Frequent Dizziness and Unsteadiness: When to Seek Medical Attention
Dizziness and unsteadiness? Hello, Doctor. I would like to ask about my condition. Over the past few weeks, I have been experiencing frequent dizziness. It started with pain in the back of my head, followed by dizziness and instability when standing. I often feel like I'm go...
Dr. Xie Rongyuan Reply:
Hello: If you frequently experience dizziness, it is important to seek medical attention to determine the underlying cause. Thank you for your message![Read More] Frequent Dizziness and Unsteadiness: When to Seek Medical Attention
Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
The relationship between inflammatory markers and adhesions? Hello, Doctor. I have ankylosing spondylitis. Before treatment, I experienced pain in my buttocks and lower back. For the past year, I have been consistently taking 2 tablets of Celebrex daily, and my CRP levels have be...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) My current index is normal, and I hardly feel any pain in my buttocks. However, I do experience some discomfort in my lower back when leaning back, but it is minimal and does not significantly affect my daily life. Can...[Read More] Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
Understanding the Efficacy of Anti-Inflammatory Pain Medications
The efficacy of anti-inflammatory and analgesic medications? Hello Dr. Tseng, I have ankylosing spondylitis, primarily experiencing pain in my buttocks (sacroiliac joint) and lower back (at the level of my navel). I have been taking Voltaren and Celebrex for three months each. Wh...
Dr. Zeng Guosen Reply:
Each medication has its own effects and can cause different reactions in individuals. It is not recommended to use different anti-inflammatory and analgesic medications simultaneously, as this may increase the risk of side effects. It is advisable to adjust other pain relievers t...[Read More] Understanding the Efficacy of Anti-Inflammatory Pain Medications
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or could they be a side effect of taking Celebrex? Hello Dr. Zeng, I am a patient with ankylosing spondylitis and have been experiencing symptoms for 2 years. In the first year, I mainly took anti-infl...
Dr. Zeng Guosen Reply:
Is it true that the side effects of Seroquel need to be differentiated? If back pain is a side effect, it will not cause permanent harm to the body. It is recommended to follow up with the attending physician for evaluation.[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
The relationship between inflammatory indices and adhesions? Hello, Doctor. I have ankylosing spondylitis. Before treatment, I experienced pain in my buttocks and lower back. For the past year, I have been taking two tablets of Celebrex daily, and my CRP levels have been maintain...
Dr. Zeng Guosen Reply:
The likelihood of spinal adhesions is related to various factors, including inflammation levels, smoking, previous adhesions, obesity, and more. Of course, if there is no pain and inflammation levels are normal, the chances of developing adhesions in the lower back are reduced. E...[Read More] Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis
Understanding Occipital Pain: Symptoms, Causes, and When to Seek Help
Pain in the back of the head? In the past two to three weeks, I've been feeling that my head is different from usual. Normally, it feels light, but recently it feels like there's something in my head, a sort of foggy sensation. When I'm focused on a task, it's...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the likelihood of a confirmed diagnosis is indeed higher. It is recommended that you first perform a rapid test. If the result is positive, make sure to rest adequately; you should gradually recover. If the result is negative, it may indicate ano...[Read More] Understanding Occipital Pain: Symptoms, Causes, and When to Seek Help
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or they might be a side effect of taking Celebrex? Hello, Doctor. I am a patient with ankylosing spondylitis, and I have been experiencing symptoms for two years. During the first year, I primarily too...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: 1) Starting from the second month after taking Salazopyrin, I developed new symptoms of back pain. However, I have not experienced any rashes, fever, jaundice, pallor, diarrhea, headaches, vomiting, or any other physical ...[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Lower back pain? Lower back pain, numbness in hands, slight pinkish blood when wiping after urination, sometimes present and sometimes absent, generalized abdominal pain without a specific location, occasional decreased urine output which may be due to hot weather and sweating, d...
Dr. Lin Wufu Reply:
Hello, urinary tract infection should be ruled out first, as it can cause hematuria and abdominal pain. If there is also kidney inflammation, it may lead to lower back pain. It is recommended to consult an infectious disease specialist or a urologist for a urine test and further ...[Read More] Understanding Lower Back Pain and Related Symptoms: A Comprehensive Guide
Understanding Reactive Arthritis: Symptoms, Diagnosis, and Treatment Options
Leigh syndrome Hello Doctor, I have normal blood test results, but my symptoms have led my physician to suspect reactive arthritis. I would like to ask you the following questions: 1. My first symptom was pain in the Achilles tendon at the heel, which appears normal externally. ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. My first symptom is pain in the Achilles tendon at the calcaneus, which appears normal externally. However, after sitting for a long time, I experience brief pain when I stand up and walk, which subsides after walking ...[Read More] Understanding Reactive Arthritis: Symptoms, Diagnosis, and Treatment Options
Why Side Sleeping Causes Abdominal Pain: Causes and Solutions
Unable to sleep on one's side? Hello Doctor: When I sleep on my side for a while and then turn back to a supine position, I experience significant abdominal pain. It feels as if my gastrointestinal tract has sagged due to side sleeping, and the sudden return to a supine posi...
Dr. Hong Yuanbin Reply:
Hello, theoretically, diseases of the intra-abdominal organs should not cause the phenomena you described. It is possible that poor side sleeping posture has led to a strain. I recommend applying heat to the painful area or using anti-inflammatory ointment. If there is no improve...[Read More] Why Side Sleeping Causes Abdominal Pain: Causes and Solutions
Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Exercise, fatigue, heart problems? Dear Doctor, For the past few months, I have been feeling more fatigued than usual. I feel weak when standing and cannot walk for long periods. Additionally, my exercise capacity has decreased significantly; I often experience an inexplicable ...
Dr. Hong Yuanbin Reply:
Based on your description, it is possible that the issue may be due to physiological or psychological factors. I recommend starting with a visit to a family medicine specialist to check your basic health status, such as whether you have anemia or if your endocrine system is funct...[Read More] Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Understanding the Effectiveness of Anti-Inflammatory Pain Medications
Regarding the effects of anti-inflammatory and analgesic medications? Hello, Doctor Gao. I have ankylosing spondylitis, primarily experiencing pain in my buttocks (sacroiliac joint) and lower back (at the level of my navel). I have been taking Voltaren and Celebrex for three mont...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Can the same anti-inflammatory pain reliever (such as Naproxen) effectively treat sacroiliac joint pain but not lower back pain? Or can Celecoxib effectively treat lower back pain but not sacroiliac joint pain? -->...[Read More] Understanding the Effectiveness of Anti-Inflammatory Pain Medications
Understanding Umbilical Inflammation: Symptoms, Causes, and Next Steps
Umbilical inflammation Hello, my belly button has been inflamed since early January this year. I have taken antibiotics for two months but have not recovered; I still have pus daily, although the amount is gradually decreasing. The dermatologist mentioned that there is a cyst ins...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed very unlikely for the cyst to become malignant. If the symptoms persist, you may consider consulting an infectious disease specialist or a general surgeon for further evaluation. A CT scan or surgery may be necessary. Thank you for y...[Read More] Understanding Umbilical Inflammation: Symptoms, Causes, and Next Steps
Understanding the Importance of Follow-Up Testing After Negative Rapid Combo Tests
Rapid Test Combo Fourth Generation I went to the clinic for a rapid test using the Abbott fourth-generation combo antigen and antibody test. I have been in the window period for one month, and it has been six weeks since the incident. The result came back negative, but the nurse ...
Dr. Liao Zhongxin Reply:
1. The most important factor is whether there has been any unsafe sexual behavior or sharing of needles, rather than focusing on how long one should be monitored. 2. Of course, fourth-generation combination tests are quite accurate, and most results will be negative after six mon...[Read More] Understanding the Importance of Follow-Up Testing After Negative Rapid Combo Tests
Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Gastrointestinal issues Hello Doctor, I would like to ask about something that happened to me yesterday. Before going to bed, I suddenly felt bloated in my stomach. I managed to fall asleep, but I woke up in the middle of the night feeling uncomfortable and had to have a bowel mo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be acute gastroenteritis. As for whether it is caused by norovirus, testing may be needed to confirm. However, the management typically involves a bland diet, plenty of rest, and increased fluid intake, which should lead to gradual im...[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Understanding the Causes of Painless Red Spots on Skin
Small red spots appear on the skin? Since the beginning of the year, I have been experiencing painless and itchless small red spots under the skin (which disappear when pressed). Blood tests for platelet count and liver function (including tests for sexually transmitted diseases)...
Dr. Zeng Guosen Reply:
It is recommended to visit a dermatologist. If blood tests are normal and there is no diagnosis, a biopsy may be considered for further differential diagnosis. Thank you.[Read More] Understanding the Causes of Painless Red Spots on Skin
Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Is it better to take medication or to receive a biologic treatment? Hello Doctor, my son is 20 years old and has been diagnosed with ankylosing spondylitis for 3.5 years. It took 1.5 years after the onset of symptoms to confirm the diagnosis and begin formal treatment. The overvi...
Dr. Zeng Guosen Reply:
The general principle is that traditional oral medications are the first-line treatment. If the condition is stable, the use of biologics is not recommended. It may be worth considering a reduction in medication and monitoring the situation. Biologics are also a type of medicatio...[Read More] Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Recovery from Marine Vibrio Infection After Fish Sting: A Patient's Journey
I am currently abroad and would like to inquire about the recovery situation for Vibrio parahaemolyticus infections? Hello Doctor, I am currently in Oman (as of February 15). On February 11 at 3 PM, while diving to catch fish, I accidentally got stung on the back of my hand by a ...
Dr. Hong Yuanbin Reply:
Hello, the antibiotic you were prescribed is a first-generation antibiotic for general cellulitis. However, based on your images, it does appear to have improved. As for the pain or pigmentation changes, these are likely residual symptoms of cellulitis. Please be cautious and che...[Read More] Recovery from Marine Vibrio Infection After Fish Sting: A Patient's Journey
Concerns About Health Risks from Using a Public Toilet
Will I get any diseases? Hello, doctor. I am a male. Yesterday, I had a sudden urge to defecate and rushed into the restroom. The toilet was a seated type, and I noticed there seemed to be urine from the previous user in the bowl. Because I was in a hurry, I didn't flush bef...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned should not lead to any special infections. Thank you for your inquiry.[Read More] Concerns About Health Risks from Using a Public Toilet
Understanding Elevated Mono Levels: When to Seek Medical Advice
Abnormal blood test results? Hello Doctor, I had a blood test a few days ago and found that my Mono level is 11.4, which is above the normal range, while other parameters are normal. I would like to ask what this might indicate and which specialty I should consult? Background: ...
Dr. Hong Yuanbin Reply:
Hello, MONO (mononuclear cells) levels may fluctuate due to physical conditions, disease factors, or medications. However, since subsequent values are gradually returning to normal, it is likely in the recovery phase. It is recommended to continue monitoring the indices, and if a...[Read More] Understanding Elevated Mono Levels: When to Seek Medical Advice