Understanding a Hard Lump Near the Anus: Is It a Fistula?
There is a hard lump outside the anus? This lump has been present for over a year, has not changed in size, and is not painful. This morning, I noticed that it may have been compressed, causing a small hole to bleed. I am very worried that it might be a fistula. I would like to a...
Dr. Zhang Shuhao Reply:
If it is a first-time occurrence, it could be an anal abscess. As for whether a fistula has formed, it can be checked after the inflammation subsides. It is recommended to seek medical treatment, prescribe anti-inflammatory medication and topical ointments, keep the wound clean, ...[Read More] Understanding a Hard Lump Near the Anus: Is It a Fistula?
Post-Laparoscopic Surgery: Managing Belly Button Scarring and Care Tips
Umbilical wound after laparoscopic surgery? Originally, the belly button was indented, but after laparoscopic surgery (which was a month ago), the wound at the belly button has developed a appearance resembling small keloids, and the surrounding area appears a bit dark (not aesth...
Dr. Zhang Shuhao Reply:
One month after surgery, the wound may still be in the remodeling phase. It is recommended to keep the wound clean and dry, and to return for regular follow-up appointments. Scar treatment products should only be used after the surgeon assesses that the wound is stable.[Read More] Post-Laparoscopic Surgery: Managing Belly Button Scarring and Care Tips
Should You See a Doctor for a Pet Hamster Bite?
Pet golden hamster bite? I was bitten on the finger by my pet golden hamster last week. I immediately disinfected the wound and applied a bandage. Recently, the surface of the wound has healed, but it still hurts when pressed. Should I see a healthcare provider?
Dr. Li Zhonghuai Reply:
Hello! It is recommended to seek medical attention, as there is a concern about a deep bite that may still be infected. Our hospital's approach is to use an ENT swab to clean the wound thoroughly and apply ointment. Take care! Changhua Hospital is here for you![Read More] Should You See a Doctor for a Pet Hamster Bite?
Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
Post-banding bleeding of internal hemorrhoids? Hello, Dr. Ke. I would like to ask, after undergoing rubber band ligation for hemorrhoids one month ago, I have had no discomfort. However, these past few days, after using the restroom, I noticed that when I wiped a bit harder, ther...
Dr. Ke Fangxu Reply:
One month after rubber band ligation for hemorrhoids, the wound should have healed. At this point, any bleeding may be due to bleeding from other locations of internal hemorrhoids. As long as the amount of bleeding is not significant, it is not a concern; otherwise, it is advisab...[Read More] Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
Should My Grandma See a Doctor for Her Swollen Toenail Injury?
The toenail has lifted up? My grandmother fell a few days ago and part of her toenail was lifted. She went to the hospital at that time, and the doctor noted that the wound appeared somewhat red and swollen. She was prescribed antibiotics and took them for three days. During her ...
Dr. Chen Bingze Reply:
Hello, if you notice any changes in the wound, it is advisable to return and have a doctor take a look.[Read More] Should My Grandma See a Doctor for Her Swollen Toenail Injury?
Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Anal stenosis My mother is 91 years old. About 40 years ago, she underwent a hemorrhoidectomy, which resulted in anal stenosis. Since then, she has been using her hands to assist with bowel movements. It was only 8 years ago that we discovered her condition and consulted a doctor...
Dr. Zhang Shuhao Reply:
The surgical risks for a 91-year-old patient are relatively high, including risks associated with anesthesia and delayed wound healing. It is recommended to first visit a hospital for an evaluation to determine if the patient's physical condition is suitable for surgery. As ...[Read More] Managing Anal Stenosis in Elderly Patients: Surgical and Non-Surgical Options
Post-Accident Venous Inflammation: Understanding Recovery and Circulation Issues
Venous inflammation after a car accident? After the car accident, there was persistent swelling from the calf to the dorsum of the foot, with the swollen area and wound site exhibiting a darker color. After seeking medical attention, the diagnosis was venous inflammation and ankl...
Dr. Xu Kaixi Reply:
A car accident resulted in an injury to the lower leg, which was diagnosed as venous inflammation and ankle joint adhesions after medical evaluation. Any external injury to the body not only causes direct damage to the tissues due to external forces but also leads to varying degr...[Read More] Post-Accident Venous Inflammation: Understanding Recovery and Circulation Issues
Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Thrombosed Hemorrhoid Excision Surgery Hello, doctor. I had a surgical excision of a thrombosed external hemorrhoid on June 21. About five days post-operation, my bowel movements started to become less painful, and I felt that the wound was gradually improving. However, by the ei...
Dr. Zhang Shuhao Reply:
If a new protrusion appears on the opposite side of the wound, it may be a new thrombosed external hemorrhoid. Here are some recommendations: 1. Monitor symptoms: Continue to observe any changes in pain and the new protrusion, paying attention to any further swelling, discolorati...[Read More] Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu Reply:
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
More than a month after surgery for anal abscess? Hello! I had surgery for an anal abscess over a month ago, and I've been taking sitz baths and applying medication daily. However, currently, the affected area feels like there is a bag with a pressing sensation and a watery ...
Dr. Zhang Shuhao Reply:
Generally, the condition after an anal abscess drainage surgery stabilizes within four to six weeks. However, due to factors such as the size and depth of the abscess, the degree of soft tissue inflammation, and individual differences in immune response, healing may take longer. ...[Read More] Post-Surgery Concerns: Understanding Symptoms After Anal Abscess Treatment
Delayed Healing After Cyst Removal: When to Seek Further Evaluation
Poor wound healing after cyst removal? Hello, doctor. Three weeks ago, I had a sebaceous cyst treated in the dermatology clinic (the doctor made an incision and extracted the cyst). I have been changing the dressing regularly without any issues (no odor), but the doctor mentioned...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to seek general surgery to completely remove the capsule to prevent recurrence. Take care! Changhua Hospital is concerned about you![Read More] Delayed Healing After Cyst Removal: When to Seek Further Evaluation
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscess? Hello Doctor, I have been experiencing pain near the anal area recently. The doctor I consulted initially diagnosed it as an anal abscess, approximately the size of a half peanut, with some signs of pus formation. I was prescribed oral antibiot...
Dr. Zhang Shuhao Reply:
If an abscess near the anus is only the size of a half peanut, it may not necessarily be connected to the anal glands. Initially, oral antibiotics can be prescribed for observation, as most cases can resolve on their own. However, if there is severe swelling and inflammation, inc...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
15 days post-appendectomy? It has been 15 days since your appendectomy (with some peritonitis), and the wound appears normal with no issues during your follow-up visit. Is it normal to experience frequent urination at night? Recently, you have also had a fever for the past two da...
Dr. Ke Fangxu Reply:
If a urinary catheter was inserted during surgery, there is a possibility of developing a urinary tract infection, which may require a urinalysis for confirmation. If it is related to surgical complications, an intra-abdominal abscess could also be a possibility. This diagnosis w...[Read More] Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
Chronic Anal Pain: Understanding Symptoms and Treatment Options
Anal burning pain Hello Doctor: I do not have a history of constipation. About eight months ago, after having anal intercourse, I experienced swelling and pain in the anal area for a few days. I later visited a clinic, where the doctor performed a digital examination and diagnose...
Dr. Zhang Shuhao Reply:
There is a peanut-sized venous protrusion outside the anus, which is likely a venous thrombosis caused by hemorrhoidal friction and bleeding. There may also be issues with anal fissures and hemorrhoids simultaneously. Therefore, the doctor prescribed Daflon, recommended warm sitz...[Read More] Chronic Anal Pain: Understanding Symptoms and Treatment Options
Understanding Motorcycle Exhaust Burns: Symptoms and Treatment
Motorcycle exhaust pipe burn? Hello, doctor. A few days ago, I got burned by a motorcycle exhaust pipe. The burned area turned white immediately, and the next day, the surrounding skin became red. On the third day, the wound turned bright red, and there was more exudate than the ...
Dr. Lu Daokuan Reply:
Burns from exhaust pipes are classified as second to third degree injuries. It is common for blisters to appear white underneath, along with exudate, swelling, and pain. The healing period is approximately three weeks, but it may take longer if third-degree burns are present. As ...[Read More] Understanding Motorcycle Exhaust Burns: Symptoms and Treatment
Optimal Body Fat Percentage for Male Gynecomastia Surgery
What is the appropriate body fat percentage for men with gynecomastia to consider surgery? I (male) have been diagnosed with gynecomastia by a gynecologist at a major hospital after a physical examination (they did not charge me a consultation fee). Currently, I am classified as ...
Dr. Li Zhonghuai Reply:
Hello! I only perform simple excision for gynecomastia. If there is excessive body fat, you would need to consult a plastic surgeon for liposuction. In cases of Grade 3 gynecomastia, the breast tissue is noticeably sagging when standing. However, I always start with an ultrasound...[Read More] Optimal Body Fat Percentage for Male Gynecomastia Surgery
Is It Normal for a Dog Bite to Swell and Feel Numb After a Week?
Dog bite injury If a man was bitten on the back of the hand by a pet dog and has seen a doctor for a tetanus shot and is taking antibiotics, but after a week the hand is still swollen and there is some hardness around the wound along with tingling sensations, is this normal?
Dr. Li Zhonghuai Reply:
Hello! The wound from a dog's bite is deeper than it appears, and bacteria have penetrated deeply. It is necessary to use the finest cotton swab from ENT to thoroughly clean the wound, followed by the application of antibiotic ointment. However, this procedure is quite painf...[Read More] Is It Normal for a Dog Bite to Swell and Feel Numb After a Week?
Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery
Fistula surgery 1. Is minimally invasive surgery significantly worse than traditional surgery in terms of success rates, recovery outcomes, and recurrence rates? 2. I see that there are minimally invasive ligation and minimally invasive laser procedures available online; are the...
Dr. Zhang Shuhao Reply:
1. Traditional surgery for fistulas currently remains the surgical method with the lowest recurrence rate. Minimally invasive surgery results in smaller wounds and faster recovery, but the location of the fistula must be precisely identified, and in the case of complex fistulas, ...[Read More] Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns
Postoperative Wound Care for Hemorrhoid Surgery Hello Doctor: I apologize for bothering you again. I have two additional questions regarding the issue I previously inquired about (#208283). 1. The open wound has not healed for almost three months. I have been continuously apply...
Dr. Zhang Shuhao Reply:
1. It is relatively uncommon for a surgical wound to remain unhealed for three months; a follow-up appointment is necessary to check for any abnormal inflammation or infection, or other factors that may be causing delayed healing. Granulation tissue that forms during the healing ...[Read More] Post-Surgery Care for Hemorrhoid Wounds: Tips and Concerns