an anal fistula and I initially experienced severe pain, but after taking antibiotics and pain relievers, I have now returned to normal, although I still feel slight discomfort aft...
Dr. Ke Fangxu Reply:
Anal fistulas can be very painful during acute inflammation. Symptoms may improve with oral antibiotics and pain relievers, but there may still be recurring swelling, pain, and discharge in the future. This is why doctors often recommend surgical removal for a permanent solution....[Read More] Managing Anal Fistulas: Pain Relief and Surgical Considerations
Understanding Delayed Wound Healing After Surgery: Causes and Solutions
Delayed wound healing after surgery? Hello, Director Ko: Several years ago, I developed a pimple, colloquially referred to as a "nail" in Taiwanese, located above my buttocks near the groin. I used to pop it myself, but it would recur after a few months. Last year, I ...
Dr. Ke Fangxu Reply:
Wounds in the groin area, due to their proximity to the midline, are prone to poor healing after surgery. However, if three months have passed since the surgery and the wound has still not healed, it is important to investigate the underlying issues. If there is no diabetes or ot...[Read More] Understanding Delayed Wound Healing After Surgery: Causes and Solutions
Is It Normal to Experience Anal Fissures After Rubber Band Ligation?
Is it normal to still experience bleeding after undergoing a mole excision procedure? I underwent rubber band ligation for internal hemorrhoids in mid-December, and within about eight days, both the hemorrhoids and the rubber band fell off. I only experienced bleeding on the firs...
Dr. Xu Kaixi Reply:
After hemorrhoid surgery, the anal mucosa may develop scar tissue due to wound healing. This scar tissue has reduced elasticity, making it more susceptible to damage and bleeding from friction with stool. This is considered a normal phenomenon and will improve over time.[Read More] Is It Normal to Experience Anal Fissures After Rubber Band Ligation?
Post-Surgery Care for Hemorrhoids: Managing Swelling and Discomfort
Postoperative care for internal and external hemorrhoids? Hello, Doctor Hsu. I underwent surgery for internal and external hemorrhoids 2.5 months ago, but there is still swollen tissue at the wound site. The doctor mentioned that this was caused by straining during bowel movement...
Dr. Xu Kaixi Reply:
Each patient undergoing hemorrhoid surgery has varying degrees of severity of their condition. The more severe and/or extensive the hemorrhoids, the larger the surgical wound will be, resulting in more noticeable scarring after recovery. Additionally, if the surgical site does no...[Read More] Post-Surgery Care for Hemorrhoids: Managing Swelling and Discomfort
Dealing with a Deep Cut: Should You Trim or Let It Heal?
The finger has been cut? Yesterday, I cut my hand with a rusty utility knife, and I bled a lot; I almost cut off a piece of flesh. The nurse said the wound was a bit deep, so I went home with my mom. I didn't go to the hospital or get stitches; I just went to the pharmacy to...
Dr. Li Zhonghuai Reply:
Hello! It is advisable to visit a hospital or clinic. If the wound is not properly sutured, it may leave an unsightly scar. Attempting to cut the wound yourself could lead to an infection, which is not worth the risk. You should have gone to the emergency department immediately t...[Read More] Dealing with a Deep Cut: Should You Trim or Let It Heal?
Can You Get a Tattoo Over a Scar from a Hemangioma?
Can tattoos be applied over vascular scars? I have a hemangioma on the right side of my waist, which has healed, but there is a scar. I am planning to get a tattoo soon, but it will be right over that scar. Should I tattoo over it or is it better to avoid the scar?
Dr. Lu Daokuan Reply:
Tattooing is not advisable when the scar is red; it is acceptable once the scar has turned white.[Read More] Can You Get a Tattoo Over a Scar from a Hemangioma?
Can Burn Scars Be Treated? Insights on Breast Reconstruction Options
Burn scars Doctor: Hello. I am 24 years old. When I was 2 years old, I accidentally got burned by hot soup. I have scars on my hands, upper body, and legs, and my chest did not develop properly because of this. After so many years, is it still possible to treat these scars? Can m...
Dr. Lu Daokuan Reply:
If your breasts have sagged after having children, it indicates that they have developed to some extent, which is a common outcome observed in breast surgery at Mackay Memorial Hospital.[Read More] Can Burn Scars Be Treated? Insights on Breast Reconstruction Options