Managing Anal Abscess: Tips for Proper Healing and Drainage
Anal abscess Hello, doctor. Last week, I was hospitalized for three days on antibiotics due to a ruptured anal abscess. The attending physician made the incision larger to facilitate drainage. However, during my follow-up visit this week, the doctor mentioned that the pus has not...
Dr. Zhang Shuhao Reply:
1. To prevent the wound from healing too quickly, it is necessary to enlarge the wound in the clinic. The direction of the wound can also help the pus drain more effectively when sitting, so taking warm sitz baths can be beneficial. 2. It is possible to manage without gauze, but ...[Read More] Managing Anal Abscess: Tips for Proper Healing and Drainage
Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Persistent pain eight months after anal fissure surgery? Hello Dr. Chang, I had surgery last May for chronic anal fissure accompanied by mild stenosis. The doctor performed debridement, and during the procedure, a small portion of my sphincter was cut, and my anus was enlarged us...
Dr. Zhang Shuhao Reply:
1. If a longitudinal incision is required for the sphincter, it indicates that the previous narrowing was more severe, necessitating a broader area of relaxation. The hard area felt by the finger is likely scar tissue from the surgery, which may improve over time. Continuous sitz...[Read More] Persistent Pain Eight Months After Anal Fissure Surgery: Patient Concerns
Post-Fibroadenoma Surgery: Managing Wound Concerns and Next Steps
Postoperative care for a fibroepithelial tumor? Hello, Dr. Lee. I had a fibrous tumor surgery two months ago, and last week I noticed pus at the wound site. After squeezing out the pus, I returned for a follow-up the next day. The doctor mentioned it was a reaction to the sutures...
Dr. Li Zhonghuai Reply:
Hello! If you are allergic to absorbable sutures, it is best to remove the suture ends, although it may not be necessary for every stitch. Just remove the suture ends from the infected area. It is advisable to return for a follow-up consultation. Take care! Changhua Hospital care...[Read More] Post-Fibroadenoma Surgery: Managing Wound Concerns and Next Steps
Post-Car Accident Wound Care: Managing Fever and Pain
Wound after a car accident I was in a car accident on the morning of January 17. I started having a fever the following evening, reaching up to 38.6 degrees Celsius. I took antipyretics with my meals, and after the fever subsided, it returned shortly after. This pattern continued...
Dr. Xu Kaixi Reply:
Persistent fever is an abnormal phenomenon. If accompanied by other symptoms (including the bloating and pain you mentioned, as well as the location of the pain you described), it is essential to seek immediate medical attention. It is advisable to go to the emergency department ...[Read More] Post-Car Accident Wound Care: Managing Fever and Pain
Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
The incision for the removal of a sebaceous cyst is located very close to the anus? Hello Doctor, I am the questioner #204580. I would like to ask if, after having a sebaceous cyst removed near the anus, poor wound care could lead to the formation of an anal fistula? I have a wou...
Dr. Ke Fangxu Reply:
Wounds around the anal area typically heal more slowly, and it is normal for discharge to occur before the epidermis is fully healed. Cleaning the wound with tap water is sufficient, as this area is not a sterile environment. After cleaning, it is important to keep the area as dr...[Read More] Post-Surgery Care: Risks of Anal Fistula After Cyst Removal
Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-hemorrhoid surgery Hello Dr. Ke, Last month, I had difficulty passing a bowel movement, and instead of stool, a lot of blood came out. I went to the hospital for an examination, and the doctor said I have a grade 3 mixed hemorrhoid that needs to be surgically removed. I und...
Dr. Ke Fangxu Reply:
Traditional hemorrhoid surgery has a small incidence of delayed bleeding occurring ten days post-operation, usually caused by suture loosening. If there is no ongoing bleeding, it is not a concern; otherwise, a reoperation for hemostasis may be necessary. It is recommended to avo...[Read More] Post-Surgery Concerns: Managing Bleeding After Hemorrhoid Surgery
Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Post-fistula surgery Hello Doctor, I underwent fistula removal surgery on January 11th, and during my follow-up appointment on the 15th, the doctor said there was no infection and advised me to continue with my recovery. Recently, I have been noticing a light yellow discharge, an...
Dr. Zhang Shuhao Reply:
The wound appearance is normal, with no signs of infection. During dressing changes, you can use a cotton swab to gently remove the old ointment and any yellow tissue. Continue to keep the wound clean with warm water sitz baths, and return for follow-up appointments as scheduled.[Read More] Post-Surgery Care for Fistula Removal: When to Seek Medical Attention
Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months post-surgery, and the wound has still not healed. After taking a sitz bath, I can see a red are...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up visits to monitor the wound. Suppositories can be refrigerated to maintain their shape; bef...[Read More] Post-Surgery Recovery: Understanding Delayed Healing After Hemorrhoid and Fissure Surgery
Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
More than two months post-surgery? Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year. However, it has been over two months since the surgery, and the wound has not healed yet. After taking a sitz bath, I can see a red ...
Dr. Zhang Shuhao Reply:
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound. Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound. Suppositories can be refrigerated to maintain their shap...[Read More] Post-Surgery Concerns: Slow Healing After Anal Fissure and Hemorrhoid Surgery
Understanding Post-Surgery Lymphedema: Common Concerns and Solutions
Several issues related to recurrent swelling after lymphatic-venous anastomosis surgery? 1: As mentioned, it has been 3-4 weeks since the surgery, and the wound has healed. The previous slight tingling sensation has almost disappeared! I have been wearing compression stockings an...
Dr. Zhou Hongzhang Reply:
These issues are quite specialized, so it's best to consult your physician in the outpatient clinic. 1. The impact of temperature on thermal expansion and contraction is relatively unrelated; it is more associated with posture rather than the food consumed. It is advisable...[Read More] Understanding Post-Surgery Lymphedema: Common Concerns and Solutions
Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Anal fistula?? Epidermoid cyst Hello, doctor. I apologize for the lengthy message. Last February, while taking a shower, I noticed a lump near my anus. I consulted a doctor who diagnosed it as an anal fistula. Subsequently, I saw several doctors; some confirmed it as a fistula, w...
Dr. Ke Fangxu Reply:
Cysts and fistulas are two different conditions, so a cyst cannot turn into a fistula. If the cyst has been removed, the pathology report can clearly differentiate between the two types of tissues. Once the sutured wound is ready for suture removal, it is generally safe to expose...[Read More] Understanding Anal Fistulas and Cysts: Diagnosis, Treatment, and Care
Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Postoperative issues related to hemorrhoid surgery? Hello Dr. Chang, I am a grade III internal hemorrhoid patient. I underwent minimally invasive hemorrhoid surgery at a large hospital, and it has been 56 days post-operation. Currently, I am experiencing some strange symptoms. I ...
Dr. Zhang Shuhao Reply:
The tissue around the surgical wound may have reduced elasticity, and sensation might be slightly affected. However, symptoms will improve once the scar tissue stabilizes. If examinations show no issues with anal stenosis, there is no cause for concern. You can continue with warm...[Read More] Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect
Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-hemorrhoidectomy Hello, doctor. It has been 43 days since my hemorrhoid surgery. I only had a follow-up appointment 7 days post-surgery, and currently, there are no significant issues with the wound. However, I have a question: since there has been no discharge from the woun...
Dr. Zhang Shuhao Reply:
If the wound has healed and is not painful, there is no need to use ointment. When the wound feels slightly itchy or uncomfortable due to contraction, a warm water sitz bath can be helpful. Hemorrhoid ointments can alleviate symptoms, but after surgery, it is advisable to choose ...[Read More] Post-Hemorrhoid Surgery Care: When to Stop Using Ointment?
Post-Surgery Care for Fistula Removal: Pain and Medication Concerns
Post-fistula surgery Hello doctor, I underwent a fistula excision surgery on January 11th. I have been taking sitz baths four times a day, and during these baths, I experience slightly more pain than usual and notice a little bleeding. I would like to know if this is normal. The ...
Dr. Zhang Shuhao Reply:
It is normal to experience slightly more pain and some bleeding during sitz baths before the wound has healed, and this should improve over time. If sitz baths are done more frequently, the amount of ointment can be reduced, and it may be sufficient to apply it only in the mornin...[Read More] Post-Surgery Care for Fistula Removal: Pain and Medication Concerns
Post-Fistula Surgery Care: Managing Pain and Medication Application
Post-fistula surgery Hello Doctor, I underwent a fistula excision surgery on January 11th. I am taking sitz baths four times a day, and I experience slightly more pain than usual during the baths, along with some bleeding. I would like to know if this is normal. The surgeon presc...
Dr. Zhang Shuhao Reply:
It is normal to experience slightly more pain and some bleeding during sitz baths before the wound has healed, and this will improve over time. If sitz baths are performed more frequently, the amount of ointment can be reduced, and it may even be sufficient to apply it only in th...[Read More] Post-Fistula Surgery Care: Managing Pain and Medication Application
Post-Mini-Invasive Surgery: Understanding Lymphatic Swelling and Pain
Minimally invasive breast fibroma, constrictive band compression, slight swelling of the lymphatic vessels in the chest? Hello, I would like to ask, I had minimally invasive surgery for three fibromas on my right breast a week ago. There is no discharge or redness around the woun...
Dr. Li Zhonghuai Reply:
Hello! Could you loosen the restraint a bit? It has been a week since it was applied. Please check with your doctor if it can be removed. Take care! Changhua Hospital cares about you![Read More] Post-Mini-Invasive Surgery: Understanding Lymphatic Swelling and Pain
Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Granulation tissue excision after hemorrhoid surgery? Hello, Doctor. During my follow-up appointment on January 9th, I underwent excision of granulation tissue after hemorrhoid surgery (there was bleeding at the time, and gauze was applied for hemostasis). It has been about 25 da...
Dr. Zhang Shuhao Reply:
Twenty-five days after hemorrhoid surgery, the wound has mostly healed and does not appear to be bleeding like a surgical wound. Granulation tissue removal may occasionally cause some bleeding, but since there are no major blood vessels internally, appropriate pressure for a day ...[Read More] Post-Surgery Care for Hemorrhoid Granulation Tissue Removal: What to Expect
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Post-Car Accident: Managing Tibial Fracture and Slow Healing Wound
After the car accident, there is a tibial fracture, swelling in the right foot, and slow wound healing? Dear Dr. Lee, On December 11, 2023, I was involved in a car accident where my right foot was crushed under the front wheel of an SUV for approximately three minutes. This resu...
Dr. Li Zhonghuai Reply:
Hello! Would you recommend seeing a plastic surgeon for the management of edema and wound care? Or should I consider other further treatments? Yes, first it is important to confirm whether the wound is infected and if there are any foreign bodies retained in the soft tissue. Seco...[Read More] Post-Car Accident: Managing Tibial Fracture and Slow Healing Wound