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Zhang Da Wei

General Surgery

About me

Has rich clinical experience in surgical treatment of liver, biliary, pancreatic, gastrointestinal, vascular diseases, thyroid tumors, and trauma.

Proficient in diseases

Graduated from Harbin Medical University with a master's degree in General Surgery. Currently holds the title of Associate Chief Physician, with over 10 years of experience in general surgery.

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Written by Zhang Da Wei
General Surgery
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Does tetanus cause fever in its early stages?

Tetanus is actually a disease caused by the tetanus bacillus, generally entering the body after mucous membrane damage. In the early stages of tetanus, there usually are no fever symptoms. Fever typically appears in the middle to late stages. Generally, it is preceded by symptoms like episodic muscle spasms or tonic spasms. During this period, the incubation period can be about one week. In this time, the patient may experience symptoms such as general fatigue, headaches, and dizziness. Under circumstances where infection is likely, it is crucial to administer tetanus antitoxin promptly to effectively prevent the disease. Since the disease's morbidity and danger increase significantly in its middle to late stages, and the likelihood of death is also relatively high.

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Written by Zhang Da Wei
General Surgery
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Hemorrhoids bleeding symptoms

Hemorrhoids bleeding during bowel movements is actually a common symptom in clinical settings and is a typical symptom of hemorrhoids. This bleeding generally occurs during defecation, sometimes soiling the fingers with blood, and can also cause a spraying type of bleeding. Furthermore, excessive exhaustion, irregular eating patterns, staying up late, and heavy alcohol consumption may exacerbate this bleeding, which are typical symptoms of hemorrhoids. The blood from hemorrhoids is usually bright red, and this condition is intermittent in nature, often not mixing with the stool. Thus, the bleeding generally stops after defecation ceases, and this condition can worsen with the patient's bowel movements among other issues. Additionally, if bleeding of a different color occurs, it may be caused by upper gastrointestinal bleeding, thus it is important to distinguish this from hemorrhoidal bleeding.

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Written by Zhang Da Wei
General Surgery
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How long does a tetanus shot last?

The duration of effectiveness for a tetanus shot depends on the specific type of injection used, as different injections vary in their duration of protection. Generally, the protection lasts about two to three days. In cases of infection, it is usually necessary to administer the vaccine within 24 hours. Under these circumstances, a period of about two to three days can be used to clean the wound, thereby achieving the best preventive effect. Additionally, there are other vaccines that are ten to twenty times more effective than this type of vaccine, with a typical prevention time ranging up to 15 days or even about a month. Of course, after receiving the tetanus vaccine, it is important to monitor for any allergic reactions, as different injections may vary in their degree of allergenicity, and individual reactions can differ based on personal health conditions.

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Written by Zhang Da Wei
General Surgery
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Do not get a tetanus shot before a certain age.

Tetanus antitoxin, this type of vaccine, generally has no significant age restrictions. It is usually best not to administer it before the age of one, as it involves using a toxin to combat toxins and prevent certain diseases. Therefore, it is advised not to vaccinate before one year of age. However, not everyone needs to be vaccinated against tetanus; it only serves as a preventive measure and is only necessary if there is a possibility of infection. For instance, vaccination is required when there are deep wounds or apparent injuries from rusty metal, as these conditions have a higher risk of infection. In such cases, administering tetanus antitoxin can effectively prevent infection. Thus, vaccination should depend on the specific situation rather than on age.

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Written by Zhang Da Wei
General Surgery
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How many times can a tetanus shot be administered in a year?

The tetanus toxin vaccine is used for emergency vaccination. The main ingredient of this vaccine is the tetanus antitoxin. It is best to be vaccinated within 24 hours, and the sooner the vaccination is administered, the stronger the potential for protection. However, the duration of protection provided by the vaccine is not very long, and the effect of the tetanus antitoxin medication generally lasts about a week. Therefore, vaccination within 24 hours can effectively prevent problems that may occur within that week. Generally, there is no specific number for the annual frequency, but it is usually recommended not to exceed three times per year. Of course, this depends on the degree of injury. If there is a risk of infection, then the vaccine should be administered since its preventive effect is currently considered the best and can achieve significant efficacy.

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Written by Zhang Da Wei
General Surgery
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How long should you avoid certain foods after getting a tetanus shot?

Tetanus antitoxin medication serves a preventative function and is commonly used as a vaccine. Receiving a tetanus shot is essentially aimed at preventing infections from the tetanus bacterium. Generally, there are dietary restrictions to follow after getting the shot. The effect of this medication typically lasts about a week, during which it is necessary to observe these dietary restrictions. It is usually advisable to avoid spicy or cold foods, such as chili peppers, beef, lamb, dog meat, or seafood. These should be eaten sparingly or avoided altogether. Otherwise, these spicy foods might directly affect the efficacy of the tetanus antitoxin. In such cases, the prevention of tetanus infections could be significantly reduced, thereby increasing the likelihood of contracting tetanus bacterium.

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Written by Zhang Da Wei
General Surgery
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The scientific name of a tetanus shot is called "tetanus toxoid vaccine."

Tetanus is a relatively common disease in daily life, and its prevention and treatment are very important because, in severe cases, it can even endanger a person's life safety. Commonly in clinical practice, tetanus injections are referred to as tetanus antitoxin. In such situations, the use of this prophylactic injection still plays a role, depending on the specific health condition and circumstances of the patient. If the wound is not superficial, it is generally after debridement that a tetanus shot can be administered based on the specific situation. Furthermore, tetanus shots usually need to be confirmed through methods like skin tests because some patients may have allergic reactions, which could significantly impact their health and pose a great risk.

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Written by Zhang Da Wei
General Surgery
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How many days after getting a tetanus shot can you drink alcohol?

Tetanus is a serious disease with a prognosis that generally causes specific infection issues. The incubation period is usually around one day, but it can be as long as 50 days or even longer in some patients. However, once there is a possibility of a tetanus infection, it is necessary to inject antiviral medication for tetanus to treat and improve the condition. Generally, this can be effective. After this injection, it is definitely not advisable to consume alcohol. Typically, one should consider drinking alcohol only after at least half a month. At the same time, it is also best to avoid spicy, cold, and stimulating foods to enhance the therapeutic effects of the tetanus injection. This can also aid in better adjustments later on. Therefore, in such cases, it is crucial to abstain completely from alcohol to avoid affecting the effectiveness of the tetanus injection. This is the best approach.

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Written by Zhang Da Wei
General Surgery
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What are hypertrophic scars like?

Hypertrophic scars are actually directly related to a scar-prone constitution, and generally, when such scars occur, they are divided into several types. The first type is caused by regressive changes, and the outcomes in this situation are generally quite ideal. However, improvement in these cases usually needs to be tailored to the specific circumstances. If the issue with hypertrophic scars is more pronounced, it can be addressed with laser surgery to achieve effective treatment. Of course, it requires specific analysis; not every issue in this regard necessitates intervention, but it should be addressed promptly. Moreover, if a scar-prone constitution persists, it might have some direct impacts. Decisions on improvement can be made based on the specific size of the scar area.

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Written by Zhang Da Wei
General Surgery
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Are corns and calluses the same thing?

Corns and calluses are generally different diseases. Generally speaking, corns are caused by long-term local compression and friction. In this case, it will lead to thickening changes in the stratum corneum, so it is relatively easy for this problem to occur on the soles of the feet. Warts, on the other hand, are a type of common wart caused by viral infection. This means that infections are more likely to occur when the body's immunity is low. Of course, this is also directly related to local discomfort or compression problems. However, there is an essential difference between the two diseases. Nevertheless, the general direction or principle of treatment for both diseases is similar, mainly involving local excision methods. Additionally, appropriate use of antivirals, or treatments such as laser therapy or cryotherapy, can also achieve the purpose of treatment and improvement.