Arthritis, Internal Medicine FAQ - Page 12

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Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options

Vasculitis Hello, Doctor: Two years ago, I started experiencing redness, swelling, and warmth in my knees, sometimes in my feet, toes, and heels, and occasionally in my fingers. Most of the symptoms are located around the joints and typically resolve on their own within 2-3 days ...


Dr. Zeng Guosen Reply:
I will start with the second question. Based on the symptoms described by the internet user, it is neither vasculitis nor gout; it is likely recurrent rheumatism, also known as migratory rheumatism or paroxysmal rheumatism. Clinically, it is referred to as "3" arthritis...

[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options


Can I Jog with Joint Pain? Understanding Degenerative Arthritis and Exercise

Can I jog? Hello, I have experienced inflammation and pain in several joints, such as my shoulders, which often hurt the day after lifting heavy objects. I have also had pain in my cervical and lumbar spine. If I engage in intense running, I inevitably experience severe knee pain...


Dr. Wang Zhihui Reply:
Regarding this issue, Dr. Wang Zhi-hui from the Internal Medicine Department stated that it may not be his area of expertise and that he needs to consult with an orthopedic physician to provide an answer. We apologize for the delay in response. The Director of Orthopedics at Pi...

[Read More] Can I Jog with Joint Pain? Understanding Degenerative Arthritis and Exercise


Is It Lupus? Understanding ANA and Blood Test Results

Is it systemic lupus erythematosus? ANA 640X, WBC 3300, Eosinophils 6%, Lymphocytes 45%, Hct 37.1%, Albumin 4.64 g/dL, Globulin 3.22 g/dL, A/G Ratio 1.44, GOT and GPT normal, total bilirubin 0.96 (slightly elevated). Is this indicative of systemic lupus erythematosus?


Dr. Zeng Guosen Reply:
ANA 1:640X, WBC: 3300, with other results within normal limits. Based on the information provided in your letter, it cannot be directly confirmed as systemic lupus erythematosus (SLE). The diagnosis of SLE requires meeting at least four out of eleven clinical criteria for a defin...

[Read More] Is It Lupus? Understanding ANA and Blood Test Results


Do I Have Gout? Understanding Diagnosis and Medication Options

Do I really have gout? Should I take these medications? Dear Doctor, I have a condition of elevated uric acid levels (it reached 10.2 two years ago, 8.7 three months ago, and currently 8.8). My blood pressure fluctuates between normal and slightly high (not frequently monitored)...


Dr. Liu Hongxiang Reply:
Gout is caused by the deposition of uric acid crystals in the joints, leading to acute arthritis, and the higher the uric acid levels, the greater the likelihood of developing gout. Symptoms typically manifest as swelling, redness, heat, and pain in a single joint. The first two ...

[Read More] Do I Have Gout? Understanding Diagnosis and Medication Options


Long-Term Medication Side Effects for High Uric Acid Levels?

What are the side effects of long-term medication for hyperuricemia? Hello, I would like to ask a few questions. My father is seventy-two years old and has been experiencing severe uric acid issues over the past year or two, which has led to arthritis and mobility difficulties. H...


Dr. Guo Conghuai Reply:
Hello Ms. Li: Your father has elevated uric acid levels and hypertension, which can easily lead to urate nephropathy. Therefore, both uric acid and blood pressure need to be strictly controlled to prevent or delay the onset of this condition. Certain sedatives or sleeping medicat...

[Read More] Long-Term Medication Side Effects for High Uric Acid Levels?


Understanding Persistent Sleepiness: Possible Causes and Concerns

Somnolence Hello Dr. Tseng: I would like to ask about my condition. From May 11 to May 13, I experienced prolonged drowsiness and fatigue. The week prior, I had persistent swelling in my legs and elevated uric acid levels, for which I have been taking medication to manage. I have...


Dr. Zeng Guosen Reply:
1. There are many causes for drowsiness and lethargy, which can be psychological or physiological. Physiological causes include medications, infections, organ dysfunction (heart, lungs, kidneys, liver, endocrine), electrolyte imbalances, and abnormalities in blood glucose levels,...

[Read More] Understanding Persistent Sleepiness: Possible Causes and Concerns


Long-Term Effects of Glucosamine and MSM on Joint Health

Arthritis Medications and Health 1. I have recently been taking Glucosamine 1000mg and Chondroitin 800mg daily for osteoarthritis. Although these dosages are within the safe range, I am concerned about whether long-term use could negatively affect my digestive and metabolic syste...


Dr. Li Huixiong Reply:
Basically, glucosamine and chondroitin are classified as dietary supplements, and there are rarely reported side effects in clinical use; the medication manuals do not mention any. As for MSM, it is unclear what it is; you may want to consult the physician who prescribed it to yo...

[Read More] Long-Term Effects of Glucosamine and MSM on Joint Health


Understanding Sjögren's Syndrome: Causes, Symptoms, and Treatments

Sjögren's syndrome The English term for 謝格連氏症 is Sjögren's syndrome. Patients can develop this condition due to an autoimmune response, where the immune system mistakenly attacks the body's own moisture-producing glands, leading to symptoms such as dry mouth and dr...


Dr. Zheng Hongyi Reply:
Hello, I am Dr. Cheng. Regarding your question, the full name of Sjögren's syndrome is Sjögren's syndrome. This condition is not caused by an infection; it is a chronic autoimmune disorder characterized by abnormal immune system activity. It leads to lymphocytic infiltr...

[Read More] Understanding Sjögren's Syndrome: Causes, Symptoms, and Treatments


How to Differentiate Recurrent Rheumatic Conditions: A Patient's Guide

How can recurrent rheumatic fever be distinguished? Hello Doctor: I have the following questions I would like to ask you! I have been experiencing aching pain in my joints, particularly in my hands and feet, during rainy days and before weather changes, and it has been progressiv...


Dr. Ke Zhengchang Reply:
Hello Doris: There are many causes of arthritis in young women. In addition to gout and rheumatoid arthritis, I recommend that you visit an orthopedic specialist for further examination and treatment. New anti-inflammatory pain relievers are effective and less likely to cause gas...

[Read More] How to Differentiate Recurrent Rheumatic Conditions: A Patient's Guide


Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options

What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...


Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...

[Read More] Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options


Understanding Uric Acid Levels: Diet and Gout Risk Factors Explained

Uric acid My husband had a blood test a few days ago, and the report showed his uric acid level is 7.0 (with the normal upper limit being 7.0). I would like to ask: 1. Does he need further testing, or can we manage this with dietary control (he enjoys eating meat and barbecued fo...


Dr. Yang Guojun Reply:
Gout has arrived with winter, and many people eagerly anticipate the snowfall, hoping to go to the mountains to enjoy the snow and build snowmen. However, some individuals worry that their painful old ailment, "gout," may strike again. Regardless of social status, the i...

[Read More] Understanding Uric Acid Levels: Diet and Gout Risk Factors Explained


Managing Knee Pain in Stroke Survivors: A Guide for Seniors

Stroke The grandmother is 80 years old and had a stroke at the age of 75, but has since recovered. Recently, she has been experiencing knee pain. What should be done?


Dr. Ke Zhengchang Reply:
Hello Miss Lo: Your grandmother is suspected to have degenerative arthritis. Please visit the orthopedic department for examination and treatment.

[Read More] Managing Knee Pain in Stroke Survivors: A Guide for Seniors


Understanding AMIA, ANA, and Their Significance in Immune System Health

Immune system AMIA stands for Antimitochondrial Antibodies, which are often associated with autoimmune diseases, particularly primary biliary cholangitis. A titer of 53 indicates the concentration of these antibodies in the blood, with higher values suggesting a stronger autoim...


Dr. Zeng Fenyu Reply:
1. AMIN is the abbreviation for the examination of thyroid function-related microsomal antibodies, formally known as Anti-Microsomal Antibody. 2. ANA (Anti-Nuclear Antibody) is a test item related to autoimmune diseases, and the testing methods vary. In our hospital's test...

[Read More] Understanding AMIA, ANA, and Their Significance in Immune System Health


Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart

Dietary Management of Hyperuricemia In the past two months, my uric acid levels have been elevated (reaching a maximum of 17), and they are currently at 8.5. However, I suffer from degenerative arthritis, which causes me significant pain. I am currently undergoing treatment and w...


Dr. Zeng Fenyu Reply:
Due to space limitations, we are unable to provide a detailed summary. We recommend that you obtain a low-purine diet educational pamphlet from the hospital or consult a nutritionist for further guidance.

[Read More] Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart


Understanding ECG Results: Insights for Patients with Heart Concerns

Electrocardiogram (ECG or EKG) A patient with juvenile rheumatoid arthritis has a 23-year medical history, standing at 147 cm tall and weighing approximately 30 kg. For over 30 years, the patient has occasionally experienced wheezing, and multiple physicians have noted the presen...


Dr. Li Huixiong Reply:
1. A chest X-ray typically does not reveal cardiac enlargement or ischemic changes; however, it can show whether there is cardiac enlargement. Additionally, we can assess for myocardial hypoxia or ventricular hypertrophy through an electrocardiogram (ECG). 2. Regarding discomfort...

[Read More] Understanding ECG Results: Insights for Patients with Heart Concerns


Patient Rights in Healthcare: Accessing Medical Records and Treatment

Patient Rights in Healthcare My father recently sought consultation at the gastroenterology department due to black stools. After the physician arranged for an endoscopy, it was confirmed that he had gastrointestinal bleeding and a duodenal ulcer. He was advised to be hospitalize...


Dr. Yang Guojun Reply:
Dr. Yang Guojun responded: The principle of medication under the National Health Insurance is based on the patient's condition. You can take a copy of your report to another hospital or general clinic to obtain the medication. Losec is typically only necessary for a duration...

[Read More] Patient Rights in Healthcare: Accessing Medical Records and Treatment


Understanding Breathing Difficulties in Rheumatoid Arthritis Patients

Could you please provide more context or specify what aspect of breathing you would like to know about? The family member has been suffering from rheumatoid arthritis for 23 years and occasionally experiences shortness of breath and wheezing (feeling fatigued while breathing). Ge...


Dr. Li Huixiong Reply:
The statements you provided are fragmented and lack specificity, making it difficult to identify the issue at hand. I suggest that your family undergo some basic examinations, which may help uncover some clues. For example, a chest X-ray and an electrocardiogram (ECG) could be be...

[Read More] Understanding Breathing Difficulties in Rheumatoid Arthritis Patients


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