Understanding Penile Health: Concerns About Infections and Symptoms
Post-examination inquiry? Hello doctor, I am the one who had a small abrasion next to the penile frenulum due to masturbation. I am worried that if my hands touch external surfaces like a bathroom doorknob or faucet, and then touch the abrasion, I might get infected with HIV, syp...
Dr. Hong Yuanbin Reply:
Hello, 1. Yes, it can be distinguished. 2. Currently, it is not. 3. It is definitely not syphilis, so there is no need for a blood test. 4. This is not related to balanitis. 5. It cannot be transmitted this way. 6. No. 7. No. 8. No. 9. It can still occur, but th...[Read More] Understanding Penile Health: Concerns About Infections and Symptoms
Understanding Balanitis: Symptoms, Causes, and Concerns Explained
Balanitis issues? 1. Indirect transmission means that the wound must come into direct contact with the virus left on the doorknob. If the virus is first touched by the hand and then the hand touches the wound, it does not transmit HIV, syphilis, or gonorrhea, correct? 2. Doctor...
Dr. Hong Yuanbin Reply:
1. It is not contagious. 2. This requires a direct consultation to determine; it is recommended to consult a urologist. 3. This requires a direct consultation to determine; it is recommended to consult a urologist. 4. Not necessarily; each individual's constitution is ...[Read More] Understanding Balanitis: Symptoms, Causes, and Concerns Explained
Understanding Elevated Neutrophils: Should You Seek Further Testing?
Elevated neutrophil count The neutrophil count is 87.6%, lymphocytes are 10%, and monocytes are 0.0%. Is there a need for a recheck or medication?
Dr. Ke Taiyuan Reply:
I am not aware of your physical condition and other related blood test data, so I recommend returning to the original medical facility for further examination.[Read More] Understanding Elevated Neutrophils: Should You Seek Further Testing?
Unexplained Bruises and Swelling on Feet: Seeking Solutions
Unexplained bruising on the foot, recurring? I have had a wound on my foot since a cut at the swimming pool a year ago, which has formed a scab that has not fallen off for a long time. I have started to experience unexplained bruising and swelling, which has been increasing. It i...
Dr. Ke Taiyuan Reply:
However, based on the current description, a definitive diagnosis cannot be established. It is recommended to visit the internal medicine outpatient department at a hospital. If there are frequent unexplained bruises, a blood test to check for coagulation function issues may be w...[Read More] Unexplained Bruises and Swelling on Feet: Seeking Solutions
Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Final inquiry? Hello, doctor. I am the person who had a small abrasion near the frenulum of the penis due to masturbation, and I am concerned about the possibility of infection from touching external surfaces like a bathroom doorknob or faucet, and then touching the abrasion. I a...
Dr. Hong Yuanbin Reply:
1. Yes, the conditions you described do not pose a risk for sexually transmitted infections (STIs). 2. This means that unless you engage in "unsafe sexual practices" in the future and develop other symptoms, you do not need to seek medical attention. 3. Yes, it will not...[Read More] Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Understanding STD Risks and Testing: Your Concerns Addressed
Sexually transmitted infections (STIs) issues? Hello, Doctor. 1. About two months ago, I had a small skin abrasion near the frenulum of my penis due to masturbation. I often check the abrasion in the company restroom and touch it. I'm wondering if it's possible that I...
Dr. Hong Yuanbin Reply:
1. Such contact behaviors do not transmit HIV, syphilis, or gonorrhea. 2. Unless there is unsafe sexual behavior, there is no need for testing. 3. This process does not lead to syphilis infection. 4. Based on your description, it is likely folliculitis, which is usually cau...[Read More] Understanding STD Risks and Testing: Your Concerns Addressed
Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns
Autoimmune disease Sjögren's syndrome Hello Doctor: My mother is 72 years old and has hepatitis C, Sjögren's syndrome, and severe dry eye syndrome, all of which are being treated. As she has aged, her blood pressure has been elevated, and she is currently taking antihyp...
Dr. Gao Jiankai Reply:
Hello Ms. Lee, thank you for your inquiry. Here are the answers to your questions: 1. Both Sjögren's syndrome and hepatitis C can potentially cause microvascular bleeding as a side effect if not continuously treated, which may appear as small petechiae. To determine if thi...[Read More] Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns
Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
In vitro fertilization (IVF) and thyroid issues? Hello Doctor, prior to my IVF treatment, I had a blood test that showed my TSH (Thyroid Stimulating Hormone) level was 3.64, while the doctor hoped for a value below 2.5. Additionally, my thyroid peroxidase antibody level was 119, ...
Dr. Lin Jianliang Reply:
Thyroid diseases can affect both the mother and the fetus during pregnancy. Conversely, pregnancy itself may also impact thyroid function. Based on your description, it may be necessary to consider other factors, such as additional test results, the presence of symptoms, and medi...[Read More] Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions
The steroid dosage has been reduced to 7.5 mg, and the symptoms are becoming more pronounced? Last year, I developed a skin wound from scratching due to flea bites, which became infected with bacteria. The wound started to hurt, but after taking antibiotics, the pain subsided. Ho...
Dr. Zeng Guosen Reply:
Hello, skin disorders can indeed be very bothersome. If reducing the steroid dosage to 10 mg causes instability in your symptoms, there’s no need to panic. This indicates that your skin condition is still unstable. It may be advisable to adjust the methotrexate (MTX) dosage and w...[Read More] Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions
Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang Reply:
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Understanding Drug Allergies: Symptoms, Testing, and Management
Suspected drug allergy Hello Doctor: Since around the third grade of elementary school, I have experienced prolonged itching on my skin after taking medication for colds from an ear, nose, and throat specialist, although there are no visible symptoms (such as rashes or redness). ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here is a brief summary of your questions: 1. Chronic itching: It is advisable to consult your dermatologist first. If a clear answer is still not obtained, you may consider visiting an allergy, immunology, and rheumatology clinic. The physicia...[Read More] Understanding Drug Allergies: Symptoms, Testing, and Management
Managing Autoimmune Disease: Do I Need to Continue Medication?
Autoimmune diseases Hello, Director Gao. About a year ago, I visited the immunology department due to dry mouth and tongue ulcers. My ANA titer was 80+, and I started taking quinine (2 tablets a day). After three months, the titer decreased to 40+. Due to severe dizziness, I swit...
Dr. Gao Jiankai Reply:
Hello Ms. Chen, thank you for your inquiry. Currently, the use of medications for Sjögren's syndrome is less common with the use of salivary stimulants, and monitoring disease activity is less frequently done with ANA titers. It is recommended that you consult a rheumatologi...[Read More] Managing Autoimmune Disease: Do I Need to Continue Medication?
Unexplained Heat on the Right Side of the Face: Causes and Solutions
Unexplained fever on the right side of the face? Hello Doctor: About a year ago, I had a blood test at the hospital, and the needle was inserted in the center of my right arm. It hurt for more than three months before it got better. During that time, the pain radiated from the mi...
Dr. Lin Wufu Reply:
Hello! The relationship between the pain in your right arm and the subsequent symptoms cannot be determined at this time. However, based on what you mentioned, you have: 1. Right ear pain 2. Swelling of the right lymph nodes 3. Nasal discharge running into the right ear 4. Hearin...[Read More] Unexplained Heat on the Right Side of the Face: Causes and Solutions
Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Syphilis treatment Last November, I was diagnosed with syphilis with a titer of 1:256. I received one injection and took tetracycline for 21 days. During this week's follow-up, the titer is still at 1:128, which seems to be decreasing slowly. Therefore, I received another in...
Dr. Liao Zhongxin Reply:
Dear readers: 1. <Is the decrease in index a bit slow?> A: If it is a first-time infection and treatment is received within a year, the index does indeed decrease somewhat slowly. If it is a reinfection (more than twice) with an increase of fourfold or more, it can be co...[Read More] Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Understanding Adrenal Tumors: When to Seek Treatment
Adrenal gland A year ago, an adrenal tumor measuring 3 centimeters was unexpectedly discovered during an examination. I switched to a urologist who conducted blood tests and 24-hour and 12-hour urine tests. The lab results indicated elevated cortisol levels. The doctor mentioned ...
Dr. Hong Yuanbin Reply:
Hello, generally speaking, there is concern about pheochromocytoma, which can secrete norepinephrine and cause high blood pressure. If your blood pressure is normal, the likelihood of this condition is indeed low. As for cortisol levels, they can fluctuate due to daily activities...[Read More] Understanding Adrenal Tumors: When to Seek Treatment
Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Hypothyroidism issues? Hello, Doctor. I have been diagnosed with hypothyroidism since birth and have been regularly undergoing blood tests and taking levothyroxine tablets. However, during puberty and after becoming an adult (while taking birth control pills), my dosage has incre...
Dr. Lin Jianliang Reply:
1. It is recommended to have a blood test to measure thyroid levels; if the results are within the normal range, hypothyroidism can likely be ruled out. 2. A normal, balanced diet, along with a healthy lifestyle and regular exercise, greatly contributes to overall health. 3. Cert...[Read More] Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors
Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes
Blood sugar issues? Hello Doctor: I will be regularly having blood tests to check my blood sugar every one to three months, self-paying at the clinic for both fasting and postprandial tests. My blood sugar was 87 during the health check when I just entered my freshman year of col...
Dr. Chen Jianyu Reply:
Blood sugar levels are influenced by many factors; it is advisable to engage in regular exercise. If you have any questions, please visit a nearby medical facility's metabolic department for consultation.[Read More] Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes
Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Blood sugar issues Hello, doctor. I often drink bubble tea, sometimes up to two cups of lightly sweetened beverages in a day. A urine test showed some sugar in my urine, so my nephrologist ordered a blood test. My fasting blood glucose was 102, and my hemoglobin A1c was around 5....
Dr. Chen Shunfu Reply:
Thank you for your question! Long-term consumption of sugary beverages can increase the risk of diabetes, so it is advisable to reduce intake. The sugar content in each serving of sugary drinks is not fixed, which is why the current international standard for assessment is the or...[Read More] Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Understanding Blood Test Results: Is Lupus a Concern for Pregnancy?
Regarding blood test indices? Hello Dr. Tseng, I have had two pregnancies, both of which ended around 6-7 weeks with no heartbeat. I had blood tests done for immune issues, which showed positive for lupus (the report indicates it should be negative) and negative for ANA. My obste...
Dr. Zeng Guosen Reply:
Hello, the diagnosis of lupus erythematosus is not based solely on a single test report; it requires a comprehensive assessment of clinical symptoms along with multiple test results. Certain pregnancy issues are indeed related to immune abnormalities, so it is advisable to consul...[Read More] Understanding Blood Test Results: Is Lupus a Concern for Pregnancy?
Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment
Issues related to undetectable TSH levels due to medication? Hello, doctor. I have a question I would like your assistance with. 1. I have been diagnosed with hyperthyroidism and have been on medication for 23 days: methimazole 10mg three times a day and propranolol 10mg once a d...
Dr. Chen Shunfu Reply:
This question requires a complete blood test report and a physical assessment to answer. If you would like to consult further, please make an appointment with Dr. Li Jian. If no additional medications or tests are prescribed on that day and only a simple consultation is conducted...[Read More] Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment