Internal Medicine Q&A - Page 25

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Concerns About Superbug Infections in Home Environments

Concerns about superbug infections? Hello Dr. Lin, In my household, the elderly family members are accustomed to wearing outdoor shoes inside the house, except in the bedroom. Recently, an elderly family member returned home from the hospital and, unbeknownst to the family, wal...


Dr. Lin Wufu Reply:
The term "superbugs" does not refer to bacteria that are particularly virulent, but rather to those that have multiple drug resistances. Therefore, if they cause a more severe infection, it can be difficult to treat in the absence of effective antibiotics, posing a sign...

[Read More] Concerns About Superbug Infections in Home Environments


Managing Chronic Urticaria: Medication, Allergies, and Health Concerns

Chronic urticaria Hello, doctor. I would like to ask if chronic urticaria can only be managed with medication. I have been taking antihistamines for over two months, and during that time, I felt fine without itching, although sometimes my skin would be a bit red. A few years ago,...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. The result of the antinuclear antibody (ANA) test is acceptable; although it is marked as positive, the value is still within an acceptable range according to rheumatology standards, so there is no need to worry too much. Regarding chronic urti...

[Read More] Managing Chronic Urticaria: Medication, Allergies, and Health Concerns


Can You Get HIV from a Cut by an Infected Sharp Object?

HIV transmission routes (through cuts) If you are cut by a sharp object contaminated with HIV-infected blood, there is a potential risk of HIV transmission. However, the actual risk depends on several factors, including the amount of blood present, the depth of the cut, and the o...


Dr. Lin Wufu Reply:
There is a possibility (the information provided is too limited to make an assessment, so I can only say that there are risks involved).

[Read More] Can You Get HIV from a Cut by an Infected Sharp Object?


Concerns After Choking on Lutein Capsules: What You Need to Know

Choking on lutein capsules? After having breakfast in the morning, I took a lutein capsule, but it seems I didn't drink enough water. At first, I felt it stuck on the left side, and then I started to feel nauseous and kept coughing. I'm not sure if I vomited it out, but...


Dr. Qiu Junwei Reply:
If you feel increasingly short of breath, it is recommended to schedule an appointment with a pulmonologist to determine the possibility of pneumonia. If you only have a sensation of something stuck in your throat, an ear, nose, and throat (ENT) specialist near your home can help...

[Read More] Concerns After Choking on Lutein Capsules: What You Need to Know


Concerns About Undercooked Pork: When to See a Doctor?

Consumption of suspected undercooked pork? Hello doctor, I went out for barbecue with friends during the Double Ten holiday and ate one or two pieces of pork that seemed undercooked. I read online that there is a chance of parasites. Currently, I have slight abdominal pain and ha...


Dr. Qiu Junwei Reply:
It is recommended to monitor your stool for the presence of any eggs or worms this week. If there are none, it is likely that there is no issue.

[Read More] Concerns About Undercooked Pork: When to See a Doctor?


Can You Get the Flu Vaccine with an Autoimmune Disease?

Influenza vaccine Hello doctor, I had blood tests this week in the rheumatology and immunology department to check for issues related to my immune system, but the results are not out yet. My symptoms are suggestive of reactive arthritis. I would like to ask if it turns out to be ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe it is advisable. Individuals with immune system disorders should also receive the influenza vaccine, and the likelihood of experiencing side effects is not higher. This is a message from the Allergy, Immunology, and Rheumatology Depar...

[Read More] Can You Get the Flu Vaccine with an Autoimmune Disease?


Can Fish Oil Supplements Help with Hyperthyroidism and Dry Eye?

Diet for Hyperthyroidism Hello, doctor. I was recently diagnosed with hyperthyroidism, and I have also been found to have oil-deficient dry eye syndrome. I would like to ask if it is safe for me to take fish oil supplements. Thank you.


Dr. Li Jian Reply:
It is necessary to check the composition of fish oil for the presence of iodine in order to determine its suitability for consumption.

[Read More] Can Fish Oil Supplements Help with Hyperthyroidism and Dry Eye?


Understanding Diabetes Diagnosis: Is There Room for Reassessment?

Is there still room for maneuver regarding the diagnosis of diabetes? The company's health check showed a fasting blood glucose level of 131 mg/dL (with a hemoglobin A1c of 6.7% from late September). Last week, I had a separate lipid panel test with a triglyceride level of 1...


Dr. Li Jian Reply:
Since the blood glucose levels were tested separately on two occasions, they meet the criteria for diabetes. It is advisable to control it as soon as possible.

[Read More] Understanding Diabetes Diagnosis: Is There Room for Reassessment?


Understanding Risks of Bloodborne Diseases: Key Concerns and Clarifications

Regarding issue #201311? Regarding your inquiry about the risks of HIV and other bloodborne diseases: 1. There is a potential risk of transmitting bloodborne diseases if a wound or blood comes into direct contact with mucous membranes or broken skin. However, if the area around...


Dr. Lin Wufu Reply:
1. If there is no contact with the skin where the fingers touched, theoretically, there is no risk of transmission (referring to the absence of blood, not just the lack of visible blood). 2. The risk is extremely low because the virus must travel from the bloodstain to the ointm...

[Read More] Understanding Risks of Bloodborne Diseases: Key Concerns and Clarifications


Understanding Positive Cryoglobulin Tests: Implications for Your Health

Cryoglobulin test Hello, doctor. In July, I tested positive for cryoglobulinemia with IgM (1+) due to vasculitis, and my RF IgM was 13.92. In early October, I retested and found cryoglobulinemia positive for IgM (1+) and IgG (1+), with RF IgM at 12.8. My usual symptoms are not si...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. In cases of cryoglobulinemic paraproteinemia, the immunoglobulins can sometimes be of a mixed type, resulting in positive tests for either IgG or IgM. Regardless of whether it is IgG or IgM, both can lead to elevated levels of γ-globulin, so th...

[Read More] Understanding Positive Cryoglobulin Tests: Implications for Your Health


Understanding Tonsil Inflammation: Symptoms and When to Seek Help

Inquiry about tonsil issues? Hello Doctor: Three days ago, I suddenly noticed that my left tonsil became red and swollen. I went to a nearby internal medicine clinic where the doctor confirmed that it appeared to be inflamed. I visited again yesterday because I noticed a small sp...


Dr. Lin Wufu Reply:
Hello, if you're unsure whether it's tonsil stones, it's recommended to visit the ENT department at the hospital for further examination. If a CT scan is necessary, it will be arranged based on the physician's assessment.

[Read More] Understanding Tonsil Inflammation: Symptoms and When to Seek Help


Can Unwashed Clothes in a Bag Foster Bacteria and Mold Growth?

Mold growth on unwashed laundry? Hello Dr. Lin, I previously asked about the issue of bacteria and mold growth on clothing, and I appreciate your response. Regarding the clothing, I did not explain clearly; those clothes have been worn, and due to hiking and walking, I have sweat...


Dr. Lin Wufu Reply:
The situation described is mold growth. In this case, the clothing should show signs of mold stains and have a musty odor. However, common methods for cleaning and disinfecting clothes, such as soaking in soapy water and sun exposure, are effective.

[Read More] Can Unwashed Clothes in a Bag Foster Bacteria and Mold Growth?


Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care

Long-term post-nasal drip has recently worsened, presenting symptoms such as fever, neck swelling, and pharyngeal pain? I suspect I have an infection in my nose, which is causing post-nasal drip and resulting in coughing. This symptom has persisted for about six months (since Apr...


Dr. Lin Wufu Reply:
Hello, it is recommended to visit the ENT department of a major hospital today (10/9) to confirm what the neck mass is. It is most likely lymphadenopathy, which is just an inflammatory response, possibly caused by a new wave of tonsillitis starting from 10/6. This is separate fro...

[Read More] Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care


Concerns About Bloodborne Diseases During Pediatric Urology Visits

Concerns and anxiety about medical consultations, worrying about blood and infectious diseases? Hello Doctor: Yesterday, I took my child to a pediatric clinic for a urology consultation. During the consultation, I noticed that the physician had a noticeable laceration at the base...


Dr. Lin Wufu Reply:
1. Direct contact of wounds or blood with mucous membranes or broken skin may pose a risk of transmitting bloodborne diseases. However, if there is blood at the base of the fingernail and the finger touches intact skin, theoretically, there is a risk of transmission. 2. The surf...

[Read More] Concerns About Bloodborne Diseases During Pediatric Urology Visits


Understanding HIV Testing: Antigen and Antibody Detection Timelines

HIV testing issues? Hello, I would like to inquire about the Abbott fourth-generation HIV Early test, which can detect both antigens and antibodies. The antigen can be detected one month after exposure; however, regarding the antibody testing, can it still yield results if it has...


Dr. Lin Wufu Reply:
Hello, the fourth-generation rapid test detects both antigens and antibodies. It is expected that a positive result could be detected in about two weeks, but individual responses vary; some people may take three to four months to test positive. (A positive result for either antig...

[Read More] Understanding HIV Testing: Antigen and Antibody Detection Timelines


Can Medications Shrink Thyroid Nodules? Understanding Treatment Options

Thyroid nodule Hello doctor, I would like to ask if there are medications that can reduce thyroid nodules. Today, my mother visited a doctor who prescribed "Anthyxin" stating that it can help shrink the nodules. However, I noticed that the indication on the prescription...


Dr. Li Jian Reply:
Please visit the Department of Metabolism at a major hospital to discuss the benefits and risks of thyroid hormone replacement with a physician. It may help slow the growth of nodules, but it could also lead to osteoporosis or arrhythmias. Thank you for your inquiry.

[Read More] Can Medications Shrink Thyroid Nodules? Understanding Treatment Options


Do Antibiotics Affect Blood Test Results for Arthritis?

Does taking antibiotics affect blood test results? Hello, Doctor Gao. I am the questioner with ID 201193. I would like to ask if taking Cephalon capsules (antibiotic), Decan tablets (antihistamine for itching), Acemet capsules (anti-inflammatory pain relief), and Solaxin will aff...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It will not have any impact. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to support you.

[Read More] Do Antibiotics Affect Blood Test Results for Arthritis?


Can You Contract HIV from Contaminated Surfaces? Common Concerns Addressed

Inquiry about HIV (Human Immunodeficiency Virus) 1. If you sit on a surface contaminated with HIV-infected blood or bodily fluids, the risk of contracting HIV is extremely low. HIV is primarily transmitted through direct contact with infected bodily fluids, such as through open w...


Dr. Lin Wufu Reply:
Viruses can only survive outside the human body for a few minutes, so the risk of contracting HIV through indirect contact with bodily fluids in the environment is extremely low. Essentially, there is no need for concern.

[Read More] Can You Contract HIV from Contaminated Surfaces? Common Concerns Addressed


Health Risks of Storing Clothes: Bacteria and Mold Concerns

Bacterial and fungal growth on clothing? Hello Dr. Lin, I would like to ask about a bag of clothes that I discovered, which I had forgotten to wash for three years. These clothes are all from a trip before the pandemic (around early 2020) and each item was stored separately in a ...


Dr. Lin Wufu Reply:
Hello, unless it's very humid, clothes left out should not breed a large amount of bacteria or mold (dry clothing lacks the nutrients to support bacterial or mold growth). It is also recommended not to use bleach; instead, take the clothes out and expose them to sunlight for...

[Read More] Health Risks of Storing Clothes: Bacteria and Mold Concerns


Concerns About Dental Hygiene: Anxiety Over Clinic Practices and Safety

Regarding dental care? Hello, Doctor. I'm sorry, but I'm feeling very anxious. Yesterday, I went to the clinic for a dental check-up and cleaning. The dentist who attended to me kept chatting with the clinic staff while examining me. During the cleaning, water splashed ...


Dr. Lin Wufu Reply:
Hello, to be honest, based on the scenario you described, there doesn't seem to be a significant risk of infection unless there is reasonable evidence to suspect that the clinic has reused disposable medical materials or has not properly sterilized them (which would not be b...

[Read More] Concerns About Dental Hygiene: Anxiety Over Clinic Practices and Safety




Internal Medicine FAQ

Abdomen Abdominal Bloating And Constipation
Abdominal Bloating And Pain Abdominal Pain
Accidental Ingestion Acne
Acute Renal Failure Adrenaline
Allergic Rhinitis Allergies
Ana Ana Test Result
Anemia Ankylosing Spondylitis
Antibiotics Antinuclear Antibodies
Antinuclear Antibody Arthritis
Asthma Astrazeneca Vaccine
Autoimmune Disease Az Vaccine
Back Bacteremia
Biologics Blood
Blood Draw Blood Glucose Level
Blood Infection Blood Pressure
Blood Report Blood Sugar
Blood Test Blood Test Report
Body Fluid Body Temperature
Bowel Movements Brain
Breathing Bronchial Fibrosis
Bruise Cellulitis
Chest Chest Pain
Chest Tightness Choking
Cholesterol Cold
Complement System Constitution
Contagion Cough
Covid-19 Covid-19 Diagnosis
Covid-19 Transmission Covid-19 Vaccination
Covid-19 Vaccine C-Reactive Protein
Crp Cushing'S Syndrome
Diabetes Dialysis
Diet Dietary Consultation
Dietary Supplements Digestion
Dizziness Drug Allergy
Drug Interactions Drug Side Effects
Dry Mouth Ear
Ecg Edema
Electrocardiogram Electrolytes
Endocrine Disorder Epinephrine
Esophagus Family Medicine
Fatty Liver Fever
Finger Finger Joint
Folliculitis Foot
Frequent Urination G6Pd Deficiency
Gastroesophageal Reflux Disease Gastrointestinal
Gastrointestinal Discomfort Gastrointestinal Tract
General Discomfort Genitalia
Genital Warts Gerd
Glans Penis Glycated Hemoglobin
Gout Green Stool
Growth And Development Gynecomastia
Hand Headache
Head Injury Health Checkup
Health Check-Up Health Report
Health Supplements Heart
Height Hematuria
Hemoglobin Hemoglobin A1C
Hemorrhoids Hepatitis
Hepatitis B Hepatitis C
High Blood Pressure Hiv
Hives Hiv Infection
Hiv Screening Hiv Test
Hiv Transmission Hyperthyroidism
Hyponatremia Hypothyroidism
Immune System Infection
Infection Inquiry Infection Risk
Infectious Disease Influenza
Injection Injections
Insect Intrusion Insomnia
Intestinal Whipworm Infection Irritable Bowel Syndrome
Joint Kidney Function Tests
Kidneys Leg
Lips Liver Function
Liver Tumor Lower Abdominal Pain
Lower Back Lower Back Pain
Lungs Lymphadenopathy
Lymphedema Lymph Nodes
Masturbation Medical Consultation
Medication Medication Consultation
Mercury Poisoning Mitral Valve Prolapse
Mole Muscle
Muscle Pain Navel
Neck Needlestick
Needlestick Injury Obesity
Oral Candidiasis Oral Cavity
Others Overall Health
Pancreatitis Parasites
Parasitic Infection Physical Examination
Platelets Proteinuria
Pulmonary Function Rabies
Rapid Hiv Test Rash
Rectal Bleeding Reiter'S Syndrome
Renal Dysfunction Rhabdomyolysis
Rheumatoid Arthritis Scleroderma
Sepsis Serum Creatinine
Sexually Transmitted Diseases Sexually Transmitted Infections
Sjögren'S Syndrome Skin
Sleep Sputum
Staphylococcus Std Infection
Stds Std Screening
Steroids Stomach
Stool Stool Is Dark Green
Stroke Syphilis
Systemic Lupus Erythematosus Tachycardia
Test Results Thalassemia
Throat Thyroid
Thyroid Function Test Thyroid Nodule
Thyroid Test Toe
Tongue Tonsils
Triglycerides Tuberculosis
Unexplained Weight Loss Urethra
Uric Acid Urinalysis
Urination Urine
Urine Protein Urine Test
Urticaria Vaccination
Vasculitis Vasospasm
Viral Infection Weight
Weight Loss Which Specialty To Consult
Which Specialty To See White Blood Cells
Wound