Understanding Wound Healing: When to Seek a Second Opinion
Wound healing issues? I underwent fistula surgery on April 14th. Initially, the doctor told me it would take three weeks to heal, but now it has been a month. During my recent follow-up appointment, he mentioned that a granulation tissue has formed and said it would take another ...
Dr. Xu Kaixi Reply:
Based on the image you provided, there are no significant signs of infection or inflammation in this granulation tissue. If it does not continue to enlarge, theoretically, ongoing medication and care will lead to improvement over time. If there is no improvement after a prolonged...[Read More] Understanding Wound Healing: When to Seek a Second Opinion
Is Swelling Normal After Traditional Hernia Surgery? Expert Insights
After traditional hernia surgery, the original site of the hernia may still appear swollen? Hello Doctor, my husband had traditional hernia surgery a month ago. Three days after the surgery, we had a follow-up appointment where the doctor just asked about his condition verbally a...
Dr. Xu Kaixi Reply:
After traditional hernia surgery, the wound healing will involve normal fibrotic scar tissue formation, which may present as some swelling and hardness upon palpation. If there is no significant severe pain or signs of redness and infection, this is considered a normal healing pr...[Read More] Is Swelling Normal After Traditional Hernia Surgery? Expert Insights
Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March. During my follow-up appointment, the doctor mentioned that my wound care was going well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Since ...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is a region where feces pass through, granulation tissue may recur. As long as there is no infection, it should theoretically improve and heal over time...[Read More] Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March, and during my follow-up visit, the doctor mentioned that my wound care was progressing well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Co...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is where feces pass through, granulation tissue may recur. As long as there is no infection, it is theoretically expected to improve and heal over time.[Read More] Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Post-Surgery Concerns After Phyllodes Tumor Removal: Pain and Healing Tips
Postoperative issues related to phyllodes tumor of the breast? Hello, Doctor. I would like to ask: I had surgery on March 19 to remove a phyllodes tumor from my breast (this is my second surgery due to recurrence). On April 20, after lifting heavy objects, I have been experiencin...
Dr. Chen Jiaming Reply:
Lifting heavy objects can indeed strain the muscles of the chest wall, potentially leading to internal tissue damage. It is advisable to return for a follow-up appointment for further evaluation and treatment. Of course, if there are no significant issues other than pain (such as...[Read More] Post-Surgery Concerns After Phyllodes Tumor Removal: Pain and Healing Tips
Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Postoperative care for hemorrhoids and anal fissures? Hello, I underwent traditional hemorrhoid and anal fissure surgery on February 24th, and it has been over forty days since the procedure. However, I still have a hematoma near the anus that is slightly larger than a thumbnail....
Dr. Ke Fangxu Reply:
1. Anorectal surgery typically results in complete wound healing within about a month post-operation; your situation is indeed somewhat unusual. 2. It is not entirely normal. 3. Using a combination of an antifungal ointment and an antibiotic ointment should not pose any issues....[Read More] Post-Surgery Concerns: Managing Hematoma and Pain After Hemorrhoid Surgery
Persistent Anal Tightness and Discomfort After Surgery: What to Do?
Feeling of tightness and fullness in the anus? Hello Doctor: I had traditional excision surgery for internal and external hemorrhoids on March 9, and it has been 24 days since the surgery. Before the operation, I felt a slight tightness in my anus, which did not go away after the...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, mild discomfort may persist for a period of time, but generally, recovery occurs within one month post-surgery. If you experience any unusual symptoms that do not improve, it is advisable to consult your surgeon to check for any issues with wound healing...[Read More] Persistent Anal Tightness and Discomfort After Surgery: What to Do?
Post-Appendectomy Concerns: Odor, Wound Care, and Healing Tips
Post-appendectomy complications Hello Doctor, I underwent surgery on March 31 and had my drain removed on April 4 before being discharged. Before I left the hospital, the nurse advised me to disinfect the area frequently and change the gauze. However, every time I change the gauz...
Dr. Chen Jiaming Reply:
Regarding the odor, there is no specific correlation. For wound dressing changes, it depends on the presence of exudate. If the wound is dry or has minimal tissue exudate, dressing changes can be done once daily to avoid exposing the wound to tap water. If there is purulent disch...[Read More] Post-Appendectomy Concerns: Odor, Wound Care, and Healing Tips
Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Postoperative Wound Care for Fistula Surgery Hello, doctor. I am 20 days post-operative from a fistula incision. A few days ago, during my follow-up appointment, the doctor said that the wound is healing well and that I do not need to return for further visits. However, I am curr...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about 4-6 weeks to heal completely. If it is a complex fistula, the healing time may extend up to two months. During this period, slight bleeding and discharge from the wound are normal. Antibiotic ointments are not necessary, a...[Read More] Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene
Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
Postoperative wound issues following anal fistula surgery? Hello Doctor, I had a follow-up appointment last week, and the doctor said that my wound is healing well and advised me to monitor it for another two weeks. If there are any issues, I should return for another visit. Howe...
Dr. Ke Fangxu Reply:
The wound shown in the photo is clean with no signs of recurrence. The postoperative discharge is a normal phenomenon. If there are no specific discomforts, a follow-up visit may not be necessary.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery
Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
After undergoing surgery for a fistula and hemorrhoids, there is a small amount of blood on the toilet paper after bowel movements? Hello Doctor: I underwent fistula and hemorrhoid surgery on December 25, 2020. After a follow-up visit on January 19, the doctor confirmed that the ...
Dr. Ke Fangxu Reply:
If the incision from the fistula surgery is relatively large, a small amount of bleeding postoperatively is considered normal. However, if constipation occurs, it may affect wound healing. It is recommended to take warm sitz baths and avoid hard stools. If the bleeding does not i...[Read More] Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Postoperative wound issues after anal fistula surgery? 1. I'm sorry, doctor. I feel that I may not have expressed my concerns clearly during my last visit. I am providing a photo of my discharge for your reference: https://drive.google.com/file/d/1npjn2MuEsOAoZh3qwvAvKpzP8S1...
Dr. Ke Fangxu Reply:
1. It's difficult to assess just by looking at the photo, but if the wound appears as shown in your picture, it should just be normal exudate. 2. The redness indicates that granulation tissue is beginning to form, which is a normal part of the wound healing process. 3. Diffe...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Wound Issues
Understanding Yellow Discharge After Fistula Surgery: Is It Normal?
Post-fistula surgery Hello Dr. Ke, I have just completed my third anal fistula surgery 25 days ago. About 15 days post-surgery, I noticed yellow discharge. What does the yellow discharge indicate? Is it normal? I also experienced this discharge after the second surgery, and I am ...
Dr. Ke Fangxu Reply:
The wound healing after anal fistula surgery is slower, and there will be discharge until complete healing occurs. As long as there is no redness, swelling, heat, or pain, it is not a concern. During this time, it is important to take frequent sitz baths and maintain cleanliness....[Read More] Understanding Yellow Discharge After Fistula Surgery: Is It Normal?
Post-Surgery Bowel Issues: Understanding Pain and Difficulty After Hemorrhoid Surgery
Post-hemorrhoid surgery Dear Dr. Hsu, I would like to ask you a question. I underwent traditional hemorrhoid surgery for the first time two weeks ago (on December 10th), and it has been 10 days since then. Everything seems to be improving; the bleeding during bowel movements and...
Dr. Xu Kaixi Reply:
The situation you described is more indicative of early postoperative symptoms related to hemorrhoids, associated with wound healing, and is less related to the sphincter. Theoretically, it should improve over time.[Read More] Post-Surgery Bowel Issues: Understanding Pain and Difficulty After Hemorrhoid Surgery
Post-Hemorrhoid Surgery: Managing Pain and Urinary Issues After Bowel Movements
After hemorrhoid surgery, experiencing significant pain and discomfort during bowel movements, as well as difficulty urinating? My husband had hemorrhoid surgery 13 days ago, but he has been having bowel movements 2-3 times a day. After each bowel movement, he experiences signifi...
Dr. Yu Mingchang Reply:
Hello: 6500 out-of-pocket? Eat more vegetables and fruits. Please return for a follow-up at the Changhua Hospital, Ministry of Health and Welfare, to ensure your well-being.[Read More] Post-Hemorrhoid Surgery: Managing Pain and Urinary Issues After Bowel Movements
Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Post-fistula surgery Hello, doctor. I had a fistula and external hemorrhoid surgery on October 20, 2020. It has been two months since then, and I have recently experienced slight bleeding and sharp pain. After one bowel movement, the bleeding increased (soaking half a tissue). Wh...
Dr. Ke Fangxu Reply:
Theoretically, the wound should be completely healed one month after surgery. If there is still significant bleeding, it may indicate poor wound healing or residual bleeding from internal hemorrhoids. It is advisable for you to have the surgeon check it again.[Read More] Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery
Post-Appendectomy Concerns: Wound Issues and Recovery Questions
Postoperative Wound Issues After Appendectomy On the evening of November 9th, I underwent laparoscopic appendectomy. After the surgery, the doctor did not place a drainage tube, and I was discharged to rest at home the next day. Starting from the third day until now, the fifth da...
Dr. Xu Kaixi Reply:
After laparoscopic appendectomy for acute appendicitis, the decision to place a drain will depend on the intraoperative findings. If the inflammation is not severe, a drain may not be necessary. During the wound healing process, some white covering may be fibrous tissue, which ca...[Read More] Post-Appendectomy Concerns: Wound Issues and Recovery Questions
Post-Appendectomy Wound Concerns: Is Drainage Necessary?
Postoperative Wound Issues After Appendectomy On the evening of November 9th, I underwent laparoscopic appendectomy. After the surgery, the doctor did not place a drainage tube, and I was discharged to rest at home the next day. Starting from the third day until now, the fifth da...
Dr. Xu Kaixi Reply:
After laparoscopic appendectomy for acute appendicitis, the decision to place a drain will depend on the intraoperative findings. If the inflammation is not severe, a drain may not be necessary. During the wound healing process, some white covering may be fibrous tissue, which ca...[Read More] Post-Appendectomy Wound Concerns: Is Drainage Necessary?
Understanding Wound Healing After Cyst Removal Surgery
Wound healing issues after sebaceous cyst surgery? Hello Doctor, I had a sebaceous cyst excision surgery at the beginning of the month, and I had my stitches removed two weeks post-surgery. It has been a week since the stitches were removed, and during the wound care process, the...
Dr. Li Zhonghuai Reply:
Hello! If the wound is healing poorly, wait for the granulation tissue to develop, and the skin will grow over it. You may ask your physician if there are any moisturizing gel dressings available to help promote faster granulation tissue formation. Take care! Changhua Hospital ca...[Read More] Understanding Wound Healing After Cyst Removal Surgery
Understanding Wound Healing: When to Seek Further Medical Attention
Wound healing issues? I would like to ask about a previous cat scratch injury that was somewhat deep. I went to see a doctor, and after the wound was dressed, I was given medication to change the dressing myself. Following the clinic's instructions, I took antibiotics and ch...
Dr. Li Zhonghuai Reply:
Hello! Sometimes, deeper wounds require debridement to promote faster healing. It is recommended to return for an evaluation. Take care! Changhua Hospital cares about you![Read More] Understanding Wound Healing: When to Seek Further Medical Attention