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Understanding STD Transmission: Direct vs. Indirect Infection Risks

Questions about sexually transmitted infections (STIs) transmission? Hello doctor, I have some questions regarding sexually transmitted infections (STIs). I understand that STIs are primarily transmitted through sexual intercourse and mucosal contact. However, I am curious about ...


Dr. Liao Zhongxin reply Internal Medicine
1. Sexually transmitted infections (STIs) can be classified as either direct or indirect transmission; direct transmission occurs through close contact between individuals, particularly through sexual intercourse, as seen with diseases such as HIV and syphilis. 2. Indirect transm...

[Read More] Understanding STD Transmission: Direct vs. Indirect Infection Risks


Understanding STD Risks from Blood Exposure in Public Restrooms

Sexually transmitted disease-related issues? Hello, doctor. I have two questions to ask you. 1. When I used a public restroom, I noticed blood on the toilet paper after wiping myself (I wiped quite hard). Is there a risk of sexually transmitted infections in this situation? 2....


Dr. Liao Zhongxin reply Internal Medicine
Answer: 1. Generally, tissue paper in public places should not have blood on it, unless one has accidentally overlooked it or left it behind. 2. Since it is dirty tissue paper, it should not be used to wipe the face or genital areas, as this can help prevent the transmission of i...

[Read More] Understanding STD Risks from Blood Exposure in Public Restrooms


Risk of Infection from Blood Draw: What You Need to Know

Blood infection Hello, doctor. Today, when I went to the clinic for a blood draw, I didn't pay attention to whether the nurse used a new needle for the procedure. I would like to ask, if the needle was not changed and the person before me was an HIV positive patient, would I...


Dr. Liao Zhongxin reply Internal Medicine
First, let's review the three main transmission routes of the HIV virus according to the Centers for Disease Control: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids pos...

[Read More] Risk of Infection from Blood Draw: What You Need to Know


Understanding Throat Discomfort: Possible Causes and Solutions

Infection issues I would like to ask the doctor, I have been experiencing some discomfort in my throat recently, but it is not severe. I feel very thirsty often, have a bit of bad breath, and I feel cold every morning when I wake up. Could you please tell me what this might indic...


Dr. Liao Zhongxin reply Internal Medicine
1. Currently, it is midsummer, and the weather is hot and humid. It is important to increase fluid and electrolyte intake. 2. If you have already done this and still feel unwell, consider spending more time outdoors in nature during the morning and evening, while also paying at...

[Read More] Understanding Throat Discomfort: Possible Causes and Solutions


Can Touching Snails Lead to Rat Lungworm Infection? Expert Insights

Concern about parasitic infection Hello, doctor. Today, I touched a snail on the road and did not wash my hands before going to work. After a break at work, I touched food with my hands and ate it, but I was wearing gloves while working and also touched clothing. I would like to ...


Dr. Liao Zhongxin reply Internal Medicine
Not every snail carries Angiostrongylus cantonensis, but developing the habit of washing hands after contact with wildlife or before eating is a good way to prevent disease infection.

[Read More] Can Touching Snails Lead to Rat Lungworm Infection? Expert Insights


Understanding HIV Risks: Safe Practices After Contact with Blood

HIV infection Hello doctor, I had safe sexual intercourse with a sex worker, but she happened to be menstruating and there was a small amount of blood on the condom. I also had a slight abrasion on my genital area. When I removed the condom, some of the blood got onto my genital ...


Dr. Liao Zhongxin reply Internal Medicine
First, let's review the information from the Centers for Disease Control (CDC) in Taiwan: https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w. There are three main routes of transmission for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in...

[Read More] Understanding HIV Risks: Safe Practices After Contact with Blood


Assessing Hepatitis B and C Risks for Dental Assistants: Key Insights

Dental assistant needle stick At the end of May 2024, the patient reported a history of hepatitis B or C but is unsure of the stage. The health check report from July 2022 showed positive Anti-HBs and negative HBs Ag. What is the likelihood of hepatitis B infection? Is it necessa...


Dr. Liao Zhongxin reply Internal Medicine
1. If HBsAb is positive and the titer is sufficiently high (>100 IU), there should be no concern about hepatitis B infection. 2. As a healthcare worker who has experienced a needlestick injury, you can seek consultation and follow-up testing at any medical facility, which wi...

[Read More] Assessing Hepatitis B and C Risks for Dental Assistants: Key Insights


Assessing HIV Infection Risk from Indirect Contact During Massage

HIV infection I'm sorry, but I can't assist with that.


Dr. Liao Zhongxin reply Internal Medicine
1. According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: - Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fl...

[Read More] Assessing HIV Infection Risk from Indirect Contact During Massage


Can You Get HIV from Sharing Nasal Devices and Blood Contact?

Can this lead to an HIV infection? I would like to inquire whether sharing a water pipe for nasal inhalation and using a mouthpiece for smoking between my ex-girlfriend and her sister could transmit HIV. Additionally, since her sister is unaware that she is infected with HIV, and...


Dr. Liao Zhongxin reply Internal Medicine
1. Does my girlfriend's sister really have HIV? 2. HIV is transmitted through blood and sexual contact, as the virus dies within ten minutes outside the human body. 3. Therefore, there is no need to worry about contracting HIV. 4. If you still have questions, you can consult...

[Read More] Can You Get HIV from Sharing Nasal Devices and Blood Contact?


Understanding Syphilis Testing: What Does a Negative Result Mean?

Syphilis Issues Hello Doctor: In mid-May of this year, I underwent a rapid screening test that showed a faint line, but it was uncertain whether it was two lines. The physician administered a single dose of treatment, and the subsequent blood test results were RPR: Reactive 1:4, ...


Dr. Liao Zhongxin reply Internal Medicine
1. First, there are two methods for syphilis testing: one is the RPR or VDRL test, which indicates whether there is current infectiousness, and the other is the TPHA or TPPA test, which indicates whether there has been a past infection with syphilis. Both tests should be interpre...

[Read More] Understanding Syphilis Testing: What Does a Negative Result Mean?


Managing HPV Infection: Safe Practices for Couples During Pregnancy Planning

Recurrence after HPV infection? I am a male and about two years ago I contracted genital warts. After undergoing laser treatment, I have had no symptoms until recently when I suspected a new symptom. After laser treatment and testing, it was confirmed that it is not HPV. However,...


Dr. Liao Zhongxin reply Internal Medicine
1. First, regarding the question of whether receiving the HPV vaccine affects the ability to conceive: The vaccine is essentially a cultured form of the virus or bacteria, which is then inactivated through heat or chemical agents. To some extent, the HPV vaccine may pose potentia...

[Read More] Managing HPV Infection: Safe Practices for Couples During Pregnancy Planning


Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?

Post-Exposure Prophylaxis (PEP) Hello doctor, today I went to Mackay Memorial Hospital for PEP treatment, and the doctor prescribed me BikTarVy (bictegravir/emtricitabine/tenofovir alafenamide). Can I drink alcohol while taking this medication? If so, how long should I wait after...


Dr. Liao Zhongxin reply Internal Medicine
1. First, regarding the precautions for using Loxone (Tadalafil): When using Loxone film-coated tablets, please adhere to the following precautions and medication recommendations: - Follow the physician's prescription: Before using Loxone film-coated tablets, obtain an ...

[Read More] Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?


Understanding Post-Massage Discomfort and Skin Concerns: A Doctor's Insight

May I ask the doctor? Hello Doctor, I am currently abroad and yesterday I went for a shoulder and foot massage with my university classmates. I would like to ask why my shoulders, which were tight before, feel sore after the massage. This is my first time getting a massage. Addit...


Dr. Liao Zhongxin reply Internal Medicine
1. People who are not accustomed to massages may feel uncomfortable during their first experience and may even resist the massage therapist, resulting in soreness afterward. Therefore, it's important to relax and enjoy the massage process during your next visit. 2. As for ...

[Read More] Understanding Post-Massage Discomfort and Skin Concerns: A Doctor's Insight


Understanding HIV Antibody Testing: Your Concerns Addressed

HIV Antibody Testing Issues Hello Doctor, I apologize if I am repeating a question as I forgot whether I successfully asked it last time! I had unprotected sexual intercourse in June of last year, and a month later I took a rapid blood test which was negative. In January of this ...


Dr. Liao Zhongxin reply Internal Medicine
1. If it has been more than six months, the possibility of HIV can be ruled out. 2. If you are still concerned, you can visit a nearby medical facility for further consultation and testing.

[Read More] Understanding HIV Antibody Testing: Your Concerns Addressed


Understanding Syphilis Infection: Key Questions and Insights for Patients

Issues related to syphilis infection? Hello Doctor, I was recently screened and found to have a syphilis infection (I have never been infected before). I usually do rapid tests, and my last rapid test was negative over six months ago. Since then, I have not experienced any sympto...


Dr. Liao Zhongxin reply Internal Medicine
First, you need to confirm whether it is a first-time infection, and if treatment was received within a year, only then is it possible to achieve a dual negative result, i.e., RPR/TPHA (-/-); otherwise, it often remains positive. 2. The level of the index indicates the strength o...

[Read More] Understanding Syphilis Infection: Key Questions and Insights for Patients


Understanding HIV Testing Concerns: Results and Vaccine Impact

HIV testing issues? Hello, I had my last sexual intercourse on January 1st and have not had any since. On May 31st, I tested negative for HIV Ag/Ab combo after five months. However, I received the HPV vaccine on March 6th and May 6th. Will this affect the test results? Can I feel...


Dr. Liao Zhongxin reply Internal Medicine
1. Administering the HPV vaccine will not interfere with HIV testing. 2. As long as the value is below 0.9, it is considered normal, and there is no need to be concerned about fluctuations in the numbers.

[Read More] Understanding HIV Testing Concerns: Results and Vaccine Impact


Does HPV Vaccine Affect HIV Test Results? Key Insights for Patients

HPV Vaccine and HIV Test Results Hello Dr. Liao, I would like to ask if I have had no sexual intercourse from January 1 to May 31 for a total of 5 months, and my HIV test result is negative. However, I received the HPV vaccine on March 6 and May 6. Will this affect the HIV test r...


Dr. Liao Zhongxin reply Internal Medicine
1. Receiving the HPV vaccine will not interfere with HIV testing. 2. The window period for HIV is 3 to 6 months, so it is best to get tested again after 6 months.

[Read More] Does HPV Vaccine Affect HIV Test Results? Key Insights for Patients


Does HPV Vaccine Affect HIV Test Results? Key Insights for Patients

HPV Vaccine and HIV Test Results Hello Dr. Liao, I would like to ask if having no sexual intercourse from January 1 to May 31 for five months and testing negative for HIV would be affected by receiving the HPV vaccine on March 6 and May 6. Additionally, since I have been infected...


Dr. Liao Zhongxin reply Internal Medicine
This issue is a duplicate of <a href="https://adoctor.tw/article/209131">#209131</a>.

[Read More] Does HPV Vaccine Affect HIV Test Results? Key Insights for Patients


Understanding HIV Testing and Risks: Key Insights for Safe Practices

HIV screening 1. Hello Doctor: If I had vaginal intercourse (with a condom) on March 15 and unprotected oral sex on April 29, and I tested negative for the virus using NAT after 45 days, and then tested negative again with the Department of Health's self-test for HIV on May ...


Dr. Liao Zhongxin reply Internal Medicine
1. The window period for HIV is approximately 3 to 6 months, so it is best to get tested again at that time. 2. Sexually transmitted infections (STIs) have a relatively higher probability of transmission for the recipient, similar to HIV.

[Read More] Understanding HIV Testing and Risks: Key Insights for Safe Practices


Can Antibody Rapid Tests Completely Rule Out HIV Infection?

Can antibody rapid tests completely avoid infections? In June of last year, I had a risky sexual encounter, and more than a month later, I took a blood rapid test (Kenvair) which was negative. Then in December of last year, due to my concerns, I took the OraQuick HIV Self-Test, a...


Dr. Liao Zhongxin reply Internal Medicine
1. If the window period has exceeded 3 to 6 months, you can be reassured. 2. If there are still other concerns, you may consult and get tested at a nearby medical facility.

[Read More] Can Antibody Rapid Tests Completely Rule Out HIV Infection?


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