Dr. Zeng Guosen reply Internal Medicine Question - Page 11

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Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?

Ankylosing Spondylitis Hello, Doctor! I would like to ask about my HLA-B27 test result, which came back negative, but X-rays show inflammation in my sacroiliac joints, approximately at a grade two level on both sides. Does this mean I have ankylosing spondylitis? Although I don&#...


Dr. Zeng Guosen reply Internal Medicine
Hello, online user: Inflammation of the bilateral sacroiliac joints, combined with morning lower back pain, raises the suspicion of ankylosing spondylitis. However, it is still recommended to consult a rheumatologist for further differential diagnosis. Most patients experience li...

[Read More] Understanding Inflammatory Back Pain: Is It Ankylosing Spondylitis?


Understanding Dry Eyes, Throat, and Tongue: Possible Causes and Solutions

Dry eyes, dry throat, and an unusual feeling in the tongue? Hello Doctor, I would like to ask you about my condition. Since February, I have been experiencing unusual sensations in my tongue, along with dry eyes and a dry throat. 1. I consulted a rheumatologist, and the tests sho...


Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: There are many causes of dry eye syndrome. In the case of autoimmune dry syndrome, in addition to testing for Anti-Ro and Anti-La antibodies through blood tests, if the blood tests are normal, a salivary gland biopsy can be performed. Other immunological tes...

[Read More] Understanding Dry Eyes, Throat, and Tongue: Possible Causes and Solutions


Understanding Dryness Symptoms: Eye, Throat, and Neck Pain Connection

Dry eyes, dry throat, and an unusual sensation on the tongue? Doctor, I apologize for the previous message. I have another question. I am experiencing shoulder and neck pain, and I wonder if this could also be caused by Sjögren's syndrome. I have seen both traditional Chines...


Dr. Zeng Guosen reply Internal Medicine
Hello, you can confirm that you have Sjögren's syndrome, but the cause may be due to an immune issue or other factors. The report is normal, and you can consider a salivary gland biopsy. Shoulder and neck pain is only caused by Sjögren's syndrome in a small number of ca...

[Read More] Understanding Dryness Symptoms: Eye, Throat, and Neck Pain Connection


What Can Nailfold Capillary Microscopy Reveal About Your Health?

What can finger bending measure? Nailfold capillary microscopy can be used to assess microvascular abnormalities, which are often associated with autoimmune diseases such as systemic sclerosis or Sjögren's syndrome. In your case, the physician's comment that "it&#x...


Dr. Zeng Guosen reply Internal Medicine
Hello, the nailfold capillary microscopy is primarily used to examine the microvascular patterns of peripheral blood circulation in rheumatic connective tissue diseases, particularly for the assessment of systemic sclerosis. Tortuosity indicates that the blood vessels are somewha...

[Read More] What Can Nailfold Capillary Microscopy Reveal About Your Health?


Can You Have Sjögren's Syndrome with Normal Blood Test Results?

Sjögren's syndrome I have dry eye syndrome and have tested it with strips. I also have splenomegaly, but it hasn't changed in size over the past three years. Recently, I experienced swelling and pain in my salivary glands, but drinking more water alleviated the pain aft...


Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: The two most important pieces of evidence for diagnosing Sjögren's syndrome are the presence of anti-SSA and anti-SSB antibodies. Additionally, a minor salivary gland biopsy of the oral mucosa can be considered. If either of these two pieces of evidence...

[Read More] Can You Have Sjögren's Syndrome with Normal Blood Test Results?


Understanding Neck Masses: When to Seek Medical Evaluation

Neck mass Hello Doctor, I have noticed a lump on the left side of my cervical spine over the past couple of days. Recently, an ENT specialist examined my throat and found no issues. The lump is not very prominent; it feels slightly raised, seems to be immobile, and is not very pa...


Dr. Zeng Guosen reply Internal Medicine
Dear netizens, lumps in the head and neck region are generally first evaluated by an otolaryngologist. If the nature of the lump cannot be determined, it is recommended to consult a plastic surgeon for further evaluation. Most lumps located at the back of the neck are benign, so ...

[Read More] Understanding Neck Masses: When to Seek Medical Evaluation


Understanding Joint Pain: Insights on Juvenile Spondyloarthritis

Joint pain issues Hello, doctor. I just learned about this website today and looked into the content regarding juvenile ankylosing spondylitis. I feel that some aspects resonate with my experience, and I hope you can provide me with some guidance. When I was in the third year o...


Dr. Zeng Guosen reply Internal Medicine
Hello, based on your description, if you are experiencing joint pain along with swelling in the affected joint, it indicates the presence of a rheumatic disease. Sciatica or bone spurs would not typically cause joint swelling and pain. I recommend that you visit a nearby rheumato...

[Read More] Understanding Joint Pain: Insights on Juvenile Spondyloarthritis


Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms

Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...


Dr. Zeng Guosen reply Internal Medicine
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...

[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms


Understanding Frequent Dizziness: Causes and Concerns

Often feel lightheaded? I came here to ask questions yesterday and I have some additional concerns. I experienced chest tightness only yesterday, but for several weeks leading up to the basic skills test in May, I often felt dizzy and unsteady while studying in the mornings. This...


Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: There are many causes of dizziness, including issues related to neuromuscular disorders, otolaryngology problems, cardiovascular issues, medication side effects, and psychiatric conditions. If the cause cannot be identified, it is advisable to consult a neur...

[Read More] Understanding Frequent Dizziness: Causes and Concerns


Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions

I started feeling dizzy today and have some difficulty breathing? Hello, today I don't know why I often feel dizzy, and I have difficulty breathing along with chest tightness. I measured my blood pressure, which is 108/68, and my heart rate is 72 beats per minute, both of wh...


Dr. Zeng Guosen reply Internal Medicine
Hello, the user often feels dizzy, experiences difficulty breathing, and has chest tightness. These symptoms could be related to various issues, including cardiovascular problems, thoracic conditions, neuromuscular disorders, as well as systemic diseases such as kidney issues and...

[Read More] Understanding Dizziness and Breathing Difficulties: Possible Causes and Solutions


Understanding Right Abdominal Discomfort: Causes and Concerns

Discomfort in the right abdomen? Hello, doctor: For the past few days, I've been experiencing a dull, cramping pain in my right abdomen (below the rib cage), which is very uncomfortable. Could this be caused by stomach issues, or could there be other factors involved?


Dr. Zeng Guosen reply Internal Medicine
Hello, dear user: I apologize for the delayed response as I just returned to the country. You are experiencing a dull, sharp pain in the right abdomen (below the rib cage), which may be related to liver, gallbladder, or gastrointestinal issues, and occasionally, some gynecologica...

[Read More] Understanding Right Abdominal Discomfort: Causes and Concerns


Understanding Chronic Thyroiditis: Impact on Fertility and Pregnancy

Chronic thyroiditis Hello, doctor. Last May, I had a blood test that revealed my thyroid antibody level (TA) was 800, while other indices (TSH, T3, T4, MA) were normal. After taking quinine for a year, my TA level decreased to 470, but the other indices remain normal. My husband ...


Dr. Zeng Guosen reply Internal Medicine
Dear Ms. Hsueh, I apologize for the delayed response as I have just returned to the country. Elevated thyroid antibodies with normal thyroid function (paying attention to TSH and Free T4) and the absence of symptoms should not pose a risk for miscarriage. I recommend seeking a ...

[Read More] Understanding Chronic Thyroiditis: Impact on Fertility and Pregnancy


Effective Strategies to Reduce Abdominal Fat Despite Regular Exercise

Abdominal obesity Doctor, I exercise regularly and have regular bowel movements, but my abdomen is still fat while the rest of my body is just right. How can I reduce the fat in my abdominal area? Thank you.


Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: You might try doing sit-ups. It is recommended to visit a rehabilitation department or fitness center at a hospital for more professional advice. Thank you for your question.

[Read More] Effective Strategies to Reduce Abdominal Fat Despite Regular Exercise


Understanding Right Side Lower Back Pain: When to Seek Medical Help

Pain in the right lower back? Hello Doctor: I often experience a dull pain in my lower back, and occasionally on the left side as well. The pain comes and goes. Which specialty should I consult or what kind of examination should I undergo? Thank you!


Dr. Zeng Guosen reply Internal Medicine
Hello, online user: The causes of pain in the right lower back can be related to visceral issues such as the kidneys, ureters, or retroperitoneal problems. Additionally, differential diagnoses should include spinal, neurological, muscular, and fascial conditions. It is advisable ...

[Read More] Understanding Right Side Lower Back Pain: When to Seek Medical Help


Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?

Generalized muscle soreness? Recently, I have been experiencing muscle soreness throughout my body, even without engaging in any intense exercise. When I wake up the next day, I sometimes feel muscle soreness while walking. My shoulders and latissimus dorsi feel particularly sore...


Dr. Zeng Guosen reply Internal Medicine
Dear online friend, The symptoms of polymyositis primarily manifest as muscle weakness, and it is rare for them to present as generalized muscle soreness. Generalized muscle soreness can have many potential causes, including infections, rheumatic diseases, medication side effec...

[Read More] Understanding Muscle Pain: Is It Polymyositis or Fibromyalgia?


Understanding Unexplained Leg and Arm Symptoms: What Could It Be?

Is this symptom rheumatism? I have been experiencing a cool sensation in my left calf and forearm when they are at rest, and if I remain inactive for a long time, I also feel soreness. This has been happening for many years, but it has recently become more severe. I went to the h...


Dr. Zeng Guosen reply Internal Medicine
Hello, user: I suggest that you first touch your left calf and forearm, which feel cool, and compare them with the same areas on the right side. If you find that they are significantly colder, it may indicate a vascular circulation issue, and you should consider seeing a cardiolo...

[Read More] Understanding Unexplained Leg and Arm Symptoms: What Could It Be?


Understanding Asthma, Bronchiectasis, and Autoimmune Connections

Asthma, bronchiectasis, immune issues? Symptoms similar to asthma, often experiencing chest tightness, and in severe cases, wheezing during breathing, along with coughing and sometimes feeling short of breath. I have undergone many tests, including bronchial cultures which were a...


Dr. Zeng Guosen reply Internal Medicine
Hello, user: 1. Usually, chronic bronchitis or bronchiectasis leads to the later development of asthma-like symptoms. A DLCO of 66% indicates that gas exchange in the lungs is not solely related to airway narrowing but may involve other issues beyond bronchial asthma. 2. Auto...

[Read More] Understanding Asthma, Bronchiectasis, and Autoimmune Connections


Persistent Right Leg Pain After Bicycle Accident: Causes and Treatments

Pain in the right foot after a car accident? Hello Dr. Tseng, Ten days ago, I was riding my bicycle when a vehicle struck me from the right side, causing me to fall. I did not have any external injuries and did not feel significant pain at the time. However, 2-3 days later, I be...


Dr. Zeng Guosen reply Internal Medicine
Hello, after the car accident, I started experiencing pain in my right pelvis, and gradually my right leg has become numb and tingling. Generally, issues such as nerve, vascular, or myofascial problems are considered. You can seek evaluation and treatment from an orthopedic or re...

[Read More] Persistent Right Leg Pain After Bicycle Accident: Causes and Treatments


Managing Cold Symptoms and Breathing Issues with Autoimmune Conditions

Cold with wheezing and chest discomfort? Hello, doctor. I have been taking corticosteroids and immunosuppressants for a long time due to an autoimmune disease. Since I started these medications, every time I catch a cold (which I can feel more distinctly), I experience noticeably...


Dr. Zeng Guosen reply Internal Medicine
Hello, user: The need to use bronchodilators to effectively alleviate discomfort from a cold may indicate respiratory issues, which could be related to chronic inflammation, allergies, or autoimmune diseases. It is recommended that you consult a pulmonologist for a more detailed ...

[Read More] Managing Cold Symptoms and Breathing Issues with Autoimmune Conditions


Morning Finger Stiffness: Causes and Solutions for Cold Weather

Waking up in the morning with stiff fingers? For the past year, I have often experienced stiffness in my fingers when getting up in the morning during winter, making it difficult to bend them. The colder the weather, the more likely this occurs.


Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: Morning finger stiffness may be due to joint degeneration or inflammation (such as rheumatoid arthritis), tendonitis, neuropathy, or circulatory issues, as well as edema and other conditions. It is difficult to make a judgment based on your description, so I...

[Read More] Morning Finger Stiffness: Causes and Solutions for Cold Weather


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