Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-hemorrhoidectomy anal deformity, with injury to the perineal area? On July 3rd, I underwent a self-funded Thunderbeat minimally invasive surgery at Shin Kong Wu Ho-Su Memorial Hospital, where I had a complete excision of both internal and external hemorrhoids. The procedure ...
Dr. Zhang Shuhao Reply:
The appearance of the wound after external hemorrhoid surgery can be unpredictable, as it may change due to surrounding skin tension and scar tissue formation. However, as long as the symptoms of hemorrhoids improve and there is no damage to the external anal sphincter, with no i...[Read More] Post-Surgery Complications: Anal Deformity and Perineal Issues After Hemorrhoidectomy
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, the second paragraph contains the questions I asked last time. Thank you for clarifying many of my doubts; I have a few more small questions to consult with you. 1. Before my surgery, I had a...
Dr. Ke Fangxu Reply:
1. Only the surgeon knows exactly what procedure was performed. I am responding based on your mention of anal plastic surgery, which is typically performed on patients with anal stenosis. For more details, it is best to consult the surgeon directly. 2. The premise is whether you...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Anal fistula I have occasionally experienced inflammation in my buttocks, resulting in a large lump that resembles a sebaceous cyst (which I am prone to developing). Each time the inflammation occurs, it is in a different location, and it usually resolves on its own without any i...
Dr. Zhang Shuhao Reply:
1. An anal fistula originates from the anal glands, creating a channel from the epidermal wound to the anus. A sebaceous cyst originates from the skin glands and, even if there are some subcutaneous spaces (feeling like there are holes when pressed), it will not connect to the an...[Read More] Understanding Anal Fistulas: Symptoms, Diagnosis, and Treatment Options
Understanding Rectal Bumps: Causes and Concerns for Your Health
I felt a raised lump near the anal area? Hello Doctor: Today, while applying medication for hemorrhoids, I felt a thin, elastic protrusion near the anal opening, close to the surrounding tissue. It feels like a cord and has a texture similar to a blood vessel; it doesn't hur...
Dr. Zhang Shuhao Reply:
1. A simple protrusion of flesh without pain, redness, swelling, or discharge from a wound is most commonly a skin tag, which does not require special treatment. 2. It is less likely to be an anal fistula, as anal fistulas typically form after an anal gland causes an abscess. 3. ...[Read More] Understanding Rectal Bumps: Causes and Concerns for Your Health
Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Postoperative incontinence and recovery time after anal fissure surgery? Hello Dr. Ke, I previously inquired about experiencing some incontinence after my anal fissure surgery. During my follow-up appointment, the doctor informed me that the sphincter muscle was not excised. Ins...
Dr. Ke Fangxu Reply:
1. All surgeries will leave scars, especially if the surgical area is extensive. Mild tingling is also normal. The scars around the anus will typically heal completely within 1-2 months. Due to the lack of aesthetic concerns, scar removal treatments are generally less common in t...[Read More] Post-Surgery Incontinence and Recovery Time After Anal Fissure Surgery
Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Skin abrasion from wiping? If you have been experiencing bleeding and pain after wiping too hard, it is possible that you have caused a tear in the anal tissue, commonly known as an anal fissure. This can lead to discomfort, moisture, and bleeding from the anus. It is important t...
Dr. Chen Ronghong Reply:
Hello, if there is a tear around the anus, you can temporarily switch to water washing or moist wipes, but be sure to use gentle pressure. At the same time, avoid consuming spicy foods to prevent irritating the wound. If the wound does not heal over time or keeps recurring, you s...[Read More] Understanding Anal Skin Tears: Causes, Symptoms, and Treatment
Post-Drainage Questions on Anal Abscess: Healing and Care Tips
Inquiry after drainage of an anal abscess? Hello Doctor, I would like to ask a few questions. 1. Is the formation of a fistula from an anal abscess determined by the healing of the wound, or can it be observed during the outpatient drainage procedure? 2. After the outpatient ...
Dr. Zhang Shuhao Reply:
1. Whether an anal abscess leads to the formation of a fistula depends on the healing of the wound and whether there remains a channel connecting to the anal glands. Therefore, it can only be assessed several weeks after the wound has healed. 2. It is advisable to apply ointment ...[Read More] Post-Drainage Questions on Anal Abscess: Healing and Care Tips
Managing Recurring Skin Infections: Effective Care for Wound Healing
Skin infection issues The wound has been experiencing recurrent folliculitis for the past five months, primarily due to frequent friction in that area, which has led to the repeated extraction of many comedones or sand-like substances. Most of the wound has healed, leaving only a...
Dr. Chen Bingze Reply:
This type of cyst has a membrane surrounding it, so it is recommended to perform a minor surgery nearby to remove the entire cyst along with the membrane. Otherwise, the wound is unlikely to heal properly.[Read More] Managing Recurring Skin Infections: Effective Care for Wound Healing
Understanding Cauliflower Warts: Causes and Treatment Options
Cauliflower ear concerns? Doctor, I have warts around my anus. I've been seeing a traditional Chinese medicine practitioner and have been taking oral medication and applying topical treatments. However, the topical treatment seems to irritate my skin and cause peeling, which...
Dr. Zhang Shuhao Reply:
The antiviral ointment for warts can be quite irritating, causing local peeling and a burning sensation, but this does not lead to the spread of the warts. An increase in size is usually due to a higher viral load from contact or larger, deeper lesions that result in poor efficac...[Read More] Understanding Cauliflower Warts: Causes and Treatment Options
Concerns About Betadine Residue on Wounds: Healing Implications
Issues with wound iodine? Last night, I scratched two 1 cm long narrow wounds on my toe joints due to itching. Today, while I was at the park with my cousin, she accidentally stepped on the wounds, which had dirt and sand on them. I first rinsed them with water from a handheld sh...
Dr. Chen Bingze Reply:
Gently rinsing the wound with saline solution daily should help cleanse it without significantly affecting the healing process.[Read More] Concerns About Betadine Residue on Wounds: Healing Implications
Can Anal Abscess Lead to the Development of Genital Warts?
Can an anal abscess lead to cauliflower-like growths? I previously had an anal abscess and saw a doctor who drained it with a syringe. It recurred later but ruptured on its own, releasing a lot of pus. Now I have an infection resembling genital warts. Can an anal abscess lead to ...
Dr. Zhang Shuhao Reply:
Warts are primarily caused by infection with the HPV virus affecting the skin and mucous membranes. Anal abscesses do not cause warts, but if a wound comes into contact with the virus, it may lead to an expansion of the wart area.[Read More] Can Anal Abscess Lead to the Development of Genital Warts?
Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Cerebral hemorrhage of 80cc? Hello Doctor: On June 27, 2023, my brother was brought to the hospital, where he was diagnosed with a left-sided intracerebral hemorrhage with an initial volume of 68cc, which increased to 80cc after 6 hours. He has impaired mobility on the right side...
Dr. Zhang Junwei Reply:
There are no right or wrong choices, only what is suitable or not. Given the patient's special condition (coagulation dysfunction), a thorough discussion with the physician is necessary to make a decision.[Read More] Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Understanding Slow Healing Wounds After a Motorcycle Accident
Wound healing issues after a car accident? Hello Doctor, I had a bike accident recently and have been going to the clinic daily for dressing changes. Most of my wounds have healed, but the small wound on the top of my foot is deeper, so it is healing more slowly. The wound is sho...
Dr. Li Zhonghuai Reply:
Hello! After an injury, it is recommended to apply scar gel for hyperpigmentation. Skin whitening is very important for women! Take care! Changhua Hospital cares about you![Read More] Understanding Slow Healing Wounds After a Motorcycle Accident
Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Cauliflower infection It has been over a year since engaging in sexual activity, but I have developed warts around the anus. Why could I have been infected, and can it extend to the genital area? Will the doctor treat it as well?
Dr. Zhang Shuhao Reply:
Warts, commonly known as cauliflower warts, are viral lesions caused by human papillomavirus (HPV) infection of the skin and mucous membranes. They may not manifest immediately upon contact and can remain dormant for a period of time, often reactivating when the immune system is ...[Read More] Understanding Cauliflower Warts: Causes, Transmission, and Treatment Options
Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
The surgical wound from an anal fistula has become dehiscent? Hello Doctor, I had anal fistula surgery at the beginning of the year, and recently I accidentally caused a small abrasion around the anus while wiping. The wound is located near the surgical site. After a consultation...
Dr. Zhang Shuhao Reply:
The source of a fistula is the anal glands, so simple skin breaks will not lead to the recurrence of a fistula. Over-the-counter antibiotic ointments can be applied, but it is important to note that prolonged use may increase the risk of skin allergies.[Read More] Managing Post-Surgery Skin Tears Near Anal Fistula: Tips and Concerns
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 Discomfort and Swelling in the Perineal Area: What to Know
Swelling and pressure sensation issues? There is a transverse muscle resembling a sphincter located at the junction above the perineum and anus (at the 12 o'clock position), which seems to be pushing against the skin from within, causing a persistent feeling of swelling and ...
Dr. Zhang Shuhao Reply:
1. It could be a subcutaneous fistula or a deeper abscess. During the early stages of inflammation, there may be swelling without significant pain or signs of infection. 2. Consultation with a colorectal surgeon or urologist is appropriate, and in severe cases, incision and drain...[Read More] Understanding Discomfort and Swelling in the Perineal Area: What to Know
Understanding a Bruise and Lump on the Left Side of the Abdomen
There is a hard lump with a bruise on the left side of the abdomen? About a week ago, my husband suddenly noticed a very dark bruise on the skin on the left side of his abdomen. When he touched it, there was a swollen lump. Initially, I thought he might have bumped into something...
Dr. Chen Ronghong Reply:
Hello, based on your description, it is quite possible that the lump is caused by a blunt injury, especially since it is accompanied by pain and bruising, and it may dissipate within a few days. However, we cannot rule out the possibility of a pre-existing subcutaneous tumor, so ...[Read More] Understanding a Bruise and Lump on the Left Side of the Abdomen
Understanding Wound Healing After a Car Accident: Redness and Dryness
Traumatic injuries from a car accident? After a car accident, the front of my lower leg had stitches that have been removed, but the scabbed area remains red. When I stand for too long, it becomes darker, and the surrounding skin is dry.
Dr. Li Zhonghuai Reply:
Hello! If it has been "consistently red," it is advisable to return for a follow-up visit to assess the possibility of cellulitis. Even if the wound appears dry, caution is still necessary. Take care! Changhua Hospital is concerned about you![Read More] Understanding Wound Healing After a Car Accident: Redness and Dryness
Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms
Spinal surgery Hello Doctor: I have ankylosing spondylitis and suffered compression fractures of the T10 and T11 vertebrae due to a car accident in 2017. The fractures were not detected at the time of the accident, and it wasn't until two months later that I experienced numb...
Dr. Zhang Junwei Reply:
The key factor is not the number of spinal surgeries, but rather the extent of spinal cord injury. Severe spinal cord damage is irreversible. It is possible that nerve compression and injury occur at the moment of injury. The earlier the surgery is performed before irreversible d...[Read More] Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms