ANA, Internal Medicine FAQ - Page 41

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Managing Ankylosing Spondylitis Pain: Ice or Heat Therapy?

Ankylosing Spondylitis: Ice or Heat Therapy? Hello, Doctor. Recently, I have experienced a relapse of ankylosing spondylitis (which has been symptom-free for over three years). Since entering the workforce, I have also been exercising very little. I am experiencing severe pain in...


Dr. Gao Jiankai Reply:
Hello Mr. Hsu, thank you for your question. The location of the sacroiliac joint is relatively deep, so the effectiveness of ice therapy may be limited; heat therapy might be more beneficial. Regarding the choice between heat and cold therapy, I believe that during the acute phas...

[Read More] Managing Ankylosing Spondylitis Pain: Ice or Heat Therapy?


Understanding HIV Testing: Combo Test vs. 4th Generation ELISA Explained

HIV testing methods? Hello doctor, I have been searching for a long time and I am unclear about the differences in testing types. Is the combo test the same as the 4th generation ELISA test? Where can I find the DUO test in Taichung? What is the window period for these tests? I w...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding the different types of testing, here is the response: A: According to the reference webpage https://tw.answers.yahoo.com/question/index?qid=20140413000016KK03122, regardless of the reagent used for testing, the results after 13 weeks are considered final...

[Read More] Understanding HIV Testing: Combo Test vs. 4th Generation ELISA Explained


Can Warts on Your Boyfriend's Hand Be Transmitted Through Kissing?

Warts on your boyfriend's hand can be contagious. Warts are caused by the human papillomavirus (HPV), which can be transmitted through direct skin-to-skin contact or by touching surfaces that have been contaminated with Is it possible to transmit infections through kissing a...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether kissing and intimate touching can transmit infections, here is the response: 1. According to the Dermatology Expert Health Network (http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52): A. What are viral warts? Viral warts are les...

[Read More] Can Warts on Your Boyfriend's Hand Be Transmitted Through Kissing?


Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions

Lower back pain and blood tests? Hello Doctor: Recently, I have been experiencing persistent soreness in my right lower back, especially when I wake up, which tends to be particularly painful. The soreness usually lasts for a whole morning or even an entire day, but sometimes I d...


Dr. Hong Yuanbin Reply:
Hello, with right flank pain combined with elevated creatinine levels, the first thing to rule out is right kidney stones or obstruction. It is recommended to visit a family medicine or urology department for X-rays or ultrasound confirmation. If kidney tests are normal, another ...

[Read More] Understanding Back Pain and Elevated Creatinine Levels: Causes and Solutions


Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips

Kidney function issues? Hello: In my recent health check-up in June, my serum creatinine (Cr) level was 1.01, blood urea nitrogen (BUN) was 10, and glomerular filtration rate (GFR) was 85. An ultrasound examination revealed a right renal cyst (0.7 cm) and bilateral renal calculi ...


Dr. Wang Weijie Reply:
Mr. Tsao: Hello, the glomerular filtration rate (GFR) is calculated based on your serum creatinine level along with your age, gender, and weight. Your value falls within stage 2 of chronic kidney disease (CKD). However, based on your description of the kidney ultrasound report an...

[Read More] Understanding Mild Chronic Kidney Dysfunction: Key Insights and Lifestyle Tips


Understanding Creatinine Levels and Glomerular Filtration Rate Changes

Creatinine and Glomerular Filtration Rate (GFR) Hello Doctor, two weeks ago, the hospital came to the community to conduct free health check-ups. Today, when I went to review the report, the doctor informed me that my creatinine level is 1.05 mg/dL and my glomerular filtration ra...


Dr. Wu Jiyu Reply:
Hello Mr. Wang: Regarding your question, I will address it in two parts. (1) The changes in creatinine and glomerular filtration rate (GFR) should be evaluated based on their "trends." If you only have two data points for comparison, you can only determine whether the...

[Read More] Understanding Creatinine Levels and Glomerular Filtration Rate Changes


Differentiating Diabetic Foot from Cellulitis: Key Insights

The difference between diabetic foot and cellulitis? How can we differentiate between diabetic foot and cellulitis in the early stages? Thank you, doctor.


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the differentiation between diabetic foot and cellulitis, here are the responses: 1. Patient history: The former is typically seen in individuals with a history of diabetes or a family history of diabetes, while the latter is not limited to such backgro...

[Read More] Differentiating Diabetic Foot from Cellulitis: Key Insights


Managing High HbA1c Levels: Tips for Diabetes Prevention and Care

Health check values Hello doctor, there is a family history of diabetes in my household, and I have had consistently high HbA1c levels for the past three months, with values of 6.0, 5.8, and 5.8. My fasting blood sugar levels are 90 and 116, but I forgot the third measurement. Ad...


Dr. Li Zhiyao Reply:
Hello: Based on your test results, you are currently in the "prediabetes" stage, and there is a significant risk of progressing to diabetes. It is recommended that you consult an endocrinologist to guide you in weight management and other lifestyle changes to prevent th...

[Read More] Managing High HbA1c Levels: Tips for Diabetes Prevention and Care


Understanding the Right Specialists for Bacteremia and Spinal Abscess

For bacteremia and spinal abscess, you should consult an infectious disease specialist and a neurosurgeon? Hello, my father is 60 years old. He was previously hospitalized due to poorly controlled diabetes and was found to have Salmonella in his bloodstream, for which he received...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding chromium niacin at levels up to 600μg, the side effects of excessive intake are as follows: 1. Skin flushing and itching. 2. Elevated serum uric acid levels. 3. Impaired glucose tolerance. 4. Liver damage. Regarding the presence of Salmonella in the ...

[Read More] Understanding the Right Specialists for Bacteremia and Spinal Abscess


Understanding Creatinine Levels and Kidney Function Concerns

Creatinine and Kidney Function Related Issues Hello, Doctor. I apologize for the lengthy description of my issue. Here are the results from my blood and urine tests conducted at the clinic two weeks ago: Fasting blood glucose: 100 mg/dL (reference range: 70-100) Blood urea ni...


Dr. Wu Jiyu Reply:
Based on your description, your creatinine level is 1.34 mg/dL (reference range 0.7-1.5), and your glomerular filtration rate (GFR) is 66.9 (reference value > 60). Given your age, your GFR is slightly low, and the most common risk factors affecting kidney function are hyperten...

[Read More] Understanding Creatinine Levels and Kidney Function Concerns


Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients

Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....


Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...

[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients


Understanding the Link Between Lymphocytic Choriomeningitis and STDs

Lymphogranuloma venereum (LGV) and sexually transmitted infections (STIs)? In patients with Sjögren's syndrome, the occurrence of sexually transmitted infections (STIs) or gastrointestinal diseases can trigger ocular diseases and arthritis. Since this condition is autoimmune...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Reactive arthritis is related to individual susceptibility, making it easier to develop arthritis following an infection. Some cases of reactive arthritis are associated with sexually transmitted infections (triggered ...

[Read More] Understanding the Link Between Lymphocytic Choriomeningitis and STDs


Understanding the Connection Between ANA Levels and HIV Risk

ANA index and HIV I had an ANA test at the Rheumatology and Immunology Department of Taoyuan Hospital, Ministry of Health and Welfare, with a result of 1:1280. All detailed examinations were normal, but I am experiencing pain in my left knee and finger joints, as well as dry mout...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether a high ANA index is related to HIV, the response is as follows. [Interferents and Unrelated Health Conditions] An assessment of the impact of interferents and unrelated health conditions on the specificity of this assay was cond...

[Read More] Understanding the Connection Between ANA Levels and HIV Risk


Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms

Hyperthyroidism? Panic? Anxiety? I would like to ask about hyperthyroidism. My heart rate has been consistently high. Recently, during the day, my heart rate is quite fast, sometimes reaching 80-90 beats per minute while sitting, but at night when I sleep, it drops to about 50 be...


Dr. Hong Yuanbin Reply:
Based on your description and the examination data, it does not appear to be a case of hyperthyroidism. In a normal individual, the heart rate should be between 50 and 100 beats per minute, so your heart rate should still be within the normal range. As for the palpitations, there...

[Read More] Understanding Hyperthyroidism: Heart Rate, Anxiety, and Symptoms


Understanding the Risk of HIV After a Syphilis Diagnosis

Fear of AIDS I would like to ask if someone has recently been confirmed to have syphilis, but they mentioned that it has been 2 months since their syphilis diagnosis. Their test results showed no HIV reaction, only syphilis. I will be getting tested after 3 months. Is it possible...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether I could have contracted HIV after three months of testing, here are the key points: A. The HIV virus has three main transmission routes: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse with an HIV-infected...

[Read More] Understanding the Risk of HIV After a Syphilis Diagnosis


Understanding RT-PCR Results and HIV Concerns After Low-Risk Sexual Activity

RT-PCR issues Hello, doctor. I had low-risk sexual activity 16 days ago, and after receiving oral sex, I experienced slight weakness in my legs two days later. Therefore, I went for an RT-PCR test ten days later, and the report came back negative yesterday. The acute symptoms I e...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the likelihood of contracting HIV is very low. If you are concerned, you can take another test in 1-2 months or consider anonymous screening; however, it is likely to still be negative. Therefore, it can be inferred that your symptoms are probabl...

[Read More] Understanding RT-PCR Results and HIV Concerns After Low-Risk Sexual Activity


Understanding Risk Assessment and Symptoms After Potential Exposure

Regarding risk assessment and symptoms? Hello, doctor. At the beginning of May, I had some physical contact with a sex worker. During this interaction, she touched my genitals with her hand, which had a clear liquid on it. We ended with oral sex, but there was no vaginal intercou...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the symptoms of oral thrush and sore throat associated with infections, the response is as follows: A: According to the Centers for Disease Control website: 1. There are three main transmission routes for HIV: (A) Sexual transmission: Engaging in oral, ana...

[Read More] Understanding Risk Assessment and Symptoms After Potential Exposure


Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?

Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...


Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours; b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance tes...

[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?


Understanding Acute HIV Infection Symptoms: What You Need to Know

Symptoms of acute HIV infection? Hello Doctor, here is the sequence of events and my questions: I understand that symptoms alone cannot be used to speculate whether one has contracted HIV. It has not yet been 12 weeks since the exposure, but I feel quite uneasy, so I hope to alle...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding the above, here is the response: A: According to data from the Centers for Disease Control (CDC), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids...

[Read More] Understanding Acute HIV Infection Symptoms: What You Need to Know


Am I Diabetic? Understanding Symptoms and Blood Sugar Levels

Do I have diabetes? I have been experiencing frequent dry mouth and thirst lately, constantly drinking water and urinating, yet I still feel thirsty. I have had similar episodes before, and one morning my fasting blood sugar was as high as 124. I'm not sure if it was related...


Dr. Xiao Yongxun Reply:
Dear Mr. Allen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours. b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...

[Read More] Am I Diabetic? Understanding Symptoms and Blood Sugar Levels


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