Understanding Syphilis Treatment: When to Seek Further Medical Attention
Syphilis-related issues? Hello, I would like to ask about my situation. I was diagnosed with syphilis on April 28 and went to the hospital on April 29 to receive a shot of Benzathine Penicillin. I am occasionally worried about its effectiveness; the rash has diminished, but there...
Dr. Hong Yuanbin Reply:
Hello, regarding the syphilis blood test, the serological response is usually slower, and it typically takes 3 to 6 months for the blood test to more accurately determine whether the treatment has been successful. Immediate blood testing may have limited usefulness. As for your d...[Read More] Understanding Syphilis Treatment: When to Seek Further Medical Attention
Understanding Allergic Rhinitis: Is It Just Allergies or Immune Issues?
Health issues I have a history of allergic rhinitis and have mostly consulted with an otolaryngologist. I also have a history of acute tonsillitis, sinusitis, bronchitis, and upper respiratory infections. I feel that these conditions are the main reasons for my frequent medical v...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Symptoms of upper respiratory tract issues, including rhinitis, can have various causes beyond allergies, such as sensitivity to temperature. The medications used are quite similar, which may not give you a distinct feeling. My suggestions are:...[Read More] Understanding Allergic Rhinitis: Is It Just Allergies or Immune Issues?
Understanding Scalp Folliculitis: Is It a Sign of HIV or Other Conditions?
I would like to inquire about persistent folliculitis on the scalp? I have had scalp inflammation for at least six months. I researched possible symptoms of HIV online, and it seems that folliculitis is a common complication. A few months ago, I had blood tests done at a local me...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Scalp folliculitis can occur in the general population as well. However, if you are concerned about HIV, it is advisable to get tested directly rather than inferring the possibility of HIV based on related symptoms. Severe HIV can lead to vario...[Read More] Understanding Scalp Folliculitis: Is It a Sign of HIV or Other Conditions?
Understanding Fever Symptoms: When to Seek Medical Attention
Fever symptoms Hello Dr. Hong: I started experiencing chills and high fever ranging from 38.5 to 40.1 degrees Celsius on February 14. Therefore, I went to the outpatient department for hospitalization on February 17, where I underwent the following tests: blood tests (including c...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed difficult to determine the cause of the fever of unknown origin. There are a few points to consider: First, rheumatological and immunological issues may be a concern, which is likely why your physician has suspected this and prescr...[Read More] Understanding Fever Symptoms: When to Seek Medical Attention
Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Renal hemorrhagic atrophy? Hello, doctor. I was injured in a car accident at the end of July last year, which affected my left kidney and caused bleeding. The hematoma was approximately 10 cm at that time. I underwent two CT scans in the emergency room (one without contrast and o...
Dr. Wu Jiyu Reply:
1. The current estimated glomerular filtration rate (eGFR) is calculated based on serum creatinine levels. When eGFR is above 60, even a slight change in creatinine can lead to differences in eGFR, so regular follow-up is recommended. 2. Hematomas have the potential to decrease ...[Read More] Understanding Kidney Injury: Insights on Hematoma, Function, and Recovery
Managing Thyroid Nodules: When to Pause Medication for Gastrointestinal Issues
Thyroid nodule During a physical examination, a thyroid ultrasound revealed a 1.8 cm nodule on the right side and a 0.4 cm nodule on the left side. A fine needle aspiration biopsy indicated that the nodules are cysts (fluid-filled). The physician has prescribed Eltroxin (levothyr...
Dr. Li Jian Reply:
You may consider having a blood test in advance to check for thyroid antibodies. If thyroid antibodies are present, it is advisable to discontinue medication. As for whether the use of thyroid hormone can inhibit the enlargement of thyroid cysts/nodules, this remains uncertain.[Read More] Managing Thyroid Nodules: When to Pause Medication for Gastrointestinal Issues
Understanding Autoimmune Disorders in Children: Symptoms and Testing
Autoimmunity Hello Doctor, in October 2019, my son (7 years old) was infected with influenza type B. Later, he developed some red spots on his hands, and when we went to the hospital for a blood test, the emergency doctor said everything was normal, with a platelet count of 180,0...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. It is indeed possible for children to develop skin rashes and abnormal blood test results due to viral infections, and if these symptoms resolve quickly or the test results return to normal, there is usually no need for concern. However, blood t...[Read More] Understanding Autoimmune Disorders in Children: Symptoms and Testing
Understanding Recovery from HPV: Insights on Symptoms and Follow-Up Care
Inquiry about disease-related issues? Dr. Hong, I apologize for bothering you. My brother, who is five years older than me, confided in me two years ago that he had genital warts, but he was too afraid to tell our parents (I was still in high school at the time). Based on my unde...
Dr. Hong Yuanbin Reply:
The recurrence of genital warts is primarily determined by the presence of any lesions on the surface of the genital area, rather than relying on blood tests. Based on your description, it seems that your relative has not experienced any further symptoms in the genital area, whic...[Read More] Understanding Recovery from HPV: Insights on Symptoms and Follow-Up Care
Understanding Thyroid Issues: Should You Get Further Testing?
Thyroid issues Recently, I had a blood test for my thyroid due to issues with hand tremors, and my TSH level came back slightly low. Do I need to get further testing? I have been experiencing persistent low-grade fever, fatigue, insomnia, irritability, reduced menstrual flow, and...
Dr. Lin Jianliang Reply:
Hello: Further related tests for the thyroid gland can be conducted.[Read More] Understanding Thyroid Issues: Should You Get Further Testing?
Normal Thyroid Levels but Still Experiencing Hair Loss: Possible Causes and Solutions
Thyroid indices are normal, yet hair loss persists? Hello, doctor. Last year, I experienced sudden and abnormal hair loss and was diagnosed with hyperthyroidism. I have been managing the symptoms with medication, and my lab results have been normal during follow-up visits. Howeve...
Dr. Lin Jianliang Reply:
There are many factors that contribute to hair loss. Depending on your situation, you may want to consider thyroid medications and conditions unrelated to the thyroid. Certain thyroid medications may potentially lead to hair loss. As for conditions outside of the thyroid, there a...[Read More] Normal Thyroid Levels but Still Experiencing Hair Loss: Possible Causes and Solutions
Understanding Persistent Low-Grade Fever and Throat Symptoms
Temperature issues Hello Doctor, I started experiencing a sore throat on December 20th of last year and sought treatment. After finishing the first course of medication, my symptoms changed to a scratchy throat and coughing. I continued to return for follow-up visits and received...
Dr. Hong Yuanbin Reply:
Hello, your body temperature is indeed slightly elevated, especially if it frequently exceeds 37.5°C. It is important to pay attention to this; if there are no specific symptoms of infection, it may be necessary to consider atypical infections or other factors such as rheumatolog...[Read More] Understanding Persistent Low-Grade Fever and Throat Symptoms
Can Symptoms of Hypothyroidism from Hyperthyroidism Treatment Return to Normal?
Can symptoms of hypothyroidism that occur during the treatment of hyperthyroidism return to normal? I have had hyperthyroidism for over ten years, during which I did not actively seek treatment and did not restrict my diet, resulting in consistently high levels (TSH undetectable,...
Dr. Li Jian Reply:
It is important to lower thyroid antibodies, as this can reduce the risk of developing heart disease or osteoporosis in the future. As for symptoms such as difficulty concentrating and poor mental clarity, a consultation with a neurologist may be advisable.[Read More] Can Symptoms of Hypothyroidism from Hyperthyroidism Treatment Return to Normal?
Understanding Testicular Pain: Diagnosis and Treatment Options
Abdominal issues? On December 8, I visited a clinic in Tainan due to left testicular pain. The doctor prescribed medication, but after three days of taking it, there was no improvement. On December 12, during a follow-up visit, I asked the doctor if it could be a varicocele. The ...
Dr. Lin Wuxuan Reply:
Hello: Based on your description, your abdominal symptoms seem to be more indicative of gastrointestinal motility disorders. It is recommended that you visit a gastroenterology specialist for further evaluation. Additionally, regarding your inquiry about whether surgery for varic...[Read More] Understanding Testicular Pain: Diagnosis and Treatment Options
Managing Hair Loss During Hyperthyroidism Treatment: Causes and Solutions
Hyperthyroidism issues? I have hyperthyroidism and have been on medication for about six months. My blood test results are currently normal. I take 2 tablets of Inderal and half a tablet of Carbizo daily, but my hair continues to fall out. I would like to ask the doctor if these ...
Dr. Li Jian Reply:
Typically, hair loss will improve after the thyroid antibodies return to normal. If hair loss persists, please consult a dermatologist.[Read More] Managing Hair Loss During Hyperthyroidism Treatment: Causes and Solutions
Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?
Abdominal pain lasting over three months, accompanied by swelling and pain in the left upper chest and axilla, as well as soreness in the middle and ring fingers of the hands? Hello, doctor. About four months ago, I started experiencing pain in my left upper abdomen, which feels ...
Dr. Zeng Guosen Reply:
Hello, based on your description of left upper abdominal pain that feels like pressure when eating, along with swelling and pain under the left chest and armpit, it is advisable to consult a gastroenterologist. Currently, you are experiencing soreness in your hands, specifically ...[Read More] Recurring Left Upper Abdominal Pain and Associated Symptoms: What to Do?
Understanding Uncommon Hand Conditions: Symptoms and Solutions
Hand problems My older sister has a red patch with dots on her finger that hurts when touched, and it has been present for some time. She recently visited a doctor at Pingtung Hospital, who mentioned it was the first time seeing such a case. The doctor conducted various allergy t...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Generally speaking, painful nodules are less likely to be related to allergies and are more likely associated with rheumatic or autoimmune diseases. If the patient's attending physician is a rheumatologist, it is advisable to return for a f...[Read More] Understanding Uncommon Hand Conditions: Symptoms and Solutions
Understanding Low Platelet Count: Effects of Menstruation and Dietary Solutions
Slightly low platelet count? During menstruation, I underwent a health check, and the results showed a platelet count of 134. I would like to know if menstruation can affect platelet levels. Can a low platelet count be improved through diet or exercise? Thank you.
Dr. Lin Wufu Reply:
Hello, during menstruation, continuous bleeding may cause fluctuations in platelet counts. If there is a significant difference compared to previous health check-up platelet values, it is recommended to schedule a follow-up blood test with a family medicine or general internal me...[Read More] Understanding Low Platelet Count: Effects of Menstruation and Dietary Solutions
Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Abnormal blood test results? The most recent blood test report from my check-up shows a fasting blood glucose level of 101, which is slightly above the normal range, but the hemoglobin A1c level is 5.3, which seems to be normal. Should I see an endocrinologist for adjustment or f...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 require regular follow-up visits. It is also important to consider that some individuals may have inaccurate hemoglobin A1c results due to anemia.[Read More] Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Understanding High White Blood Cell Count: Causes and Solutions
Elevated white blood cell count? Hello, my recent blood test report shows elevated white blood cell count at 10.16 (10^9/L), with neutrophils at 6.4 (10^9/L) and 62.7%. The nurse informed me that I need to have another blood test in a month. Should I be worried about serious heal...
Dr. Hong Yuanbin Reply:
Hello, white blood cells are a response of the body to external stimuli. Their levels increase whenever there is an infection, dehydration, stress, or illness. For example, they tend to rise during a cold. It mainly depends on whether you are experiencing any discomfort. If you a...[Read More] Understanding High White Blood Cell Count: Causes and Solutions
Is My Sore Throat a Cold or Something More Serious?
Is it a cold issue? Hello, doctor. About ten days ago, I had a cold and took medication twice. Later, the doctor said that since I no longer had a sore throat, I didn't need to return for a follow-up. However, today I felt something like a droplet shape stuck in my throat ne...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the previous cold symptoms, such as post-nasal drip, if they persist for a longer duration, it is usually recommended to rest more and stay hydrated, which should help in recovery. 2. As for the dizziness, it could be caused by multiple factors, including ...[Read More] Is My Sore Throat a Cold or Something More Serious?