Understanding Positive IgM in Coagulation Protein Tests: What It Means for Your Health
Cryoglobulin test The presence of cold agglutinins, indicated by a positive IgM (1+), suggests that your body may be producing antibodies that can cause red blood cells to clump together at lower temperatures. This condition can be associated with various underlying issues, inclu...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It is recommended to return to the rheumatology clinic for follow-up, as further examinations may be necessary. The presence of cryoglobulinemia is related to many factors, with hepatitis C being the most common. Even if hepatitis C tests are no...[Read More] Understanding Positive IgM in Coagulation Protein Tests: What It Means for Your Health
Assessing Blood Infection Risks After Accidental Cut in Hospital
Risk of blood infection from being cut by scissors used by a nurse in the hospital? Hello Doctor: A few months ago, my child was hospitalized for pneumonia for 5 days. On the day of discharge, while the nurse was removing the IV bandage, she accidentally cut my child's littl...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main routes of transmission for the Human Immunodeficiency Virus (HIV): 1. Sexual Transmission: Engaging in oral, anal, or vaginal intercourse, or any exchange of bodily fluids with an HIV-infected individual po...[Read More] Assessing Blood Infection Risks After Accidental Cut in Hospital
Could Your Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello doctor, I have been experiencing some soreness in my lower back lately, along with tightness and occasional pain in my left thigh, left knee, and even discomfort in my calf muscles and the soles of my feet. These symptoms seem to come and go. I have ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it is less likely to be ankylosing spondylitis and more indicative of symptoms related to a herniated disc. I recommend consulting a neurosurgeon for confirmation. The Allergy, Immunology, and Rheumatology Department at Changhua Hospit...[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?
Understanding Rheumatoid Factor: Implications for Your Health
Rheumatoid arthritis factor Hello, doctor. I am a patient with ulcerative colitis, and my intestinal mucosa has recovered. Recently, after being diagnosed with COVID-19, I developed skin vasculitis on my calves. I went to the hospital for examination and blood tests, and the vasc...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Although the RF-IgM value is somewhat elevated, it is not significantly high. We generally consider values exceeding four times the upper limit of normal to be more meaningful. Therefore, if you only have the symptoms mentioned in your text, I r...[Read More] Understanding Rheumatoid Factor: Implications for Your Health
Do Other Viruses Affect HIV Test Results? Insights on RT-PCR and Rapid Tests
Will it affect the test results? Hello doctor, I would like to ask if the presence of other viruses in the body, such as COVID-19, monkeypox, dengue fever, and other diseases, can affect the results of RT-PCR or other rapid tests for HIV?
Dr. Liao Zhongxin Reply:
If you receive a positive result for HIV, don't panic! Let's discuss the concept of "false positives" in statistics. Imagine a scenario where you are not part of a high-risk group for HIV and have no specific sexual orientation, but you accidentally get expose...[Read More] Do Other Viruses Affect HIV Test Results? Insights on RT-PCR and Rapid Tests
Understanding Symptoms and Management of Vasculitis: A Patient's Guide
Vasculitis symptoms issues? Doctor, I am the previous patient who inquired about vasculitis. It has been confirmed that my skin condition is not ANCA-related and has improved. However, I am unsure why this afternoon I experienced some abdominal discomfort and lower back pain. Aft...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe the symptoms you described are not specific, but if you are concerned, you can schedule an earlier follow-up appointment for tests. A simple urine test can help determine if there are any issues with your kidneys. The Allergy, Immunolo...[Read More] Understanding Symptoms and Management of Vasculitis: A Patient's Guide
Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Subcutaneous ecchymosis of the calf? Hello, I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. I visited a dermatologist on June 26, where the doctor ordered blood tests including CBC, ESR, Creatinine, AST, ALT, and CRP. Th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have researched that one type of vasculitis is classified as ANCA-associated, which can present with symptoms such as sinusitis. I have been diagnosed recently and occasionally experience yellow nasal discharge tha...[Read More] Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Understanding Finger Joint Pain: Causes, Diagnosis, and Treatment Options
Finger joint pain This year, I suddenly experienced pain in the second joint of my right middle finger, so I went to the hospital to see an orthopedic doctor. After an X-ray, the doctor said there was no issue and prescribed anti-inflammatory medication, but there was no improvem...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It is recommended to follow up with the rheumatology outpatient clinic. Some types of arthritis cannot be diagnosed with just one visit; they require observation over a period of time, and blood tests may need to be repeated if necessary. Additi...[Read More] Understanding Finger Joint Pain: Causes, Diagnosis, and Treatment Options
Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Oral symptoms raising suspicion for HIV? Hello Doctor: Nine weeks ago, I had unprotected sexual intercourse with a sex worker (two minutes of unprotected vaginal intercourse and three minutes of oral sex performed on her). About three weeks later, I experienced unexplained nasal ...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main transmission routes for HIV: (A) Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. (B) Bl...[Read More] Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?
Medical consultation (upon waking up in the morning) Hello Doctor, I am Xiao Wu. My height is 179 cm and my weight is 93 kg. On the morning of June 7th, I woke up at 6 AM and began to feel pain in the liver area (mild pain with breathing and more intense pain when pressed). Howev...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the hospital for an X-ray or abdominal ultrasound examination. Thank you for your message![Read More] Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?
Understanding Joint Pain and Itching: Possible Causes and Solutions
Generalized joint pain and bone itching? Hello Doctor: I have been experiencing joint pain and itching for about ten years. The itching sensation in my bones makes me feel restless, constantly wanting to move or twist them. The joint pain can come on suddenly and last for quite a...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: Question: I would like to ask if this situation is similar to rheumatoid arthritis? Is it possible for my values to decrease? Is the frequent pain in my joints and itching in my bones due to an issue with my immune system...[Read More] Understanding Joint Pain and Itching: Possible Causes and Solutions
Understanding STD Risks After Intimate Encounters: What You Need to Know
Sexually transmitted infections (STIs) transmission Hello Doctor: Recently, I engaged in sexual activities with a sex worker, where we bathed and had intimate contact. We both shaved beforehand, but I am unsure if there were any cuts. During the encounter, the following occurred:...
Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC) in Taiwan (https://www.cdc.gov.tw/Disease/Index), there are three main transmission routes for HIV: A. Sexual Transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with a...[Read More] Understanding STD Risks After Intimate Encounters: What You Need to Know
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Understanding Dry Mouth: Salivary Gland Function and Reactive Arthritis
Sjögren's syndrome and sialography? Hello Doctor, (I forgot to attach the data and there were some missing words, so I am asking again.) My immunologist diagnosed me with possible reactive arthritis. Recently, after hearing that I have dry eye syndrome, the doctor arranged f...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. My doctor told me that my salivary gland function is impaired, likely due to arthritis-related xerostomia, which is different from typical dry mouth. Can reactive arthritis also lead to symptoms of dry mouth? Is it po...[Read More] Understanding Dry Mouth: Salivary Gland Function and Reactive Arthritis
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Concerns About Eating Undercooked Pork: Do You Need Medical Attention?
Eating undercooked pork in barbecue? When eating barbecue, I thought it was beef and consumed it medium-rare, only to later discover it was pork! Doctor, I have two questions: 1. Is it necessary to see an infectious disease specialist for this situation? 2. Is the prevalence of t...
Dr. Liao Zhongxin Reply:
1. According to the information from the Centers for Disease Control in Taiwan, a member of the indigenous community in Hualien County, Peng Zhao-xi, frequently consumed raw wild boar meat. Over a month ago, he developed a hard lump on the inner side of his left thigh. After exam...[Read More] Concerns About Eating Undercooked Pork: Do You Need Medical Attention?
Concerns About Eating Undercooked Pork: Do You Need to See an Infectious Disease Specialist?
Eating undercooked pork in barbecue? When eating barbecue, I thought it was beef and consumed it medium-rare, only to later find out it was pork! Doctor, I have two questions: 1. Is it necessary to see an infectious disease specialist for this situation? 2. Is the prevalence of t...
Dr. Liao Zhongxin Reply:
1. According to the information from the Centers for Disease Control in Taiwan, a member of the indigenous community in Hualien County, Peng Zhaoxi, frequently consumed raw wild boar meat. Over a month ago, he developed a hard lump on the inner side of his left thigh. After exami...[Read More] Concerns About Eating Undercooked Pork: Do You Need to See an Infectious Disease Specialist?
Concerns About Pork Tapeworm Infection After Handling Fresh Pork
Pork tapeworm parasite This morning, I went to the market to buy pork (ground pork). The vendor said the pork was freshly slaughtered. After I brought it home and handled it, I forgot to wash my hands, but I did use alcohol to disinfect them before eating. Is there a risk of para...
Dr. Liao Zhongxin Reply:
No; you can refer to the CDC's information: https://www.cdc.gov.tw/Category/ListContent/AHwuigegBBBmuDcbWkzoGQ?uaid=T0MRJj8KVycdb4ZS6EGu_g. In Hualien County, an indigenous man named Peng Zhaoxi frequently consumed raw wild boar meat. Over a month ago, he developed a hard lu...[Read More] Concerns About Pork Tapeworm Infection After Handling Fresh Pork
Concerns About Pork Tapeworm Infection After Handling Fresh Pork
Pork tapeworm parasite This morning, I went to the market to buy pork (ground pork). The vendor said the pork was freshly slaughtered. After I brought it home and handled it, I forgot to wash my hands, but I did use alcohol to disinfect them before eating. Is there a risk of para...
Dr. Liao Zhongxin Reply:
No; you can refer to the information from the Centers for Disease Control: https://www.cdc.gov.tw/Category/ListContent/AHwuigegBBBmuDcbWkzoGQ?uaid=T0MRJj8KVycdb4ZS6EGu_g. In Hualien County, an indigenous man named Peng Zhaoxi frequently consumed raw wild boar meat. Over a month a...[Read More] Concerns About Pork Tapeworm Infection After Handling Fresh Pork
Understanding Abdominal Pain: Is It Menstrual or Gastrointestinal?
Abdominal distension, abdominal pain? Recently, I visited a clinic due to dull pain in my lower abdomen. The doctor diagnosed it as gastroenteritis, but the next day my menstrual period started, so I suspect that the discomfort might have been related to my menstruation. However,...
Dr. Li Yanquan Reply:
This issue involves both obstetrics and gynecology as well as gastroenterology, so it is recommended to consult both specialists. Dr. Li Yanqian.[Read More] Understanding Abdominal Pain: Is It Menstrual or Gastrointestinal?