Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms
Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...
Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough investigation is warranted. Generally, hypoglycemia can be categorized int...[Read More] Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms
Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms
Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...
Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough evaluation is necessary. Generally, hypoglycemia can be categorized into f...[Read More] Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms
Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...[Read More] Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
Understanding Hypothyroidism: Should You Take Medication or Seek Further Testing?
Hypothyroidism issues? Hello Doctor, I am currently undergoing infertility treatment, so I need to check if there are any issues with my thyroid. Hospital A tested and found that I have hypothyroidism, with a TSH level of 7.026 (the standard range is 0.35-5.5). They prescribed EL...
Dr. Xiao Yongxun Reply:
Dear Miss Xiao Gua: 1. Personally, I am unsure how to answer your question. 2. I can only tell you that, according to general medical principles, hypothyroidism is characterized by decreased levels of T3 (triiodothyronine), decreased levels of T4 (thyroxine), and increased lev...[Read More] Understanding Hypothyroidism: Should You Take Medication or Seek Further Testing?
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Do You Need Steroids for Vasculitis in Sjögren's Syndrome?
Is steroid medication necessary for vasculitis? Two years ago, I experienced difficulty opening my left eye upon waking, and I was diagnosed with dry eye syndrome. Last year, after a salivary gland biopsy, I was diagnosed with xerostomia, and my white blood cell count dropped to ...
Dr. Zeng Guosen Reply:
Hello, everyone. 1. The diagnosis of Sjögren's syndrome primarily involves testing for positive anti-SSA or anti-SSB antibodies, which are present in only 50-60% of patients. If these tests are negative, a salivary gland biopsy is performed for diagnosis. If the dry syndro...[Read More] Do You Need Steroids for Vasculitis in Sjögren's Syndrome?
Understanding Acute HIV Infection: Symptoms and Diagnosis
Acute HIV infection phase? Hello Doctor, I started feeling unwell around August 29, experiencing fever and fatigue. On August 30, I had blood tests showing a CRP of 7.490 (all other biochemical parameters were normal), WBC of 12,870, Neutrophils 70.8%, Lymphocytes 19.9%, and Mono...
Dr. Liao Zhongxin Reply:
Dear readers: According to the Centers for Disease Control website (http://www.cdc.gov.tw), 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 ...[Read More] Understanding Acute HIV Infection: Symptoms and Diagnosis
Understanding Periodic Low Fever: Possible Causes and Next Steps
Periodic low-grade fever? Hello doctor, recently I've been experiencing slight weakness in my limbs, and my body temperature rises to 37.7 to 37.8 degrees Celsius in the afternoon, during which I feel a bit unwell. However, by the evening, my temperature returns to normal, a...
Dr. Hong Yuanbin Reply:
Hello, the symptoms of tuberculosis are often very atypical, making it difficult to simply distinguish whether it is pulmonary tuberculosis based solely on symptoms. Conditions such as chronic allergies, rheumatic autoimmune diseases, and chronic bronchitis can present similar sy...[Read More] Understanding Periodic Low Fever: Possible Causes and Next Steps
Understanding Low Platelet Counts and Their Implications for Health
Low platelet count? Last month, I went to the hospital and my platelet count was around 50,000. The doctor said that this level wouldn't cause spontaneous bleeding, but recently I've noticed some petechiae and red spots on my legs. Should I be concerned about this? The ...
Dr. Zeng Guosen Reply:
The user has low platelet counts and is experiencing some petechiae and red spots on the legs. It is advisable to seek medical attention from a hematologist. It may be necessary to differentiate whether this is an autoimmune disease through diagnostic evaluation. Thank you for yo...[Read More] Understanding Low Platelet Counts and Their Implications for Health
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 Your Hepatitis B Test Results and Follow-Up Care
Issues with the health examination report? Hello, I was vaccinated when I was young, but it seems that I did not produce antibodies, so I was diagnosed as a carrier of hepatitis B last year. I have been monitored since then, and there have been no significant issues. My doctor ad...
Dr. Xie Rongyuan Reply:
Hello: If you are already a carrier of hepatitis B, receiving the hepatitis B vaccine is no longer meaningful; regular follow-ups every six months are sufficient. Elevated eosinophil levels can have many causes, such as allergic diseases, parasitic infections, autoimmune diseases...[Read More] Understanding Your Hepatitis B Test Results and Follow-Up Care
Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Recovery from renal failure Hello Dr. Wu, in May of this year, I underwent blood tests due to feeling unwell. The first test results showed BUN: in the 120s and Cr: around 5.5 (with no proteinuria present). Two days later, I had another blood test, and the results were BUN: in th...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, if kidney function was normal during the previous year's health check and has suddenly deteriorated this year, the clinical course should primarily be considered as acute kidney injury. However, acute kidney injury can lead to va...[Read More] Understanding Acute Kidney Failure Recovery: Key Insights and Timeline
Breathing Issues, Abdominal Pain, and Insomnia: Seeking Medical Guidance
Difficulty breathing, sensation of a foreign body in the throat, dull pain in the right abdomen, chest tightness, and insomnia? Hello doctor, I have been experiencing long-term sleep deprivation due to staying up late. Since January of last year, I have had difficulty with my exh...
Dr. Xiao Yongxun Reply:
Dear Mr. Tu, 1. Difficulty in breathing and a sensation of a foreign body in the throat may lead clinicians to consider issues related to otolaryngology and thoracic conditions. Pain and discomfort in the right upper abdomen and rib area may raise concerns about liver, gallbladd...[Read More] Breathing Issues, Abdominal Pain, and Insomnia: Seeking Medical Guidance
Understanding Immunological Factors in Miscarriage and Thyroid Issues
Immunological Issues in Miscarriage Hello, Doctor: I would like to ask about pregnancy issues. I have hyperthyroidism and have been on medication for a long time; my T3 and T4 levels are normal. Since I had surgery to remove an empty follicle, I have not been able to conceive, an...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Regarding your inquiry, I will respond as follows: 1. If you have already consulted with an obstetrician-gynecologist and ruled out issues related to reproductive anatomy and hormones, I believe it would be worthwhile to investigate potential...[Read More] Understanding Immunological Factors in Miscarriage and Thyroid Issues
Understanding Fatigue: Causes and Solutions for Persistent Weakness
Generalized weakness? Hello, Dr. Hsiao! I am 19 years old and have a normal sleep schedule of about 8 hours. I wake up feeling well-rested, but after a while, I start to feel fatigued again. Taking a nap in the afternoon helps somewhat, but I still feel tired shortly after. Recen...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. Fatigue is something that almost everyone experiences at some point in their lives, and most diseases can cause fatigue. Typically, fatigue is temporary, self-limiting, and the primary cause can often be identified. Based on the nature of the causes, fati...[Read More] Understanding Fatigue: Causes and Solutions for Persistent Weakness
Pain in Left Foot's Middle Toe: Causes and Treatment Options
The middle toe of the left foot is bent, and there is a pain sensation in the sole of the foot? Hello, doctor. On my way home tonight, I noticed a pain in the front part of my left foot while walking. After getting home and paying closer attention, I found that the pain originate...
Dr. Xiao Yongxun Reply:
1. [Sudden pain in the left third toe, especially painful during dorsiflexion.] Medically speaking, inflammation refers to the presence of redness, swelling, heat, and pain in tissues. Your complaint may indicate some form of inflammation. However, I recommend that you consult yo...[Read More] Pain in Left Foot's Middle Toe: Causes and Treatment Options
Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Blood test The blood test results show four abnormalities: WBC 17.3, EOS 0.5, GLUCOSE 61, and CREA 1.5. Possible causes for these abnormalities could include: 1. **Elevated White Blood Cell Count (WBC 17.3)**: This may indicate an infection, inflammation, stress, or a hematologi...
Dr. Li Zhiyao Reply:
Hello: Diagnosis requires correlation with medical history, clinical symptoms, and physical examination.[Read More] Understanding Abnormal Blood Test Results: WBC, EOS, Glucose, and CREA Levels
Understanding Lupus: Hereditary Risks and Health Check Recommendations
Systemic lupus erythematosus (SLE) I’m sorry to hear about your mother’s passing due to lupus. Lupus, specifically systemic lupus erythematosus (SLE), can have a genetic component, which means there may be an increased risk of developing the condition if a family member has it. I...
Dr. Zeng Guosen Reply:
Hello, internet user: In systemic lupus erythematosus (SLE), only a small number of cases exhibit hereditary patterns, so there is no need to worry. The clinical symptoms of lupus can be quite diverse. Possible symptoms include: fever, fatigue, joint pain or arthritis, facial ras...[Read More] Understanding Lupus: Hereditary Risks and Health Check Recommendations
Understanding Rising Eosinophil Levels: Causes and Concerns
Eosinophils have been increasing year by year? Dr. Liao, I apologize for the interruption. I would like to ask about my health check report from two years ago, which showed an eosinophil count of 7 (greater than 5), and last year it increased to 10. What could be the possible rea...
Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the increase in eosinophils, the possible causes are as follows: A: (1) Parasitic infections (2) Allergies (3) Skin diseases (4) Toxicity (5) Rheumatic autoimmune diseases (6) Endocrine disorders (7) Tumors If you have further questions, plea...[Read More] Understanding Rising Eosinophil Levels: Causes and Concerns