Understanding Fluctuating Body Temperature: Causes and Solutions
Slightly low body temperature? Hello, doctor. Recently, I have noticed that my body temperature fluctuates between feeling hot and cold. After measuring, I found that whenever my body temperature drops to 36.5 degrees Celsius, I feel very uncomfortable, experiencing symptoms such...
Dr. Ke Zhengchang Reply:
Based on your description, it could be hyperthyroidism or another endocrine disorder. It is recommended to schedule an appointment with a metabolic specialist for examination and treatment.[Read More] Understanding Fluctuating Body Temperature: Causes and Solutions
Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained
Symptom consultation Hello Doctor: I have been troubled by acne since puberty. During my student years, I didn't pay much attention to it, and occasionally taking medication worked well, but once I stopped, my face would break out again. Recently, I have been in continuous t...
Dr. Zheng Shuxing Reply:
The causes of acne are mostly related to individual constitution, so it is advisable to consult a dermatologist for improvement. As for the long-term use of tetracycline antibiotics, the side effects may include allergic reactions, dental development abnormalities such as discolo...[Read More] Long-Term Antibiotic Use for Acne: Risks and Alternatives Explained
Could I Have Diabetes? Understanding Symptoms and Concerns
Do I have diabetes? Hello Doctor: Sometimes I forget to flush the toilet after urinating, and after a few hours, I find that the toilet is crawling with ants. Occasionally, I also notice ants crawling on me while I sleep (even after showering). I went to the hospital for blood te...
Dr. Shi Guangzhong Reply:
Dear Yu-Feng: 1. The presence of ants in the toilet does not necessarily indicate diabetes, especially considering your fasting blood glucose level is 101 mg/dL. According to standard criteria, your current situation does not classify as diabetes. Further testing of your postpra...[Read More] Could I Have Diabetes? Understanding Symptoms and Concerns
Essential Dietary Tips for Diabetes Prevention and Management
Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.
Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...[Read More] Essential Dietary Tips for Diabetes Prevention and Management
Understanding Back Pain: Is It Related to Kidney Issues?
Could you please provide more details about the issue of back pain? Hello Doctor, 1. Last night before going to bed, I felt a slight soreness in my right upper back. In the past, I would usually wake up feeling sore, but this time I was suddenly awakened by the pain in my back ...
Dr. Yang Jun Reply:
Hello: In response to your question... Based on the symptoms and examination results you described, the back pain may not be related to kidney disease. It is necessary to seek further evaluation from a rehabilitation or orthopedic specialist to determine if the pain is caused by ...[Read More] Understanding Back Pain: Is It Related to Kidney Issues?
Understanding Hair Loss After Pregnancy: Causes and Treatment Options
Hair loss I have been experiencing hair loss for seven years, which started after giving birth. I have been wearing a wig for seven years. Previously, I took steroids that helped my hair grow back, but after stopping the medication, my hair started to fall out again. Could this i...
Dr. Yang Jun Reply:
Hello: In response to your question... regarding hair loss, it is unrelated to kidney function. You may consult a dermatologist. Keelung Hospital, Department of Health, Executive Yuan. Yang Jun.[Read More] Understanding Hair Loss After Pregnancy: Causes and Treatment Options
Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Unresolved issues? Hello Doctor: I have been experiencing chronic lower back pain and have a history of injury. Recent test results show the following (urinalysis): hematuria reaction is +/- (normal reference is negative), urinary tract inflammation indicator is 1+ (normal refere...
Dr. Tang Jieru Reply:
Hello Ah-Gui: A urine test must be conducted using midstream urine for the results to be of reference value. The determination of whether it is midstream urine is based on the number of epithelial cells present. Your report shows a count of 10-15, which is considered too high, in...[Read More] Understanding Chronic Back Pain: Key Medical Insights and Tests Explained
Understanding and Treating Seronegative Spondyloarthritis: Symptoms and Management
How to treat "seronegative spondyloarthritis"? Hello, how is "seronegative spondyloarthritis" treated? What are the symptoms? Is it incurable, and will the condition worsen over time? Thank you!
Dr. Zeng Guosen Reply:
Hello: Seronegative spondyloarthritis is an autoimmune disease that cannot be cured but can be managed. Most cases are well-controlled without significant long-term sequelae. Symptoms include lower back pain, lower limb arthritis, iritis, and some may have mucocutaneous lesions. ...[Read More] Understanding and Treating Seronegative Spondyloarthritis: Symptoms and Management
Understanding Leg Cramps: Causes and When to Seek Medical Advice
Please help me, doctor? Hello, doctor. Last night while I was sleeping, I moved the blanket with my right foot, and I suddenly felt a sharp pain in the back of my right calf. It felt like something was continuously cramping, which was very uncomfortable. I'm concerned about ...
Dr. Ke Zhengchang Reply:
Hello: There are many causes for calf muscle cramps, including muscle fatigue, deficiencies in potassium and calcium ions, and the use of medications such as diuretics and bronchodilators. It is recommended to follow up with a neurology outpatient clinic for further evaluation an...[Read More] Understanding Leg Cramps: Causes and When to Seek Medical Advice
Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care
Acute pyelonephritis Hello Doctor: At the beginning of the month, I was hospitalized for six days due to an unexplained fever reaching 40 degrees Celsius, diagnosed as "acute pyelonephritis." A few days after discharge, I started experiencing mild nasal discharge, throa...
Dr. Yang Jun Reply:
Hello: In response to your question, you were hospitalized for acute pyelonephritis and after discharge, you must continue taking antibiotics for 10-14 days to ensure complete treatment. During this period, urine screening tests should be conducted to confirm the treatment outcom...[Read More] Understanding Acute Pyelonephritis: Symptoms, Recovery, and Follow-Up Care
Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Is it a kidney stone? An eighteen-year-old girl experienced severe pain on the left side of her lower back starting in the early morning of August 30. She was taken to the emergency department of Taichung Dali Renai Hospital, where she underwent urine tests, blood tests, abdomina...
Dr. Yu Xianneng Reply:
You can visit the urology outpatient clinic for X-ray and ultrasound examinations to check for kidney stones. It is possible that the kidney stones are too small and may pass out of the body on their own.[Read More] Could It Be Kidney Stones? Understanding Symptoms and Diagnosis
Understanding the Dangers of a Compromised Immune System
Autoimmune system (Forwarded from the Director's mailbox) Hello: The body's autoimmune system being compromised can lead to various conditions, such as the development of vitiligo on the skin. What are the potential drawbacks of having a weakened autoimmune system? Than...
Dr. Zeng Guosen Reply:
Hello: Abnormalities in the immune system can lead to dysfunction in every system of the body, such as an increased susceptibility to infections resulting in sepsis, as well as liver and kidney dysfunction, skin erythema, leukoderma, blisters, and itching, among other symptoms. S...[Read More] Understanding the Dangers of a Compromised Immune System
Understanding Your Concerns: HIV Symptoms and Misconceptions
I have been feeling very troubled? Hello, doctor. This has been a concern for me for 8 years: In fifth grade, I saw a campaign about HIV prevention and control. After some time, I got sick, and the doctor said it was a cold, but I was worried it might be symptoms of HIV infection...
Dr. Zheng Shuxing Reply:
Hello: The early symptoms of HIV are difficult to distinguish from other viral infections. It is recommended that you undergo anonymous testing after the window period to determine if you are infected. You can go to one of the ten designated hospitals that offer anonymous testing...[Read More] Understanding Your Concerns: HIV Symptoms and Misconceptions
Understanding Left Back Pain: When to See a Doctor and Which Specialist?
excuse me? Hello doctor, I have a slight pain in the middle of my left back. It doesn't hurt as much when I take a deep breath, but it's difficult to breathe when I sit up straight. I've never experienced this before. Should I see a doctor? If so, which specialty s...
Dr. Zhao Chongliang Reply:
We usually categorize back pain into upper, middle, and lower regions, and I'm not sure which segment you are referring to. Back pain is often considered the "original sin" of bipedalism in humans, as the vertebrae and intervertebral discs of most vertebrate animal...[Read More] Understanding Left Back Pain: When to See a Doctor and Which Specialist?
Understanding Rough Liver Surface: Implications and Next Steps
Rough surface of the liver? I underwent an ultrasound examination which showed a rough liver surface, but my liver function tests were normal. The doctor ordered additional blood tests to check "if my immune system is attacking my liver," but those results also came bac...
Dr. Chen Jingwen Reply:
1. The ultrasound examination shows a rough liver surface, which may indicate the presence of parenchymal liver disease. However, due to the subjective nature of the operator's assessment, this does not necessarily imply a problem. It is essential to consider other laborator...[Read More] Understanding Rough Liver Surface: Implications and Next Steps
Understanding Positive HBsAb Results: What It Means for Your Liver Health
Regarding HBsAb (Hepatitis B surface antibody) Doctor! I have a question! After my health check-up, my Hepatitis B surface antibody (HBsAb) test came back positive. What does HBsAb mean, and does a positive result indicate that I have liver problems? I apologize for taking up you...
Dr. Cai Zonglong Reply:
Hello: HBsAb, which is the antibody for hepatitis B, is protective. Therefore, if your HBsAb is positive, it indicates that although you have had hepatitis B, you have recovered, so there is no need to worry. Sincerely, Dr. Tsai Tsung-Long, Department of Hepatobiliary and Gastroe...[Read More] Understanding Positive HBsAb Results: What It Means for Your Liver Health
Understanding Thyroid Nodules: Risks, Surgery, and Hormonal Impact
Thyroid nodule Hello, Dr. Yang! I would like to ask you: I have discovered a thyroid nodule near my trachea on the right side of my neck for three years. The size of this nodule remained unchanged for the first two years (1x1 cm), but this year it was found to have suddenly incre...
Dr. Yang Hongzhi Reply:
1. Generally, a total thyroidectomy of the right lobe is performed. 2. General anesthesia is typically used. 3. There should be no interrelationship. 4. Most patients with thyroid nodules have normal thyroid function.[Read More] Understanding Thyroid Nodules: Risks, Surgery, and Hormonal Impact
Understanding Left-Sided Headaches and Shoulder Pain: Which Specialist to See?
Headache If you are experiencing pain in the left back of your head along with shoulder pain and persistent discomfort, it is advisable to see a neurologist or a pain management specialist.
Dr. Xie Rongyuan Reply:
If you experience persistent pain in the left posterior region of the head along with shoulder pain, you should first consult an orthopedic or rehabilitation specialist.[Read More] Understanding Left-Sided Headaches and Shoulder Pain: Which Specialist to See?
Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis
Unexplained pain? The area near the spine on the back (close to the shoulder blade), the lower edge of the ribs on the front chest, the thoracic cavity near the armpit, as well as the arms and fingers (especially the ring and little fingers) have been experiencing unexplained pai...
Dr. Zhao Chongliang Reply:
Due to pain near the lower rib cage and around the temples, it does not seem to originate from the spine or joints. If this has been persistent and there is no fever, it may be indicative of myofascial pain syndrome. A common condition is myofascial rheumatism (also known as fibr...[Read More] Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis
Four Years of Discomfort: Seeking Answers for Persistent Symptoms
A problem that has troubled me for four years? Hello Dr. Zheng, I am very grateful for your taking the time to answer my questions. The background of this matter is somewhat lengthy, as I have been troubled by discomfort in my body for a while. I work at an accounting firm, and ...
Dr. Zheng Shuxing Reply:
Hello Mr. Wu, if it has been four years since the incident and all tests have come back normal, you should not be concerned about HIV infection. The window period for HIV antibody testing does not exceed one year. The sensation of warmth in your back is not a symptom of HIV. Earl...[Read More] Four Years of Discomfort: Seeking Answers for Persistent Symptoms