Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
High blood insulin levels and high insulin resistance? Hello, doctor. I would like to ask about my recent self-paid blood tests. My insulin resistance index is 7.1 (normal range: 1.4-2.0), and my blood insulin concentration is 28.65 uU/mL (normal range: 2.6-24.9), which is higher...
Dr. Lin Jianliang Reply:
Hello, a fasting blood glucose level of 100 mg/dL is classified as impaired fasting glucose (IFG), which is a form of prediabetes. The diagnosis of prediabetes does not rely on the insulin resistance index or blood insulin levels. There are many reasons for a high insulin resista...[Read More] Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
Understanding Black Spots on the Tongue: Causes and When to Seek Help
Tongue issues? Hello Dr. Lin, I suddenly noticed a small black spot on the side of my tongue while brushing my teeth. I would like to ask what this could be. I don't remember having it this morning... Is it possible for a mole to appear suddenly? Do I need to go to the hospi...
Dr. Lin Wufu Reply:
Hello, it is recommended to see an otolaryngologist to find out what it is! The most common issue might be minor bleeding, which could appear as a bruise if it was accidentally scratched. However, it's safer to have a doctor confirm it. You can observe it for another week, a...[Read More] Understanding Black Spots on the Tongue: Causes and When to Seek Help
Understanding Immune System Issues: Symptoms and Concerns Explained
Immune system issues Hello, Doctor Gao. I have a few questions to ask you, and I appreciate your help. 1. At the beginning of August, I developed a urinary tract infection and took antibiotics for two weeks. The symptoms disappeared, and I thought I was cured, so I didn't ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe there is a high possibility of reactive arthritis, especially considering your age and the occurrence of acute prostatitis along with unexplained joint effusion and swelling. I recommend that you consult a rheumatologist nearby. The Al...[Read More] Understanding Immune System Issues: Symptoms and Concerns Explained
Can HIV Be Transmitted Through Eye Exposure to Infected Fluids?
Transmission routes of HIV (ocular) Is it possible to get HIV infection if HIV-infected bodily fluids come into contact with the eyes?
Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual Transmission: Engaging in oral, anal, or vaginal intercourse, or any exchange of bodily fluids with an HIV-...[Read More] Can HIV Be Transmitted Through Eye Exposure to Infected Fluids?
Understanding the Risk of HIV Infection After Sexual Encounter
What is the likelihood of contracting the HIV virus? Hello Doctor: - I had contact with a sex worker on August 16: unprotected oral sex and protected vaginal intercourse. - About 3 to 4 days after the incident, I felt a slight tingling sensation on the glans and noticed white or...
Dr. Liao Zhongxin Reply:
According to data from the Centers for Disease Control (CDC) in Taiwan, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-in...[Read More] Understanding the Risk of HIV Infection After Sexual Encounter
Understanding Abnormal Urinalysis Results: CREA and Color Insights
Urinalysis report CREA(U) (semi-quantitative) 100 mg/dL (-) pH 7.5 Bilirubin negative Color Straw (yellow) Glucose negative Ketone negative MALB(U) (...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The difference between yellow and straw-colored urine is minimal, and if there are no other abnormalities in the urine test, I believe it is not a concern. As for urine creatinine, it is related to kidney function, but in young males who consum...[Read More] Understanding Abnormal Urinalysis Results: CREA and Color Insights
Managing Ascites: Navigating Kidney and Liver Issues in Advanced Disease
It is unclear whether the ascites is caused by kidney issues or liver problems. How can this be addressed? I have hepatitis B, cirrhosis, and liver cancer. Targeted therapy was interrupted due to side effects, and the hospital suddenly informed us that I am now in the late stage ...
Dr. Yan Qitai Reply:
Considering your condition, it is recommended to continue follow-up visits and treatment with the Gastroenterology and Hepatology Department as well as the Nephrology Department. The physician will provide appropriate medical advice based on your condition during each visit. Depa...[Read More] Managing Ascites: Navigating Kidney and Liver Issues in Advanced Disease
Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Are there any other recommended tests to be done? Hello, my grandfather is a diabetes patient and was previously diagnosed with rectal cancer. Over the past two years, his regular diabetes monitoring tests have shown that his hemoglobin (Hb) levels have consistently been low (aro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend arranging a hematology outpatient appointment for the elderly gentleman to discuss with the physician the management of iron supplementation that has not been effective. Autoimmunity, bone marrow hematopoietic function, and tumors ma...[Read More] Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Understanding Eye Health: Redness and Yellowing of the Sclera
Issues with the sclera? Hello doctor, I would like to ask about something. While taking a shower, I looked at my eyes and noticed some blood vessels in the corners, and I’m not sure if they appear slightly yellowish. I read online that yellowing of the sclera can indicate liver o...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I think it's okay. If you're concerned, you can consult a hepatobiliary and gastroenterology specialist. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital, Ministry of Health and Welfare, is here to support you.[Read More] Understanding Eye Health: Redness and Yellowing of the Sclera
Understanding Ankylosing Spondylitis Diagnosis and Treatment Options
Diagnosis of Ankylosing Spondylitis Hello, doctor. I am 42 years old and have been experiencing occasional dull pain in my sacroiliac joint for the past six months. I have seen both orthopedic and rehabilitation specialists without any improvement. One day, I woke up at 4 AM due ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Am I certain that I have ankylosing spondylitis? --> Currently, the diagnosis of ankylosing spondylitis requires not only blood tests but also clinical symptoms. The absence of nighttime back pain is somewhat unusu...[Read More] Understanding Ankylosing Spondylitis Diagnosis and Treatment Options
Stepping on Glass: Understanding Tetanus Risks and Symptoms
Stepping on glass? On Saturday, September 16, I stepped on a small piece of broken glass at home. The wound was very small, about 2-3 millimeters, so I didn't get a tetanus shot. However, by September 21, the muscle near my right zygomatic bone became a bit tense (the left s...
Dr. Xie Rongyuan Reply:
Hello: If there are any changes in the wound, please visit a hospital for diagnosis. Thank you for your message![Read More] Stepping on Glass: Understanding Tetanus Risks and Symptoms
Understanding Autoimmune Diseases: What Does a Positive ANA Test Mean?
Autoimmune diseases Hello, Director Gao. I would like to ask you a question. Previously, I experienced full-body itching and developed hives whenever I returned home. After seeing a doctor, I took antihistamines for over a month, and now I no longer itch, but I still occasionally...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. An ANA titer of 1:80 is considered low, and if there are no symptoms, we usually recommend monitoring. 2. In cases of chronic urticaria, we sometimes test for syphilis, as untreated syphilis infection can lead to prolo...[Read More] Understanding Autoimmune Diseases: What Does a Positive ANA Test Mean?
Understanding Early Rheumatoid Arthritis: Blood Tests and Symptoms Explained
Rheumatoid-related inquiries? Hello, Dr. Gao. I previously asked you about rheumatoid-related issues (pain in both wrists) on September 11. The blood test results are out, and I also had an X-ray of my hands. The rheumatologist said there were no issues. I would like to ask you a...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: Question 1: In the case of early rheumatoid arthritis, is it possible for blood test results to be normal and X-rays to show no signs? --> Yes, that can happen. Question 2: What does the quantitative result in the b...[Read More] Understanding Early Rheumatoid Arthritis: Blood Tests and Symptoms Explained
Low C3 Levels and Edema: Exploring Potential Causes and Next Steps
Edema examination shows low C3 levels? Stage I thyroid cancer, right thyroidectomy medication: OncoTect 50mg/day. Received one dose of the AZ vaccine, experienced adverse effects after a full meal, and has not been diagnosed since May due to lower limb edema. Consulted at the Int...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. There are no specific issues with immune function, and a decrease in C3 does not have particular significance. It is recommended to continue monitoring with the Metabolism Department. The Allergy, Immunology, and Rheumatology Department at Chang...[Read More] Low C3 Levels and Edema: Exploring Potential Causes and Next Steps
Are Pork and Beef Tapeworm Infections Rare in Taiwan Today?
Parasitic issues? Doctor, may I ask if infections from pork tapeworms and beef tapeworms are now quite rare in Taiwan? Thank you, doctor.
Dr. Lin Wufu Reply:
It is likely because we rarely have the opportunity to consume raw or undercooked pork and beef (tapeworms can also be killed by freezing), which is why such infection cases are not commonly encountered in Taiwan![Read More] Are Pork and Beef Tapeworm Infections Rare in Taiwan Today?
Understanding Eye Puffiness: Is It Related to Thyroid Issues?
Eye swelling Hello, doctor. I was recently diagnosed with a thyroid issue, accompanied by swelling around my eyes, and I sometimes feel that my vision is a bit blurry. Is this related to my thyroid condition? If so, will the swelling and blurry vision symptoms disappear once my t...
Dr. Li Jian Reply:
Hypothyroidism can potentially cause edema, which may improve with treatment. Thank you for your inquiry.[Read More] Understanding Eye Puffiness: Is It Related to Thyroid Issues?
Understanding Weight Fluctuations: When to Worry About Your Health
Weight issues Hello Doctor, I have recently been controlling my diet and brisk walking for weight loss. I weigh myself approximately every 2-3 days. Last Thursday (9/14), I weighed 91.3 kg, and I didn't weigh myself on Friday, Saturday, or Sunday. Yesterday (9/18), I weighed...
Dr. Li Jian Reply:
If there is a need for weight loss, it doesn't have to be rapid; losing weight gradually is more sustainable. Thank you for your inquiry.[Read More] Understanding Weight Fluctuations: When to Worry About Your Health
Impact of Delayed Testing After Insulin Injection: What to Expect
Needle stick injury without testing for more than six months? Hello Doctor: I would like to ask if, after more than six months since the injection, a recent blood test can show negative or positive results without prior testing. The injection was done with an insulin needle, and ...
Dr. Liao Zhongxin Reply:
1. First, it is essential to identify which patient the needle belongs to and whether they have any bloodborne infectious diseases, such as HBV, HCV, HIV, or syphilis. 2. Since the window period has already passed, testing at this point can determine if there is an infection. 3. ...[Read More] Impact of Delayed Testing After Insulin Injection: What to Expect
Understanding Red Flags on Your Health Check Report: Expert Advice
Inquiry about the red text on the health check-up report? Hello Dr. Lin: I just received my health check report and noticed some red flags that are causing me a lot of concern. I would like to ask if there are any of these red flags that can be improved through daily habits, such...
Dr. Lin Wufu Reply:
Hello, the MCH value is primarily for reference; any issues related to anemia should be assessed based on hemoglobin (Hb) levels. Urinary ketones may test positive after prolonged fasting, and the presence of leukocyte esterase in urine suggests a possible urinary tract inflammat...[Read More] Understanding Red Flags on Your Health Check Report: Expert Advice
Managing Autoimmune Disorders: Medication Concerns and Heart Health
Medication issues I would like to ask about my situation. After abnormal ANA antibody results from a blood test, I underwent several examinations. Initially, I tested positive for Sjögren's syndrome antibodies, and recently, due to severe Raynaud's phenomenon, I also te...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that Puda tablets are quite safe medications. Although there is a very small chance of cardiac side effects, they should not affect heart rhythm. If it is just early contractions, I think it is not a concern. However, if there are ind...[Read More] Managing Autoimmune Disorders: Medication Concerns and Heart Health