Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Vaccine administration? Hello Dr. Hong, I would like to ask about the medication I received after getting vaccinated this morning. The clinic gave me three yellow tablets of Paracetamol, and I have already taken one. However, I suddenly remembered that a few days ago, another doc...
Dr. Hong Yuanbin Reply:
Hello, Paracetamol, commonly known as acetaminophen, has a slightly weaker analgesic effect. However, due to its lower side effects, it can be used first for fever or pain. Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), has a stronger analgesic and antipyretic effect,...[Read More] Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Understanding Your Rheumatology Blood Test Results: What Do They Mean?
Results of rheumatologic and immunological blood tests? Hello doctor, I have been experiencing muscle soreness in my shoulders, neck, and arms for three months, along with pain in my index finger. Orthopedic rehabilitation has not shown significant improvement. I had blood tests ...
Dr. Hong Yuanbin Reply:
Hello, this test value can only indicate a possible presence of lupus erythematosus; however, a diagnosis requires clinical symptoms combined with other values to calculate an overall score for confirmation. Based on your description, the symptoms do not seem to align closely, so...[Read More] Understanding Your Rheumatology Blood Test Results: What Do They Mean?
Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Short-term rapid increase in creatinine levels? Hello Dr. Wu, On August 28, 2021, I went to the hospital for a blood test. On that day, I checked the report online and found that my creatinine level had risen to 1.28. The creatinine levels from the previous four months were 1.0...
Dr. Wu Jiyu Reply:
Regarding the definition of chronic kidney disease (CKD), you mentioned that the five data points you provided indicated the presence of urinary protein, which alerted you to your kidney function. The four measurements of glomerular filtration rate (GFR) were 75, 83, 75, and 79 m...[Read More] Understanding Sudden Increase in Creatinine Levels: Causes and Concerns
Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
Medical consultation Hello, doctor. I would like to ask what an ANA titer of 1:160 represents. Does this indicate an autoimmune disease? I also have anemia and palpitations. A doctor previously informed me that it would be dangerous for me to receive the COVID-19 vaccine; is that...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. I have organized and responded to your inquiries as follows: 1. What does an ANA titer of 1:160 represent? Does it indicate an autoimmune disease? --> This is a screening indicator for autoimmune diseases. A higher titer suggests an increa...[Read More] Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
Managing Chronic Illness in Hot Environments: Risks and Tips
Chronic diseases in hot environments? Hello, I have renal tubular dysfunction (currently around stage 3 chronic kidney disease) and diabetes. Due to my job, I need to spend about half an hour outdoors in the sun or in hot environments every noon for business. After finishing my w...
Dr. Wu Jiyu Reply:
Regarding the care of diabetes combined with chronic kidney disease, please pay attention to the control of the "three highs" (high blood sugar, high blood pressure, and high cholesterol) to prevent the worsening of the condition. If you need to work in a hot environmen...[Read More] Managing Chronic Illness in Hot Environments: Risks and Tips
Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
I'm sorry, but I cannot assist with that? Doctor, I apologize for the interruption, and thank you for your response. I would like to ask, if I am fortunate enough to successfully lose weight and my fatty liver and liver function return to normal, will the areas of liver fibr...
Dr. Hong Yuanbin Reply:
Hello, fibrosis is similar to scarring; you can think of it as having a scar present. However, other normal liver cells can proliferate to compensate for the function of that tissue. Therefore, theoretically, there should be little impact on liver enzymes or detoxification functi...[Read More] Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
Managing High Cholesterol: Diet, Supplements, and Testing Tips
Cholesterol reduction issues? Hello, Doctor. I found out I have high cholesterol after my health check-up at the end of July. My total cholesterol is 234 mg/dL, HDL (good cholesterol) is 51 mg/dL, and LDL (bad cholesterol) is 172 mg/dL. It is not familial hypercholesterolemia. I ...
Dr. Hong Yuanbin Reply:
Hello, 1. Red yeast rice and similar nutritional supplements can partially help improve blood lipid levels, but their effects are not as exaggerated as advertised. It is recommended to focus on exercise, maintain a regular routine, and avoid a diet primarily consisting of fried...[Read More] Managing High Cholesterol: Diet, Supplements, and Testing Tips
How to Reduce Frequent Colds: Tips for Allergy and Sinus Management
Frequently catch colds? If you have a predisposition to nasal allergies and are using nasal sprays and drops, how can you reduce the frequency of doctor visits? Should you get a flu vaccine? Should you consult a rheumatologist for dust mite allergies, or an otolaryngologist for a...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. If you frequently experience sneezing and a runny nose that significantly affects your daily life, it is advisable to consult an otolaryngologist (ENT specialist). They have more experience with local treatments for the nose and methods to reduc...[Read More] How to Reduce Frequent Colds: Tips for Allergy and Sinus Management
Managing Esophageal Discomfort: Medication and Dietary Guidance
Please feel free to ask your question? Thank you, doctor, for your response. I visited the clinic this morning, and the doctor has not recommended an endoscopy yet. He mentioned that there is a high probability that the medication has caused irritation to my esophagus and advised...
Dr. Hong Yuanbin Reply:
Hello, I apologize for the delay in response due to a system malfunction. Regarding medications, it is advisable to avoid drugs that can irritate the stomach, such as non-steroidal anti-inflammatory drugs (NSAIDs). Other medications should be fine to use alongside Gaviscon. In te...[Read More] Managing Esophageal Discomfort: Medication and Dietary Guidance
Understanding Blood Test Results: What Do They Mean for Your Health?
Blood test results? Other test data source: Test category: Sorted items: Test item name: All. Rotating the mobile screen horizontally will display more data. Test Date | Test Item Name | Test Result 110/08/13 | HCT | 43.5 110/08/13 | HGB | 13.2 110/08/13 | MCH | 21.0 11...
Dr. Hong Yuanbin Reply:
Hello, based on your blood test report: 1. Your blood glucose level is elevated. If this was a fasting blood test, it is recommended to visit a metabolic clinic to check for diabetes. 2. Your oxygen saturation is low, but it is unclear whether the sample was drawn from an arter...[Read More] Understanding Blood Test Results: What Do They Mean for Your Health?
Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Blood report Hello Dr. Hong, about a month ago I had a blood test at the hospital. The results showed total cholesterol at 210, LDL cholesterol at 144, blood glucose at 105, hemoglobin A1c at 5.3, and potassium at 5.3. I checked the standard values online and found that they are ...
Dr. Hong Yuanbin Reply:
Hello, although your blood sugar is slightly elevated, your glycated hemoglobin is normal, so there should be no issue with diabetes. Your potassium level is slightly high, but if your kidney function is normal, it may be due to constipation or decreased excretion, which usually ...[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Understanding Blood in Stool: Causes, Symptoms, and Duration of Hemorrhoids
Rectal bleeding The stool is both coffee-colored and golden yellow, and it can be as thick as a ten or even fifty NT dollar coin. During bowel movements, there is a sharp pain in the anus, and wiping results in bright red blood the size of a ten NT dollar coin. Initially, the blo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the bleeding from the anus or hemorrhoids is likely caused by hard or large stools. This usually resolves on its own after some time. It is recommended to increase your intake of vegetables, exercise regularly, and establish a regul...[Read More] Understanding Blood in Stool: Causes, Symptoms, and Duration of Hemorrhoids
Understanding Systemic Heat: Symptoms and Causes in Asthma Patients
Generalized heat sensation? The patient is a young girl with asthma and a history of frequent bronchitis. Her normal body temperature typically ranges from 36 to 36.7 degrees Celsius, not exceeding 37 degrees. However, since early last year, her temperature has been between 37.2 ...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely cause seems to be related to your menstrual cycle. I recommend observing whether you experience this reaction during each menstrual period. If so, you may consider consulting a gynecologist. Another possibility is that recent significa...[Read More] Understanding Systemic Heat: Symptoms and Causes in Asthma Patients
Post-AZ Vaccine: Mild Thigh Pain and Blood Circulation Concerns
Mild intermittent pain in the front of the left thigh three to four days after receiving the AZ vaccine? Hello, I received the AZ vaccine 3-4 days ago, and since last night, I've been experiencing intermittent pain in the front of my left thigh. The pain does not persist con...
Dr. Hong Yuanbin Reply:
Hello, based on your timeline and symptoms, it is likely that the foot pain is not caused by a thrombus related to the AZ vaccine. However, if the discomfort persists, you may consider consulting an orthopedic or neurology specialist to identify the underlying cause. Thank you fo...[Read More] Post-AZ Vaccine: Mild Thigh Pain and Blood Circulation Concerns
Managing Hyperthyroidism Medications: Concerns About Side Effects and Alternatives
Side effects of hyperthyroidism medications? I have Graves' disease and have been taking PTU for 14 years. In March of this year, I was diagnosed with P-ANCA vasculitis. I stopped taking PTU due to concerns about its side effects. I have previously taken methimazole and carb...
Dr. Li Jian Reply:
Vasculitis caused by methimazole is less common than that caused by PTU. If radioactive iodine treatment is not acceptable, the only option is to try using methimazole in combination with antihistamines.[Read More] Managing Hyperthyroidism Medications: Concerns About Side Effects and Alternatives
Understanding Elevated Creatinine Levels: Causes and Management Tips
Elevated creatinine levels? Hello Doctor: I had a blood test on July 6, and my creatinine level was 1.2. Prior to the blood draw, I was experiencing gastrointestinal discomfort, including bloating, gastroesophageal reflux, and irregular bowel movements. I had been taking medicati...
Dr. Wu Hongjie Reply:
A single creatinine report does not indicate chronic kidney dysfunction; it is recommended to drink more water and maintain a normal routine for a period of time before retesting. It is advisable to avoid any illnesses or discomfort before the test, as these factors may interfere...[Read More] Understanding Elevated Creatinine Levels: Causes and Management Tips
Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Vaccination Concerns for Patients with Chronic Dermatitis
Vaccination inquiries? Hello Dr. Hong, I visited the dermatologist last week for a follow-up appointment. The doctor said I have chronic eczema and advised me to continue applying the medication. It seems to be improving as I no longer see any flakes. Last time, there was slight ...
Dr. Hong Yuanbin Reply:
Hello, based on your provided skin condition, whether it is psoriasis or another diagnosis, it will not affect the administration of vaccines. The choice of vaccine type should also not be impacted, and you can receive the vaccine. The quality of the AZ vaccine is certified by th...[Read More] Vaccination Concerns for Patients with Chronic Dermatitis
Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?
Health issues I woke up in the morning feeling very sore, so I lay back down thinking I could get up later. After a while, I felt uncomfortable again, with body aches, and I lay down for a bit before finally getting up. I have a history of allergic rhinitis, severe sleep apnea, a...
Dr. Hong Yuanbin Reply:
Hello, do you have any other symptoms? For example, fever, cough, shortness of breath, sore throat, etc.? If you do, it may be a sign of a cold or another illness. If not, it could be due to irregular sleep patterns, high stress, or poor posture. These factors should not affect y...[Read More] Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?