Skin, Surgery FAQ

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...

Understanding Blood in Stool: Causes and When to Seek Help

Blood in the stool? A few days ago, the doctor noticed that the stool was harder than usual, and there was blood when wiping afterward. In recent days, there has also been blood on the tissue after bowel movements. The blood is bright red but not mixed in with the stool; it is on...

Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically produce a slightly larger volume of blood, usu...

Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus

Supplementary question: Depression of the perianal skin after healing? Hello Dr. Ke: I forgot to mention last time that after using hemorrhoid ointment for several months, I developed inflammation on the skin, resulting in a wound located in the triangular area near the perineal ...

Dr. Ke Fangxu Reply:
If skin inflammation is caused by the excessive use of an ointment, the hemorrhoid cream should no longer be used. The focus should be on treating the dermatitis, which may include both oral and topical medications. It is advisable to consult a physician for evaluation and prescr...

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...

Post-Surgery Concerns: Managing Swelling and Pain After Hemorrhoid Surgery

More than a month after hemorrhoid surgery, there is slight swelling at the anal wound? Hello, Doctor. In mid-November last year, I underwent laser hemorrhoid surgery at Kaohsiung Hemorrhoid Clinic, where five internal and external hemorrhoids were removed. Currently, the wound i...

Dr. Ke Fangxu Reply:
1. There are various types of laser surgery instruments and power settings, and the recovery period can vary significantly. However, it generally should not last this long. To determine if your symptoms are normal, it is best to consult your surgeon. 2. It is not necessary to ex...

Understanding Blood in Stool: Causes and When to Seek Help

Rectal bleeding I have a daily bowel habit, averaging once a day and not exceeding twice, with normal stools consisting of two to three pieces (without abdominal pain). I usually monitor my stools, and today, as usual, my bowel movement was normal, smooth, and quick (taking about...

Understanding Hemorrhoids: Infection Risks and Management Tips

Hemorrhoid-related issues? Hello Doctor, I have been experiencing discomfort due to swelling and pain from hemorrhoids, and there is some skin breakdown, so I am paying more attention to cleanliness in that area. I am also concerned about the possibility of infection. I would lik...

Dr. Zhang Shuhao Reply:
1. The broken skin of hemorrhoids is not easily infected by direct contact with bacteria. It is understandable that feces contain bacteria, but even with broken skin or bleeding from hemorrhoids, there are typically no signs of infection following bowel movements. 2. Similarly,...

How to Evaluate a Possible Lipoma on Your Face: A Guide

There is a lump on the facial skin that appears to be a lipoma? Hello, one day I noticed a small, pea-sized lump on my cheek that feels slightly movable and smooth when I press it with my fingertip. It seems to be closer to the cheekbone rather than the surface of the skin. It is...

Dr. Xu Kaixi Reply:
It is recommended to visit the surgical outpatient clinic for an examination, and an ultrasound can be performed for confirmation.

How to Care for a Burn: Understanding Healing and When to See a Doctor

Uncertain about the degree of the burn? Hello doctor, I accidentally burned myself with the oven. At the moment of the injury, the wound appeared white, and during the rinsing process, some of the white skin was washed away. Now I am applying ointment and covering it with a gauze...

Dr. Lü Mingchuan Reply:
You can visit the Reconstructive Surgery Clinic or seek medical care at our hospital.

Understanding Rectal Bleeding: Causes and When to Seek Help

Rectal bleeding Hello Doctor, from last Thursday to Saturday, I experienced bleeding during bowel movements, but it wasn't blood in the stool. There was blood on the toilet paper when I wiped, but I didn't feel any discomfort, just a little irritation from possibly wipi...

Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin abrasions, characterized by minimal blood loss accompanied by a sharp pain at the site of the injury. 2. Ruptured thrombosed hemorrhoids, which typically result in slightly more bleeding than the first cau...

Can I Surgically Remove a Boil on the Back of My Neck?

Can a boil on the back of the neck be excised? Hello, Doctor: I have been suffering from furuncles recently, having had multiple occurrences in the same location. The furuncles are located in the center of the back of my neck. They cause severe pain when I lie down to sleep, and ...

Dr. Ke Fangxu Reply:
If a benign skin tumor repeatedly becomes infected, surgical excision can be performed to eliminate the issue permanently. Alternatively, antibiotic treatment can be used first to reduce the size of the lesion before surgery. Therefore, the answers to both of your questions are a...

Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors

Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...

Dr. Chen Ronghong Reply:
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...

Effective Strategies for Accelerating Wound Healing After Injury

Wound healing issues Hello Doctor: I had a car accident on September 10, and the skin below my left ankle was abrasively injured (approximately 1.5 cm wide and 3.5 cm long) due to the motorcycle falling. I have been receiving treatment at a surgical clinic, but the wound is still...

Dr. Li Zhonghuai Reply:
Hello! Hepatitis B itself may lead to cirrhosis, and many patients are unaware of this. Sometimes, ultrasound and CT scans may not diagnose it; it is only during laparoscopic surgery that cirrhosis or pure liver fibrosis may be observed. Wound healing will be very slow in such ca...

Understanding Anal Itching and Discomfort: Causes and Solutions

Perianal itching and burning? Hello, doctor. I've been struggling with perianal itching for about two weeks. Initially, I thought it was due to exam stress leading to increased hygiene habits, so I started using a bidet and reduced the frequency of wiping and washing. Howeve...

Dr. Ke Fangxu Reply:
1. Winter is a common season for anal itching, similar to the occurrence of dry skin. 2. It is possible. 3. There may always be a small amount of fecal matter or secretions around the anal area, which can cause irritation or result from low anal pressure. Anal itching may also be...

Understanding Wounds Near the Anus: Causes and Treatment Options

Wound near the anus? Hello Doctor, I have a wound in my groin area located towards the direction of my testicles from the anus, very close to the anal opening (but not in the anal folds). It has not healed for about two weeks, and I suspect it might be an anal fistula. I visited ...

Dr. Zhang Shuhao Reply:
The occurrence of anal fistula can present with symptoms such as redness, swelling, heat, and pain, resembling an open wound. It is recommended to rinse the area with clean water after using the restroom to reduce friction and irritation. Wear loose and breathable clothing, and a...

Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery

MgO and Broen-C medication issues? Hello, doctor. Last Sunday, I experienced an acute anal fissure and started taking 250 mg of magnesium oxide (MgO) with meals at noon and in the evening, while also taking 3 to 4 tablets of Broen-C (enteric-coated bromelain and L-cysteine) daily...

Dr. Zhang Shuhao Reply:
1. MgO can be discontinued immediately, as this medication is not habit-forming. 2. Long-term use of Broen C does not pose significant harm, and it can be stopped when there is no discomfort. 3. It is normal for the healing wound to itch, but if there is redness or allergic react...

Persistent Leg Swelling After Motorcycle Accident: What to Do?

The swelling in the calf after the car accident won't go away? I would like to ask, after my motorcycle accident on November 20, my motorcycle was pressed against the inner side of my left calf. Later, the inner side of my calf became bruised and swollen, and the skin feels ...

Dr. Peng Xianwen Reply:
It is advisable to return for a follow-up consultation with the physician. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.

Blood When Wiping: Should You See a Doctor for Anal Pain?

Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions In the morning, there was a strong urge to have a bowel movement. While using the toilet, I noticed a small amount of bright red bloo...

Understanding Anal Pain: Could It Be Hemorrhoids?

Anal pain A few days ago, after doing squats, I initially thought it was just muscle soreness, but later I discovered that there is a painful spot near the anus that hurts when pressed. There doesn't seem to be any visible abnormalities, but it hurts a lot when I sneeze or d...

Dr. Zhang Shuhao Reply:
Pain around the anus may be caused by anal fissures, skin wounds, abscesses due to inflammatory infections, hemorrhoids, and other reasons. Squatting can obstruct pelvic venous return, potentially exacerbating hemorrhoid symptoms. Straining during bowel movements can cause sharp,...

Will My Nail Regrow After Severe Injury? Expert Opinions Needed

Nail growth issues? I was injured by a meat slicer at work in early November, and according to the doctor, half of my nail bed was removed. When I asked the doctor who sutured it whether there was a chance it would grow back, he said not necessarily, but I would like to hear othe...

Dr. Li Zhonghuai Reply:
Hello! The skin flap has covered the defect on the nail bed, and the width of the nail is reduced to half, which will not change. Take care! Changhua Hospital is concerned about you.

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