ANA, Internal Medicine FAQ - Page 37

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Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery

Gastrointestinal discomfort In the early hours of Saturday, around 2-4 AM, I vomited five times (stomach acid) and had two bowel movements (one normal and one small but somewhat loose). Early Sunday morning, around 8:30 AM, I saw a doctor and received an injection. The doctor adv...


Dr. Lin Wufu Reply:
Hello! As you mentioned, the symptoms you are experiencing are indeed common manifestations of gastroenteritis. Typically, discomfort lasts about three days to a week, depending on the severity. If you felt improvement on Saturday along with a reduction in fever, it is likely tha...

[Read More] Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery


Understanding Mediterranean Anemia: CBC Screening and Genetic Implications

Inquiry about CBC in relation to Mediterranean anemia? Hello, I have a question for the doctor regarding the screening for Mediterranean anemia. Generally, a complete blood count (CBC) is performed first, and most institutions use a standard of MCV less than 80 (or MCH less than ...


Dr. Hong Yuanbin Reply:
Mild patients with thalassemia do not exhibit significant symptoms. Hematological tests typically show only mild anemia unless influenced by menstruation, diet, or bleeding, which can lead to a decrease in iron levels in the body, making the anemia more pronounced. Therefore, fur...

[Read More] Understanding Mediterranean Anemia: CBC Screening and Genetic Implications


Understanding Constipation: Causes, Symptoms, and Dietary Solutions

Constipation issues? Hello Doctor: I have had poor bowel habits for a long time without paying much attention. Sometimes I experience constipation, and at other times, I start with constipation but then end up with diarrhea. Typically, I have bowel movements every two days. I hav...


Dr. Hong Yuanbin Reply:
Hello, in terms of diet, it seems you are only having one meal a day, which includes a relatively high amount of root vegetables such as sweet potatoes, potatoes, and corn. However, these foods are lower in fiber compared to other vegetables, so overall, it is estimated that your...

[Read More] Understanding Constipation: Causes, Symptoms, and Dietary Solutions


Can Diabetic Patients Safely Run and Participate in Races?

Can diabetic patients run and participate in road races? Hello Dr. Lin, I am very grateful for your response to my previous question (#136924 regarding diabetes medication). I would like to ask if it is suitable for diabetes patients to run and participate in road races as part o...


Dr. Lin Wuxuan Reply:
Hello: Exercise can enhance the body's sensitivity to insulin, not only preventing blood sugar levels from rising but also promoting the entry of glucose into cells, thereby lowering blood sugar concentrations and strengthening the body's regulation of blood glucose. Th...

[Read More] Can Diabetic Patients Safely Run and Participate in Races?


Understanding Discomfort in Dialysis Patients: Heat Sensation and More

Body heat or feeling hot? Dear Doctor, My elder family member is 70 years old and has been undergoing dialysis three times a week for over three years. Recently, we have noticed that if he misses a dialysis session or goes two days without it, he experiences several uncomfortab...


Dr. Lin Wuxuan Reply:
Hello: Based on your description, these symptoms may be caused by uremia. Hemodialysis treatment (commonly referred to as dialysis) is not a panacea and cannot be compared to the natural functions of healthy kidneys. It can only assist the body in eliminating some water-soluble t...

[Read More] Understanding Discomfort in Dialysis Patients: Heat Sensation and More


Understanding Immune System Disorders: Insights on Oral Ulcers and Lupus

Immune system Hello Doctor, I have been experiencing mouth ulcers, throat pain, and gum pain since last month, and they haven't improved. A doctor suggested that I see an immunologist. Below are my health check reports: the report from April this year [link] and the immunolo...


Dr. Lin Wuxuan Reply:
Hello: Based on the two blood test reports you provided, there are no abnormalities indicated, and the symptoms you described do not have any clear association with systemic lupus erythematosus. Generally speaking, different laboratories may have variations in measurement values ...

[Read More] Understanding Immune System Disorders: Insights on Oral Ulcers and Lupus


Understanding When to Start Diabetes Medication: A Patient's Dilemma

What is the situation regarding diabetes medications? Hello Dr. Lin, I recently had two fasting blood glucose tests with results of 103 and 107, and my HbA1c levels were 6.5 and 6.8. The physician at the diabetes specialty clinic advised me to start medication and prescribed Metf...


Dr. Lin Wuxuan Reply:
Hello: The treatment of diabetes will generally follow the guidelines provided for diabetes management, but some details will still need to be adjusted based on the physician's clinical experience. Although there are differences in opinion between the two physicians, both fu...

[Read More] Understanding When to Start Diabetes Medication: A Patient's Dilemma


Is Ultracet the Right Medication for My Cold Symptoms?

Ultracet Hello doctor, I have a cold with a sore throat and headache, and today is the 11th day. I visited a general clinic three times with no improvement, so I went to a medical center today. The doctor prescribed Ultracet tablets to be taken four times a day and Naposin 250mg ...


Dr. Hong Yuanbin Reply:
Hello, Ultracet's main components are acetaminophen and tramadol. Tramadol injections are indeed commonly used for pain relief in cancer patients; however, Ultracet can also be used for pain management in patients with conditions other than cancer. Therefore, it is not exclu...

[Read More] Is Ultracet the Right Medication for My Cold Symptoms?


Understanding Dry Mouth and White Coating: Is It a Sign of HIV?

Dry mouth and tongue coating? Symptoms of HIV can vary, but common early signs include flu-like symptoms, fatigue, and swollen lymph nodes. The symptoms you describe, such as dry mouth, white patches on the tongue, and skin rashes that come and go, could be indicative of various ...


Dr. Hong Yuanbin Reply:
Hello, if proper safety precautions are taken, the chance of contracting HIV is very low. The symptoms you described, such as the tongue and rash, do not resemble typical manifestations of HIV. An increase in white blood cells is also not a typical presentation. It is recommended...

[Read More] Understanding Dry Mouth and White Coating: Is It a Sign of HIV?


Does Masturbation Affect Urine Tests for Prediabetes?

Diabetes issues Hello Dr. Lin, my fasting urine test showed a hemoglobin A1c level of 6.1%, and the report indicates possible prediabetes. I would like to know if masturbating within 2 hours before the urine test could affect the accuracy of the results?


Dr. Lin Jianliang Reply:
For prediabetes, it is recommended to manage diet and exercise, and to have regular follow-ups. Before a urine test, it is advised to avoid masturbation. If there are any related concerns, it is recommended to consult a professional physician in person.

[Read More] Does Masturbation Affect Urine Tests for Prediabetes?


Could You Have Genital Warts or STDs After a Massage?

Consultation regarding cauliflower? A few days ago, I went to a hotel and received a Thai massage from a sex worker. I lay on the water bed during the session, and after the massage, I had unprotected oral sex, but there was no intercourse. Since then, I've been experiencing...


Dr. Lin Wuxuan Reply:
Hello: Based on your description, although there was no direct contact between the genital organs, it is still classified as sexual contact. Since there were no protective measures and there is a possibility of bodily fluid exchange, there is still a risk of contracting a sexuall...

[Read More] Could You Have Genital Warts or STDs After a Massage?


Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management

Low C-Peptide Dear Dr. Lin, Thank you for your prompt response. I apologize for needing to ask a few more questions: 1) Is there a difference in fasting C-Peptide levels between 8 hours and 12 hours? 2) Is a low C-Peptide level associated with a lower likelihood of regaining ...


Dr. Lin Jianliang Reply:
1. C-peptide: It is generally recommended to have blood drawn after fasting for about 8 hours, but prolonged fasting is not advised as it may affect the test results. 2. Generally, C-peptide is not commonly used to assess the likelihood of weight regain. 3. Based on your current ...

[Read More] Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management


Understanding Trace Protein in Urine: Should You Worry?

Both urine protein tests showed +/-? Hello Dr. Lin, I underwent a health check on April 18, and the report indicated trace hematuria and trace proteinuria, with increased lung markings; all other results were normal. Today, I conducted another test, and the abnormal or borderline...


Dr. Lin Wuxuan Reply:
Hello: This urine test report does indicate the presence of trace proteinuria. Generally, if proteinuria is initially detected, it is recommended to conduct two to three follow-up tests, preferably using the first urine sample collected in the morning. Additionally, women should ...

[Read More] Understanding Trace Protein in Urine: Should You Worry?


Could Your Symptoms Indicate Ankylosing Spondylitis?

What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....

[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?


Managing Low Calcium Levels After Kidney Transplant: Alternatives and Solutions

I would like to inquire about the issue of low calcium levels after kidney transplantation? Hello, I have been on dialysis for many years and underwent parathyroidectomy, with part of the parathyroid gland buried under my shoulder. After my kidney transplant, I have consistently ...


Dr. Lin Wuxuan Reply:
Hello: First, it is recommended to consult your physician regarding the values of parathyroid hormone and serum phosphorus in your routine blood test report, as these two values determine the difficulty of subsequent calcium supplementation and influence the physician's choi...

[Read More] Managing Low Calcium Levels After Kidney Transplant: Alternatives and Solutions


Understanding Memory Loss and Neurological Symptoms in Syphilis

Xiao Mei's response? Hello, doctor. I am 135310, and I have been experiencing some unusual symptoms recently, including slight memory decline, frequent episodes of zoning out, difficulty concentrating, and occasional balance issues. Are these symptoms related to vascular syp...


Dr. Hong Yuanbin Reply:
Hello, it is true that some individuals may not fully return to normal after syphilis treatment, and it is important to continuously monitor symptoms and test results to assess recovery. If the test results remain low and the person experiences no discomfort, it may be considered...

[Read More] Understanding Memory Loss and Neurological Symptoms in Syphilis


Can Mosquito Blood Transmit HIV? Addressing Your Concerns

Mosquito blood, excessive worry? Hello Dr. Liao, a few days ago (in early April), I killed a mosquito that was bleeding a lot while using the restroom. After rinsing my hand, I accidentally touched the urethral opening. Is there a possibility of contracting HIV from this? I know ...


Dr. Liao Zhongxin Reply:
Dear readers: A: It should not be a concern as long as personal hygiene is maintained; you can refer to the CDC's information at http://www.cdc.gov.tw/professional/page.aspx?treeid=7B56E6F932B49B90&nowtreeid=D03CCE3DF521E46A. There are three main routes of HIV transmissi...

[Read More] Can Mosquito Blood Transmit HIV? Addressing Your Concerns


Understanding PRP Levels in Syphilis: What You Need to Know

Syphilis Issues Hello doctor, I was diagnosed with syphilis last September, and my PRP titer was 1:2. After treatment, the titer remained the same at 1:2. The doctor said I have been treated successfully and do not need medication anymore. However, the titer is still stuck at 1:2...


Dr. Hong Yuanbin Reply:
Hello, some individuals may have a syphilis titer that remains low and does not return to zero. There are two possible explanations for this. First, there may be some complications, such as neurosyphilis or vascular syphilis. Second, it could be that the individual's body si...

[Read More] Understanding PRP Levels in Syphilis: What You Need to Know


Understanding Dizziness: Causes and Solutions After a Cold

Dizziness issues? Hello, doctor... Since I caught a cold and had a fever on the 23rd of last month, I've been feeling dizzy, heavy-headed, and lethargic, constantly wanting to sleep. After more than two weeks, the cold symptoms and dizziness improved, but shortly after the d...


Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Dizziness can generally be categorized into four types: vertigo, presyncope, disequilibrium, and lightheadedness. Research statistics indicate that the most common diagnosis among these is vertigo. 2. The causes of dizziness are numerous. For example: ort...

[Read More] Understanding Dizziness: Causes and Solutions After a Cold


Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?

Hypertension and aldosterone issues? Hello Doctor: I have been dealing with high blood pressure and have visited both nephrology and endocrinology departments. Blood tests conducted at both places, approximately a month apart, showed normal aldosterone levels, around 4. The endoc...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The nephrologists or endocrinologists you encounter are very competent; please cooperate as soon as possible. 2. Hypertension is generally classified into primary hypertension and secondary hypertension. The former primarily occurs in middle-aged and eld...

[Read More] Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?


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