Understanding Moisture Around the Anus: Causes and When to Seek Help
The area around the anus often feels moist and sticky? Hello, doctor. Recently, I have noticed that the area around my anus is often moist and sticky, which is bothersome, but it does not itch. When I wipe with toilet paper, there is an odor. I initially thought it was due to swe...
Dr. Zhang Shuhao Reply:
The area around the anus can often feel moist and sticky, but without itching, pain, or redness of the skin, this is usually related to ventilation and the material and cleanliness of close-fitting clothing. Switching to new cotton underwear may help improve the situation. A smel...[Read More] Understanding Moisture Around the Anus: Causes and When to Seek Help
Post-Surgery Care and Concerns for Anal Abscess Drainage
Post-anal abscess surgery Hello, I was diagnosed with an anal abscess during an outpatient visit on January 31, 2024, and underwent incision and drainage of the abscess in the clinic. By the time of my follow-up on February 21, there was no significant swelling or pain (though th...
Dr. Zhang Shuhao Reply:
1. If there is proper drainage and no significant swelling or pain, this healing condition is normal. The tenderness in the area and any lumps near the wound should decrease over time. 2. Granulation tissue that forms during the healing process may easily bleed due to friction;...[Read More] Post-Surgery Care and Concerns for Anal Abscess Drainage
Does Using Xarelto Increase Bleeding After a Bruise?
Does Xarelto increase the risk of bleeding? Hello Dr. Lee, I would like to ask you if, after sustaining a bruise (without any skin laceration) at the moment of impact, it is advisable to apply ice for 20 minutes before using topical medications like Arnica. Or is it unnecessary...
Dr. Li Zhonghuai Reply:
Hello! It will not exacerbate bleeding and can be used immediately, or alternated with ice packs. Take care! Changhua Hospital cares about you![Read More] Does Using Xarelto Increase Bleeding After a Bruise?
How to Properly Change Dressings After Cyst Drainage at Home
Self-dressing after cyst drainage? Hello, doctor. I have an inflamed sebaceous cyst on my back that has undergone incision and drainage, along with multiple gauze packing changes. The doctor assessed that I no longer need gauze packing and can change the dressing myself. However,...
Dr. Chen Bingze Reply:
Your method of gently squeezing the wound to observe the discharge is appropriate; using a water-soluble povidone-iodine swab to disinfect the wound is also recommended; inserting a swab moistened with saline to clean the area is effective; applying antibiotic ointment to the ski...[Read More] How to Properly Change Dressings After Cyst Drainage at Home
Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Postoperative issues related to hemorrhoid surgery? Hello, Doctor: About four months ago, I underwent minimally invasive surgery for a fistula and internal hemorrhoids. During my follow-up visits, the attending physician mentioned that my recovery was going well and advised me to...
Dr. Zhang Shuhao Reply:
1. The sensation of urgency and swelling in the anal area, along with occasional discomfort inside the anus, may be due to scar tissue. If there are no other symptoms, it can be monitored further. 2. When applying hemorrhoid ointment, it is usually not necessary to insert the p...[Read More] Post-Surgery Concerns After Hemorrhoid and Fistula Procedures
Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
There is a lump near the line of the scrotum close to the anus that hurts when pressed? Hello, Dr. Chang. There is a small lump near the line on my scrotum close to the anus. It hurts when I press on it, and I occasionally feel pain when I walk or if it gets rubbed. It feels like...
Dr. Zhang Shuhao Reply:
Based on the described symptoms, there may be issues with the skin or soft tissues in the perineal area, commonly including inflammation, abscesses, infections, and allergies, and sometimes even trauma. Typically, treatment may involve medications or topical ointments. It is advi...[Read More] Painful Lump Near the Scrotum: Understanding Symptoms and Treatment
Managing Cuts and Wound Care for Diabetics: Key Considerations
Laceration wound Hello doctor, a few days ago I cut myself on the edge of a can, about two centimeters deep. Since I have diabetes (my HbA1c is usually between 6.1 and 6.5), I went to see a doctor the same day for the wound, and I mentioned that I needed a tetanus shot, medicatio...
Dr. Zhang Shuhao Reply:
If the injury is properly disinfected at the time of occurrence, there are no foreign bodies in the wound, and the blood circulation to the flap is adequate, the wound still has the potential to heal. With proper dressing changes, the risk of infection is low. However, if the wou...[Read More] Managing Cuts and Wound Care for Diabetics: Key Considerations
Understanding Painless Anal Growths: Possible Causes and Concerns
Anal protrusion Hello doctor, I would like to inquire about a gray, hard, raised lesion that has developed around the anal area. It has been approximately 15-20 days since I first noticed it, and the lesion is not painful at all.
Dr. Zhang Shuhao Reply:
The gray, hard, elongated protrusions around the anus may be anal warts or anal polyps. Anal warts are skin lesions caused by the human papillomavirus (HPV) and are usually painless, while anal polyps are tissue growths resulting from local inflammation or irritation. However, it...[Read More] Understanding Painless Anal Growths: Possible Causes and Concerns
Unexplained Skin Changes on Arm: Seeking Answers and Next Steps
Skin on the arm In March to April 2023, I noticed a small red patch on my arm that had no wounds, was not painful, and exhibited slight localized warmth. Subsequently, the color began to darken, and the condition has since extended upward, with the skin becoming hard, darker, and...
Dr. Lü Mingchuan Reply:
You can go to the plastic surgery department for evaluation.[Read More] Unexplained Skin Changes on Arm: Seeking Answers and Next Steps
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu Reply:
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Understanding Numbness After Finger Injury: Which Specialist to See?
Finger issues Last week, I accidentally cut my left hand index finger behind the second joint with a kitchen knife while working. It took about 5 minutes to stop the bleeding. After the wound healed, I noticed a small area of skin in front of the cut that has no sensation, simila...
Dr. Li Zhonghuai Reply:
Hello! If you have injured a superficial nerve, taking vitamin B12 can promote wound healing, and there is no need to seek medical attention. Stay safe! Changhua Hospital cares about you![Read More] Understanding Numbness After Finger Injury: Which Specialist to See?
Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...
Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Dealing with Redness After Popping Pimples and Using Artificial Skin
After squeezing a pimple, the skin became injured, and applying artificial skin made it even redder? Hello Doctor, last week I squeezed a closed comedo and the surrounding skin got scraped. After that, I applied a topical acne medication, and once it scabbed over, I decided to us...
Dr. Li Zhonghuai Reply:
Hello! Artificial skin can trap oil, leading to inflammation. After scabbing, it's important to apply scar gel promptly to reduce scarring. Avoid fried foods, barbecued items, and sweets to prevent recurrence. Take care! Changhua Hospital cares about you![Read More] Dealing with Redness After Popping Pimples and Using Artificial Skin
Post-Car Accident Wound Care: Managing Infection and Swelling
Wound care issues following a car accident (with mild cellulitis)? Hello Dr. Peng, I sustained an injury to my ankle from a car accident. On the third day, I noticed some redness and swelling around the wound. When I returned to the orthopedic clinic the next day, the doctor pre...
Dr. Peng Xianwen Reply:
Hello Ms. M: 1. Taking antibiotics will definitely have an effect, but it is essential to completely control the infection in daily life. 2. The color of the scab or subcutaneous tissue with secretions. 3. Elevating the legs can help alleviate symptoms. 4. No, you can walk. For y...[Read More] Post-Car Accident Wound Care: Managing Infection and Swelling
Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
If you experience bleeding after wiping, it's important to ensure proper wiping technique to minimize irritation. Here are some guidelines for correct wiping: 1. **Wipe from front to back**: Always wipe from the front of the body towards the back to prevent the spread of ba...
Dr. Zhang Shuhao Reply:
1. Everyone has different cleaning habits; if your original method has not caused eczema, you can continue using it. 2. Clotrimazole ointment does not lead to drug resistance, but long-term use should be monitored for any skin allergies.[Read More] Proper Wiping Techniques to Prevent Bleeding After Bowel Movements
Understanding Surgical Stitch Healing: When to Worry and Care Tips
It seems that the surgical stitches are almost merging with the skin? Hello Doctor, I had surgery on the 10th (for a sebaceous cyst) near my anus, with one incision on the left side and one on the right. I just used the restroom and while cleaning and applying medication, I notic...
Dr. Ke Fangxu Reply:
I just saw the letter today (the 23rd), and the sutures should have already been removed. Generally, surgical sutures are mostly non-absorbable, meaning they need to be removed. The timing for suture removal depends on the location and length of the incision, typically ranging fr...[Read More] Understanding Surgical Stitch Healing: When to Worry and Care Tips
Understanding Pink Growths in the Perineal Area: Causes and Concerns
Perineal mass Dear Doctor, there is a pink protrusion in the perineal area, between the anus and the scrotum, that resembles a female clitoris. I am unsure what this could be. Thank you.
Dr. Zhang Shuhao Reply:
A perineal mass may be a subcutaneous lesion or a result of various causes leading to epidermal changes, including viral infections, dermatitis, cysts, skin lesions, and abscesses. It is recommended to seek medical evaluation for a physical examination to determine the correct di...[Read More] Understanding Pink Growths in the Perineal Area: Causes and Concerns
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Understanding Lymphatic-Venous Anastomosis Surgery and Post-Op Care
Microsurgical lymphaticovenous anastomosis for lymphedema? I previously underwent lymphatic lymphedema super-microsurgical venous anastomosis at the hospital. The doctor instructed me to massage the swollen area post-surgery to facilitate drainage. Initially, I avoided massaging ...
Dr. Zhou Hongzhang Reply:
1. The sutures used for ligating veins and lymphatic vessels are typically not absorbable by the body. 2. The sutured lymphatic and venous vessels will connect over a period of several weeks. 3. If you continue to experience sharp pain, please consult your original surgeon as...[Read More] Understanding Lymphatic-Venous Anastomosis Surgery and Post-Op Care
Post-Car Accident: Managing Tibial Fracture and Slow Healing Wound
After the car accident, there is a tibial fracture, swelling in the right foot, and slow wound healing? Dear Dr. Lee, On December 11, 2023, I was involved in a car accident where my right foot was crushed under the front wheel of an SUV for approximately three minutes. This resu...
Dr. Li Zhonghuai Reply:
Hello! Would you recommend seeing a plastic surgeon for the management of edema and wound care? Or should I consider other further treatments? Yes, first it is important to confirm whether the wound is infected and if there are any foreign bodies retained in the soft tissue. Seco...[Read More] Post-Car Accident: Managing Tibial Fracture and Slow Healing Wound