Comparing Treatments: Debridement vs. Keratolytic Cream for Wound Care
The doctor at the clinic prescribed a keratolytic ointment for the debridement of a quarter-sized wound from a car accident? Hello Dr. Lee, I had a car accident on December 22 and sustained a contusion on my calf. After undergoing debridement on January 4, I am still experiencing...
Dr. Li Zhonghuai Reply:
Hello! Actually, it doesn't matter which ointment you use, as long as it is sterile and does not come into contact with tap water. You should change the dressing with sterile saline solution once or twice a day, ensuring to remove the dirty biofilm from the surface before ch...[Read More] Comparing Treatments: Debridement vs. Keratolytic Cream for Wound Care
Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Could there be an issue with a fistula? Hello Doctor: I would like to ask about the issue of fistulas/abscesses. On the morning of January 4th, I noticed a lump on the right side of my anus that was slightly painful. That evening, due to a company year-end party, I sat at work fo...
Dr. Zhang Shuhao Reply:
Based on the symptoms you described, it seems like an anal abscess. During the acute phase, there will be swelling and pain, but once it ruptures and the pus drains out, the pain may alleviate. You can start with warm sitz baths, and if there is pus in the wound, you can gently e...[Read More] Understanding Fistula Risks: When to Seek Medical Attention for Abscesses
Understanding Anal Abscess: Treatment, Complications, and Recovery
Anal abscess Doctor, I apologize for the interruption, but I would like to ask a question. At that time, the physician diagnosed me with an anal abscess. Initially, the doctor said it was not mature yet and advised me to take antibiotics. However, it ruptured on its own in the mi...
Dr. Ke Fangxu Reply:
An anal abscess may indeed rupture on its own after antibiotic treatment. It is generally recommended to incise the abscess to prevent premature healing before the abscess is completely drained. Whether a fistula will form can only be determined after a period of observation, as ...[Read More] Understanding Anal Abscess: Treatment, Complications, and Recovery
Understanding Blood in Stool: Possible Causes and Concerns
Rectal bleeding Hello, doctor. A few weeks ago and again today, I experienced diarrhea, and after using the toilet, I noticed fresh blood in the bowl. However, I do not have any pain in my anus or abdomen. After cleaning myself, there was no blood, and everything seemed normal. I...
Dr. Zhang Shuhao Reply:
There are three common causes of rectal bleeding: 1. Anal fissures or skin irritation leading to bleeding, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound. 2. Ruptured thrombosed hemorrhoids, which typically produce slightly more bloo...[Read More] Understanding Blood in Stool: Possible Causes and Concerns
Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Can a person with cauliflower (or warts) undergo a colonoscopy? 1: I recently discovered that I have genital warts around my anus, and the next day I underwent minimally invasive laser surgery and received a vaccine. 2: At the same time, I received a call from the hospital regard...
Dr. Zhang Shuhao Reply:
1. If you have recently been diagnosed with condyloma acuminatum and have undergone surgery, you should discuss with your doctor when it is appropriate to undergo a colonoscopy. It is advisable to have the procedure done when there are no condyloma lesions present and no wounds a...[Read More] Can You Undergo Colonoscopy with Recent Wart Diagnosis?
Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Postoperative condition after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26, and since then, there has been a small opening in the wound that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a follow-u...
Dr. Zhang Shuhao Reply:
The wound has a small opening with purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not believe it is a recurrence, the clinical judgment of the physician should be prioritized. If there are symptoms suc...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Postoperative conditions after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26. The wound has been healing, but there is still a small opening that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a foll...
Dr. Zhang Shuhao Reply:
The wound has a small opening and there is purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not consider it to be a recurrence, the clinical judgment of the physician should be prioritized. If there are ...[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications
Post-Surgery Care for Papilloma Removal: What to Expect
Post-operative care for papilloma? Hello, regarding the excision of a papilloma from the milk duct, if the incision on the areola is small and it has been about 20 days post-surgery, it is not uncommon for the area around the wound to feel slightly firm. Additionally, a light yel...
Dr. Yu Mingchang Reply:
You can return to the outpatient clinic for consultation.[Read More] Post-Surgery Care for Papilloma Removal: What to Expect
Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage
Post-intracranial hemorrhage surgery Hello Doctor, my son fell and suffered a right brain hemorrhage at the age of 2 years and 3 months. He underwent surgery, and the wound is approximately 5-8 cm long, with noticeable metal screws in the skull. During a follow-up visit, I inquir...
Dr. Zhang Junwei Reply:
It is recommended to return to the neurosurgery outpatient clinic.[Read More] Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage
Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
Thrombotic external hemorrhoids Hello Doctor No. 202795, thank you for your response. The wound is currently healing! The thrombus has been absorbed! I now have some wrinkled skin, which is a remnant of the swelling. I would like to ask if this thickened wrinkled skin is an exter...
Dr. Zhang Shuhao Reply:
The difference between external hemorrhoids and simple skin tags lies in the presence of vascular plexus in external hemorrhoids, which can become engorged and swollen due to poor venous return or external irritation. In contrast, simple skin tags do not exhibit this phenomenon a...[Read More] Understanding Thrombus-Related Skin Changes: Is It External Hemorrhoids?
Understanding Non-Healing Wounds: Insights from Neurosurgery
Inquiry regarding the response to question number 203144? "The physician needs to identify the cause of the non-healing wound." This means that I should consult a neurosurgeon at Mackay Memorial Hospital, correct? The wound caused by the screw is red and has formed a lu...
Dr. Zhang Junwei Reply:
Yes~[Read More] Understanding Non-Healing Wounds: Insights from Neurosurgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Inquiry about postoperative pain after tissue coagulation knife procedure? Hello Dr. Chang, I am suffering from grade III internal hemorrhoids and have already undergone surgery at a major hospital. The procedure seemed to involve a tissue coagulation device, not laser treatment....
Dr. Zhang Shuhao Reply:
1. The LigaSure device is a literature-validated surgical method that results in lower levels of pain and bleeding compared to traditional surgery. If the wound has fully healed, antibiotic ointment is not necessary. Strongly applied analgesics can help soothe the wound and relie...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Should You Worry About Tetanus After a Staple Injury?
Stapler pin punctured the index finger? While cleaning up utensils, a staple from takeout cut into the index finger, causing bleeding. The wound is approximately 2-3 mm deep, but after squeezing out the blood, it healed within a short time (2-3 minutes). Should I be concerned abo...
Dr. Chen Bingze Reply:
If you are concerned, it is recommended to visit a nearby medical facility to receive the tetanus vaccine.[Read More] Should You Worry About Tetanus After a Staple Injury?
Understanding Sacral Pain: When to Consult an Orthopedic Specialist
Sacral region pain Five years ago, I had a lipoma in the sacral region, which was surgically removed and confirmed to be a benign tumor. However, there is a specific area in the middle to lower part of the wound that occasionally hurts and sometimes feels warm and painful. This d...
Dr. Lü Mingchuan Reply:
You can return to the surgical consultation for evaluation at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Understanding Sacral Pain: When to Consult an Orthopedic Specialist
Post-Accident Wound Care: Expert Advice on Stitch Management
After a car accident on the night of December 11, how to properly care for sutures? Hello Dr. Lee, I had a car accident on December 11, resulting in an injury above my ankle. I received nine stitches in the emergency room. The photo below was taken on the morning of December 16 w...
Dr. Li Zhonghuai Reply:
Hello! The photo appears to show cellulitis, and the blood circulation is not very good. After changing the dressing, clean the area with sterile saline solution; of course, the tissue fluid inside should be drained, apply ointment, and cover it with a gauze. The wound should not...[Read More] Post-Accident Wound Care: Expert Advice on Stitch Management
Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
The Recovery Journey After Hemorrhoid Surgery Hello, doctor. I had surgery at the end of October and was hospitalized for two days before returning home to recover. I have been very careful with my diet, eating low-residue foods and supplementing with probiotics. I have been usin...
Dr. Zhang Shuhao Reply:
After hemorrhoid surgery, it is sufficient to use ointment without the need for suppositories. In addition to increasing fluid intake, dietary fiber can also be gradually increased, as well-formed, bulky stools will not cause additional irritation to the wound. If there was no co...[Read More] Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
Post-Accident Knee Care: Recovery Tips After Stitches Removal
Care for Knee After Stitches from a Car Accident Hello Doctor: It has been over two weeks since the car accident. I had an X-ray at the hospital, and they said there were no abnormalities. My right knee has a 10x10 cm abrasion and a 3 cm sutured wound above it, which the nurse me...
Dr. Zhang Shuhao Reply:
1. If the X-ray shows no fractures, you can still move, and the wound has healed and stitches have been removed, then it is likely just a contusion of the muscles and soft tissues. During the acute phase, ice therapy and rest are recommended. If there is minimal pain now, gentle ...[Read More] Post-Accident Knee Care: Recovery Tips After Stitches Removal
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?
Post-Surgery Swelling of Groin Lymph Nodes: Causes and Concerns
Postoperative swelling of inguinal lymph nodes? Hello Dr. Lee: I underwent a right thigh lymph node excision surgery two weeks ago, and the pathology results indicate stage II follicular lymphoma. Since the surgery, the wound has been very swollen (about the size of a duck egg), ...
Dr. Li Zhonghuai Reply:
Hello! After surgery on the lymph nodes, there may be lymphatic fluid leakage from the nearby lymphatic vessels, which can be more pronounced in cases of malignant lymph nodes. It is recommended to consult a hematologist-oncologist for the next phase of treatment as soon as possi...[Read More] Post-Surgery Swelling of Groin Lymph Nodes: Causes and Concerns
Post-Surgery Care for Anal Abscess: Common Concerns and Solutions
Postoperative care for anal abscess? I was diagnosed with an abscess around mid-August, estimated to be 3-4 cm in size. When I went for a consultation, Doctor A used a needle to drain the pus and prescribed medication, saying that taking the medication and applying topical treatm...
Dr. Zhang Shuhao Reply:
1. Dr. B hopes to pack the wound with gauze to keep it cleaner, but excessive packing can prevent the drainage of tissue fluid and may cause the wound to expand, making Dr. C's suggestion more reasonable. 2. An anal abscess may lead to the formation of an anal fistula, whi...[Read More] Post-Surgery Care for Anal Abscess: Common Concerns and Solutions