Antibiotics, Internal Medicine FAQ - Page 6

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Unexplained Redness and Swelling in the Foot: Seeking Answers

Unexplained redness and swelling of the foot? At the end of the text, there are images. Since there is a lot of text, I will summarize the key points first: From this past Monday (12/18) to yesterday (12/23), I have been taking antibiotics for five days. The wound does not feel s...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the issue of "unexplained redness and swelling in the foot," here is the response: A: 1. You are a very attentive and patient person; it is rare for someone to keep such detailed records of their medical history. 2. The progression of the wound ...

[Read More] Unexplained Redness and Swelling in the Foot: Seeking Answers


Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?

Swollen lymph nodes without cold symptoms? Hello Doctor, two weeks ago, I noticed swelling in the lymph nodes on the right side of my jaw, which is painful when pressed, but I do not have any cold symptoms (no cough, sore throat, nasal congestion, or runny nose). I took antibioti...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Painful swollen lymph nodes are usually associated with local infections, including bacterial and viral infections. Some infections may present with mild symptoms, primarily manifesting as lymphadenopathy. Therefore, if you have swollen and pai...

[Read More] Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?


Understanding Persistent Fever and Cough: Possible HIV Concerns

I have been experiencing intermittent fever for a month? 1. What is the likelihood of contracting HIV in this situation? 2. Do these symptoms resemble those of HIV? I have been monitoring my lymph nodes and oral health, and everything appears normal, except for throat pain caused...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding 1. What is the likelihood of contracting HIV in this situation? A: According to the CDC-Taiwan, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exch...

[Read More] Understanding Persistent Fever and Cough: Possible HIV Concerns


Understanding Syphilis Titers: Can They Decrease Over Time?

Syphilis index Hello doctor, I discovered in September that I was infected with syphilis, with a titer of 1:2. After taking the antibiotics prescribed by the doctor for a month, I returned for a follow-up, and the doctor said the titer remained the same at 1:2, which seems diffic...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Infection with Syphilis...>, the response is as follows: A: 1. The current testing methods for syphilis are RPR/VDRL and TPHA/TPPA. Both tests measure antibodies produced in response to the syphilis pathogen, rather than detecting the pathogen...

[Read More] Understanding Syphilis Titers: Can They Decrease Over Time?


Understanding Staphylococcus Blood Infections: Causes and Treatment Options

Staphylococcus aureus infection in the blood? Hello, my family member was hospitalized due to a car accident, suffering from a mild concussion and some external injuries. However, after three days in the hospital, they started experiencing persistent high fever, and tests reveale...


Dr. Liao Zhongxin Reply:
Dear readers, I. Regarding <The incubation period of Staphylococcus in blood infections>: A: Staphylococcus infections often originate from wounds, and occasionally from the respiratory and urinary tracts. In short, as long as there is an entry point on the body that is ...

[Read More] Understanding Staphylococcus Blood Infections: Causes and Treatment Options


Does Daily Use of Medication Affect HIV Testing Results?

Will this affect the HIV testing? Hello, Doctor: I would like to ask a couple of questions. 1. I have a daily habit of taking "New Bifidobacterium" (or "New Bifidobacteria"). Will this affect HIV screening? 2. Regarding the HIV window period, should it be cons...


Dr. Liao Zhongxin Reply:
Dear readers, I. Regarding <Borborygmi>, the response is as follows: A: Refer to the Lourdes Association website http://www.lourdes.org.tw/list_1.asp?id=2483&menu1=7&menu2=1301. Diarrhea is defined as a more frequent bowel movement than usual, with stools that may...

[Read More] Does Daily Use of Medication Affect HIV Testing Results?


Understanding Enterococcus Infections: Arthritis, Neuropathy, and More

Enterococcus arthritis neuropathy Hello Dr. Liao: I have seen many doctors without improvement in my condition, so I am here to seek your advice regarding my medical history: Last August, I was diagnosed with prostatitis and took broad-spectrum antibiotics, specifically tetracycl...


Dr. Liao Zhongxin Reply:
Dear readers, Recently, there have been reports of an increase in cases of vancomycin-resistant enterococci (VRE) infections in hospitals in Hong Kong. Once infected, treatment can be very challenging, with a mortality rate as high as 30%. This outbreak has quickly garnered publ...

[Read More] Understanding Enterococcus Infections: Arthritis, Neuropathy, and More


Frequent Bacterial Infections: Is It a Sign of Immune System Issues?

Repeated bacterial infections – is it a problem with the immune system? Hello, doctor. In mid-May of this year, I had an acne wound infection that spread inflammation to half of my face within a week. After taking antibiotics for three weeks, I recovered. Shortly after, at the en...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The frequent infections during this period are indeed unusual. It is recommended to consult with an immunologist or a hematologist. The Changhua Hospital of the Ministry of Health and Welfare has an Allergy, Immunology, and Rheumatology Departme...

[Read More] Frequent Bacterial Infections: Is It a Sign of Immune System Issues?


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 Lyme Disease: Symptoms, Diagnosis, and Treatment Insights

Leigh syndrome Hello, Dr. Gao: About a month ago, I started experiencing pain in all my bones, followed by urinary tract infection and conjunctivitis. I have a history of ankylosing spondylitis, but what's strange is that I had a urinary tract infection about 10 months ago. ...


Dr. Gao Jiankai Reply:
Hello Mr. Zhang, thank you for your question. Here are my responses: 1. Although most cases of Lyme disease occur within a month of infection, there are rare instances where it may be related to infections that happened a long time ago. The longer the duration of the infection,...

[Read More] Understanding Lyme Disease: Symptoms, Diagnosis, and Treatment Insights


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


Unexplained Symptoms After Sexual Encounter: Seeking Medical Guidance

I don't know what this disease is. It seems like a rare condition? Hello Dr. Liao, I had sexual intercourse on October 2, 2016, with a male partner. I was the receptive partner, and he suddenly sat on me, which startled me, but there was no penetration. Later, we used a cond...


Dr. Liao Zhongxin Reply:
Dear readers: A. Regarding the response to "the most expensive urology clinic": Frotin, Cefspan, Doxynin, and Azithromycin are all antibiotics, differing in the sexually transmitted pathogens they cover. It is unclear if you have experienced any unusual symptoms after ...

[Read More] Unexplained Symptoms After Sexual Encounter: Seeking Medical Guidance


Understanding Blood-Streaked Nasal Discharge: Symptoms and Concerns

Blood-streaked nasal mucus issue? Hello, doctor. I was hospitalized recently due to a continuous fever for five days, with temperatures above 39 degrees Celsius. I was treated with antibiotics, which helped reduce the fever. The hospital could not determine the cause of the fever...


Dr. Hong Yuanbin Reply:
Hello, I can sense your concern about having cancer. Based on your age and symptoms, it is likely that you are experiencing a respiratory infection, and these symptoms are probably complications of that infection rather than indicative of nasopharyngeal cancer. However, if your s...

[Read More] Understanding Blood-Streaked Nasal Discharge: Symptoms and Concerns


Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes

Fever every afternoon? Hello doctor, I have been experiencing a fever for over a month now, with temperatures gradually rising in the afternoon, ranging from 37.5 to 38.5 degrees Celsius. Two months ago, I had symptoms such as coughing and a runny nose, with occasional fevers aro...


Dr. Liao Zhongxin Reply:
Dear readers, regarding the above issue, here is my response. Hello, doctor. I have been experiencing a fever for over a month, with temperatures gradually rising in the afternoon, ranging between 37.5°C and 38.5°C. Two months ago, I had symptoms of cough and runny nose, with o...

[Read More] Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes


Understanding Urticaria and Thyroid Medication: Key Insights for Patients

Urticaria and Thyroid Medications Hello Doctor: At the end of March, I was diagnosed with hyperthyroidism and started taking methimazole in early April. However, about three weeks into the treatment, I began experiencing widespread itching and hives. The doctor prescribed one ant...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin, Please read the following explanation, primarily based on the recommendations from the U.S. Food and Drug Administration for healthcare professionals in January 2016: Procil® (Propylthiouracil, PTU; 50mg/tablet) primarily works by inhibiting the production of thyro...

[Read More] Understanding Urticaria and Thyroid Medication: Key Insights for Patients


Understanding Hyperthyroidism: Key Questions and Considerations for Patients

Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...

[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients


Understanding Right Kidney Pain: Causes and Concerns for Patients

Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...


Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...

[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients


Low Lymphocyte Count: Could It Indicate HIV Infection?

A low lymphocyte count and a neutrophil count near the upper limit of normal could potentially indicate various conditions, including HIV. However, these findings alone are not definitive for an HIV diagnosis. It is important to consult a healthcare professional for further evalu...


Dr. Liao Zhongxin Reply:
Regarding <My Story>, the response is as follows: 1. I discovered painful urination and purulent discharge in mid-December last year and immediately sought medical attention at a clinic. However, there was no discharge during the examination. The doctor administered an in...

[Read More] Low Lymphocyte Count: Could It Indicate HIV Infection?


Cat Scratch Injury: What Diabetics Need to Know About Infection Risks

Scratched by a stray cat at Dayeh University? Since I have diabetes, I was scratched by a stray cat while feeding it. The wound is small, but what should I pay attention to? Should I get a tetanus shot? I'm a bit worried about the risk of infection or cat scratch fever.


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the concerns about whether a wound may become infected or if there is a risk of cat scratch fever, according to the Centers for Disease Control data: http://www.cdc.gov.tw A. Transmission methods: Most patients (over 90%) have a history of being licked, b...

[Read More] Cat Scratch Injury: What Diabetics Need to Know About Infection Risks


Understanding Oral Candidiasis: Causes, Symptoms, and HIV Concerns

Oral candidiasis Hello, doctor! In the past week or two, I noticed an oval-shaped white membrane on my lips. After scraping it off, I saw a slightly red sore that didn't hurt. Later, I wasn't sure if I bit it or if something else happened, but it turned into a regular u...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "Is it necessary for me to get tested for HIV in my situation?" A: 1. According to the CDC website www.cdc.gov.tw/professional/page.aspx?treeid=7B56E6F932B49B90&nowtreeid=D03CCE3DF521E46A, there are three main routes of HIV tr...

[Read More] Understanding Oral Candidiasis: Causes, Symptoms, and HIV Concerns


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