Rabies Vaccine Concerns After Monkey Bite: What to Do Next?
Rabies vaccine Hello, doctor: I was bitten by a wild macaque while visiting the Dengxian Bridge in Donghe Township, Taitung County. I received a tetanus vaccine at a clinic right after the incident. After returning to Taipei, I discovered that the area is a rabies-endemic zone, a...
Dr. Chen Bozhang Reply:
Hello, regarding rabies vaccine education, you may refer to the health education information provided by the Centers for Disease Control at this link: https://www.cdc.gov.tw/Uploads/archives/%E7%96%91%E4%BC%BC%E7%8B%82%E7%8A%AC%E7%97%85%E6%9A%B4%E9%9C%B2%E5%BE%8C%E5%85%8D%E7%96%A...[Read More] Rabies Vaccine Concerns After Monkey Bite: What to Do Next?
Is It Safe to Delay the Final Rabies Vaccine Dose While Traveling?
Does missing the last rabies vaccine dose make a difference? Hello Dr. Hsiao, I was bitten by a dog while traveling in India, and I have already received four doses of the rabies vaccine. However, the final dose is scheduled for two weeks from now, and I will be in Sri Lanka at t...
Dr. Xiao Yongxun Reply:
Dear Mr. Xiao Guo: 1. Currently, there are two known rabies vaccines: a. Verorab® (Sanofi Pasteur), which is cultured in African green monkey kidney cells. b. Rabipur® (Novartis), which is a purified chick embryo cell vaccine. 2. Clinically, it is preferable to use the same va...[Read More] Is It Safe to Delay the Final Rabies Vaccine Dose While Traveling?
Understanding Tetanus and Diphtheria Vaccination for Adults
Questions related to vaccination? Hello, doctor. I heard that the Tdap vaccine for tetanus and diphtheria loses its effectiveness at my age. I am considering getting a booster shot. Could you please help me with the following questions: 1. Is it easy to get infected with tetanus?...
Dr. Xiao Yongxun Reply:
Dear Mr. JKL: 1. General surgical wounds can potentially become infected with Clostridium tetani, the bacteria that causes tetanus. The risk is higher for wounds caused by rusty nails, those resulting from car accidents, dirty wounds, or deeper injuries. Therefore, in many hospi...[Read More] Understanding Tetanus and Diphtheria Vaccination for Adults
Rabies Vaccine Considerations After Cat Scratch: What You Need to Know
2019 Stray Cat Rabies Vaccination Campaign Hello, I am a resident near National Chung Cheng University in Minxiong Township, Chiayi County. About 1 to 2 weeks ago (on January 24), I was scratched by a stray cat in this area. The cat initially allowed me to pet it, but after a min...
Dr. Chen Bozhang Reply:
Dear Ms. Yeh Hsueh, In your letter, you mentioned that you were scratched by a feral cat near National Chung Cheng University in Minxiong Township, Chiayi County, at the end of January. The wound consists of four shallow and short punctures, which have healed. Currently, rabies ...[Read More] Rabies Vaccine Considerations After Cat Scratch: What You Need to Know
Understanding Shoulder, Neck, and Chest Pain After a Car Accident
Shoulder, neck, and chest issues? After a car accident, I initially didn't feel any symptoms and didn't get an X-ray at that time. During the accident, my shoulder and face hit the ground, and the doctor at the hospital only gave me a tetanus shot and disinfected my fac...
Dr. Chen Bozhang Reply:
Dear Mr. Wesley, Regarding the long-term discomfort you mentioned in your shoulders and neck, if it is caused by spinal misalignment, it can indeed persist for a long time and affect the surrounding soft tissues, potentially leading to nerve root compression. I recommend that yo...[Read More] Understanding Shoulder, Neck, and Chest Pain After a Car Accident
Understanding Viral Warts: Transmission, Treatment, and Prevention
Viral warts are contagious? Hello, when I was young, I had genital warts treated with electrosurgery. After a few years, I discovered that I had a viral wart on the sole of my foot (which I didn't treat, and later learned it is contagious). A few years ago, my child was born...
Dr. Liao Yaopan Reply:
Hello, these all belong to human papillomavirus (HPV) infections. There are many types of this virus, which can cause different symptoms. For skin-related issues, please consult a dermatologist for assistance. Regarding the vaccine, its indications primarily target cervical cance...[Read More] Understanding Viral Warts: Transmission, Treatment, and Prevention
Understanding Anal and Bowel Issues: Symptoms and Solutions
Anal and bowel issues? Hello, doctor. Recently, I've been experiencing difficulty with bowel movements. Three days ago, I felt like I injured my anus during a bowel movement. At that time, my stool was normal, but towards the end, it became thin and intermittent, making it h...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is recommended that you visit a colorectal surgeon for further evaluation. Maintaining a regular routine and healthy eating habits is still an important reminder. Please note that online consultations are not equivalent to in-person medical visi...[Read More] Understanding Anal and Bowel Issues: Symptoms and Solutions
Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options
Oral cauliflower (also known as oral warts or oral papillomas) I am 16 years old and have developed some strange pink bumps under my tongue, about 10 in total, some are separate and some are connected. I am concerned because I performed oral sex on a stranger three weeks ago, so ...
Dr. Chen Taicheng Reply:
● If you suspect warts, you may want to consult an otolaryngologist. If the diagnosis remains uncertain, you can also visit a dermatologist for further evaluation. ● Treatment options for warts include cryotherapy, electrosurgery, laser therapy, topical wart removal medications, ...[Read More] Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options
Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?
Questions about rabies vaccination after being scratched by a stray cat? Hello, Doctor. About 10 days ago, I encountered a stray cat near the Tamsui MRT Station in New Taipei City. The cat showed no signs of aggression, and I was not licked by it. While I was petting it, it sudde...
Dr. Wu Fangcan Reply:
According to your statement: There have been no reported rabies outbreaks in New Taipei City recently, so the risk of infection is low. Therefore, rabies vaccination is not necessary. As for tetanus, if you have not received a booster shot in the past 5 years, you may need to get...[Read More] Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?
Understanding Rectal Bleeding and Itching: When to Seek Medical Help
Bleeding from the rectum followed by anal itching? I am a sixth-grade student. Recently, for the past week, I have been experiencing blood in my stool, which has made the toilet bowl filled with bloody water, and the blood is bright red, not dark red. The pain around my anus is m...
Dr. Wu Fangcan Reply:
Based on your description, the likelihood of hemorrhoids is the highest. However, other possibilities cannot be ruled out. It is recommended to reduce grilled foods and increase fiber intake. You may consult a colorectal surgeon for further evaluation and examination.[Read More] Understanding Rectal Bleeding and Itching: When to Seek Medical Help
Understanding Discomfort Near the Anus: Causes and When to Seek Help
Anal blockage? Hello, doctor. I apologize for not knowing which specialty to ask, so I chose family medicine. Thank you. I have a sensation of discomfort near the anus, close to the genital area, which is more noticeable when standing and alleviates when sitting. I would like to ...
Dr. Chen Taicheng Reply:
● Internal and external hemorrhoids, anal canal stenosis (caused by chronic constipation or inflammation), anal fissures leading to nearby lumps, or rectal prolapse may all cause a sensation of obstruction. ● It is recommended to visit the colorectal surgery department at a hospi...[Read More] Understanding Discomfort Near the Anus: Causes and When to Seek Help
Can Tetanus Vaccine Interact with Medications Like Cymbalta and Seroquel?
Will the tetanus vaccine and medications interact? Hello, doctor. I received a tetanus vaccine today, and I am currently taking Cymbalta and Seroquel. I would like to know if I should avoid taking these medications for the next few days after the injection.
Dr. Liao Yaopan Reply:
Based on experience, there should not be any significant interactions; however, if there are concerns, it is advisable to discuss them with the prescribing physician. Please note that online consultations do not equate to in-person visits and cannot provide diagnoses or treatment...[Read More] Can Tetanus Vaccine Interact with Medications Like Cymbalta and Seroquel?
Which Medical Specialty Should You Consult for Your Symptoms?
Which department should I consult? Hello, doctor. I have multiple and varied health issues, and I'm unsure what to pay attention to or which specialty to consult. 1. I frequently get mouth ulcers that take a long time to heal, sometimes occurring in two or three places at ...
Dr. Wu Fangcan Reply:
Based on the situation you described, it is advisable to consult a trusted family physician or a traditional Chinese medicine practitioner for examination and treatment. Thank you.[Read More] Which Medical Specialty Should You Consult for Your Symptoms?
Understanding Lower Abdominal Pain and Bright Red Stool: When to Seek Help
Lower abdominal pain and the presence of bright red blood in the stool? Hello doctor, I have been experiencing irregular lower abdominal pain for the past three years. The pain occurs with abdominal contractions and feels dull, affecting both sides but more on the left. Initially...
Dr. Wu Huixiong Reply:
Hello, in principle, I hope you return to the obstetrics and gynecology department, as many issues require further examination to understand.[Read More] Understanding Lower Abdominal Pain and Bright Red Stool: When to Seek Help
Do You Need a Tetanus Shot After a Mouse Bite?
Bitten by a rat? If bitten by a rat, is there a risk of tetanus? The wound is only a small puncture, and I wiped away the blood with a tissue and disinfected it with alcohol. Do I still need to get a tetanus vaccine?
Dr. Liao Yaopan Reply:
Hello, regarding the above situation, first, the wound should be properly treated, and a prophylactic tetanus injection is still recommended. Additionally, attention should be paid to the risk of rabies infection; you may consult an infectious disease specialist for assistance an...[Read More] Do You Need a Tetanus Shot After a Mouse Bite?
Understanding Pain Near the Anus: Causes and When to Seek Help
Pain near the anus? I would like to ask about a small round thing near my anus that I don't know the name of, but it's something that females have. Recently, I have been experiencing constipation, and my stools have been difficult to pass, which causes pain when I strai...
Dr. Gao Qingyun Reply:
Hello: Your issue requires an evaluation by a colorectal surgeon. It is recommended that you visit the colorectal surgery outpatient clinic for specialized care. Thank you! Wishing you peace and good health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan Hospita...[Read More] Understanding Pain Near the Anus: Causes and When to Seek Help
Should You Get a Rabies Vaccine After a Cat Bite?
Do I need to receive a rabies vaccine? Hello Doctor, last evening I was bitten on the ankle by a stray cat near my home in Changhua. The cat was initially by my feet but seemed startled by a dog and then bit me. The wound has three small marks with slight bleeding. I went to a cl...
Dr. Gao Qingyun Reply:
Hello, if there are no special discomforts or if the wound is healing well, it is recommended to receive a tetanus vaccine injection. If there are still wounds or systemic symptoms, please go directly to the infectious disease outpatient clinic for evaluation by a specialist. Wis...[Read More] Should You Get a Rabies Vaccine After a Cat Bite?
Understanding Growths in the Perineal Area: What You Need to Know
There are two growths in the perineal area? I would like to ask, I recently noticed something growing in the perineal area between the anus and the vagina. It doesn't hurt and feels soft, but I can sense its presence. There are two connected together, and they are somewhat l...
Dr. Chen Bozhang Reply:
Dear Miss Pomelo, In your letter, you mentioned that you have developed two soft, painless lesions in the perineal area. I recommend that you visit a gynecologist for a professional examination of these lesions to determine the appropriate next steps for management. Additionally...[Read More] Understanding Growths in the Perineal Area: What You Need to Know
Cat Bite Injury: Should You Get a Rabies Vaccine?
Bitten by a stray cat, experiencing arm soreness the next day? Hello Doctor, I am a volunteer working with stray animals and I have already received a tetanus vaccine. Yesterday, I was bitten on my right hand finger by a cat, and it felt like the entire tooth penetrated (I felt a...
Dr. Chen Bozhang Reply:
Hello, You mentioned that you were bitten by a stray cat and are experiencing slight pain in your right forearm. Currently, there is no rabies outbreak among stray dogs and cats in the country; however, as a precaution, it is still recommended that you visit a contracted hospit...[Read More] Cat Bite Injury: Should You Get a Rabies Vaccine?
Should You Seek Medical Attention After a Stray Dog Encounter?
Bitten by a stray dog? Hello doctor, I would like to ask if I need to go to the emergency room for a shot after being pricked by a stray dog's mouth while at a park near my home yesterday. A stray dog lifted its head and sniffed my thigh, and I immediately felt a slight stin...
Dr. Liao Yaopan Reply:
Hello, based on your description, there should not have been any wounds at that time, which significantly reduces the risk of infection. Initial cleaning is still very important, and I believe you have done a great job. If you are uncertain about whether your condition is stable,...[Read More] Should You Seek Medical Attention After a Stray Dog Encounter?