Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-anal fistula surgery Hello, Director: I had surgery for an anal fistula over two months ago. However, the doctor I saw only instructed me to take warm sitz baths with Betadine daily, without specifying for how long. I have been doing this until the wound heals, which has bee...
Dr. Ke Fangxu Reply:
Whether it is a recurrence of a fistula can only be determined through a physical examination, as online consultations cannot provide a diagnosis. However, based on your description, it seems less likely to be a recurrence. I recommend that you consult your surgeon for a further ...[Read More] Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-Surgery Bleeding on Day 8: Is It Normal?
Postoperative day 8, the wound is oozing blood? Hello, doctor. I underwent a vaginal rejuvenation surgery last Monday (not for cosmetic reasons, but because it was affecting my daily life). During the first week, I followed the doctor's advice and tried to stay in bed as muc...
Dr. Zhang Shuhao Reply:
1. It is possible for old blood to flow out through the incision, typically appearing darker, such as deep red or black. The amount may increase with movement or changes in position. If there are no other symptoms (such as redness, swelling, heat, pain at the wound site, purulent...[Read More] Post-Surgery Bleeding on Day 8: Is It Normal?
Understanding Foreign Bodies in Abdominal Surgery Wounds
Foreign body in abdominal surgical wound? Hello Doctor: My father (55 years old) sought medical attention around September 30 of last year due to a duodenal ulcer. Initially, there was a delay in seeking treatment, which led to symptoms of peritonitis and septic shock. He underwe...
Dr. Chen Bingze Reply:
I'm sorry to hear that your father has undergone six surgeries. Given his issues, it seems that the duodenal perforation he had was likely very difficult to suture. The thread you mentioned is probably not a foreign body; it is more likely the suture material used for the su...[Read More] Understanding Foreign Bodies in Abdominal Surgery Wounds
Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
What are the issues after outpatient surgery for thrombosed external hemorrhoids? Hello, doctor. I would like to ask: Yesterday, I visited a colorectal specialist at a certain hospital, and the doctor diagnosed me with a thrombosed external hemorrhoid, suggesting that it could be...
Dr. Zhang Shuhao Reply:
1. If a thrombosed external hemorrhoid is only incised to evacuate the clot, the hemorrhoidal tissue will still become inflamed and swollen. Gauze can be used to apply pressure to prevent further bleeding, but it does not help reduce swelling. Whether standing or sitting has litt...[Read More] Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery
Understanding Pain After Nail Removal: What to Expect and When to Worry
Pain after nail avulsion? Hello, I had a quarter of my nail and nail bed removed a week ago. I still experience pain when touching the nail or my big toe, and I cannot wear shoes. Moving my toe also causes pain, and I occasionally feel sharp pains, but there is no discharge from ...
Dr. Xu Kaixi Reply:
After the removal of a fingernail (or toenail), the wound typically forms a scab in about a week. At this point, the discharge should have decreased or ceased, and some pain at the site is normal. However, if there is unusual pain accompanied by redness, swelling, and increased d...[Read More] Understanding Pain After Nail Removal: What to Expect and When to Worry
Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-operative bowel issues after anal electrosurgery? At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal. The area of skin burned around the anus was relatively la...
Dr. Zhang Shuhao Reply:
If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed. Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements. If the surgery did ...[Read More] Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect
Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Two months after hemorrhoid surgery, there is still blood when wiping? Hello, I would like to ask if a patient has experienced bleeding during bowel movements two months after hemorrhoid surgery, could this indicate that internal hemorrhoids have reoccurred, or could there be ano...
Dr. Zhang Shuhao Reply:
If the wound from hemorrhoid surgery has not yet healed, there may be bleeding during bowel movements due to friction and straining, which will gradually improve as the wound heals. If hemorrhoids are surgically removed, they are unlikely to recur in a short period. If there are ...[Read More] Post-Hemorrhoid Surgery: Why Am I Still Experiencing Bleeding?
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I would like to consult with a doctor. I underwent anal fistula surgery at the end of February this year, but I experienced swelling in both May and July, with the May episode even resulting in pus formation. When I retu...
Dr. Zhang Shuhao Reply:
If the fistula has been completely excised, it is unlikely to recur at the same site. However, if there is swelling or purulent discharge, it is necessary to check for the formation of a new abscess or fistula. The surgical wound may exhibit itching or scar tissue formation depen...[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Post-Surgery Concerns: Addressing Eyebrow Trauma and Swelling Issues
Postoperative Issues: Trauma on the Eyebrow Hello, doctor. At the beginning of the month, I had stitches on my left eyebrow due to a car accident, with two layers stitched inside and one layer on the outside, which were removed two weeks ago. Recently, I have noticed slight swell...
Dr. Lü Mingchuan Reply:
You may need to have your wound evaluated further. You can visit the outpatient clinic for an assessment.[Read More] Post-Surgery Concerns: Addressing Eyebrow Trauma and Swelling Issues
Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Issues Related to Sexual Activity or Childbirth After Anal Fistula Surgery Hello Doctor, I underwent anal fistula surgery in early March, but from May to July, I experienced swelling and even pus formation. I consulted my original surgeon, who addressed the issues, and after a pr...
Dr. Ke Fangxu Reply:
1. If there is still swelling and purulent discharge, it may indicate a recurrence. As long as there is no anal intercourse, it should not affect sexual activity. 2. If the fistula is not connected to the vagina, then it should not be related. 3. It depends on the subsequent ...[Read More] Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Severe Pain After Hemorrhoid Ligation: What to Do Next?
Severe pain after hemorrhoid ligation? Hello Doctor, three days ago I underwent a hemorrhoid ligation surgery at the Taipei City Hospital Zhongxiao Branch. I am experiencing severe pain, and prior to the surgery, I had repeatedly requested a minimally invasive procedure, but the ...
Dr. Ke Fangxu Reply:
Typically, severe pain after hemorrhoid ligation is caused by insufficient depth of the ligation. In such cases, the rubber band should be removed, and the patient should wait for the wound to heal before proceeding with the next stage of treatment planning.[Read More] Severe Pain After Hemorrhoid Ligation: What to Do Next?
Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Scalp tumors & keloids There is a lipoma approximately 3 centimeters in size located on the right posterior scalp. I am considering surgical removal because it has been growing larger (originally 2 centimeters), but I have a history of keloid formation. Will this affect the s...
Dr. Chen Bingze Reply:
Hello, there is no significant impact from the surgery itself, but after the wound heals, you may still encounter the issue of keloids.[Read More] Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Anal fistula Hello, Doctor. About a year ago, I noticed a hard lump near my anus. When it first appeared, I consulted a physician who said it was hemorrhoids, and I left it at that. Over the past year, the lump has been painless, itch-free, and without any discharge, and its size...
Dr. Ke Fangxu Reply:
The only definitive treatment for an anal fistula is surgery. If there is no infection, swelling, or discomfort, continuous observation is also an option. However, if there are recurrent infections, it is advisable to proceed with surgical treatment to prevent the development of ...[Read More] Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Scalp tumors & keloids There is a lipoma approximately 3 centimeters in size located on the right posterior scalp. I am considering surgical removal because it has been growing larger (originally 2 centimeters). However, I have a history of keloid formation. Will this affect ...
Dr. Chen Bingze Reply:
Hello, there is no significant impact from the surgery itself, but after the wound heals, there may still be issues with hypertrophic scars.[Read More] Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Scalp tumors & keloids There is a lipoma approximately 3 centimeters in size on the right posterior scalp, which has been growing (originally 2 centimeters), and I am considering surgical removal. However, I have a history of keloid formation. Will this affect the surgical re...
Dr. Chen Bingze Reply:
Hello, there is no significant impact from the surgery itself, but after the wound heals, you may still encounter the issue of hypertrophic scars.[Read More] Impact of Keloid Condition on Scalp Lipoma Removal Surgery
Understanding Perianal Lumps: When to Consider Surgery or Medication
Perianal mass Hello, Doctor. A year ago, I noticed a hard lump near my anus. The first doctor I saw said it was hemorrhoids. After taking medication, it remained there, but since it was neither painful nor itchy, I didn't pay much attention to it. Until last Monday, when it ...
Dr. Zhang Shuhao Reply:
Anal fistulas are likely to recur due to their connection with the anal glands. Since this is your first occurrence and you are currently asymptomatic, you can choose to observe. However, if there is a recurrence at the same site (such as redness, swelling, heat, pain, a mass, or...[Read More] Understanding Perianal Lumps: When to Consider Surgery or Medication
Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new wounds? Hello Dr. Chou, I would like to consult with you regarding my father, who has kidney disease (not on dialysis), diabetes, a history of stroke, and v...
Dr. Zhou Hongzhang Reply:
Vascular obstruction can indeed lead to new wounds (even minor injuries or contusions can cause this). Additionally, old wounds may not heal easily. However, there are slight differences in the common sites of wounds caused by vascular diseases compared to those caused by pressur...[Read More] Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Post-hemorrhoid surgery Hello Dr. Chang, I underwent laser minimally invasive surgery for hemorrhoids under spinal anesthesia on July 10 at the Taoyuan General Hospital and was discharged on July 11. It has now been four days. I can only lie down or stay in bed. When lying down, ...
Dr. Zhang Shuhao Reply:
Laser minimally invasive hemorrhoid surgery generally refers to laser ablation surgery. The wound typically heals within three to five days post-operation, and while there may still be some localized swelling, it rarely affects gas or bowel movements. It is advisable to take warm...[Read More] Post-Hemorrhoid Surgery: Understanding Recovery and Common Concerns
Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?
Ten days after hemorrhoid ligation, there is a significant amount of blood when wiping, but no pain or itching? For the past six months, I've been experiencing itching in my buttocks and a sharp pain during bowel movements. Ten days ago, I underwent surgery for internal hemo...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, the hemorrhoidal tissue will undergo ischemia and eventually slough off, which may result in bleeding. If there are no other discomforts, it is advisable to monitor the situation. However, if there is persistent heavy bleeding or the fo...[Read More] Post-Hemorrhoid Surgery: Why Am I Experiencing Fresh Blood?