Understanding Cauliflower Warts: Risks and Testing After Oral Sex
Regarding cauliflower infection? Hello doctor, I had anal intercourse with a friend on June 23 of this year, and we used a condom throughout the entire act, as I was the insertive partner. For oral sex, we did not use a condom; he performed oral sex on me, and my mouth did not co...
Dr. Hong Yuanbin Reply:
Hello, 1. Oral sex without a condom theoretically does not lead to lesions in the anal area; however, due to the highly contagious nature of genital warts (condyloma acuminatum), transmission can occur through surrounding bedding, clothing, or inadvertent contact, making it dif...[Read More] Understanding Cauliflower Warts: Risks and Testing After Oral Sex
Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Diabetes issues Both parents have diabetes, and both sisters have also been diagnosed with diabetes. Therefore, there is a regular habit of exercising and maintaining a light diet. Recently, due to frequent feelings of hunger, a visit was made to the hospital's metabolic dep...
Dr. Li Jian Reply:
1. A hemoglobin A1c level of 5.8% can be diagnosed as prediabetes. 2. Taiwanese people often consume too much fruit, leading to elevated blood sugar levels; it is important to be cautious about excessive fruit intake. 3. Blood tests should be done after an absolute fasting pe...[Read More] Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Shock Prevention How can physicians prevent the occurrence of various types of shock?
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here are the details: Shock can be classified into several types: (1) Cardiogenic shock: The heart is unable to provide sufficient cardiac output, such as in cases of myocardial infarction, arrhythmias, and heart failure. (2) Hypovolemic shock: Flu...[Read More] Preventing Different Types of Shock: Essential Strategies for Healthcare Professionals
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Type 2 diabetes diagnosed for 8 years? Type 2 diabetes diagnosed for 8 years. Recent blood test results are as follows: - AC: 115 (Normal range: 70-100) - HbA1C: 6.3% (Normal range: 4-6%) - Triglycerides: 59 mg/dL (Normal range: <150 mg/dL) - Cholesterol: 170 mg/dL (Normal ra...
Dr. Chen Jianyu Reply:
Aside from elevated blood glucose levels and glycated hemoglobin, all other values are within normal range. Please continue to take your medication regularly, maintain dietary control, and engage in exercise. Regular follow-ups are recommended.[Read More] Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Managing Kidney Medication Issues in Heart Failure Patients
Medication Issues in Renal Management for Heart Failure Patients Dear Doctor, My father is suffering from moderate to severe heart failure, and due to severe leg edema, he needs to limit his fluid intake. He has been on diuretics for 14 consecutive months, which has resulted in ...
Dr. Huang Yaoxuan Reply:
Dear Ms. Lin, Regarding your father's condition, it is recommended that you consult with a nephrologist to discuss his situation. Additionally, if you are concerned about kidney function, you may want to know about kidney care methods that are applicable regardless of wheth...[Read More] Managing Kidney Medication Issues in Heart Failure Patients
How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Diabetes medications For diabetic patients who are using insulin and wish to consume bitter melon peptides, it is important to consult with a healthcare professional before making any changes to their medication regimen. Bitter melon may have blood sugar-lowering effects, so it i...
Dr. Lin Jianliang Reply:
Hello: It is recommended to consult your attending physician during your follow-up appointment.[Read More] How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Hypothyroidism and Cholesterol Hello Dr. Li, I am a patient with Hashimoto's thyroiditis and have been on medication—Entresto—for the past two years. My total cholesterol is between 220 and 250 mg/dL, low-density lipoprotein (LDL) cholesterol is between 160 and 190 mg/dL, an...
Dr. Li Jian Reply:
The enteric-coated tablets primarily lower cholesterol and have a slight effect on reducing triglycerides, but the impact is not significant.[Read More] Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Thyroid antibody issues? Hello Doctor: I have some questions regarding thyroid antibodies. (1) If all three thyroid antibodies (Anti-THYG, Anti-TSHR, Anti-TPO) are elevated, is it possible for hyperthyroidism to improve and then lead to hypothyroidism? (2) If I undergo radioactiv...
Dr. Li Jian Reply:
1. Some individuals may experience hyperthyroidism in their youth, which can later transition to hypothyroidism in old age. 2. Radioactive iodine treatment and TPO antibodies can both lead to hypothyroidism; therefore, it is essential to regularly monitor thyroid function after...[Read More] Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Understanding RPR Syphilis Testing: Your Questions Answered
RPR Syphilis Testing Consultation Hello Dr. Hong, thank you for your patient explanations. I currently have three negative RPR (STS) results. Your analysis indicates that this only confirms the absence of active syphilis, and a negative VDRL means that treatment is not necessary ...
Dr. Hong Yuanbin Reply:
Hello, 1. It should be interpreted as: Currently, there is no "active syphilis," which means there may truly be none, or there may have been a past infection that has healed, or there may have been a past infection that is currently inactive. 2. In the future, if th...[Read More] Understanding RPR Syphilis Testing: Your Questions Answered
Can You Get Rabies from a Dog's Saliva? Understanding the Risks
Rabies issues Hello doctor, today I encountered a stray dog on the street. It was barking at the dogs near a food stall. I quickly walked past the dog, but I have a small wound on the joint of my right thumb. If the dog's saliva accidentally splashed onto my wound, is there ...
Dr. Hong Yuanbin Reply:
Hello, rabies is primarily transmitted through wound infection. If saliva simply splashes on the skin, it will not lead to infection, so there is no need to worry. Thank you for your question.[Read More] Can You Get Rabies from a Dog's Saliva? Understanding the Risks
Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Hypothyroidism issues? Six months ago, I had a premarital health check-up and my TSH level was 1.57 uIU/mL, which is normal. Recently, while preparing for pregnancy and taking traditional Chinese medicine, I had another test (on the second day of my menstrual cycle) and my TSH le...
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the explanation: If TSH levels are abnormal (elevated), you should consult an endocrinologist to check Free T4. Both hyperthyroidism and hypothyroidism can affect the secretion of FSH, LH, and HCG, potentially leading to infertility. For he...[Read More] Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels
Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...
Dr. Wu Jiyu Reply:
Based on the data you provided, it falls within the range of stage 3 chronic kidney disease. Sometimes, we monitor kidney function by looking at a broader range and trends over several years, rather than just comparing the most recent outpatient visit with the previous one. In yo...[Read More] Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
What should the target level for glycated hemoglobin be? I was diagnosed with type 2 diabetes in 2012 and currently visit a clinic where I take Glibudon F.C. Tablets 500 mg (Metformin Hydrochloride) once a day. My HbA1c levels are controlled between 6.3 and 6.5. However, I found ...
Dr. Lin Jianliang Reply:
Hello: Online information is for reference only; it is advisable to seek a doctor's examination.[Read More] How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
Severe Dizziness and Vomiting: Understanding Possible Causes and When to Seek Help
Severe dizziness with three to four episodes of vomiting? Hello Dr. Lin: Last week, one morning when I woke up and opened my eyes, I suddenly felt dizzy, and my eyes involuntarily rolled towards the upper left corner. I had to use my willpower to bring them back to normal. I mana...
Dr. Lin Jianliang Reply:
It is recommended to first consult with a neurologist or an otolaryngologist.[Read More] Severe Dizziness and Vomiting: Understanding Possible Causes and When to Seek Help
Understanding Gallstones and Elevated Blood Sugar in Seniors
Consultation Inquiry Hello, Doctor. I have some questions to ask you. 1. My mother is 65 years old and has been experiencing frequent abdominal pain, so she underwent an ultrasound and a colonoscopy. The results showed some gallstones and that her pancreatic duct is slightly la...
Dr. Wu Jiyu Reply:
Question 1: Please consult a hepatobiliary and gastroenterology specialist to confirm if there is a possibility of having diabetes or if you are already a diabetic patient with poor blood sugar control. It is important to seek medical assistance promptly and manage your diet and ...[Read More] Understanding Gallstones and Elevated Blood Sugar in Seniors
Managing COVID-19 Anxiety: Concerns About Safety and Infection Risks
Please consult a doctor for your questions? Hello, doctor. I have been out with my family for the past couple of days. Since the onset of COVID-19, my sister has become very anxious, even though it seems that the situation in the country is not as dangerous now. Three months ago,...
Dr. Hong Yuanbin Reply:
Hello, COVID-19 primarily spreads through respiratory droplets, and there is currently no clear evidence of transmission through food. Therefore, the dietary aspect you mentioned should not pose a risk of infection. As for the situation at the station, there have been no confirme...[Read More] Managing COVID-19 Anxiety: Concerns About Safety and Infection Risks
Managing Skin Cuts: Risks of HIV Infection and Proper Care
Skin abrasion on the hand? Recently, I have some cuts on my hands. Should I bandage them specifically? Is there a risk of contracting HIV if I touch something with these wounds? For example, if I accidentally touch a public door handle that may have blood or bodily fluids on it, ...
Dr. Lin Wufu Reply:
Hello: 1. If there is a bleeding wound, it is recommended to cover it with a bandage. 2. Theoretically, a bleeding wound does have a potential risk of transmitting viruses, but the risk is very low. Additionally, the HIV virus has a very short survival time outside the human body...[Read More] Managing Skin Cuts: Risks of HIV Infection and Proper Care
Understanding Tongue Bumps: Are They Normal or a Cause for Concern?
Issues with the tongue? Hello, Doctor. I accidentally bit my tongue while eating. Although there was no bleeding, I noticed many small bumps on the side of the tip of my tongue when I checked it myself. There are also some on the tip. I would like to know if this is a normal stru...
Dr. Hong Yuanbin Reply:
Hello, yes, these are normal structures on the tongue, so there is no need to worry. Thank you for your question.[Read More] Understanding Tongue Bumps: Are They Normal or a Cause for Concern?
Understanding STD Testing: Key Questions About Gonorrhea, Chlamydia, and HIV
Supplementary Consultation for Sexually Transmitted Disease Testing Hello Dr. Hong, thank you for your explanation. What you previously mentioned means: (1) Should one only visit the hospital for examination if symptoms of gonorrhea or chlamydia appear? (2) Does having a gonorrhe...
Dr. Hong Yuanbin Reply:
Hello, yes, if symptoms of gonorrhea and chlamydia appear, you should visit a hospital for testing. Infections of gonorrhea and chlamydia will not prolong the HIV window period or affect the detection of HIV. Thank you for your question.[Read More] Understanding STD Testing: Key Questions About Gonorrhea, Chlamydia, and HIV