Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
After receiving the AZ vaccine, there is unexplained bruising on the calf? Hello doctor, I have Sjögren's syndrome and iron deficiency anemia. After receiving my first dose of the AZ vaccine on July 29 (Thursday), I noticed seven unexplained bruises on my tibia and knee on J...
Dr. Zeng Guosen reply Internal Medicine
Hello, the blood test did not show any abnormalities in your platelets. Blood abnormalities related to the AZ vaccine typically occur 10 days to two weeks after vaccination. Currently, your situation cannot be explained, and it is recommended that you consult a hematologist for f...[Read More] Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
Managing Lower Back Pain: Tips Beyond Exercise for Relief
Back problems I have been experiencing soreness in my lower back, which I believe is related to not exercising my back muscles and spending long periods lying in bed. 1. Could it be that the prolonged bed rest and lack of back exercises have led to muscle weakening, resulting in ...
Dr. Zeng Guosen reply Internal Medicine
Hello, there are many reasons for back pain. It's important to identify the underlying issue before addressing it. I recommend visiting a rehabilitation or orthopedic specialist for an evaluation. After the assessment, further steps can be determined. Thank you for your ques...[Read More] Managing Lower Back Pain: Tips Beyond Exercise for Relief
Understanding Other Specified Joints in Medical Classification
Other specific joints not explicitly mentioned? The classification of diseases refers to unspecified locations of other specific joints.
Dr. Zeng Guosen reply Internal Medicine
Hello, in order to conduct a consultation, prescribe medication, or perform tests, it is necessary to input a diagnosis. Before a disease is confirmed, a simple and non-controversial diagnosis is often entered, which leads to your issue. It does not carry any specific meaning; it...[Read More] Understanding Other Specified Joints in Medical Classification
Understanding Bitter Phlegm and Dry Mouth: Possible Causes and Solutions
Feeling dry in the mouth and experiencing bitter phlegm when coughing? A few days ago, I had nasal congestion, but recently I've started to feel a bitter taste in my phlegm (which is clear), although the nasal congestion has improved. I've also begun to notice a bitter ...
Dr. Zeng Guosen reply Internal Medicine
If a person experiences a dry and uncomfortable mouth that does not improve with drinking water, and this has only lasted a few days, it could be due to medication side effects (such as those from decongestants or antihistamines), upper respiratory tract inflammation, or dietary ...[Read More] Understanding Bitter Phlegm and Dry Mouth: Possible Causes and Solutions
Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?
Abdominal pain lasting over three months, accompanied by swelling and pain in the left upper chest and axilla, as well as soreness in the middle and ring fingers of the hands? Hello, doctor. About four months ago, I started experiencing pain in my left upper abdomen, which feels ...
Dr. Zeng Guosen reply Internal Medicine
Hello, based on your description of left upper abdominal pain that feels like pressure when eating, along with swelling and pain under the left chest and armpit, it is advisable to consult a gastroenterologist. Currently, you are experiencing soreness in your hands, specifically ...[Read More] Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?
Understanding Intermittent Abdominal Cramping: Causes and Solutions
Intermittent cramping abdominal pain? Hello doctor, starting this Wednesday, I've been experiencing intermittent cramping pain in my abdomen, similar to the urge to have a bowel movement. Sometimes, during the cramping, I pass gas that has a foul odor, but I am not constipat...
Dr. Zeng Guosen reply Internal Medicine
Hello, based on your described symptoms, it seems you may be experiencing intestinal colic, which can range from mild gastrointestinal discomfort to serious abdominal conditions. It is advisable to consult a gastroenterologist for a thorough examination, as they should be able to...[Read More] Understanding Intermittent Abdominal Cramping: Causes and Solutions
Understanding Skin Whitening from Steroid Cream Use in Genital Area
The use of steroid ointments has caused depigmentation of the genital skin? Hello, doctor. I have a few questions. Due to prostatitis, I am experiencing itching and moisture in the scrotum, burning at the urethral opening, and burning on the glans. I applied a steroid ointment (B...
Dr. Zeng Guosen reply Internal Medicine
Hello, it is unlikely that the use of steroid ointments would cause skin discoloration in just a day or two. The cause of your condition is unclear, so I recommend returning to your original healthcare provider or visiting a dermatologist for evaluation. Thank you for your questi...[Read More] Understanding Skin Whitening from Steroid Cream Use in Genital Area
Should You See a Rheumatologist for Persistent Allergy Symptoms?
It is uncertain whether further evaluation by a rheumatologist or immunologist is necessary for allergy issues? Two weeks ago, on Monday night, I stayed up late and woke up the next morning to find that my lower eyelid was swollen, extending to my cheekbone. I confirmed there was...
Dr. Zeng Guosen reply Internal Medicine
Hello, based on your situation, it may be angioedema, which can have many causes, with allergies being just one of them. I recommend that you visit a dermatologist or an immunology/rheumatology specialist for further evaluation and treatment. Thank you for your question.[Read More] Should You See a Rheumatologist for Persistent Allergy Symptoms?
Impact of Mycophenolate on Flu Vaccine Efficacy in ITP Patients
Regarding the administration of the influenza vaccine in patients with autoimmune diseases after receiving a specific treatment? Hello Dr. Tseng! 1. I would like to inquire about a patient with Immune Thrombocytopenic Purpura (ITP) who received a dose of rituximab over three mo...
Dr. Zeng Guosen reply Internal Medicine
Hello, patients receiving rituximab (MabThera IV) treatment can receive inactivated virus vaccines, such as the influenza vaccine. However, the response rate to inactivated virus vaccines may be reduced. For some influenza viruses, the average antibody concentration may be mainta...[Read More] Impact of Mycophenolate on Flu Vaccine Efficacy in ITP Patients
Can Ankylosing Spondylitis Cause Stomach Pain? Exploring the Connection
Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, along t...
Dr. Zeng Guosen reply Internal Medicine
Hello, a positive HLA-B27 test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do your symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pai...[Read More] Can Ankylosing Spondylitis Cause Stomach Pain? Exploring the Connection
Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, around ...
Dr. Zeng Guosen reply Internal Medicine
Hello, a positive HLA-B27 blood test does not necessarily indicate that you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomac...[Read More] Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, along t...
Dr. Zeng Guosen reply Internal Medicine
Hello, the presence of HLA-B27 positivity in a blood test does not necessarily indicate that one has ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not direct...[Read More] Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Does ankylosing spondylitis accompany stomach pain? During my military service, I tested positive for a blood test and was diagnosed, but I haven't seen a specialist in this area for the past ten years. The pain I experience is located in the center of my lower back, around ...
Dr. Zeng Guosen reply Internal Medicine
Hello, having a positive HLA-B27 test does not necessarily mean you have ankylosing spondylitis. The most important factors for diagnosis are: 1. Do the symptoms match? 2. Is there evidence of sacroiliitis on X-ray? Ankylosing spondylitis is not directly related to stomach pain, ...[Read More] Can Ankylosing Spondylitis Cause Stomach Pain? Understanding the Connection
Understanding Lower Rib Pain: Symptoms and When to Seek Medical Help
Sharp pain in the lower middle part of the ribs? Hello doctor, recently I have been experiencing sharp pain in the lower middle part of my ribcage, sometimes accompanied by a burning sensation. Additionally, I have been feeling intermittent burning in my chest for some time. Coul...
Dr. Zeng Guosen reply Internal Medicine
Hello, along with the burning sensation, you have also been experiencing intermittent heartburn in your chest for some time. Based on your description, it seems like symptoms of heartburn, which may indicate gastroesophageal reflux disease (GERD). I recommend seeing a gastroenter...[Read More] Understanding Lower Rib Pain: Symptoms and When to Seek Medical Help
Understanding Endocrine Issues: Height Growth and Health Concerns
Regarding endocrine issues? Hello, doctor. I am currently a senior in high school and will turn 18 in less than a month. I developed a bad habit of smoking in middle school and have not been able to quit. My height is 166 cm, and I have not experienced any noticeable voice change...
Dr. Zeng Guosen reply Internal Medicine
Hello, the factors that contribute to height growth include genetics, nutrition, sleep, exercise, and various other elements. If you are concerned about endocrine issues, you may want to consult an endocrinologist. However, other factors may not necessarily require medical interv...[Read More] Understanding Endocrine Issues: Height Growth and Health Concerns
Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact
Suspected vasculitis Hello Doctor: My mother is 73 years old and has hepatitis C, an autoimmune disease (Sjögren's syndrome), and dry eyes. She often experiences headaches and upper back pain (which she has had for many years). She has been seeing a rheumatologist and is on ...
Dr. Zeng Guosen reply Internal Medicine
Hello, the clinical manifestations of hepatitis C or autoimmune diseases (such as Sjögren's syndrome) can include vasculitis. However, most symptoms present as petechiae, which are typically painless or slightly painful, and itching is rare, let alone severe itching. It is a...[Read More] Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact
Managing Gout: Dietary Tips and Frequency of Attacks Explained
Gout-related issues? I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. My question is: if I do not control my diet, will the attacks become more frequent? I drink 300 ml of 10% fruit juice from a cooperative every da...
Dr. Zeng Guosen reply Internal Medicine
The online medication "Kang Hsi Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not controlled, most individuals will experience increasingly frequent attacks. It is recommended that you consult a rheumatologist, rather than an...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks Explained
Managing Gout: Dietary Tips and Frequency of Attacks
Gout-related issues I have had gout attacks three times so far, once a year, and was diagnosed last month. My uric acid level is 7.2. I would like to know: if I do not control my diet, will the attacks become more frequent? I drink 300ml of 10% fruit juice from a cooperative ever...
Dr. Zeng Guosen reply Internal Medicine
The online medication "Kang Hsu Su Long 5mg" is a steroid and should not be taken daily for an extended period. If gout is not managed, most individuals will experience increasingly frequent flare-ups. It is recommended that you consult a rheumatologist, rather than an ...[Read More] Managing Gout: Dietary Tips and Frequency of Attacks
Persistent Low-Grade Fever: When to Seek Further Medical Evaluation?
Low-grade fever for four consecutive days? Hello, For the past four days, my axillary temperature has been between 36.4°C and 36.6°C (previously, it was mostly between 35.6°C and 35.9°C, and during my menstrual period, it peaked at 36.1°C). However, when measuring my ear temper...
Dr. Zeng Guosen reply Internal Medicine
Hello, your body temperature is slightly elevated but not significantly high. Due to the combined factor of a white blood cell count below the standard range, it is recommended that you first visit an infectious disease specialist. The physician will evaluate the results of your ...[Read More] Persistent Low-Grade Fever: When to Seek Further Medical Evaluation?
Does Sjögren's Syndrome Affect Menstrual Cycle or Medications?
The effects of Sjögren's syndrome? Hello, doctor. I would like to ask whether Sjögren's syndrome itself affects the menstrual cycle, or if the medications used to treat Sjögren's syndrome have an impact on the menstrual cycle?
Dr. Zeng Guosen reply Internal Medicine
Hello, the disease of Sjögren's syndrome rarely reports any impact on the menstrual cycle. As for medications used to treat Sjögren's syndrome, corticosteroids can affect the menstrual cycle, while commonly used quinine (also known as chloroquine or Plaquenil) does not ...[Read More] Does Sjögren's Syndrome Affect Menstrual Cycle or Medications?