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 Blood Test Results: Changes in White Blood Cell Counts and Allergies
Inquiry about blood test report values? Hello, Doctor. I had blood tests done on January 8 and July 4 of this year, and overall the values were normal. The only concerning changes were in the white blood cell differential: neutrophils decreased from 52.5% to 37.3%, and lymphocyte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The COVID-19 vaccine is still relatively new, which may lead to a higher chance of side effects, and there are various symptoms that can occur after vaccination. However, most of these are temporary, so there is no need to worry too much. The ch...[Read More] Understanding Blood Test Results: Changes in White Blood Cell Counts and Allergies
Understanding Eye Allergies: Causes and Solutions for Itchy Eyes
Causes of Eye Allergies Hello Doctor, my child is 19 years old and has been troubled by allergies since childhood, primarily experiencing nasal congestion and runny nose (we have tested for over twenty allergens, which are unrelated to dust mites or pollen; based on regular obser...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my answers: 1) Is my child's itchy eyes due to nasal allergies causing eye allergies, or is it because allergens directly entered the eyes causing eye allergies? In other words, even if my child keeps their eyes covered all day,...[Read More] Understanding Eye Allergies: Causes and Solutions for Itchy Eyes
Sudden Rapid Heartbeat and Low Oxygen: Understanding Your Symptoms
Sudden increase in heart rate while sitting, decreased blood oxygen levels, and hand tremors? Hello doctor, after taking a shower tonight, I sat down and suddenly experienced a rapid heartbeat that shot up to over 120 beats per minute. My blood oxygen level dropped from 99 to 93,...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that the significant temperature changes have activated the sympathetic nervous system, leading to your symptoms. It is advisable to avoid drastic temperature fluctuations and to take care to keep warm after bathing. The rapid heartbeat may...[Read More] Sudden Rapid Heartbeat and Low Oxygen: Understanding Your Symptoms
Understanding Persistent Inflammation After COVID-19: When to Seek Medical Help
Multiple inflammations Hello Doctor, I was diagnosed with COVID-19 on May 24, and it has been over a month now. I have been experiencing persistent gastrointestinal discomfort, and I often feel a dull pain during bowel movements. Additionally, I have a sensation of ongoing inflam...
Dr. Xie Rongyuan Reply:
Hello: The five most common symptoms of MIS-A are fever (96%), hypotension (60%), decreased cardiac function (54%), difficulty breathing or wheezing (52%), and diarrhea (52%). However, various possibilities cannot be ruled out. If you experience any discomfort, it is advisable to...[Read More] Understanding Persistent Inflammation After COVID-19: When to Seek Medical Help
Understanding Bloating and Constipation: Insights for Relief
Abdominal bloating and constipation? Hello Doctor, I have been experiencing abdominal bloating for almost six months now, with the bloating sensation primarily located on the right side of my abdomen. I have undergone a colonoscopy during this period, which was normal. Currently,...
Dr. Zeng Guosen Reply:
Gastrointestinal abnormalities are common clinical issues that can be challenging to manage. The causes are numerous, including physiological, psychological, medication-related, dietary, and lifestyle factors. It is difficult to determine the cause and appropriate management base...[Read More] Understanding Bloating and Constipation: Insights for Relief
Understanding Allergy Testing Results and Identifying Triggers
Interpretation of Allergen Testing & Causes of Allergies Hello, Dr. Gao. Question 1: The allergen test shows a dust mite antibody level greater than 300. Does this elevated antibody level indicate a recent exposure that will decrease over time, or does it suggest a chronic ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: Question 1: The allergen test shows a dust mite antibody level greater than 300. Is this elevated level due to recent exposure (which will decrease over time), or does it indicate a history of allergy (where the level of ...[Read More] Understanding Allergy Testing Results and Identifying Triggers
Negative COVID Tests but Persistent Fever: What Could It Mean?
Two negative rapid tests but still experiencing a fever? Hello doctor, I am fifteen years old and have recently been quarantined at home due to close contact. I have taken two rapid tests, both of which were negative, but I continue to have a fever, with a maximum temperature of ...
Dr. Liao Zhongxin Reply:
Hello: It should not be the case. Besides COVID-19, there are also some seasonal infections, such as influenza, urinary tract infections, the common cold, and even allergies that may occur. Remember to take protective measures and practice contact isolation.[Read More] Negative COVID Tests but Persistent Fever: What Could It Mean?
Understanding Low IgE Levels: Implications for Allergies and Health
Allergy issues Hello doctor, I recently had an IgE test done due to suspected allergies, and the result was only 2.6 IU/mL. Is this level too low? Will this have any impact on my health? Thank you, doctor.
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. This index is not problematic and is not too low, so there is no need to worry. However, if you are experiencing similar allergic symptoms and your IgE levels are normal, it would be advisable to discuss with your physician the possible causes o...[Read More] Understanding Low IgE Levels: Implications for Allergies and Health
Can Nasal Mucus Replace Deep Nasal Swabs for COVID-19 Testing?
Methods for Rapid Testing of COVID-19 Hello, doctor. I have allergies and often experience a scratchy throat, sneezing, and a runny nose. However, since I work in the service industry and frequently encounter many strangers, I am concerned that I might have contracted COVID-19 wi...
Dr. Hong Yuanbin Reply:
Hello, since the virus is more prevalent in mucosal cells, using nasal mucus is not an effective method for testing for COVID-19. It is recommended to use deep nasal swabbing for testing. Thank you for your question.[Read More] Can Nasal Mucus Replace Deep Nasal Swabs for COVID-19 Testing?
Understanding Slightly Low Complement C3 Levels in Healthy Individuals
The complement C3 level is slightly low in a normal individual? Hello Doctor, The results of my health check report show that both the anti-nuclear antibody and specific antibodies are negative. Complement C3: 86.8 (reference value 87-120), Complement C4: 19.1 (reference value ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. What could cause a slightly low complement level in a normal healthy person? --> Complement proteins are produced by the liver, so liver disease can lead to decreased complement levels. In a healthy individual, it ...[Read More] Understanding Slightly Low Complement C3 Levels in Healthy Individuals
Understanding Yawning-Related Pain: When to Seek Medical Advice
Please provide the content you would like me to translate? Thank you for your response, Doctor. I was chatting with friends earlier, and they mentioned that yawning too forcefully can lead to similar issues. I would like to ask about what you mentioned regarding caution. I do not...
Dr. Hong Yuanbin Reply:
Hello, you mentioned that sometimes the joints may experience mild inflammation, which typically improves after a period of time. Regarding the cold symptoms, due to the recent COVID-19 pandemic, it is advisable to take a rapid test. If the rapid test is negative, it is more like...[Read More] Understanding Yawning-Related Pain: When to Seek Medical Advice
Choosing Probiotics for Allergies and Ankylosing Spondylitis in Young Adults
Selection of Probiotics for Stiffness Hello, Doctor. My child is 20 years old and has had allergic issues with the nose and eyes (allergic conjunctivitis) since childhood. They have now been diagnosed with ankylosing spondylitis. Both the allergist and the rheumatologist have sug...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Currently, the relationship between probiotics, allergies, and ankylosing spondylitis is still in the research phase. It is generally believed that changes in the gut microbiome may be related to the worsening or improvement of diseases; howeve...[Read More] Choosing Probiotics for Allergies and Ankylosing Spondylitis in Young Adults
Can Allergies Affect Inflammatory Markers Like CRP and ESR?
Does allergies affect inflammation levels? Hello Doctor: My son is 19 years old and has had allergies since childhood. Over a year ago, he was diagnosed with ankylosing spondylitis. He is currently being treated with Wankesit and Celebrex. In his most recent follow-up appointment...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Can allergies cause an increase in CRP and ESR? --> Not necessarily. Most of the time, they do not, but severe allergies may cause an increase. 2) My child currently has a CRP of 0.5 and an ESR of 20. Could part ...[Read More] Can Allergies Affect Inflammatory Markers Like CRP and ESR?
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
Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...
Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Managing High White Blood Cell Count and Asthma: Dietary Guidelines
What foods can be consumed with elevated white blood cell count and moderate asthma? Hello, doctor. My family member went to the hospital today for a check-up and found that their white blood cell count is over 20,000. The doctor mentioned there are signs of inflammation. Due to ...
Dr. Hong Yuanbin Reply:
1. Regarding the elevated white blood cell count, it is likely not just inflammation but an indication of infection. Based on the symptoms, the most probable cause is a respiratory infection, and an X-ray may be needed to confirm the presence of pneumonia. Antibiotics or hospital...[Read More] Managing High White Blood Cell Count and Asthma: Dietary Guidelines
Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...
Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Concerns About Fish Bones: What to Do If You Suspect Ingestion
Possible to ingest a fish bone? Hello doctor, while I was having dinner with cod fish, I might have accidentally swallowed a small fish bone near the fin area. Later, I induced vomiting and expelled a lot of vegetables and fish, but I still feel a strange sensation in my throat. ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you likely did not swallow a fishbone. The throat pain may be caused by forceful coughing. I suggest not to worry too much. Thank you for your inquiry.[Read More] Concerns About Fish Bones: What to Do If You Suspect Ingestion
Understanding Sudden Food Allergies and Hives: Key Insights
Suspected food allergy? Hello Dr. Hong, over the past two nights, I have suddenly developed what appears to be hives, primarily on my right hand. My mother and sister are allergic to shrimp and crab, and on the night of September 22, I ate scallops and started experiencing some i...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your description, it does seem like an allergic reaction. Since each individual's constitution is different, the symptoms may resolve quickly or persist for several days. 2. Even with the same food, such as shrimp or crab, the allergens can vary due to ...[Read More] Understanding Sudden Food Allergies and Hives: Key Insights