Understanding c-ANCA Positivity: Implications for Your Health and Vision
c-ANCA positive Hello, Doctor. Since April of this year, I have experienced two episodes of transient visual disturbances resembling a TIA, where my vision became blurry for a few seconds and then returned to normal, usually around mealtime. Sometimes I also feel dizzy, so I cons...
Dr. Zeng Guosen Reply:
1. C-ANCA positivity is less likely to cause eye problems. 2. C-ANCA positivity is associated with Wegener's granulomatosis (now known as granulomatosis with polyangiitis, GPA), and a series of tests must be conducted for a definitive diagnosis. 3. Whether to initiate me...[Read More] Understanding c-ANCA Positivity: Implications for Your Health and Vision
Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...
Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Understanding Unexplained Proteinuria: Treatment Options and Management
Unexplained proteinuria? Hello, doctor. I do not have any high-risk factors for kidney disease (e.g., hypertension, diabetes, family history...), but I was diagnosed with proteinuria four years ago. Over the past few years, my protein levels have fluctuated between "+3 and n...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, You have reported proteinuria at 3+ for over four years. I am unsure if your physician has discussed the possibility of a kidney biopsy with you to confirm the diagnosis. If it is chronic glomerulonephritis, there are various treatment options available, such as ...[Read More] Understanding Unexplained Proteinuria: Treatment Options and Management
Understanding Chest Pain: Causes, Concerns, and Connections to Back Pain
Chest tightness or chest discomfort? Hello, doctor. Recently, I've suddenly experienced chest tightness and pain over the past few weeks. Sometimes it’s on the left side, sometimes on the right, and the location of the pain varies. It seems to move around. I went to the hosp...
Dr. Hong Yuanbin Reply:
Hello, chest pain is often most concerning for heart disease. The heart is located on the left side of the body, and based on your description, it occasionally radiates to the right side. The symptoms you describe do not strongly resemble typical heart disease, which usually show...[Read More] Understanding Chest Pain: Causes, Concerns, and Connections to Back Pain
Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...
Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...[Read More] Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Blood sugar issues? Hello Doctor, I am 168 cm tall and weigh 57 kg. I had a health check-up at a major hospital in early October this year, where my fasting blood glucose level was 95 mg/dL. Since this value is close to the upper limit of the normal range, I was quite worried abo...
Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. A fasting blood glucose level of 95 mg/dL or 96 mg/dL shows no significant change clinically; in other words, it lacks significant meaning. Based solely on this value, no physician would suggest that it will soon exceed 100 mg/dL. Generally, blood glucose level...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Is Right Lower Back Pain Linked to Kidney Issues?
Is the frequent soreness in the lower right back and right flank related to the kidneys? Hello Doctor: In the past two months, I have frequently felt soreness in my right lower back and right flank, especially after standing for about half an hour, when the discomfort becomes mor...
Dr. Wu Hongjie Reply:
Based on your symptoms, it seems that issues related to the muscles and joints in the lower back are the most likely cause. However, to rule out other problems, I recommend that you visit a hospital for further evaluation. Attached is an article for your reference. Wishing you go...[Read More] Is Right Lower Back Pain Linked to Kidney Issues?
Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Understanding Kidney Cysts: What to Know After Blood in Urine
Renal cysts Hello Doctor, I am inquiring on behalf of my mother. My mother has experienced blood in her urine twice within the past three months (she has had this issue before, but the occurrences were several years apart). Both times she visited a nearby clinic. The first time, ...
Dr. Wu Jiyu Reply:
Based on your question, the small renal cysts (commonly referred to as "water bubbles") are unlikely to be the cause of hematuria. Regular monitoring of kidney function and ultrasound is sufficient. However, regarding the hematuria issue, if there are no symptoms, a fol...[Read More] Understanding Kidney Cysts: What to Know After Blood in Urine
Unexplained Eyelid Swelling and Ear Pain: Possible Causes and Specialist Guidance
Unexplained ear pain and eyelid swelling? Hello Doctor, I have recently noticed that my left eyelid has been swollen and slightly painful upon waking for the past two days (the right eye is normal). Additionally, I have been experiencing intermittent pain near the base of my left...
Dr. Wu Hongjie Reply:
Dear Sender, You have issues with eyelid swelling and intermittent pain at the base of your skull near the ear; these may not be significantly related to the mild pain in your lower left abdomen. For the former, you should consult an otolaryngologist to rule out conditions such ...[Read More] Unexplained Eyelid Swelling and Ear Pain: Possible Causes and Specialist Guidance
Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Is excessive masturbation a concern? Hello doctor, after masturbating last night, I felt a brief pain in my back muscles when stretching. I was worried all night and now I feel a bit fatigued. Could this be a kidney issue, or is it related to excessive masturbation (once a day)? ...
Dr. Wu Hongjie Reply:
Hello: Typically, pain in the kidney area is not located too high. If you are referring to pain that is at the level of the thoracic spine, it may not be related to kidney function issues. To determine if there is an infection, a urine test is recommended, as bubbles in the urine...[Read More] Is Excessive Masturbation Causing My Back Pain and Urine Issues?
Understanding Injection Allergies: Symptoms and What to Do Next
Injection allergy Hello Doctor: Two days ago, I strained my neck and it became swollen and painful, so yesterday I went to a clinic to receive anti-inflammatory injections (one clear and one yellow, administered in the back of my right hand). Shortly after the first injection, I ...
Dr. Xiao Yongxun Reply:
Dear Miss Wang: 1. During a single intravenous injection, it is almost always possible to see some degree of blood return; generally, it is not excessive, and you can simply push the blood back into the syringe. 2. Intravenous injections circulate throughout the body quickly und...[Read More] Understanding Injection Allergies: Symptoms and What to Do Next
Understanding Oral Candidiasis: Causes, Symptoms, and HIV Concerns
Oral candidiasis Hello, doctor! In the past week or two, I noticed an oval-shaped white membrane on my lips. After scraping it off, I saw a slightly red sore that didn't hurt. Later, I wasn't sure if I bit it or if something else happened, but it turned into a regular u...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "Is it necessary for me to get tested for HIV in my situation?" A: 1. According to the CDC website www.cdc.gov.tw/professional/page.aspx?treeid=7B56E6F932B49B90&nowtreeid=D03CCE3DF521E46A, there are three main routes of HIV tr...[Read More] Understanding Oral Candidiasis: Causes, Symptoms, and HIV Concerns
Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Frequent urination issues? Recently, I have been experiencing frequent urges to urinate, but the urine output is very low or even nonexistent. I went to the hospital for a urinalysis, and everything came back normal. However, the frequent urge to urinate has not improved. Could t...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of frequently feeling the urge to urinate but having very little or no urine output, and after testing at the hospital showed normal urine results, is this a case of overactive bladder or related to anxiety? A: 1. If there is a history of s...[Read More] Understanding Frequent Urination: Causes and Solutions for Your Symptoms
Understanding Symptoms After Intimate Encounters: When to Seek Medical Help
This symptom is somewhat severe..? Hello Dr. Liao, on October 10th, I went to a hotel with my girlfriend for the first time. The bathroom was dry, and we took about 40 minutes before using the toilet. That day, I did not have an erection or penetration, but I did use my tongue to...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the question, "I have two areas of broken skin on my foot; could the hotel be the source of infection?" A: If it was oral sex, the wounds on your foot are not related to sexually transmitted infections. Just ensure proper wound care. 2. Con...[Read More] Understanding Symptoms After Intimate Encounters: When to Seek Medical Help
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort
Chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain? Hello Dr. Liao: I am a 40-year-old mother, and I have been troubled by pain for the past few months (some of this pain actually started several years ago), but it has worsened recen...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the issues of "chest tightness, hard lumps under the armpits, muscle pain, neck pain, back pain, and facial pain," I suggest the following: 1. Being a homemaker is a demanding job that often goes unnoticed or unappreciated by family members. It...[Read More] Understanding Chronic Pain: From Lymphadenitis to Muscle Discomfort
Understanding Antiphospholipid Syndrome: Misdiagnosis and Treatment Insights
Antiphospholipid Syndrome About five years ago, I was diagnosed with antiphospholipid syndrome (ANA positive, anticardiolipin antibody positive, elevated inflammatory markers, and significant abnormalities in cerebral blood flow on one side). Since then, I have been continuously ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are the responses: 1. The use of medication will not affect the test results. 2. The results of antiphospholipid antibody tests can fluctuate, and if tested at different hospitals or laboratories, interpretation should be done with caution....[Read More] Understanding Antiphospholipid Syndrome: Misdiagnosis and Treatment Insights
Understanding Hepatitis Window Periods: Should You Worry After Blood Donation?
Screening issues I am worried about being accidentally pricked by a needle from a passerby, but I didn't feel anything and I'm still scared. Although various associations say that even if it happens, it's unlikely to lead to an infection, I still went for testing a...
Dr. Liao Zhongxin Reply:
Dear readers: A: Regarding the issue of the window period for post-exposure recall of hepatitis B and C, I checked with the blood donation center, and the window period for hepatitis B is 30 days and for hepatitis C is 23 days. Should I still be concerned about this? 1. The risk ...[Read More] Understanding Hepatitis Window Periods: Should You Worry After Blood Donation?
Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
In addition to measuring uric acid levels, what other methods can be used to achieve a definitive diagnosis during an acute attack of non-gouty arthritis? Hello Dr. Gao, Due to my work in the United States, I was unable to return to Taiwan for medical treatment. On a day when I...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I will summarize my response as follows: 1. I believe the likelihood of gout is very low, even if you have mild hyperuricemia. Generally, gout attacks are quite severe, with significant redness, swelling, heat, and pain, often preventing indi...[Read More] Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing