Lymph nodes, Family Medicine FAQ

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How Long Does It Take to Get Lymphoma Pathology Results?

How long does it take to receive a gonorrhea pathology report? Hello Doctor, my mother had sudden swelling under her left neck above the clavicle on May 10, with two palpable lumps that are not painful. She visited a doctor 10 days later, and an ultrasound examination revealed mu...


Dr. Liao Yaopan Reply:
Hello, the process for pathological examinations may vary slightly between hospitals. It is advisable to return to the outpatient clinic of the surgeon who performed your operation and discuss with your attending physician. Online consultations are not equivalent to in-person vis...

[Read More] How Long Does It Take to Get Lymphoma Pathology Results?


Can You Fly with Heart Anxiety? Understanding Your Cardiac Health

Fear of flying due to heart problems? Hello Doctor, Below is the report from the previous cardiac examination, specifically the Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 46 to 112 beats per minute (bpm). The average he...


Dr. Xiao Yongxun Reply:
Dear "Seeker of Help": 1. Since you have undergone so many detailed examinations, it is important to discuss with your attending physician whether your heart and lung functions are suitable for a two-hour flight. 2. Your concerns seem to lean more towards panic diso...

[Read More] Can You Fly with Heart Anxiety? Understanding Your Cardiac Health


Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine

Inquiry Consultation Dear Dr. Lin, I have two questions for you: Q1. I have noticed for over a decade that the skin in my right armpit appears slightly more protruded than in my left armpit, giving the visual impression that the muscles in my right armpit are larger. This condi...


Dr. Lin Zhebin Reply:
Hello: 1. Although your right axilla appears more prominent than your left, if you haven't felt any lumps and this has persisted for over ten years, it is likely not a serious issue. It may be related to the increased muscle development in your right chest, right back, and r...

[Read More] Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine


Understanding Post-Vaccine Injection Site Swelling: When to Seek Help

Swelling at the injection site one month after receiving the COVID-19 vaccine? Hello, I would like to ask about my situation. I received my fifth dose of the COVID-19 vaccine, the BA4.5 Moderna next-generation vaccine, on March 10. After the vaccination, I experienced soreness, f...


Dr. Lin Zhebin Reply:
Hello: The redness, swelling, and pain in your arm initially may be a "local injection site reaction" following the administration of the Moderna vaccine. This typically resolves gradually within a week. Based on your description, although the discomfort in your arm has...

[Read More] Understanding Post-Vaccine Injection Site Swelling: When to Seek Help


Understanding Jaw Lymph Node Pain: When to Seek Medical Attention

Pain in the submandibular lymph nodes? The pain occurs approximately once every hour and has lasted for 2 to 3 days. However, the lymph nodes do not seem to be swollen upon examination. I'm not sure why this is happening, but it doesn't feel severe enough to warrant a d...


Dr. Lin Zhebin Reply:
Hello: Pain in the submandibular lymph nodes is mostly associated with upper respiratory infections (viral infections are more common). It usually resolves on its own after recovery from a cold. If the discomfort is significant, over-the-counter pain relievers can be taken to all...

[Read More] Understanding Jaw Lymph Node Pain: When to Seek Medical Attention


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 Joint Pain After COVID-19 Vaccination: A Patient's Journey

After receiving the COVID-19 vaccine Since receiving the COVID-19 vaccines, my reactions have varied with each dose. Last year, after the first dose of AstraZeneca (AZ), I experienced swollen tonsils (commonly referred to in Taiwanese as "柱仔") and visited an ENT special...


Dr. Lin Zhebin Reply:
Hello: It is difficult to determine whether your knee pain is related to the COVID-19 vaccine. You mentioned visiting a rheumatology clinic, where objective examinations revealed synovitis and mild degenerative arthritis. However, the presence of synovitis and mild degenerative a...

[Read More] Understanding Joint Pain After COVID-19 Vaccination: A Patient's Journey


Can Family Medicine Oversee Multiple Health Issues and Tests?

Is it possible to schedule an appointment with a family medicine physician for follow-up examinations? Is there a relationship between RBC 3-5+ and light blood? For the past two years, my urine RBC count has been elevated (I have avoided testing during my menstrual period), but t...


Dr. Cai Dongqi Reply:
Hello, Fange: 1. All are benign tumors (there are several adenomas in the breast, a hemangioma in the liver, and a cyst in the ovary). 2. This is not my area of expertise; please consult a specialist. (There is a tumor in the spine, and there are lymph nodes in the neck and gr...

[Read More] Can Family Medicine Oversee Multiple Health Issues and Tests?


COVID-19 Vaccine Recommendations for Patients with Blood Disorders

Which COVID-19 vaccine can be administered for issues related to red blood cells? Hello Doctor, I would like to inquire whether I can receive vaccinations given my hereditary thalassemia. Additionally, which vaccine would you recommend as the most appropriate? My annual health ch...


Dr. Liao Yaopan Reply:
Hello, the situations mentioned above are generally not considered absolute contraindications for vaccination. However, individual reactions to vaccines can vary. It is important to observe after vaccination. Online consultations do not equate to in-person medical visits and cann...

[Read More] COVID-19 Vaccine Recommendations for Patients with Blood Disorders


Understanding Mold in Water Bottles: Health Risks and Precautions

Mold-related issues? Hello Dr. Hsiao, I recently discovered a significant amount of mold at the bottom of the water bottle that my family has been using for years (I had never noticed it before). I don't know how long it has been there, so I hurried to clean it. I would like...


Dr. Xiao Yongxun Reply:
Dear Mr. JAM: 1. Fungi are ubiquitous in our subtropical and tropical climate; fungi, also known as mycetes, are diverse, but only a few species can cause diseases in humans. Diseases caused by these pathogens are collectively referred to as fungal infections, mycotic infections...

[Read More] Understanding Mold in Water Bottles: Health Risks and Precautions


Understanding Low Lymphocyte Count: Causes and When to Seek Help

Low lymphocyte count? Hello, doctor. I would like to ask about my recent health issues. I have been experiencing discomfort and fever, and upon visiting the hospital, my blood tests showed lymphocytes at 3.7, neutrophils at 91.5, and a total white blood cell count of 12. Monocyte...


Dr. Xiao Yongxun Reply:
Dear Ms. Candy: The average white blood cell count ranges from 4,000 to 11,000/mm³, and most white blood cells can only survive for a few days; during an infection, their lifespan may be reduced to just a few hours. White blood cells can be classified into two categories based o...

[Read More] Understanding Low Lymphocyte Count: Causes and When to Seek Help


Understanding Persistent Throat and Oral Symptoms: A Patient's Journey

Oral and throat issues? Hello Doctor, I would like to ask for your advice. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, I have been experiencing inflammation in the area around the uvula and the posterior phar...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is indeed difficult to clarify. This area still requires assistance from an otolaryngologist. Whether to perform a narrow-band imaging (NBI) endoscopy will still need to be assessed by the physician based on the condition after the use of contra...

[Read More] Understanding Persistent Throat and Oral Symptoms: A Patient's Journey


Is a Sudden Increase in Lymphocytes Normal? Understanding Blood Test Results

Sudden increase in lymphocytes? Hello, doctor. I had a blood test on August 9, where my lymphocyte count was 33.09 and my neutrophil count was 56.688. In this recent blood test, my lymphocyte count is now 40.81 and my neutrophil count is 50.31. Is it normal for the lymphocyte cou...


Dr. Xiao Yongxun Reply:
Dear Mr. Wu: 1. The average number of white blood cells (WBCs) in the human body ranges from 4,000 to 11,000/mm³, with most only surviving for a few days; during an infection, they may only survive for a few hours. White blood cells can be classified into two categories based on...

[Read More] Is a Sudden Increase in Lymphocytes Normal? Understanding Blood Test Results


Understanding Sudden Armpit Pain: Causes and When to Seek Help

Axillary pain Hello, Doctor. This morning I suddenly felt pain under my armpit, with tenderness present, but I don't feel any lymph nodes or lumps when I touch it. The left side hurts more than the right, and there is no redness or swelling visible. What could be the issue? ...


Dr. Xiao Yongxun Reply:
Dear Mr. Amin: 1. Common diagnoses to consider for left chest wall pain include herpes zoster, costochondritis, shoulder arthritis, spinal nerve root compression, breast lesions, angina, myocardial infarction, pericarditis, valvular heart disease, aortic dissection, pneumothorax...

[Read More] Understanding Sudden Armpit Pain: Causes and When to Seek Help


Understanding Sudden Armpit Pain: Causes and Concerns

Axillary pain? Hello, Doctor. This morning I suddenly felt pain under my armpit, with tenderness present, but I don't feel any lymph nodes or lumps upon examination, and the left side is more painful than the right. There is no redness or swelling in appearance. What could t...


Dr. Xiao Yongxun Reply:
Dear Mr. Amin: 1. Common diagnoses to consider for left chest wall pain include herpes zoster, costochondritis, shoulder arthritis, spinal nerve root compression, breast lesions, angina, myocardial infarction, pericarditis, valvular heart disease, aortic dissection, pneumothorax...

[Read More] Understanding Sudden Armpit Pain: Causes and Concerns


Understanding Sudden Armpit Pain: Causes and Concerns

Axillary pain Hello, Doctor. This morning I suddenly felt pain under my armpit, with tenderness present, but I don't feel any lymph nodes or lumps upon examination, and the left side is more painful than the right. There is no redness or swelling visible. What could this iss...


Dr. Xiao Yongxun Reply:
Dear Mr. Amin: 1. Common diagnoses to consider for left-sided chest wall pain include herpes zoster, costochondritis, shoulder arthritis, spinal nerve root compression, breast lesions, angina, myocardial infarction, pericarditis, valvular heart disease, aortic dissection, pneumo...

[Read More] Understanding Sudden Armpit Pain: Causes and Concerns


Understanding Sudden Armpit Pain: Causes and When to Seek Help

Axillary pain? Hello, Doctor. This morning I suddenly felt pain under my armpit, with tenderness present, but I don't feel any lymph nodes or lumps when I touch it. The left side hurts more than the right, and there is no redness or swelling. What could be the issue? Last we...


Dr. Xiao Yongxun Reply:
Dear Mr. Amin: 1. Common diagnoses to consider for left-sided chest wall pain include herpes zoster, costochondritis, shoulder arthritis, spinal nerve root compression, breast lesions, angina, myocardial infarction, pericarditis, valvular heart disease, aortic dissection, pneumo...

[Read More] Understanding Sudden Armpit Pain: Causes and When to Seek Help


Understanding Elevated Lymphocyte Levels: When to Seek Further Testing

LY lymphoid ball I have been monitoring my blood every three months and have found that my lymphocyte count has been consistently elevated, exceeding the standard range of 20-45 with a result of 48.5 for two consecutive tests (over six months). Should I seek further evaluation?


Dr. Wu Zongying Reply:
Hello: The letter did not mention why blood tests need to be conducted every three months and what specific items are being monitored. Generally, it is not necessary for the average person to have their lymphocyte levels checked every three months; however, it is possible that yo...

[Read More] Understanding Elevated Lymphocyte Levels: When to Seek Further Testing


Understanding Submandibular Triangle Lymph Nodes: Pain and Cancer Concerns

Submandibular lymph nodes I would like to ask the doctor: Occasionally, I experience a sharp pain in the submandibular lymphatic area. It is soft and elastic to the touch and does not hurt when pressed. This has been happening intermittently for about six months. Could this be a ...


Dr. Xiao Yongxun Reply:
Dear Miss Lin: There are many differential diagnoses for lymphadenopathy in the neck; most are benign, but a small portion may indeed raise suspicion for lymphadenoma (whether primary or metastatic) or chronic infections such as tuberculosis. In medicine, it is also important t...

[Read More] Understanding Submandibular Triangle Lymph Nodes: Pain and Cancer Concerns


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?


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