Managing COVID-19 in Patients with Sjögren's Syndrome: Treatment Insights
After being diagnosed with COVID-19 three times, the patient has been unable to test negative for an extended period following the most recent diagnosis? Hello Doctor, my mother has been diagnosed with Sjögren's syndrome for over ten years. Currently, she is taking one pill ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I would like to ask whether antiviral medication is necessary, or if there is a need for antiviral medication for patients with Sjögren's syndrome? (I am not opposed to taking it; if possible, I hope the physicia...[Read More] Managing COVID-19 in Patients with Sjögren's Syndrome: Treatment Insights
Can Tiny Jumping Bugs Enter Your Lungs and Cause Harm?
Jumping worms are very small and can jump in the air; can they be inhaled into the lungs? Hello, doctor. Due to previous flooding of the wooden floor in my home, there has been a presence of damp insects. I hired a pest control company to address the issue, but I later noticed th...
Dr. Lin Wufu Reply:
Hello! No, that's not possible! Our trachea has many cilia, and when foreign objects enter the trachea, it triggers a strong cough reflex to expel the foreign material. It also produces secretions to prevent foreign objects from continuing to enter the lungs. So under normal...[Read More] Can Tiny Jumping Bugs Enter Your Lungs and Cause Harm?
Understanding Recurrent Infections: Causes and When to Seek Help
Recurrent inflammatory colds? Hello, doctor. In the past month, I have been experiencing recurrent episodes of fever and inflammation. The first instance was a sudden acute fever, which did not show significant signs of subsiding after two days. After visiting my family physician...
Dr. Lin Wufu Reply:
Hello: Your situation is relatively complex, and it is recommended that you visit the Infectious Disease outpatient clinic for evaluation. Additionally, if you experience any changes in hearing, it is advisable to see an Ear, Nose, and Throat (ENT) specialist to rule out more obv...[Read More] Understanding Recurrent Infections: Causes and When to Seek Help
Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Cough accompanied by difficulty breathing, causing sleepless nights? Hello, I woke up suddenly around 3 AM with a headache, and then I started sweating profusely. After that, I vomited, possibly due to stomach acid irritating my throat, which now feels like there is something stu...
Dr. Wu Yuwei Reply:
It is recommended to follow up with a gastroenterologist, as gastroesophageal reflux can sometimes cause coughing symptoms.[Read More] Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Managing Mycoplasma Infection: Treatment Duration and Medication Guidance
Medication issues related to suspected Mycoplasma infections? Hello Dr. Liao, I started experiencing symptoms of a sore throat, itching, and coughing on March 19 while in mainland China. Due to potential exposure to a Mycoplasma infection, I sought medical attention after retur...
Dr. Liao Zhongxin Reply:
According to the recommendations from the Centers for Disease Control in Taiwan: 1. The drug of choice for Mycoplasma pneumoniae is not erythromycin, but rather macrolide antibiotics. Alternative medications include fluoroquinolone antibiotics or tetracycline antibiotics. Gener...[Read More] Managing Mycoplasma Infection: Treatment Duration and Medication Guidance
Could Oral Contact with a Massage Therapist Lead to Infection?
Infection concerns? Hello doctor, I visited a massage parlor on March 1st and licked the massage therapist's nipple. I know this is very unhygienic, but at that moment, due to some issues, I was emotionally unstable and acted foolishly. Starting on the night of March 3rd, I ...
Dr. Liao Zhongxin Reply:
In addition to HIV, there are other sexually transmitted infections (STIs) or skin diseases that can be transmitted through contact. HIV is primarily spread through unprotected sexual intercourse, sharing of drug injection needles, and vertical transmission from mother to child, ...[Read More] Could Oral Contact with a Massage Therapist Lead to Infection?
Can Sneezing Too Hard Cause Chest Pain After COVID-19?
Sneezing after diagnosis? Hello, I would like to consult a doctor. I was diagnosed with COVID-19 for the second time during the New Year. I took cold medicine and traditional Chinese medicine, and I no longer have yellow phlegm or a sore throat. However, after sneezing quite forc...
Dr. Liao Zhongxin Reply:
1. After a typical COVID-19 infection, a dry cough and decreased appetite may persist for one to two weeks, gradually improving over time. 2. If the cough and chest pain continue, or if there is hemoptysis, it is advisable to visit a healthcare facility to check for possible se...[Read More] Can Sneezing Too Hard Cause Chest Pain After COVID-19?
Could Parasites Be Causing My Severe Headaches and Cough?
Cerebral issues caused by parasites? Hello Doctor, I consumed several raw shrimp (purchased from a Japanese restaurant, unsure of the species and handling process) three weeks ago. In the past week, I have experienced severe headaches, strong cough (with phlegm, but minimal nasal...
Dr. Lin Wufu Reply:
Hello, if there is a combination of cough with phlegm, it is advisable to suspect an upper respiratory tract infection (such as a cold, flu, or COVID-19). The likelihood of contracting a parasite from consuming raw shrimp is extremely low, and it is unlikely to experience headach...[Read More] Could Parasites Be Causing My Severe Headaches and Cough?
Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Can a person who performs oral sex on another be at risk of contracting syphilis? On January 25, 2024, I visited a brothel and had oral sex with a sex worker. She mentioned that she uses an alcohol-based mouthwash before each oral encounter. I am very concerned because I have hea...
Dr. Li Jian Reply:
If you have related symptoms, it is recommended that you see an infectious disease specialist for an examination. Thank you for your inquiry.[Read More] Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Consulting a Doctor: COVID-19 Symptoms and Concerns Explained
Consult a doctor? Hello Doctor, I tested positive for COVID-19 a few days ago and have a few questions. I am currently taking Qingguo No. 1 and have also visited an ENT specialist for medication to treat my sore throat and runny nose. I noticed that my phlegm has been yellow and ...
Dr. Liao Zhongxin Reply:
1. After several days of forceful coughing, it is normal to have some blood-tinged sputum due to the rupture of small blood vessels in the trachea. However, if there is a significant amount of fresh blood, it is different, and you should seek medical attention. 2. Whether it...[Read More] Consulting a Doctor: COVID-19 Symptoms and Concerns Explained
Blood in Sputum Without Cough: Understanding Possible Causes
Coughing up blood-stained sputum without coughing? Today, I started experiencing a sore throat and a fever of 38 degrees Celsius. While taking a shower in the evening, I coughed up phlegm and noticed blood in it, but I haven't had a runny nose or a cough. I visited a clinic ...
Dr. Li Jian Reply:
If symptoms persist, it is recommended to see a pulmonologist for further evaluation. Thank you for your inquiry.[Read More] Blood in Sputum Without Cough: Understanding Possible Causes
Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID
Recurring fever every month that is neither influenza nor COVID-19? Since changing jobs in the second half of last year, I've been experiencing a lot of health issues (previously, I would only catch a cold once every six months). In May, I developed numerous unexplained red ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Recurrent fever is still a concern, and I recommend that you see a rheumatologist for further evaluation and testing. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital of the Ministry of Health and Welfare is here to assi...[Read More] Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID
Choking on Medication: Risks and Symptoms to Watch For
Medication stuck in the throat? About an hour ago, I accidentally swallowed a pill that got stuck on the right side of my throat. At that moment, I felt difficulty breathing along with coughing. Later, I drank water to push the pill down. Is it possible that I accidentally pushed...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The medication will not be pushed into the trachea; if it were to enter the trachea, your coughing would become more severe rather than alleviating. Therefore, the medication has already reached your stomach, so there is no need to worry. This ...[Read More] Choking on Medication: Risks and Symptoms to Watch For
Is My Allergic Rhinitis Leading to Asthma Symptoms?
I would like to ask if it could be asthma? I have had allergic rhinitis for several years. Recently, during the change of seasons, whenever my nose becomes congested due to allergies, I find myself needing to take deep breaths to feel more comfortable. I also tend to cough a bit ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Allergic rhinitis is indeed related to asthma. Although both conditions are associated with immune function (allergy), since they involve the respiratory system, it is advisable to consult a pulmonologist first. The Allergy, Immunology, and Rhe...[Read More] Is My Allergic Rhinitis Leading to Asthma Symptoms?
Post-Hernia Surgery: Is Running and Weight Training Safe?
Hernia surgery and running? I would like to ask if, after hernia surgery, it is not recommended to run or do weight training, even after many years? I am concerned about the risk of re-injury.
Dr. Lin Wuxuan Reply:
After hernia surgery, it is generally recommended to avoid lifting heavy objects, forceful coughing, or bending over for 2 to 3 weeks. Strenuous activities, such as running, should be avoided for 4 to 6 weeks. However, recovery varies for each individual, so it is advisable to fo...[Read More] Post-Hernia Surgery: Is Running and Weight Training Safe?
Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion
Choking on medication? I went to see a doctor because of a sore throat. Previously, I had a vitamin C tablet get stuck in my throat, so I have been avoiding pills since then. However, during my recent visit, the doctor prescribed me pills again. After picking up the medication, I...
Dr. Xie Rongyuan Reply:
Hello: If a medication is lodged in the trachea, it can potentially cause aspiration pneumonia. A chest X-ray can be performed at the hospital. Common symptoms of aspiration pneumonia may include coughing, wheezing, and even fever. Thank you for your message![Read More] Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion
Choking on Saliva: Risks of Aspiration and When to Seek Help
Choking on saliva while swallowing, leading to difficulty breathing? About twenty minutes ago, I choked on my own saliva. This isn't the first time it has happened; each time, I cough to the point where I feel like I can't breathe and I'm close to suffocating. This...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Our trachea is quite sensitive, and even if we choke on water, it is often just a small amount that can be coughed out quickly. The amount of saliva is even less, making it unlikely to choke on a large volume of water, so there is no need to wo...[Read More] Choking on Saliva: Risks of Aspiration and When to Seek Help
Persistent Positive COVID-19 Test: What You Need to Know
Persistent positivity after COVID-19 diagnosis? Hello Doctor: I tested positive on November 9 and started taking molnupiravir, completing a five-day course. After that, the second line on the test strip became faint, but the next day it started to darken again. As of today, Novem...
Dr. Cai Mingsong Reply:
Patients with complications from COVID-19 require isolation. It is recommended to wear a mask and monitor for any worsening symptoms. You may discuss with your original physician, and if you experience any discomfort or have questions, please consult the infectious disease outpat...[Read More] Persistent Positive COVID-19 Test: What You Need to Know
Understanding HIV Symptoms After Unprotected Sex: What You Need to Know
HIV infection Hello doctor, I had unprotected sex with a sex worker on October 16th, and I had already been experiencing cold symptoms, including a runny nose, since October 15th. Today, October 19th, my cold has progressed from just a runny nose to coughing and a scratchy throat...
Dr. Lin Wufu Reply:
Hello, the incubation period for HIV is at least one week, so if symptoms appear within two to three days, they are likely unrelated. However, if you have engaged in high-risk behaviors, it is still advisable to get tested.[Read More] Understanding HIV Symptoms After Unprotected Sex: What You Need to Know
Understanding Allergy Blood Test Results: Is Your Condition Serious?
Allergy blood test report I have been coughing for six months, and recently my nasal allergies have been almost daily, so I had blood tests done, but my lung function tests are normal. The doctor prescribed me an asthma inhaler, and I am hesitant to use it because it contains ste...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. In Eastern populations, asthma often presents primarily as a chronic cough, with typical wheezing being less common. This may be why your physician prescribed this medication. Currently, inhaled corticosteroids are the mainstay of asthma treatm...[Read More] Understanding Allergy Blood Test Results: Is Your Condition Serious?