Dr. Lin Wufu reply Internal Medicine Question - Page 10

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Understanding Symptoms After Toenail Injury: Fever, Dizziness, and More

After injuring the toenail, a series of symptoms began, primarily persistent low-grade fever and dizziness? Hello, Doctor. At the beginning of last month, while on a business trip and staying at a hotel, I accidentally injured my right big toe by pinching it in the door. There wa...


Dr. Lin Wufu reply Internal Medicine
Hello! Generally, a nail injury is unlikely to cause a systemic infection (unless the local wound condition is very poor). Your initial symptoms resemble those of a systemic inflammatory response or infection, but typical infections do not usually last for a month. It would be ad...

[Read More] Understanding Symptoms After Toenail Injury: Fever, Dizziness, and More


Risk of Bloodborne Infection from Accidental Needle Contact

Stabbed by a soft needle? Hello, I would like to inquire about an incident where I accidentally brushed against a wound while removing a patient's intravenous catheter. I applied pressure and did not see any blood, and I was wearing gloves at the time, so the contact was thr...


Dr. Lin Wufu reply Internal Medicine
Hello: If there is a hole in the gloves, it indicates that the soft needle has directly punctured the skin, which poses a potential risk of infection even if there is no visible bleeding! Additionally, it is important to verify whether the patient has been tested for HIV, Hepatit...

[Read More] Risk of Bloodborne Infection from Accidental Needle Contact


Understanding Unexplained Low-Grade Fever: Causes and Next Steps

Unexplained low-grade fever Hello doctor, I have been experiencing intermittent elevated body temperature above 37.3°C since the end of May, but it does not exceed 37.8°C (most often occurring in the evening). Although my temperature is not very high, when it rises to this range,...


Dr. Lin Wufu reply Internal Medicine
Hello: There are many causes of low-grade fever, including underlying infections, autoimmune diseases, tumors, and endocrine issues. It is recommended that you visit an infectious disease clinic and bring your recent test reports to arrange for further relevant examinations (ther...

[Read More] Understanding Unexplained Low-Grade Fever: Causes and Next Steps


Should I Test My Daughter for COVID-19 After Her Recent Symptoms?

COVID-19 Hello, Doctor. My daughter is 14 years old. Yesterday evening, she experienced diarrhea, a sore throat with phlegm, and a fever (temperature of 37.7 degrees Celsius). I gave her medication (Children's Lisinopril), and about an hour later, her fever subsided. She has...


Dr. Lin Wufu reply Internal Medicine
Hello: Your daughter's symptoms meet the screening criteria for COVID-19, but of course, common cold symptoms can also be similar, making it difficult to determine the possibility of COVID-19. It is recommended that unless all symptoms have completely resolved, you should co...

[Read More] Should I Test My Daughter for COVID-19 After Her Recent Symptoms?


Impact of Nighttime Sports Drinks on Kidney Health and Diabetes Risk

Kidney problems, diabetes? Hello Dr. Lin, I would like to ask you a few questions. For the past two years, I have been drinking half a bottle (about 300cc) of sports drinks, such as Fun or Pocari Sweat, every night before bed. Recently, I have been feeling unwell frequently. 1....


Dr. Lin Wufu reply Internal Medicine
Hello: 1. There is no research confirming whether drinking sugary beverages at night or during the day makes a difference, but consuming them before bedtime may lead to weight gain more easily, and being overweight increases the risk of diabetes. 2. It is unlikely, but if there i...

[Read More] Impact of Nighttime Sports Drinks on Kidney Health and Diabetes Risk


Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection

Fever has persisted for nearly four weeks, and no definitive source of infection has been identified? In the first week, there was a persistent elevated body temperature at night, with an ear temperature above 37.5°C. In the second week, after four to five days, the body temperat...


Dr. Lin Wufu reply Internal Medicine
Hello: Based on the symptoms and test results you described, the most likely diagnosis is infectious mononucleosis caused by CMV infection. To confirm the diagnosis, a measurement of the viral load of CMV in the blood can be performed. Generally, the condition tends to resolve on...

[Read More] Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection


Understanding Pain from Submandibular Lymphadenitis: Duration and Relief

Severe pain in the submandibular lymph nodes? Hello, I have been experiencing pain only in the area below my ear, and it has gotten so severe that I was awakened by the pain the night after it started, making it difficult to sleep. The day before, I visited a clinic, and they dia...


Dr. Lin Wufu reply Internal Medicine
Hello: Lymphangitis often takes nearly a week to show significant improvement! Additionally, be cautious about the possibility of a bacterial infection or mumps, among other conditions. Medication can help alleviate pain, but it may not provide immediate relief. It is recommended...

[Read More] Understanding Pain from Submandibular Lymphadenitis: Duration and Relief


Understanding Pain and Discharge: Is It an Infection?

Could it be an infection? Hello doctor, I often experience some pain in my genital area when I go to the bathroom, and the intensity of the pain varies each time. I also frequently notice that my glans secretes a whitish-yellow fluid. What could be the issue? Would antibiotics be...


Dr. Lin Wufu reply Internal Medicine
Hello! It's difficult to determine if there is an issue based solely on these descriptions. If there has been any recent unprotected sexual intercourse, it is indeed possible that this could be a manifestation of gonorrhea. I recommend visiting a urologist or an infectious d...

[Read More] Understanding Pain and Discharge: Is It an Infection?


Understanding Symptoms: Numbness, Low Fever, and Heart Issues

Numbness in the cheeks, unexplained fever, and heart rate issues? Around 1 AM on June 2, my family member received a notification from the "Taiwan Social Distancing" app indicating possible contact with a confirmed COVID-19 case. They went to work in the morning, but in...


Dr. Lin Wufu reply Internal Medicine
Hello! It is common to experience palpitations and other discomforting symptoms during a fever. A single negative test result does not definitively confirm that you are negative for the virus. If you still have the same symptoms after 3-4 days (which is now), it is advisable to c...

[Read More] Understanding Symptoms: Numbness, Low Fever, and Heart Issues


Managing Fever and Central Temperature Regulation After Brain Injury

Fever of unknown origin, central fever? Hello, my father suffered a subarachnoid hemorrhage at the beginning of this year, which led to hydrocephalus. He immediately had an external ventricular drain placed to manage the cerebrospinal fluid. After a cerebral angiogram revealed an...


Dr. Lin Wufu reply Internal Medicine
Hello! Your father's condition is quite complex, making it difficult to assess based solely on your brief description. The diagnosis of central fever is made only after excluding other infectious causes, and it can be established only when laboratory tests show no obvious si...

[Read More] Managing Fever and Central Temperature Regulation After Brain Injury


Could Ice Chewing Indicate a Parasite Infection? Symptoms and Solutions

Suspected parasitic infection? I apologize for the interruption. Recently, I have been experiencing frequent nausea, bloating, and a sensation of something foreign in the upper palate (near the throat), almost like air. I would like to inquire if my habit of frequently chewing ic...


Dr. Lin Wufu reply Internal Medicine
No, that's not the case! As far as I know, there are no parasites that can be transmitted through ice cubes. The white spots should be evaluated by an otolaryngologist, as they could also be due to other bacterial or fungal infections.

[Read More] Could Ice Chewing Indicate a Parasite Infection? Symptoms and Solutions


Persistent Fever for Days: Understanding Causes and Solutions

Having a high fever that has persisted for three to four days without subsiding? Hello Doctor, I have been experiencing a fever since the first day, with an initial temperature around 38.5 degrees Celsius. I went to see a doctor, who noted that my throat was particularly red. The...


Dr. Lin Wufu reply Internal Medicine
Hello! I apologize for the late response due to the pandemic. First, your situation requires screening to rule out COVID-19, as patients with COVID-19 can present with symptoms such as fever, sore throat, and diarrhea. If the screening is negative, the next consideration would be...

[Read More] Persistent Fever for Days: Understanding Causes and Solutions


Persistent Fever for Three Weeks: What Specialist Should You Consult?

Recurrent fever for three weeks? My sister, who is 25 years old, developed a fever at the end of April and sought medical attention. Initially, she had a sore throat, and the ENT doctor diagnosed her with a cold. After taking medication for three days, her fever did not subside, ...


Dr. Lin Wufu reply Internal Medicine
It sounds most like an autoimmune issue. I recommend consulting a rheumatologist, but many details still need to be assessed in person by your sister. You might also consider seeing an infectious disease specialist for further evaluation regarding the unexplained fever. If it is ...

[Read More] Persistent Fever for Three Weeks: What Specialist Should You Consult?


Understanding Urticaria: Allergic Reactions or Medication Side Effects?

Is it simple urticaria, a drug allergy, or a side effect of antithyroid medication? I started experiencing hyperthyroidism on April 2nd and began taking Levothyroxine, one tablet twice a day, and Metoprolol, one to two tablets daily. On April 20th, a Bartholin gland cyst recurred...


Dr. Lin Wufu reply Internal Medicine
Hello: Cephalosporins and penicillins have similar structures, and individuals who are allergic to one type have a 10-20% chance of being allergic to the other type of antibiotic. Therefore, it is indeed possible that you may also have an allergy to penicillin antibiotics. It is ...

[Read More] Understanding Urticaria: Allergic Reactions or Medication Side Effects?


Can Natural Loofah Clean Dishes Effectively Without Soap?

Is using natural loofah for washing dishes effective in cleaning? Hello, Dr. Lin Wufu. May I ask if washing dishes with a loofah sponge that has been placed in the sink, without using dish soap, will leave bacteria on the cleaned dishes?


Dr. Lin Wufu reply Internal Medicine
Hello: Dishwashing liquid not only has the function of killing bacteria but is primarily used to remove grease and organic matter from dishes. If there are residues of grease or organic substances on the dishes, bacteria can grow on them. Simply using a sponge to wash the dishes ...

[Read More] Can Natural Loofah Clean Dishes Effectively Without Soap?


Understanding Blood in Stool: Causes and Concerns for Soft Bowel Movements

Blood in the stool? Hello, doctor. I exercise regularly and have daily bowel movements. However, two days ago, I noticed that my stool was soft and yellow, and there were some streaks of blood on the surface. I would like to know what this could indicate, as I have never experien...


Dr. Lin Wufu reply Internal Medicine
Hello: If blood streaks are discovered incidentally, it may be due to internal hemorrhoid bleeding or a rupture of the mucosa in the colon, and there is generally no need for excessive concern. However, if it occurs repeatedly, it is advisable to consult a gastroenterologist for ...

[Read More] Understanding Blood in Stool: Causes and Concerns for Soft Bowel Movements


Understanding Brown Discharge in Teenagers: When to Seek Medical Advice

Secretions in Adolescents Hello, doctor. I apologize for bothering you. My son is currently in the second year of junior high school. About two years ago, during the first semester, he occasionally wakes up to find his underwear has discharge that is brownish in color (similar to...


Dr. Lin Wufu reply Internal Medicine
Hello: It may be necessary to see the original color of the secretion to make a proper assessment, as the color may change once it dries. Additionally, nocturnal emissions can occasionally contain blood, so if there is no discomfort, it is advisable to monitor the situation first...

[Read More] Understanding Brown Discharge in Teenagers: When to Seek Medical Advice


Risks of Eating Undercooked Pork: Parasite Infection Concerns

Eating undercooked pork? If you accidentally consumed a piece of undercooked marinated pork that was grilled for only about 10 seconds, there is a potential risk of parasitic infection, particularly from parasites such as Trichinella spiralis, which can be found in undercooked po...


Dr. Lin Wufu reply Internal Medicine
Hello: Raw pork does carry a higher risk of parasites (primarily pork tapeworms), so it is generally recommended to consume it well-cooked. However, if the pork has been frozen, most parasites will typically be killed, which reduces the risk in pork served at restaurants. Additio...

[Read More] Risks of Eating Undercooked Pork: Parasite Infection Concerns


Understanding Low Platelet Count: Effects of Menstruation and Dietary Solutions

Slightly low platelet count? During menstruation, I underwent a health check, and the results showed a platelet count of 134. I would like to know if menstruation can affect platelet levels. Can a low platelet count be improved through diet or exercise? Thank you.


Dr. Lin Wufu reply Internal Medicine
Hello, during menstruation, continuous bleeding may cause fluctuations in platelet counts. If there is a significant difference compared to previous health check-up platelet values, it is recommended to schedule a follow-up blood test with a family medicine or general internal me...

[Read More] Understanding Low Platelet Count: Effects of Menstruation and Dietary Solutions


Understanding HIV Infection Risks: Common Concerns and Prevention

HIV infection Doctor, I apologize, but I have two questions to address. 1. Today, while moving a car with the assistance of a colleague, his fingernail accidentally cut my finger, resulting in slight bleeding. I did not pay particular attention to whether my colleague's fi...


Dr. Lin Wufu reply Internal Medicine
1. There should be no fresh blood or bodily fluids on the fingers, so I believe there is no need for concern. 2. Saliva stringing is essentially impossible to bounce back from the farthest point (it only snaps back from the middle), so there is basically no risk. If only the abov...

[Read More] Understanding HIV Infection Risks: Common Concerns and Prevention


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