Can I Use Minoxidil for Hair Loss Prevention Before Balding?
Can I apply Rogaine first? My father and grandfather both have severe baldness, and I naturally have a high forehead. Recently, I visited a dermatologist and brought my high school photos for evaluation. The doctor said he is not sure if I have androgenetic alopecia and advised m...
Dr. Zhang Zhibo Reply:
Hello: You have a significant family history of male pattern baldness, a high forehead, and if a widow's peak appears with the hairline receding at the temples, this can diagnose you with androgenetic alopecia. Androgenetic alopecia can be classified into seven stages (see i...[Read More] Can I Use Minoxidil for Hair Loss Prevention Before Balding?
Concerns About Taking Antifungal Medication for Nail Fungus
Onychomycosis medication issues? I recently visited a doctor for a nail condition, and they prescribed a medication called Terbinafine tablets. I looked it up online, and it seems to be used for treating onychomycosis (fungal nail infection), which my nails appear to have. I didn...
Dr. Zhang Zhibo Reply:
Hello, Qingtian: Regarding your inquiry about Lamisil (terbinafine), its indications include (1) onychomycosis, (2) tinea capitis, and (3) extensive dermatophyte infections that have not responded to topical treatment, but it is ineffective against tinea versicolor. Onychomycosis...[Read More] Concerns About Taking Antifungal Medication for Nail Fungus
Understanding Heat Intolerance: Why Some Don't Sweat in Summer
In the summer, I don't sweat! However, my body heats up! I often experience heatstroke! Hello Dr. Zhang, I have a sister who often suffers from heatstroke during the summer. She hardly sweats, but her skin is always very hot. Occasionally, she feels like she is going to have...
Dr. Zhang Zhibo Reply:
Hello, DS: Your sister hardly sweats. How long has this condition been present? Is it congenital or acquired? There is a dermatological condition related to lack of sweating called "congenital ectodermal dysplasia," which includes "anhidrosis and hypohidrosis."...[Read More] Understanding Heat Intolerance: Why Some Don't Sweat in Summer
Managing Toenail Fungus and Ingrown Nails: Expert Guidance Needed
For a case of onychomycosis (fungal nail infection) accompanied by ingrown nails, it is advisable to follow these steps for management: 1. **Consult a Healthcare Professional**: Seek evaluation from a dermatologist or podiatrist for an accurate diagnosis and treatment plan. 2. ...
Dr. Huang Ruiyun Reply:
Hello! To address the issue of painful ingrown toenails, you can seek orthopedic surgery, which will require local anesthesia. As for the treatment of onychomycosis (fungal nail infection), it takes a long time and does not provide immediate relief for pain. Additionally, your li...[Read More] Managing Toenail Fungus and Ingrown Nails: Expert Guidance Needed
Effective Treatments for Toenail Fungus: What to Expect and Alternatives
Onychomycosis Dear Doctor, I previously consulted a physician for the treatment of toenail fungus and after applying topical medication for a year and a half, there has been no progress. I am now undergoing oral treatment with antifungal medication. How long should it take to see...
Dr. Jiang Zheen Reply:
According to the National Health Insurance regulations, oral antifungal medication can be taken continuously for 12 weeks within a year. At the end of the 12 weeks, the majority of patients' nails will not be completely normal; however, this medication remains in the nails f...[Read More] Effective Treatments for Toenail Fungus: What to Expect and Alternatives
Dealing with Toenail Fungus: When Treatment Shows Limited Results
Onychomycosis Hello, doctor. I previously visited a dermatologist for treatment of my toenail fungus. I have been taking Terbinafine for about a month now. I can see healthy new growth on my big toe, but there hasn't been much response on my ring and pinky toes; it seems lik...
Dr. Huang Ruiyun Reply:
Not all nail issues are caused by fungal infections. It is possible that your big toe has a fungal nail infection, while the fourth and fifth toes are experiencing nail deformities due to long-term chronic pressure from footwear, which means that medication will not be effective.[Read More] Dealing with Toenail Fungus: When Treatment Shows Limited Results
Understanding Seasonal Blisters: Causes and Treatments for Skin Issues
Blister Every time the seasons change (from spring to summer or autumn to winter), blisters appear on the sides of my fingers, on the skin above my fingernails, and on my palms. Why does this occur specifically during the change of seasons?
Dr. Hong Zhengsheng Reply:
Hello GL: Hand eczema, hand tinea, dyshidrotic eczema, and other keratinization disorders of the hands are all possible causes. I believe that during seasonal changes, due to unstable weather conditions and significant fluctuations in humidity and temperature, it is easier for th...[Read More] Understanding Seasonal Blisters: Causes and Treatments for Skin Issues
Understanding Skin Irritation: Causes and Solutions for Red Bumps
Skin prick test Hello: When the weather is hot and humid, my skin feels prickly (mainly on the upper body), and later small red rashes appear. Why does this happen, and how can I improve it?
Dr. Zhang Zhibo Reply:
Dear love 2007tt, The issue you are inquiring about is quite common and related to eczema caused by sweating in hot weather: miliaria, also known as heat rash. It occurs due to the obstruction of sweat ducts and the proliferation of Staphylococcus on the skin's surface. In ...[Read More] Understanding Skin Irritation: Causes and Solutions for Red Bumps
Understanding Topical Treatments for Nail Fungus: Ketoconazole vs. Other Options
Questions about topical medications for nail fungus? Hello Doctor, I would like to ask you about my left thumb, which has a fungal nail infection. However, the doctor said it seems to be in the early stage, with only a small area affected, where the nail has thickened and has a...
Dr. Jiang Zheen Reply:
Before applying the medication, file the nails first, then apply the medication. Traditional topical treatments are generally less effective. Currently, the most effective medication known is Lamisil, but it requires out-of-pocket expenses of about 2700 NTD. It is better to file ...[Read More] Understanding Topical Treatments for Nail Fungus: Ketoconazole vs. Other Options
Can You Ignore Frostbite Nails? Understanding the Risks and Consequences
Onychomycosis If a frozen nail (onychomadesis) is left untreated, is it possible to live with it? Will it lead to death?
Dr. Jiang Yujiao Reply:
Dear DD: Hello, onychomycosis is not life-threatening, but whether to seek medical treatment depends on the symptoms. Generally, if the symptoms are mild, wearing wide-toed shoes and avoiding intense physical activity is advisable. Wishing you safety and health. Sincerely, Dr. Ji...[Read More] Can You Ignore Frostbite Nails? Understanding the Risks and Consequences
Managing Frozen Nail Syndrome: Symptoms, Treatment, and Care Tips
Onychomycosis I have had a fungal nail infection for a long time... I removed the nail once, and now that it has grown back, the symptoms of the infection have recurred, and there are granulation tissues forming... What should I do? Should I cut the granulation tissue myself? The...
Dr. Jiang Yujiao Reply:
Dear Xiao and Da P: For frozen nails, granulation tissue needs to be treated by a dermatologist. In addition to topical and oral medications for frozen nail treatment, keep the nails (fingernails and toenails) trimmed short, wear shoes with a wide toe box, and avoid vigorous exer...[Read More] Managing Frozen Nail Syndrome: Symptoms, Treatment, and Care Tips
Understanding Beau's Lines: Causes and Concerns for Your Toenails
Is this the Boas line? I recently noticed that the toenails on both my big toes have suddenly developed a concave shape in the middle, but it seems to be growing lower from the area where the nails grow. I found a reference online that resembles Beau's lines, but it doesn...
Dr. Zhang Zhibo Reply:
Hello: Your question pertains to whether the horizontal grooves or pitted depressions in the nails have different underlying causes. Beau's lines are horizontal grooves that occur due to a sudden illness or significant physiological stress that halts the growth of the nail m...[Read More] Understanding Beau's Lines: Causes and Concerns for Your Toenails
Managing Ingrown Toenails: Tips for Pain Relief and Prevention
Onychomycosis Hello. I have a habit of picking at my toenails instead of using nail clippers, which has led to what is commonly referred to as "ingrown toenail." A few days ago, I had a toenail removed, and recently the nail has almost grown back to its original state. ...
Dr. Jiang Yujiao Reply:
PP: Treatment methods for onychocryptosis (ingrown toenails) depend on the severity. This may include applying anti-inflammatory ointment, taking antibiotics, and if necessary, partially removing the nail and applying chemical cauterization to the nail bed. Additionally, it is im...[Read More] Managing Ingrown Toenails: Tips for Pain Relief and Prevention
Understanding Warts During Pregnancy: Concerns and Treatment Options
Wart issues? Hello: I am currently 34 weeks pregnant and have recently discovered that I have a wart. I went to the hospital, and the doctor said it is a wart and that it is contagious. I would like to ask the doctor: (1) Will it be too late to seek treatment after I finish my po...
Dr. Hong Zhengsheng Reply:
Hello: "Finding a trusted dermatologist for consultation" is the best advice for you. I apologize that based on your written description, I cannot ascertain your specific condition. Answers found online can only speculate based on the description and experience, and can...[Read More] Understanding Warts During Pregnancy: Concerns and Treatment Options
Thickened Nails: Signs of Fungal Infection or Other Skin Issues?
Thickened nails At the beginning of the year, I was busy decorating my new home and worked hard alongside the contractor all day. Suddenly, I noticed that the nails on my right thumb and index finger had thickened. The flesh underneath the nails also appeared uneven in color comp...
Dr. Hong Zhengsheng Reply:
Hello, Hsin-Yi: A correct diagnosis cannot be provided online; it is recommended that you seek medical examination. Finding a trusted dermatologist and attending the consultation is the best advice for you. Thank you for using "Taiwan e-Hospital" to ask your question. &...[Read More] Thickened Nails: Signs of Fungal Infection or Other Skin Issues?
Can Eczema Be Cured? Understanding Its Causes and Treatments
Can wet diagnosis be cured? Hello, Dr. Jiang! I often experience itching just below the back of my head, with a white patch that resembles dandruff. I previously consulted a dermatologist who suggested it might be eczema and prescribed me a topical medication, but the doctor ment...
Dr. Jiang Zheen Reply:
Based on your description, the issue with your scalp is likely seborrheic dermatitis, which is a type of chronic eczema that can sometimes improve and then flare up again. However, its treatment is quite straightforward. Topical ointments combined with specialized shampoos (such ...[Read More] Can Eczema Be Cured? Understanding Its Causes and Treatments
Understanding Acute Folliculitis: Causes, Symptoms, and Management
Acute folliculitis I often develop small pimples on my thighs and buttocks that resemble acne (other areas of my body also have them, but in smaller quantities). They become pus-filled within just one to two days. I previously visited a dermatologist who diagnosed me with acute f...
Dr. Jiang Zheen Reply:
It is likely a case of folliculitis, which is primarily caused by bacterial infection. As for why it frequently recurs, there could be several reasons: inadequate treatment (antibiotics may need to be taken for a sufficient duration), local environmental and skin issues such as w...[Read More] Understanding Acute Folliculitis: Causes, Symptoms, and Management
Unexplained Red, Swollen, and Itchy Toes: Causes and Solutions
Unexplained redness, swelling, and itching of the feet? Hello, Dr. Hong. For the past few nights, my feet (specifically the front part of all ten toes) have been inexplicably red, swollen, and itchy. This occurs around the time I go to bed (approximately between 10:30 PM and midn...
Dr. Hong Zhengsheng Reply:
Hello, Tea Meow: Dermatitis, tinea, and immune-related conditions are all possible causes. I apologize that based on your description, I cannot determine your specific condition. Answers found online can only speculate based on the information provided and personal experience, an...[Read More] Unexplained Red, Swollen, and Itchy Toes: Causes and Solutions
Understanding and Managing Recurring Anal Warts: A Patient's Journey
The anal warts have not yet been treated? Last month, I developed warts around my anus. I underwent cryotherapy twice and applied medication once. By December 1st, the doctor said it was all healed. However, later I experienced skin inflammation and visited a general clinic, wher...
Dr. Hong Zhengsheng Reply:
Hello Kevin: I believe that "prevention is better than cure." "Understanding leads to fearlessness." Below is an excerpt from the educational materials provided by the Taiwan Dermatological Association. I hope it is helpful to you. For more details, you can di...[Read More] Understanding and Managing Recurring Anal Warts: A Patient's Journey
Enlarged Hair Follicles: Causes, Symptoms, and When to See a Doctor
The hair follicles have enlarged? Hello Doctor: I am a male and I have noticed that the hair follicles on my foreskin and pubic hair have enlarged. They are about 0.1 to 0.2 centimeters wide, appearing as small bumps that are darker than my skin tone. They feel hard when I scratc...
Dr. Hong Zhengsheng Reply:
Hello Tony: Eczema, tinea, localized folliculitis, localized keratosis abnormalities, and other conditions could be potential causes. I apologize that based on your description, I cannot ascertain your exact condition. Answers found online can only speculate based on the informat...[Read More] Enlarged Hair Follicles: Causes, Symptoms, and When to See a Doctor