Post-Surgery Care: Managing Complications with Stomahesive Powder
Postoperative care issues? Director Ke, let me describe my medical experience. I had a lump diagnosed as a pilonidal cyst located quite far from my anus on the right side of my buttock. I underwent surgery at a clinic to have it excised, and the size was approximately that of an ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the main ingredient of Stomahesive is corn starch, which primarily functions to absorb moisture and increase viscosity. It is generally used to protect the skin around intestinal stomas and can help prevent the detachment of ostomy bags or the...[Read More] Post-Surgery Care: Managing Complications with Stomahesive Powder
Is My Post-Surgery Abdominal Discomfort a Sign of Adhesions?
Could this symptom be intestinal adhesions? Hello, doctors on the forum: In mid-September of this year, I went to the emergency room due to acute appendicitis. After examination, the doctor informed me that it was appendicitis (blood tests/CT scans, etc.) and that I could either ...
Dr. Ke Fangxu Reply:
1. After appendectomy, it is common to experience mild abdominal symptoms, which are often related to the degree of inflammation and whether the appendix has ruptured, rather than adhesions. However, these symptoms typically resolve within 1 to 2 months. If symptoms persist or if...[Read More] Is My Post-Surgery Abdominal Discomfort a Sign of Adhesions?
Post-Surgery Concerns: Persistent Discharge After Anal Canal Surgery
Post-operative discharge after anal and rectal surgery? Hello Doctor, I underwent an anal fistula and drainage tube removal surgery at Taitung Hospital on March 27, 2013. The doctor opted for a non-sutured natural healing method, so I followed the doctor's instructions to wa...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the wound from anal fistula surgery typically takes about one month to heal completely, and the scar tissue should soften within three months, at which point you should no longer feel any hard tissue. However, a small percentage of patients ma...[Read More] Post-Surgery Concerns: Persistent Discharge After Anal Canal Surgery
Managing Anal Fistulas: Surgical Options and Recovery Insights
Anus & rectum Hello Doctor, about a month ago I developed an anal abscess that was as large as a quail egg at its peak. Later, I noticed a hole that allowed the pus to drain out, which turned into a fistula. Now, it has shrunk to about 1 cm in length and 3 mm in width. It fee...
Dr. Ke Fangxu Reply:
Hello: In response to your question, based on your description, it seems that you may be experiencing a complication of an anal abscess that has resulted in an anal fistula. To achieve a complete cure, hospitalization for surgery is necessary. The surgery typically requires a thr...[Read More] Managing Anal Fistulas: Surgical Options and Recovery Insights
Post-Surgery Care for Anal Fistula: Managing Pain and Wound Healing
Just underwent anal fistula surgery? I was admitted to the hospital on January 8 for anal fistula surgery. Upon discharge, the nurse provided me with a bottle of medication (POTASSIUM PERMANGANATE 4%) to be diluted with warm water for sitz baths three times a day. Nurse A mention...
Dr. Ke Fangxu Reply:
Warm sitz baths after anal fistula surgery are necessary; otherwise, the risk of wound infection may worsen. If the wound is not inflamed but soaking in medicated water causes severe pain, soaking in plain water is also acceptable. If even soaking in plain water is painful, it is...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Wound Healing
Understanding Scab Formation and Wound Care After Injury
Wound scabbing Hello, doctor! I would like to ask you about wound care and healing. My friend had a scrape on her leg from a car accident about two weeks ago, and it has formed a scab. However, today she mentioned that the scab feels moist when pressed. When I pressed it, I found...
Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Surgery Department at Tainan Hospital, Ministry of Health and Welfare: The accumulation of fluid after wound healing may be tissue fluid or blood. Please visit the surgical outpatient clinic for further examination. Wishing you good health and safety f...[Read More] Understanding Scab Formation and Wound Care After Injury
Post-Surgery Concerns: Understanding Redness and Swelling After Hemorrhoid Surgery
Postoperative Issues After Hemorrhoid Surgery Hello Dr. Ko: This year I underwent surgery for internal and external hemorrhoids. It has been nearly six months since the surgery, and my anus appears red and swollen. What could be the reason for this? How should I treat it? Thank y...
Dr. Ke Fangxu Reply:
Traditional internal and external hemorrhoid surgery typically results in complete recovery within one month. If recovery has not occurred after six months, it is advisable to consult the original surgeon to determine if the surgical instruments used or the suturing technique may...[Read More] Post-Surgery Concerns: Understanding Redness and Swelling After Hemorrhoid Surgery
Post-Surgery Care for Ear Lobe Cysts: Common Concerns and Solutions
Sebaceous cyst surgery Hello, I had a cyst removal surgery behind my earlobe at the beginning of this month. The doctor said that the wound would heal on its own within two days post-surgery, and I just needed to avoid getting it wet during this time. On the first day after the s...
Dr. Ke Fangxu Reply:
1. It is possible that the wound was not cleaned properly, but poor wound healing can also be a factor. 2. If the wound has not healed one month after surgery, a revision surgery for debridement and closure should be considered; otherwise, it may significantly affect daily acti...[Read More] Post-Surgery Care for Ear Lobe Cysts: Common Concerns and Solutions
Diabetic Wound Care: Essential Tips for Managing Torn Skin at Home
Diabetic Wound Care Hello Dr. Chang, I would like to ask you a few questions. There is an elderly person at home who is a diabetic patient, and this morning, due to improper force, he sustained a 7-8 cm laceration on the dorsum of his foot (the skin surface is movable). At the ti...
Dr. Zhang Jinlong Reply:
Hello, regarding your inquiry, here are the responses: 1. For diabetic patients, a laceration of 7-8 cm, especially on the dorsum of the foot (where blood circulation is poorer in the extremities), if not managed properly, is more likely to lead to wound infection. 2. When attem...[Read More] Diabetic Wound Care: Essential Tips for Managing Torn Skin at Home
Understanding Anal Fistula Surgery: When Recovery Goes Wrong
Anal fistula Hello doctor, I underwent a fistula excision surgery on September 21 of last year, and to this day, the wound is still bleeding. After the fistula excision in October, I returned for a follow-up, and the doctor said everything was fine. In November, the doctor again ...
Dr. Ke Fangxu Reply:
For simple fistula surgeries, the wound should heal in about a month. The recovery time for complex fistulas depends on the complexity and the surgical method used; however, it generally does not exceed three months. It is unusual for you to still have not healed nearly six month...[Read More] Understanding Anal Fistula Surgery: When Recovery Goes Wrong
Post-Anal Fistula Surgery: What to Expect and Recovery Tips
After anal fistula surgery..? Hello Doctor, I would like to ask you about my situation. I had a fistula surgery at a clinic in Taichung (not a hospital, as I thought it would be more cost-effective). The surgery was performed under local anesthesia, and I did not require hospital...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is normal for the wound to heal slowly; the goal is to reduce the recurrence rate of the fistula. Generally, it is not recommended to scrub the wound to avoid complications such as bleeding, infection, and pain. According to the physician, a linear ...[Read More] Post-Anal Fistula Surgery: What to Expect and Recovery Tips
Understanding Wound Healing Issues: Is It Cellulitis?
Wound healing issues I previously fell and had a large wound on my knee. After a month, although the wound has healed, the surface is still red. Initially, I thought it was just a scar, but recently I've noticed that if I gently press on the red area, it hurts, and it feels ...
Dr. Zhang Jinlong Reply:
Hello: A general wound (possibly an abrasion) that appears red on the surface after a month may be granulation tissue. At this stage, the nerves are gradually growing towards the wound, which can cause tenderness. However, if there is inflammation present, it can also lead to pai...[Read More] Understanding Wound Healing Issues: Is It Cellulitis?
How to Properly Treat Infected Wounds with Pus: A Guide
If a wound is inflamed and producing pus, it is important to take the following steps for proper management: 1. **Clean the Wound**: Gently wash the area with mild soap and water to remove any debris and bacteria. Avoid using alcohol or If a wound is inflamed and producing pus, ...
Dr. Huang Junxiong Reply:
Hello: 1. Whether to apply ointment depends on the wound. If the wound is inflamed and discharging pus, it is advisable to seek medical attention. 2. For deeper abrasions, debridement and appropriate dressing and medication are necessary. It is recommended to consult a specialist...[Read More] How to Properly Treat Infected Wounds with Pus: A Guide
Is It Hemorrhoids? Understanding Symptoms and Treatment Options
I am not sure if it is hemorrhoids? Hello Doctor: In February of this year, I experienced painful bowel movements with blood. I thought it wasn't serious, so I ignored it. Later, it developed into pain whenever I contracted my anal sphincter (like when sneezing or urinating)...
Dr. Ke Fangxu Reply:
Hello: In response to your question, based on your description, it seems that the initial cause of the anal abscess was a bacterial infection, which is not directly related to hemorrhoids. After the incision and drainage surgery, if it did not heal completely, it may have develop...[Read More] Is It Hemorrhoids? Understanding Symptoms and Treatment Options
Understanding Anal Abscess Wound Healing: What to Expect
Anal abscess wound? Hello Doctor: On March 12th, I visited the clinic due to an anal abscess. The doctor made a small incision on the upper left side of my anus to drain the pus. Currently, I take warm sitz baths every day whenever I have a bowel movement, and I also massage the ...
Dr. Ke Fangxu Reply:
Hello: In response to your question, if an anal abscess is not severe, it can be treated with incision and drainage in an outpatient setting. However, due to the nature of the infection, although the wound is small, the healing time may be prolonged, typically requiring 2-3 weeks...[Read More] Understanding Anal Abscess Wound Healing: What to Expect
Understanding Anal Fistulas: Symptoms, Treatment, and Concerns
Anal fistula/abscess Hello, doctor. My mother developed a hard lump near her anus about two to three months ago, which was about the size of an acne pimple and was not painful. Over time, the lump grew larger and became softer, with the surface appearing shiny. Light pressure did...
Dr. Ke Fangxu Reply:
Hello: In response to your question, it is normal to have slight blood-tinged drainage from the wound after anal fistula surgery, as long as there is no redness, swelling, or severe pain. It is not necessary to take anti-inflammatory or pain relief medication, but if you experien...[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Concerns
Understanding ICU Syndrome: Managing Anxiety After Surgery for Peritonitis
Gastric perforation leading to peritonitis? Hello, Doctor: My father was hospitalized due to a gastric perforation that led to peritonitis and underwent surgery. He has a history of heart disease and is quite elderly. For the first three days after the surgery, his condition was ...
Dr. Huang Zhihui Reply:
It may still be necessary to assess clinical symptoms, and if needed, a consultation with a psychiatrist should be arranged. If there is a suspicion of cardiac issues, a consultation with a cardiologist can be considered.[Read More] Understanding ICU Syndrome: Managing Anxiety After Surgery for Peritonitis
Post-Surgery Complications: Understanding Colorectal Tumor Surgery Risks
Colorectal tumor surgery? Hello Dr. Ke: My mother, who is 80 years old, recently underwent surgery for a colon tumor at a hospital. Two days after the stitches were removed, her colon protruded from the surgical site while she was preparing to use the restroom. The attending phys...
Dr. Ke Fangxu Reply:
Hello: In response to your question, based on your description, your mother likely underwent an abdominal surgery to remove a colon tumor, rather than a procedure performed through the anus or laparoscopically. In elderly patients, abdominal surgeries can sometimes lead to poor w...[Read More] Post-Surgery Complications: Understanding Colorectal Tumor Surgery Risks
Understanding Recovery After Appendicitis and Peritonitis
Recovery period after peritonitis? It's been two months since my discharge. I had appendicitis accompanied by gastroenteritis, which led to peritonitis. Although I have been discharged and the doctor told me that I don't need to see him anymore, I've been experienc...
Dr. Xie Wenhuai Reply:
After surgery, the healing of the wound requires tissue growth and repair, which can lead to sensations of itching. Additionally, due to the presence of postoperative scars, patients may occasionally experience discomfort or a dull ache, which typically improves over time. Genera...[Read More] Understanding Recovery After Appendicitis and Peritonitis
Is This External Hemorrhoids? Understanding Symptoms and Treatment Options
Is this an external hemorrhoid? About two years ago, I suddenly noticed bright red blood when using the restroom, and later discovered a small protrusion inside the anus, which I believe is an internal hemorrhoid. After improving my lifestyle habits, I did not experience any furt...
Dr. Ke Fangxu Reply:
Hello, in response to your question, based on your description, this appears to be an anal fissure. When an anal fissure occurs, a granulation tissue may appear at the edge of the wound. A typical symptom is a sharp pain, and there may be slight bleeding during wiping, although t...[Read More] Is This External Hemorrhoids? Understanding Symptoms and Treatment Options