Understanding Blood Test Results: What Do Low Neutrophils and High Lymphocytes Mean?
Blood test report inquiry? Hello, I would like to ask the doctor about a few items in my blood test report. WBC 4.43, neutrophils 27 (low), lymphocytes 57 (high), A. lymph 3. I would like to know what the general causes of these results might be. I recently had a cold; could that...
Dr. Wu Zongying Reply:
If you do not have a fever, cough, swollen neck lymph nodes, or abnormal sexual behavior, then you do not need to worry about these values for now. Respiratory infections can also cause elevated lymphocyte counts and decreased segmented neutrophils. Certain infections, such as th...[Read More] Understanding Blood Test Results: What Do Low Neutrophils and High Lymphocytes Mean?
How to Alleviate Dryness and Pain in the Nose and Philtrum
Dry and painful sensation in the nose and philtrum area? Hello, recently the weather has turned cooler, and my nose, as usual during cold weather, has become dry and painful. The area inside my nostrils down to the philtrum hurts when touched, and it cracks and forms scabs that a...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is recommended to apply petroleum jelly (lip balm can also be used) on the cracked area. Wearing a mask can help prevent cold air and dirt from coming into contact, but if the mask becomes wet with saliva, it is advisable to change it to avoid...[Read More] How to Alleviate Dryness and Pain in the Nose and Philtrum
Concerns About Infection Risks After Ultrasound Exam in Family Medicine
Infection issues Hello, doctor. I went for an ultrasound examination, and the examination bed was not covered with disposable paper; it looked like a regular hospital bed. I had to lie down for the exam, and since I had to lift my clothes, my skin inevitably came into contact wit...
Dr. Ye Qianyu Reply:
Hello! Based on your description, if there are no relevant secretions within your reach, there should be no risk of infection.[Read More] Concerns About Infection Risks After Ultrasound Exam in Family Medicine
COVID-19 Concerns and Vaccine Preparation: Your Family Medicine Questions
May I ask the doctor? Hello, I would like to ask the doctor two questions. Today, I went to Taipei for the first time in a long while. On the train, there were two or three Black individuals who were only wearing their masks over their mouths and not properly covering their noses...
Dr. Wu Zongying Reply:
Hello: The COVID-19 virus is primarily transmitted through droplets or contact. If the two individuals were not sneezing or talking at that time, and you were wearing a mask, along with washing your hands after leaving the train, you should generally be at low risk of infection. ...[Read More] COVID-19 Concerns and Vaccine Preparation: Your Family Medicine Questions
Rabies Concerns After Cat Scratch: What You Need to Know
Rabies Consultation Hello Doctor: About a week ago, while I was feeding stray cats near my home (in the Taoyuan District), I was scratched on the back of my hand near the webbing between my thumb and index finger. At the time, there were only superficial scratch marks and no blee...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: 1. The risk of rabies in Taiwan is currently limited to wild animals in the central, southern, and eastern mountainous regions, with the main infected species being the ferret badger, along with a few cases involving the white-nosed coati. According to the rabies ...[Read More] Rabies Concerns After Cat Scratch: What You Need to Know
Understanding Infection Risks in Blood Draw Procedures: Your Concerns Addressed
Infection issues Hello doctor, I would like to ask a question. When I went to the hospital's blood draw station to pick something up, the phlebotomist was wearing gloves and had just finished drawing blood from someone else (without changing her gloves). When she handed me t...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the higher likelihood of exposure is to epidermal bacteria. If your skin is intact, the risk of infection should be low. Regarding the bloodborne pathogens you are concerned about, without any wounds, transmission cannot occur. Please continue to...[Read More] Understanding Infection Risks in Blood Draw Procedures: Your Concerns Addressed
Do You Need Rabies Vaccine After a Mouse Bite? Understanding Risks and Myths
Mice, rabies 1. Do I need to get a rabies vaccine if bitten by a mouse? (The wound has healed, but I'm concerned because there have been many dead mice in my house recently.) 2. Even if bitten by an animal that is infected with rabies, is it possible not to contract the di...
Dr. Xiao Yongxun Reply:
Dear Mr. Han: 1. The risk of rabies in Taiwan is currently limited to wild animals in the central, southern, and eastern mountainous regions, with the main infected species being the ferret badger, and a few cases involving the white-nosed coati. The current regulation states th...[Read More] Do You Need Rabies Vaccine After a Mouse Bite? Understanding Risks and Myths
Intermittent Scalp Pain Above Left Ear: Is It Related to My Cold?
Intermittent sharp pain in the scalp above the left ear (parallel to the temple)? Hello Dr. Yeh, I experienced symptoms of a sore throat and cold on October 11. That day, I prepared a cup of cold remedy, and the next day, I began to feel sharp pain in the scalp above my left ear ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it falls within the range of headaches and is likely related to a viral infection. If you continue to feel unwell, I recommend seeking medical attention at a healthcare facility.[Read More] Intermittent Scalp Pain Above Left Ear: Is It Related to My Cold?
How Long Can Rabies Virus Survive in Saliva Under Different Conditions?
Rabies virus activity issues? Hello, Doctor. I would like to ask how long saliva containing the rabies virus remains infectious in a typical air-dry environment at room temperature. Does saliva with the rabies virus lose its infectivity within a few minutes (not exceeding one hou...
Dr. Xiao Yongxun Reply:
Dear Sir/Madam, 1. The rabies virus (Rabies virus) is an RNA virus belonging to the Lyssavirus genus and is the causative agent of rabies. The complete rabies virus has a bullet-shaped morphology, measuring approximately 200 nm in length and about 70 nm in diameter. It is an env...[Read More] How Long Can Rabies Virus Survive in Saliva Under Different Conditions?
Understanding High Ferritin Levels: What You Need to Know
The ferritin (EIA) index in the health examination report is elevated? Hello Doctor, I had a health check-up at the municipal hospital on September 22 (pre-marital check-up), which included blood, urine, stool tests, ultrasound, and X-rays. Today I received the report, and only t...
Dr. Wu Zongying Reply:
Ferritin is a molecule that combines trivalent iron (Fe3+) with apoferritin, serving as a storage form of iron in the body, which can be utilized by hematopoietic cells for hemoglobin synthesis. An increase in ferritin levels can be attributed to various causes, including inflamm...[Read More] Understanding High Ferritin Levels: What You Need to Know
How Long Does Rabies Virus Remain Active in Saliva at Room Temperature?
Rabies virus environmental stability issues? Hello, Doctor. I would like to ask how long saliva containing the rabies virus remains infectious in a typical non-sterile, non-dusty environment with air at room temperature (20-25°C). There are many articles online discussing this is...
Dr. Wu Zongying Reply:
Based on your letter, it should be difficult to contract rabies. The rabies virus is primarily transmitted through bites from dogs or rodents, with the virus progressively invading the central nervous system via peripheral nerves, leading to the symptoms of rabies. The virus does...[Read More] How Long Does Rabies Virus Remain Active in Saliva at Room Temperature?
Can People with Hepatitis B Safely Receive the HPV Vaccine?
Can individuals with hepatitis B receive the HPV vaccine? Hello, I have hepatitis B, but my liver function and indices are normal. I would like to receive the HPV vaccine, but I'm concerned whether it might trigger an acute hepatitis B flare. I've read reports that the ...
Dr. Ye Qianyu Reply:
Hello! If you are a carrier of hepatitis B, please undergo regular follow-up examinations. You may consult your attending physician about your current liver condition; if it is healthy, you should be eligible for vaccination. Below are the contraindications for receiving the HPV ...[Read More] Can People with Hepatitis B Safely Receive the HPV Vaccine?
Understanding Unexplained Upper Back Pain: When to Seek Medical Help
Unknown back pain Hello, I am a 29-year-old male, 178 cm tall, and weighing 62 kg. About two weeks ago, I noticed that I experience pain in the upper middle part of my back when I take a deep breath, but there is no discomfort during normal breathing. Additionally, I feel pain in...
Dr. Wu Zongying Reply:
Based on your symptoms, it appears to be primarily a neuromuscular issue. The lungs do not have sensory nerves, so if there is pain, it is usually related to the surrounding thoracic structures. If you also experience symptoms such as cough, fever, or chills, it is more likely to...[Read More] Understanding Unexplained Upper Back Pain: When to Seek Medical Help
Assessing Infection Risks After Medical Procedures: What You Need to Know
Infection issues Hello Doctor, today I went to the hospital for a nuclear medicine imaging examination, during which a medication was injected into the back of my hand. At the end of the procedure, I disposed of the alcohol swab used for hemostasis into a small, open-top sharps c...
Dr. Liao Yaopan Reply:
Hello, if you are concerned about a possible needle-stick injury, it is recommended that you return to the original hospital for an evaluation by the attending physician or an infectious disease specialist to determine if follow-up blood tests are necessary. Please note: online c...[Read More] Assessing Infection Risks After Medical Procedures: What You Need to Know
Is There a Link Between Proteinuria and Birth Control Pills?
Is there a relationship between proteinuria and medication? Recently, a routine check-up showed 1+ protein in my urine. I started taking pre-exposure prophylaxis two months ago. Is there a connection?
Dr. Xiao Yongxun Reply:
Dear Ms. Rona: 1. There are various pharmacological mechanisms available to reduce the chances of conception, such as preventing ovulation, interfering with egg development or maturation, or disrupting pregnancy. Currently, the most commonly used pharmacological method to preven...[Read More] Is There a Link Between Proteinuria and Birth Control Pills?
Sudden Decrease in Urine and Shortness of Breath: Is It a Kidney Issue?
Sudden decrease in urine output and shortness of breath? Around August 25th, I noticed that my urine output suddenly decreased significantly, going to the bathroom only four to five times a day, and each time it was very little. I was drinking about the same amount of water as us...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it seems you are currently experiencing an acute infection. Since online consultations are not possible, I recommend that you seek medical attention at a healthcare facility as soon as possible![Read More] Sudden Decrease in Urine and Shortness of Breath: Is It a Kidney Issue?
Understanding Common Health Concerns: Weakness, Tremors, and More
Preliminary Assessment Your questions: Hello doctor, I have many things I would like to ask, and I sincerely hope you can help clarify them one by one. Thank you in advance! 1. I have noticed that my thighs and lower legs feel weak. This seems to have been going on for some tim...
Dr. Ye Qianyu Reply:
Hello! Here are the answers to your questions: 1+2. Based on your description, the issue of body tremors may be caused by muscle weakness or endocrine problems. It is recommended that you consult with a specialist in endocrinology. Please avoid foods that contain caffeine or st...[Read More] Understanding Common Health Concerns: Weakness, Tremors, and More
Understanding Your Symptoms: Is It Just a Cold or Something More?
Physical issues Hello, Doctor Yeh. Let me describe my physical condition: I remember taking a cold shower on April 24th, and the next afternoon (April 25th), I started experiencing headaches, body aches, and then developed a fever in the evening. Strangely, by the next day (April...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be an acute respiratory infection, but I cannot provide a diagnosis. I recommend that you monitor your symptoms, and if they persist, you should seek medical attention at a healthcare facility.[Read More] Understanding Your Symptoms: Is It Just a Cold or Something More?
Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Blood glucose test Hello, Doctor! I have some questions regarding my blood sugar issues. Last year, my hemoglobin A1c was 5.5, and my fasting blood glucose was 85. Since last year, I have noticed some skin changes that resemble hyperpigmentation. I had a biopsy done on my arm, an...
Dr. Wu Zongying Reply:
Hello: Based on the blood test data you provided, your current HbA1c (glycated hemoglobin) and fasting blood glucose levels do not meet the criteria for a diabetes diagnosis. Acanthosis nigricans is typically caused by insulin resistance and can be reduced by controlling weight, ...[Read More] Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Understanding Lower Back Pain: When to Seek Medical Help
Lumbar issues Hello doctor, three days ago I had pain in my left lower back and went to see a doctor. The doctor said it was likely a muscle strain and prescribed pain medication, but it hasn't helped. This morning, while standing, the pain suddenly shifted from the left sid...
Dr. Wu Zongying Reply:
Hello. The issue of lower back pain is not necessarily due to muscle strain. Urinary tract infections in women can also lead to kidney inflammation, causing lower back pain. If you are experiencing symptoms such as frequent urination, urgency, or discomfort while urinating, the l...[Read More] Understanding Lower Back Pain: When to Seek Medical Help