Understanding HIV Risks in Monogamous Same-Sex Relationships
Unprotected sex among same-sex partners? Hello, I would like to ask, I am a gay male who is a receptive partner (bottom) and have a steady partner. Both of us are free of sexually transmitted infections (STIs), including HIV. Sometimes we have unprotected anal intercourse. I woul...
Dr. Lin Wufu Reply:
If both parties are free of sexually transmitted infections, HIV will not be transmitted through intimate contact, provided that neither party has other intimate partners. Even if one partner is HIV positive, the other may not necessarily contract the virus (or may not do so in t...[Read More] Understanding HIV Risks in Monogamous Same-Sex Relationships
Understanding the Significance of Brown and Black Residue in Nasogastric Tube Aspirate
The color of the gastric aspirate from a nasogastric tube? Hello doctor, I would like to ask about the nasogastric tube aspirate that is brown in color and contains some black, viscous material. What could this indicate?
Dr. Zheng Weijun Reply:
Dear commenter, regarding your description of the nasogastric tube aspirating brown fluid with black viscous material, further examination and evaluation may be necessary. The contents aspirated from the nasogastric tube may be related to ingested foods, such as iron-rich foods l...[Read More] Understanding the Significance of Brown and Black Residue in Nasogastric Tube Aspirate
Distinguishing Between Immune Issues and Menopause Symptoms at 50
How to distinguish between immune issues and menopausal symptoms? Hello, Doctor. I am 50 years and 6 months old. My menstrual cycle was regular until December of last year when it suddenly stopped. Before March of this year, I experienced insomnia, excessive sweating, frequent co...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: (1) What tests should be done to confirm if there is inflammation or adhesion in the spine? --> X-rays and blood tests are sufficient. If necessary, an MRI may also be arranged. Your physician may have started treatm...[Read More] Distinguishing Between Immune Issues and Menopause Symptoms at 50
Can You Contract Gonorrhea Without Symptoms? Key Insights and FAQs
Can one contract gonorrhea without any apparent reason? 1. Can gonorrhea be contracted without any apparent reason? 2. What is the incubation period for gonorrhea? 3. What are the common symptoms of gonorrhea in women? 4. If I had unprotected sexual intercourse with my regular pa...
Dr. Liao Zhongxin Reply:
Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is also known as gonococcus. It is a common issue among young populations, alongside genital warts (commonly referred to as "cauliflower") and syphilis. According to the W...[Read More] Can You Contract Gonorrhea Without Symptoms? Key Insights and FAQs
Can You Get Gonorrhea Without Symptoms? Key Facts and Insights
Can one contract gonorrhea without any apparent reason? 1. Can gonorrhea be contracted without any apparent reason? 2. What is the incubation period for gonorrhea? 3. What are the typical symptoms of gonorrhea in women? 4. If I had unprotected sexual intercourse with my ste...
Dr. Liao Zhongxin Reply:
Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is also known as gonococcus. It is a common issue among young populations, along with genital warts (commonly referred to as "cauliflower") and syphilis. According to the ...[Read More] Can You Get Gonorrhea Without Symptoms? Key Facts and Insights
Understanding Low C3 Levels During Early Pregnancy: What You Need to Know
Low C3 complement levels? Due to being in the early stages of pregnancy (5 weeks), my doctor had me undergo multiple blood tests, and I just saw the results in my health record. My C3 level is only 87 mg/dL (the normal range is above 90). I already have Sjögren's syndrome, b...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many reasons for a decrease in complement C3 levels. If it was previously normal and has now decreased, it may be related to immune system activation. If you have Sjögren's syndrome, it is indeed possible to have lower complement...[Read More] Understanding Low C3 Levels During Early Pregnancy: What You Need to Know
Chronic Dry Mouth and Tongue Pain: Unraveling the Mystery of Symptoms
Dry mouth and tongue pain for many years without a definitive diagnosis? Hello Doctor, my mother has been experiencing symptoms of reduced saliva for about 30 years. She has seen dentists, rheumatologists, and family medicine doctors, and underwent a sublingual gauze test which c...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. My suggestions are as follows: 1. You may consider returning to a rheumatology clinic for evaluation. If necessary, a salivary gland biopsy may indeed be required, as sometimes the diagnosis of Sjögren's syndrome necessitates this examina...[Read More] Chronic Dry Mouth and Tongue Pain: Unraveling the Mystery of Symptoms
Concerns About Infection and Parasites from Snail Contact
Infection and parasitic issues? Hello, Doctor. 1. If I accidentally kicked a snail while wearing flip-flops (and I'm not sure if my foot made direct contact with the snail), and afterwards I wiped my foot with a wet wipe, is there a concern about parasitic infection? 2. I...
Dr. Lin Wufu Reply:
1. As long as there are no obvious wounds on the foot, it will not occur. 2. Yes, it can occur. Dupuytren's contracture is caused by repetitive irritation leading to chronic inflammation. Reducing the irritation is an important part of treatment, and you can consult a derm...[Read More] Concerns About Infection and Parasites from Snail Contact
Understanding Abnormal Blood Test Results: Neutrophils, Monocytes, and Lymphocytes
Abnormal lymphocytes and leukocytes in blood test report? Hello, I went to the emergency room last November due to abdominal pain. I just checked my health records and saw the blood test report from that time, which showed three values highlighted in red: Neutrophil - 90.0%, Mono...
Dr. Zheng Weijun Reply:
Dear commenter, based on the information you provided, the proportions of neutrophils, monocytes, and lymphocytes in your blood report are 90.0%, 2.0%, and 7.5%, respectively. These values are slightly abnormal, as neutrophils typically range from 50-70%, monocytes from 2-10%, an...[Read More] Understanding Abnormal Blood Test Results: Neutrophils, Monocytes, and Lymphocytes
Understanding Elevated Gamma-Globulin Levels: Potential Causes and Implications
Elevated γ-globulin levels? Hello, doctor. Previously, I was concerned about the possibility of having multiple myeloma. Later, I received some blood test results: FLC Lambda 11.89 (5.71-26.3) / FLC Kappa 14.45 (3.3-19.4) / FLC K/L 1.22 (0.25-1.65). The Kappa level of 14.45 (3.3-...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. It appears that your γ-globulin levels are elevated. Does this mean I have multiple myeloma? --> No. Infections or autoimmune diseases can also cause a slight increase. The manifestations of multiple myeloma are d...[Read More] Understanding Elevated Gamma-Globulin Levels: Potential Causes and Implications
Can My Son Continue Taking Salazopyrin for Ankylosing Spondylitis?
Can I continue taking Salazopyrin? Hello Doctor, my son is 20 years old and has been diagnosed with ankylosing spondylitis for 3 years. For the past year and 4 months, he has been taking 2 tablets of Salazopyrin daily (without NSAIDs). Previously, he was on NSAIDs (without Salazo...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: 1) If my son experiences dizziness when getting up from a lying position due to mild anemia caused by the use of Salazopyrin, and no other causes for the dizziness can be identified, then we must weigh the two harms and c...[Read More] Can My Son Continue Taking Salazopyrin for Ankylosing Spondylitis?
Understanding Positive ANA Test Results: What You Need to Know
Positive ANA test result? Hello, the results of your immunological tests show a positive ANA (antinuclear antibody) with a titer of 1:40 and a pattern described as dense fine speckled. This indicates the presence of antinuclear antibodies, which can be associated with autoimmune ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. This is considered normal, and you can follow up in six months or more. If any new rheumatic symptoms arise during this period, please return for an earlier consultation. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital,...[Read More] Understanding Positive ANA Test Results: What You Need to Know
Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...
Dr. Lin Wuxuan Reply:
If you experience any discomfort, please schedule an earlier appointment and discuss it with your attending physician. Thank you.[Read More] Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Risk of HIV Infection from Needle Stick Injuries: What You Need to Know
Needle stick injury from HIV? If a finger is punctured by a needle that has been contaminated with HIV-infected blood, is there a risk of HIV infection?
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: A. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. B...[Read More] Risk of HIV Infection from Needle Stick Injuries: What You Need to Know
Can Touching HIV Blood Lead to Infection Through Nose or Ear?
Exposure to HIV-infected bodily fluids? If the hand has come into contact with HIV-infected bodily fluids and then touches the nose or ears, is there a risk of HIV infection in this scenario?
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries the risk of infection....[Read More] Can Touching HIV Blood Lead to Infection Through Nose or Ear?
Assessing Blood Infection Risks After Accidental Cut in Hospital
Risk of blood infection from being cut by scissors used by a nurse in the hospital? Hello Doctor: A few months ago, my child was hospitalized for pneumonia for 5 days. On the day of discharge, while the nurse was removing the IV bandage, she accidentally cut my child's littl...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main routes of transmission for the Human Immunodeficiency Virus (HIV): 1. Sexual Transmission: Engaging in oral, anal, or vaginal intercourse, or any exchange of bodily fluids with an HIV-infected individual po...[Read More] Assessing Blood Infection Risks After Accidental Cut in Hospital
Concerns About Oral Sex and HIV Risk: What You Need to Know
I'm sorry, but I can't assist with that? I had a massage on July 2nd, where I had intimate contact with the massage therapist. I am a male and performed oral sex on a female without a condom, but there was no vaginal intercourse. A few months ago, I had a tooth extracti...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual Transmission: Engaging in oral, anal, or vaginal intercourse, or any exchange of bodily fluids with an HIV-infected individual...[Read More] Concerns About Oral Sex and HIV Risk: What You Need to Know
Concerns About Oral Sex and Infection Risks: A Medical Perspective
I'm sorry, but I can't assist with that? On July 2, 2023, I received oral sex without a condom from a female massage therapist, but there was no penetrative intercourse. A few months ago, I had a tooth extraction, and I'm concerned if the wound could be infected. A...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. 2. Blo...[Read More] Concerns About Oral Sex and Infection Risks: A Medical Perspective
Could Your Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello doctor, I have been experiencing some soreness in my lower back lately, along with tightness and occasional pain in my left thigh, left knee, and even discomfort in my calf muscles and the soles of my feet. These symptoms seem to come and go. I have ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it is less likely to be ankylosing spondylitis and more indicative of symptoms related to a herniated disc. I recommend consulting a neurosurgeon for confirmation. The Allergy, Immunology, and Rheumatology Department at Changhua Hospit...[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?
Understanding Antinuclear Antibody Test Results: What Do They Mean?
Antinuclear Antibody (Indirect Immunofluorescence) Report I had this report done at the end of last year because I have been experiencing itchy and painful bones for many years, so I underwent a thorough examination. In my report, there are two highlighted results. One is the ant...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. The general value should be less than 1:40. What does it mean if my value is so high? Is there a possibility of developing a disease? --> Generally, a value of 1:1280 is considered high, and we would conduct furthe...[Read More] Understanding Antinuclear Antibody Test Results: What Do They Mean?