Unexplained Heat on the Right Side of the Face: Causes and Solutions
Unexplained fever on the right side of the face? Hello Doctor: About a year ago, I had a blood test at the hospital, and the needle was inserted in the center of my right arm. It hurt for more than three months before it got better. During that time, the pain radiated from the mi...
Dr. Lin Wufu reply Internal Medicine
Hello! The relationship between the pain in your right arm and the subsequent symptoms cannot be determined at this time. However, based on what you mentioned, you have: 1. Right ear pain 2. Swelling of the right lymph nodes 3. Nasal discharge running into the right ear 4. Hearin...[Read More] Unexplained Heat on the Right Side of the Face: Causes and Solutions
Concerns About Congenital Syphilis in Newborns: A Mother's Guide
Newborns exposed to congenital syphilis? Hello Doctor: I am a pregnant mother. Last week, I took my child to the hospital for a check-up, and in front of me was a 2-month-old baby. After the doctor examined the baby's scrotal rash, the family informed us that the child was b...
Dr. Lin Wufu reply Internal Medicine
Hello: 1. Syphilis is transmitted through blood or bodily fluids, so simply touching the face will not transmit the infection! 2. Similarly, there is no blood or bodily fluid residue on the skin outside the testicles, so syphilis cannot be transmitted by touching the testicles. 3...[Read More] Concerns About Congenital Syphilis in Newborns: A Mother's Guide
Can You Get HIV from Using a Returned Electric Razor?
Questions about HIV transmission? If I purchase an electric razor that has been returned by an HIV-positive individual, is there a risk of infection from any residual blood on the product, even if I disinfect it with alcohol before use?
Dr. Lin Wufu reply Internal Medicine
Hello! The HIV virus dies within minutes once it leaves the human body, so it is unlikely to contract HIV through blood on returned or exchanged products![Read More] Can You Get HIV from Using a Returned Electric Razor?
Can Blood-Stained Clothes Transmit STDs? Expert Insights
Sexually transmitted infections (STIs) issues? Doctor, if clothes that have come into contact with blood are washed but the blood stains do not come out, can the wound become infected if it touches the bloodstains?
Dr. Lin Wufu reply Internal Medicine
Hello! The transmission of sexually transmitted infections (STIs) generally requires infectious bodily fluids (such as blood or genital secretions) to come into contact with the blood or mucous membranes of the infected person. Therefore, whether "clothes contaminated with b...[Read More] Can Blood-Stained Clothes Transmit STDs? Expert Insights
Understanding Dark Green Stool After Gastroenteritis: Causes and When to Seek Help
The stool is slightly dark green? Hello, Doctor. I had a viral gastroenteritis infection on October 3rd, and I received an injection and took medication for a week. Although I did not experience diarrhea after the injection, I did have constipation and developed internal hemorrho...
Dr. Lin Wufu reply Internal Medicine
Hello, it is difficult to determine the cause of your dark green stool without further information (usually, stool color is related to food). Typically, viral gastroenteritis resolves completely within two to three weeks and does not usually leave any lasting effects. If you are ...[Read More] Understanding Dark Green Stool After Gastroenteritis: Causes and When to Seek Help
Feeling Hot Without a Fever: Understanding Your Symptoms
Feeling hot but not having a fever? Hello, I have been experiencing a sensation of heat in my body for quite some time, but my temperature readings do not indicate a fever. A noticeable symptom is that my eye sockets feel even hotter when my body feels warm. Which specialty shoul...
Dr. Lin Wufu reply Internal Medicine
Hello! In medical terms, a fever is defined as a body temperature exceeding 38 degrees Celsius (or 38.3 degrees Celsius). Therefore, if your temperature readings are consistently normal, it is not related to fever. Additionally, during a fever, individuals primarily experience ch...[Read More] Feeling Hot Without a Fever: Understanding Your Symptoms
Understanding the Healing Process of Balanitis: Signs and Care Tips
How to determine the healing of balanitis? Hello Doctor, I have phimosis, but there are no issues with retracting the glans. Before the infection, I cleaned daily. Around October 10, 2018, I noticed a small red spot on the glans that gradually enlarged, peeled, and ulcerated. I v...
Dr. Lin Wufu reply Internal Medicine
Hello, the typical treatment duration for balanitis is about one to three weeks. If there is no pain or itching, it usually indicates that the infection has largely improved. The skin of the glans is quite sensitive, and it is indeed possible for it to become red due to medicatio...[Read More] Understanding the Healing Process of Balanitis: Signs and Care Tips
Overcoming Fear After Unprotected Encounter: A Guide to Testing and Support
extreme fear I had unprotected sex on November 3rd, and in the following days, I repeatedly asked the other person (a sex worker, around forty) if she gets regular check-ups. She advised me not to be so reckless next time. I kept pressing her for answers, and she started to get a...
Dr. Lin Wufu reply Internal Medicine
Hello! The recommendation to wait three months for accurate testing refers to standard HIV screening. If you are very concerned, you might consider going to a medical center for a self-paid HIV PCR test (which detects HIV viral genetic material in the blood, typically costing aro...[Read More] Overcoming Fear After Unprotected Encounter: A Guide to Testing and Support
Understanding HIV and Syphilis Testing: 92 Days After Exposure
May I ask the doctor? 1. If you undergo an HIV rapid test using the Abbott test 92 days after engaging in sexual intercourse and the result is negative, it is generally considered a reliable indication that you are not infected with HIV. However, it is always recommended to consu...
Dr. Lin Wufu reply Internal Medicine
Hello! The window period for HIV varies from person to person. Generally, the duration of the window period can differ based on various testing methods or the individual's health status, such as immune function. Typically, the window period ranges from 3 to 12 weeks. As for ...[Read More] Understanding HIV and Syphilis Testing: 92 Days After Exposure
Can You Get STDs from Blood on Clothing? Understanding the Risks
Clothes stained with blood? If my clothes have come into contact with someone else's blood, and the area is small, is it possible to transmit syphilis or other sexually transmitted infections through the clothing? Thank you, doctor.
Dr. Lin Wufu reply Internal Medicine
Hello! The transmission of sexually transmitted infections (STIs) generally requires infectious bodily fluids (such as blood or genital secretions) to come into contact with the blood or mucous membranes of an infected person. Therefore, whether "clothes contaminated with bl...[Read More] Can You Get STDs from Blood on Clothing? Understanding the Risks
Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
A blood sugar level of 131 mg/dL does not necessarily indicate diabetes. According to the American Diabetes Association, a fasting blood sugar level of 126 mg/dL or higher is considered diagnostic for diabetes? Hello Dr. Lin, My mother is 83 years old and was diagnosed with Park...
Dr. Lin Wufu reply Internal Medicine
Hello! According to the current diagnostic criteria, since glycated hemoglobin (HbA1c) reflects the average blood glucose levels over the past three months, a value greater than 6.5% on one occasion is sufficient for a diabetes diagnosis. Of course, considering your mother's...[Read More] Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?
Non-rheumatic mitral valve prolapse Is the non-rheumatic mitral valve prolapse diagnosed recently due to caffeine-induced palpitations a congenital condition?
Dr. Lin Wufu reply Internal Medicine
Hello! As far as I know, mitral valve prolapse is mostly congenital, so it may be discovered in young individuals who seek medical attention due to symptoms like chest tightness or mild chest pain. Mitral valve prolapse itself typically does not have a significant impact on cardi...[Read More] Understanding Non-Rheumatic Mitral Valve Prolapse: Is It Congenital?
Understanding Elevated White Blood Cell Counts and Related Health Issues
Regarding issues related to elevated white blood cell counts? Hello, Doctor; my friend was hospitalized last January due to a fever (at that time, there were abnormal white blood cell counts). However, after hospitalization, the condition was controlled, and the hospital did not ...
Dr. Lin Wufu reply Internal Medicine
Hello! To determine whether there is a correlation between your friend's two episodes of fever and elevated white blood cell count, it is essential to assess whether the white blood cell count returned to normal between the two hospitalizations, as well as to consider any ot...[Read More] Understanding Elevated White Blood Cell Counts and Related Health Issues
Can You Get HIV from a Cut in the Hospital? Understanding the Risks
Are there any cases of HIV infection from a cut on the hand in a hospital setting? Hello Dr. Lin: During an X-ray at a large hospital, I accidentally cut my finger on the equipment, resulting in slight bleeding. I am concerned about the risk of contracting HIV and other infectiou...
Dr. Lin Wufu reply Internal Medicine
Hello, A-Jie! HIV transmission requires contact with "blood" or "body fluids." Although your wound did bleed, which does pose a risk, if this device does not come into contact with the blood or body fluids of an infected individual, there is actually no chance...[Read More] Can You Get HIV from a Cut in the Hospital? Understanding the Risks
Understanding Rectal Bleeding: Causes and When to Seek Help
Continuous rectal bleeding? Hello doctor, I have been experiencing blood in my stool recently, but there is no pain, and the color is bright red. However, two weeks ago, I had a bowel movement where the amount of blood was so much that the toilet was completely red, and the blood...
Dr. Lin Wufu reply Internal Medicine
Hello! Given your age, unless there is a relevant family history of tumors, the likelihood of developing cancer at this time is quite low. The most probable cause of the rectal bleeding is internal hemorrhoids (external hemorrhoids are usually more painful, while internal hemorrh...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Efficacy of Doxycycline for Treating Primary Syphilis: A Comparison with Penicillin
The effectiveness of Doxycycline in treating syphilis? Hello, doctor. I would like to ask you about the use of the antibiotic doxycycline for oral treatment of primary syphilis. If taken consistently, can it achieve the same effectiveness as injectable penicillin? I couldn't...
Dr. Lin Wufu reply Internal Medicine
Hello, the rate of antibiotic resistance can vary based on different regions and studies conducted at different times. However, in the current situation in Taiwan, administering penicillin via injection or oral doxycycline usually yields good results. It is important to note that...[Read More] Efficacy of Doxycycline for Treating Primary Syphilis: A Comparison with Penicillin
Managing Recurrent Chlamydia Infections: Treatment Options and Resistance
Treatment for Mycoplasma Infection Repeated infections with Chlamydia three times within two years. The first two times were successfully treated with two weeks of doxycycline. However, the third time, after two weeks of doxycycline, the infection did not resolve. If Chlamydia ha...
Dr. Lin Wufu reply Internal Medicine
Hello, for standard chlamydial urethritis, a one-week course of doxycycline is usually sufficient. If there is no improvement after two weeks, there are several common possibilities: 1. It could be a recurrent infection - if you have a stable partner, they should also receive tre...[Read More] Managing Recurrent Chlamydia Infections: Treatment Options and Resistance
Understanding Indirect Transmission Risks of Syphilis and Gonorrhea
The probability of indirect transmission? Hello, doctor. I am the person with question #138382. Regarding my third question, if I only wiped it with tissue and did not disinfect, what is the likelihood of transmission? New questions: 1. If a wound on my hand comes into direct con...
Dr. Lin Wufu reply Internal Medicine
Hello, the question of the likelihood of transmission is actually quite difficult to answer, as there are no precise scientific data available. If I had to say, I would estimate that the probability is very low, but of course, it cannot be ruled out completely. Gonorrhea is almos...[Read More] Understanding Indirect Transmission Risks of Syphilis and Gonorrhea
Understanding Indirect Transmission of Syphilis and Gonorrhea Risks
Indirect transmission 1. If an object comes into contact with someone else's blood, can syphilis and gonorrhea be transmitted if a wound touches that object? If so, what is the likelihood of transmission? Since the object needs to be used frequently, it cannot be discarded e...
Dr. Lin Wufu reply Internal Medicine
Hello, 1. As mentioned earlier, the probability of transmission is indeed very low, but it is not completely impossible. Theoretically, using items that have come into contact with someone else's blood is not advisable! If they must be used, they should at least undergo thor...[Read More] Understanding Indirect Transmission of Syphilis and Gonorrhea Risks
Are These Symptoms Early Signs of a Sexually Transmitted Infection?
Is this a sign of a sexually transmitted infection (STI)? The presence of small red spots on the sides and tip of the tongue, as well as tiny white granular spots visible when pressing on the underside of the tongue, could be concerning. However, these symptoms are not definitive...
Dr. Lin Wufu reply Internal Medicine
Hello, to be honest, it is difficult to determine whether it is a sexually transmitted infection (STI) or something abnormal just by describing it in words. The tongue can only have a chance of being infected with an STI after engaging in oral sex. The granular appearance on the ...[Read More] Are These Symptoms Early Signs of a Sexually Transmitted Infection?