Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Forehead augmentation results in a prominent vein that may cause tingling in the scalp (using Water Microcrystal and Ellanse)? Hello! I would like to inquire if this situation is urgent! Recently, after receiving forehead fillers (water microcrystals, Ellanse), I have developed a...
Dr. Zhou Hongzhang Reply:
1. It is likely an inflammatory reaction caused by the medication (water microcrystals, Ilanes) that is irritating the supraorbital nerve, resulting in a tingling sensation in the scalp. 2. This nerve (supraorbital nerve) is a sensory nerve and will not cause motor impairment. ...[Read More] Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Thrombosed external hemorrhoid Dear Doctor, after a thrombosed external hemorrhoid is absorbed, it leaves behind a fold or excess skin. Is this still considered a hemorrhoid? Should we assess the size after absorption? How can we differentiate between excess skin and a hemorrhoid...
Dr. Ke Fangxu Reply:
The residual tissue left after the absorption of a thrombosed external hemorrhoid can be referred to as either a skin tag or an external hemorrhoid; structurally, they are both composed of skin-covered connective tissue, differing only in size. If asymptomatic, they typically do ...[Read More] Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids
Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids? Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean. Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids. A minimally invasiv...
Dr. Ke Fangxu Reply:
We recommend that you schedule a follow-up consultation. Thank you.[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?
Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
Thrombotic external hemorrhoids Hello Doctor No. 202795, thank you for your response. The wound is currently healing! The thrombus has been absorbed! I now have some wrinkled skin, which is a remnant of the swelling. I would like to ask if this thickened wrinkled skin is an exter...
Dr. Zhang Shuhao Reply:
The difference between external hemorrhoids and simple skin tags lies in the presence of vascular plexus in external hemorrhoids, which can become engorged and swollen due to poor venous return or external irritation. In contrast, simple skin tags do not exhibit this phenomenon a...[Read More] Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
How to Differentiate Between External Hemorrhoids and Skin Folds
Anal issues Thank you, doctor, for your response! I am still very confused about whether my folds are external hemorrhoids. How can a doctor distinguish between external hemorrhoids and skin folds? My anxiety is affecting my sleep!
Dr. Zhang Shuhao Reply:
External hemorrhoids, in addition to containing vascular plexuses, are prone to congestion and swelling due to poor venous return. They are located closer to the anal opening, and the skin in this area is more sensitive, making it prone to pain when swollen. If symptoms are not s...[Read More] How to Differentiate Between External Hemorrhoids and Skin Folds
Understanding Cystic Pain in the Tailbone Area: When to Seek Medical Help
Hip problems Hello Doctor: Yesterday, I felt pain at the top of the groin (coccyx area), especially when pressure was applied, which resulted in a noticeable swelling and tenderness. Upon examination, I found that only the right side was swollen, approximately the size of a five-...
Dr. Zhang Shuhao Reply:
Pilonidal cysts commonly occur in the area above the gluteal cleft near the sacrum. If inflammation occurs, it is advisable to seek medical evaluation. Typically, treatment may begin with antibiotics and anti-inflammatory medications. However, if there are recurrent episodes, sur...[Read More] Understanding Cystic Pain in the Tailbone Area: When to Seek Medical Help
Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Rectal bleeding Hello Doctor, for the past month, I have been experiencing hard stools and pain during bowel movements. Sometimes I notice bright red blood in the toilet or on toilet paper. I am concerned about what this might indicate, especially since I am 20 years old and worr...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to minor bleeding, 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 slightly mo...[Read More] Understanding Rectal Bleeding: Causes and Concerns for Young Adults
Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Anal abscess Hello, doctor. Over the past couple of days, I noticed a lump near my anus that feels like a pimple. It hurts when touched, but I don't feel it otherwise. It seems to be draining pus, but I can't find an opening for the pus to exit. After draining, the lump...
Dr. Zhang Shuhao Reply:
An anal abscess can present with acute pain and a perianal swelling. Generally, colorectal surgeons can diagnose it through a physical examination. If the swelling or discharge persists, it is advisable to seek medical evaluation. An abscess must be connected to the internal anal...[Read More] Understanding Anal Abscess: Symptoms, Concerns, and When to See a Doctor
Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Postoperative Issues After Minimally Invasive Hemorrhoid Surgery Hello, Doctor: In September, I consulted a physician and was confirmed to have a grade IV condition, and I underwent minimally invasive surgery. I understand that post-operative swelling is normal. After two follow-...
Dr. Ke Fangxu Reply:
Grade IV hemorrhoids indicate that the external hemorrhoids are larger, and minimally invasive surgery is generally not recommended because the external hemorrhoidal tissue may not be completely removed. Your situation seems to resemble this condition. If there is no pain or disc...[Read More] Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags
Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Postoperative care for anal abscess? I was diagnosed with an abscess around mid-August, estimated to be 3-4 cm in size. When I went for a consultation, Doctor A used a needle to drain the pus and prescribed medication, saying that taking the medication and applying topical treatm...
Dr. Zhang Shuhao Reply:
1. Dr. B hopes to pack the wound with gauze to keep it cleaner, but excessive packing can prevent the drainage of tissue fluid and may cause the wound to expand, making Dr. C's suggestion more reasonable. 2. An anal abscess may lead to the formation of an anal fistula, whi...[Read More] Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu Reply:
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu Reply:
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
Managing Cuts on the Hand: Scar Prevention and Healing Tips
The back of the hand was lacerated and bleeding due to a flying name card holder? Hello, doctor! I apologize for bothering you with a small question. Last Saturday, while I was out, I accidentally got cut on the joint of my hand by a flying designer cardholder. Although it didn&#...
Dr. Li Zhonghuai Reply:
Hello! Continue applying silicone gel for scar treatment for at least 3 months. The joint can move freely, and if the skin lifts up and falls off, there is no need to worry. Take care! Changhua Hospital cares about you![Read More] Managing Cuts on the Hand: Scar Prevention and Healing Tips
Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Two years after hemorrhoid surgery, experiencing fecal incontinence? Hello Doctor, it has been nearly two years since my hemorrhoid surgery, and even after cleaning thoroughly after bowel movements, I still experience leakage of fecal fluid and secretions. I have undergone anorec...
Dr. Zhang Shuhao Reply:
1. It is difficult to guarantee whether further improvement is possible without a clear understanding of the actual surgical condition, but if there is no significant damage to the sphincter, the chances of recovery are higher. 2. If there is a noticeable defect in appearance, ...[Read More] Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Understanding the Differences: Hemorrhoids, Bartholin Cysts, and Lipomas
I'm not sure if it's hemorrhoids, a Bartholin cyst, or a sebaceous cyst? Hello doctor, I am currently 23 years old. This lump has been present for about 1 to 2 years. Over a year ago, I squeezed it and white fluid came out, after which it became very swollen, but it sub...
Dr. Zhang Shuhao Reply:
Based on the location, it is not likely to be hemorrhoids or a Bartholin's gland cyst; it is more likely a sebaceous cyst. You can consult a dermatologist or an obstetrician-gynecologist for a prescription for topical ointments and oral medications.[Read More] Understanding the Differences: Hemorrhoids, Bartholin Cysts, and Lipomas
Managing Post-Surgery Wound Care: Tips for Healing and Prevention
The healed skin over the wound has been rubbed off? After my surgery, during a follow-up appointment, the doctor mentioned that the skin around my wound was healing slowly and appeared thin. It eventually healed, but in the past few days, due to constipation, my stool has been a ...
Dr. Zhang Shuhao Reply:
Recently healed wounds have a more fragile epidermis and can easily bleed due to friction. It is advisable to avoid ointments containing steroids. After using the restroom, consider rinsing or using moist wipes to reduce friction. Increase fluid intake and dietary fiber to preven...[Read More] Managing Post-Surgery Wound Care: Tips for Healing and Prevention
Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
Swelling from a fall? Which doctor should I see for a lump on my thigh three months after a fall? I had a severe fall while riding an off-road motorcycle, and initially, I had no sensation in my thigh, which may indicate nerve damage. I couldn't feel anything when I pinched ...
Dr. Lai Zhaokang Reply:
Hello: 1. Rock climbing, playing basketball, mountain climbing, off-roading, and skiing are all fine. It is inferred that neurological function is normal, and there is no need for a consultation with neurosurgery. 2. It is recommended to consult with a rehabilitation specialist f...[Read More] Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
Understanding Right Foot Pain: When to See a Specialist?
Soreness in the right foot sole? Initially, there was a strain in the left foot, and after gradually recovering, symptoms of soreness began to appear in other areas, currently in the right foot. At first, certain areas of the foot's sole were noticeably sore. I visited a reh...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult with 1. the Rehabilitation Department for a follow-up ultrasound and to arrange for physical therapy or injection treatment. 2. You may also consider seeing a specialist in Orthopedics: Foot and Ankle or Sports Medicine. Wishing you a speedy re...[Read More] Understanding Right Foot Pain: When to See a Specialist?
Understanding External Hemorrhoids and Persistent Anal Itching
External hemorrhoids, itching around the anus? I recently experienced external hemorrhoids, which made it difficult to sit or stand comfortably. I went to the pharmacy and bought some ointment to apply, and after about three days, the pain subsided, and after sitz baths, the swel...
Dr. Zhang Shuhao Reply:
External hemorrhoids rarely cause intense and persistent itching; it is usually due to skin irritation from excessive use of ointments. It is recommended to discontinue all ointments, avoid over-cleaning the area around the anus (cold water rinsing is acceptable), and consider ta...[Read More] Understanding External Hemorrhoids and Persistent Anal Itching