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
Understanding Tonsillitis: Symptoms, Treatment, and Recovery Time
Tonsillitis Doctor, I recently tested positive for COVID-19, and about a week after recovering, I suddenly experienced pain on the left side of my throat. It feels like there is a foreign object when I swallow, and when I eat, it hurts. The doctor prescribed me antibiotics, somet...
Dr. Li Jian Reply:
If you have tonsillitis, please visit the otolaryngology clinic for further examination. Thank you for your inquiry.[Read More] Understanding Tonsillitis: Symptoms, Treatment, and Recovery Time
Understanding Prolonged Fever: Blood Test Insights and Concerns
Blood tests for fever lasting more than 6 days? Hello Doctor, I have been experiencing a fever for over 6 days (around 38 degrees Celsius). I visited the clinic twice (COVID-19 and influenza tests were negative). The clinic doctor recommended that I go to a large hospital for blo...
Dr. Li Jian Reply:
The inflammatory index is slightly elevated, and the glomerular filtration rate can be monitored by a nephrologist. Thank you for your inquiry.[Read More] Understanding Prolonged Fever: Blood Test Insights and Concerns
Understanding RA Factor Changes and Related Health Concerns
Rheumatoid Arthritis - Inquiry about Rheumatoid Factor and Other Related Data? Hello, Doctor Gao. I apologize for the lengthy message. Here are my health examination data from three tests conducted at the same laboratory: - Date: 2023/11/11, 2024/6/15, (2024/4/30) - ALT/SGPT (L...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. I underwent tests related to immune system diseases at a regional hospital in December 2023, and my rheumatoid arthritis (RA) factor was less than 5 at that time. Additionally, the measurement taken on April 30, 2024,...[Read More] Understanding RA Factor Changes and Related Health Concerns
Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Autoimmune hepatitis Hello Doctor: At the end of March this year, I sought consultation in the hepatobiliary and gastroenterology department due to fatigue, jaundice, and tea-colored urine. Blood tests showed AST 675, ALT 1077, and total bilirubin 4.6. Subsequent tests for HBsAg ...
Dr. Zeng Guosen Reply:
It is highly recommended to seek medical attention as soon as possible, preferably by returning to your original treating physician's clinic. If the appointments are fully booked, you should be able to request an additional slot with your original doctor. To determine the si...[Read More] Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Understanding Eosinophil and Lymphocyte Abnormalities in Blood Tests
Examination Report I have been experiencing hand pain for four months and have seen many specialists without improvement. I had multiple blood tests, and the only abnormalities found were an Eosinophil count of 13.1% and a Lymphocyte count of 13.5%. I am unsure what these two abn...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The value of eosinophils is more meaningful when converted to a total count. A high total eosinophil count is more associated with allergic diseases or parasitic infections. The proportion of lymphocytes can fluctuate based on the body's c...[Read More] Understanding Eosinophil and Lymphocyte Abnormalities in Blood Tests
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?
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
Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID
Complement inquiry? Hello Doctor, I previously asked a question and now I would like to follow up. After being diagnosed with COVID-19 on November 11, I experienced joint swelling, stiffness, discomfort, as well as dry, red, swollen eyes, rashes, and hair loss. After researching ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I would like to ask if a decrease of 20 and 10 in the values of two complement components over a two-week period is normal. The doctor mentioned that different hospitals may report different values, but I am unsure i...[Read More] Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID
Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID
Complement inquiry? Hello Doctor, I have previously asked a question and now I would like to follow up. After being diagnosed with COVID-19 on November 11, I experienced joint swelling, stiffness, discomfort, as well as dry, red, swollen eyes, rashes, and hair loss. After researc...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I would like to ask if a decrease of 20 and 10 in two complement values over a two-week period is normal. The doctor mentioned that different hospitals may have varying values, but I am unsure if this drop is signifi...[Read More] Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID
Understanding Human T-Lymphotropic Virus: What Your Positive Test Means
Human T-lymphotropic virus (HTLV) Hello doctor, I have been consistently donating blood and have done so 12 times. The reports for the first 11 times were normal, but this time the blood donation report tested positive for Human T-Lymphotropic Virus (HTLV). My 11th donation was i...
Dr. Liao Zhongxin Reply:
1. What is a "Human T-lymphotropic virus" (HTLV) carrier? Human T-lymphotropic virus (HTLV), primarily classified into HTLV-I and HTLV-II, is screened for antibodies at blood donation centers using enzyme immunoassays. Individuals who test positive for HTLV antibodies t...[Read More] Understanding Human T-Lymphotropic Virus: What Your Positive Test Means
Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis
Joint pain after a confirmed COVID-19 infection? Hello Doctor, I apologize for the lengthy message. I started feeling unwell on November 11th (muscle aches, fever, fatigue, red rashes on limbs, dry eyes, dry mouth). I was diagnosed with COVID-19 on November 13th. On November 16th...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Since the joint discomfort clearly occurred after the blood draw, could it be that the inflammatory markers, ANA, and other indices had not yet shown abnormal trends at that time, and only now can we detect abnormaliti...[Read More] Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis
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 Cold Agglutinin Disease: Symptoms and Connections to Neuropathy
Numbness and tingling in the hands and feet associated with cryoglobulinemia? Hello, doctor. I was diagnosed with COVID-19 for the first time in early June this year and recovered. At the end of June, I noticed similar bleeding spots on both feet and visited the hospital, where t...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. To determine whether it is a neurological issue, including polyneuropathy, you can consult a neurologist. They will assess whether further nerve conduction studies are necessary. This test can help initially differentiate between polyneuropathy,...[Read More] Understanding Cold Agglutinin Disease: Symptoms and Connections to Neuropathy
Impact of COVID-19 Vaccination on Infection Risks and Long-Term Effects
Regarding COVID-19 vaccines? Hello, Doctor! I would like to ask: I received my first dose of the COVID-19 vaccine (AstraZeneca) on September 10, 2021, my second dose (BioNTech) on November 24, 2021, and my booster dose (BioNTech) on March 1, 2022. I would like to know what the ou...
Dr. Lin Wufu Reply:
Hello, there is a certain probability of severe illness associated with COVID-19, which is related to factors such as the patient's age, pre-existing chronic conditions, and vaccination status. Your situation indicates that the likelihood of experiencing severe illness is lo...[Read More] Impact of COVID-19 Vaccination on Infection Risks and Long-Term Effects
Understanding Symptoms: Is It Multiple Sclerosis or Spinal Issues?
Possible Multiple Sclerosis Hello, doctor. I am a patient with ulcerative colitis, which is currently under control. My colonoscopy showed that the mucosa has healed. I unexpectedly discovered a mild positive result in my cryoglobulin test after being diagnosed with COVID-19. The...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe there is a higher likelihood of cervical spine compression. If you are concerned about multiple sclerosis, it would be advisable to have an evaluation by a neurologist. The Allergy, Immunology, and Rheumatology Department of Changhua H...[Read More] Understanding Symptoms: Is It Multiple Sclerosis or Spinal Issues?
Understanding Symptoms: Is It Multiple Sclerosis or Spinal Issues?
Possible Multiple Sclerosis Hello, doctor. I am a patient with ulcerative colitis, which is currently under control, and my colonoscopy showed that the mucosa has healed. I unexpectedly discovered a mild positive result in my cryoglobulin test after being diagnosed with COVID-19....
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe there is a higher likelihood of cervical spine compression. If you are concerned about multiple sclerosis, it would be advisable to have an evaluation by a neurologist. The Allergy, Immunology, and Rheumatology Department at Changhua H...[Read More] Understanding Symptoms: Is It Multiple Sclerosis or Spinal Issues?