Arthritis, Internal Medicine FAQ - Page 9

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Understanding Overlap Syndrome and Exogenous Asthma in Clinical Practice

Regarding overlap syndrome and exogenous asthma? Hello, Doctor Gao. I have been experiencing joint pain and low white blood cell counts for a long time. However, since these symptoms fluctuate between severe and mild, and I usually feel better after taking painkillers and resting...


Dr. Gao Jiankai Reply:
Hello, in clinical practice, it is quite rare for patients to meet the diagnostic criteria for both rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), especially since the pathogenic mechanisms of RA and SLE differ significantly. Therefore, co-occurrence of these t...

[Read More] Understanding Overlap Syndrome and Exogenous Asthma in Clinical Practice


Understanding X-ray Discrepancies in Sacroiliitis Diagnosis

Regarding the X-ray issues related to sacroiliitis, please continue with your questions? First, I would like to thank the doctor for the response. As the doctor mentioned, serum tests are only a reference. I am more concerned about the X-ray findings. Although inflammation may no...


Dr. Gao Jiankai Reply:
Hello Mr. Lu, thank you for your question. The sacroiliac joint appears irregular on X-rays, making it challenging to determine the presence of arthritis, as there can be discrepancies in grading. As for which hospital's X-ray results are more reliable, there are many influe...

[Read More] Understanding X-ray Discrepancies in Sacroiliitis Diagnosis


Understanding Joint Pain: Insights on Juvenile Spondyloarthritis

Joint pain issues Hello, doctor. I just learned about this website today and looked into the content regarding juvenile ankylosing spondylitis. I feel that some aspects resonate with my experience, and I hope you can provide me with some guidance. When I was in the third year o...


Dr. Zeng Guosen Reply:
Hello, based on your description, if you are experiencing joint pain along with swelling in the affected joint, it indicates the presence of a rheumatic disease. Sciatica or bone spurs would not typically cause joint swelling and pain. I recommend that you visit a nearby rheumato...

[Read More] Understanding Joint Pain: Insights on Juvenile Spondyloarthritis


Understanding the Link Between Rheumatoid Arthritis and Cancer Risk

Rheumatoid arthritis and cancer? 1. What is the relationship between rheumatoid arthritis (RA) and cancer? It is said that RA patients have a higher risk of developing cancer. 2. Some RA patients develop cancer; why is that? Is it influenced by their medical history, disease prog...


Dr. Gao Jiankai Reply:
Hello, 1. The risk of developing cancer seems to be higher in patients with rheumatoid arthritis (RA), particularly for cancers such as lymphoma, which should be monitored during RA follow-up. 2. The evidence linking RA medications to cancer is still unclear. It is currently ...

[Read More] Understanding the Link Between Rheumatoid Arthritis and Cancer Risk


Identifying Cold Symptoms: Treatment Options and Medication Guide

What type of cold is it? How should it be treated and what medications should be used? Hello doctor, I would like to ask: I have received the flu vaccine and I have rheumatoid arthritis. On the first day, I experienced a sore throat, discomfort, fever, headache, nasal discomfort,...


Dr. Liao Zhongxin Reply:
Dear readers: 1. The currently administered influenza vaccine includes three components: A-type influenza (H1N1, H3N2) and B-type influenza. The reference virus components for the vaccine are based on the recommendations from the World Health Organization (WHO). 2. Since the ...

[Read More] Identifying Cold Symptoms: Treatment Options and Medication Guide


Understanding Prednisolone Use for Gout: Dosage, Safety, and Alternatives

Prednisolone My father (85 years old) has gout and visited an orthopedic doctor who prescribed him prednisolone (2 tablets in the morning and 2 tablets in the evening, each 5 mg). He has been taking it for over a month, and I recently found out that it is a corticosteroid. Is thi...


Dr. Li Zhiyao Reply:
Hello: The main anti-inflammatory and analgesic medications used to treat acute gouty arthritis include three types: nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, and corticosteroids. The choice among these medications should depend on whether the patient has any con...

[Read More] Understanding Prednisolone Use for Gout: Dosage, Safety, and Alternatives


Does Not Fasting Affect the Accuracy of Health Checkup Results?

Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...


Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...

[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?


Does Rheumatoid Arthritis and Lupus Worsen Over Time?

Is the condition worsening or stable? Does rheumatoid arthritis and systemic lupus erythematosus affect the central nervous system (brain), and do the clinical manifestations worsen over time? Does the condition deteriorate or remain stable as time progresses? Thank you, doctor.


Dr. Gao Jiankai Reply:
Hello, the central nervous system lesions associated with lupus erythematosus are quite complex, and the symptoms can be varied and unusual, making it difficult to determine the prognosis in a few words; a thorough examination of the manifestations is necessary for a definitive d...

[Read More] Does Rheumatoid Arthritis and Lupus Worsen Over Time?


Understanding Swollen Fingertips: Gout and Treatment Options

Swelling at the fingertip of the index finger? Dear Doctor: My father has symptoms of gout, and the swelling at the tip of his right index finger has persisted for one to two years. When he experiences gout symptoms, injections or medications can alleviate the symptoms, but the s...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. If gouty arthritis occurs multiple times, it is recommended to regularly take urate-lowering medication; otherwise, continuous use of pain relief injections may lead to gastrointestinal or kidney issues. Additionally, prolonged gout can result i...

[Read More] Understanding Swollen Fingertips: Gout and Treatment Options


Understanding White Lesions on the Tongue: Causes and Concerns

Tongue The white objects on both sides at the back of the tongue, each measuring 1x2.5 cm and having some thickness that does not resolve, could be indicative of several conditions. It is advisable to consult a healthcare professional for an accurate diagnosis. Possible causes ma...


Dr. Xiao Yongxun Reply:
Hello, here is the response to your question: There are many different manifestations of tongue diseases. In addition to diseases of the oral mucosa and the tongue itself, systemic diseases (such as anemia, rheumatoid arthritis, tumors, endocrine disorders, amyloidosis, etc.) can...

[Read More] Understanding White Lesions on the Tongue: Causes and Concerns


Could I Have Ankylosing Spondylitis? Understanding Symptoms and Self-Diagnosis

Is it possible to have ankylosing spondylitis? Hello doctor, recently I have experienced occasional heel pain after sitting for long periods (about over an hour). I previously consulted a neurologist, and X-rays revealed osteophyte formation at the L4 and L5 vertebrae, resulting ...


Dr. Gao Jiankai Reply:
Hello, ankylosing spondylitis often presents with chronic back pain, especially when the pain lasts for more than three months. This should be taken seriously. If the symptoms are only short-term, there is no need for excessive concern; however, if the symptoms recur or become pe...

[Read More] Could I Have Ankylosing Spondylitis? Understanding Symptoms and Self-Diagnosis


Choosing Between Glucosamine Hydrochloride and Sulfate for Kidney Health

The renal function of the coccyx? For individuals with impaired kidney function and osteoarthritis, it is more suitable to take glucosamine sulfate rather than glucosamine hydrochloride.


Dr. Wang Weijie Reply:
Mr. Chen: Hello, currently there is no literature indicating that taking glucose hydrochloride or glucose sulfate is superior. Patients with impaired kidney function should avoid excessive intake. Wishing you peace and health. Sincerely, Dr. Wang Wei-Jie, Director of Nephrology, ...

[Read More] Choosing Between Glucosamine Hydrochloride and Sulfate for Kidney Health


Morning Finger Stiffness: Causes and Solutions for Cold Weather

Waking up in the morning with stiff fingers? For the past year, I have often experienced stiffness in my fingers when getting up in the morning during winter, making it difficult to bend them. The colder the weather, the more likely this occurs.


Dr. Zeng Guosen Reply:
Hello, internet user: Morning finger stiffness may be due to joint degeneration or inflammation (such as rheumatoid arthritis), tendonitis, neuropathy, or circulatory issues, as well as edema and other conditions. It is difficult to make a judgment based on your description, so I...

[Read More] Morning Finger Stiffness: Causes and Solutions for Cold Weather


Understanding High Uric Acid Levels: Causes and Management Tips

Hello, Dr. Hsiao? Hello Dr. Hsiao, I have a habit of donating blood, and the blood donation center also checks some health parameters for us. One of these is the uric acid level, which is 7.1. It shows that the normal range for males is 3.5 to 7.2! It is clearly close to being ...


Dr. Xiao Yongxun Reply:
Hello: In response to your question regarding serum uric acid levels, hyperuricemia is defined as a level greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. The deposition of monosodium urate crystals in joint synovial fluid or other tissues leads to symptoms know...

[Read More] Understanding High Uric Acid Levels: Causes and Management Tips


Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants

Recurrent colds Hello doctor, I am currently taking steroids and immunosuppressants, but for the past two weeks, I have been experiencing continuous colds, tonsillitis, headaches, and a tight feeling in my chest. I feel chest pain when lying flat, and I become short of breath aft...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, the diseases treated with corticosteroids and immunosuppressants are generally autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis. If not well controlled, these conditions can also attack the lungs, leading to lung...

[Read More] Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants


Managing High Uric Acid Levels: Dietary Changes vs. Medication

Hyperuricemia Hello, doctor. I learned from my health check report at school that my uric acid level is high at 10.2. How can I prevent this? Additionally, my MCV is also low at about 77.2. Regarding the uric acid, I believe it may be due to genetic factors. Should I consider med...


Dr. Ke Zhengchang Reply:
Hello: Elevated uric acid levels in the blood can be influenced by genetic factors as well as dietary habits, such as the consumption of high-purine foods like organ meats, seafood, meat broth, hot pot, alcohol, mushrooms, and legumes, all of which can increase uric acid levels. ...

[Read More] Managing High Uric Acid Levels: Dietary Changes vs. Medication


Understanding Prolonged Fever: When to Seek Medical Attention

Fever for one week? Fever for a week, with daily temperatures exceeding 38 degrees Celsius, except for one day. On the fourth day of the fever, I was examined in the infectious disease department of the hospital, where my WBC was 4400, CRP was 0.4, and platelet count was 298,000....


Dr. Qiu Zhengbin Reply:
Hello: Based on your description, there is a significant chance of a viral infection, and other possibilities such as tuberculosis or autoimmune diseases cannot be ruled out. If the fever persists, I recommend that you return to the hospital's infectious disease department f...

[Read More] Understanding Prolonged Fever: When to Seek Medical Attention


Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?

Finger joint soreness and numbness? Hello Doctor: I have a history of gout for about 10 years, and I haven't had an acute attack for over 6 years. This month, my blood test showed a uric acid level of 8.6. I would like to ask about an incident from early last year when I sud...


Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing do not appear to be acute gout, but chronic gout cannot be ruled out. It is recommended that you visit a hospital for further examination. The sudden sensation of numbness and tingling in the joint of your right little finger and palm, alo...

[Read More] Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?


Can Glucosamine Supplements Help with Knee Joint Degeneration?

excuse me? Hello, Doctor. I would like to ask about my mother, who has mild diabetes and has been on medication for long-term control. However, she is experiencing knee joint degeneration. A friend suggested that she take liquid glucosamine supplements (such as Nuliv or Haoguli)....


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Glucosamine is converted in the body into glycoproteins and glycosaminoglycans; it is believed to enhance the synthesis of proteoglycans within cartilage, thereby improving the progression of osteoarthritis. Adverse reactions are limited...

[Read More] Can Glucosamine Supplements Help with Knee Joint Degeneration?


Caring for Rheumatoid Arthritis: Daily Tips for Better Management

Care for Rheumatoid Arthritis Dear Doctor, My friend has rheumatoid arthritis and has been receiving treatment and medication at the hospital for some time. They would like to better understand the information regarding daily care. What should they pay attention to in their dail...


Dr. Zeng Guosen Reply:
Hello, internet user: Rheumatoid arthritis is a chronic inflammatory disease, and it is recommended to seek care from a rheumatologist. In addition to necessary medications, diet, exercise, and support from family and friends are very important. A Mediterranean diet rich in fresh...

[Read More] Caring for Rheumatoid Arthritis: Daily Tips for Better Management


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