Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
After receiving the AZ vaccine, there is unexplained bruising on the calf? Hello doctor, I have Sjögren's syndrome and iron deficiency anemia. After receiving my first dose of the AZ vaccine on July 29 (Thursday), I noticed seven unexplained bruises on my tibia and knee on J...
Dr. Zeng Guosen Reply:
Hello, the blood test did not show any abnormalities in your platelets. Blood abnormalities related to the AZ vaccine typically occur 10 days to two weeks after vaccination. Currently, your situation cannot be explained, and it is recommended that you consult a hematologist for f...[Read More] Unexplained Bruising on Lower Legs After AZ Vaccine: What to Know
Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Persistent Headaches and Nausea: Should You See a Doctor?
Experiencing headaches, nausea, and a desire to vomit for several consecutive days? Hello doctor, I have been experiencing dizziness and headaches for the past 2-3 days. The pain is located at the back of my head, and sometimes it feels like it's inside my brain. The pain pe...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed important to be cautious of subacute intracranial hemorrhage. I recommend returning to a major hospital for a follow-up, as you may need to undergo a CT scan or MRI of the brain to rule out the risk of intracranial bleeding. Thank yo...[Read More] Persistent Headaches and Nausea: Should You See a Doctor?
Understanding Easy Bruising, Petechiae, and Frequent Nosebleeds in Children
Easy bruising, petechiae, and nosebleeds? Dear Director Gao, My daughter is currently 7 years old. Over a year ago, we noticed that she easily develops bruises on her body, although we are unsure if she has bumped into something. These bruises mostly occur around her knees and t...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Here are my thoughts: 1. The pediatric immunologist mentioned the possibility of thalassemia or iron deficiency anemia. Since many family members on my mother's side have thalassemia trait, does that mean my daughter is likely to have this...[Read More] Understanding Easy Bruising, Petechiae, and Frequent Nosebleeds in Children
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 Chest Discomfort: Muscle Pain or Heart Concerns?
Discomfort in the muscles near the chest? Hello Doctor: In the past few days, I have occasionally felt pain in the area about 3-4 fingers wide above the left nipple or near the midpoint between the nipple and the armpit when I move my arm. I'm not sure if it's muscle pa...
Dr. Hong Yuanbin Reply:
Hello, the area you are referring to is likely where the cartilage or pleura is prone to inflammation. The deep breathing or chest expansion you mentioned can trigger pain, suggesting it could be pleuritis or costochondritis. It is possible that you previously experienced a cold,...[Read More] Understanding Chest Discomfort: Muscle Pain or Heart Concerns?
Understanding Anal Fissures: Causes of Swelling and Discoloration
Anal fissure - but the anal swelling appears bluish-purple? Hello doctor, I would like to ask if a long-standing anal fissure can cause swelling around the anus. I have seen a doctor who diagnosed it as an anal fissure, and I have been undergoing treatment for almost two weeks. D...
Dr. Xie Rongyuan Reply:
Hello: There is some pain upon pressure, and there are signs of bruising, indicating that it may not be fully healed yet. It is recommended that if symptoms persist, you should return for a follow-up appointment or continue with your current treatment plan. Thank you for your mes...[Read More] Understanding Anal Fissures: Causes of Swelling and Discoloration
Understanding Abdominal Pain After a Bicycle Accident: When to Seek Help
Abdominal impact? About three days ago, I accidentally collided with the front of another bicycle while riding. Although my speed was not fast, my abdomen hit the handlebars, causing some pain initially. Now, there is pain in a small area about 3-4 finger widths above my navel, w...
Dr. Hong Yuanbin Reply:
Hello, the organ you are referring to is the stomach. The stomach is usually not easily injured. It is advisable to monitor the bruised area to see if it continues to expand or if there is any worsening pain. If there are no such symptoms, it should be a simple soft tissue injury...[Read More] Understanding Abdominal Pain After a Bicycle Accident: When to Seek Help
Should You Worry After Your Child Bumps Their Head?
The child accidentally bumped their head lightly? Hello, Doctor Hong. My child is in third grade, and tonight while he was playing with his sister, I called him, and he turned around and accidentally bumped into the corner of the wall. Although it didn't seem very hard, I wo...
Dr. Hong Yuanbin Reply:
Hello, when it comes to a bruise, there are two main things to observe. First, check the condition of the local wound. Based on your description, the wound should be small, and you can apply an ointment. Second, be cautious of a concussion. The main symptoms include headache, diz...[Read More] Should You Worry After Your Child Bumps Their Head?
Understanding Bruises: When to Seek Medical Attention
Yesterday's issue? Thank you, doctor, for your detailed response. Since I currently do not have any symptoms, I think I can wait for it to heal on its own. In the morning, I noticed that it has turned a bit dark, but it doesn't seem to be a blood blister as you mentione...
Dr. Hong Yuanbin Reply:
Hello, the wound has scabbed over. If there are no significant changes afterwards, there is no need for special medical attention. Thank you for your inquiry.[Read More] Understanding Bruises: When to Seek Medical Attention
Understanding Bruises and Pain: When to See a Doctor
Please ask your question, doctor? Hello doctor, after taking a shower and drying off, I noticed some pain in my lower back. Upon inspection, I found some yellow-green discoloration that was a bit painful to touch, and there were also some purple spots that looked like small dots....
Dr. Hong Yuanbin Reply:
Based on your description and the photos, it is most likely a simple bruise, which may have occurred due to an accidental bump or strain. Typically, the body will heal itself over time, so there is no need for concern. As for the purpura you mentioned, it is a type of autoimmune ...[Read More] Understanding Bruises and Pain: When to See a Doctor
Unexplained Forehead Pain and Purple Bruising: What to Do Next?
Headache with unexplained purpura between the eyebrows? Hello Doctor, yesterday around 4 PM, I suddenly felt an unexplained pain around my forehead and eye socket. The pain felt like a dull, constricting sensation, rating about a 5 out of 10. After resting for a bit, the pain sub...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does seem that the likelihood of bruising is higher. However, I recommend consulting an ophthalmologist to check for any abnormalities in your eyes. If the eyes are normal, you may continue to monitor the situation. However, if the bruising in...[Read More] Unexplained Forehead Pain and Purple Bruising: What to Do Next?
Understanding Infection Risks: Antibiotics and Heart Conditions Explained
Infection concerns? I originally had an inflamed sebaceous cyst scheduled for removal in two weeks. The doctor prescribed a one-day course of prophylactic antibiotics, but due to unforeseen circumstances, I didn't go. Yesterday, I consulted another physician who insisted tha...
Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with a bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that involve bleeding, such as tooth extractions, due to the concern of infective endocarditis. For a simple cyst removal sur...[Read More] Understanding Infection Risks: Antibiotics and Heart Conditions Explained
Understanding Your Body's Signals: Managing Sweating and Discomfort
Suspecting that there is something wrong with your body? Hello Doctor: I ate around 11:20 AM and rested until 12:30 PM. By 2:45 PM, I started feeling hungry. If I don't consume food immediately (such as a meat bun or candy), I begin to sweat profusely. After excessive sweati...
Dr. Lin Jianliang Reply:
It is recommended to visit a hospital to consult a doctor for an examination to check for any blood sugar issues or other diseases. Please remember to carry food with you, and if you experience any symptoms, make sure to eat something to avoid any complications.[Read More] Understanding Your Body's Signals: Managing Sweating and Discomfort
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 Adrenal Tumors: Symptoms, Diagnosis, and Management
Adrenal tumor Right abdominal pain with many similar bruises on the thigh and right abdomen. However, upon examination at the hospital, an incidental finding of a 3 cm adrenal tumor was discovered. The urologist conducted blood and urine tests for the adrenal gland, and the resul...
Dr. Hong Yuanbin Reply:
Hello, 1. I'm not sure what you mean by "abnormal findings in the examination report." Generally, adrenal tumors are initially classified as benign or malignant based on imaging reports, particularly computed tomography (CT) scans. If the tumor is malignant, it c...[Read More] Understanding Adrenal Tumors: Symptoms, Diagnosis, and Management
Assessing Potential Kidney or Spleen Injury After a Back Impact
Impact injury to the left lower back? Hello Doctor: Today while playing with friends, one of them accidentally hit my left lower back with a pillow quite hard (although the pillow is relatively soft). At that moment, there was swelling on my left lower back due to the zipper on t...
Dr. Xiao Yongxun Reply:
Dear Mr. Q: 1. Given the left lower back pain due to external impact, it is indeed necessary to consider potential injuries to the kidneys, spleen, mesentery, ureters, intestines, and other related structures. 2. In your case, although there is a skin wound, the absence of hemat...[Read More] Assessing Potential Kidney or Spleen Injury After a Back Impact
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
Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
In addition to measuring uric acid levels, what other methods can be used to achieve a definitive diagnosis during an acute attack of non-gouty arthritis? Hello Dr. Gao, Due to my work in the United States, I was unable to return to Taiwan for medical treatment. On a day when I...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I will summarize my response as follows: 1. I believe the likelihood of gout is very low, even if you have mild hyperuricemia. Generally, gout attacks are quite severe, with significant redness, swelling, heat, and pain, often preventing indi...[Read More] Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
How to Treat Swollen Toes After a Car Accident Injury?
If you have injured your toe in a car accident and it is swollen, here are the steps you should take: 1. **Rest**: Avoid putting weight on the injured foot to prevent further injury. 2. **Ice**: Apply ice to the swollen area for 15-20 minutes every hour to reduce swelling and pa...
Dr. Wu Hongjie Reply:
Hello, your issue is due to "a foot injury from a car accident, which has not yet subsided," and it is not an internal medicine problem. I recommend that you return to the hospital and consult with an orthopedic specialist. Wishing you safety and good health. Sincerely,...[Read More] How to Treat Swollen Toes After a Car Accident Injury?