Unexplained Fever: Understanding Sudden High Temperatures and Symptoms
Sudden onset of fever... unknown cause? Hello Doctor, I would like to ask you... Two nights ago, I suddenly developed a fever of about 38-39.5 degrees Celsius. My temperature fluctuated, and I experienced some lower back pain, overall weakness, and occasionally felt like I was ab...
Dr. Yang Hongzhi Reply:
If a fever persists for several days without any cold symptoms, it may be necessary to consider some diagnostic tests. The specific tests to be conducted should be determined by a physician's physical examination, focusing on areas where an infection is suspected. In some ca...[Read More] Unexplained Fever: Understanding Sudden High Temperatures and Symptoms
Understanding Your Symptoms: Headaches, Coughs, and Digestive Issues
Headache, cough, muscle aches, and an unusual feeling in the abdomen? It seems that I might have caught a chill after hiking late on Christmas. Currently, I occasionally experience a throbbing pain in my head, and sometimes it happens while I'm sleeping. A few days ago, it w...
Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing may be a combination of a cold and gastrointestinal issues. It is recommended to get plenty of rest and focus on consuming mild, warm foods. If symptoms do not improve with rest, please consider visiting an internal medicine or gastroenter...[Read More] Understanding Your Symptoms: Headaches, Coughs, and Digestive Issues
Understanding Chest Tightness and Cough After Cervical Spine Injury
Chest tightness and cough after cervical spine injury? Hello, doctor. Thank you for helping me with my concerns. I was in a car accident two and a half months ago, and after X-ray and MRI examinations, a neurosurgeon diagnosed me with a C5-C6 disc herniation. I am currently weari...
Dr. Chen Fuquan Reply:
Hello Miss, 1. After your car accident, the neurosurgery department conducted X-rays and MRI examinations, diagnosing you with C-5 and C-6 subluxation. You are currently wearing a cervical collar for observation. During this time, please be cautious with your neck and avoid any...[Read More] Understanding Chest Tightness and Cough After Cervical Spine Injury
Excessive Phlegm: Causes, Concerns, and When to Seek Help
Excessive phlegm? Hello Doctor: Since last year, I have been experiencing excessive phlegm production. Previously, I would only have this issue when I had a cold, but now I have phlegm almost every day. I can hear a rattling sound in my lungs (accompanied by my breathing). Is thi...
Dr. Ke Zhengchang Reply:
Hello: A cough with excessive phlegm is generally indicative of acute bronchitis. If there are blood-streaked phlegm, it may suggest rupture of microvessels in the bronchi, bacterial infection, or even tuberculosis. It is recommended to visit a pulmonology clinic for a chest X-ra...[Read More] Excessive Phlegm: Causes, Concerns, and When to Seek Help
How to Cough Up Sputum When You Have No Phlegm?
How to cough up phlegm? Hello, doctor. I recently had a chest X-ray (frontal view) taken at a health center, and it was found to show non-cavitary pulmonary tuberculosis. I then went to another hospital's pulmonology department for a follow-up examination (posterior view), b...
Dr. Ke Zhengchang Reply:
Hello: The diagnosis of pulmonary tuberculosis requires not only a chest X-ray but also sputum tests and clinical symptoms (such as cough, fever, and weight loss). If there are no symptoms, the changes observed in the X-ray can be monitored without medication, or medication may b...[Read More] How to Cough Up Sputum When You Have No Phlegm?
Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms
Chest tightness? Hello, Doctor: Recently, I have been suffering from a prolonged cold that hasn't improved. My symptoms include sore throat, cough, phlegm, occasional headaches, and nasal congestion. The most distressing symptom is a heavy feeling in my chest. I have visited...
Dr. Xie Weiming Reply:
Hello: Based on the description above, it seems to be an allergic cough, possibly indicating asthma, which could explain the persistent cough and chest tightness. Some asthma medications may cause an increased heart rate. It is recommended to consult a pulmonologist for further e...[Read More] Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms
Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Swelling of the fingers and toes? Hello Dr. Yang: My child is currently 14 years old and experienced swelling in the hands and feet (fingers and toes) around the age of 9, which was accompanied by pain. I forgot what the doctor said at that time. It occurred occasionally, but for...
Dr. Yang Jun Reply:
Hello: In response to your question... The possible causes of edema in the hands and feet, aside from kidney disease leading to proteinuria, include heart disease, liver disease, and metabolic disorders (such as hypothyroidism, etc.). It is recommended to visit a nephrologist for...[Read More] Understanding Hand and Foot Swelling in Adolescents: Causes and Treatments
Four Years of Discomfort: Seeking Answers for Persistent Symptoms
A problem that has troubled me for four years? Hello Dr. Zheng, I am very grateful for your taking the time to answer my questions. The background of this matter is somewhat lengthy, as I have been troubled by discomfort in my body for a while. I work at an accounting firm, and ...
Dr. Zheng Shuxing Reply:
Hello Mr. Wu, if it has been four years since the incident and all tests have come back normal, you should not be concerned about HIV infection. The window period for HIV antibody testing does not exceed one year. The sensation of warmth in your back is not a symptom of HIV. Earl...[Read More] Four Years of Discomfort: Seeking Answers for Persistent Symptoms
Effective Remedies for Persistent Phlegm in the Throat
Phlegm in the throat? It has been ten days since last week, and my throat initially felt very dry. Later, I developed persistent phlegm, which has been inconvenient, but I do not have any other cold symptoms. What can I do to treat the phlegm issue?
Dr. Zhao Chongliang Reply:
The initial thirst may indicate a mild cold, followed by increased phlegm as a response of the immune system to an upper respiratory tract infection. If you smoke, it is advisable to quit. If the phlegm is yellowish-white and not thick, increasing water intake can help reduce thr...[Read More] Effective Remedies for Persistent Phlegm in the Throat
Persistent Cold Symptoms: When to Seek Further Medical Advice?
Persistent cold symptoms? Good afternoon, Dr. Cheng: How is the weather in Penghu? I have been experiencing cold symptoms for nearly two months. I have visited three different hospitals and have taken a considerable amount of cold medications, including antibiotics, but my condit...
Dr. Zheng Hongyi Reply:
Hello, of course, I need to return to the hospital outpatient clinic for treatment. Thank you![Read More] Persistent Cold Symptoms: When to Seek Further Medical Advice?
Chronic Back Pain: Understanding Symptoms and Seeking Relief
Chronic back pain Hello, I would like to describe my symptoms and kindly ask for your assistance. Thank you! 1. I have been experiencing chronic back pain for at least a year. During severe episodes, I am unable to lie down for long periods, and sleeping for more than seven hour...
Dr. Zeng Guosen Reply:
Hello! An ANA titer of 1:320, along with joint redness and swelling, fatigue, and even fever, suggests the need to consider connective tissue diseases, particularly lupus erythematosus. However, based on the information provided by the online user, a definitive diagnosis cannot b...[Read More] Chronic Back Pain: Understanding Symptoms and Seeking Relief
Understanding Allergy Testing: Identifying Triggers for Better Management
Allergen testing Dear Dr. Tseng, I have allergic reactions to medications (such as antipyretics and analgesics) as well as environmental factors and air quality (like seasonal changes and poor ventilation). My allergic symptoms manifest as asthma, starting with persistent coughi...
Dr. Zeng Guosen Reply:
Hello! Allergen testing can help you identify the causes of your allergies, allowing you to avoid them and potentially better control your symptoms or reduce medication use. There are two clinical methods for measuring allergens: (1) CAP (Chemiluminescent Allergen-specific IgE te...[Read More] Understanding Allergy Testing: Identifying Triggers for Better Management
Understanding Thyroid Nodules and High Triglycerides: What You Need to Know
There are 0.7 cm cysts on both sides of the thyroid gland? Hello, my husband recently received his health check report indicating that his triglyceride levels are elevated. Additionally, there are small nodules approximately 0.5 and 0.7 cm on both sides of his neck's thyroid...
Dr. Zhao Chongliang Reply:
The causes of thyroid cysts include poor blood circulation leading to degenerative changes within the gland, bacterial or viral infections, inflammation (such as chronic thyroiditis), or suppuration. The contents are typically colorless and clear. If there is a rupture of blood v...[Read More] Understanding Thyroid Nodules and High Triglycerides: What You Need to Know
Understanding Persistent Cough: When to Seek Medical Advice
Coughing Hello Doctor: I would like to ask about my husband, who is 41 years old. For the past month, he has been experiencing a mild cough, but it is not severe. When I asked him, he mentioned that his throat feels itchy. He really enjoys drinking cold beverages (including water...
Dr. Zhao Chongliang Reply:
Hello! If your husband is still smoking or has quit smoking for less than 15 years, it is advisable to continue monitoring with chest X-rays. Just because the X-ray from two years ago was normal does not mean he is not at risk for lung cancer. Even if he does not smoke, if he has...[Read More] Understanding Persistent Cough: When to Seek Medical Advice
Is Coughing Up Blood from Bronchitis Serious? Understanding the Risks
Is it true? Hello, today my boyfriend told me that he noticed blood after coughing this morning! He went to the hospital by himself, and the doctor asked if he smoked: he does. The doctor then took an X-ray and later told him that his lungs were clear! The doctor mentioned it was...
Dr. Zheng Shuxing Reply:
Hello! Acute bronchitis can indeed cause coughing up blood, but it should resolve within 3-5 days during the acute phase. If there is no improvement after multiple episodes, it is necessary for the patient to see a physician again. Best wishes for health from Dr. Cheng Shu-Hsing,...[Read More] Is Coughing Up Blood from Bronchitis Serious? Understanding the Risks
Persistent Cough: When to Seek Further Medical Evaluation?
I have a persistent cough that won't go away? Dear Vice Dean Zhao, My mother has been coughing for two months now. She has seen several doctors and taken various medications, but she still hasn't improved. It doesn't seem like a common cold. Should we consider go...
Dr. Zhao Chongliang Reply:
If a cough lasts more than three weeks, it is advisable to visit a hospital for a detailed examination. First, it is important to inquire whether the cough is dry or productive, and if productive, whether the sputum is clear, thick, white, yellow, or green, and if it has an odor....[Read More] Persistent Cough: When to Seek Further Medical Evaluation?
Understanding Septic Shock: Causes, Symptoms, and Concerns
Sepsis Dear Dr. Cheng, I have some questions regarding my father's recent passing (May 3, 2023) due to septic shock. My father was participating in a self-improvement activity (traveling in Hualien and Taitung) when he developed high fever, cough, vomiting, and fainting whi...
Dr. Zheng Shuxing Reply:
Hello! Septic shock is caused by bacterial infections. Our hospital handles thousands of cases each year, with nearly one-third resulting in death, and the mortality rate is higher among the elderly. Many types of bacteria can cause septic shock, such as Escherichia coli, Klebsie...[Read More] Understanding Septic Shock: Causes, Symptoms, and Concerns
Understanding Occasional Chest Pain: Causes and Concerns
Occasional chest pain? Hello Doctor, I have been experiencing strange chest pain intermittently for the past two to three years. During these episodes, I feel a stabbing pain in my chest when I move my body, and it is often accompanied by a sharp pain between my ribs when I push ...
Dr. Zhao Chongliang Reply:
Hello! Chest pain can be caused by various conditions related to the heart (such as angina, myocardial infarction, arrhythmias, myocarditis, and pericarditis), lungs and associated structures (such as pneumothorax, pneumonia with pleuritis, rib fractures, pulmonary embolism, and ...[Read More] Understanding Occasional Chest Pain: Causes and Concerns
Living with Advanced Liver Cancer: Seeking Hope and Treatment Options
Liver cancer Hello: I am a carrier of liver cancer (inherited from my mother since childhood). I have undergone radiation therapy and taken a certain medication that was once banned (all treatments were at Kaohsiung Chang Gung Memorial Hospital). My condition has now worsened to ...
Dr. Li Huixiong Reply:
I am sorry to hear about your illness, but I must inform you of this fact: liver cancer remains one of the top three causes of death among both men and women in our country. The causes of liver cancer primarily stem from complications following infections with hepatitis B or C vi...[Read More] Living with Advanced Liver Cancer: Seeking Hope and Treatment Options
Understanding Chronic Back Pain: Causes and Treatment Options
Back pain Hello, doctor! I've been experiencing pain in my shoulder and back for over three months. It hurts even with light pressure. I've seen many doctors, but none have been effective. Recently, when I have a cold and cough, my back also hurts.
Dr. Zeng Guosen Reply:
Hello! There are many causes of shoulder and back pain. Based on the descriptions provided by users, it is difficult to give a definitive and satisfactory answer without a detailed medical history. If the issue persists, we kindly suggest that users consult a rheumatologist, orth...[Read More] Understanding Chronic Back Pain: Causes and Treatment Options