Managing Chronic Wounds After a Car Accident: Knee Injury Care Tips
Wound after a car accident? Since my car accident on January 17, my knee wound is still oozing tissue fluid and blood, along with some pus, as of February 1. The other wounds have mostly healed. What should I do to help my knee wound heal? I change the dressing daily and have vis...
Dr. Li Zhonghuai Reply:
Hello! Is there any foreign material in the wound? Such as sand, metal shavings, or wood splinters. There may be necrotic tissue and a hematoma present. Smoking and drinking alcohol can both have an impact. It's important to clean the dirty biofilm daily. At 28 years old, yo...[Read More] Managing Chronic Wounds After a Car Accident: Knee Injury Care Tips
Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...
Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?
Unexplained Skin Changes on Arm: Seeking Answers and Next Steps
Skin on the arm In March to April 2023, I noticed a small red patch on my arm that had no wounds, was not painful, and exhibited slight localized warmth. Subsequently, the color began to darken, and the condition has since extended upward, with the skin becoming hard, darker, and...
Dr. Lü Mingchuan Reply:
You can go to the plastic surgery department for evaluation.[Read More] Unexplained Skin Changes on Arm: Seeking Answers and Next Steps
Managing External Anal Wounds: Bathing Tips for Faster Healing
Anal wound Hello, Dr. Chang. I would like to ask about warm sitz baths for anal fissures, which promote blood circulation and aid in wound healing. However, if the wound is outside the anus and becomes wet and macerated after bathing, wouldn't that make it harder to heal? I ...
Dr. Zhang Shuhao Reply:
After soaking in a bath for anal fissures, it is important to gently pat the area dry before applying ointment. This can help reduce the frequency of sitz baths and medication application, as well as minimize time spent in the restroom. It is also advisable to increase fluid inta...[Read More] Managing External Anal Wounds: Bathing Tips for Faster Healing
Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Postoperative Modified Ferguson with Ligasure? Hello, Doctor. It has been ten days since my complete excision of internal and external hemorrhoids, and I am experiencing minimal pain now. I continue to rinse with warm water after using the restroom at home, and when I am outside,...
Dr. Ke Fangxu Reply:
The wound after hemorrhoidectomy typically takes about 2 to 4 weeks to fully heal. Mild discomfort or stinging during this period is normal. It is recommended to take warm sitz baths frequently or apply topical ointments to help alleviate the irritation at the wound site.[Read More] Post-Operative Care and Concerns After Modified Ferguson with Ligasure Surgery
Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Is it an external hemorrhoid with thrombosis? 1. Current symptoms: For about 2 weeks, there is a sharp pain when pressed, but no pain if ignored. I have been doing warm water sitz baths (using tap water) for two days. The first week, the area felt soft when pressed, but in the se...
Dr. Zhang Shuhao Reply:
1. If two doctors have already diagnosed you with thrombosed hemorrhoids, you can follow their treatment recommendations, which may include warm sitz baths, oral anti-inflammatory and pain relief medications, using hemorrhoid ointments, and adjusting your diet and bowel habits. M...[Read More] Is It a Thrombosed Hemorrhoid? Understanding Symptoms and Treatment Options
Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Assessment of post-fistula surgery condition? I underwent a fistula surgery, which I believe was superficial. The clinic performed the surgery immediately on the same day. Now, three days have passed, and during my follow-up appointment on the second day, the doctor removed a pie...
Dr. Ke Fangxu Reply:
1. Fistula incision surgery involves cutting the internal opening to the external opening, effectively creating a single opening, thus eliminating both the internal and external openings. 2. Normal. 3. Will. 4. Will not.[Read More] Post-Surgery Care and Concerns After Fistula Procedure: What to Expect
Palm Pain After Childhood Injury: Is Glass Still Inside?
Palm pain or tingling in the hand? I was injured as a child when my palm was cut by glass. After surgery, the glass was removed, but many years later, I experience pain when gripping the steering wheel. Could this be due to residual glass not being completely removed?
Dr. Xu Kaixi Reply:
Pain in the palm years after a glass laceration may be due to scar neuropathy following wound healing. The likelihood of pain caused by retained glass is lower, but it cannot be completely ruled out. It is recommended to visit a surgical outpatient clinic for evaluation.[Read More] Palm Pain After Childhood Injury: Is Glass Still Inside?
Understanding Numbness After Finger Injury: Which Specialist to See?
Finger issues Last week, I accidentally cut my left hand index finger behind the second joint with a kitchen knife while working. It took about 5 minutes to stop the bleeding. After the wound healed, I noticed a small area of skin in front of the cut that has no sensation, simila...
Dr. Li Zhonghuai Reply:
Hello! If you have injured a superficial nerve, taking vitamin B12 can promote wound healing, and there is no need to seek medical attention. Stay safe! Changhua Hospital cares about you![Read More] Understanding Numbness After Finger Injury: Which Specialist to See?
Post-Car Accident Wound Care: Concerns About Stitch Removal and Healing
Wound issues after a car accident? Hello Doctor, I was in a car accident on the 12th, and today, the 27th, I had my stitches removed. I would like to ask if walking and working after the stitches are removed could cause the wound to reopen. I usually walk with a limp to reduce th...
Dr. Li Zhonghuai Reply:
Hello! You can simply apply the beauty patch outside. Make sure the beauty patch is perpendicular to the wound and extend it a bit longer. A 1 cm wound is manageable. Take care! Changhua Hospital cares about you![Read More] Post-Car Accident Wound Care: Concerns About Stitch Removal and Healing
Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Choosing Surgical Options for Chronic Anal Fissures: Pros and Cons I would like to consult a physician regarding a condition I have been experiencing for three years, which involves internal and external hemorrhoids accompanied by anal fissures and bleeding. Initially, I applied ...
Dr. Ke Fangxu Reply:
1. To my knowledge, there is only one type of surgery for anal fissures, which is the lateral internal sphincterotomy (LIS) you mentioned. Fissurectomy refers to the excision of the fissure itself; however, this step is optional. Once the sphincter is cut, the fissure will heal o...[Read More] Choosing the Right Surgery for Chronic Anal Fissures: Pros and Cons
Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
If the surgical wound stitches have opened, should I return for re-suturing? A cyst has developed near the anal area. During the first episode of inflammation, the doctor performed a drainage procedure and diagnosed it as an anal abscess. However, it has recurred monthly (the doc...
Dr. Zhang Shuhao Reply:
1. If the surgical wound opens up, it is necessary to return to the doctor who performed the surgery for evaluation. Even if re-suturing is not required, a new treatment plan must be established, and instructions on how to care for the wound should be provided. Generally, wounds ...[Read More] Post-Surgery Wound Dehiscence: When to Re-Stitch and Healing Tips
Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Chang, I am a patient with grade III internal hemorrhoids and have already undergone minimally invasive hemorrhoid surgery. It has been over two months since the surgery. For the first month after the surgery, my bowel movements were normal, but ...
Dr. Zhang Shuhao Reply:
If the examination shows no issues with stenosis, it may not necessarily be related to surgery. A colonoscopy will not affect bowel function. It is advisable to increase fluid intake and fiber supplements, engage in more physical activity to promote gastrointestinal motility, use...[Read More] Post-Surgery Constipation: Understanding Recovery After Hemorrhoid Surgery
Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Hypertrophic scar Hello Doctor, I have four questions to ask you. I had a sebaceous cyst removed near my anus (the doctor was initially unsure if it was an anal fistula; the doctor I saw was a colorectal specialist). During the surgery, one of the cysts had pus, and the doctor me...
Dr. Zhang Shuhao Reply:
1. Initially, if it is a simple skin cyst that is not connected to the anal glands, it will not develop into an anal fistula. 2. Breathable adhesive tape can be applied for three to six months; manufacturers claim it is less likely to form scars, but the effectiveness varies fro...[Read More] Understanding Hypertrophic Scars: Post-Surgery Care and Concerns
Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Postoperative bowel movements after Modified Ferguson with Ligasure? Hello, doctor. I had hemorrhoid surgery on Thursday afternoon. I took two softening agents in the evening, and I did not have a bowel movement before being discharged the next day. After returning home, I had wa...
Dr. Zhang Shuhao Reply:
If there is loose stool, Sennosides and Magnesium Oxide can be temporarily discontinued. If there are no severe constipation issues before the surgery, there is no need to take stool softeners after the procedure. Increase fluid intake, continue warm sitz baths, and if there is n...[Read More] Post-Surgery Bowel Movements: Managing Diarrhea After Modified Ferguson Procedure
Dealing with Redness After Popping Pimples and Using Artificial Skin
After squeezing a pimple, the skin became injured, and applying artificial skin made it even redder? Hello Doctor, last week I squeezed a closed comedo and the surrounding skin got scraped. After that, I applied a topical acne medication, and once it scabbed over, I decided to us...
Dr. Li Zhonghuai Reply:
Hello! Artificial skin can trap oil, leading to inflammation. After scabbing, it's important to apply scar gel promptly to reduce scarring. Avoid fried foods, barbecued items, and sweets to prevent recurrence. Take care! Changhua Hospital cares about you![Read More] Dealing with Redness After Popping Pimples and Using Artificial Skin
Understanding Calf Hematomas: Healing and Recovery After Injury
Calf hematoma I had a car accident on January 10th, and the wound on my left calf has not fully healed. There is noticeable swelling around the wound, and it is painful when pressed. I would like to know if the swelling will gradually subside on its own.
Dr. Li Zhonghuai Reply:
Hello! An X-ray is used to check for any fractures, while an ultrasound is used to check for any hematomas. If neither is present, poor wound healing can cause swelling in the surrounding soft tissue. It is recommended to return for a follow-up appointment. Take care! Changhua Ho...[Read More] Understanding Calf Hematomas: Healing and Recovery After Injury
Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Hemorrhoid ligation After the doctor's assessment, it was recommended to undergo three sessions of rubber band ligation. The first procedure was performed 10 days ago to address the internal hemorrhoid that was expected to fall off. However, since there is no pain, I am unsu...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, ischemia may occur, leading to gradual atrophy and eventual sloughing off. The symptoms of prolapse may improve over time. You may ask the doctor to examine the wound during the next ligation procedure.[Read More] Understanding Rubber Band Ligation for Hemorrhoids: What to Expect
Post-Car Accident Wound Care: Managing Infection and Swelling
Wound care issues following a car accident (with mild cellulitis)? Hello Dr. Peng, I sustained an injury to my ankle from a car accident. On the third day, I noticed some redness and swelling around the wound. When I returned to the orthopedic clinic the next day, the doctor pre...
Dr. Peng Xianwen Reply:
Hello Ms. M: 1. Taking antibiotics will definitely have an effect, but it is essential to completely control the infection in daily life. 2. The color of the scab or subcutaneous tissue with secretions. 3. Elevating the legs can help alleviate symptoms. 4. No, you can walk. For y...[Read More] Post-Car Accident Wound Care: Managing Infection and Swelling
Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips
The anal wound has not healed? Hello Doctor, since my hemorrhoid surgery on December 27, 2023, I have been using moist wipes to clean myself after bowel movements, followed by washing with warm water and taking sitz baths. I'm not sure if I have been rubbing too hard, but I ...
Dr. Zhang Shuhao Reply:
After surgery, try to minimize irritation to the anus. If the wound is not swollen, you may temporarily stop sitz baths. Povidone-iodine ointment is an antibiotic ointment that can be used. If symptoms do not improve, it is advisable to return for a follow-up examination of the w...[Read More] Persistent Anal Wound After Hemorrhoid Surgery: Healing Tips