Understanding Elevated Platelet Counts: Causes and Implications
Thrombocytosis? At the end of January this year, I underwent a health check and found that my platelet count was elevated, with three subsequent tests showing values of 487, 536, and 520. The doctor indicated that the reference range is between 200 and 400. However, the first hos...
Dr. Zeng Guosen Reply:
Hello, most autoimmune diseases cause low platelet counts rather than high. High platelet counts can be classified into: 1. idiopathic, 2. inflammatory diseases, 3. hematologic disorders, 4. medications, and 5. infections. If you have further questions, please consult a hematolog...[Read More] Understanding Elevated Platelet Counts: Causes and Implications
Understanding Quinine Side Effects in Long-Term Use for Arthritis
Quinine side effects? I am a patient with rheumatoid arthritis, with a history of 35 years. In recent years, I have been intermittently taking quinine for a long duration, totaling 8 years. Over the past 2 years, I have noticed darkening of my forehead and chin, hair loss, freque...
Dr. Zeng Guosen Reply:
Hello, quinine can cause hyperpigmentation, leading to darker skin. Aside from discontinuing the medication, there are no effective methods to address this issue. However, it is important to rule out any endocrine, kidney, or liver abnormalities, so please consult a physician for...[Read More] Understanding Quinine Side Effects in Long-Term Use for Arthritis
Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Next Steps
Pain in the four limbs? I have severe pain in my left hand and stiffness, and my toes and the area where my toes connect to my feet are very painful. This has been going on for two months. My mother has rheumatoid arthritis, and I am currently taking pain medication for it, but i...
Dr. Zeng Guosen Reply:
Hello, 1. The diagnosis of rheumatoid arthritis is not solely based on blood tests (rheumatoid factor). About 20-25% of patients with rheumatoid arthritis may have normal blood test results. It is recommended to consult a rheumatologist for evaluation. 2. Rheumatoid arthritis...[Read More] Understanding Rheumatoid Arthritis: Symptoms, Diagnosis, and Next Steps
Understanding Septic Arthritis: Causes, Symptoms, and Care Tips
Septic arthritis Hello, doctor. I would like to ask a question. My father recently injured his knee in a car accident. He had some swelling initially, but after a few days, the injury seemed to heal, so we didn't pay much attention to it. However, starting yesterday, the swe...
Dr. Zheng Shuxing Reply:
Hello, Ms. Chou. Septic arthritis is an infection of the joint cavity caused by pathogens. Typically, after a physician suspects septic arthritis, a joint aspiration procedure is performed. The synovial fluid obtained is then tested and cultured for 2-3 days to confirm the diagno...[Read More] Understanding Septic Arthritis: Causes, Symptoms, and Care Tips
Understanding and Treating Seronegative Spondyloarthritis: Symptoms and Management
How to treat "seronegative spondyloarthritis"? Hello, how is "seronegative spondyloarthritis" treated? What are the symptoms? Is it incurable, and will the condition worsen over time? Thank you!
Dr. Zeng Guosen Reply:
Hello: Seronegative spondyloarthritis is an autoimmune disease that cannot be cured but can be managed. Most cases are well-controlled without significant long-term sequelae. Symptoms include lower back pain, lower limb arthritis, iritis, and some may have mucocutaneous lesions. ...[Read More] Understanding and Treating Seronegative Spondyloarthritis: Symptoms and Management
Understanding Left Back Pain: When to See a Doctor and Which Specialist?
excuse me? Hello doctor, I have a slight pain in the middle of my left back. It doesn't hurt as much when I take a deep breath, but it's difficult to breathe when I sit up straight. I've never experienced this before. Should I see a doctor? If so, which specialty s...
Dr. Zhao Chongliang Reply:
We usually categorize back pain into upper, middle, and lower regions, and I'm not sure which segment you are referring to. Back pain is often considered the "original sin" of bipedalism in humans, as the vertebrae and intervertebral discs of most vertebrate animal...[Read More] Understanding Left Back Pain: When to See a Doctor and Which Specialist?
Understanding Sudden Limb Pain: Causes and Concerns for Left Femur
Frequent episodes of sharp pain in the limbs, especially in the left femoral head? Hello Dr. Zhao, Two years ago, I started experiencing deep, intermittent pain in my limbs that lasts about two to five seconds and occurs several times a day. I am a single parent, and I am very a...
Dr. Zhao Chongliang Reply:
Pain in the femoral head region is uncommon. Since you have seen an orthopedic specialist and likely had X-rays, bone cancer can be ruled out. The intermittent pain lasting two to five seconds is neuropathic pain, not muscular pain, arthritis, fibromyalgia, or muscle spasms assoc...[Read More] Understanding Sudden Limb Pain: Causes and Concerns for Left Femur
Understanding Mild Rheumatism: What It Means for Your Health
What is referred to as mild rheumatism by physicians? Hello Dr. Tseng, I would like to ask a few questions. My mother experienced swelling in her left ankle last November and has been feeling constant soreness, so she went to the hospital for treatment. She saw an orthopedic spec...
Dr. Zeng Guosen Reply:
Hello! 1. Mild rheumatism and rheumatoid arthritis are not the same. Rheumatoid arthritis is a specific disease with its own unique symptoms and diagnostic criteria, while rheumatism is a general term for soreness in the muscles, bones, joints, and ligaments. 2. According to the ...[Read More] Understanding Mild Rheumatism: What It Means for Your Health
Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello: I would like to ask about the pathological mechanism of gout, what medications are used for treatment, and what symptoms it has?
Dr. Ke Zhengchang Reply:
Gout is formed due to prolonged elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joint cavity, which causes acute attacks characterized by redness, swelling, heat, and pain in the joints. Over time, this can result in joint deformities ...[Read More] Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
Managing Lower Back Pain After Kidney Stone and Infection
Low back pain Hello, I had kidney stones 5 years ago. On September 29, 2003, I had an outpatient visit at a hospital in Taipei due to persistent pain in the lower right back. There were no stones found, but there was inflammation and infection. What should I do about this? Thank ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Urinary tract stones can cause lower back pain, hematuria, or associated infections; in severe cases, they can lead to hydronephrosis or renal dysfunction. Therefore, it is advisable to consult a urologist for examination and treatment if ...[Read More] Managing Lower Back Pain After Kidney Stone and Infection
Understanding Joint Aspiration: Is It Gout and What to Expect?
Joint aspiration Doctor... I went to the hospital yesterday to have joint fluid extracted, but they couldn't get any. The swelling in my left foot has not gone down for 2 to 3 months; sometimes it hurts, and sometimes it doesn't. I used to have swelling in my right inde...
Dr. Ke Zhengchang Reply:
1. If the swelling in your left foot has not resolved after 2 to 3 months, it is important to consider the possibility of other underlying issues, including infections or rheumatoid arthritis. Please discuss this further with your physician. 2. With a uric acid level of 12 and ...[Read More] Understanding Joint Aspiration: Is It Gout and What to Expect?
Understanding Pain at the Base of Fingers and Toes: Causes and Concerns
Pain at the base of the finger? Hello, I have some questions to ask you. About four to five years ago, I suddenly experienced redness, swelling, and pain in my heel. Since then, the pain tends to occur before my menstrual cycle. Recently, I've also noticed pain at the base o...
Dr. Zeng Guosen Reply:
Hello! 1. Sudden redness, swelling, and pain in the heel may indicate abnormalities such as gout, seronegative spondyloarthritis, or Achilles tendonitis. If there is accompanying pain in other toes or fingers, it is advisable to consult a rheumatologist for further differential d...[Read More] Understanding Pain at the Base of Fingers and Toes: Causes and Concerns
Understanding Persistent Knee Discomfort: Causes and Treatment Options
Leg fatigue? Doctor: Hello! I would like to ask you a few questions. I am 48 years old, and three years ago, I started feeling soreness in my knees (the kind of feeling as if I had been standing all day). When it is severe, I feel sore in the morning upon waking up; when it is mi...
Dr. Zeng Guosen Reply:
Hello! Knee pain without swelling, heat, or tenderness indicates that arthritis has not yet developed. Vepesid is a nutritional metabolic agent for joint cartilage and is very popular in the United States, primarily used for patients with degenerative joint conditions. You may co...[Read More] Understanding Persistent Knee Discomfort: Causes and Treatment Options
Understanding Unexplained Joint Pain and Swelling: Causes and Solutions
Unexplained and non-specific swelling and pain? Hello, Doctor: I have been troubled by a problem for over six years. I often experience unexplained redness, swelling, and pain in the soles of my feet, toes, knees, or joints in my hands, accompanied by a slight fever and fatigue. ...
Dr. Zheng Shuxing Reply:
Hello! Based on your description, it seems like you may have arthritis. I recommend scheduling an appointment with a rheumatologist. Best wishes for your health from Dr. Cheng Shu-Hsing at Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Unexplained Joint Pain and Swelling: Causes and Solutions
Understanding Your Joint Pain: Gout, Arthritis, or Something Else?
Arthritis or gout or other conditions? I would like to ask the doctor, I have had symptoms similar to gout since high school. It started with the joints in my feet, then moved to my knees, and later to my index finger. Currently, the most common areas of attack are my fingers, kn...
Dr. Ke Zhengchang Reply:
In addition to gout, multiple joint swelling and pain can also be caused by rheumatic diseases, osteoarthritis, and crystalline arthritis. Generally, a comprehensive assessment based on clinical symptoms, blood test results, physical examination, and radiological studies is neces...[Read More] Understanding Your Joint Pain: Gout, Arthritis, or Something Else?
Understanding Medications for Uric Acid, Gout, and Acid Relief
Medication Inquiry Hello: One day, I found some medication names written by a friend, including uric acid, gout, and antacid tablets. I am unsure what symptoms these medications are used for. Could you please help me understand? Thank you!
Dr. Liu Hongxiang Reply:
Elevated uric acid levels in the blood can lead to joint pain known as gout. Therefore, if a medication is labeled for gout, it is intended for the treatment of gouty arthritis and hyperuricemia. Antacids, commonly referred to as stomach medications, are used to address excessive...[Read More] Understanding Medications for Uric Acid, Gout, and Acid Relief
Can Gout Crystals Be Surgically Removed? Understanding Treatment Options
Gout Can gout crystals be surgically removed?
Dr. Liu Hongxiang Reply:
Gout is more prevalent in men, particularly in middle-aged individuals between the ages of 40 and 50, as well as in those who are obese. However, there is currently a trend towards a younger age of onset. Common sites for gout attacks include the big toe, finger joints, elbows, a...[Read More] Can Gout Crystals Be Surgically Removed? Understanding Treatment Options
Understanding the Implications of Borderline Lupus Erythematosus and Management Strategies
Systemic lupus erythematosus (SLE) I have been experiencing some discomfort in my lower back, and after a hospital examination, the doctor mentioned that there seems to be blood in my urine. Upon further review of the test results, the doctor indicated that the findings are on th...
Dr. Zheng Shuxing Reply:
Hello Miss Ya-Chi! Systemic lupus erythematosus is an autoimmune disease that commonly affects young women. There are 11 diagnostic criteria, and a diagnosis is confirmed if 4 or more criteria are met. If fewer than 4 criteria are met, it may be what your physician refers to as &...[Read More] Understanding the Implications of Borderline Lupus Erythematosus and Management Strategies
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) Hello, two years ago I experienced wrist pain and consulted a doctor, suspecting rheumatoid arthritis (I live in Australia). I intermittently took medication and stopped, and one day it suddenly got better. Recently, I have been waking up in the morning...
Dr. Zeng Guosen Reply:
Isolated wrist pain cannot be diagnosed as rheumatoid arthritis (RA). It is important to observe for symptoms such as swelling, pain, and heat in the joints (arthritis), particularly if multiple joints are involved symmetrically in both hands. If morning stiffness in the hand joi...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Managing Osteoarthritis: Exercise Tips and Knee Care Strategies
Arthritis Hello, I have osteoarthritis and have always been afraid to engage in any vigorous exercise, only taking medication when I experience pain. Recently, my knee seems to have worsened. After standing for half an hour, I feel some pain in my knee when going down the stairs....
Dr. Wang Fangli Reply:
Osteoarthritis commonly occurs in adults aged 40 to 50 and older, with some younger patients developing it due to joint injuries. Treatment includes weight loss, physical therapy, and medication. Weight loss can reduce the burden on the knee joints. Daily activities should avoid ...[Read More] Managing Osteoarthritis: Exercise Tips and Knee Care Strategies