Can Needle Sticks at the Beach Lead to HIV Infection?
Needle puncture issues Doctor, I would like to inquire about something. With summer approaching, we sometimes see syringes and needles at the beach or shore. If I accidentally get pricked or step on one, could this lead to HIV infection? Thank you.
Dr. Liao Zhongxin Reply:
The HIV virus is difficult to survive in general environments, but it is still necessary to seek medical attention for blood tests to check for diseases transmitted through blood and bodily fluids.[Read More] Can Needle Sticks at the Beach Lead to HIV Infection?
Understanding Postprandial Blood Sugar Fluctuations and Fatigue Symptoms
Previously measured elevated postprandial blood glucose levels using a glucometer? Hello, doctor. I would like to ask you a few questions. Last August, during a hot weather, I had a sweet smoothie, and shortly after, I experienced dizziness and fatigue, feeling sleepy. This fatig...
Dr. Lin Jianliang Reply:
Hello, there are many conditions that could cause the situation you described. Regarding blood sugar levels, since they can sometimes be elevated, it is advisable to consult a physician for an evaluation and to have a blood test to check your hemoglobin A1c levels.[Read More] Understanding Postprandial Blood Sugar Fluctuations and Fatigue Symptoms
Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
If the effect of using metformin after meals is not satisfactory, can insulin therapy be considered? Hello, Doctor. Thank you very much for your response. I have had diabetes for 2 years, with an initial HbA1c of 6.6 and a fasting blood glucose of 142. I have been using Metformin...
Dr. Lin Jianliang Reply:
Hello: 1. There are many factors that contribute to postprandial hyperglycemia, and there are various ways to manage it. Insulin is one of the methods. I am not aware of the specific regulations regarding insulin under the health insurance system. 2. Your physician will likely co...[Read More] Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
Understanding Abnormal Temperature Sensation in the Left Lower Body
Abnormal sensation in the left lower body, approximately below the navel? Abnormal temperature sensation on the left side of the body, where touching ice does not elicit a cold sensation and may even feel slightly warm at the moment of contact, suggests a potential neurological i...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to consult a neurologist. Thank you for your message![Read More] Understanding Abnormal Temperature Sensation in the Left Lower Body
Understanding HIV: Symptoms, Treatment Duration, and Male Health Concerns
I would like to inquire about HIV/AIDS? What changes can occur in the genital organs of men with HIV? How long does HIV treatment typically take?
Dr. Liao Zhongxin Reply:
1. If there are no signs of cancer or sexually transmitted infections, the appearance is similar to that of the general population. 2. Current medical advancements allow for coexistence with the HIV virus, but lifelong medication is required, and one cannot stop taking the medica...[Read More] Understanding HIV: Symptoms, Treatment Duration, and Male Health Concerns
Can You Get HIV from Soaking Wounds in Contaminated Rainwater?
HIV infection issues If a wound on the foot is submerged in dirty water accumulated from rain, is there a risk of contracting HIV?
Dr. Liao Zhongxin Reply:
No, the HIV virus only survives within the human body and does not exist in nature; however, there are still other bacteria and viruses present in the environment, so it is important to take good care of wounds.[Read More] Can You Get HIV from Soaking Wounds in Contaminated Rainwater?
Understanding HIV Test Results: What to Expect and When to Be Notified
HIV testing issues? On June 5th, I had blood tests done at the provincial hospital, and the health record showed the following urine general examination and syphilis test items: - Treponema pallidum antibody test - Bacterial culture identification test (including general bacteri...
Dr. Wu Hongjie Reply:
For HIV-related inquiries, please contact the Infectious Diseases Department. If this is regarding health check-up items, please call the Health Management Center or the Laboratory Department.[Read More] Understanding HIV Test Results: What to Expect and When to Be Notified
Understanding HIV Testing: Key Questions and Concerns Addressed
HIV testing issues Hello Doctor, I am #197271. Thank you for your response! I am really anxious and have a few more questions! The two tests conducted on May 29 were both negative (RT-PCR + combo test). 1. Can I generally conclude that I was not infected on May 8? 2. Are the re...
Dr. Lin Wufu Reply:
HIV has a window period that can last 3 to 4 months, so a current negative test result only indicates that there is no detectable HIV virus in the body at this moment. To confirm that one is truly uninfected, follow-up testing is necessary around the 4-month mark. In the case of ...[Read More] Understanding HIV Testing: Key Questions and Concerns Addressed
Understanding Parasite Risks and Health Concerns in Contaminated Water
Regarding parasitic issues? Hello Doctor, my name is Yang, and I am a female. I would like to ask about a parasitic issue. Around 2014, about eight years ago, I operated a clothing store in a wet market, which had a rather dirty environment. I used water that was offered to the E...
Dr. Lin Wufu Reply:
It has been too long since 2014, and even if there was a single exposure to bacteria or parasites at that time, it cannot explain the subsequent symptoms you mentioned. I recommend seeing a nephrologist to investigate the cause of the proteinuria. If you are experiencing recurren...[Read More] Understanding Parasite Risks and Health Concerns in Contaminated Water
Can You Contract HIV from Haircuts? Understanding Risks and Concerns
Medical issues Hello Doctor: I am a male and I would like to ask a question. Some time ago (I can't remember exactly when), I went to a barbershop that specializes in men's haircuts. This barbershop supports diverse sexual orientations, as evidenced by the rainbow flag ...
Dr. Lin Wufu Reply:
The HIV virus has a very short survival time outside the body, so unless the clipper has just come into contact with the blood of an HIV-infected person and is immediately used on you, causing a wound or bleeding, there is theoretically a minimal risk of transmission. However, in...[Read More] Can You Contract HIV from Haircuts? Understanding Risks and Concerns
Understanding Abnormal White Blood Cell Counts: Is It Leukemia?
White blood cell count is approaching abnormal levels? Hello, doctor. Recently, my lab report showed a white blood cell count of approximately 4250. The neutrophil and lymphocyte classifications are normal, but other types show fluctuations of 1-2%. I have recently experienced fo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. This white blood cell count is not a concern. The white blood cell count can fluctuate based on the body's condition, and this value is still within an acceptable range, so there is no need for you to worry. The Allergy, Immunology, and Rhe...[Read More] Understanding Abnormal White Blood Cell Counts: Is It Leukemia?
Understanding Parasite and Infection Risks from Snail Contact
Parasitic and Infectious Issues Hello Doctor, I am the questioner from <a href="https://adoctor.tw/article/197160">#197160</a>. I tend to feel anxious and nervous, so I would like to confirm the following questions with you: 1. If I handle a snail while we...
Dr. Lin Wufu Reply:
1. The risk is very low. 2. The risk of transmission from a single contact is actually very minimal; it is advised that if you feel fine, there is no need for special concern. 3. The risk from occasional touching is also low, but it is still recommended to wash your hands aft...[Read More] Understanding Parasite and Infection Risks from Snail Contact
Understanding STD Transmission Risks When Caring for Children
Sexually transmitted infection (STI) transmission issues? Hello, Doctor: 1. I would like to ask if it is possible to transmit a sexually transmitted infection (STI) to my child if I accidentally become infected but have to take care of them at home. 2. For example, if I am in...
Dr. Lin Wufu Reply:
1. Sexually transmitted infections (STIs) are typically transmitted through sexual contact, and the risk of transmission through general contact is low (though it depends on the specific STI in question). 2. No, unless the lesions of the STI come into direct contact with the ch...[Read More] Understanding STD Transmission Risks When Caring for Children
Understanding HIV Testing Reliability After PEP Treatment
HIV testing issues? Hello Doctor: My situation is as follows: I had sexual intercourse with a person from A on May 8 and with a person from B on May 22 (both protected vaginal intercourse and unprotected oral sex). I became very anxious and sought PEP treatment at a clinic on May...
Dr. Lin Wufu Reply:
Yes, taking PEP may help suppress the virus, so generally, after a potential exposure, in addition to getting an HIV test as soon as possible, it is recommended to test again at six weeks and three months afterward. By that time, PEP will no longer be in use, making the results m...[Read More] Understanding HIV Testing Reliability After PEP Treatment
Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Medical consultation Hello doctor, I would like to ask a question. I am currently on the fourth day of my diagnosis, and I have been sweating continuously while lying in bed. I also have chest pain and cannot sleep well; when I do manage to fall asleep, it’s only for about two ho...
Dr. Lin Wufu Reply:
It still sounds like symptoms related to COVID-19. It is recommended to follow up with an infectious disease specialist or a pulmonologist for further evaluation.[Read More] Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Medication Consultation for Persistent Skin Allergies and Joint Concerns
Rheumatoid Arthritis Medication Consultation I have been suffering from skin allergies for over six months, with daily recurrences upon waking up. I believe it is dyshidrotic eczema, but it is very deep and extremely itchy. The outer layer has scabbed over while the inside contin...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. We often use chloroquine in patients with early immune dysfunction or rheumatic diseases. Although you only have allergic symptoms, the elevated ANA antibody levels may lead your physician to be concerned that the cause of your dyshidrosis is n...[Read More] Medication Consultation for Persistent Skin Allergies and Joint Concerns
Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Exercise for Kidney Disease Hello, Doctor Wu. I have stage 2 chronic kidney disease (with a glomerular filtration rate fluctuating between 70 and 80) and a urine protein-to-creatinine ratio (UPCR) below 600. Can I engage in jogging as a form of exercise? I plan to run about 2 kil...
Dr. Wu Hongjie Reply:
There are no specific exercise recommendations for kidney disease; it is advisable to consult a rehabilitation physician. In general, aerobic exercise is preferable to anaerobic exercise. Wishing you health and safety.[Read More] Exercise Guidelines for Patients with Stage 2 Chronic Kidney Disease
Understanding Lupus Symptoms: Differentiating Between Disease and Injury
Systemic lupus erythematosus (SLE) Hello Doctor, I was diagnosed with lupus at the age of 18, and until this year, I was taking two quinine tablets a day. However, this year my doctor informed me that my urine protein UPCR increased from below 200 to 500, and my CRP was 0.19. As ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Most immune system issues, including lupus, often present with joint symptoms, which is why patients are monitored in rheumatology. For mild joint symptoms, we manage them with anti-inflammatory pain relievers, including Celecoxib. Celecoxib is...[Read More] Understanding Lupus Symptoms: Differentiating Between Disease and Injury
Understanding High Urinary Glucose Levels: Is It Prediabetes?
Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...
Dr. Li Jian Reply:
If fasting is not observed, glycosuria may occur. You can retest the hemoglobin A1c in three months. Thank you for your inquiry.[Read More] Understanding High Urinary Glucose Levels: Is It Prediabetes?
Is Long-Term Benzbromarone Use Safe for Kidney Health?
Hello, doctor. I would like to inquire about kidney issues? I would like to consult a physician. My height is 160 cm and my weight is 75 kg, with a uric acid level of approximately 8 or higher. If I take benzbromarone long-term to control my uric acid levels, will it cause any ha...
Dr. Lin Wufu Reply:
Hello, basically it shouldn't be a problem! However, be cautious about the possibility of developing uric acid stones. It's recommended to have regular follow-up visits at the outpatient clinic.[Read More] Is Long-Term Benzbromarone Use Safe for Kidney Health?