Managing Excess Male Hormones: Can Endocrinology Help with Facial Hair?
Excessive male hormones Having excessive body hair at the age of 17, along with a significant amount of facial hair and possibly sunken cheeks (which may be influenced by masturbation), can severely affect one's appearance. If you consult an endocrinologist, is it possible t...
Dr. Lin Jianliang Reply:
Hello, you can visit an endocrinologist to check for any abnormalities.[Read More] Managing Excess Male Hormones: Can Endocrinology Help with Facial Hair?
Understanding Increased Urination: Causes and Concerns Explained
Increased urine output concerns? Hello Doctor, I have recently noticed an increase in my urine output. I read online that frequent urination could be a symptom of diabetes or diabetes insipidus, and I am not very familiar with diabetes insipidus, so I would like to ask you: 1) Is...
Dr. Hong Yuanbin Reply:
Hello, 1. Diabetes insipidus can indeed occur in ordinary individuals, but not all cases of excessive urination indicate diabetes insipidus; a thorough examination is necessary for a definitive diagnosis. 2. Testing the osmolarity of blood and urine, as well as evaluating elec...[Read More] Understanding Increased Urination: Causes and Concerns Explained
Managing Warts and Hemorrhoids: Treatment Options and Concerns
After developing cauliflower-like lesions, the surface looks good, but I have been informed that I have hemorrhoids and need to apply steroids. What should I do? Hello, doctor. My anal warts have been clean for a few days now. The doctor said I don't need to apply phenol and...
Dr. Hong Yuanbin Reply:
Hello, currently your warts have at least been temporarily treated. It is more important to manage your hemorrhoids. It is recommended to use the Liyu hemorrhoid suppository as advised by your physician; this suppository should have a limited impact on your warts. As for Wart Rem...[Read More] Managing Warts and Hemorrhoids: Treatment Options and Concerns
Managing Warts and Hemorrhoids: Treatment Options and Concerns
After developing cauliflower-like lesions, the surface appears fine, but I have been informed that I have hemorrhoids and need to apply steroids. What should I do? Hello doctor, my anal warts have been clean for a few days. The doctor said I don't need to apply phenol soluti...
Dr. Hong Yuanbin Reply:
Hello, currently your warts have at least been treated temporarily, and it is more important to manage your hemorrhoids. It is recommended to use the Liyu hemorrhoid suppository as advised by your physician; this suppository should have a limited impact on your warts. As for Taiy...[Read More] Managing Warts and Hemorrhoids: Treatment Options and Concerns
Understanding HIV Transmission Risks: Key Questions Answered
HIV transmission-related information? Hello, doctor. I would like to ask two questions: A. When we say that a wound can transmit infection upon contact with fresh bodily fluids (such as semen or blood), does this mean the wound needs to be "actively bleeding"? If a sel...
Dr. Hong Yuanbin Reply:
Hello, HIV is primarily transmitted through sexual intercourse, sharing needles, or blood transfusions. The two hypothetical scenarios you described are not common clinical infection situations, and there are very few reports of infections occurring in such cases, so they are con...[Read More] Understanding HIV Transmission Risks: Key Questions Answered
Understanding Arthritis Medications: Managing Symptoms and Side Effects
Arthritis medications I have been under follow-up in the rheumatology and immunology department for a year and a half. Previously, I was not on any medication, but my erythrocyte sedimentation rate (ESR) for 2 hours and 1 hour has consistently been elevated, with values ranging f...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your question, my response is as follows: 1. Your symptoms resemble urticaria, which may be a side effect of medication; both the anti-inflammatory or pain relief medications could be potential culprits. Urticaria is generally a mild ...[Read More] Understanding Arthritis Medications: Managing Symptoms and Side Effects
Managing Long-Term Low Potassium: Symptoms and Next Steps
Chronic hypokalemia Hello Doctor 👋 # I have been experiencing low potassium, proteinuria, mild anemia, and diarrhea for over a year! My body often feels unwell with symptoms such as fatigue, dizziness, numbness in my hands, nausea, palpitations, diarrhea, high blood pressure, and...
Dr. Wu Jiyu Reply:
Based on your inquiry, chronic hypokalemia primarily falls under the domain of nephrology, and it is advisable to consult a nephrologist for better coordination in managing your condition. Thank you for your question; the Nephrology Department at Changhua Hospital is here to supp...[Read More] Managing Long-Term Low Potassium: Symptoms and Next Steps
Understanding Hematospermia: Treatment Success and Ongoing Symptoms
The success of treatment for hematospermia (blood in semen) depends on the underlying cause. It is important to conduct a thorough evaluation, including a medical history, physical examination, and appropriate diagnostic tests? Hello Doctor, I discovered blood in my semen in mid-...
Dr. Hong Yuanbin Reply:
Hello, 1. It is possible that the metabolites of hemoglobin may still appear reddish-brown, but the fecal occult blood test will be negative. 2. It is recommended to refrain from masturbation and observe the color of the urine; usually, bleeding should stop within 2-3 weeks. I...[Read More] Understanding Hematospermia: Treatment Success and Ongoing Symptoms
Managing Significant Weight Loss: When to Seek Medical Advice?
Please consult the outpatient clinic for significant weight loss evaluation? Hello, doctor. In February of this year, I weighed 116 kg, and I currently weigh 87 kg (I have lost 30 kg over 8 months). My current BMI is 25.9. During my weight loss journey, I have made the following ...
Dr. Li Jian Reply:
1. It is better to reduce the BMI to below 24 and the waist circumference to below 90 centimeters. 2. Rapid weight loss may lead to decreased thyroid function.[Read More] Managing Significant Weight Loss: When to Seek Medical Advice?
Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Antinuclear antibodies in systemic lupus erythematosus? ANA: Speckled 1:640 HLA-B27: Negative E.S.R: 61 Basophils: 1.0 Eosinophils: 1.0 Hemoglobin (Hb): 11.9 Hematocrit (Hct): 36.1 Lymphocytes: 28.2 Mean Corpuscular Hemoglobin (MCH): 25.3 Mean Corpuscular Hemogl...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your question regarding elevated ANA and ESR levels indicates that it is essential to further investigate the cause of the elevated ANA. Additional tests may be necessary to confirm your diagnosis, and I recommend consulting a rheumatologist for...[Read More] Understanding Antinuclear Antibodies and Lupus: A Patient's Guide
Missed the Golden Treatment Window for Rheumatoid Arthritis?
Did rheumatoid arthritis miss the golden period for treatment? Hello, doctor. For the past two to three years, I thought my joint pain was due to aging, but I only learned over a year ago that I have rheumatoid arthritis. Unfortunately, it has already caused damage to my foot joi...
Dr. Zeng Guosen Reply:
Hello, regarding the treatment of rheumatoid arthritis, the earlier the better. The first year after onset, or even the six months prior to the onset, is considered the golden period for treatment. However, as long as a diagnosis is confirmed, it is never too late to pursue aggre...[Read More] Missed the Golden Treatment Window for Rheumatoid Arthritis?
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
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
Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Dizziness and discomfort after exercise? Hello Doctor, I exercise for at least 30 minutes to 1 hour every day. I usually go to bed before midnight and wake up at 7 AM. My exercise routine typically starts around 4 PM and mainly consists of aerobic exercises combined with simple b...
Dr. Hong Yuanbin Reply:
Based on your description, there are four possible conditions. First is orthostatic hypotension, which is characterized by a sudden drop in blood pressure when changing posture, leading to dizziness. This typically resolves with rest, and there is no specific treatment other than...[Read More] Post-Exercise Dizziness: Causes and Solutions for Your Symptoms
Joint Pain and Stiffness: When to Seek Further Medical Evaluation
The finger joints are swollen and painful, but the doctor said it is not rheumatoid arthritis? Hello Doctor, since late last year, I have noticed stiffness in my finger joints upon waking up, which was mild at first. Recently, the frequency has increased, and almost every day my ...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. An ANA value of 1:80 falls into a gray area. However, if you continue to experience joint pain and stiffness, along with occasional nighttime pain that disrupts your sleep, I recommend that you visit a rheumatology clinic to discuss your concern...[Read More] Joint Pain and Stiffness: When to Seek Further Medical Evaluation
Understanding Your Rheumatology Test Results: What Do They Mean?
Rheumatology and Immunology Examination Results I have been experiencing pain in my shoulders, neck, arms, and fingers for three months, and rehabilitation has not improved my condition. I consulted a rheumatologist, who ordered blood tests, and the results are as follows: ESR:...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The abnormal findings in your test report indicate a PATTERN of Homogeneous 1/640 (Positive) and a PATTERN of Speckled 1/640 (Positive), which are results for Antinuclear Antibodies (ANA). Antinuclear antibodies are one of the screening indicato...[Read More] Understanding Your Rheumatology Test Results: What Do They Mean?
Understanding Autoimmune Diseases: What You Need to Know
Autoimmune diseases Hello Doctor, last year I had a health check-up due to my studies, and since I was on my menstrual period that day, I experienced hematuria. After returning to the hospital for a follow-up, it was confirmed that there were no issues, and the cause of the hemat...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The following test results may be related to autoimmune diseases, and if necessary, further blood tests can be arranged: C3: 57.7, C4: 10.7, ANA: Dense fine speckled with a titer of 1:160. I'm not sure if your physician has already arranged...[Read More] Understanding Autoimmune Diseases: What You Need to Know
Understanding Eyelid Twitching: Causes, Concerns, and Remedies
The right eyelid feels a bit tight? Hello, Doctor. I visited an ophthalmologist because I felt a sudden tight twitch in my right eyelid last night. However, the doctor said my eyes are normal, and there is no issue with excessive eye strain, although they do appear a bit dry. He ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the cause of your eyelid twitching is likely due to fatigue, resulting in neuromuscular spasms rather than a neurological disorder. It is recommended to give your eyes more rest, avoid staying up late, and manage stress, which should help improve...[Read More] Understanding Eyelid Twitching: Causes, Concerns, and Remedies
Managing Hematuria While Waiting for Ureteroscopy: What You Need to Know
Questions about hematuria during the waiting period for surgery? Hello Doctor, I have been diagnosed with kidney stones. The stones are approximately 1.5-2 centimeters in size, and I am currently waiting for a ureteroscopy for lithotripsy. However, during this waiting period, I h...
Dr. Wu Jiyu Reply:
Kidney stones can cause symptoms such as hematuria, but this does not necessarily indicate the volume of bleeding (which is usually minimal). Since a surgery date has already been scheduled, it is best to wait for the procedure to be completed. Thank you for your inquiry. The Nep...[Read More] Managing Hematuria While Waiting for Ureteroscopy: What You Need to Know
Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern
Took antipyretics? Hello doctor, last night I received the AZ vaccine and took a Tylenol beforehand. After taking a shower and doing some work, I went to bed around midnight. Suddenly, around 4 AM, I felt very cold and started shivering. Not long after, at 5 AM, I developed a fev...
Dr. Hong Yuanbin Reply:
Hello, some studies abroad have indeed shown that using antipyretics, such as acetaminophen (Tylenol), may slightly reduce the effectiveness of vaccines, but it does not render the vaccine ineffective. It is recommended that if you have a mild fever or are only slightly uncomfort...[Read More] Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern