Saliva, Family Medicine FAQ - Page 4

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Risk of Infection from Dog Licking a Minor Wound: What to Do?

A small wound was licked by a dog? Hello, doctor. This morning, I was licked on the hand by a dog owned by a community resident. There is a small, unhealed wound in that area (a type of wound where the dry skin next to the nail was torn and bled a little). I remember seeing news ...


Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. The Capnocytophaga canimorsus you mentioned is a bacterium found in the oral cavity of dogs, and I have never encountered or diagnosed it in my clinical practice. It is not part of the normal flora in humans. Therefore, once it enters the bloodstream, there is a...

[Read More] Risk of Infection from Dog Licking a Minor Wound: What to Do?


Concerns About Rabies After Contact with a Dog: What You Need to Know

Inquire about rabies? Hello, doctor. I would like to ask you about rabies. This morning, I bought breakfast and accidentally brushed against a dog with the plastic bag containing my food. The dog may have licked the plastic bag, which I then placed in my bicycle basket. When I go...


Dr. Xiao Yongxun Reply:
Dear Miss Sihuan, Rabies is primarily transmitted through dog bites, but bats, wolves, foxes, and skunks can also spread the virus. The rabies virus survives in the saliva of infected animals and is transmitted to humans through bites, entering the central nervous system via per...

[Read More] Concerns About Rabies After Contact with a Dog: What You Need to Know


Understanding Neck and Chest Pain After Swallowing: Possible Causes

Pain in the neck and chest after swallowing? Hello doctor, a few weeks before my symptoms started, I spent most of my time at home, hardly exercising, and usually ate one meal a day, sometimes two. Later, a friend invited me to work in the housekeeping department of a hotel. At f...


Dr. Liao Yaopan Reply:
Hello, based on your symptom description, it does not represent a typical manifestation of any specific disease. It is advisable to seek medical attention nearby for a proper evaluation by a physician. Please note: online consultations are not equivalent to in-person visits and c...

[Read More] Understanding Neck and Chest Pain After Swallowing: Possible Causes


Should You Worry About Rabies After a Bat Encounter?

The issue of rabies? Hello Dr. Liao, Five days ago, in the middle of the night, I woke up to use the bathroom and turned on the light, only to find a bat flying in my room (it seemed to be a small Eastern Asian house bat). I opened the window thinking it would fly out, but unexp...


Dr. Liao Yaopan Reply:
Hello, after being bitten by an animal carrying the rabies virus, seeking medical attention promptly is the appropriate time to receive post-exposure prophylaxis for rabies. Reminder: Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses...

[Read More] Should You Worry About Rabies After a Bat Encounter?


Understanding Throat Pain After Eating: Causes and Solutions

Experiencing sudden throat pain after swallowing saliva following a meal can indicate several potential issues, such as gastroesophageal reflux disease (GERD), esophagitis, or even a throat infection. It is advisable to monitor the symptoms and consult a healthcare professional f...


Dr. Huang Xunying Reply:
Based on the current symptoms, it appears to be more like an acute infection. In addition to a sore throat, there are also symptoms of body aches. Please monitor for any signs of fever, as a fever could indicate influenza. Symptoms of viral infections may not always present the s...

[Read More] Understanding Throat Pain After Eating: Causes and Solutions


Can Contact with a Stray Dog's Saliva on Clothing Transmit Rabies?

If clothing has been licked by a stray dog and then comes into contact with a wound, is there a concern for rabies? Hello Doctor: Yesterday, when I visited the Ziyun Temple at Banlu Township, I encountered a stray dog (not sure if it was being fed by someone) that was very excite...


Dr. Liao Yaopan Reply:
Hello, regarding rabies, you can refer to the health education information provided by the Centers for Disease Control in Taiwan at https://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=265391389b8b2287&tid=9D2E1B3A862F06FB. Main transmission method:...

[Read More] Can Contact with a Stray Dog's Saliva on Clothing Transmit Rabies?


Do I Need a Rabies Vaccine After Touching a Tree Root?

Do I need to get the rabies vaccine, doctor? Hello doctor, this afternoon I went to a large park near my home to exercise. Unfortunately, my hand accidentally touched the aerial roots of a banyan tree, and then I inadvertently rubbed my eye with my hand. I would like to ask if th...


Dr. Liao Yaopan Reply:
Hello, regarding rabies, you can refer to the health education information provided by the Centers for Disease Control in Taiwan at https://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=265391389b8b2287&tid=9D2E1B3A862F06FB. Main transmission method:...

[Read More] Do I Need a Rabies Vaccine After Touching a Tree Root?


Managing Dry Eye, Floaters, and Thyroid Issues: Medication and Supplements Guide

Sjögren's syndrome, thyroiditis, dry eye syndrome, floaters, adenomyosis? I am currently taking Soothe (Shu Le Jin) at a dosage of half a tablet twice a day, in the morning and evening, due to my high myopia, floaters, and dry eye syndrome. Are there any side effects of this...


Dr. Huang Xunying Reply:
The side effects of Shulejin include ciliary muscle spasm, headache, difficulty concentrating on vision, decreased night vision, local irritation, increased salivation, and increased sweating; however, not everyone will experience these symptoms. This medication can be taken alon...

[Read More] Managing Dry Eye, Floaters, and Thyroid Issues: Medication and Supplements Guide


Which Medical Specialty Should I See for My Symptoms?

I'm not sure which specialty to see? Since yesterday, I have been experiencing excessive saliva production and I don't know why. Shortly after swallowing, I feel the need to swallow again. Recently, I have also been feeling very tired and drowsy, and I have a slight hea...


Dr. Ye Qianyu Reply:
Hello, if your symptoms persist, it is recommended that you visit a neurology clinic. Thank you for your inquiry, and I wish you a speedy recovery!

[Read More] Which Medical Specialty Should I See for My Symptoms?


Understanding Symptoms: Could It Be HIV or Allergies?

Is it a symptom of HIV? On September 4th, I noticed many red rashes on my body that initially itched. When I scratched them, they appeared more prominently. The next night, one or two new bumps developed, with two of them forming raised blisters in the groin area and on my arm, w...


Dr. Ye Qianyu Reply:
Hello! Due to the difficulty in confirming the rash presentation, it is recommended that you visit an infectious disease specialist for a comprehensive evaluation and treatment. Thank you for your inquiry!

[Read More] Understanding Symptoms: Could It Be HIV or Allergies?


Understanding Left Neck Issues: Symptoms, Diagnosis, and Next Steps

Left neck issues? Hello, doctor! I have some questions that need answers. I visited an ENT specialist and had an ultrasound done, but the issue still hasn't been resolved. I sometimes feel a sensation of something getting stuck when swallowing saliva (but not when eating). C...


Dr. Liao Yaopan Reply:
Thyroid function abnormalities can be assessed through blood tests, while the structure or size of the thyroid gland should be evaluated using imaging techniques. It is recommended to consult an endocrinologist for further assessment. Please note that online consultations do not ...

[Read More] Understanding Left Neck Issues: Symptoms, Diagnosis, and Next Steps


Understanding Asthma Medications: Nail Changes and Muscle Cramps Explained

Asthma medication, nails, muscle cramps? The doctor diagnosed me with asthma, and I usually use Duasmas HFA 200 twice in the morning and evening, along with allergy medication and Hexoline. However, I've noticed that over the past few months, two of my fingernails have devel...


Dr. Liao Yaopan Reply:
Hello, regarding these questions: 1. It is advisable to have a dermatologist evaluate the condition of your finger skin in person. 2. "After using asthma medication, is it common to experience cramps and excessive salivation?" - Clinically, we do not encounter many pa...

[Read More] Understanding Asthma Medications: Nail Changes and Muscle Cramps Explained


Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain

Oral issues Hello, doctor. I would like to ask why I have been experiencing an unusual taste in my mouth for the past week (sometimes it feels sour, but it doesn't seem to be). My tongue occasionally feels prickly. How can I improve this condition?


Dr. Chen Taicheng Reply:
● If you have recently taken medication, such as antibiotics, it may sometimes cause changes in taste, which will gradually improve after discontinuation. ● Oral malodor should also consider the possibility of sinusitis, gastroesophageal reflux, excessive salivation, or oral hygi...

[Read More] Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain


Can Rabies Virus Infect Through Sweat or Bath Water?

Questions about rabies? Hello doctor, my friend was suddenly licked on the calf by a dog owned by someone else while exercising in the park (the area that was licked has no wounds). He immediately returned home to take a shower and clean himself. However, he has a scrape on his a...


Dr. Chen Taicheng Reply:
● In theory, it is possible for rabies virus to enter the body through wounds when exposed to the saliva of an infected animal; however, there have been no reports of indigenous or imported rabies cases in Taiwan this year, so there is no need for concern (https://goo.gl/EDU8Wc)....

[Read More] Can Rabies Virus Infect Through Sweat or Bath Water?


Understanding Rabies Risks After a Dog Encounter: What You Need to Know

Rabies Issues About ten days ago, I went out to buy lunch. After I made my purchase and came out, a dog suddenly ran towards me, and I couldn't dodge in time, resulting in it bumping into my right calf. It hurt a bit at the moment, but when I got home, I checked and found no...


Dr. Chen Bozhang Reply:
Dear Mr. Wang, In your letter, you mentioned that you were bumped by a dog on your right calf about ten days ago, and there was no wound. Generally, rabies infection requires contact with the saliva or bodily fluids of a mammal through an open wound or mucous membrane for transm...

[Read More] Understanding Rabies Risks After a Dog Encounter: What You Need to Know


Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance

Normal diet, but the body is becoming increasingly emaciated? Hello Dr. Chen, I am inquiring on behalf of my mother-in-law. Since after the Lunar New Year this year, she has been losing weight continuously. She originally weighed 48-49 kg, but now she is down to 43 kg. She eats a...


Dr. Chen Taicheng Reply:
The causes of involuntary weight loss in the elderly are numerous. For instance, 1. Side effects of medications. 2. Emotional issues, such as depression. 3. Poor appetite, which can occur with normal aging, such as diminished taste, delayed gastric emptying, and gastrointestinal ...

[Read More] Unexplained Weight Loss Despite Normal Diet: Seeking Medical Guidance


Understanding Chest Pain: Esophageal Issues and Endoscopy Insights

Chest pain, esophageal issues, endoscopy? Hello, Doctor. I accidentally swallowed a fish bone on the evening of April 26. I visited the ENT department on the afternoon of April 27, where the doctor noted only throat inflammation and could not see the fish bone. He advised that if...


Dr. Chen Taicheng Reply:
● It has been approximately 2 weeks. If there were a severe esophageal or gastrointestinal perforation, the symptoms would be quite serious; currently, there are no such signs, so you can be somewhat reassured. Generally, if a fishbone is present in the digestive tract, it should...

[Read More] Understanding Chest Pain: Esophageal Issues and Endoscopy Insights


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


Sudden Facial Swelling in Teens: Causes and When to Seek Help

Sudden swelling of the cheek? My 16-year-old son suddenly developed swelling in his cheek after returning from a tomb-sweeping visit on Sunday afternoon. The swelling is not painful, itchy, or red. We visited a nearby clinic's ENT department, but the doctor couldn't ide...


Dr. Chen Taicheng Reply:
● To assess the degree and location of the swelling, if one side of the cheek suddenly becomes swollen, it is more likely due to an infection or inflammation. For example, swelling can occur from mosquito bites while visiting a cemetery, or it may be due to cellulitis of the chee...

[Read More] Sudden Facial Swelling in Teens: Causes and When to Seek Help


Understanding Chest Pain: When to Seek Medical Attention

Chest issues Hello, recently when I eat, I feel a bit of pain in the area just above the right chest, about two centimeters away from the esophagus. It hurts a little when I press it firmly. Swallowing saliva and deep breathing are fine. I'm not sure which specialty I should...


Dr. Chen Taicheng Reply:
If the pain occurs only when eating, esophageal issues should be considered first, such as the possibility of esophageal ulcers or lesions (especially if there is gastroesophageal reflux, or if there is a tendency to consume spicy, irritating foods, or alcohol that can damage the...

[Read More] Understanding Chest Pain: When to Seek Medical Attention


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