Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
What are the possible causes of lower extremity edema? Hello Doctor: My father has been experiencing lower limb edema (with pitting), abdominal bloating, loss of appetite, subjective fatigue (increased sleep duration), along with pain in the skin of both legs and ankle joint pain...
Dr. Xie Rongyuan Reply:
Hello: If the albumin level in the blood is too low, it may also cause lower extremity edema. It is recommended to check the albumin level data, as low levels can lead to lower limb swelling. Thank you for your message![Read More] Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
Does Chronic Inflammation from Ankylosing Spondylitis Raise LDL and Heart Disease Risk?
Does chronic inflammation from ankylosing spondylitis lead to elevated LDL (low-density lipoprotein) levels, increasing the risk of cardiovascular disease? 1. I am 55 years old and a patient with ankylosing spondylitis. About 4 to 5 years ago, I was effectively managing my condit...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I am 55 years old and a patient with ankylosing spondylitis. About 4 to 5 years ago, I was effectively managing my condition with Salazopyrin and Celebrex, which normalized my pain and inflammatory markers, so I stopp...[Read More] Does Chronic Inflammation from Ankylosing Spondylitis Raise LDL and Heart Disease Risk?
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 Allergic Vasculitis: When to Seek Further Medical Attention
Allergic vasculitis Hello, Doctor. About last weekend (12/10), I started to notice a rash on my legs (with no other obvious discomfort, just slight nasal discharge like nasal allergies). After two or three days, the rash increased significantly, so I visited a dermatologist. The ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If the rash improves, I believe there is no need to visit a large hospital for further examination. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is concerned about you.[Read More] Understanding Allergic Vasculitis: When to Seek Further Medical Attention
Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Regarding the recent cold weather, I have been experiencing a feeling of heaviness in my big toe, which previously had gout, upon waking up in the morning. However, after urinating, the sensation decreases significantly? Hello, Director Gao! I apologize for bothering you, but I h...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If your uric acid levels remain consistently normal, I don't believe this is a gout attack. Joints that have previously experienced arthritis may leave some residual effects, making them more sensitive to changes in humidity and climate. Y...[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?
Understanding Elevated IgG4 Levels: Causes and Treatment Options
Elevated IgG4 levels? Hello, doctor. For over a year, I have been experiencing unexplained dull pain in my back, and rehabilitation has not shown significant improvement. I have undergone X-rays and tests related to ankylosing spondylitis, all of which returned normal results. Oc...
Dr. Zeng Guosen Reply:
Hello, the IgG4-related disease can cause lymphadenopathy and pancreatitis. It is generally not possible to diagnose solely based on IgG4 levels; lymph node or organ biopsies can provide further assistance in diagnosing the disease. It is recommended to consult a rheumatologist f...[Read More] Understanding Elevated IgG4 Levels: Causes and Treatment Options
Understanding Urethral Bumps: Are They STD or Just Sebaceous Cysts?
Urological issues Hello doctor, I would like to ask you about a small, inconspicuous white bump near the urethral opening of the glans. It is not easily observable, does not hurt, and there are no noticeable sensations. Additionally, there seems to be an increase in the number of...
Dr. Zeng Guosen Reply:
Based on your description, it seems that it is not caused by a sexually transmitted infection or masturbation. I recommend consulting a urologist for a proper diagnosis. Please avoid self-medicating. Thank you for your question.[Read More] Understanding Urethral Bumps: Are They STD or Just Sebaceous Cysts?
Managing Sacroiliac Joint Pain During Cold Weather: A Patient's Guide
The cold wave has caused a recurrence of pain in the sacroiliac joint? Hello Dr. Tseng, I am a patient with ankylosing spondylitis (21 years old), and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a rheumatologist, I have achieved good control...
Dr. Zeng Guosen Reply:
Some online users have noted that patients with rheumatic and autoimmune diseases may experience joint pain during changes in weather. It is recommended to seek medical evaluation to assess the condition of the disease. Physicians will provide treatment recommendations or adjustm...[Read More] Managing Sacroiliac Joint Pain During Cold Weather: A Patient's Guide
Understanding Kidney Function Decline in Healthy Aging Adults
Kidney problems Hello, doctor. I have come to inquire about some related issues that my friends and family have been experiencing. The patient is a 55-year-old female who maintains a healthy diet (primarily whole foods, with minimal intake of refined, high-sugar, and high-fat foo...
Dr. Wu Hongjie Reply:
eGFR 60-70, with no proteinuria, kidney function decline may be attributed to age factors. A low-phosphorus diet currently benefits those in stage 3 (GFR < 60) and it remains inconclusive whether implementing it earlier has advantages.[Read More] Understanding Kidney Function Decline in Healthy Aging Adults
Essential Health Tips for Dialysis Patients: Supplements and Care Guidance
Which department should I consult for diseases related to dialysis patients regarding dietary supplements? 1. Is it appropriate for dialysis patients to supplement with free lutein and sphingolipids? My mother is currently 67 years old. Last week, she was discharged from National...
Dr. Lin Wuxuan Reply:
It is recommended that you take your elder to the outpatient clinic of the Department of Nephrology at National Taiwan University to discuss your concerns and any issues encountered with the original attending physician. Thank you.[Read More] Essential Health Tips for Dialysis Patients: Supplements and Care Guidance
Understanding Kidney Risks from Pain Medications: A Patient's Guide
Medication Consultation for Kidney Issues Hello Doctor, I previously had severe inflammation and took Sketa capsules and Aceclofenac for a month, two capsules daily, one in the morning and one in the evening. I recently learned that frequent use of pain relief and anti-inflammato...
Dr. Lin Wuxuan Reply:
Please take the medication as prescribed. If you have any concerns, feel free to return for a consultation. Thank you.[Read More] Understanding Kidney Risks from Pain Medications: A Patient's Guide
Understanding HIV Testing Accuracy with Concurrent Hepatitis C Infection
HIV testing issues Hello doctor, if a person is co-infected with HIV and Hepatitis C, and has not taken any treatment for Hepatitis C or antiretroviral therapy, is the HIV test still accurate after a 3-month window period? I have come across information online suggesting that Hep...
Dr. Lin Wufu Reply:
Previous literature suggested that infection with hepatitis C virus (HCV) might prolong the window period for HIV, hence it was recommended to monitor for up to one year. However, if you have recently tested negative for HCV, then there is no concern for HCV, and the window perio...[Read More] Understanding HIV Testing Accuracy with Concurrent Hepatitis C Infection
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis and heart rate also decreases, how should it be managed? Hello, Doctor Wu: I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes. I also have coronary artery disease and mild arrhythmia. Last y...
Dr. Wu Hongjie Reply:
For heart-related issues, please consult a cardiologist. In cases of hypotension during dialysis, the on-site nephrologist should provide immediate feedback. Each situation is different, so please respond according to the circumstances at that time. Common management strategies i...[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Understanding the Risks of Mixed Thyroid Nodules: What You Need to Know
Mixed cyst? Hello Doctor, during this year's health check-up, I was found to have a thyroid nodule. I recently went to the hospital for an ultrasound and fine-needle aspiration, and no malignant cells were detected. However, the doctor mentioned that the likelihood of malign...
Dr. Li Jian Reply:
If it is a mixed nodule, please follow up at least once every six months to a year. Thank you for your inquiry.[Read More] Understanding the Risks of Mixed Thyroid Nodules: What You Need to Know
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
Understanding Anesthesia Allergies: Risks and Alternatives for Patients
Anesthesia Allergy Consultation About three years ago, I had to undergo surgery for testicular torsion. At that time, I received general anesthesia administered through an IV. I’m not sure if it was during or after the surgery, but the doctor mentioned that I developed pulmonary ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. If I developed acute pulmonary edema after surgery, is it likely due to an allergy to anesthesia, or could there be other possibilities? --> The likelihood is very low. It may be necessary to confirm whether it wa...[Read More] Understanding Anesthesia Allergies: Risks and Alternatives for Patients
Understanding Post-Hospitalization Redness After Cellulitis Treatment
Cellulitis Hello, my dad is about 56 years old and was hospitalized for a week due to cellulitis in his lower leg, which caused a fever. He has been discharged for two days now, and while his leg no longer hurts, it is still red. What could be the reason for this?
Dr. Lin Wufu Reply:
Hello, the most common reason is swelling after an infection, which usually subsides gradually when lying down with the affected area elevated. However, if you stand or walk for a long time, the redness and swelling may return. This is related to poor blood circulation following ...[Read More] Understanding Post-Hospitalization Redness After Cellulitis Treatment
Managing Hypocomplement Urticarial Vasculitis: Treatment Options and Guidance
Hypocomplementemic urticarial vasculitis syndrome (HUVS) I have been diagnosed with low complement urticarial vasculitis for about six months. My symptoms include skin rashes, weight loss, lower extremity vascular pain, and gum pain, along with peripheral neuropathy and dizziness...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. How to treat hypocomplementemic urticarial vasculitis? --> Treatment will be arranged based on the severity of the condition. If you only have skin manifestations, antihistamines may be effective; if there is asso...[Read More] Managing Hypocomplement Urticarial Vasculitis: Treatment Options and Guidance
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