Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Easily anxious? Hello, doctor. I often feel very anxious, sweat a lot, have a rapid heartbeat, experience diarrhea, and my neck feels a bit swollen. However, after seeing a doctor and having blood tests, everything came back normal, and there is no hyperthyroidism. Why do I still...
Dr. Lin Jianliang Reply:
The symptoms mentioned above are not exclusive to hyperthyroidism. Other diseases may also present similar symptoms. It is also possible that no abnormalities are detected upon examination.[Read More] Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
It seems like your message is incomplete. Could you please provide Hello, Doctor Gao. I am the one who inquired about SLE a week ago. Recently, I have been experiencing low-grade fevers, weakness, loss of appetite, and about ten oral ulcers. I have also noticed a few red spots, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The presence of a rash on the skin, along with mouth ulcers and a mild fever, may indicate disease activity. We do not solely rely on blood test results to assess whether a disease is active; clinical symptoms remain very important. Please sched...[Read More] Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
Understanding Thyroid Issues: When to Follow Up After Abnormal Tests
Thyroid issues Long-term abdominal bloating and back pain led to a visit to the hospital. The patient has an adrenal tumor and underwent various tests, including blood tests, which showed low thyroid hormone levels. The physician scheduled a follow-up blood test and a 24-hour uri...
Dr. Hong Yuanbin Reply:
Hello, the usual diagnostic approach for adrenal tumors involves reviewing CT or MRI reports. If the tumor is malignant, further consideration for surgery or chemotherapy is necessary. If it is benign, it is important to confirm whether it is a functional tumor. Based on your des...[Read More] Understanding Thyroid Issues: When to Follow Up After Abnormal Tests
Understanding HIV Testing and PEP: Key Concerns and Insights
HIV testing issues Hello Doctor, I apologize for bothering you. Last month, I decided to undergo a PEP (Post-Exposure Prophylaxis) medication regimen at the infectious disease department, and I just completed this regimen two weeks ago. In another two weeks, I will return to the ...
Dr. Hong Yuanbin Reply:
Based on your description, the issue seems to be related to "false positives" from the rapid test. Most rapid tests utilize an enzyme-linked immunosorbent assay (ELISA or EIA) method to detect HIV, which has a specific reading time. Accurate results can only be obtained...[Read More] Understanding HIV Testing and PEP: Key Concerns and Insights
Understanding STD Risks: Can You Get Infected from Indirect Contact?
Questions about sexually transmitted diseases? I'm the person who previously had a small abrasion next to the penile frenulum due to masturbation, and I'm concerned about the possibility of contracting HIV, syphilis, or gonorrhea from touching external surfaces like bat...
Dr. Hong Yuanbin Reply:
1. Symptoms may occur, but they are not guaranteed. 2. There is no need to worry. 3 and 4. Symptoms vary from person to person and cannot be generalized. 5 and 6. It depends on the specific situation. 7. There is no residual effect. 8-10. Symptoms vary from person to person and c...[Read More] Understanding STD Risks: Can You Get Infected from Indirect Contact?
Is Your Hunger Before Meals a Sign of Blood Sugar Issues?
Is having frequent hunger pangs related to blood sugar issues? Hello Doctor, I have been experiencing a persistent sensation of muscle hunger, which typically occurs before lunch or dinner. I do not experience symptoms associated with hypoglycemia, such as cold sweats, trembling,...
Dr. Lin Jianliang Reply:
There are many reasons for feelings of hunger, such as having an overly efficient digestive system, which can lead to rapid gastric emptying and increased hunger. Is your diet balanced across three meals? Consuming overly refined foods that lack fiber, protein, and healthy fats c...[Read More] Is Your Hunger Before Meals a Sign of Blood Sugar Issues?
Unexplained Heat on the Right Side of the Face: Causes and Solutions
Unexplained fever on the right side of the face? Hello Doctor: About a year ago, I had a blood test at the hospital, and the needle was inserted in the center of my right arm. It hurt for more than three months before it got better. During that time, the pain radiated from the mi...
Dr. Lin Wufu Reply:
Hello! The relationship between the pain in your right arm and the subsequent symptoms cannot be determined at this time. However, based on what you mentioned, you have: 1. Right ear pain 2. Swelling of the right lymph nodes 3. Nasal discharge running into the right ear 4. Hearin...[Read More] Unexplained Heat on the Right Side of the Face: Causes and Solutions
Understanding Proteinuria: When to Stop Medication After Normal Results
Urinary protein has turned negative, doctor: You can stop the medication now? Hello, Doctor Wu: Over three months ago, during a routine check-up, I was found to have trace proteinuria with results of "PCR 189, uACR 54.8, creatinine 1.1, and urea nitrogen 7." The docto...
Dr. Wu Hongjie Reply:
A single urine test for protein is convenient and sufficiently accurate, but it is often best to use the first morning urine. If you want to accurately determine whether protein in the urine has completely disappeared, you may consider a 24-hour urine protein test. If the result ...[Read More] Understanding Proteinuria: When to Stop Medication After Normal Results
Navigating My Medical Journey: Confusion and Fear Amidst Antibiotic Treatment
What is happening with my medical process? I am filled with confusion and fear? I am currently on antibiotics and waiting for an MRI examination... Let me recount my medical journey from November 23, 2018, to the present... On the 23rd, I developed a corn on my right big toe, so ...
Dr. Liao Zhongxin Reply:
Dear readers, regarding your questions, here are the responses: 1. When bacterial infection is confirmed, why is it not possible to be hospitalized immediately (waiting for 4 days), and even after hospitalization, immediate testing is not available? After nearly 2 weeks of anti...[Read More] Navigating My Medical Journey: Confusion and Fear Amidst Antibiotic Treatment
Managing High Blood Pressure: Tips for Relief and Better Health
Hypertension issues Hello, Doctor: I would like to ask a question that has been bothering me. Whenever my blood pressure spikes to 130-140, I experience headaches at night. As soon as I close my eyes, it feels like I'm on a roller coaster. For the past two years, my head CT,...
Dr. Lin Wuxuan Reply:
Hello: Based on your symptoms, I would recommend that you regularly measure your blood pressure at home in the morning and evening. Additionally, it is advisable to record your response to the antihypertensive medication and inform your physician during your follow-up visit, as t...[Read More] Managing High Blood Pressure: Tips for Relief and Better Health
Differentiating Between Reactive Arthritis and Ankylosing Spondylitis: What You Need to Know
Lauterbach syndrome and ankylosing spondylitis? Hello, Doctor. A few days ago, I visited the rheumatology department at Ma Hospital, and based on the doctor's assessment, I might have ankylosing spondylitis or reactive arthritis. My HLA-B27 test came back positive, and the d...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I apologize for the delayed response due to some internet issues. Here are the brief responses to your questions: 1. Ankylosing spondylitis and reactive arthritis have different clinical and radiographic presentations (X-rays), which can be us...[Read More] Differentiating Between Reactive Arthritis and Ankylosing Spondylitis: What You Need to Know
Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
A blood sugar level of 131 mg/dL does not necessarily indicate diabetes. According to the American Diabetes Association, a fasting blood sugar level of 126 mg/dL or higher is considered diagnostic for diabetes? Hello Dr. Lin, My mother is 83 years old and was diagnosed with Park...
Dr. Lin Wufu Reply:
Hello! According to the current diagnostic criteria, since glycated hemoglobin (HbA1c) reflects the average blood glucose levels over the past three months, a value greater than 6.5% on one occasion is sufficient for a diabetes diagnosis. Of course, considering your mother's...[Read More] Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
Understanding Urticaria and Its Possible Link to Rheumatoid Arthritis
Morning stiffness, urticaria, rheumatoid arthritis? Hello Doctor, last Monday night I accidentally ingested shrimp powder, which caused me to develop hives the next day. At that time, I only went to the pharmacy to buy antihistamines, taking one in the morning and evening on Tues...
Dr. Gao Jiankai Reply:
Hello, Xiaolin. Thank you for your question. I believe your initial concerns are related to urticaria. Some cases of urticaria can have a prolonged duration, starting with widespread symptoms and gradually becoming localized to a few areas, at which point typical urticaria manife...[Read More] Understanding Urticaria and Its Possible Link to Rheumatoid Arthritis
Can You Get HIV from Eye Pressure Tests After an Injured Patient?
Will this lead to an HIV infection? After visiting the ophthalmologist today, I noticed a patient in front of me who had severe eye injuries and hemorrhaging. They were referred from general surgery. After they completed their intraocular pressure measurement, I proceeded to take...
Dr. Hong Yuanbin Reply:
Hello, HIV is primarily transmitted through sexual intercourse or extensive exposure to blood and bodily fluids. The eye pressure examination equipment in ophthalmology does not cause infection. Thank you for your question.[Read More] Can You Get HIV from Eye Pressure Tests After an Injured Patient?
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 Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?
Medical Inquiry Hello Dr. Chen, I am 23 years old and overweight. Recently, I had surgery for folliculitis near my groin, and I noticed that my wound healed slowly. The doctor suspected that I might have diabetes, so I had my hemoglobin A1c tested, which came back at 7.6, confi...
Dr. Chen Jianyu Reply:
1. Illness is dangerous; safety is paramount. Do not be afraid of taking medication; the real concern should be poor management of the condition. 2. If diet and exercise cannot adequately control blood sugar levels, medication must be used for management.[Read More] Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?
Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Frequent urination, dry throat, and feeling cold? Hello: Since last night, I have been experiencing frequent urination (approximately every half hour). Although I feel the urge to urinate, the volume is not significant, and the urine is clear. This morning, I started to feel dryn...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that you have a urinary tract infection. Given the accompanying lower back pain, there is a high possibility of a urinary tract infection combined with acute pyelonephritis. It is recommended to drink plenty of water, rest, and maintain a r...[Read More] Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Endocrine disorder Hello, for the past six months, it seems that I have been experiencing hormonal imbalance. I have been under a lot of stress and suddenly gained 20 kilograms, going from 44 kilograms to 64 kilograms. Previously, I would feel full after eating a little, but now ...
Dr. Lin Jianliang Reply:
Based on your description, if you have already consulted with obstetrics and gynecology, dermatology, and psychosomatic medicine, and after undergoing examinations, it is also recommended to consider seeing an endocrinology and metabolism specialist for further evaluation. Thank ...[Read More] Understanding Hormonal Imbalance: Symptoms, Causes, and Solutions
Understanding Elevated Platelet Levels: Tips for Military Health
Low platelet count? I have reviewed a lot of information regarding platelets, and the standard range is 120-400. My test result came back at 428, which is slightly elevated. How can I improve this? As a soldier, I find it quite important, especially since I am considering applyin...
Dr. Wu Jiyu Reply:
There are many reasons for elevated platelet levels. Even if your levels are only slightly high, it is still recommended to consult a hematologist for further evaluation to clarify the cause. Thank you for your inquiry. The Nephrology Department at Changhua Hospital is concerned ...[Read More] Understanding Elevated Platelet Levels: Tips for Military Health
Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions
Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...
Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...[Read More] Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions