Proper Care for Finger Cuts: Tetanus Status and Wound Management
Wound management for lacerations? The finger was cut by a metal plate. Tetanus vaccination was received two years ago. Should I ensure the wound heals properly and avoid prolonged exposure to water? The cut is approximately 3 cm in length and 0.3 cm in depth.
Dr. Ke Fangxu Reply:
Such a wound should ideally be cleaned and sutured. If the wound is not sutured promptly, the healing time will inevitably be prolonged. The wound should be kept dry and not exposed to water temporarily. If it does not heal after a considerable amount of time, it is advisable to ...[Read More] Proper Care for Finger Cuts: Tetanus Status and Wound Management
Surgery During Menstruation: What You Need to Know
Surgery during menstruation? Hello Dr. Ke, I am the patient from question #203279 (sorry to ask another question). I was thinking about the surgery date, and it seems it will coincide with my menstrual period. After I left, I remembered this and went back to inform the nurse in t...
Dr. Ke Fangxu Reply:
Menstruation will not affect the surgery; however, if a warm water sitz bath is needed postoperatively, using tampons may be inconvenient. Tampons are the first recommendation. If you are unable to use them, you may consider rescheduling the surgery or taking medication to adjust...[Read More] Surgery During Menstruation: What You Need to Know
Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Anal issues Hello doctor, I developed severe dermatitis and fissures around the anal area a year ago due to the use of ointments, suppositories, and sitz baths, which resulted in a wound in the perineal region. Although the skin healed after treatment, I have been experiencing pa...
Dr. Ke Fangxu Reply:
Generally, such wounds are not sutured because they are due to skin issues rather than external trauma. If the underlying skin problem is not resolved, the sutured area will inevitably reopen. It is recommended that you consult a dermatologist for patient treatment of the dermati...[Read More] Chronic Anal Pain: Seeking Solutions for Persistent Skin Issues
Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
The issues related to surgery for sebaceous cysts and fistulous tracts associated with keloids? Due to a recurring hard lump near the anus that was painful, the doctor was uncertain if it was a fistula. After being prescribed antibiotics, a few months later, another lump appeared...
Dr. Ke Fangxu Reply:
A sebaceous cyst, also known as an epidermoid cyst, can occur in any skin area where sebaceous glands are present. Keloids, on the other hand, are a rare condition characterized by the uncontrolled proliferation of scar tissue. More commonly, hypertrophic scars refer to scars tha...[Read More] Can You Safely Undergo Surgery for Cysts with Hypertrophic Scarring?
Post-Stitch Care: Managing Wound Healing After Surgery
Wound after suture removal? Two weeks ago, I cut the palm of my hand with a utility knife and received three stitches. Today marks five days since the stitches were removed, but the epidermis does not appear to have healed. It looks red and white and continues to ooze (not in a d...
Dr. Lü Mingchuan Reply:
Wound assessment can be performed in an outpatient setting.[Read More] Post-Stitch Care: Managing Wound Healing After Surgery
Managing Cuts on the Hand: Scar Prevention and Healing Tips
The back of the hand was lacerated and bleeding due to a flying name card holder? Hello, doctor! I apologize for bothering you with a small question. Last Saturday, while I was out, I accidentally got cut on the joint of my hand by a flying designer cardholder. Although it didn&#...
Dr. Li Zhonghuai Reply:
Hello! Continue applying silicone gel for scar treatment for at least 3 months. The joint can move freely, and if the skin lifts up and falls off, there is no need to worry. Take care! Changhua Hospital cares about you![Read More] Managing Cuts on the Hand: Scar Prevention and Healing Tips
Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
After the appearance of serous fluid in the head, the screw fell out. The wound was cleaned with saline and Betadine, but serous fluid still appeared and the wound has not healed? Twenty years ago, I had a car accident that required one surgery to perform a craniotomy to remove a...
Dr. Zhang Junwei Reply:
It doesn't matter what medication is applied; it's important to have a physician identify the underlying cause of the non-healing wound.[Read More] Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Two years after hemorrhoid surgery, experiencing fecal incontinence? Hello Doctor, it has been nearly two years since my hemorrhoid surgery, and even after cleaning thoroughly after bowel movements, I still experience leakage of fecal fluid and secretions. I have undergone anorec...
Dr. Zhang Shuhao Reply:
1. It is difficult to guarantee whether further improvement is possible without a clear understanding of the actual surgical condition, but if there is no significant damage to the sphincter, the chances of recovery are higher. 2. If there is a noticeable defect in appearance, ...[Read More] Post-Hemorrhoid Surgery: Managing Fecal Leakage and Concerns
Managing Post-Surgery Wound Care: Tips for Healing and Prevention
The healed skin over the wound has been rubbed off? After my surgery, during a follow-up appointment, the doctor mentioned that the skin around my wound was healing slowly and appeared thin. It eventually healed, but in the past few days, due to constipation, my stool has been a ...
Dr. Zhang Shuhao Reply:
Recently healed wounds have a more fragile epidermis and can easily bleed due to friction. It is advisable to avoid ointments containing steroids. After using the restroom, consider rinsing or using moist wipes to reduce friction. Increase fluid intake and dietary fiber to preven...[Read More] Managing Post-Surgery Wound Care: Tips for Healing and Prevention
Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
There is blood on the toilet paper? Last week, I experienced a tearing sensation in my anus while using the restroom in the morning. Later that afternoon, I noticed a small amount of red mucus when I went to the bathroom. I'm unsure if this is an anal fissure or hemorrhoids....
Dr. Zhang Shuhao Reply:
If there is a sharp pain and slight bleeding during bowel movements, it is most likely caused by an anal fissure. In addition to using topical ointments, it is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to soften stools, as well as to mini...[Read More] Understanding Rectal Bleeding: Fissures vs. Hemorrhoids
Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Anal abscess Hello Doctor, I started experiencing pain around my anus on November 30th, which has affected my daily life. On December 1st, I visited my family doctor who suspected it was hemorrhoids and prescribed antibiotics and an ointment. However, on the evening of December 2...
Dr. Zhang Shuhao Reply:
The family medicine physician prescribed antibiotics and ointment, indicating that the doctor also suspects an anal abscess. If it ruptures on its own, it's fine; you can clean and disinfect the area and gently express the pus. Continue applying the ointment to the wound. Af...[Read More] Understanding Anal Abscess: Symptoms, Causes, and Treatment Options
Post-Operative Care and Concerns After Anal Abscess Drainage Surgery
Postoperative care for anal abscess? Hello Doctor, I underwent anal drainage treatment three days ago (without anesthesia for the incision). Over the past few days, I have noticed fluid leaking out. I would like to ask three questions: 1. The affected area remains swollen by a fe...
Dr. Zhang Shuhao Reply:
1. After incision, pus may drain from the affected area, but the swollen tissue will not decrease in size quickly; noticeable improvement will only occur once the inflammation subsides. 2. The amount of draining pus will gradually decrease, eventually turning into clearer tissue ...[Read More] Post-Operative Care and Concerns After Anal Abscess Drainage Surgery
Post-Surgery Skin Issues: Managing Wound Healing and Care Tips
The healed skin over the wound has been scraped off? After my surgery, during a follow-up visit, the doctor mentioned that the skin around my wound was healing slowly and appeared thin. It eventually healed, but in the past few days, due to constipation, my stool has been somewha...
Dr. Zhang Shuhao Reply:
Recently healed wounds have a more fragile epidermis and can easily bleed due to friction. It is advisable to avoid ointments containing steroids. After using the restroom, switch to rinsing or using moist wipes to reduce friction. If symptoms worsen, it is recommended to return ...[Read More] Post-Surgery Skin Issues: Managing Wound Healing and Care Tips
Post-Surgery Concerns: Blood After Bowel Movements Explained
Post-fistula surgery After nearly two months post-surgery, if you notice some blood when wiping after a bowel movement, it could be due to hard stools or a wound that hasn't fully healed.
Dr. Zhang Shuhao Reply:
Wound healing after fistula surgery typically takes about four to eight weeks. Initially healed wounds may still be prone to friction and bleeding, but allowing the wound to rest will promote healing. It is recommended to take warm sitz baths, increase fluid intake, and consume d...[Read More] Post-Surgery Concerns: Blood After Bowel Movements Explained
Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Issues related to the presence of blisters at the anal opening and fistula surgery? Hello, doctor. I underwent anal fistula surgery two years ago, and this year I had two more surgeries at the end of July and the beginning of October. The surgical area is from the anal opening to...
Dr. Zhang Shuhao Reply:
There are no visible wounds on the surface, but as long as the inside of the anus has not fully healed, there may still be some discharge. If ointment is still being used, the discharge may appear to be more abundant. If there is no swelling, pain, or bleeding, there is likely no...[Read More] Understanding Post-Surgery Symptoms: Anal Fistula and Blister Concerns
Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Postoperative massage after anal fistula surgery? Hello, doctor. It has been 4 weeks since my surgery. During my follow-up visit today, the doctor said that my wound is healing well and that I can start massaging it. However, the doctor directly inserted their finger into my anus...
Dr. Ke Fangxu Reply:
1. It is sufficient to take warm sitz baths without the need for massage; personally, I do not recommend massage for patients. 2. For simple fistulas, maintaining cleanliness and waiting for the wound to heal is adequate. If there is no pain or swelling, the application of oint...[Read More] Post-Surgery Anal Fistula Massage: Is It Necessary and Normal?
Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Mixed hemorrhoidal mass Hello doctor! In the past few months, I have been experiencing thrombosed hemorrhoids. The swelling has decreased significantly after soaking in warm water. However, yesterday, when my wife examined the area, she noticed a wound on the skin tag that appear...
Dr. Zhang Shuhao Reply:
Thrombosed hemorrhoids are similar to areas covered by regular skin; friction can still cause wounds, and sometimes they may rupture, leading to bleeding or even small blood clots. Regular warm sitz baths, along with topical treatments, are usually sufficient for management. If t...[Read More] Understanding Mixed Hemorrhoids: Symptoms, Treatment, and Concerns
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Can anal intercourse be performed after hemorrhoid surgery? Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with t...
Dr. Zhang Shuhao Reply:
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Post-Surgery Leakage: Understanding Fistula Repair Complications
Fistula surgery with postoperative leakage after bowel movement? Hello doctor, I had a fistula surgery on September 26, and it has been almost two months since then. I still have some yellowish discharge, and I’ve noticed a small amount of fecal leakage about half an hour after e...
Dr. Zhang Shuhao Reply:
If the wound from the fistula surgery is relatively large, it is common to have some discharge before healing is complete. As long as there are no signs of infection such as redness, swelling, heat, pain, or fever, it can be monitored. It is also quite common to experience a slig...[Read More] Post-Surgery Leakage: Understanding Fistula Repair Complications
Do I Need a Tetanus Shot After a Cat Scratch?
Cat scratch injury Hello, doctor: I was scratched by a stray cat today. The wound is not deep or large, but there was slight bleeding at the time of the scratch, which stopped quickly. I would like to ask if I need to receive a tetanus vaccine in this situation. Thank you!
Dr. Zhang Shuhao Reply:
If you are scratched by a feral cat and have an open wound, it is essential to receive a tetanus shot and oral antibiotic treatment. However, if it is just a minor abrasion with slight bleeding, treatment may not be necessary. In this case, it is recommended to apply an ointment ...[Read More] Do I Need a Tetanus Shot After a Cat Scratch?