Post-Appendectomy Pain: When to Seek Further Medical Attention?
Postoperative pain at the incision site after acute appendicitis surgery? My husband (47 years old) underwent laparoscopic surgery for acute appendicitis on August 13. Since the surgery, he has been experiencing pain at the umbilical incision site. During his follow-up visit, the...
Dr. Xu Kaixi Reply:
After laparoscopic surgery for acute appendicitis, if there is still pain at the umbilical incision one month post-operation, and there are no signs of inflammation or infection such as redness, swelling, heat, or discharge, it may be due to neuropathic pain from scar tissue form...[Read More] Post-Appendectomy Pain: When to Seek Further Medical Attention?
Should You Add Povidone-Iodine to Sitz Baths for Anal Healing?
Should povidone-iodine be added to a sitz bath for a colostomy? Hello Dr. Ke: I would like to ask about anal fistulas. I have not undergone surgery, and after taking traditional Chinese medicine for about 3 to 4 months, new tissue has gradually started to grow. However, the wound...
Dr. Ke Fangxu Reply:
The only definitive treatment for anal fistula is surgical excision. If surgery is not performed, symptoms can only be managed with antibiotics and anti-inflammatory medications. Warm sitz baths can effectively alleviate symptoms, but they are not a treatment method. Bleeding and...[Read More] Should You Add Povidone-Iodine to Sitz Baths for Anal Healing?
Understanding Chronic Hemorrhoids: Pain, Treatment, and Recovery Insights
The troubles of hemorrhoids? Thank you, Dr. Ko, for taking the time to respond to my lengthy questions. I had a tubal ligation via ultrasound approximately 2.3 years ago (how does this differ from rubber band ligation?). After the procedure, I experienced significant pain during ...
Dr. Ke Fangxu Reply:
1. I have not heard of ultrasound ligation, but the principle of ligation is to achieve hemostasis by obstructing blood flow to the internal hemorrhoids. Ultrasound ligation likely uses a harmonic scalpel instead of rubber bands, but this could lead to issues with out-of-pocket e...[Read More] Understanding Chronic Hemorrhoids: Pain, Treatment, and Recovery Insights
Understanding Anal Fissures: Causes, Symptoms, and Relief Strategies
Severe anal itching? Hello Dr. Ke, Two weeks ago, I experienced a sharp pain in the anal area during bowel movements, although it wasn't very severe. After wiping, I noticed quite a bit of fresh blood. Before seeing a doctor, I would feel intense itching and some sharp pai...
Dr. Ke Fangxu Reply:
1. Although anal fissures are not severe, improvement is often slow. In addition to medication, it is important to pay attention to one's lifestyle and dietary habits. Taking warm sitz baths can also aid in wound healing. Generally, symptom improvement takes about one to two...[Read More] Understanding Anal Fissures: Causes, Symptoms, and Relief Strategies
Managing Buttock Cellulitis and Abscess: When to Consider Surgery
Buttock cellulitis and abscess? Hello, I have recently developed cellulitis and an abscess in my buttock, and there is a significant amount of pus from the wound. During the wound debridement and dressing changes, the nurse often asks me how many times I clean it. I clean it twic...
Dr. Xu Kaixi Reply:
Cellulitis and abscess in the buttocks, with significant wound exudate and pus, require not only increased frequency of dressing changes and antibiotic treatment but also an evaluation by a physician for the necessity of surgical debridement to promote wound healing.[Read More] Managing Buttock Cellulitis and Abscess: When to Consider Surgery
Understanding Wound Healing: Is My Injury Normal or Concerning?
The wound resembles a volcanic crater? Hello Doctor: I have a wound on my foot caused by a car accident. At first, it was black, and the doctor said it was necrotic tissue. I was prescribed a burn ointment (silver sulfadiazine). After applying it, the black necrotic tissue gradua...
Dr. Xu Kaixi Reply:
Based on your description, your wound is larger, deeper, and more severe, which is why it is healing more slowly; this is not unusual. It is recommended that you return for regular check-ups and treatment.[Read More] Understanding Wound Healing: Is My Injury Normal or Concerning?
Diet and Recovery: Managing Anal Abscesses and Cellulitis Concerns
Questions about anal abscess, fistula, and cellulitis? Hello, Dr. Ke. I have a few questions: 1. For anal abscess and fistula during non-acute inflammatory periods, is it permissible to consume soy milk and other legumes, as well as seafood such as cod, salmon, and shrimp? Is i...
Dr. Ke Fangxu Reply:
1. In Western medicine, there are no specific dietary restrictions unless related to metabolic diseases. After surgery, it is recommended to increase the intake of high-quality protein to promote wound healing. Rinsing should be done with warm water to minimize irritation to the ...[Read More] Diet and Recovery: Managing Anal Abscesses and Cellulitis Concerns
Understanding Fistula Surgery: Techniques, Recovery, and Hospital Practices
Fistula drainage surgery 1. Is the fistula seton placement surgery the same as the seton procedure? 2. Among fistula incision surgery, seton placement surgery, and minimally invasive surgery, which method allows for faster recovery, shorter hospital stay, quicker wound healing, r...
Dr. Xu Kaixi Reply:
1. There is a fistula ligation procedure, but no fistula excision procedure. 2.3. The surgical method for a fistula will be assessed by the physician based on various factors such as the depth, shape, complexity of the fistula, and whether there is an infection. The recovery proc...[Read More] Understanding Fistula Surgery: Techniques, Recovery, and Hospital Practices
Understanding and Treating Mild Anal Fissures: Your Questions Answered
Treatment of mild anal fissures? About three weeks ago, I suddenly experienced pain while having a bowel movement, and noticed a small amount of bright red blood when wiping. I didn't think much of it, and after a couple of days of irregular eating, I experienced pain and bl...
Dr. Xu Kaixi Reply:
1. An anal fissure is a tear located in the anal region, and because it is the passage for stool, it is difficult to heal under chronic irritation. The wound healing process may involve scar tissue formation, and while it cannot be guaranteed to return to its original state, the ...[Read More] Understanding and Treating Mild Anal Fissures: Your Questions Answered
Post-Wound Healing Issues: Understanding Itchy Rashes and Swelling
Issues After Wound Healing I slipped and scraped my wound quite deeply on the same day, and it became a bit swollen. I didn't see a doctor afterward, but I listened to the school nurse who said to just apply artificial skin, so I continued to use it for about a week. Later, ...
Dr. Xu Kaixi Reply:
If there is chronic inflammation during the wound healing process, it may lead to the formation of fibrous tissue and hypertrophic scarring. There may be swelling changes in the wound and surrounding areas. Additionally, damage to the epidermal nerves after an injury can result i...[Read More] Post-Wound Healing Issues: Understanding Itchy Rashes and Swelling
Understanding Post-Surgery Changes: What to Expect After Fistula Repair
Fistula healing After a fistula surgery, it has been 7 days, and the wound is almost painless (even during bowel movements). However, there is a small growth next to it. What could this be? (The wound is approximately 2 centimeters long.)
Dr. Xu Kaixi Reply:
The wound healing process after anal fistula surgery has resulted in an unexpected situation (a lump has developed nearby). It is recommended that you visit the office of the surgeon who performed your procedure for further evaluation.[Read More] Understanding Post-Surgery Changes: What to Expect After Fistula Repair
Understanding Post-Surgery Complications After Cyst Removal
Axillary sebaceous cyst excision surgery Hello Doctor: Three weeks ago, I underwent a cyst excision surgery at a surgical clinic, but now the area around the wound feels hardened, and the tendons on the inner side of my arm are becoming increasingly tight, causing pain when I lif...
Dr. Xu Kaixi Reply:
A sebaceous cyst is a benign tumor located in the subcutaneous tissue. The wound healing process after surgery may result in temporary fibrous scar tissue, leading to hardening, and there may be pain and tightness for a short period. This should improve over time; however, if the...[Read More] Understanding Post-Surgery Complications After Cyst Removal
Understanding Recovery After Fistula Surgery: What to Expect
Fistula healing Is it normal to experience minimal pain seven days after fistula surgery, and not feel much when touching the wound while rinsing? The wound is still visible, could it be that the epidermis is healing first? (The wound is approximately 2-3 centimeters long.)
Dr. Xu Kaixi Reply:
After a simple anal fistula surgery, if healing progresses smoothly, the wound can recover within one to two weeks. Based on your description, your wound healing status is good, so there is no need for concern.[Read More] Understanding Recovery After Fistula Surgery: What to Expect
Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan?
The HCPT (Harmonic Scalpel for Transanal Endoscopic Microsurgery) procedure for treating anal fistulas? I apologize, but I would like to ask a follow-up question regarding the HCPT minimally invasive surgery for anal fistulas. Is it commonly performed in medical centers in Taiwan...
Dr. Cai Xingzhi Reply:
Hello, regarding fistula surgery, different hospitals have various approaches. Currently, major hospitals offer various minimally invasive surgeries that primarily benefit patients by minimizing wound size and promoting faster recovery, unlike traditional surgeries which tend to ...[Read More] Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan?
Post-Surgery Recovery: Walking, Pain, and Fluid Concerns After Hernia Repair
Is it advisable to walk regularly with an inguinal hernia wound of about 5 centimeters that has been present for one month? Hello Doctor, I had surgery for an inguinal hernia (using traditional methods) at the beginning of May, and it has been almost two months since then. Due to...
Dr. Ke Fangxu Reply:
Mild pain after surgery is a normal phenomenon. After surgery, it is important to avoid heavy lifting, constipation, and coughing. There is no need for significant changes in activity; swimming should be fine. However, weight training equipment should be avoided for at least six ...[Read More] Post-Surgery Recovery: Walking, Pain, and Fluid Concerns After Hernia Repair
Post-Operative Care for Peritonitis: Managing Complications and Recovery
Postoperative peritonitis The patient is a 71-year-old male. On January 18, he presented to the emergency department with acute abdominal pain and was observed for one day before being discharged. On January 19, he experienced severe abdominal pain again and was diagnosed with in...
Dr. Yang Yaokun Reply:
Hello^^ Due to the patient's complex clinical condition, we are unable to provide relevant advice. Please discuss the situation in detail with the treating physician. Thank you![Read More] Post-Operative Care for Peritonitis: Managing Complications and Recovery
Understanding Rectal Granules: Treatment Options and Concerns
Anal granules I initially thought everything was resolved after the last electrosurgery, but I discovered two small lesions that were not treated while taking a shower (there were two doctors assisting during the procedure that day... sigh!!). I had felt these before; they did no...
Dr. Ke Fangxu Reply:
1. Since both electrosurgery and cryotherapy have been performed, the best course of action now is to simply observe, as the wound is still healing and it is not appropriate to undertake any further procedures at this time. 2. Malignant tumors can often be assessed through a di...[Read More] Understanding Rectal Granules: Treatment Options and Concerns
Post-Surgery Concerns: Managing Bowel Issues After Hemorrhoid Surgery
After hemorrhoid surgery, experiencing incomplete bowel movements? Hello Dr. Ke: I am a long-term patient with hemorrhoids and also have issues with fistulas. I delayed treatment for a long time and finally underwent surgery in February of last year. I have been very worried abou...
Dr. Ke Fangxu Reply:
After general anal surgery, we typically prescribe stool softeners for patients. If diarrhea occurs, the first step is to stop taking the stool softeners, as they can affect wound healing. Additionally, hemorrhoid ointment should be used to treat skin inflammation around the anal...[Read More] Post-Surgery Concerns: Managing Bowel Issues After Hemorrhoid Surgery
Proper Use of Adhesive Tape on Surgical Wounds: Myths vs. Facts
General application method for breathable tape? If regular breathable tape is applied directly to a surgical wound that has not yet had its sutures removed, it may not necessarily aid in wound healing without proper disinfection or medication. Over time, the tape may fall off on ...
Dr. Lu Daokuan Reply:
General breathable tape can be used until it naturally falls off, but it often causes allergic reactions and discomfort, so it is not the most recommended method. The sutures will naturally be absorbed by the body. There are many suggestions for wound care, and you can obtain edu...[Read More] Proper Use of Adhesive Tape on Surgical Wounds: Myths vs. Facts
Post-Hemorrhoid Surgery: Managing Incomplete Bowel Movements and Hygiene Concerns
Inadequate cleaning after hemorrhoid surgery? Currently, it has been twelve to thirteen days since my hemorrhoid surgery. Sometimes I feel like I haven't fully evacuated my bowels and have a persistent urge to defecate (at times, I feel a strong urgency to go). However, when...
Dr. Ke Fangxu Reply:
Abnormal bowel control may occur within two weeks after hemorrhoid surgery due to irritation from the surgical site. This condition does not require special treatment and will resolve on its own. After bowel movements, rinsing with clean water or taking a warm sitz bath is accept...[Read More] Post-Hemorrhoid Surgery: Managing Incomplete Bowel Movements and Hygiene Concerns