Managing Post-Injection Pain: When to Seek Medical Attention
Pain persists after receiving the injection? Hello, doctor. On April 25th, I had a cardiovascular MRI with contrast injection, and a soft catheter was placed on the back of my right hand. During the procedure, the nurse came in to inject the contrast, and it was very painful at t...
Dr. Lin Zhebin Reply:
Hello: Based on your description, the pain and bruising may be caused by a ruptured vein. If it is phlebitis or extravasation of contrast media, there will typically be signs of redness and swelling. It is recommended to apply ice and take oral anti-inflammatory pain relievers, a...[Read More] Managing Post-Injection Pain: When to Seek Medical Attention
Which Medical Specialty Should I Consult for Rib Pain After a Fall?
Inquiry about medical specialties? Hello, doctor. A few days ago, I fell and hit the ground hard. Since then, I've been experiencing pain near my ribs, but I haven't noticed any bruising. The pain worsens with vigorous activities like running or even laughing. I'm ...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit an orthopedic clinic.[Read More] Which Medical Specialty Should I Consult for Rib Pain After a Fall?
Understanding Drug Interactions: Duloxetine and NSAIDs Safety
Drug interactions I have been taking duloxetine (Cymbalta) daily for nerve pain. Recently, I have a cold and ear pain and would like to take NSAIDs, but I read online that they should not be taken together. Should I avoid taking them for the entire day, or is there a specific tim...
Dr. Lin Zhebin Reply:
Hello: Taking Duloxetine and NSAIDs together may increase the risk of bleeding, with gastrointestinal bleeding and skin bruising being more common, especially in patients who are older or have a history of gastrointestinal ulcers or other chronic conditions (such as liver or kidn...[Read More] Understanding Drug Interactions: Duloxetine and NSAIDs Safety
Understanding Thumb Joint Pain: Could It Be Rheumatoid Arthritis?
The finger joints are tight and painful? A couple of days ago, I suddenly felt pain in the joint of my left thumb. After that, the pain subsided, but a dark bruise-like discoloration appeared. In the evening, I noticed that pressing on the joint was painful, but now the dark colo...
Dr. Chen Bozhang Reply:
Hello Puzi: Your letter mentions that you have suddenly experienced pain in the joint of your left thumb, along with the appearance of dark bruising for some time. This presentation of acute inflammation in a single joint is not typical of rheumatoid arthritis; it is more likely ...[Read More] Understanding Thumb Joint Pain: Could It Be Rheumatoid Arthritis?
Persistent Bruising: Understanding Causes and Treatment Options
Bruises that do not fade? Hello, Dr. Yeh. I have difficulty with bruises healing. In March 2023, I underwent massage therapy, and a small bruise that had been present for over a year (which was not painful or swollen) became larger and swollen after the treatment. I have been int...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a dermatologist. Additionally, you can discuss the target value for glycated hemoglobin with your primary physician to achieve it together.[Read More] Persistent Bruising: Understanding Causes and Treatment Options
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Understanding Rabies Vaccination After Animal Bites: A Patient's Journey
Rabies vaccine Hello, Doctor. On March 22, I was bitten by a feral cat (in Yuanli, Miaoli) on my left thumb and right pinky finger. I received a tetanus shot in the emergency room that day and inquired about the need for rabies vaccination. The emergency staff laughed and said it...
Dr. Lin Zhebin Reply:
Hello: Currently, rabies in Taiwan is primarily found in wild animals such as ferrets and civets, particularly in the central, southern, and eastern regions, and there is no evidence of transmission among domestic dogs and cats. Therefore, based on your situation of being bitten ...[Read More] Understanding Rabies Vaccination After Animal Bites: A Patient's Journey
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
Concerns About Blood Draws: Understanding Bruising and Blood Health
Blood draw issues? Hello, doctor. Last September, I went to the emergency room due to feeling unwell. The nurse mentioned that the needles used in the emergency department are thicker and that the pressure should be applied for a longer time. It was possible that the pressure app...
Dr. Lin Zhebin Reply:
Hello: Applying pressure to swelling caused by a subcutaneous hemorrhage is primarily to help stop the bleeding from the ruptured blood vessels, so it will not have any adverse effects on the blood or the body. Please do not worry.[Read More] Concerns About Blood Draws: Understanding Bruising and Blood Health
Is Bruising After Moderna Bivalent Vaccine a Normal Reaction?
After receiving the Moderna bivalent next-generation vaccine, there was bruising? Hello Doctor: My mother, who is 66 years old, noticed a bruise at the injection site three days after receiving the Moderna bivalent next-generation vaccine. Is this a normal reaction? Will it resol...
Dr. Lin Zhebin Reply:
Hello: During vaccination, it is possible to injure the local microvasculature, leading to bruising. Generally, this will resolve on its own. However, if the bruise continues to enlarge, there is severe swelling and pain, the appearance of other bruises on the body, difficulty br...[Read More] Is Bruising After Moderna Bivalent Vaccine a Normal Reaction?
Persistent Bruising After Injury: When to Seek Medical Help
Stasis of blood? Hello doctor, I was in a car accident at the end of September, and my left calf was crushed by a motorcycle, resulting in bruising. The bruising has improved but is not fully healed, and there is still a large area of light-colored bruising on my leg. When I use ...
Dr. Lin Zhebin Reply:
Hello: Your ongoing bruising situation raises concerns about the possibility of fractures, ligament tears, or tendon ruptures. However, if you are still able to walk normally, the likelihood of a fracture is relatively low. It is more probable that you may have a ligament or tend...[Read More] Persistent Bruising After Injury: When to Seek Medical Help
Persistent Bruising After Injury: When to Seek Medical Help
Stagnant blood? Hello doctor, I was in a car accident at the end of September, and my left calf was crushed by a motorcycle, resulting in bruising. The bruising has improved but has not fully healed, and there is still a large area of light-colored bruising on my leg. When I appl...
Dr. Lin Zhebin Reply:
Hello: Your ongoing bruising raises concerns about the possibility of fractures, ligament tears, or tendon ruptures. However, if you are still able to walk normally, the likelihood of a fracture may be low. It is more probable that you are experiencing a ligament or tendon tear. ...[Read More] Persistent Bruising After Injury: When to Seek Medical Help
Three Days of Butt Pain After a Bike Accident: What to Do?
I have had pain in my buttocks for three days after a car accident? Two days ago, I had an accident while riding my bike and fell with my buttocks down and legs up in the air. My legs did not sustain any abrasions, but my buttocks are particularly painful. When I showed my family...
Dr. Lin Zhebin Reply:
Hello: Based on your description, the pain in your buttocks and the sensation of something being pinched may be due to a localized muscle strain. Muscle strains typically improve on their own, and sometimes pain relievers can be taken to alleviate discomfort. However, the recover...[Read More] Three Days of Butt Pain After a Bike Accident: What to Do?
Understanding Bruising and Swelling After a Leg Injury: When to See a Doctor
Calf contusion? Hello doctor, about two weeks ago I accidentally fell down the stairs. I have bruises on the front of both calves and my knees. The bruising on my right calf and both knees is slowly recovering, but the impact on my left calf may have been more severe. During the ...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is advisable to seek medical attention and have your coagulation function evaluated by a hematologist. Online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment recommendations. Changhua Hospital c...[Read More] Understanding Bruising and Swelling After a Leg Injury: When to See a Doctor
Understanding Bruising After an Injury: When to Seek Medical Attention
Increased bruising? About ten days ago, I had a car accident and developed a bruise about the size of two palms below my left knee, which was initially located on my calf. In the past few days, I've noticed that bruises have started to appear below my ankle as well, and the ...
Dr. Ye Qianyu Reply:
Hello! For changes in symptoms after trauma, it is recommended that you visit an orthopedic clinic. As the bruising disperses, you may feel that the area is enlarging. If the color is turning to light brown or yellow and gradually fading, there is no need for concern. However, if...[Read More] Understanding Bruising After an Injury: When to Seek Medical Attention
Should You See a Doctor for a Persistent Lump After an Injury?
Hematoma Hello Doctor: I had a car accident a month ago and had an X-ray done, which showed no abnormalities in the bones. The bruising has subsided, but there is still a lump, and it still hurts when pressed. Should I go to a clinic or hospital to see a doctor?
Dr. Lin Zhebin Reply:
Hello: If the X-ray of your bones taken after the car accident showed no abnormalities and the bruising has disappeared, the painful lump you are pressing on may be due to a muscle contusion causing localized tightness and inflammation. It is recommended that you apply a warm com...[Read More] Should You See a Doctor for a Persistent Lump After an Injury?
Understanding Hand Bruises: Causes, Symptoms, and When to Seek Help
Bruising on the palm? My mother experienced sudden pain near her fingers on her palm while riding her bike yesterday. The pain improved later, but she noticed a purple bruise and swelling, although she mentioned she didn't hit anything. Currently, she feels pain when pressin...
Dr. Lin Zhebin Reply:
Hello: Your mother's bruising on her palm is more commonly associated with injuries to the ligaments, tendons, and muscles. Sometimes, this can be accompanied by small blood vessel rupture, leading to hematomas and bruising. However, it is also important to consider the poss...[Read More] Understanding Hand Bruises: Causes, Symptoms, and When to Seek Help
Unexplained Redness, Itching, and Bruising: When to See a Doctor?
Unexplained localized redness, swelling, itching, and petechiae? Hello Doctor: Recently, I have noticed a small area on the left side of my jaw extending to my neck, with red, raised bumps that resemble mosquito bites and are itchy. There are more than five or six of these bumps....
Dr. Lin Zhebin Reply:
Hello: Regarding the rash from your left lower jaw to your neck, I personally suspect it could be due to mosquito bites or folliculitis (acne). Additionally, concerning the small bruises on both of your arms, I suspect they might be superficial venous hemangiomas or moles. Howeve...[Read More] Unexplained Redness, Itching, and Bruising: When to See a Doctor?
Should You Get an X-Ray After a Cheekbone Injury?
Fracture of the zygomatic bone? Dr. Lin was at home a few days ago when his child accidentally bumped into his cheekbone. Currently, he has no discomfort, bruising, or swelling. Due to the rising pandemic situation, he is asking whether it is necessary to get an X-ray for confirm...
Dr. Lin Zhebin Reply:
Hello: Regarding the issue of your cheekbone being hit by a child, since you currently have no significant discomfort and there is no redness, swelling, or bruising observed, I personally believe that you can hold off on getting an X-ray for now. However, I recommend that you mon...[Read More] Should You Get an X-Ray After a Cheekbone Injury?
Understanding Elevated White Blood Cell Count: What Your Blood Test Results Mean
Hello: Please determine if the following data indicates leukocytosis? Hello Doctor: May I ask if the following data indicates leukocytosis? I have blood tests every three to four months. When reviewing the report, the doctor mentioned that this data is similar to the data from th...
Dr. Lin Zhebin Reply:
Hello: Regarding the abnormal results from your blood test, you indeed have an issue with elevated white blood cell counts. Additionally, upon closer examination of your white blood cell differential, there is a suspicion of eosinophilia, which may be associated with allergies, i...[Read More] Understanding Elevated White Blood Cell Count: What Your Blood Test Results Mean