Antibiotics, Family Medicine FAQ

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Understanding Post-Wisdom Tooth Extraction Swelling and Calcification

Is it possible for the swelling after wisdom tooth extraction to calcify so quickly, within 3 to 4 months? Hello Dr. Lin, I had my lower right wisdom tooth extracted three months ago. After the extraction, my right cheek was significantly swollen. A month later, I was referred to...


Dr. Lin Zhebin Reply:
Hello: The flat, pancake-shaped, and somewhat hard area on your right cheek is likely a result of soft tissue fibrosis caused by a previous inflammatory infection, somewhat similar to scar tissue. As for whether there is calcification or other issues, further medical examination ...

[Read More] Understanding Post-Wisdom Tooth Extraction Swelling and Calcification


Morning Hoarseness After Tonsillitis: Is It Normal?

Waking up with a hoarse voice after tonsillitis? Hello Doctor, two Fridays ago, I experienced pain when swallowing saliva and went to a clinic where I was diagnosed with tonsillitis. I took antibiotics for three days, and after finishing the course, the pain subsided. However, si...


Dr. Lin Zhebin Reply:
Hello: Your hoarseness in the morning is more likely caused by tonsillitis accompanied by laryngitis. If the hoarseness were due to cancer, it would typically be persistent and may be accompanied by pain, bleeding, difficulty swallowing, neck lumps, and other discomforts. However...

[Read More] Morning Hoarseness After Tonsillitis: Is It Normal?


Persistent Swelling in Leg After Motorcycle Accident: What to Expect?

Swelling in the lower leg after a car accident that persists for a long time? Hello Doctor, on March 1st, I was involved in a motorcycle accident. The next day, a portion of my calf swelled to about 5x5 cm, but there were no obvious external injuries. The doctor advised me to app...


Dr. Liao Yaopan Reply:
Hello, it is recommended that you return to the original medical institution for an evaluation of your current condition. A face-to-face consultation to understand your recovery status is preferable. Assess whether further treatment is needed, as online consultations are not equi...

[Read More] Persistent Swelling in Leg After Motorcycle Accident: What to Expect?


Can I Get the HPV Vaccine While Taking Antibiotics?

HPV vaccine and antibiotics? Hello Dr. Hsiao, due to prostatitis, I have recently started taking antibiotics (Lisacef 500mg and OA18-Cephradine 500mg). Next week is scheduled for my second dose of the HPV nine-valent vaccine. Can I still receive it as planned? If not, what is the...


Dr. Xiao Yongxun Reply:
Dear Capybara: 1. According to the recommendations of Taiwan's Centers for Disease Control, the schedule for administering the HPV nine-valent vaccine consists of three doses: one at 0 months, one at 1 to 2 months, and one at 6 months. In cases of severe infections, immunoc...

[Read More] Can I Get the HPV Vaccine While Taking Antibiotics?


Managing Asthma Issues Triggered by Sinusitis in Patients

Sinusitis triggers asthma issues? Hello, doctor. My mother had a cold last week that triggered her sinusitis (she has a history of sinusitis). It has not improved after a week. Three days ago, she visited a doctor and was prescribed antibiotics, which have helped her condition sl...


Dr. Lin Zhebin Reply:
Hello: Sinusitis is classified as an upper respiratory tract infection, but it can potentially progress to a lower respiratory tract infection, such as pneumonia. If you experience persistent tachycardia accompanied by shortness of breath, it is advisable to seek medical treatmen...

[Read More] Managing Asthma Issues Triggered by Sinusitis in Patients


Persistent Low-Grade Fever After Kidney Infection: What to Know

The body temperature has been consistently around 37 degrees Celsius for several days? Hello, doctor. I was hospitalized for pyelonephritis two weeks ago and stayed for a week, followed by another week of antibiotics after discharge. My menstrual period started right after and la...


Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of acute pyelonephritis primarily presents with symptoms such as frequent urination, dysuria, flank pain, and may even include fever, chills, and headache. Laboratory tests typically show an increase in white blood cells with a rise in the proport...

[Read More] Persistent Low-Grade Fever After Kidney Infection: What to Know


Understanding Flu Symptoms and When to Seek Medical Help

Suspected influenza, symptoms include generalized weakness and fatigue? A family member began experiencing symptoms (cough, fever, body aches) starting on November 24. They went to the hospital for testing for influenza and COVID-19, both of which were negative. They were prescri...


Dr. Liao Yaopan Reply:
Hello, based on your description, if your symptoms do not improve, it is advisable to seek medical evaluation. Online consultations are not equivalent to in-person visits and cannot provide diagnostic or treatment recommendations. Changhua Hospital cares about you.

[Read More] Understanding Flu Symptoms and When to Seek Medical Help


Understanding Skin Exudate: A Guide for Long-Term Spinal Injury Patients

Skin exudate Hello, doctor. I am a spinal cord injury patient who has been injured for 10 years. My skin has not been very good due to long-term bed rest. Although I occasionally use a wheelchair, I often experience some eczema on my legs. I can manage it by frequently applying s...


Dr. Cai Dongqi Reply:
Hello, A-Chuan: Please see a dermatologist, as this is not my area of expertise.

[Read More] Understanding Skin Exudate: A Guide for Long-Term Spinal Injury Patients


Understanding Muscle Sensations After Drinking and Infection Risks from Food Utensils

Please ask your question? Hello, doctor. I have two questions to ask. Today, I went out for dinner with my supervisor from work and drank three bottles of beer, approximately 2000ml. After returning home, I felt a strange sensation in my calves, similar to the feeling after exerc...


Dr. Lin Zhebin Reply:
Hello: 1. The discomfort in your calf is likely related to alcohol consumption. It is recommended to rest and observe your condition, as well as to increase your fluid intake. If the discomfort persists without improvement, seek medical attention. 2. If you are punctured by a dir...

[Read More] Understanding Muscle Sensations After Drinking and Infection Risks from Food Utensils


Sudden Spike in Blood Sugar: Possible Causes and Concerns

Sudden increase in blood sugar levels? On the afternoon of June 11, I experienced urethral pain and went to the hospital's emergency department. The doctor arranged for blood tests and urinalysis, which generally showed no significant issues, but my blood glucose level was m...


Dr. Chen Bozhang Reply:
There are many reasons that can cause elevated blood sugar levels, including diet, lifestyle habits, stress, inflammation, infections, and medications. It is recommended to continue monitoring and follow up at the outpatient clinic. Thank you.

[Read More] Sudden Spike in Blood Sugar: Possible Causes and Concerns


Persistent Swelling in Left Index Finger: When to Seek Further Medical Evaluation?

Swelling of the left index finger? Hello doctor, my finger (only one) has been swelling and subsiding since around March 15. I have taken antibiotics for six days, but the swelling and subsiding have been recurring. I have seen two family medicine doctors and one dermatologist, b...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns, since the symptoms have persisted for several weeks, it is recommended that you consult with a rheumatologist for evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment r...

[Read More] Persistent Swelling in Left Index Finger: When to Seek Further Medical Evaluation?


Does Eating Pineapple Affect Urine Odor? Understanding the Connection

After eating pineapple, urine may have a pineapple scent? Hello, doctor. As the title suggests, my urination is normal usually, but today after eating pineapple, I noticed a similar smell in the bathroom, and I'm a bit worried if there might be an issue with my body. Three y...


Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1. The food or beverages we consume undergo processes of absorption, distribution, metabolism, and excretion in the body, with most being eliminated through urine. Some substances are transformed into various metabolites, while others are metabolized but reta...

[Read More] Does Eating Pineapple Affect Urine Odor? Understanding the Connection


Missing One Antibiotic Pill: Should You Continue Treatment for Cellulitis?

I accidentally lost a dose of antibiotics? On March 4th, I received treatment for cellulitis in the emergency department and was prescribed 250 mg of Dexa-Cillin, taking two pills every six hours for six days. Since I was not fully recovered when the medication was nearly finishe...


Dr. Lin Zhebin Reply:
Hello: 1. Skipping a dose of antibiotics primarily affects the concentration of the medication in the body, which can impact the effectiveness of the treatment. 2. It is recommended to complete the full course of antibiotics, as failing to eliminate all the bacteria may allow the...

[Read More] Missing One Antibiotic Pill: Should You Continue Treatment for Cellulitis?


Understanding Antibiotic Timing: Risks of Overlap and Dosage Concerns

Antibiotic dosing intervals I was hospitalized for a urinary tract infection on February 22 and discharged on March 1. Upon discharge, I was prescribed Cipro (ciprofloxacin) to take two tablets every 12 hours. On March 4, I went to the emergency room for cellulitis and received D...


Dr. Lin Zhebin Reply:
Hello: 1. The usage of Dicloxacillin is four times a day. Although the medication bag indicates to take it every 6 hours, it can also be divided into three doses after meals and one before bedtime, as long as there is an interval of at least 3-4 hours, which is acceptable. Based ...

[Read More] Understanding Antibiotic Timing: Risks of Overlap and Dosage Concerns


Understanding Symptoms: Liver Pain, Lymph Nodes, and Sleep Issues

Lymph nodes, liver, neck, rib pain, and bruising during sleep? 1. About five years ago, I had liver inflammation issues when I was around 20 years old. I felt a bloated, numb sensation, as if there was something hard inside. At that time, the doctor diagnosed me with fatty liver....


Dr. Lin Zhebin Reply:
Hello: 1. The more common causes of liver inflammation are hepatitis B, hepatitis C, fatty liver disease, and alcoholic hepatitis. Liver function tests require blood draws for diagnosis. Regarding the intermittent sharp pain in your left and right abdomen, it is advisable to cons...

[Read More] Understanding Symptoms: Liver Pain, Lymph Nodes, and Sleep Issues


Understanding Tonsillitis: Symptoms, Treatment, and When to Seek Help

Is it possible to be diagnosed with tonsillitis? Since last Friday (12/9), swallowing saliva has not been painful, but drinking water causes throat pain. On Friday, I looked in the mirror and did not see anything unusual, but starting Saturday, swallowing saliva also became painf...


Dr. Lin Zhebin Reply:
Hello: 1. Based on your description, it is indeed very likely that you have tonsillitis. 2. Since the symptoms of COVID-19 can manifest in various ways, it is possible to have both tonsillitis and a COVID-19 infection simultaneously, so I recommend that you take a rapid test for ...

[Read More] Understanding Tonsillitis: Symptoms, Treatment, and When to Seek Help


Do You Need Approval for Paying Out-of-Pocket Rabies Vaccination?

Is it necessary to submit an application for receiving a rabies vaccine at one's own expense? Hello, Doctor. I was bitten by my neighbor's dog on the evening of July 12. Since I was wearing long pants, I only had a small bruise and a minor abrasion. The next day, I went...


Dr. Xiao Yongxun Reply:
Dear Mr. Hsiao: 1. The risk of rabies in Taiwan is currently limited to wild animals in the central, southern, and eastern mountainous regions, primarily involving the badger as the main infected species, with a few cases in the white-nosed coati. The current regulation states t...

[Read More] Do You Need Approval for Paying Out-of-Pocket Rabies Vaccination?


Should You Continue Pain Relief Medication with Antibiotics?

Medication Use Hello Director Liao: I am currently taking Ketorolac and antibiotics for a urinary tract infection. I would like to ask if I can stop taking the anti-inflammatory pain reliever (Ketorolac) if the pain decreases, or is it necessary to complete the entire course of b...


Dr. Liao Yaopan Reply:
Hello, the treatment of infectious diseases primarily relies on antibiotics. As for the prescription of Ketorolac given by the original physician, the indication or purpose is unclear. The best approach would be to discuss this with the prescribing physician. Please note: online ...

[Read More] Should You Continue Pain Relief Medication with Antibiotics?


Understanding Umbilical Skin Issues and Their Possible Connection to Diarrhea

Umbilical dermatitis Hello Doctor, I have two questions I would like to ask: 1. A few days ago, I noticed a patch of broken skin next to my navel, and the navel itself appears red, swollen, and peeling, with a slight aching sensation. I went to the pharmacy to ask the pharmac...


Dr. Lin Zhebin Reply:
Hello: 1. The ingredients in the Yuan Chao Shuyi Skin Ointment include antifungals, steroids, and antibiotics, which should be effective for general epidermal infections. However, if the infection around your navel has penetrated deeper into the tissue, you may need to seek medic...

[Read More] Understanding Umbilical Skin Issues and Their Possible Connection to Diarrhea


Managing Infected Wounds: When to Seek Further Medical Attention

The wound has pus? Last Thursday, I was bitten by a dog and received a tetanus shot and antibiotics. Yesterday, Tuesday, there was still some red and yellow fluid oozing from the wound. I went to see a surgeon, who applied medication and prescribed a three-day course of antibioti...


Dr. Lin Zhebin Reply:
Hello: Your wound appears to have some necrotic tissue and pus in the center, with surrounding redness and swelling, which raises concerns about a possible infection. If the redness and swelling do not improve after completing three days of antibiotics and ointment, I recommend t...

[Read More] Managing Infected Wounds: When to Seek Further Medical Attention


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