Understanding Growths Near the Anus: Causes and Treatment Options
There is a lump in the anus? Hello, I have had a growth near my anus for 10 years, and sometimes there is some discharge. What could it be, and how should I handle it?
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely a benign cyst in the anal area. If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointment. If it becomes bothersome, you may consider surgical removal. You can make an appointment with a...[Read More] Understanding Growths Near the Anus: Causes and Treatment Options
Understanding Growths Near the Anus: Causes and Treatments
There is a lump in the anus? Hello, I have had a growth near my anus for 10 years, and sometimes there is some discharge. What could it be, and how should I handle it?
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be a benign anal cyst. If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointments. If it is causing discomfort, you may consider surgical removal. You can make an appointment with a color...[Read More] Understanding Growths Near the Anus: Causes and Treatments
Managing Vitamin B Supplementation in Patients with Kidney Disease
Regarding the issue of taking vitamin B? Hello doctor, I have diabetes and a kidney disease known as Fanconi syndrome. I have regular follow-up appointments, and my kidney function is currently about half of that of a normal person. Previously, I visited a neurologist due to pain...
Dr. Huang Yaoxuan Reply:
Hello, Xiao You: "I heard the attending physician in nephrology say that my condition does not allow my body to absorb vitamins." I'm not very clear on what "unable to absorb" means. Generally, vitamins are absorbed through the gastrointestinal tract, and...[Read More] Managing Vitamin B Supplementation in Patients with Kidney Disease
Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Recently, blood sugar levels have been consistently rising? Hello Doctor! My mother is 75 years old and has a long-standing history of diabetes. At the beginning of this month, she had a follow-up appointment, and the doctor prescribed half a tablet of Metformin and one tablet of...
Dr. Li Jian Reply:
The current dosage may be insufficient, and it is necessary to consult the original physician to adjust the dosage. Additionally, fried noodles are considered refined carbohydrates and should not be consumed frequently.[Read More] Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Consultation for Symptoms of Hypotension Currently, my average blood pressure is 90-105/52-60, and I often feel fatigued. My nails appear slightly purple. What symptoms would suggest that I should go to the hospital for low blood pressure? What tests are typically performed to de...
Dr. Lin Wuxuan Reply:
Hello Liu, it is recommended to first consult with a family medicine or general internal medicine outpatient clinic. Based on the physician's assessment, further management can be determined. Thank you.[Read More] Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Understanding Unusual Breathing Sounds: When to Seek Medical Advice
Regarding respiratory issues? Hello, doctor. I have a question. Sometimes my breathing sounds very loud (not during sleep). It’s like after normal breathing, there’s a sudden loud exhale, and it feels like I have tightness in my chest and can’t breathe out properly. I’m not sure ...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the respiratory sounds, being overweight can cause airway compression, which may lead to wheezing or audible breathing. If you are feeling very uncomfortable, you can visit an outpatient clinic for an X-ray to ensure that your lungs are healthy. If it is alr...[Read More] Understanding Unusual Breathing Sounds: When to Seek Medical Advice
Do Nutritional Supplements Strain Kidney Function? A Closer Look
Kidney problems Doctor, will consuming "Quaker Complete Nutritional - Double Protein Formula Original Flavor Sugar-Free" cause kidney burden? Ingredients: Deionized water, maltodextrin, calcium caseinate, canola oil, sodium caseinate, sunflower oil, indigestible maltode...
Dr. Huang Yaoxuan Reply:
Hello Mr. S: May I first ask you what the definition of "causing kidney burden" is? Do you think eating two bowls of Ichiran ramen "will cause kidney burden"? What about eating a 40-ounce steak? I believe that for the general population or individuals with kid...[Read More] Do Nutritional Supplements Strain Kidney Function? A Closer Look
Understanding Sjögren's Syndrome: Key Questions and Dietary Guidance
Sjögren's Syndrome Index Hello Dr. Tseng! I have been diagnosed with Sjögren's syndrome, and I have some questions to ask: 1. Is an ANA (antinuclear antibody) titer of 1:80 (+) and Cyto-C, SSA at 280 (+) considered severe? 2. What does Cyto-C refer to? 3. Is it possible...
Dr. Zeng Guosen Reply:
Hello, online friend. 1. ANA and SSA are only for diagnostic reference; their values are not necessarily related to the severity of the condition. 2. I'm not sure what Cyto-C is. 3. The SSA index can fluctuate, and it can certainly decrease. 4. If you experience dry mouth or...[Read More] Understanding Sjögren's Syndrome: Key Questions and Dietary Guidance
Understanding Antinuclear Antibody (ANA) Test Results: What 1:80 Means
Antinuclear antibodies (ANA) My blood test result is 1:80. I would like to know if this is normal or if further testing is needed.
Dr. Zeng Guosen Reply:
AANA titer of 1:80 is considered weakly positive, which may be normal, but a small number of cases could indicate an issue that requires further differential diagnosis. There are many specific tests that need to be conducted, which I won't detail here. Please consult a rheum...[Read More] Understanding Antinuclear Antibody (ANA) Test Results: What 1:80 Means
Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
I am not sure if it is truly ankylosing spondylitis? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis at Chang Gung Memorial Hospital for over two years. Initially, he only experienced pain in the sacroiliac joint in his buttocks, ...
Dr. Zeng Guosen Reply:
The symptoms described by the user, such as experiencing pain in the lower back when leaning backward (but not when bending forward), are not typical of ankylosing spondylitis. There is no morning stiffness, no increased pain upon waking, and no relief after daytime activities, w...[Read More] Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level: 8.9 mg/dL. 2....
Dr. Li Jian Reply:
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level is 8.9 mg/dL. ...
Dr. Li Jian Reply:
High uric acid levels and fatty liver can benefit from consultation with a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication management.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Managing High Uric Acid and Liver Function: Best Specialist Options
What is the best way to manage elevated uric acid levels and slightly elevated liver function indices? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level...
Dr. Li Jian Reply:
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking medication treatment from a metabolic specialist.[Read More] Managing High Uric Acid and Liver Function: Best Specialist Options
Assessing HIV Risk After Electrocautery Treatment for Penile Bumps
Risk of HIV Infection Due to having pimples on the penis, I underwent electrocautery. The procedure lasted about an hour, and during that time, someone assisted me. There was no bleeding at the moment, and I am unsure if the other person made any contact, but I noticed they had n...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) in Taiwan, there are three main modes of transmission for the Human Immunodeficiency Virus (HIV): 1. **Sexual Transmission**: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exchanging other bod...[Read More] Assessing HIV Risk After Electrocautery Treatment for Penile Bumps
Understanding HIV Symptoms and Testing: What You Need to Know
HIV-related issues 1. Ten days ago, I had unprotected sexual intercourse, and three days after the encounter, I developed a fever of 38.5 degrees Celsius. After seeing a doctor and receiving an injection, my fever subsided, but I continued to experience diarrhea for the following...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data, the transmission routes of the Human Immunodeficiency Virus (HIV) are as follows: 1. **Sexual Transmission**: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exchanging other bodily fluids...[Read More] Understanding HIV Symptoms and Testing: What You Need to Know
Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Three high issues (referring to high blood pressure, high Hello Doctor: I recently had a basic blood test, and here are the results: eGFR: 80 (Is this low?), ALT: 12 (Does this indicate that my liver is healthy?), Uric Acid: 5.1 (Is this high?), TG (Triglycerides): 63 (I previous...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6 indicates prediabetes, and regular monitoring is necessary. Currently, dietary control is recommended. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Understanding Hair Loss in Patients with Lupus: Causes and Duration
Hair loss caused by lupus erythematosus? Hello doctor, I have SLE and started taking quinine and corticosteroids in June to manage my condition. Currently, I don't have many symptoms, but I am experiencing severe hair loss. I would like to know if this indicates that my cond...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If you are feeling well overall but experiencing hair loss, it could potentially be a side effect of quinine. It is advisable to discuss this with your physician. If your SLE (Systemic Lupus Erythematosus) disease activity is currently stable, ...[Read More] Understanding Hair Loss in Patients with Lupus: Causes and Duration
Understanding HIV Transmission Risks in Shared Medical Settings
HIV infection Hello doctor, I would like to ask you about my uncle who has HIV. We work in the same restaurant, and he often gets cuts and uses the first aid kit at work. I just cut myself and used the same medication as him. Am I at risk of contracting HIV from him? I am not sur...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control: https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse, or any exchange of bodily fluids wi...[Read More] Understanding HIV Transmission Risks in Shared Medical Settings
Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey
How to switch medications? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis for 2 years. His only symptom is pain in the sacroiliac joint. At the onset of the disease, he took one tablet of Voltaren (60 mg) daily for a month, but i...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Since my child started taking 2 Salazopyrin and 1 Methotrexate daily, his CRP has significantly decreased to 0.2 mg/dL, which was previously unattainable even with 2 Sulfasalazine daily (although his ESR occasionally...[Read More] Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey