Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Postoperative issues related to hemorrhoid surgery? Hello Dr. Ko, The situation is as follows: Four months ago, I underwent a hemorrhoid electrocoagulation surgery. After the surgery, I had sitz baths and used a topical ointment prescribed by the doctor (I don't know the n...
Dr. Ke Fangxu Reply:
The recovery period after anal surgery typically takes about one to two months. If there is still pain four months post-surgery, and it is not due to poor wound healing, it may indicate other issues. Based on your description, it seems more like an anal fissure. It is recommended...[Read More] Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms
Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Postoperative issues? Hello, Doctor: I had a perineal anal fistula surgery at the end of August, where the doctor excised the fistula at the perineum, leaving the area open without sutures. The wound near the anus has not completely healed yet, and the wound appears pink and fles...
Dr. Ke Fangxu Reply:
Answer: Without a personal examination, I cannot provide you with a definitive answer. However, it is correct that leaving the fistula wound unstitched is the appropriate approach to prevent recurrence of the fistula. The downside is that the healing time for the wound may be lon...[Read More] Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Is L-Glutamine Effective for Bedsores in Elderly Patients?
Is L-Glutamine effective for pressure ulcers? Hello, doctor. My mother is in her 60s and spends most of her time in bed. She has severe pressure ulcers near her buttocks. A nurse recommended taking "L-glutamine," saying it helps with wound healing. Is this really effect...
Dr. Zhou Hongzhang Reply:
1. Non-medical consultation. 2. L-glutamine is beneficial for wound healing.[Read More] Is L-Glutamine Effective for Bedsores in Elderly Patients?
Post-Operative Concerns After Inguinal Hernia Surgery: What to Expect
Postoperative Issues After Hernia Surgery Hello, doctor. I had inguinal hernia surgery last week, and after the procedure, the doctor applied a cosmetic adhesive to the wound and covered it with gauze. Now, about five days post-surgery, the wound is not fully healed and is slight...
Dr. Li Zhonghuai Reply:
Hello! When changing the dressing, it is essential to perform a completely sterile procedure. Use 20cc of saline solution, and use one bottle each time. Try to express any blood or serous fluid using a cotton swab, and avoid contact with tap water, as it may cause additional pain...[Read More] Post-Operative Concerns After Inguinal Hernia Surgery: What to Expect
Understanding Complications After Fistula Surgery: A Patient's Journey
Questions about anal fistula surgery? Hello, Dr. Hsu. I would like to ask you some questions. My family member underwent anal fistula excision surgery on July 19 under spinal anesthesia. The surgeon sutured the wound in three layers, both internally and externally. Before the sur...
Dr. Xu Kaixi Reply:
The surgical approach for anal fistulas is determined preoperatively based on various factors such as complexity, depth, and the presence of associated infections or abscesses. Most simple fistulas, like the one your family member has, are treated with fistulotomy, while those wi...[Read More] Understanding Complications After Fistula Surgery: A Patient's Journey
Understanding Wound Healing and Concerns About Anal Abscess Treatment
Wound care and the use of topical ointments? Hello Doctor, around the end of May, I noticed a red bump near my anus. After seeing a doctor, I was told it was an abscess. I took antibiotics for a week and applied a topical ointment. After that, it ruptured and there was some drain...
Dr. Li Zhonghuai Reply:
Hello! It's not good, you need debridement. Please consult a colorectal surgeon or a general surgeon for treatment. Take care! Changhua Hospital cares about you![Read More] Understanding Wound Healing and Concerns About Anal Abscess Treatment
Post-Nipple Reduction Surgery: When Is It Safe for Intimacy?
Questions after nipple reduction surgery? Hello, doctor. I would like to ask: after undergoing nipple reduction surgery, how long should I wait after the stitches are removed before allowing my partner to suck on my nipples? (My partner really enjoys sucking hard on my nipples, a...
Dr. Zhou Hongzhang Reply:
Typically, wound healing and the tensile strength of fibrosis need to be sufficient to withstand external forces, which usually takes at least 3-4 weeks. If there is a tendency to "strongly suck on the nipples," an additional 1-2 weeks of extension is required.[Read More] Post-Nipple Reduction Surgery: When Is It Safe for Intimacy?
Post-Surgery Questions on Anal Fistula Treatment: Pain and Recovery Insights
Post-operative inquiry regarding anal fistula surgery? Hello, Director Hsu. I underwent anal fistula surgery on June 23, and due to the depth of the fistula, the doctor used a seton technique, with a total of 8 threads. I returned for a follow-up appointment on July 11 (the secon...
Dr. Xu Kaixi Reply:
1.2. Pain at the surgical site in the early postoperative period is normal and will gradually alleviate over time. 3. The wound typically heals in about two weeks before pain subsides. 4. This is considered normal for early postoperative wounds. 5. Wound healing generally takes a...[Read More] Post-Surgery Questions on Anal Fistula Treatment: Pain and Recovery Insights
Post-Surgery Concerns: Understanding Recovery After Hemorrhoid and Fissure Surgery
Postoperative issues..? Hello, Doctor! I had surgery on July 5th for a mixed hemorrhoid and anal fissure. I experienced severe diarrhea in April, which caused a rupture in the mucosal lining on the right side. I tried various ointments and sitz baths, but nothing worked, so I opt...
Dr. Ke Fangxu Reply:
1. The sutures from hemorrhoid surgery typically dissolve after one week; however, early detachment is also common and does not affect wound healing. 2. The surgical site usually takes about two weeks to reduce swelling, and complete healing may take a month. It is normal to expe...[Read More] Post-Surgery Concerns: Understanding Recovery After Hemorrhoid and Fissure Surgery
Post-Surgery Recovery: What to Expect After Anal Fistula Surgery
What is the postoperative condition after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery on May 3rd of this year and have returned for follow-up appointments twice since then. The diagnosis indicates that my recovery is going well, but I started experiencin...
Dr. Ke Fangxu Reply:
Wound healing after anal fistula surgery may take several months, and experiencing some swelling and pain during this period is considered normal. As long as the symptoms do not progressively worsen or are accompanied by fever, there is typically no cause for concern. If there ar...[Read More] Post-Surgery Recovery: What to Expect After Anal Fistula Surgery
Post-Surgical Wound Care: Addressing Complications and Treatment Options
Post-debridement wound care? Hello Doctor, my left calf between the knee and ankle was injured on June 6, 2015. At that time, I received three stitches for a wound smaller than a coin. After removing the stitches and continuously changing the dressings, a year has passed, and the...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to perform a contrast-enhanced computed tomography (CT) scan of the left lower limb to determine the extent of the purulent and chronic infection. Debridement will be necessary; otherwise, there will still be drainage. Keep your leg elevated during the da...[Read More] Post-Surgical Wound Care: Addressing Complications and Treatment Options
Post-Surgery Care for Anal Fistula: Healing Tips and Concerns
Post-fistula surgery Hello Dr. Ke: I have undergone an anal fistula incision surgery nearly a month ago. During each follow-up visit, the doctor has mentioned that the tissue that has grown back is unhealthy, and they have scraped it down again. They have also performed a digital...
Dr. Ke Fangxu Reply:
Since the wound is not visible, it is difficult to determine the exact situation. However, it is generally uncommon to handle it this way. If there is a continuous need for wound debridement, it could indicate a recurrence of a fistula or poor wound healing. In such cases, return...[Read More] Post-Surgery Care for Anal Fistula: Healing Tips and Concerns
Recovery Time and Pain After Outpatient Thrombosed Hemorrhoid Removal
Thrombus excision in the outpatient clinic? Dear Doctor: How long does it typically take to recover after an outpatient thrombosed hemorrhoid excision? Will there still be pain after the procedure? Additionally, is there a possibility of recurrence at the excised site?
Dr. Ke Fangxu Reply:
Outpatient thrombectomy generally results in wound healing within about 2-3 days, and pain tends to diminish relatively quickly. However, there remains a possibility of recurrence in the future. If the thrombosed hemorrhoidal tissue is also excised, the situation becomes more com...[Read More] Recovery Time and Pain After Outpatient Thrombosed Hemorrhoid Removal
Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Postoperative suppuration after anal fistula surgery? Hello Dr. Hsu: About a week ago, I underwent a fistula surgery at Linkou Chang Gung Memorial Hospital (the external opening is located about 3 cm below the testicle). During the surgery, the doctor also removed hemorrhoids fro...
Dr. Xu Kaixi Reply:
Based on your description, this situation seems more like exudate from the wound healing process adhering to the wound. If you have concerns or notice any other changes, it is advisable to return to the surgical outpatient clinic for a follow-up examination of the wound healing s...[Read More] Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Post-Surgery Concerns: Managing Bleeding After Thrombosed Hemorrhoid Surgery
Postoperative care for thrombosed internal and external hemorrhoids? Hello, Dr. Ke! I would like to ask you... It has been 23 days since my surgery for thrombosed external and internal hemorrhoids, but I still notice bright red blood when I have a bowel movement, and there seems ...
Dr. Ke Fangxu Reply:
Two weeks after hemorrhoid surgery, the amount of bleeding should significantly decrease. Based on your description, it does seem abnormal. However, if you are having many bowel movements each day, it can indeed affect wound healing. I recommend that you take medication for irrit...[Read More] Post-Surgery Concerns: Managing Bleeding After Thrombosed Hemorrhoid Surgery
Understanding Burn Wound Healing: When to Seek Further Treatment
Burn wound not healing? Hello, doctor. I would like to inquire about the recovery from a burn. In mid-December last year, I burned the skin on the top of my foot where it connects to my calf. I previously consulted a doctor who mentioned that the wound might be a deep second-degr...
Dr. Lu Daokuan Reply:
Healed skin is thinner and may be painful to the touch or develop small blisters with friction. You can apply some lotion for care, or return for a follow-up appointment to consult your physician.[Read More] Understanding Burn Wound Healing: When to Seek Further Treatment
Recovery After Thrombosed Hemorrhoid Surgery: What to Expect
Recovery after thrombosed external and internal hemorrhoidectomy? Hello, Dr. Ko! I would like to ask... I was hospitalized last week (Tuesday, May 10) for the removal of thrombosed internal and external hemorrhoids, and it has now been a week (8 days) since the surgery. I am stil...
Dr. Ke Fangxu Reply:
1. Pain and bleeding are usually more severe within the first week after hemorrhoidectomy, but they tend to decrease in the second week. If bleeding and pain persist without improvement, it is important to consult a physician. 2. It is normal to experience swelling and the form...[Read More] Recovery After Thrombosed Hemorrhoid Surgery: What to Expect
Slow Wound Healing After Cellulitis: Causes and Treatment Options
Slow wound healing after cellulitis? Hello Doctor: Two months ago, I had a car accident that resulted in a wound about the size of a 50 NT dollar coin on the outer side of my left ankle. After debridement, I went home, but it has been swollen since then. Later, I went to a large ...
Dr. Li Zhonghuai Reply:
Hello! It may require an on-site examination to determine the situation. From an internal medicine perspective, the recommendation is to administer antibiotics, while from a surgical perspective, debridement is necessary. If there is pus, it must be incised and drained. Avoid con...[Read More] Slow Wound Healing After Cellulitis: Causes and Treatment Options
Why Using Suppositories Increased My Pain: A Patient's Dilemma
The pain has worsened with the use of the suppository! Hello, doctor! I have had a fissure on the right side for over two weeks. At first, I used ointment, suppositories, and sitz baths. After a week, the pain decreased, so I continued with the ointment and sitz baths. Yesterday,...
Dr. Ke Fangxu Reply:
Some patients with severe anal fissures indeed cannot use suppositories. In such cases, I would advise patients not to force it and to apply the ointment directly into the anal area instead. Combining this with oral medication will yield better results, and warm sitz baths can al...[Read More] Why Using Suppositories Increased My Pain: A Patient's Dilemma
Post-Surgery Diarrhea: Managing Pain and Healing After Hemorrhoid Surgery
Severe diarrhea after sterilization! Hello, doctor! Last time I had a hemorrhoidectomy for an internal hemorrhoid, and everything was fine at first. However, this week I have experienced severe diarrhea for three consecutive days... It hurts a lot during bowel movements, and I ca...
Dr. Ke Fangxu Reply:
After a recent vasectomy, it is better not to use a tube to apply medication; instead, it is recommended to use your fingers to apply the ointment around the anal area to avoid irritating the wound. Taking warm sitz baths can effectively alleviate pain and promote wound healing, ...[Read More] Post-Surgery Diarrhea: Managing Pain and Healing After Hemorrhoid Surgery