Managing Medication Gaps in Hyperthyroidism Treatment
Reschedule the follow-up appointment; medication is insufficient? Hello, I have been diagnosed with hyperthyroidism and have started medication treatment. I received a month's supply of medication, but I cannot make my original follow-up appointment due to a scheduling confl...
Dr. Zeng Guosen reply Internal Medicine
Hello, I suggest consulting an endocrinologist. Thanks.[Read More] Managing Medication Gaps in Hyperthyroidism Treatment
Impact of Diet and Liver Function on Cholesterol Levels: Key Insights
High cholesterol and liver enzymes? Hello, Doctor. I apologize for the interruption, but I would like to ask a question. I had an all-you-can-eat barbecue a few days before my health check, where I consumed seafood and organ meats. Additionally, I had a lot of seafood about ten d...
Dr. Zeng Guosen reply Internal Medicine
Hello, it is possible that you have fatty liver disease. I recommend visiting a gastroenterologist for differential diagnosis of liver function abnormalities. Thanks.[Read More] Impact of Diet and Liver Function on Cholesterol Levels: Key Insights
Understanding Delayed Growth in Young Adults: A Medical Perspective
The bird has not been growing? Hello doctor, I am 23 years old and my penis has not grown much, still resembling that of a child. However, I can achieve an erection that reaches deep inside my wife. We have been married for three years and have been living without contraception, ...
Dr. Zeng Guosen reply Internal Medicine
Hello, it is recommended to visit an obstetrician-gynecologist for further examination. Thanks.[Read More] Understanding Delayed Growth in Young Adults: A Medical Perspective
Understanding Causes of Sharp Pain in the Right Lower Back
Right lower back pain? I have been experiencing intermittent sharp pain in my right lower back for the past week. What could be the possible causes?
Dr. Zeng Guosen reply Internal Medicine
Hello, users: Low back pain may be due to myofascial pain, spinal nerve pain, abdominal organ issues, or renal and urinary system problems. It is recommended to consult an orthopedic specialist first. Thank you for your question.[Read More] Understanding Causes of Sharp Pain in the Right Lower Back
Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis
Questions regarding the diagnosis of ankylosing spondylitis? Hello, I recently visited a large hospital to check on a long-standing pain condition. Most of the time, I experience numbness and pain on the right side of my body, and I cannot lie flat while sleeping due to back pain...
Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: 1. The so-called inflammation grade refers to the degree of inflammation observed in the sacroiliac joints on standard X-rays (you are referring to nuclear medicine scans), which is classified into four levels. 2. An accurate diagnosis of ankylosing spondyli...[Read More] Understanding Inflammatory Spine Conditions: Assessing Severity in Ankylosing Spondylitis
Understanding Falls, Blood Sugar, and Blood Pressure in Seniors
Falls, blood sugar, blood pressure? Hello! The elderly person fell on November 27, 2015, and was taken to the hospital for examination. The doctor said, "There is an injury to the thoracic spine with a compression fracture; a brace is needed! The lumbar spine was also injure...
Dr. Zeng Guosen reply Internal Medicine
Hello, the user: After the fall, you mentioned having a poor appetite, difficulty eating, and feeling dizzy. There could be many reasons for this. I recommend seeking medical attention for an evaluation, as it's not possible to provide a simple answer. Thank you for your que...[Read More] Understanding Falls, Blood Sugar, and Blood Pressure in Seniors
Understanding Lymphadenitis: Symptoms, Diagnosis, and Concerns
Strange Lymph Nodes Hello Doctor, here is the situation regarding my girlfriend: Last week, she had a severe sore throat and was diagnosed with lymphadenitis after seeing a doctor. After taking medication for a week, although the pain has subsided, she still has some swelling. Sh...
Dr. Zeng Guosen reply Internal Medicine
It is highly recommended to visit an otolaryngologist for differential diagnosis. Thank you for your question.[Read More] Understanding Lymphadenitis: Symptoms, Diagnosis, and Concerns
Understanding Hepatitis B: Vaccine Efficacy and Transmission Risks
Issues related to Hepatitis B? I apologize, but I would like to ask: I received the hepatitis B vaccine two years ago, and at that time, I had no hepatitis B antigens or antibodies. I donated blood two months ago, and the blood donation center did not find any abnormalities. Two ...
Dr. Zeng Guosen reply Internal Medicine
Individuals who have been vaccinated and have sufficient antibody levels are unlikely to become infected and will not transmit the virus to others. Thank you for your question.[Read More] Understanding Hepatitis B: Vaccine Efficacy and Transmission Risks
Understanding Discrepancies Between Ear and Axillary Temperatures
Ear temperature indicates fever, while axillary temperature is normal? Hello, Dr. Tseng. I have issues with rheumatoid arthritis (RA) and asthma. A couple of months ago, I might have contracted a cold, which led to an acute asthma attack, productive cough, and a high fever of 39 ...
Dr. Zeng Guosen reply Internal Medicine
Hello, users: A temperature difference of 0.8-1 degree Celsius between ear temperature and axillary temperature could indicate issues related to autoimmune disorders or infections that may cause fever. Please seek medical attention for diagnosis and treatment. Thank you for your ...[Read More] Understanding Discrepancies Between Ear and Axillary Temperatures
Managing Ankylosing Spondylitis: Pain Relief Strategies and Concerns
Ankylosing Spondylitis Hello Doctor: I have been diagnosed with ankylosing spondylitis since my university days and have been taking anti-inflammatory medication for a long time. I previously took Celebrex (an immunomodulator), but my doctor later advised me to stop. Currently, I...
Dr. Zeng Guosen reply Internal Medicine
Hello Jerry: 1. Pressing on the area near the left rib close to the left nipple causes pain, and this area is less commonly affected in patients with ankylosing spondylitis. 2. Ankylosing spondylitis has varying degrees of activity and different affected areas at different tim...[Read More] Managing Ankylosing Spondylitis: Pain Relief Strategies and Concerns
Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Is it possible for rheumatoid arthritis to go undetected in tests? Hello, earlier this year my mother (born in 1971, 52 years old) has been experiencing unbearable pain in both hands, especially at night when the pain is particularly severe in her finger joints. Additionally, her...
Dr. Zeng Guosen reply Internal Medicine
Hello, Ping Ping; the diagnosis of rheumatoid arthritis must consider 1. clinical joint symptoms 2. rheumatoid factor and anti-CCP antibody tests 3. inflammatory markers 4. duration of symptoms 5. imaging studies such as X-rays and ultrasound for evaluation. Joint discomfort can ...[Read More] Can Rheumatoid Arthritis Go Undetected? Understanding the Challenges
Understanding HIV Transmission: Debunking Myths About White Blood Cells
Regarding white blood cells? Hello, doctor. I would like to ask you about the information I found online regarding HIV infection. It states that the virus can directly invade human cells, which significantly increases the risk of infection. However, when I asked the school doctor...
Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: HIV is transmitted through intimate contact with bodily fluids or blood. The main routes of transmission are sexual intercourse, blood transfusions, and sharing drug injection needles. The risk of infection from folliculitis fluid on a shaved head is relativ...[Read More] Understanding HIV Transmission: Debunking Myths About White Blood Cells
Understanding Reduced Saliva Production: Causes and Solutions
Hello, doctor. I have a question regarding decreased saliva production? Four years ago, I noticed a decrease in saliva production, which has led to difficulties swallowing. I often need to drink liquids while eating. I went to the rheumatology and immunology department for blood ...
Dr. Zeng Guosen reply Internal Medicine
Hello, there are many reasons for dry mouth. Currently, there are medications available to alleviate the symptoms, as well as toothpaste, oral gels, and mouthwashes that can help. It is advisable to consult an otolaryngologist for further evaluation.[Read More] Understanding Reduced Saliva Production: Causes and Solutions
Managing Ankylosing Spondylitis Pain: Alternatives to Painkillers
Ankylosing spondylitis About five years ago, I was diagnosed with ankylosing spondylitis, but I did not experience significant pain at that time, and my inflammatory markers were normal. I was only prescribed pain relievers. However, in the past two years, whenever I catch a cold...
Dr. Zeng Guosen reply Internal Medicine
Hello, symptoms of ankylosing spondylitis often fluctuate, so it is essential to have regular follow-up examinations to manage the condition. In addition to pain relievers, there are other medications and methods available for pain management, so it is advisable to seek medical e...[Read More] Managing Ankylosing Spondylitis Pain: Alternatives to Painkillers
Should I Get Additional Tests for My Chest Discomfort?
Should additional tests be performed? Hello, Doctor: I have a very sensitive itching sensation on the right side of my chest (at the lower edge of my breastbone). It feels like an internal itch, and sometimes it triggers coughing; I also occasionally feel itchy when taking deep b...
Dr. Zeng Guosen reply Internal Medicine
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Hello, the issue you are inquiring about is indeed related to pulmonology; it is recommended that you seek a second opinion at another hospital.[Read More] Should I Get Additional Tests for My Chest Discomfort?
Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Is it related to endocrinology? Hello, Doctor. The patient has been experiencing long-term fatigue, excessive daytime sleepiness, and difficulty concentrating. After being diagnosed with sleep apnea and undergoing surgery, the sleep oxygen levels have improved significantly. Fati...
Dr. Zeng Guosen reply Internal Medicine
Hello, online user: The endocrine system has many functions, and its glands are located from the pituitary gland to various parts of the body. If you need further examination, it is recommended to visit an endocrinology specialty clinic for a resolution. Thank you for your questi...[Read More] Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Can I Breastfeed While Taking Hydroxychloroquine Sulfate 200mg?
Is it safe to breastfeed while taking Hydroxychloroquine sulfate 200mg? I have Sjögren's syndrome and suspected systemic lupus erythematosus. I am currently taking Hydroxychloroquine sulfate 200mg. Can I breastfeed? Thank you.
Dr. Zeng Guosen reply Internal Medicine
Hello, user: This medication can be excreted in breast milk, with concentrations in breast milk being significantly lower than the therapeutic levels in the mother's bloodstream. To date, there have been no reported cases of adverse reactions due to breastfeeding. However, s...[Read More] Can I Breastfeed While Taking Hydroxychloroquine Sulfate 200mg?
Managing Uric Acid Levels: Dietary Tips and Follow-Up Care
Kidney function tests A month ago, I had a health check-up and my uric acid level was within the normal range (2.5-6.5 mg/dL), specifically at 6.1 mg/dL, which is close to the upper limit and has made me a bit concerned. What dietary aspects should I pay attention to? Do I need t...
Dr. Zeng Guosen reply Internal Medicine
Hello, the uric acid level of 6.1 is still within the normal range, so there is no need to worry. Just make sure to drink plenty of water, eat more vegetables and fruits, reduce meat and organ meats, avoid alcohol, and incorporate exercise to manage your weight along with regular...[Read More] Managing Uric Acid Levels: Dietary Tips and Follow-Up Care
Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Abnormalities in blood test immune markers? Hello Doctor, I underwent a surgical abortion on November 6th (the embryo's heartbeat stopped at eight weeks), and on November 7th, I had blood drawn for immune testing. The abnormal result highlighted in red is: anti-thrombin III,...
Dr. Zeng Guosen reply Internal Medicine
Hello, user: The issue regarding anti-thrombin III generally falls within the field of hematology in clinical practice. To ensure a complete and accurate response to your question, I recommend consulting a hematology specialist. Thank you.[Read More] Understanding Abnormal Anti-Thrombin III Levels After Abortion: What You Need to Know
Understanding Lupus: Hereditary Risks and Health Check Recommendations
Systemic lupus erythematosus (SLE) I’m sorry to hear about your mother’s passing due to lupus. Lupus, specifically systemic lupus erythematosus (SLE), can have a genetic component, which means there may be an increased risk of developing the condition if a family member has it. I...
Dr. Zeng Guosen reply Internal Medicine
Hello, internet user: In systemic lupus erythematosus (SLE), only a small number of cases exhibit hereditary patterns, so there is no need to worry. The clinical symptoms of lupus can be quite diverse. Possible symptoms include: fever, fatigue, joint pain or arthritis, facial ras...[Read More] Understanding Lupus: Hereditary Risks and Health Check Recommendations