Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?
Does having wisdom teeth removed through surgery affect inflammation levels? Hello, Director Gao. I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth extracted on February 22. After the extraction, my cheek was swollen and painful. It has been 10 da...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) My appointment on March 8th is for a quarterly follow-up with the rheumatology department, where I will have blood drawn for monitoring. Should I wait until the swelling and pain in my mouth completely subside before ...[Read More] Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?
Understanding Eosinophil and Lymphocyte Abnormalities in Blood Tests
Examination Report I have been experiencing hand pain for four months and have seen many specialists without improvement. I had multiple blood tests, and the only abnormalities found were an Eosinophil count of 13.1% and a Lymphocyte count of 13.5%. I am unsure what these two abn...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The value of eosinophils is more meaningful when converted to a total count. A high total eosinophil count is more associated with allergic diseases or parasitic infections. The proportion of lymphocytes can fluctuate based on the body's c...[Read More] Understanding Eosinophil and Lymphocyte Abnormalities in Blood Tests
Struggling with Unexplained Health Issues: Seeking Effective Solutions
There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...
Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions
Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Post-Exposure Prophylaxis (PEP) for Sexually Transmitted Infections (STIs) Hello Doctor, I would like to ask about my situation. I had unprotected vaginal intercourse with an unfamiliar woman (without a condom and with ejaculation) and took PEP medication 25 hours later. I also h...
Dr. Liao Zhongxin Reply:
1. There are no dietary restrictions while using the guitar vein; it can be used at any time or not used at all. 2. The protective effect of the hepatitis B vaccine diminishes over time; if you are required to work in a healthcare facility, it is recommended that you get tested...[Read More] Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Understanding Thyroid Nodule Biopsy Results: What You Need to Know
Thyroid nodule biopsy results? Hello Doctor: I have a thyroid nodule on the left side (1.8 cm). At the beginning of February, the hospital arranged for a fine needle aspiration and blood tests. Recently, I reviewed the report, and the doctor said my thyroid function is normal, bu...
Dr. Li Jian Reply:
Inflammatory cells may be white blood cells. If cancer cells are not observed, there is no need to worry; regular check-ups will suffice. Thank you for your inquiry.[Read More] Understanding Thyroid Nodule Biopsy Results: What You Need to Know
Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Renal dysfunction Hello Doctor: I would like to ask about my recent health check report. My serum creatinine is 1.35, urine creatinine is 110.76, glomerular filtration rate (GFR) is 62.53, hemoglobin A1c is 5.4, fasting blood glucose is 90, uric acid is 7.2, urine protein is 9, a...
Dr. Lin Wuxuan Reply:
Urine or blood tests can determine the presence of hematuria, proteinuria, or any abnormalities in kidney function, which is typically assessed using the glomerular filtration rate (GFR). It is recommended that you bring your test results to a nephrology outpatient clinic at a re...[Read More] Understanding Chronic Kidney Disease: Conflicting Medical Opinions Explained
Understanding Abnormal Blood Test Results: What Do Red Flags Mean?
The blood test report shows results in red? Due to symptoms of immunodeficiency, I undergo blood tests at the hospital every six months. This time, I had a regular check-up at the hospital before the Lunar New Year, and the next day I checked the results on the National Health In...
Dr. Liao Zhongxin Reply:
1. First, it is important to identify the type of immune deficiency in order to make an accurate assessment. 2. If last year's tests were normal and this year's results are abnormal, please seek care at a nearby medical facility as soon as possible for confirmation and...[Read More] Understanding Abnormal Blood Test Results: What Do Red Flags Mean?
Can Hyperthyroidism Recur After Stopping Medication for One Month?
Inquiry about recurrence of hyperthyroidism? Hello, doctor. I previously had hyperthyroidism and was treated for a year and a half, during which my levels were normal. I stopped my medication last month, but recently I've been feeling unwell and more anxious. Is it possible ...
Dr. Li Jian Reply:
If you feel that your symptoms are severe, you can schedule an earlier follow-up appointment. Thank you for your inquiry.[Read More] Can Hyperthyroidism Recur After Stopping Medication for One Month?
Understanding Immune System Tests: What Your Results Mean for You
Immune system Anti-Thyroglobulin Antibody (TA) = 13.87 Anti-Nuclear Antibody = Negative at 1:80 C4 Quantitation = 58.46 C3 Quantitation = 137.97 Anti-Thyroid Peroxidase Antibody (AMA) = <3.00 High-Sensitivity C-Reactive Protein (hsCRP) = 0.16 Rheumatoid Factor = 12...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your report shows that only your IgE level is elevated, which is indicative of an allergic condition. If your C4 level is slightly elevated, it is not a concern; C4 can increase when the body is unwell and does not have special significance. I r...[Read More] Understanding Immune System Tests: What Your Results Mean for You
Understanding the Window Period for STI Testing: Your Concerns Addressed
Window period for a ten-in-one STI test? Hello doctor, I had a high-risk sexual encounter on October 9th last year and subsequently contracted Chlamydia, which has made me very worried about the possibility of other sexually transmitted infections (STIs). I received treatment and...
Dr. Liao Zhongxin Reply:
1. Yes. 2. First, maintain personal hygiene and ensure adequate hydration. Next, using condoms during sexual contact with strangers is essential for safe sex.[Read More] Understanding the Window Period for STI Testing: Your Concerns Addressed
Is Finger Trembling a Side Effect of Central and Peripheral Nervous System Abnormalities?
Is finger tremor a side effect manifestation of "central and peripheral nervous system abnormalities" caused by taking Seroquel? Hello, Doctor. I am 21 years old and was diagnosed with ankylosing spondylitis about three years ago. I have been taking Salazopyrin for appr...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is this a manifestation of "central and peripheral nervous system abnormalities" as a side effect? --> If you have an irregular eating pattern, the likelihood of experiencing side effects related to the ...[Read More] Is Finger Trembling a Side Effect of Central and Peripheral Nervous System Abnormalities?
Understanding Unexplained Inflammatory Pain: A Guide for Young Adults
Unexplained inflammatory pain? I am currently 23 years old. I started experiencing occasional knee pain in middle school, but it wasn't particularly severe. The frequency of inflammation and pain has increased with age. Since high school, I have also had issues with inflamma...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that conditions such as "recurrent rheumatic disease" can be monitored in the field of immunology and rheumatology. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is...[Read More] Understanding Unexplained Inflammatory Pain: A Guide for Young Adults
Understanding Subclinical Hyperthyroidism: Symptoms vs. Lab Values
Hyperthyroidism issues? Hello, doctor. I would like to ask about the definition of severe hyperthyroidism. Does it refer to the severity of symptoms or the laboratory values? A family member experienced delusions and went to the hospital for evaluation. During blood tests, they w...
Dr. Li Jian Reply:
The psychiatric symptoms caused by methimazole are usually less severe. Additionally, testing for TSH receptor antibodies can assist in the evaluation. Thank you for your inquiry.[Read More] Understanding Subclinical Hyperthyroidism: Symptoms vs. Lab Values
Understanding the Implications of Thyroid Disorders in Medical Diagnoses
The diagnosis of "thyroid disorders" signifies a range of medical conditions that affect the thyroid gland, which is responsible for regulating metabolism, growth, and development through the production of hormones. These disorders can include hypothyroidism, hyperthyro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. "Thyroid disorders" were hypothesized based on the symptoms you presented during your initial consultation, which is why a thyroid function test was arranged. If the thyroid function is normal, there will be no diagnosis of hyperthyroi...[Read More] Understanding the Implications of Thyroid Disorders in Medical Diagnoses
Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps
Persistent low-grade fever Hello Doctor, I have been experiencing recurrent low-grade fevers since last Friday afternoon, and it has now been a week with no improvement. I visited a clinic where the doctor prescribed Tamiflu, but it has not been effective. My symptoms include per...
Dr. Li Jian Reply:
It is recommended that you go to the infectious disease department for further blood tests. Thank you for your inquiry.[Read More] Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps
Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...
Dr. Lin Jianliang Reply:
Hello, glycated hemoglobin (HbA1c) is an indicator of the average blood glucose levels over the past three months. The most significant factor affecting it is the blood glucose level itself. The primary influences on blood glucose are diet and lifestyle. Mild anemia does not have...[Read More] Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia
Understanding Fasting Blood Sugar Levels: What Does 97 Mean?
Fasting blood glucose issues Hello Doctor, I recently received my health check report, which shows that my fasting blood glucose level is 97, which is close to the maximum reference value of 100. The night before the test, I was too busy and only ate two tea eggs for dinner, and ...
Dr. Li Jian Reply:
Currently, it is considered normal. If there is a family history of diabetes or if you are overweight, you may consider testing for hemoglobin A1c. Thank you for your inquiry.[Read More] Understanding Fasting Blood Sugar Levels: What Does 97 Mean?
Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Can stage 3a chronic kidney disease be reversed? What medications are available? The patient has diabetes with a glycated hemoglobin (HbA1c) level maintained at 6.5%. Triglycerides are at 110 mg/dL, uric acid at 4.6 mg/dL, low-density lipoprotein (LDL) cholesterol at 88.2 mg/dL, ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Paul, your creatinine level is 135 mg/dL, and the glomerular filtration rate (GFR) is listed as 1.35 mg/dL, which seems to be incorrect. Please provide the correct values, thank you! (The unit for glomerular filtration rate is ml/min/1.73 m², not mg/dL.) Additionally, a...[Read More] Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Understanding HIV Testing: Can You Rule Out Infection After Risky Behavior?
HIV testing issues Hello doctor, I had unprotected sexual intercourse with a female online friend in early April. I went to a medical testing center in mid-April for an HIV antibody test, which came back negative. On May 8, I noticed inflammation of the glans and visited a urolog...
Dr. Liao Zhongxin Reply:
1. Yes, after the window period, HIV infection can be ruled out. 2. Currently, the accuracy of anonymous screening or blood tests in the country is over 95%. 3. Engaging in unsafe sexual practices may also pose a risk for other sexually transmitted infections; therefore, usin...[Read More] Understanding HIV Testing: Can You Rule Out Infection After Risky Behavior?
Can I Use Biologics for Psoriatic Arthritis with Reactive HBc IgG?
Hello, doctor. I would like to inquire about the use of biologics for psoriatic arthritis? Hello, doctor. I have psoriatic arthritis, and one out of three doctors has applied for a biologic agent for me (currently under review). However, one of my blood test results shows HBc IgG...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A positive HBc-IgG indicates that you have had a past infection and may still have latent hepatitis B virus. You can still use biologics, but it is important to regularly monitor the hepatitis B virus load to check for any reactivation during tr...[Read More] Can I Use Biologics for Psoriatic Arthritis with Reactive HBc IgG?