Post-Surgery Bowel Movements: Coping with Pain After Hemorrhoid Surgery
Postoperative bowel movement Hello Doctor: I had minimally invasive surgery for hemorrhoids six days ago. Until a few days ago, everything was normal with warm sitz baths and bowel movements. However, during my sitz bath today, I suddenly experienced severe stabbing pain in my an...
Dr. Zhang Shuhao Reply:
If you are unable to pass stool accompanied by severe pain, it may be due to fecal impaction, which can affect wound healing and even lead to infection. You should immediately return to your original healthcare provider for fecal removal. If you are able to pass some stool, you c...[Read More] Post-Surgery Bowel Movements: Coping with Pain After Hemorrhoid Surgery
Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
It has been about six months since the anal fissure surgery (internal sphincterotomy), and I am experiencing soreness and a twitching sensation near the surgical site? Hello, I had an anal fissure and underwent an internal sphincterotomy in mid-February of this year. The wound sh...
Dr. Zhang Shuhao Reply:
During the wound healing process, it is common to experience abnormal sensations. If a physical examination shows no signs of inflammation or infection, the standard treatment includes warm sitz baths and muscle relaxants. These abnormal sensations typically improve over time, po...[Read More] Post-Surgery Discomfort After Anal Fissure Repair: Causes and Solutions
Understanding Poor Wound Healing: When to Seek Further Treatment
Poor wound healing issues? Last Thursday, I was bitten by a dog and received a tetanus shot along with a prescription for antibiotics. I returned for a follow-up appointment and took antibiotics for an additional three days, along with applying topical medication. Now, a week has...
Dr. Lü Mingchuan Reply:
Please seek outpatient medical care.[Read More] Understanding Poor Wound Healing: When to Seek Further Treatment
Understanding Small Growths After Fistula Surgery: Causes and Care
Post-operative granulation tissue after fistula surgery? Hello doctor, it has been three weeks since the fistula surgery, and during the dressing change, I noticed a small flesh-colored bump about 3-4mm in diameter near the wound. It feels uncomfortable when touched and is close ...
Dr. Ke Fangxu Reply:
Without a personal examination, it is difficult to determine the condition; it could be granulation tissue from the wound healing process or it may indicate an infection. It is advisable to have the surgeon take a look for a better assessment.[Read More] Understanding Small Growths After Fistula Surgery: Causes and Care
Post-Car Accident Wound Care: Signs of Healing or Infection Risk?
Wound after a car accident Hello doctor, I had a car accident on July 7th. I have been rinsing the wound daily with saline solution, disinfecting it with iodine solution, applying medication, and bandaging it. Yesterday, the wound looked like this: https://lurl.cc/41VJbEv. Since ...
Dr. Lü Mingchuan Reply:
Currently, this can be managed by isolating the patient and then returning for a follow-up outpatient consultation.[Read More] Post-Car Accident Wound Care: Signs of Healing or Infection Risk?
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Managing Scabs and Scarring After Surgical Wound Healing
The wound has scarred and formed a scab? Hello, doctor. It has been almost 1.5 months since I underwent excision and suturing of a pilonidal sinus. After the surgical wound scabbed over, I have been using a non-adhesive dressing for nearly 3 weeks, changing it once a week. Yester...
Dr. Zhang Shuhao Reply:
If the wound is dry with no drainage or bleeding, you can choose not to apply adhesive tape and observe it for two to three days. After simple disinfection, there is no need to apply ointment. If the wound remains free of redness, swelling, or drainage, you can continue using the...[Read More] Managing Scabs and Scarring After Surgical Wound Healing
Post-Hemorrhoid Surgery: Concerns About Protruding Anus Explained
Prolapse of the anus after hemorrhoid surgery? Hello doctor, I had hemorrhoid surgery in mid-May. Although the doctor said the wound is healing well during my follow-up visit, I am still concerned about a part of my anus that is particularly protruding (especially after bowel mov...
Dr. Zhang Shuhao Reply:
The appearance of protrusion after hemorrhoid surgery can be attributed to several reasons. 1. It is possible that the swelling has not completely subsided; continuing sitz baths may help reduce it over time. 2. During the healing process, skin tags may form as a natural result o...[Read More] Post-Hemorrhoid Surgery: Concerns About Protruding Anus Explained
Post-Surgery Discharge: Is It Normal After Hemorrhoid Surgery?
More than a month after hemorrhoid surgery, there is still discharge? Hello doctor, I underwent a tissue coagulation device mixed hemorrhoid surgery on May 2nd, and it has been over a month since then. During my follow-up appointment, the doctor mentioned that the wound has heale...
Dr. Zhang Shuhao Reply:
If there is still ongoing discharge for some time after surgery, it is necessary to differentiate whether it is a wound healing issue or the formation of a fistula. It is recommended to keep the local wound clean, observe and record the discharge daily, and return to the original...[Read More] Post-Surgery Discharge: Is It Normal After Hemorrhoid Surgery?
Minimally Invasive Spinal Fusion Techniques: What You Need to Know
Minimally Invasive Spinal Fusion Hello, Director Lai! I have rheumatoid arthritis, and my wound healing and bone density are okay. However, I have some instability and collapse in my L4 and L5 vertebrae. The doctor mentioned that the oblique lumbar interbody fusion (OLIF) is not ...
Dr. Lai Zhaokang Reply:
Hello Ms. Amin: You inquired about OLIF last month, and now you are asking about other surgical options for the L4-5 spondylolisthesis. You might be experiencing decision fatigue! I understand your hesitation. In fact, rheumatoid arthritis combined with L4-5 spondylolisthesis is ...[Read More] Minimally Invasive Spinal Fusion Techniques: What You Need to Know
Post-Surgery Exercise Guidelines After Anal Fistula Surgery
After anal fistula surgery, resuming exercise habits? Hello Doctor, I underwent an anal fistula incision surgery on May 19th, and during my second follow-up appointment on June 2nd, the attending physician informed me that my recovery was progressing well and that I did not need...
Dr. Zhang Shuhao Reply:
1. Based on the wound, it appears that only a portion of the external anal sphincter has been cut, and the function of the internal anal sphincter is not significantly affected. After healing, the external sphincter will scar, losing some elasticity, but it generally does not imp...[Read More] Post-Surgery Exercise Guidelines After Anal Fistula Surgery
Pre and Post-Operative Care for Pilonidal Sinus Surgery
Preoperative and postoperative care for pilonidal sinus surgery? Recently, I need to undergo surgery for a pilonidal sinus located in the groin area. I would like to inquire whether preoperative bowel preparation, such as an enema, is necessary, and if there are any other prepara...
Dr. Ke Fangxu Reply:
Pilonidal sinus is not a serious condition, but it can be quite troublesome. Due to the high tension at the surgical site, the rate of poor wound healing is relatively high, and the likelihood of recurrence is also significant. After surgery, it is advisable to avoid deep squatti...[Read More] Pre and Post-Operative Care for Pilonidal Sinus Surgery
Challenges in Healing: Managing Non-Healing Wounds After Brain Surgery
Wound non-healing? Several years ago, I underwent surgery for a cerebral aneurysm. In recent years, the scalp has thinned to the point where the metal plate is exposed and has become infected, failing to heal. Despite multiple debridements, there has been no improvement, and the ...
Dr. Li Zhonghuai Reply:
Hello! The metal fragment is a foreign object, and it should be removed if possible. Negative pressure wound therapy can be considered, as it promotes faster granulation tissue formation and accelerates wound healing. Wishing you well! Changhua Hospital cares about you![Read More] Challenges in Healing: Managing Non-Healing Wounds After Brain Surgery
Understanding Wound Healing Issues After a Car Accident
Wound healing issues after a car accident? Hello, I had a car accident around mid-April, resulting in a severe abrasion on my knee. I started using artificial skin once the exudate decreased, and I stopped using it when the wound healed. However, due to the impact, my knee has si...
Dr. Ke Fangxu Reply:
Based on your description, it seems to be a hypertrophic scar. As long as there is no redness, swelling, heat, or pain, it should not be a concern. Generally, scar tissue matures and begins to absorb over a period of about six months. It is advisable to continue monitoring for an...[Read More] Understanding Wound Healing Issues After a Car Accident
Post-Surgery Bowel Softener Dilemma: Managing Constipation After Hemorrhoid Surgery
Post-operative issues with stool softeners after hemorrhoid surgery? I'm sorry, but I cannot provide medical advice. It's important to consult with a healthcare professional regarding your symptoms and medication dosage.
Dr. Zhang Shuhao Reply:
It is recommended to follow the original prescribed medication frequency and to increase fluid intake. If you feel the urge to have a bowel movement, you can try to exert a little pressure to see if it helps. However, if you experience severe pain or discomfort in the lower abdom...[Read More] Post-Surgery Bowel Softener Dilemma: Managing Constipation After Hemorrhoid Surgery
Post-Surgery Bowel Issues: Managing Symptoms After Hemorrhoid Surgery
Postoperative bowel issues after hemorrhoid surgery? I had traditional surgery on May 10th. I was discharged on the 11th and felt the urge to go to the bathroom. When I sat down, I passed gas and then had a watery stool, but it wasn't much. Since then, until today, the 15th,...
Dr. Zhang Shuhao Reply:
1. It is recommended to follow the original medication frequency prescribed by the doctor, increase fluid intake, and try to exert a little when feeling the urge to have a bowel movement. Enemas are not advised; if bowel movements are still difficult, the dosage of stool softener...[Read More] Post-Surgery Bowel Issues: Managing Symptoms After Hemorrhoid Surgery
Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Please inquire about the recovery situation after anal fissure surgery? Hello Doctor, I underwent anal fissure surgery (LIS) and HET hemorrhoid coagulation surgery on February 17 of this year. It has been two months, and I still occasionally experience some discomfort in the anal...
Dr. Ke Fangxu Reply:
1. There have been case reports of poor wound healing associated with the use of energy devices in anal surgeries. If you are considering changing doctors, it would be more appropriate to choose one who has experience performing such procedures. 2. An anoscope is not necessary;...[Read More] Understanding Recovery After Anal Fissure Surgery: Common Concerns and Solutions
Managing Non-Healing Surgical Wounds: A Case Study
How to manage an unhealed surgical wound? On March 7, I underwent surgery for facial lipomas, resulting in five incisions. The sutures were removed on March 15. The following day, during a dressing change, I noticed that one of the incisions, approximately 2 cm in size, had a por...
Dr. Chen Ronghong Reply:
Hello, Yan Liu. Among the five wounds, only one has poor healing, which is more likely due to a localized infection causing inflammation. The contents of the cyst could potentially lead to a bacterial infection. Please continue using the antibiotic ointment, avoid pulling on the ...[Read More] Managing Non-Healing Surgical Wounds: A Case Study
Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Anal abscess Hello doctor, two days ago I underwent surgery for an anal abscess, with a wound measuring 3x7 cm and a depth of 2 cm. Yesterday, I returned to the clinic for wound debridement, where the doctor used a cotton swab to scrape inside the wound. The physician said it is ...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, it is necessary to ensure that the internal pus and inflamed tissue are adequately drained. If the drainage is insufficient, the wound may need to be packed with gauze or cleaned through debridement. Healing of the abscess does not neces...[Read More] Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery