Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Choking on a pill? Hello, Doctor: Recently, I have been taking medication frequently, but sometimes I am afraid that the pills might go down the trachea. After taking the medication, I often feel a sensation of something stuck in my throat, and sometimes I cough. Could this be as...
Dr. Xie Rongyuan Reply:
Hello: Aspiration pneumonia can cause coughing, fever, and shortness of breath. A chest X-ray is necessary. As for whether Codemin can be opened and dissolved in water, please consult a pharmacist. Thank you for your message![Read More] Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Managing Excessive Sweating and Heat Sensation in Diabetes Patients
Chest heat or chest discomfort? Hello doctor, I have type 2 diabetes, and about three years ago, I started experiencing night sweats while covered with a blanket during winter (mostly concentrated in the chest and back). In recent months, I have been able to clearly feel a wave o...
Dr. Lin Jianliang Reply:
Hello, since the symptoms you described are non-specific, it is recommended to consult a family medicine physician first.[Read More] Managing Excessive Sweating and Heat Sensation in Diabetes Patients
Symptoms of High Testosterone in Men: Hair Loss and More
Regarding elevated androgen levels in males? I would like to ask what symptoms are associated with elevated androgen levels? Recently, I discovered an issue with male pattern baldness in dermatology, and I'm a bit concerned that it might be caused by high androgen levels lea...
Dr. Lin Jianliang Reply:
Hello: High levels of male hormones in men can lead to excessive and dense body hair, as well as a robust beard. Your symptoms may be related.[Read More] Symptoms of High Testosterone in Men: Hair Loss and More
Distinguishing Between Immune Issues and Menopause Symptoms at 50
How to distinguish between immune issues and menopausal symptoms? Hello, Doctor. I am 50 years and 6 months old. My menstrual cycle was regular until December of last year when it suddenly stopped. Before March of this year, I experienced insomnia, excessive sweating, frequent co...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: (1) What tests should be done to confirm if there is inflammation or adhesion in the spine? --> X-rays and blood tests are sufficient. If necessary, an MRI may also be arranged. Your physician may have started treatm...[Read More] Distinguishing Between Immune Issues and Menopause Symptoms at 50
Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Oral symptoms raising suspicion for HIV? Hello Doctor: Nine weeks ago, I had unprotected sexual intercourse with a sex worker (two minutes of unprotected vaginal intercourse and three minutes of oral sex performed on her). About three weeks later, I experienced unexplained nasal ...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main transmission routes for HIV: (A) Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. (B) Bl...[Read More] Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Medical consultation Hello doctor, I would like to ask a question. I am currently on the fourth day of my diagnosis, and I have been sweating continuously while lying in bed. I also have chest pain and cannot sleep well; when I do manage to fall asleep, it’s only for about two ho...
Dr. Lin Wufu Reply:
It still sounds like symptoms related to COVID-19. It is recommended to follow up with an infectious disease specialist or a pulmonologist for further evaluation.[Read More] Understanding Symptoms: Sweating and Chest Pain After Diagnosis
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Feeling Pressure Near the Stomach: Could It Be a Spine Injury or Gastro Issue?
Recently, I have been feeling a pressure near my chest, close to my stomach? For the past few days, when I lie flat on my bed, I feel a sensation as if something is pressing against my chest near my stomach. I'm not sure if this is related to my spinal surgery after I fell f...
Dr. Li Yanquan Reply:
Please first consult the surgeon who performed your operation, and then see a gastroenterologist. Thank you.[Read More] Feeling Pressure Near the Stomach: Could It Be a Spine Injury or Gastro Issue?
Understanding Abdominal Pain: Is It Menstrual or Gastrointestinal?
Abdominal distension, abdominal pain? Recently, I visited a clinic due to dull pain in my lower abdomen. The doctor diagnosed it as gastroenteritis, but the next day my menstrual period started, so I suspect that the discomfort might have been related to my menstruation. However,...
Dr. Li Yanquan Reply:
This issue involves both obstetrics and gynecology as well as gastroenterology, so it is recommended to consult both specialists. Dr. Li Yanqian.[Read More] Understanding Abdominal Pain: Is It Menstrual or Gastrointestinal?
Chest Pain and Cough After Car Accident: What You Need to Know
Chest pain and cough after a car accident? After the car accident, I experienced chest pain. It has been over a week now, and I have started to cough intermittently. The chest pain has gradually decreased over the past week.
Dr. Li Jian Reply:
Hello: This issue is not within the specialty of Metabolism, so I recommend consulting a pulmonologist. Thank you.[Read More] Chest Pain and Cough After Car Accident: What You Need to Know
Understanding the Risk of HIV Infection from Shared Soap in Hotels
Risk of HIV Infection Hello Doctor: I would like to ask you about an anxiety issue I have. Many years ago, while traveling with classmates and staying at a hotel, I forgot to bring my bathing supplies. I mistakenly thought there was soap on the soap dish, so I applied it to my bo...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned does not pose a risk of HIV infection. Thank you for your question.[Read More] Understanding the Risk of HIV Infection from Shared Soap in Hotels
Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Exercise, fatigue, heart problems? Dear Doctor, For the past few months, I have been feeling more fatigued than usual. I feel weak when standing and cannot walk for long periods. Additionally, my exercise capacity has decreased significantly; I often experience an inexplicable ...
Dr. Hong Yuanbin Reply:
Based on your description, it is possible that the issue may be due to physiological or psychological factors. I recommend starting with a visit to a family medicine specialist to check your basic health status, such as whether you have anemia or if your endocrine system is funct...[Read More] Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Swallowed Fish Bone: Should You See a Doctor for Chest Pain?
Accidental ingestion of a fish bone? Hello, a few days ago I got a fish bone stuck in my throat, and it seems I swallowed it. Since yesterday, I've been experiencing a burning sensation in my chest that has lasted all day. Should I see a doctor? I'm worried that the fis...
Dr. Hong Yuanbin Reply:
Hello, theoretically, the symptoms of accidentally swallowing a fishbone do not typically include a burning sensation, so the likelihood of that is considered low. However, if the symptoms persist, one should consider esophageal reflux. If discomfort continues, it is advisable to...[Read More] Swallowed Fish Bone: Should You See a Doctor for Chest Pain?
Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...
Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...[Read More] Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Understanding Venous Blood Gas Analysis: Key Insights for Respiratory Issues
Venous Blood Gas Analysis Report 112/01/25 ABE 7.61 112/01/25 HCO3 32.9 112/01/25 O2CT 17.2 112/01/25 PCO2 49.1 112/01/25 pH 7.430 112/01/25 PO2 41.3 112/01/25 SAT 77.0 112/01/25 SBC 30.8 112/01/25 SBE 8.4 112/01/25 TCO2 34.4 Doctor, this is my venous blood g...
Dr. Hong Yuanbin Reply:
Hello, it is not possible to determine pulmonary obstruction or embolism solely based on venous blood oxygen levels. It is recommended to visit a pulmonology clinic for a chest X-ray, followed by further relevant tests such as pulmonary function tests or lung perfusion scans. Tha...[Read More] Understanding Venous Blood Gas Analysis: Key Insights for Respiratory Issues
Understanding Immune System Abnormalities: T Cells and B Cells Explained
Immune system Hello, Director. Recently, a chest CT scan suggested possible pulmonary tuberculosis, leading to blood tests and bronchoscopy: anaerobic bacteria (+), tuberculosis DNA test (-), T Cell (CD3): 93.0, B Cell (CD19): 2.6, T Cell (CD4+): 54.4. Could you please explain wh...
Dr. Lin Wufu Reply:
Hello, these questions may need to be directed to the physician who arranged your tests! The interpretation of these data requires a comprehensive evaluation, as the lymphocyte count must be compared with other white blood cell types; looking at the absolute value alone does not ...[Read More] Understanding Immune System Abnormalities: T Cells and B Cells Explained
Understanding Intermittent Pain Under the Left Chest: Causes and Insights
Pain in the lower left chest? Hello, doctor. This morning, I woke up due to a sharp pain in the lower left side of my chest. It feels like intermittent sharp pain (not related to breathing). The pain extends to the side as well, and I can't pinpoint a specific tender spot; I...
Dr. Hong Yuanbin Reply:
Hello, heart valve issues are unlikely to be the cause of your symptoms. The most probable reason is a mild muscle strain related to posture, possibly due to your sleeping position or physical activity. This usually allows the muscles to relax and rest, and it should gradually im...[Read More] Understanding Intermittent Pain Under the Left Chest: Causes and Insights
Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message![Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Unexplained Left Back Pain: Causes and When to Seek Help
Unexplained back pain? Left-sided back pain that comes and goes mildly, with no pain during breathing. There is a slight tingling sensation in the left arm and a feeling of chest tightness. I have seen a cardiologist and also visited a clinic; my blood pressure is normal and lung...
Dr. Xie Rongyuan Reply:
Hello: You may consider visiting the pulmonary medicine outpatient clinic. Thank you for your message![Read More] Unexplained Left Back Pain: Causes and When to Seek Help
Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?
What is the appropriate timing for a chest examination after being diagnosed with a condition and still experiencing hemoptysis? Hello doctor, I was diagnosed at the end of last year and completed isolation in early January. I continued to self-isolate until I tested negative on ...
Dr. Hong Yuanbin Reply:
Hello, if you cough forcefully, it can easily cause microvascular rupture in the throat, leading to blood-tinged sputum. This should gradually improve as the cough resolves. Whether a follow-up chest X-ray is necessary mainly depends on whether you experience shortness of breath ...[Read More] Post-COVID Coughing: When to Seek Chest X-Ray for Blood-Streaked Phlegm?