Understanding Periodic Low Fever: Possible Causes and Next Steps
Periodic low-grade fever? Hello doctor, recently I've been experiencing slight weakness in my limbs, and my body temperature rises to 37.7 to 37.8 degrees Celsius in the afternoon, during which I feel a bit unwell. However, by the evening, my temperature returns to normal, a...
Dr. Hong Yuanbin Reply:
Hello, the symptoms of tuberculosis are often very atypical, making it difficult to simply distinguish whether it is pulmonary tuberculosis based solely on symptoms. Conditions such as chronic allergies, rheumatic autoimmune diseases, and chronic bronchitis can present similar sy...[Read More] Understanding Periodic Low Fever: Possible Causes and Next Steps
Elevated Eosinophil Levels: Allergies or Serious Health Concerns?
Eosinophilia Doctor, I recently had a physical examination, and everything was normal except for my eosinophil count, which was elevated. The average range is 0.2-8.4%, and mine was at 9.8%. The doctor mentioned it might be related to allergies, but I don't recall having any...
Dr. Hong Yuanbin Reply:
Hello, we usually consider that an elevated eosinophil count may be associated with parasitic infections or allergies. However, this value should be interpreted in conjunction with the total white blood cell count and your clinical symptoms for a more meaningful assessment. The l...[Read More] Elevated Eosinophil Levels: Allergies or Serious Health Concerns?
Understanding Abnormal Results in a 14-Year-Old's Health Checkup
Abnormal findings in the medical examination report? Hello, doctor. My son is 14 years old. During a recent physical examination (he had no discomfort at the time of testing, only nasal allergies), it was found that his white blood cell count (WBC) is 7.2 (normal range 4.5-10.0),...
Dr. Liao Zhongxin Reply:
Dear readers, Regarding the health examination report, here are the responses: 1. The normal values represent the distribution range for 95% of the normal population. A small percentage (5%) may be slightly higher or lower, which only requires follow-up in the future (in three ...[Read More] Understanding Abnormal Results in a 14-Year-Old's Health Checkup
Persistent Cough for Two Weeks: What Could Be the Cause?
Hello doctor, I have been coughing continuously for two weeks? Hello doctor, I have been coughing for two weeks now. Each time I cough, it's just a single cough and there is no phlegm. My nasal discharge is also white. What could be the reason? Is there a problem with my lun...
Dr. Hong Yuanbin Reply:
Hello, regarding your question, I would like to clarify: did you have no coughing at all two weeks ago? If you have had a long-term history of coughing, we may need to consider chronic rhinitis, gastroesophageal reflux disease (GERD), or other chronic conditions. Based on your de...[Read More] Persistent Cough for Two Weeks: What Could Be the Cause?
Understanding Sudden Facial Acne: Causes and Treatment Options
Suddenly, a cluster of pimples appeared on one side of my face? Initially, I had viral warts on my face, which were treated successfully with cryotherapy by a dermatologist. However, another wart has developed on my face, and I am undergoing continuous treatment for it. During th...
Dr. Liao Zhongxin Reply:
Dear readers, since you have already consulted a dermatologist, you may choose to see an endocrinologist, a family medicine physician, or a traditional Chinese medicine practitioner. Thank you![Read More] Understanding Sudden Facial Acne: Causes and Treatment Options
Recurring Hand Swelling and Itching: Possible Causes and Concerns
I have experienced itching and swelling in my palms five times within the past six months, and I am very concerned? Hello, doctor. I would like to ask about the swelling of my palms or fingers that has occurred five times in the past six months. Is there something wrong with my b...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, it seems like you may be experiencing urticaria or angioedema, but a definitive diagnosis requires a physical examination and a detailed medical history. I recommend taking photos of the swelling and then consulting with ...[Read More] Recurring Hand Swelling and Itching: Possible Causes and Concerns
Can I Get a Public Flu Vaccine After NSAID Allergy?
If you have a history of allergy to NSAIDs, can you receive the publicly funded influenza vaccine? Last May, I experienced a drug allergy after taking two doses of a non-steroidal anti-inflammatory drug (NSAID) called Bone Agile, which resulted in a severe systemic urticaria that...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Patients with chronic urticaria do not have a higher risk of developing allergic reactions to injections or medications, including publicly funded influenza vaccines. Therefore, as long as you have not had an allergic reaction to the influenza ...[Read More] Can I Get a Public Flu Vaccine After NSAID Allergy?
Could My Symptoms Indicate Angioedema? Understanding Allergic Reactions
Could it be a symptom of "vascular neurogenic edema"? Hello, Doctor: I have been experiencing symptoms of "rhinitis" and a "tight and itchy throat" for about a month. The nasal symptoms include a feeling of congestion and slight swelling, although I ...
Dr. Hong Yuanbin Reply:
Hello, "angioedema" is indeed a type of allergic reaction and can be considered one of the most severe forms of allergies. Patients typically have a clear exposure to a specific allergen, most commonly after consuming certain foods, leading to systemic allergic reaction...[Read More] Could My Symptoms Indicate Angioedema? Understanding Allergic Reactions
Understanding Injection Allergies: Symptoms and What to Do Next
Injection allergy Hello Doctor: Two days ago, I strained my neck and it became swollen and painful, so yesterday I went to a clinic to receive anti-inflammatory injections (one clear and one yellow, administered in the back of my right hand). Shortly after the first injection, I ...
Dr. Xiao Yongxun Reply:
Dear Miss Wang: 1. During a single intravenous injection, it is almost always possible to see some degree of blood return; generally, it is not excessive, and you can simply push the blood back into the syringe. 2. Intravenous injections circulate throughout the body quickly und...[Read More] Understanding Injection Allergies: Symptoms and What to Do Next
Morning Throat Irritation: Causes and When to Seek Medical Help
Before getting up in the morning, it's common to experience a scratchy throat? In recent days, I have been experiencing a scratchy throat and coughing close to morning, with minimal phlegm that initially appears as yellowish clumps, sometimes with streaks of blood. These sym...
Dr. Hong Yuanbin Reply:
Hello, based on your symptom description, if it has occurred recently, it is likely a cold. However, if you have been experiencing these symptoms for a long time, you may have allergic rhinitis. Whether it is a cold or allergies, antihistamines are commonly used for treatment, pr...[Read More] Morning Throat Irritation: Causes and When to Seek Medical Help
Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained
Thyroid tumor has been removed, but persistent cough continues? My mother underwent thyroid tumor removal surgery on Monday. She had been experiencing severe coughing for a week prior to the surgery. The day after the surgery, Tuesday, she did not cough before noon, but after noo...
Dr. Hong Yuanbin Reply:
Coughing can have many causes. Based on the clinical description, the possible reasons for the patient's condition include: 1. A thyroid tumor itself or the damage it causes, as the thyroid can trigger coughing. Even after surgery, it is necessary to monitor the surgical s...[Read More] Persistent Cough After Thyroid Tumor Surgery: Possible Causes Explained
Chest Pain When Sneezing: Causes and Solutions for Allergy Sufferers
Chest pain when sneezing? Hello doctor, I would like to ask about a concern. I have a history of nasal allergies and often sneeze, but recently I've been experiencing severe chest pain that feels like tearing when I sneeze. Sometimes the pain is intense enough to make me tea...
Dr. Xie Rongyuan Reply:
Hello: If the symptoms persist, it is recommended to visit a hospital for further examination, such as a chest X-ray. Thank you for your message![Read More] Chest Pain When Sneezing: Causes and Solutions for Allergy Sufferers
Dietary Considerations for Patients with Sjögren's Syndrome and Allergies
Diet for Patients with Sjögren's Syndrome I have an allergic constitution and have been suffering from urticaria for a long time, so I continuously take a quarter of an antihistamine daily. I also follow my doctor's advice to consume LP33 yogurt and Ambifly powder, and ...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Currently, the supplements you are taking should not affect your dry syndrome. Antihistamines, however, may exacerbate dry symptoms, especially traditional antihistamines. Therefore, you may want to consult your physician to determine whether th...[Read More] Dietary Considerations for Patients with Sjögren's Syndrome and Allergies
Understanding Bruising and Bleeding: Could It Be Leukemia?
Bruising and bleeding during brushing? Hello, doctor. I have two or three unexplained bruises on my body and I've been experiencing bleeding while brushing my teeth, so I went for blood tests. My white blood cell count was normal, and I had two tests done about a month apart...
Dr. Xiao Yongxun Reply:
Dear Mr. Chiu Rong-Ching: 1. Leukemia, also known as blood cancer, is characterized by the abnormal and uncontrolled proliferation of precursor cells of granulocytes, lymphocytes, monocytes, or leukocytes, leading to a reduction in normal white blood cells. It includes acute lym...[Read More] Understanding Bruising and Bleeding: Could It Be Leukemia?
Understanding Rising Eosinophil Levels: Causes and Concerns
Eosinophils have been increasing year by year? Dr. Liao, I apologize for the interruption. I would like to ask about my health check report from two years ago, which showed an eosinophil count of 7 (greater than 5), and last year it increased to 10. What could be the possible rea...
Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the increase in eosinophils, the possible causes are as follows: A: (1) Parasitic infections (2) Allergies (3) Skin diseases (4) Toxicity (5) Rheumatic autoimmune diseases (6) Endocrine disorders (7) Tumors If you have further questions, plea...[Read More] Understanding Rising Eosinophil Levels: Causes and Concerns
Alternative Treatments for Chronic Urticaria: Beyond Antihistamines and Steroids
Other treatment medications or methods for urticaria? Allergic reactions to medications (such as pain relievers) causing urticaria that remain unresolved can be quite challenging. Despite ongoing medical consultations and continuous medication, the condition has persisted for ove...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The duration of an allergic reaction to painkillers can vary, but lasting more than three months is indeed quite long. It would be advisable to discuss the possibility of further immunological testing with your physician to rule out any immune ...[Read More] Alternative Treatments for Chronic Urticaria: Beyond Antihistamines and Steroids
Should You Consult an Immunologist for Chronic Allergies and Symptoms?
Allergy medications Hello, doctor. I have a history of severe nasal allergies, but now my symptoms have shifted to being sensitive to cold and easily catching colds (such as being uncomfortable with direct air conditioning). I have poor temperature regulation and am prone to heat...
Dr. Gao Jiankai Reply:
Hello, the medications for nasal congestion and runny nose/sneezing can differ, and commonly used medications, such as antihistamines, are categorized into traditional and newer generations. Therefore, it may be beneficial to consult an allergist or immunologist for tailored medi...[Read More] Should You Consult an Immunologist for Chronic Allergies and Symptoms?
Severe Allergic Reactions After Eating Out: Causes and Solutions
Severe allergic reaction and respiratory distress after eating out? Hello, Dr. Gao. I usually experience skin rashes when consuming MSG, but after eating out yesterday, I developed a condition within 15 minutes that included widespread redness, itching, numbness of the tongue, an...
Dr. Gao Jiankai Reply:
Hello Mr. Chen, thank you for your question. The rapid onset of symptoms is indeed very likely to be caused by an allergy. Severe allergies can affect the respiratory system, leading to symptoms similar to an asthma attack. Allergies that cause systemic symptoms are often trigger...[Read More] Severe Allergic Reactions After Eating Out: Causes and Solutions
Understanding Bruising on Limbs: Causes and When to Seek Help
Bruising on the limbs? Dear Dr. Chen, I have been taking medication for hypertension for a long time, but about two months ago, I started noticing bruises the size of a ten-dollar coin appearing on my limbs. They are not painful and disappear in about one to two weeks. However, ...
Dr. Chen Qingbin Reply:
Hello, Gui Xiang. Your bruising could have various causes, so it's best to consult a family physician for long-term follow-up and examination. Thank you for your message.[Read More] Understanding Bruising on Limbs: Causes and When to Seek Help
Persistent Fever for 12 Days: Causes, Treatment, and When to Seek Help
Persistent fever Fever that comes and goes for 12 days, with the doctor prescribing antibiotics and drawing blood? There are signs of inflammation, but otherwise, everything is fine (not sure about the purpose of the blood test). I haven't taken any medication, but I experie...
Dr. Liao Zhongxin Reply:
Dear readers: 1. First, the definition of fever is an ear temperature or axillary temperature above 37.3°C. Additionally, body temperature can fluctuate throughout the day; therefore, it is recommended to record your temperature daily (at least once in the morning and once in t...[Read More] Persistent Fever for 12 Days: Causes, Treatment, and When to Seek Help