Understanding Achilles Tendon Pain: Is It Ankylosing Spondylitis or Posture Issues?
There is soreness in the Achilles tendon? Hello, doctor. When I was about 23 years old, I started experiencing soreness in my Achilles tendon when I first got up in the morning or after sitting for long periods (around 30 minutes). The soreness occurs at the beginning of walking ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Regarding your inquiry, it is quite difficult to provide an immediate diagnosis without a physician examining your heel, assessing your spinal mobility, and inquiring about your clinical symptoms. I recommend that you consult with a specialist ...[Read More] Understanding Achilles Tendon Pain: Is It Ankylosing Spondylitis or Posture Issues?
Understanding Pneumothorax: Symptoms, Causes, and Relation to Asthma
Please provide the content you would like me to translate? Hello, Dr. Hong. Based on my observations of my body, I don't think it's muscle pain because it feels very tight and painful, extending to my back, and it's quite uncomfortable. Sometimes I feel short of br...
Dr. Hong Yuanbin Reply:
Hello, pneumothorax refers to the partial rupture of a lung lobe, causing air to leak into the pleural cavity. It typically presents with sudden, severe pain followed by persistent shortness of breath that does not improve with rest. Small pneumothoraces may resolve on their own,...[Read More] Understanding Pneumothorax: Symptoms, Causes, and Relation to Asthma
Understanding Symptoms: Dizziness, Chest Pain, and Numbness Explained
I would like to ask the doctor? I am currently serving in the military and have recently been experiencing frequent feelings of oxygen deficiency, dizziness, and numbness in my hands. Additionally, I have a tightness in my right chest that radiates to my back, causing discomfort....
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is most likely that you have sustained a strain in the right pectoralis major or shoulder muscle group. Of course, the pneumothorax you are concerned about is also a possibility; however, pneumothorax typically presents with severe pain and sh...[Read More] Understanding Symptoms: Dizziness, Chest Pain, and Numbness Explained
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Frequent urination issues? Hello, Doctor. About a month ago, I was diagnosed with gastritis at a clinic and took medication for two weeks without improvement. I then went to Tzu Chi Hospital for an endoscopy, where the physician confirmed that I only had inflammation and no signi...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you don't have much trouble during the day, although you do wake up several times at night to urinate, and each time the volume is quite large. The most common reason for this could be that you are drinking too much water in th...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained
Is the risk of HIV high? Hello, I would like to ask about an incident that happened yesterday while I was riding my motorcycle at approximately 40 km/h. Suddenly, I felt a sharp pain in my back. I immediately touched the area but didn’t feel anything. Later, a person rode past me...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chance of HIV infection is indeed very low, and there is no need for prophylactic medication. The pain in the skin on your back is usually caused by muscle soreness. If you are concerned, you can have a blood test done in 3 to 6 weeks. Thank ...[Read More] Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained
Could Your Diet and Dehydration Be Causing Kidney Pain?
Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?
Understanding Non-Joint Swelling and Pain in the Index Finger
Swelling of the index finger (non-articular) Hello, I would like to ask about a situation I experienced. Last night, I suddenly had swelling and throbbing pain in the tip of my index finger (not related to the joint), which kept me awake. The next morning, I went to a clinic for ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it would be beneficial to consult with an allergist or rheumatologist to investigate whether it might be recurrent rheumatic disease. I recommend seeking an appointment at any time, rather than waiting for an episode to occur. The Chan...[Read More] Understanding Non-Joint Swelling and Pain in the Index Finger
Understanding Persistent Left Lower Back Pain: Causes and Next Steps
Left flank pain? Hello, doctor. I have been experiencing soreness and pain in my left lower back for a while. Upon visual inspection, I notice a slight protrusion in the left lower back area. I consulted a nephrologist, and both X-rays and urinalysis came back normal, but the pai...
Dr. Wu Jiyu Reply:
If you are experiencing general left flank pain, many individuals often first seek help from a nephrologist. If you have undergone kidney ultrasound, X-rays, and urinalysis, and all results are normal, this indicates that the issue is not related to the kidneys. However, if the p...[Read More] Understanding Persistent Left Lower Back Pain: Causes and Next Steps
Understanding Symptoms: Anxiety vs. Physical Health Concerns
I'm sorry, but the content you provided is not sufficient for Hello, doctor regarding the infection issue from case 108042. I am a resident of Chiayi City who asked a question a few days ago. I have been experiencing a sensation of throat tightness (some discomfort) and occa...
Dr. Hong Yuanbin Reply:
Based on the symptoms you described, they do not appear to be consistent with a true rabies infection. It is advisable to relax and manage stress appropriately. If the same symptoms persist, you may seek assistance from a psychiatrist or psychologist. Wishing you a speedy recover...[Read More] Understanding Symptoms: Anxiety vs. Physical Health Concerns
Understanding Head Pain: Stress or Screen Time?
Head issues This week is exam week, and I've been staying up late for online self-study. Since yesterday, I've been experiencing a dull ache in my forehead and the sides of my occiput behind my ears. The pain is particularly noticeable in the areas behind my ears, where...
Dr. Xie Rongyuan Reply:
Hello: High stress or prolonged computer use can be potential causes. If symptoms improve after resting, that is a good sign. However, if symptoms persist without improvement, it may be necessary to seek medical attention at a hospital. Thank you for your message![Read More] Understanding Head Pain: Stress or Screen Time?
Understanding Persistent Right Upper Abdomen Pain After Exercise
Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...
Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...[Read More] Understanding Persistent Right Upper Abdomen Pain After Exercise
Understanding Left Kidney Pain: When to Seek Further Testing
Percussion of the left kidney causes pain? Hello Doctor: When I tap on the area of my left kidney, it hurts. This has been going on for a long time, so this year I went to the hospital for a kidney ultrasound, blood tests, and urinalysis, but the doctor said everything was fine. ...
Dr. Wu Hongjie Reply:
Dear Sender, The issue of left-sided lower back pain has many potential causes. If the pain radiates down the back to the thighs and calves, it may indicate nerve pain or compression. If it is related to kidney problems, such as stones or infections, it typically remains localiz...[Read More] Understanding Left Kidney Pain: When to Seek Further Testing
Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
The first urine in the morning shows a slight foam that has not dissipated for a long time? Hello Doctor: Recently, I have started to pay attention to the issue of foamy urine, so I have been carefully observing the characteristics of each urination daily. Since I am currently wa...
Dr. Huang Yaoxuan Reply:
Hello Mr. Wang: The presence of bubbles in your urine may indicate proteinuria, but it could also be caused by other substances. Clinically, only proteinuria is known to affect health, so when we encounter bubbly urine, we typically conduct a test for urine protein. Urine protein...[Read More] Understanding Persistent Foamy Urine: Is It a Sign of Proteinuria?
Managing Elevated Uric Acid Levels: When to Start Medication?
Uric acid issues? Hello, doctor. I would like to ask about my uric acid level of 7.6 mg/dL, which is slightly above the standard range of 4.0-7.5. Do I need to start medication for control, or should I wait to recheck it in three months? Occasionally, I experience sudden pain in ...
Dr. Huang Yaoxuan Reply:
Hello: Your uric acid level is slightly elevated at 7.6 mg/dL (normal range is 4.0-7.5 mg/dL; different laboratories may have slightly varying normal ranges, and at my workplace, the normal range is 3.7-7.3 mg/dL). It is only slightly above normal, and you can manage it with diet...[Read More] Managing Elevated Uric Acid Levels: When to Start Medication?
High Creatinine Levels After Dialysis: Causes and Solutions
After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...
Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...[Read More] High Creatinine Levels After Dialysis: Causes and Solutions
Foods to Avoid with Hormonal Imbalance: A Comprehensive Guide
Endocrine disorder Hello, doctor. I would like to ask what other foods should be avoided in addition to fried foods and chocolate for endocrine disorders?
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The endocrine system primarily includes the hypothalamic-pituitary-thyroid axis, the hypothalamic-pituitary-adrenal axis, and the hypothalamic-pituitary-gonadal axis. Each of these axes has its own stimulation and feedback mechanisms. Additionally, the pa...[Read More] Foods to Avoid with Hormonal Imbalance: A Comprehensive Guide
Chronic Headaches: Seeking Relief and Solutions for Persistent Pain
Persistent headache I have been experiencing headaches for over a week, from the moment I wake up until I go to sleep, and the pain is increasing throughout the day. The pain is mostly concentrated in the left temple, radiating to my eyes and the back of my head. A few years ago,...
Dr. Xiao Yongxun Reply:
Dear Ms. Evelyn: 1. Your condition may be classified as a tension-type headache, although there could be other causes as well. Common scenarios include migraines, cluster headaches, ophthalmic disorders, colds, and headaches induced by medications or foods. A physical examinatio...[Read More] Chronic Headaches: Seeking Relief and Solutions for Persistent Pain
Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Endocrine disorder? Doctor, I have acne and pimples on my back and chest, and I also have red bumps and white streaks on my buttocks. Additionally, I have developed body hair on my chest and quite a bit of it, and there are some dark hairs on my cheeks that are not fine hair; the...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you first visit a hospital (not a clinic) to see a dermatologist, and then follow the advice of the dermatologist.[Read More] Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Risk of Bloodborne Diseases from Contact with Dried Blood and Mucous Membranes
Is there a risk of contracting bloodborne diseases after coming into contact with dried blood and then touching mucous membranes? Hello Doctor: Here’s what happened: While heading to class, I randomly chose a seat and initially thought the spots on the desk were just graffiti. Up...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "Can one contract HIV, syphilis, gonorrhea, or hepatitis through contact with dried blood followed by contact with mucous membranes?" A: 1. Generally, blood and bodily fluids lose their infectious capability 15 minutes after leaving...[Read More] Risk of Bloodborne Diseases from Contact with Dried Blood and Mucous Membranes
Understanding Acne on Chest and Back: Hormonal and Skin Concerns
There are acne and pimples on both the back and chest? I have a lot of acne and pimples on my chest and back. I've seen a dermatologist several times and have used medication, but there hasn't been much improvement. People say that high levels of male hormones can cause...
Dr. Zeng Guosen Reply:
Hello, it seems you have quite a few acne and comedones on your chest and back, as well as some stretch marks on both sides of your abdomen. These are all skin symptoms, and I recommend consulting a dermatologist. Thank you for your question.[Read More] Understanding Acne on Chest and Back: Hormonal and Skin Concerns