COVID-19, Internal Medicine FAQ - Page 7

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Persistent Leg Discomfort After COVID-19 Vaccination: When to Seek Help?

Persistent soreness and numbness in the right calf after receiving the COVID-19 vaccine? Hello, doctor. I received my third dose of Moderna, and starting the next day, I have been experiencing soreness and numbness in my right calf and foot. This sensation has been persistent, la...


Dr. Hong Yuanbin Reply:
Hello, what you described are indeed potential symptoms of the vaccine. It is recommended to rest for a few days, and you should gradually improve. If there is no improvement or if the symptoms continue to worsen, then medical attention is necessary. Thank you for your inquiry.

[Read More] Persistent Leg Discomfort After COVID-19 Vaccination: When to Seek Help?


Persistent Leg Discomfort After COVID-19 Vaccination: When to Seek Help?

Persistent soreness and numbness in the right calf after receiving the COVID-19 vaccine? Hello, doctor. I received my third dose of Moderna, and starting the next day, I've been experiencing soreness and numbness in my right calf and foot. This sensation has been quite persi...


Dr. Hong Yuanbin Reply:
Hello, what you described are indeed possible symptoms of the vaccine. It is recommended to rest for a few days, and it should gradually improve. If there is no improvement or if the symptoms continue to worsen, then medical attention is necessary. Thank you for your inquiry.

[Read More] Persistent Leg Discomfort After COVID-19 Vaccination: When to Seek Help?


Understanding Ear Pain and COVID-19 Exposure: Your Health Questions Answered

Question inquiry? Hello, I have two questions to ask. Yesterday, I experienced pain when pressing on the scalp area above my right ear near the temple while washing my face, and I'm worried about what disease it could be. However, I remembered that a couple of days ago, I ad...


Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the headache, it is suspected to be either localized myofascial inflammation or tension-type headache based on your description. Since it has improved, there should be no need for special treatment at this time; observation is sufficient. 2. If everyone is...

[Read More] Understanding Ear Pain and COVID-19 Exposure: Your Health Questions Answered


Can I Get Hepatitis Vaccine While Receiving COVID Booster?

Hepatitis vaccine issues? Hello, doctor: I am scheduled to receive the third dose of the COVID-19 BNT vaccine on March 1. I would like to know if I can also receive the hepatitis vaccine at that time. Thank you. Additionally, is it true that I should avoid street food due to the ...


Dr. Hong Yuanbin Reply:
Hello, as long as there is an interval of more than one week between vaccinations, they can be administered to avoid contaminated food. The main concern is to prevent Hepatitis A and other bacterial or viral gastroenteritis. As for Hepatitis B and C, the primary risk is from need...

[Read More] Can I Get Hepatitis Vaccine While Receiving COVID Booster?


Understanding Ankylosing Spondylitis and Its Impact on Immunity

Ankylosing spondylitis and immunity? Hello Doctor, I am currently 18.7 years old. I have already received the first dose of the BNT vaccine and am considering self-paying for the first dose of a biologic agent and the second dose of the BNT vaccine. I would like to ask you: 1) Ho...


Dr. Zeng Guosen Reply:
1) Some biologic agents have effects, while others do not; please consult the attending physician. 2) Autoimmune diseases can have fluctuating conditions, and vaccines may also have an impact, so it is important to consider the actual situation. 3) Generally, in ankylosing spondy...

[Read More] Understanding Ankylosing Spondylitis and Its Impact on Immunity


Understanding Dizziness and Headaches: Possible Causes and Concerns

Dizziness, headache? The initial symptoms were mild dizziness, which lasted for three days, followed by the onset of headaches and sore throat. Later, I started to feel short of breath, resembling palpitations, possibly due to wearing a mask while working. I experience episodes o...


Dr. Hong Yuanbin Reply:
Hello, based on the current pandemic situation, the first consideration should be the possibility of a COVID-19 infection. It is advisable to perform a rapid test; if the result is negative, it could be due to orthostatic hypotension or anemia. I recommend measuring your blood pr...

[Read More] Understanding Dizziness and Headaches: Possible Causes and Concerns


Understanding Biologics and Vaccination for Ankylosing Spondylitis Patients

Biologics Hello Doctor, I am currently 19 years old and have ankylosing spondylitis. I received my first dose of the BNT vaccine on September 27, 2021, and I am planning to get the second dose (the delay in receiving the second dose is due to my serious suspicion that the first d...


Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1) Is there a regulation on how long one should wait to receive the COVID-19 vaccine before or after receiving a biologic agent? --> Only certain biologic agents require a pause in administration when receiving the C...

[Read More] Understanding Biologics and Vaccination for Ankylosing Spondylitis Patients


Could Vaccination Trigger Ankylosing Spondylitis Symptoms?

Is ankylosing spondylitis caused by vaccination? Hello, after recently receiving the BNT vaccine, I experienced several inflammatory symptoms. After multiple rounds of examinations at the hospital, I was diagnosed with ankylosing spondylitis. However, the symptoms appeared sudden...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that the BNT vaccine is unlikely to trigger the occurrence of ankylosing spondylitis. However, current COVID-19 vaccines, including BNT, may indeed induce muscle and joint pain, resulting in symptoms similar to rheumatic diseases. I s...

[Read More] Could Vaccination Trigger Ankylosing Spondylitis Symptoms?


Understanding Cough and Left Back Pain in Mitral Valve Prolapse Patients

Cold and cough. Soreness in the left back? I have a problem with mitral valve prolapse, and I am taking medication for palpitations and to prevent heart failure. I tend to be more sensitive and anxious, and sometimes my family says I make a big deal out of small issues. However, ...


Dr. Hong Yuanbin Reply:
Hello, 1. Regarding your back pain, it is likely caused by a muscle strain. If you haven't experienced any recent injuries, it may be due to poor posture or muscle strain from excessive coughing. Typically, applying heat or using a topical analgesic can help alleviate the ...

[Read More] Understanding Cough and Left Back Pain in Mitral Valve Prolapse Patients


Risk of Infection from Blood Exposure During Vaccination: What You Need to Know

Blood infection Hello, doctor. Following up on the previous question, during vaccination, due to the high number of people, the nurse did not follow the standard disinfection procedures. It was also noticed that there was blood on her hands (unknown whose it was) during the injec...


Dr. Liao Zhongxin Reply:
1. During the COVID-19 pandemic, healthcare workers have been busy administering vaccines, which may lead to lapses in following standard disinfection protocols; however, wearing gloves and practicing proper hand hygiene can suffice. 2. Even in the case of HIV-positive individu...

[Read More] Risk of Infection from Blood Exposure During Vaccination: What You Need to Know


Impact of COVID-19 Vaccines on Inflammatory Markers in Patients with Ankylosing Spondylitis

COVID-19 Vaccines and Inflammatory Markers Hello Doctor: I am a patient with ankylosing spondylitis and have been taking Secukinumab for a year. My inflammatory markers were under control, but after receiving the first dose of the BNT vaccine on September 27, I noticed an increas...


Dr. Zeng Guosen Reply:
1) In outpatient experience, there have been cases where inflammation markers worsened after receiving the COVID-19 vaccine, with literature reporting approximately 5%. 2) This has been observed in various rheumatic patients and with different vaccines. 3) The duration of the imp...

[Read More] Impact of COVID-19 Vaccines on Inflammatory Markers in Patients with Ankylosing Spondylitis


Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?

Will getting the COVID-19 vaccine worsen the condition of ankylosing spondylitis? Hello Doctor: My child is a patient with ankylosing spondylitis and has been taking Secukinumab for a year. The inflammatory markers have been under control. On September 27, he received the first d...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In your clinical experience, how common is it for patients with rheumatic diseases to experience worsening conditions after receiving the COVID-19 vaccine? --> I only have personal experience and no national statist...

[Read More] Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?


Understanding Sjögren's Syndrome: Symptoms, Diagnosis, and Management

Sjögren's syndrome is an autoimmune disease? Hello Doctor, I had an appointment in October and experienced symptoms of dryness. I consulted a rheumatologist, and all my blood tests came back normal, but my condition shows tendencies towards lupus erythematosus. However, I ha...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many causes of dry symptoms, and Sjögren's syndrome is just one of them. While blood tests show "lupus-like phenomena," there is no definitive evidence of Sjögren's syndrome. Typically, we recommend follow-up visit...

[Read More] Understanding Sjögren's Syndrome: Symptoms, Diagnosis, and Management


Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies

Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...


Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...

[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies


Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More

Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...


Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...

[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More


Impact of Uterine Fibroids and Thyroid Issues on Pregnancy

Uterine fibroids, hypothyroidism, and significantly elevated thyroid antibodies can impact fertility and pregnancy. Uterine fibroids may affect implantation and the overall pregnancy environment, while hypothyroidism can lead to hormonal imbalances that may interfere with ovulati...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. Uterine fibroids can affect pregnancy, but for detailed information, it's best to consult a gynecologist. Although thyroid dysfunction is partially related to immune function, it falls under the specialties of endocrinology or metabolism. A...

[Read More] Impact of Uterine Fibroids and Thyroid Issues on Pregnancy


Concerns About Infection Risks During Blood Draw: What You Need to Know

I am concerned about the risk of infection since the blood collection tube fell on the table? Hello Doctor, I went to the lab today for a blood draw. They said my veins are too small, so they used a thin long needle (like a long thin tube). As the blood was slowly flowing out, th...


Dr. Lin Wufu Reply:
Hello: No, that's not the case! There is pressure within the blood vessels, so blood does not flow backward. The speed at which bacteria move is not fast enough to enter the body during the blood draw, so the scenario you mentioned poses minimal risk.

[Read More] Concerns About Infection Risks During Blood Draw: What You Need to Know


Concerns About Unknown Liquid Exposure After Vaccination in Vietnam

Infected with an unknown liquid in the hospital? During my visit to a local hospital in Vietnam for the COVID-19 vaccination, the vaccination process took about 3 hours. After returning home, I noticed an unknown yellow-brown residue on my palms, which resembles either iodine sol...


Dr. Lin Wufu Reply:
Hello: Basically, if there are no wounds on the palm, there is no chance of contracting bloodborne diseases through contact! Of course, it's a good idea to check if there are any effects on the local skin; if there are none, there's no need to worry!

[Read More] Concerns About Unknown Liquid Exposure After Vaccination in Vietnam


Can COVID-19 Vaccine Be Administered During Syphilis Treatment?

Can a patient with confirmed stage 2 syphilis (under treatment) receive the COVID-19 vaccine? Hello Dr. Hong, I recently tested positive for stage 2 syphilis, with relevant indices showing RPR Test 1:64, RPR(L) 485.4, and TPLA 25565. I have chosen not to receive an injection this...


Dr. Hong Yuanbin Reply:
Hello, the treatment for syphilis does not affect vaccines, so it is safe to receive vaccinations. Thank you for your question.

[Read More] Can COVID-19 Vaccine Be Administered During Syphilis Treatment?


Concerns About COVID-19 Transmission After a Medical Visit

Transmission of COVID-19 Hello, I had dinner around 5:30 PM after class, and it seems that I got a fishbone stuck in my throat from eating tilapia. My family took me to an ENT clinic, and after the examination, the doctor said he couldn't see anything, suggesting that I migh...


Dr. Hong Yuanbin Reply:
Hello, after a COVID-19 infection, there is typically an incubation period of about 2 to 7 days, so it is unlikely for symptoms to appear that quickly. In the clinic, if everyone is wearing masks and there is no direct contact, the risk of transmission should be very low. It is r...

[Read More] Concerns About COVID-19 Transmission After a Medical Visit


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