Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Understanding Left-Sided Symptoms: Possible Immune System Issues
Immune system issues? Hello, doctor. I am currently preparing for my college entrance exam, but I have been experiencing some unusual symptoms and would like to seek your reassurance. I would like to ask why my symptoms are predominantly affecting the left side of my body. For ex...
Dr. Hong Yuanbin Reply:
Hello: The effects of the immune system are generally systemic, with very few distinctions made between the left and right sides. Therefore, the likelihood of a systemic immune response is relatively low. However, the left-sided lymphadenopathy and some discomfort you described a...[Read More] Understanding Left-Sided Symptoms: Possible Immune System Issues
Feeling Hot Without a Fever: Understanding Your Symptoms
Feeling hot but not having a fever? Hello, I have been experiencing a sensation of heat in my body for quite some time, but my temperature readings do not indicate a fever. A noticeable symptom is that my eye sockets feel even hotter when my body feels warm. Which specialty shoul...
Dr. Lin Wufu Reply:
Hello! In medical terms, a fever is defined as a body temperature exceeding 38 degrees Celsius (or 38.3 degrees Celsius). Therefore, if your temperature readings are consistently normal, it is not related to fever. Additionally, during a fever, individuals primarily experience ch...[Read More] Feeling Hot Without a Fever: Understanding Your Symptoms
Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Understanding ANA Titer Results: When to Seek Further Immune Testing
ANA titer issue? Hello, the ANA titer in the blood test report is 1:80, and my body temperature has been slightly elevated (around 37.3°C) for the past few weeks. My palms feel very warm, and my face often appears flushed. Should I undergo additional immunological tests?
Dr. Lin Wuxuan Reply:
Hello: Regarding your blood test report, the ANA (antinuclear antibody) level is elevated. Regardless of whether there are accompanying clinical symptoms, it is indeed recommended that you seek early follow-up and further diagnostic evaluation with a rheumatology specialist.[Read More] Understanding ANA Titer Results: When to Seek Further Immune Testing
Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Fever of unknown origin? Hello doctor, since July until now (August 26), my body temperature has been consistently elevated. The lowest temperature in July was 37.2°C, and it intermittently rose to 38°C. After a while, I started experiencing gastrointestinal discomfort, vomiting ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that the fever is caused by some atypical infections or non-infectious conditions. There are indeed many potential reasons for this, and a detailed examination is necessary. If the fever persists, I recommend visiting an infectious...[Read More] Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Understanding Persistent Fatigue and Heat Sensation After Napping
Feeling hot in the head? Hello, doctor... A week ago, after waking up from a nap, I started feeling a warm sensation in my head and overall weakness, feeling very fatigued. These symptoms have persisted until now, and I feel like I have a fever, but my body temperature is normal ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, you were completely normal until a week ago when you started experiencing fatigue and a feeling of fever. It is highly suspected that you may have an infection, especially since the flu is currently prevalent. The common symptoms of the flu inclu...[Read More] Understanding Persistent Fatigue and Heat Sensation After Napping
Understanding Right Lower Chest Pain: Possible Causes and Next Steps
There is a dull pain in the lower right area of the chest, and there is tenderness upon palpation? Hello Dr. Hong, Since May of last year, I have been experiencing a dull pain in the lower right side of my chest (approximately to the right of the xiphoid process) that lasts for...
Dr. Hong Yuanbin Reply:
Hello, the location you described is indeed at the junction of the heart, lungs, stomach, liver, gallbladder, and pancreas. Many diseases need to be considered. According to your description, the chest X-ray is normal, so the most likely issue is gastritis. It is recommended to f...[Read More] Understanding Right Lower Chest Pain: Possible Causes and Next Steps
Could Your Symptoms Indicate Ankylosing Spondylitis?
What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?
Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms
Post-PEP Testing Hello Dr. Liao, I engaged in sexual activities on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. There were around 10 thrusts, but the condom was not fitted properly. When I wit...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the topic of body temperature fluctuations and sweating after fever, here is the response: A: 1. If prophylactic treatment (PEP) was initiated within 66 hours and completed a 4-week course on April 16, you should be able to feel reassured. 2. Since the w...[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms
Managing Hashimoto's Thyroiditis: Essential Tips for New Mothers
Hashimoto's thyroiditis Dear Dr. Tseng, 1. After giving birth, I discovered that I have hypothyroidism (TSH: 29), which is associated with Hashimoto's thyroiditis. My baby underwent a thyroid screening at birth, and the results were normal. How often should my baby hav...
Dr. Zeng Guosen Reply:
Hello, I am a rheumatology and immunology specialist. Regarding thyroid diseases, I recommend consulting an endocrinologist for the most up-to-date and accurate medical information. Thank you for your question.[Read More] Managing Hashimoto's Thyroiditis: Essential Tips for New Mothers
Understanding Persistent Fever and Cough: Possible HIV Concerns
I have been experiencing intermittent fever for a month? 1. What is the likelihood of contracting HIV in this situation? 2. Do these symptoms resemble those of HIV? I have been monitoring my lymph nodes and oral health, and everything appears normal, except for throat pain caused...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding 1. What is the likelihood of contracting HIV in this situation? A: According to the CDC-Taiwan, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exch...[Read More] Understanding Persistent Fever and Cough: Possible HIV Concerns
Understanding Easy Bruising: Causes, Symptoms, and When to Seek Help
Easy bruising? Hello, doctor. Recently, I've noticed that my legs bruise easily, with several bruises appearing. I had a cold a while ago, and since then, my body temperature has been slightly elevated, around 37.3°C. There was one instance when my temperature suddenly rose ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that based solely on the examination data, there doesn't appear to be any major issues. It may be necessary for a physician to evaluate the patient in person to arrange for more precise testing. I recommend consulting with a hemat...[Read More] Understanding Easy Bruising: Causes, Symptoms, and When to Seek Help
Which Medical Specialty Should You Consult for Unexplained Localized Heat?
Which department should I see? Hello Doctor: I would like to inquire about experiencing unexplained localized warmth in the body (specifically in the shoulders, back, and chest) at normal room temperature, along with sweating at the back of the head. My body temperature ranges be...
Dr. Hong Yuanbin Reply:
Hello, a person's local temperature may vary due to local blood circulation, whether there is pressure, or if there is congestion or inflammation. This is a normal physiological phenomenon. Problems may arise only if there are signs of local redness, swelling, heat, or pain....[Read More] Which Medical Specialty Should You Consult for Unexplained Localized Heat?
Understanding Periodic Low Fever: Possible Causes and Next Steps
Periodic low-grade fever? Hello doctor, recently I've been experiencing slight weakness in my limbs, and my body temperature rises to 37.7 to 37.8 degrees Celsius in the afternoon, during which I feel a bit unwell. However, by the evening, my temperature returns to normal, a...
Dr. Hong Yuanbin Reply:
Hello, the symptoms of tuberculosis are often very atypical, making it difficult to simply distinguish whether it is pulmonary tuberculosis based solely on symptoms. Conditions such as chronic allergies, rheumatic autoimmune diseases, and chronic bronchitis can present similar sy...[Read More] Understanding Periodic Low Fever: Possible Causes and Next Steps
Understanding RT-PCR Results and HIV Concerns After Low-Risk Sexual Activity
RT-PCR issues Hello, doctor. I had low-risk sexual activity 16 days ago, and after receiving oral sex, I experienced slight weakness in my legs two days later. Therefore, I went for an RT-PCR test ten days later, and the report came back negative yesterday. The acute symptoms I e...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the likelihood of contracting HIV is very low. If you are concerned, you can take another test in 1-2 months or consider anonymous screening; however, it is likely to still be negative. Therefore, it can be inferred that your symptoms are probabl...[Read More] Understanding RT-PCR Results and HIV Concerns After Low-Risk Sexual Activity
Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...
Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Could These Symptoms Indicate a Tetanus Infection?
Could you please clarify if this could be a tetanus infection? Hello doctor, a few weeks ago I had some small wounds on my body and I'm not sure if they got infected. Last week, the wounds healed and there were no issues, but recently I've been feeling strange in the mo...
Dr. Hong Yuanbin Reply:
Based on your symptom description, it seems more like cold symptoms rather than tetanus symptoms. Tetanus typically occurs with larger wounds and a higher likelihood of contact with rusted objects or soil. Your symptoms do not include spasms; they are simply general weakness foll...[Read More] Could These Symptoms Indicate a Tetanus Infection?
Understanding Weakness and Burning Sensation in Limbs: Possible Causes and Solutions
Weakness and burning sensation in the limbs? I seem to have chronic prostatitis. When it first started, I experienced some weakness in my limbs, but that feeling eventually disappeared. However, after recently recovering from a cold, that sensation returned. Once the cold resolve...
Dr. Hong Yuanbin Reply:
Typically, we need to first determine whether there is a genuine decrease in muscle strength. Physicians usually conduct actual tests to assess the patient's muscle strength to confirm any decline. If there is no significant decrease in muscle strength, it may be due to weak...[Read More] Understanding Weakness and Burning Sensation in Limbs: Possible Causes and Solutions
Understanding Persistent Dizziness and Body Heat: Causes and Solutions
Dizziness and a feeling of warmth in the body? Hello, Doctor. I often experience dizziness and have undergone numerous examinations at major hospitals, but nothing has been found. Recently, the frequency of my dizziness has increased, occurring 3-4 days a week, and I also feel a ...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The differential diagnosis of dizziness generally begins with distinguishing between central and peripheral causes. If the dizziness is due to a central lesion, it is often associated with more serious issues such as tumors, strokes, epilepsy, meningitis, or enc...[Read More] Understanding Persistent Dizziness and Body Heat: Causes and Solutions