Back, Internal Medicine FAQ

Understanding Sudden Red Rashes on the Torso: Causes and Concerns

Sudden rash on the torso? Hello, Dr. Lin. Two nights ago, I noticed some red rashes on my abdomen. When I woke up the next morning, the rashes had increased in number, extending from my abdomen to both sides of my waist and the sides of my chest. There are no rashes on my back, b...

Dr. Lin Wufu Reply:
Hello! There are many possible causes for this type of skin rash, so it's advisable to visit a dermatologist for a more accurate assessment. Generally, allergic rashes tend to be itchy, so if the rash is not itchy, we should consider infections, heat-related issues, or syste...

Understanding Abnormal Blood Test Results: Possible Immune System Disorders

Health Examination Report Hello doctor, last month I visited a rheumatology and immunology specialist due to an unexplained rash on my skin (similar to petechiae). Initially, the doctor suspected it might be an allergy, but they still conducted blood tests. The results showed abn...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Among the antibodies you tested, some are related to Sjögren's syndrome (Ro/La, C3/C4), some are associated with myositis (Jo-1, Ku), and others are more related to lupus erythematosus (ANA, C3/C4). However, we will consider clinical sympto...

Should We Change Medications for Ankylosing Spondylitis Management?

Should the medication be changed? Hello Doctor: My child (born June 2003, currently 18 years and 6 months old) developed ankylosing spondylitis in June 2019 (symptoms only included sacroiliac joint pain, with no morning stiffness). However, he was only diagnosed with ankylosing s...

Dr. Zeng Guosen Reply:
1. At that time, the patient was unable to stabilize their condition with the current medication, so it may be worth trying the new medication recently; if it proves ineffective, we can switch back. 2. It may be worth trying the new medication recently; if it proves ineffective, ...

Managing Chronic Health Issues Before Military Service: A Guide

Pre-enlistment Consultation Hello, doctor. I have been seeing various doctors since middle school. My symptoms include pain around the joints at night, sometimes accompanied by redness and swelling, headaches, dizziness, and low-grade fevers (around 37 to 37.9 degrees Celsius, wh...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend discussing your situation with your attending physician to assess whether you meet the criteria for a change in position. If you do, please ask them to issue a medical certificate, which you can then use to apply for a military re-ex...

Understanding Gout: Duration, Symptoms, and Treatment Insights

Please ask some questions about gout? Hello, Doctor. My mother suddenly has difficulty walking on her right leg, and her right knee is very swollen, hot, and painful, although there are no visible signs of redness. After being hospitalized, it was found that there were bacteria i...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses to your inquiries: 1. Can gout symptoms last this long? I found online that gout usually comes and goes quickly, but my mother's symptoms have persisted for over a month. --> In terms of gout, this duration is ind...

Understanding Kidney Function Tests: Creatinine, BUN, and GFR Explained

Renal function tests: creatinine, blood urea nitrogen (BUN), glomerular filtration rate (GFR)? I have chronic kidney disease stage 3. About 10 days ago, I had a blood test (fasting) with the following results: creatinine 2.0, BUN 31, and glomerular filtration rate (GFR) 40. Today...

Dr. Wu Jiyu Reply:
According to your inquiry, stage 3 chronic kidney disease is defined as a glomerular filtration rate (GFR) between 30 and 59 ml/min/1.73m². The two test results you provided, 40 and 51 ml/min/1.73m², do show a difference, even though both fall within stage 3. Due to the lack of b...

Pentoxifylline for Reducing Creatinine Levels: Efficacy and Duration

Kidney problems Dear Doctor: Is Forflow (Pentoxifylline 400mg) effective in reducing creatinine levels? How long can it be taken continuously?

Dr. Wu Jiyu Reply:
Based on your inquiry, although no background information was provided, Pentoxifylline 400mg can be used in patients with chronic kidney disease. The effects may vary from person to person, and if there are comorbidities such as hypertension, diabetes, or hyperlipidemia, these co...

Understanding Sjögren's Syndrome: Symptoms, Diagnosis, and Management

Sjögren's syndrome is an autoimmune disease? Hello Doctor, I had an appointment in October and experienced symptoms of dryness. I consulted a rheumatologist, and all my blood tests came back normal, but my condition shows tendencies towards lupus erythematosus. However, I ha...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many causes of dry symptoms, and Sjögren's syndrome is just one of them. While blood tests show "lupus-like phenomena," there is no definitive evidence of Sjögren's syndrome. Typically, we recommend follow-up visit...

Understanding Persistent Elevated Body Temperature After Vaccination

Body temperature issues Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (pulling the ear back and inserting the thermometer deeply), which ranges ...

Dr. Hong Yuanbin Reply:
Hello, 1. It is considered slightly elevated, but it does not reach the level of a true fever (38°C). 2. It is recommended to visit the Infectious Diseases outpatient clinic for a detailed fever evaluation. If everything is normal, you can feel more at ease. 3. It is advisable ...

Can Syphilis or STDs Be Transmitted Through Indirect Contact?

Syphilis or sexually transmitted infection (STI) I would like to ask the doctor if it is possible to contract genital warts or syphilis in this situation. I purchased a contouring scissor online, and it was left for three days before I used it. When I opened it, it appeared to ha...

Dr. Hong Yuanbin Reply:
Hello, the cauliflower or syphilis you mentioned is primarily transmitted through sexual intercourse. The speculation you referred to about transmission through contact is unlikely. I suggest not to worry excessively. Thank you for your question.

Understanding Mercury Exposure Risks from Broken Fluorescent Bulbs

Regarding heavy metal mercury? Hello Doctor: On Monday, while I was taking out the trash, I was in a hurry because there was a lot of garbage. As I was walking on the porch, a fluorescent light tube accidentally fell and broke. However, I didn't look back and continued to th...

Dr. Hong Yuanbin Reply:
Hello, since the light tube is not powered, based on your description, the risk of poisoning should be very low. Please do not worry. Thank you for your inquiry.

Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?

Does mild carbon monoxide poisoning have any long-term effects? Hello, doctor. Today there was a fire in the building, and I had to run back and forth from the 1st to the 16th floor to rescue elderly individuals. I spent nearly half an hour inside and inhaled a lot of smoke. Afte...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that you are experiencing carbon monoxide poisoning. Your discomfort is probably due to the effects of inhaling dense smoke. I recommend that you continue to monitor your condition. If you experience chest pain, shortness of breath...

Understanding Thyroid Issues: When to Seek Medical Attention

Thyroid issues Hello Doctor, I recently noticed something moving up and down under my Adam's apple when I swallow while looking in the mirror. After some research, I found out that it is the thyroid gland. I have only seen examinations done while tilting the head back. I can...

Dr. Li Jian Reply:
You can visit a hospital to see an endocrinologist for thyroid function tests and a thyroid ultrasound examination to determine if there are any abnormalities.

Significant Drop in eGFR: Should You Be Concerned About Kidney Health?

The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...

Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...

Understanding Lower Back Pain and Hand Numbness: Causes and Solutions

Lower back pain with hand numbness? Hello, I have been experiencing a dull pain in my left lower back since Tuesday. At night, whether I sleep on my side or on my back, I feel pain, but it is less when I lie on my right side. Additionally, I have mild numbness in my left hand. Wh...

Dr. He Yonghe Reply:
Hello, please go to the internal medicine department for an examination.

Understanding Folliculitis: Is That Red Bump on Your Back a Concern?

Is the redness on the back folliculitis? Hello Doctor, I accidentally discovered a small bump on my back that resembled a pimple while taking a shower, and I accidentally popped it. After class today, I visited a dermatologist who said it was just a common folliculitis and that I...

Dr. Hong Yuanbin Reply:
Hello, based on the image, it does appear to be more like folliculitis rather than a sexually transmitted infection. I recommend using the ointment prescribed by your doctor, so there’s no need to worry. Thank you for your question.

Understanding Increased Urination: Causes and Concerns Explained

Increased urine output concerns? Hello Doctor, I have recently noticed an increase in my urine output. I read online that frequent urination could be a symptom of diabetes or diabetes insipidus, and I am not very familiar with diabetes insipidus, so I would like to ask you: 1) Is...

Dr. Hong Yuanbin Reply:
Hello, 1. Diabetes insipidus can indeed occur in ordinary individuals, but not all cases of excessive urination indicate diabetes insipidus; a thorough examination is necessary for a definitive diagnosis. 2. Testing the osmolarity of blood and urine, as well as evaluating elec...

Can I Use Phenylephrine or LedaMed to Prevent Recurrence of Warts?

After the cauliflower is treated with chemical agents at the hospital and the surface is clean, can it be controlled and prevented using phenolic disinfectants? Hello doctor, I have recently been diagnosed with genital warts. I went to the hospital and received chemical treatment...

Dr. Hong Yuanbin Reply:
Hello, the immune-boosting ointment you mentioned is not effective. It is recommended to closely monitor after applying the medication as advised by your physician. Thank you for your inquiry.

Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More

Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...

Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...

Understanding Throat Issues: Insights on Tonsil Stones and Inflammation

Follow-up on throat issues? Hello Dr. Hong, I consulted you yesterday and today I visited an ENT specialist. The doctor said there was nothing unusual in my nose, just some nasal congestion, and my throat was slightly inflamed. He mentioned that the sensation of something stuck i...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it does seem to align with what your doctor mentioned about having inflammation in the throat along with stones. It is recommended to get plenty of rest and stay hydrated. As for the apple cider vinegar, it appears to be an internet rumor without...

Previous｜Page ｜Next