Understanding Syphilis Testing for Kitchen Staff Health Exams
Health Check for Kitchen Staff Dear Doctor, I previously had syphilis and after treatment, my RPR/VDRL test results came back non-reactive. If I undergo a health examination for kitchen staff, will the syphilis test results be considered normal? Can I work in the kitchen? I had t...
Dr. Cai Jueren reply Family Medicine
Dear Mr. Xiaobai, The diagnosis of syphilis is primarily based on serological tests such as VDRL and TPHA. For individuals with a positive VDRL and a TPHA titer of 1:160 or higher, treatment should be initiated, and follow-up should occur at 3 months, 6 months, 12 months, and 24...[Read More] Understanding Syphilis Testing for Kitchen Staff Health Exams
Understanding Positive Urine Blood Test Results: Next Steps for Patients
Health check-up At 56 years old, you recently underwent a health checkup at a nearby clinic as part of the three-year health insurance screening. The test results showed positive occult blood in the urine, and the urine red blood cell count was 7-9. What does this mean, and which...
Dr. Cai Jueren reply Family Medicine
An abnormal increase of red blood cells in urine is referred to as "hematuria." In mild cases, an increased number of red blood cells can be observed under a light microscope; in more severe cases, blood can be seen with the naked eye. Hematuria is commonly associated w...[Read More] Understanding Positive Urine Blood Test Results: Next Steps for Patients
Understanding FNS and Hemangiomas: Key Differences and MRI Insights
FNS and Magnetic Resonance Imaging (MRI) Hello: I am Fang from May 22. After that, I returned to the hospital where I had my laparoscopic surgery. The gastroenterologist here mentioned that the physician who performed my abdominal ultrasound suspects I may have focal nodular hype...
Dr. Cai Jueren reply Family Medicine
1. Please provide the full name of FNH for clarification. 2. You may be experiencing a drug allergy reaction. If an MRI is truly necessary (covered by health insurance), it is recommended to use a higher quality contrast agent (which costs about $600-900) as it has a lower risk...[Read More] Understanding FNS and Hemangiomas: Key Differences and MRI Insights
Concerns About Brain Surgery: Understanding Risks and Recovery
Regarding issues related to neurosurgery? I have some questions regarding my girlfriend, who underwent brain surgery as a child due to a car accident. Her family opposed the installation of a metal plate at the surgical site. I would like to know if placing a metal plate at the s...
Dr. Cai Jueren reply Family Medicine
Hello, Baiyuan: The installation of a metal plate at the surgical site is intended to cover the wound and protect the brain tissue from external damage. It also helps to maintain normal intracranial pressure more easily. Of course, whether or not to install the metal plate is a d...[Read More] Concerns About Brain Surgery: Understanding Risks and Recovery
Correction: Clarifying the FNH vs. FNS Terminology in Family Medicine
Correction I apologize for the typo; it should be FNH, not FNS.
Dr. Cai Jueren reply Family Medicine
Please provide[Read More] Correction: Clarifying the FNH vs. FNS Terminology in Family Medicine
Craving Ice: Understanding the Health Risks and Solutions
I really love eating ice cubes? I started to really enjoy eating ice cubes about a year or two ago. At first, it was fine; I would just ask the store to fill my drinks with ice. However, later on, I found myself only eating the ice cubes and even putting my drinks in the freezer ...
Dr. Cai Jueren reply Family Medicine
Please proceed directly to the family medicine clinic for an examination to determine the cause of your condition and to decide on subsequent treatment options.[Read More] Craving Ice: Understanding the Health Risks and Solutions
Swelling on Both Sides of Lower Lip: Causes and Treatment Options
Swelling on both sides of the lower lip? Hello, Doctor. I have been taking antibiotics for one month to treat urethritis. After the treatment, I noticed some swelling on both sides of my lower lip, which is somewhat noticeable. I have stopped the medication, but the swelling pers...
Dr. Cai Jueren reply Family Medicine
Dear Sir/Madam, Typically, oral antibiotic treatment for urethritis lasts for one week, and it is only necessary to extend the treatment beyond one week in cases of congenital urethral abnormalities or renal pathologies. The swelling of the lips may be related to the use of anti...[Read More] Swelling on Both Sides of Lower Lip: Causes and Treatment Options
Understanding Your Health Check Results: Key Questions and Insights
Health check results A few days ago, I sent you a letter, but since I haven't received a response, I am sending it again. Hello: Important medical history: Congenital heart disease, corrected Tetralogy of Fallot. Current symptoms: I often experience cramps in my left leg...
Dr. Cai Jueren reply Family Medicine
Dear Ms. Ahua, In response to your questions, I will address them one by one: 1. Your health check report indicates a mean corpuscular volume (MCV) of 70.4 (<80), which suggests microcytic anemia. Aside from thalassemia, other potential causes for the decreased MCV include d...[Read More] Understanding Your Health Check Results: Key Questions and Insights
Understanding Pelvic Venous Calcification: Causes, Effects, and Treatment
I'm sorry, I'm not sure which specialty to inquire about? Hello, Dr. Tsai! I would like to ask what is meant by "pelvic venous calcification"? What are the causes? What effects does it have? How is it treated? What should be noted in daily life? Thank you!
Dr. Cai Jueren reply Family Medicine
"Pelvic venous calcification" is a term used in X-ray reports. It is not a disease and does not require treatment. Most individuals experience slight calcification of the vascular walls as they age. Generally, doctors will specifically alert patients only when there is ...[Read More] Understanding Pelvic Venous Calcification: Causes, Effects, and Treatment
Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Blood test report Hello, recently the school conducted a blood test, and the report showed that my red blood cell count is high (5.43 million/µL), hemoglobin is low (11.4 g/dL), and mean corpuscular volume is low (65.7 fL). What do these results indicate, and how can I improve th...
Dr. Cai Jueren reply Family Medicine
Response to Miss Xiao Miao: The normal range for red blood cell count (RBC) is 3.8 to 6.0 million/µL for males and 3.8 to 5.5 million/µL for females. Elevated levels may indicate polycythemia or thalassemia, while low levels may suggest anemia. The normal range for hemoglobin (Hb...[Read More] Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Effective Treatments and Diet to Boost Low Platelet Counts
Platelets What treatments or dietary changes can help increase platelet counts? The patient has been hospitalized for over a month, with platelet counts currently at 6,000 and now at 14,000, but there hasn't been much improvement.
Dr. Cai Jueren reply Family Medicine
Dear Sir/Madam, The normal platelet count for both males and females ranges from 150,000 to 400,000/μL. You mentioned in your inquiry that your platelet count is 14,000, and currently only 6,000. Is this correct? A platelet count below 20,000/μL may lead to spontaneous bleeding,...[Read More] Effective Treatments and Diet to Boost Low Platelet Counts
Can Air Travel Through the Body? Understanding Bloating and Sensations
Air Can air move to other parts of the body? I have been experiencing bloating for three months, and it hasn't improved. Initially, it was due to a vegetarian diet, but after returning to a normal diet, it got a bit better, yet it hasn't completely resolved. Is this nor...
Dr. Cai Jueren reply Family Medicine
Reply to Lisa: The most common cause of gastrointestinal bloating is related to the types of food consumed and the motility of the gastrointestinal tract. Foods that are prone to cause gas include legumes, onions, leeks, cola, and other carbonated beverages. If you continue to ex...[Read More] Can Air Travel Through the Body? Understanding Bloating and Sensations
Understanding Unusual Symptoms: Chest Pain, Numbness, and Muscle Twitches
excuse me? 1. Recently, I have been feeling something unusual on the left side of my body. My left chest hurts and feels itchy, and sometimes I have difficulty breathing. My hands and feet are easily numb, and I experience dizziness. 2. A little lower, around the rib area, also...
Dr. Cai Jueren reply Family Medicine
It is recommended to measure and record your blood pressure in both your left and right arms (once in the morning and once in the evening) for two weeks, and then bring the records to your physician. If you feel very uncomfortable, please seek medical attention promptly. The mass...[Read More] Understanding Unusual Symptoms: Chest Pain, Numbness, and Muscle Twitches
Understanding Chest Pain: When to Seek Medical Attention
Chest pain Recently, I have experienced unexplained chest pain in the center of my chest. When it's mild, it feels like chest tightness, and when it's severe, it resembles a pressing pain, but it only lasts for a moment! This usually occurs more frequently during aerobi...
Dr. Cai Jueren reply Family Medicine
Hello Fan: This type of pain is likely just muscle strain pain, rather than muscle soreness or pain at the muscle attachment points. Typically, this kind of pain occurs during exercise or after physical activity. Sometimes it is most painful in the early morning upon waking. For ...[Read More] Understanding Chest Pain: When to Seek Medical Attention
Understanding Blood in Sputum: Causes and Concerns for Smokers
Hemoptysis Coughing up phlegm with blood can be concerning, especially for smokers. This symptom, known as hemoptysis, can be caused by various conditions, including bronchitis, lung infections, or more serious issues like lung cancer. It's important to seek medical attentio...
Dr. Cai Jueren reply Family Medicine
1. There could be many possible causes; please visit a hospital for an examination. 2. Please quit smoking.[Read More] Understanding Blood in Sputum: Causes and Concerns for Smokers
Understanding the Health Risks and Longevity of Transgender Individuals
Transgender person? Could you please tell me what kind of long-term effects transgender individuals may experience? Additionally, what is the average life expectancy for someone who has undergone gender transition? Thank you, doctor. I've noticed a growing trend regarding tr...
Dr. Cai Jueren reply Family Medicine
After undergoing gender-affirming surgery, there are two important aspects to pay special attention to: 1. Hormone replacement therapy, and 2. Psychological adjustment. The most common issues faced by individuals post-surgery are related to the inability of family and friends to ...[Read More] Understanding the Health Risks and Longevity of Transgender Individuals
Understanding Frequent Headaches and Dizziness: A Guide for Patients
Headache and dizziness? Hello Dr. Tsai: Recently, I have been experiencing frequent dizziness and headaches. Last month, the health check-up at my company showed normal results. I am wondering if there are any underlying health conditions that were not detected or if there might ...
Dr. Cai Jueren reply Family Medicine
Hello, Xiao Dong: Headaches are generally classified into three types: 1. Tension-type headaches 2. Migraines 3. Cluster headaches. The causes include 1. Trauma 2. Vascular diseases 3. Meningeal disorders 4. Nasal or orbital disorders 5. Scalp disorders, among others. Dizziness m...[Read More] Understanding Frequent Headaches and Dizziness: A Guide for Patients
Understanding Antibiotics: Classification, Usage, and Impact on Health
Consulting Family Medicine: Questions about Antibiotics? (1) How many classes of antibiotics are there currently? Is this classification an internationally standardized system, or is it defined by the local health authority? Does a lower number indicate that the antibiotic is wea...
Dr. Cai Jueren reply Family Medicine
Antibiotics should be used according to a physician's instructions and should not be self-administered. If there are any issues, it is best to consult a doctor.[Read More] Understanding Antibiotics: Classification, Usage, and Impact on Health
Understanding Your Pain: Which Specialist Should You See?
Pain in the "Gao Huang" area! Hello Doctor: I am 28 years old and have been experiencing long-term pain in the hypochondriac region. I often feel a dull ache or pain in my heart area, and I also have soreness in my lower abdomen and kidney area. Which specialty should I...
Dr. Cai Jueren reply Family Medicine
Please find a family medicine clinic.[Read More] Understanding Your Pain: Which Specialist Should You See?
Comprehensive Guide to Common Health Concerns in Family Medicine
Question Set Dear Dr. Tsai, Hello! Please take a look at the following information. I have many questions regarding medical knowledge, and I would appreciate any information you can provide to help me understand what I should do. Thank you! Medical History: I do not smoke, drin...
Dr. Cai Jueren reply Family Medicine
Your questions are quite broad and not suitable for online discussion; it would be best to visit a clinic in person.[Read More] Comprehensive Guide to Common Health Concerns in Family Medicine