Managing Allergic Rhinitis: ENT vs. Immunology Approaches
Allergic rhinitis The practice in otolaryngology involves clearing the nose and administering nasal medication or nasal sprays. This way, there is no need to schedule a follow-up appointment. However, it seems that in immunology, follow-up appointments are required consistently. ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Each treatment method has its pros and cons, and individual needs vary, making it difficult to compare. In otolaryngology, nasal sprays may reduce the need for medication, but patients generally still need to return for follow-up visits periodi...[Read More] Managing Allergic Rhinitis: ENT vs. Immunology Approaches
Understanding Immune Disorders and Allergies: A Patient's Guide
Autoimmune diseases and allergic issues? Hello, Doctor. I would like to ask you a few questions: 1. I was diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, usually once a day, and sometimes twice when my back pain is worse. I would like to kn...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You were diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, typically once a day, and sometimes twice when your back pain is more severe. You are wondering if it is normal to feel tha...[Read More] Understanding Immune Disorders and Allergies: A Patient's Guide
Can Palatal Expanders Alleviate Nasal and Eye Allergy Symptoms?
Can the installation of a maxillary expander improve symptoms of nasal and ocular allergies? Hello, Doctor Zeng. I am currently 21 years old and was diagnosed with ankylosing spondylitis at the age of 17. Additionally, I have experienced allergic rhinitis with symptoms such as a ...
Dr. Zeng Guosen Reply:
There is no evidence to suggest that the use of a maxillary expander can improve symptoms of nasal and ocular allergies. It is recommended to consult with a dentist or an otolaryngologist for further advice. I apologize for any shortcomings in my knowledge. Thank you for your que...[Read More] Can Palatal Expanders Alleviate Nasal and Eye Allergy Symptoms?
Emergency Medications for Allergic Rhinitis: What You Need to Know
What are some alternative medications for allergic rhinitis, such as runny nose or sneezing? Hello Doctor, I would like to ask you about my nose. It often runs or I sneeze when there are changes in the environment, such as going in and out of the bathroom, home, or car, as well a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. You can prepare antihistamines, which are available at pharmacies. It is recommended to choose those with minimal sedative side effects, as they are less likely to impact your daily life or work. If the symptoms remain severe, you should consult...[Read More] Emergency Medications for Allergic Rhinitis: What You Need to Know
Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Allergic rhinitis Can I also see the immunology department? May I ask if your treatment methods in immunology involve regular appointments for medication management? What is the difference between immunology and otolaryngology?
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Personally, I believe the differences between our department and the otolaryngology department are as follows: 1. We primarily focus on medication, while otolaryngologists can use endoscopy to observe changes in the nasal cavity, throat, and ea...[Read More] Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Understanding Subtle Body Tremors: Causes and Solutions
There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...
Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...[Read More] Understanding Subtle Body Tremors: Causes and Solutions
Can Palatal Expanders Help Alleviate Nasal and Eye Allergy Symptoms?
Can the installation of a maxillary expander improve symptoms of nasal and ocular allergies? Hello, Doctor. I am a 20-year-old male junior. I was diagnosed with ankylosing spondylitis at the age of 17. Since childhood, I have experienced allergic rhinitis with symptoms such as a ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. It is possible that the maxillary expander may also slightly alter the nasal cavity structure, thereby improving symptoms of nasal mucosal swelling and obstruction, but the improvement in eye symptoms is more difficult to explain. There is no c...[Read More] Can Palatal Expanders Help Alleviate Nasal and Eye Allergy Symptoms?
Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Generalized tingling, itching, and numbness? Hello Director Gao: I am following up on my inquiry from January 15 regarding my symptoms of generalized itching, tingling, itchy eyes, itchy ears, fungal patches, difficulty concentrating, memory decline, forgetfulness, headaches, che...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Brittle nails are often a result of nutritional deficiencies, and this can be evaluated by a dermatologist. If your primary care physician is unable to address your concerns, and you are also experiencing anxiety related to allergy symptoms, you...[Read More] Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Is My Allergic Rhinitis Leading to Asthma Symptoms?
I would like to ask if it could be asthma? I have had allergic rhinitis for several years. Recently, during the change of seasons, whenever my nose becomes congested due to allergies, I find myself needing to take deep breaths to feel more comfortable. I also tend to cough a bit ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Allergic rhinitis is indeed related to asthma. Although both conditions are associated with immune function (allergy), since they involve the respiratory system, it is advisable to consult a pulmonologist first. The Allergy, Immunology, and Rhe...[Read More] Is My Allergic Rhinitis Leading to Asthma Symptoms?
Do Allergies Affect Symptoms of Ankylosing Spondylitis?
Can allergies affect the symptoms of stiffness? Hello Dr. Tseng, my son is 20 years old and has both ankylosing spondylitis and allergy issues. He is currently taking two tablets of Celebrex daily for ankylosing spondylitis, but he still experiences morning stiffness for about an...
Dr. Zeng Guosen Reply:
If a person has severe allergies that lead to irregular daily routines, it may affect the stability of autoimmune diseases. Mild symptoms typically do not have such an impact. Based on your description (morning stiffness lasting about 1 hour and an ESR frequently elevated to 40-5...[Read More] Do Allergies Affect Symptoms of Ankylosing Spondylitis?
The Connection Between Allergies and Ankylosing Spondylitis Symptoms
The relationship between allergies and stiffness symptoms? Hello, Doctor Gao. My son is 20 years old and has both ankylosing spondylitis and allergy issues. He is currently taking four Sulfasalazine tablets daily for ankylosing spondylitis, but he still experiences morning stiffn...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that allergy symptoms are unrelated to stiffness symptoms. An elevated ESR may be associated with inadequate control of ankylosing spondylitis. If you are already taking four Salazopyrin tablets daily and continuously using anti-infla...[Read More] The Connection Between Allergies and Ankylosing Spondylitis Symptoms
Preparing for Stool Tests: Dietary Guidelines and Allergies Explained
Examination issues Hello Doctor, today I visited a gastroenterologist because I was experiencing abdominal pain and was a bit worried. There is currently no family history of gastrointestinal issues, although my grandfather had some, but my parents do not. They only arranged for ...
Dr. Hong Yuanbin Reply:
Hello, your stool test should be a fecal occult blood test. It is indeed recommended to avoid red meat or blood products, such as pig's blood cake or rice blood cake, the night before. As for medications and vitamins, they should not have an impact. Thank you for your inquir...[Read More] Preparing for Stool Tests: Dietary Guidelines and Allergies Explained
Choosing Between Immunology and ENT for Allergic Rhinitis Treatment
Allergic rhinitis I have a history of allergic rhinitis, a deviated septum, and enlarged inferior turbinates. I have been using nasal sprays and drops to treat nasal congestion; however, I still experience nasal congestion upon waking up in the morning, which forces me to breathe...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe there may be structural issues, such as turbinate hypertrophy or a deviated septum. It would be advisable to first consult an otolaryngologist. If there is still no improvement, then consider seeing a specialist in immunology and rheu...[Read More] Choosing Between Immunology and ENT for Allergic Rhinitis Treatment
Concerns About Parasites and Blood Test Results After Undercooked Meat
Suspected parasitic infection and blood test values? Hello, on October 1st, I consumed a steak that was not cooked to the required doneness (I requested medium, but some parts were rare to medium-rare). I am concerned about parasites (specifically, tapeworms) and have since been ...
Dr. Hong Yuanbin Reply:
Hello, 1. The pork tapeworm can also be killed by freezing. 2. Each individual's condition varies significantly, ranging from a few months to several years. 3. Based on your clinical symptoms and blood test results, it currently does not appear to be a parasitic infection. T...[Read More] Concerns About Parasites and Blood Test Results After Undercooked Meat
Understanding Throat Discomfort: Causes and Concerns for Your Health
Sensation of a foreign body in the throat? I previously experienced a sensation of something stuck in my throat after drinking tea on an empty stomach and then eating pineapple cake. This feeling disappeared the next day, but after a few days, it returned intermittently, even whe...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described are likely caused by two main conditions. First, it could be allergic rhinitis, which can lead to post-nasal drip causing throat discomfort and productive cough. I recommend increasing physical activity and avoiding allergens, which should help i...[Read More] Understanding Throat Discomfort: Causes and Concerns for Your Health
Choosing the Right Specialist for Allergic Rhinitis: ENT vs. Immunology
Allergic rhinitis Should I see an Ear, Nose, and Throat (ENT) specialist or a Rheumatologist? I noticed that after my last visit to the ENT, I wasn't scheduled for a follow-up appointment, but the Rheumatology department keeps scheduling my next visits. Which specialty shoul...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I personally believe that if rhinitis requires localized treatment, you can consult an otolaryngologist. If symptoms persist and long-term medication is needed, both specialties can assist. If your symptoms improve and medication use decreases, ...[Read More] Choosing the Right Specialist for Allergic Rhinitis: ENT vs. Immunology
Allergic Rhinitis and Reactions After Novavax COVID-19 Vaccination
Allergic rhinitis and reactions after COVID-19 vaccination? Hello, doctor. I have a history of allergies, including allergic rhinitis and atopic dermatitis. I usually experience a runny nose and nasal congestion upon waking up, which lasts until noon. On August 9th, I received th...
Dr. Hong Yuanbin Reply:
Hello, 1. The runny nose caused by the vaccine typically resolves within 24 hours. Therefore, your condition may be due to an infection or other allergens. It is recommended to first test for COVID-19. If the result is negative, you can proceed with symptomatic treatment. 2. I...[Read More] Allergic Rhinitis and Reactions After Novavax COVID-19 Vaccination
Understanding ANA Levels: Key Insights for Autoimmune Concerns
Autoimmunity Hello Doctor, I went to see a dermatologist for hair loss and had a blood test, which showed an ANA value of 80, negative. The doctor told me to see a rheumatologist if I experience joint pain or related issues. I would like to ask: 1. Are there any methods to preven...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Is there any way to prevent ANA levels from rising? --> A positive ANA is part of an individual's constitution and generally does not change significantly. However, slight variations may occur due to differen...[Read More] Understanding ANA Levels: Key Insights for Autoimmune Concerns
Understanding Blood-Streaked Mucus: Is It Just a Cold?
Common cold and related issues? Doctor, I'm sorry to disturb you. The day before yesterday, I noticed blood when I was clearing my nose or coughing up phlegm, so I went to see a doctor. The doctor asked me to open my mouth and used a spoon-like instrument to examine me. He s...
Dr. Hong Yuanbin Reply:
Hello, the mucous membrane in the nasal cavity is rich in microvessels, which can easily result in blood streaks when you blow your nose forcefully or sneeze. As long as you avoid excessive force when sneezing or blowing your nose, the blood streaks should gradually disappear. Ad...[Read More] Understanding Blood-Streaked Mucus: Is It Just a Cold?
Managing Allergic Rhinitis: When to See an Allergist or Pulmonologist
Allergic rhinitis Hello Doctor, I would like to ask you about my condition. I previously underwent a turbinate reduction surgery, which provided some minor improvement; however, my nasal allergy issues persist. Recently, I have been waking up with nasal pain, and my asthma has ...
Dr. Hong Yuanbin Reply:
Hello, if you truly have severe asthma, it is advisable to consult a pulmonologist, and a pulmonary function test may need to be arranged for confirmation. As for the nasal pain issue, it is likely a different condition from asthma. I recommend seeing a pulmonologist for asthma m...[Read More] Managing Allergic Rhinitis: When to See an Allergist or Pulmonologist