Dr. Zeng Guosen reply Internal Medicine Question - Page 7

Is there a problem with the immune system? Hello doctors: Since my miscarriage last year, I have been experiencing persistent dry mouth symptoms. No matter how much water I drink, I still feel dry throughout the day. I have undergone immune system testing and ruled out Sjögren&#x...

Muscle and joint pain? Hello Dr. Tseng, I have been experiencing increasing fatigue upon waking up every day for the past few years (average sleep time from 12:30 AM to 6:30 AM). During sleep, I often experience pain in my shoulders, elbows, and finger joints, as well as swelling...

Treatment methods for autoimmune diseases and the necessity of hospitalization? Hello, Doctor. I have been diagnosed with antiphospholipid syndrome. In the past, I have been treated with oral medications, but now I am experiencing discomfort. My attending physician has suggested ...

The steroid dosage has been reduced to 7.5 mg, and the symptoms are becoming more pronounced? Last year, I developed a skin wound from scratching due to flea bites, which became infected with bacteria. The wound started to hurt, but after taking antibiotics, the pain subsided. Ho...

Health Check Issues - Abnormal Kidney Function Hello, I received my health check report from last week’s labor health examination on March 26. It shows that my kidney function is abnormal. I am 23 years old and weigh 67.5 kg. I have been doing strength training since last Decembe...

Chest pain in the center? Hello Doctor: I have been experiencing pain in the middle of my chest recently. Given that my family has a history of ankylosing spondylitis, I am concerned that this might be related. I work in a sedentary office job, and the pain is intermittent (it ha...

Regarding blood test indices? Hello Dr. Tseng, I have had two pregnancies, both of which ended around 6-7 weeks with no heartbeat. I had blood tests done for immune issues, which showed positive for lupus (the report indicates it should be negative) and negative for ANA. My obste...

Medication issues in ankylosing spondylitis? Hello Doctor, I have been diagnosed with ankylosing spondylitis and am currently on a regular medication regimen. My doctor has prescribed Meloxicam 7.5 mg, to be taken once in the morning and once in the evening. I would like to inqui...

Diagnosed with Guillain-Barré Syndrome, is medication dangerous for children? Hello Doctor, I have been diagnosed with Sjögren's syndrome and I am currently taking Hydroxychloroquine sulfate 200 mg (Plaquenil) and Cevimeline 30 mg (Evoxac), both once daily. However, I was un...

Is vasculitis serious? I previously experienced frequent lower back pain and visited a rheumatologist who mentioned it was similar to ankylosing spondylitis. Later, due to other health issues, I underwent blood tests again, and the doctor diagnosed me with vasculitis. He mentione...

Hashimoto's thyroiditis Dear Dr. Tseng, 1. After giving birth, I discovered that I have hypothyroidism (TSH: 29), which is associated with Hashimoto's thyroiditis. My baby underwent a thyroid screening at birth, and the results were normal. How often should my baby hav...

Gained 15 kilograms in 8 months? Hello, doctor: I would like to ask if gaining 15 kilograms in 8 months indicates a problem with my body. I eat a normal amount for three meals a day and drink 3 to 4 liters of water daily. I also exercise three times a week for one hour. I have be...

Sacroiliitis Hello Dr. Tseng, I have been experiencing symptoms for about three to four years now. I have loved playing basketball since elementary school, and I still do. I had grade II vesicoureteral reflux around the fourth grade, so I thought my lower back pain was due to spo...

Is ankylosing spondylitis considered a major illness or disability? Hello, doctor. I am a female patient with ankylosing spondylitis (AS), diagnosed 12 years ago in my first year of high school. Both prolonged standing and sitting exacerbate my discomfort, and my lower back pain ...

Is steroid medication necessary for vasculitis? Two years ago, I experienced difficulty opening my left eye upon waking, and I was diagnosed with dry eye syndrome. Last year, after a salivary gland biopsy, I was diagnosed with xerostomia, and my white blood cell count dropped to ...

Ankylosing Spondylitis Exercise Hello Doctor, I was recently diagnosed with ankylosing spondylitis (positive HLA-B27 and evidence of fusion on X-ray). I understand that I need to exercise to maintain my condition, but I have a few questions: 1. Besides swimming and stretching exe...

Limb joints Hello Doctor, I have had joint discomfort since I was young. Whenever the weather changes, I feel soreness, primarily in my upper limbs—elbows, wrists, and fingers—and in my lower limbs—hip joints (less frequently), knees, ankles, and toes. Now at 30 years old, this c...

There are intermittent spasms in the right chest? Hello, two weeks ago I experienced a pulsating sensation in my right breast, which later felt like spasms, but I did not find any lumps. This lasted for about 2 to 3 days and then resolved. After approximately two weeks, the sensa...

Low platelet count? Last month, I went to the hospital and my platelet count was around 50,000. The doctor said that this level wouldn't cause spontaneous bleeding, but recently I've noticed some petechiae and red spots on my legs. Should I be concerned about this? The ...

Can ankylosing spondylitis cause chest pain? I have ankylosing spondylitis and have been experiencing severe chest pain for several years. Recently, the condition has worsened, resulting in persistent overall pain that is difficult to pinpoint. Deep breathing or movements of the ...