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Understanding Body Temperature Discrepancies: Internal Heat vs. External Cold

The body feels very hot? The room has the air conditioning on, and I can clearly feel a temperature difference in my upper body. I initially felt hot inside and cold outside, and my heart was racing, but now it feels more normal.


Dr. Lin Mingfeng reply Internal Medicine
Humans are homeothermic animals, but sometimes subjective feelings can vary due to external environmental factors. Please measure your body temperature and heart rate, and discuss with your family physician whether they are normal.

[Read More] Understanding Body Temperature Discrepancies: Internal Heat vs. External Cold


Understanding Infection Risks During Health Checkups: What You Need to Know

Risk of Infection during Health Check-ups Hello, doctor. I recently had a health check-up. 1. Due to my own oversight, I only noticed after the check-up that I had a skin abrasion on my toe. During the examination, there were several procedures where I had to lie down (gastroscop...


Dr. Lin Mingfeng reply Internal Medicine
1. If the bed sheets are not clean, there is a possibility that viruses or bacteria could enter the body through wounds. However, the HIV virus is extremely fragile and dies within a few hours outside the human body, making transmission through this route unlikely. In accredited ...

[Read More] Understanding Infection Risks During Health Checkups: What You Need to Know


Will Eye Bulging Improve After Treating Hyperthyroidism?

Thyroid eye disease (TED) or Graves' ophthalmopathy? Hello, doctor. I underwent a military service health examination at Zhudong Hospital before the Lunar New Year. During the ophthalmology check, the eye doctor mentioned that my eyes are protruding, and he suspected I have ...


Dr. Lin Mingfeng reply Internal Medicine
My experience is that recovery does occur, but the degree of recovery varies.

[Read More] Will Eye Bulging Improve After Treating Hyperthyroidism?


Understanding HIV Risks: What to Know After a Potential Exposure

I'm very scared. How long does it take to die from AIDS? Hello Dr. Lin, during a sexual encounter, the condom broke without my knowledge, and I continued for 3-4 minutes before realizing it. I am very scared... I would like to ask you a few questions, and I sincerely hope yo...


Dr. Lin Mingfeng reply Internal Medicine
Question 1: Some laboratory reports use "non-reactive" to indicate negative results. So far, there is no evidence of HIV infection. Regarding your concerns: 1. Theoretically possible, but if the nurse follows standard procedures, she should not come into contact with yo...

[Read More] Understanding HIV Risks: What to Know After a Potential Exposure


Unexplained Fever: When to Seek Medical Attention?

Fever of unknown origin (FUO) Hello Doctor: I would like to inquire about an unexplained fever that has lasted for three weeks, with a temperature ranging from 37.6 to 38.5 degrees Celsius. I have been to the hospital for blood tests, and the doctor said the results were normal. ...


Dr. Lin Mingfeng reply Internal Medicine
Your condition can be classified as fever of unknown origin, which has many potential causes. You should seek medical attention.

[Read More] Unexplained Fever: When to Seek Medical Attention?


Understanding Inguinal Inflammation in Children: Treatment and Management Options

Groin inflammation? The child has inflammation and pus formation in the groin area (without a clear wound this time) and has already seen a doctor. The physician suspects a possible lymphatic malformation and plans to arrange an MRI after the inflammation subsides to assess the s...


Dr. Lin Mingfeng reply Internal Medicine
Recurrent infections, when the body is otherwise considered healthy, should prompt consideration of structural abnormalities. After magnetic resonance imaging (MRI), if abnormalities are detected, treatment should be based on the identified symptoms. If no abnormalities are found...

[Read More] Understanding Inguinal Inflammation in Children: Treatment and Management Options


Unexplained Aches and Fever: Seeking Medical Guidance

Unexplained muscle soreness? Hello, Dr. Lin. I have been experiencing acute pharyngitis since mid-April and saw an ENT specialist. After taking medication, my symptoms improved. However, I later developed a fever of 39.5 degrees Celsius and consulted an internist, which also led ...


Dr. Lin Mingfeng reply Internal Medicine
Your description indicates that there was a preceding upper respiratory infection, followed by low-grade fever and an unexplained rash. Regarding the issue at hand, it is unclear whether you are still experiencing a fever. If you are still febrile (with an afternoon temperature a...

[Read More] Unexplained Aches and Fever: Seeking Medical Guidance


Understanding Recurrent Inflammation in the Groin: Treatment Options

Recurrent inflammation in the groin area? My son was referred from the infectious disease department to surgery due to a wound in his groin. The diagnosis was a bacterial infection caused by follicular obstruction. The doctor has prescribed antibiotics and ointment for treatment....


Dr. Lin Mingfeng reply Internal Medicine
The indications for surgery generally include the need for abscess drainage or the removal of structural abnormalities. If antibiotics can lead to complete healing, surgery may be avoided. The question did not specify why surgery is necessary. It is advisable to discuss this in d...

[Read More] Understanding Recurrent Inflammation in the Groin: Treatment Options


Understanding Recurrent Inflammation in the Groin: Key Considerations

Recurrent inflammation in the groin area? The surgeon did not perform a culture for the drainage of pus and simply stated that there was no inflammation. During the consultation, there was a mention of whether there were any injections or adverse medication habits, but the patien...


Dr. Lin Mingfeng reply Internal Medicine
Your son's condition is likely to continue progressing, and it is advisable to seek medical attention as soon as possible. During the diagnostic process, obtaining a thorough medical history is crucial. Details about daily life, including any history of animal contact, previ...

[Read More] Understanding Recurrent Inflammation in the Groin: Key Considerations


Recurring Inflammation Under the Groin: Causes and Treatment Options

Recurrent inflammation of the groin? You have a 13-year-old son who is 177 cm tall and weighs 88 kg. He has been experiencing recurrent inflammation in his groin area. Three months ago, he had redness and swelling with a hard lump, accompanied by fever, and several punctate wound...


Dr. Lin Mingfeng reply Internal Medicine
First, you can inquire with the original surgeon about the culture results from the last drainage of the abscess. If the infection is caused by Staphylococcus aureus, the patient may have a soft tissue infection or possibly acute lymphadenitis caused by this bacterium, which is n...

[Read More] Recurring Inflammation Under the Groin: Causes and Treatment Options


Does Natto Extract Affect Diabetes Management? Insights and Considerations

Diabetes mellitus Hello, I have a family member with diabetes who is currently taking natto extract. Could you please let me know if this will have any impact on their diabetes? Thank you.


Dr. Lin Mingfeng reply Internal Medicine
Hello: Based on my research, the ingredients of natto extract include red yeast rice, fermented natto extract powder, ginkgo biloba extract, β-carotene, vitamin C, vitamin E, vitamin B1, vitamin B2, vitamin B6, vitamin B12, folic acid, and inositol. If natto extract contains only...

[Read More] Does Natto Extract Affect Diabetes Management? Insights and Considerations


Understanding Lymphadenopathy: Food Allergies and Gut Health Connection

請提供 I have lymphadenopathy that may be related to food allergies and potential issues with the intestinal mucosa. The lymph nodes in areas such as the upper thighs and armpits are swollen significantly, and they are increasing in size, although they are not painful. I am experien...


Dr. Lin Mingfeng reply Internal Medicine
The causal relationship may not be as such, as food allergies typically do not cause lymphadenopathy in these areas. Regarding the latter part of the question, it has been previously addressed and will not be repeated. For certain conditions, it is advisable to seek medical atten...

[Read More] Understanding Lymphadenopathy: Food Allergies and Gut Health Connection


Understanding Lymph Node Swelling and Allergic Reactions: A Guide

Lymph There are severe swellings in areas with lymph nodes, such as multiple enlarged nodes in the upper thighs and armpits, which are increasing in size and are painless. What could be the cause? Additionally, I have reactions to various foods, such as a small amount of dairy pr...


Dr. Lin Mingfeng reply Internal Medicine
Localized lymphadenopathy usually indicates an infection in the surrounding area. If multiple sites are involved, it is more likely to be a systemic response. Certain infections, such as toxoplasmosis or cat scratch fever, can cause lymphadenopathy in different locations. Additio...

[Read More] Understanding Lymph Node Swelling and Allergic Reactions: A Guide


Understanding Tiaozi: Possible Causes and Health Implications

"条仔" can refer to a small strip or a Hello Doctor: The day before yesterday, a small "bump" appeared next to the nail of my left middle finger, and I have also developed some "bumps" on my forehead and left eyebrow. My daily routine is irregular, wit...


Dr. Lin Mingfeng reply Internal Medicine
What you refer to as "條仔" is likely a pustule. If they appear in small numbers on various parts of the body, generally speaking, there is no major concern. As long as proper hygiene is maintained and daily routines are normal, they will mostly resolve on their own. Howe...

[Read More] Understanding Tiaozi: Possible Causes and Health Implications


Understanding Finger Pain: Causes, Treatments, and When to Seek Help

Finger issues Hello Doctor: My dad initially experienced pain in his left middle finger and was unable to bend it. He consulted a doctor who said it was due to nerve compression and recommended surgery to relieve the nerve. However, my dad was afraid of the pain and did not go th...


Dr. Lin Mingfeng reply Internal Medicine
If the interphalangeal joints exhibit a trigger-like phenomenon, it may be indicative of trigger finger. However, if there is pain and swelling in the distal or proximal joints of the middle finger, it is more likely to be arthritis. The former may require surgical intervention, ...

[Read More] Understanding Finger Pain: Causes, Treatments, and When to Seek Help


Understanding Persistent Fever: Potential Underlying Diseases Explained

Recurrent fever Recurrent fever for five consecutive days without resolution could be caused by several conditions, including infections (such as viral or bacterial infections), autoimmune diseases (like systemic lupus erythematosus or rheumatoid arthritis), malignancies (such as...


Dr. Lin Mingfeng reply Internal Medicine
Aside from common upper respiratory infections, the primary consideration for fever in young women is urinary tract infection (UTI). Patients often present with symptoms such as dysuria or flank pain. To determine the cause of fever, it is essential to correlate it with various c...

[Read More] Understanding Persistent Fever: Potential Underlying Diseases Explained


Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns

How to interpret abnormal blood test results? CBC data: WBC 4.41 (Normal: 4.8-10.8) is low; WBC differential count shows Neutrophils 41.1 (Normal: 40-74), Lymphocytes 51.9 (Normal: 19-48) (which has been stable around these values in recent years), and the rest are within normal ...


Dr. Lin Mingfeng reply Internal Medicine
The so-called normal range is determined by human standards. If your CBC/DC values have been consistent over the years, it may be a stretch to explain it solely as a general viral infection. However, it is still advisable to test for conditions like HIV. It is recommended to firs...

[Read More] Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns


Understanding HIV Transmission Risks in Emergency Situations

Regarding HIV infection? Hello Doctor: My boyfriend recently assisted in handling a car accident on the street. Due to significant bleeding from the injured party, he used tissue paper to help stop the bleeding, which resulted in some of the other person's blood getting on h...


Dr. Lin Mingfeng reply Internal Medicine
1. If the skin is intact, the chance of contracting HIV from exposure to the blood of an HIV-positive individual is nearly zero. 2. However, most of the time we are uncertain if there are small cuts on our hands, so healthcare workers wear gloves in all situations where there may...

[Read More] Understanding HIV Transmission Risks in Emergency Situations


Understanding Submandibular Lymphadenopathy: Causes and Symptoms

Submandibular lymphadenopathy Hello Doctor, I recently noticed a swelling about 3 centimeters below my left jaw near the ear, roughly the size of a five-dollar coin. It feels round and movable, but it doesn't hurt when I press on it. However, sometimes I experience a slight ...


Dr. Lin Mingfeng reply Internal Medicine
Based on your description, this lump may be a lymph node, as it is movable, which suggests a higher likelihood of being benign. If it is caused by an infection in the surrounding tissue, it may resolve on its own. However, if it does not disappear after 3-4 weeks, it is advisable...

[Read More] Understanding Submandibular Lymphadenopathy: Causes and Symptoms


Understanding Severe Leg Swelling: Causes and Relief Strategies

My mother initially had swelling in her thigh, and now her calf is also swollen? Hello Doctor: My mother previously had severe swelling in her right thigh, feeling as if the skin was about to burst. There is a significant size difference between her legs. Initially, we thought it...


Dr. Lin Mingfeng reply Internal Medicine
First, press on the foot to see if there is any indentation; if so, it may indicate lower extremity edema. There are many diseases that can cause lower extremity edema, such as heart failure, renal failure, liver dysfunction, malnutrition, as well as conditions like cellulitis, t...

[Read More] Understanding Severe Leg Swelling: Causes and Relief Strategies


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