Ear, Internal Medicine FAQ - Page 16

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Understanding Early Rheumatoid Arthritis: Blood Tests and Symptoms Explained

Rheumatoid-related inquiries? Hello, Dr. Gao. I previously asked you about rheumatoid-related issues (pain in both wrists) on September 11. The blood test results are out, and I also had an X-ray of my hands. The rheumatologist said there were no issues. I would like to ask you a...


Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: Question 1: In the case of early rheumatoid arthritis, is it possible for blood test results to be normal and X-rays to show no signs? --> Yes, that can happen. Question 2: What does the quantitative result in the b...

[Read More] Understanding Early Rheumatoid Arthritis: Blood Tests and Symptoms Explained


Understanding Eye Puffiness: Is It Related to Thyroid Issues?

Eye swelling Hello, doctor. I was recently diagnosed with a thyroid issue, accompanied by swelling around my eyes, and I sometimes feel that my vision is a bit blurry. Is this related to my thyroid condition? If so, will the swelling and blurry vision symptoms disappear once my t...


Dr. Li Jian Reply:
Hypothyroidism can potentially cause edema, which may improve with treatment. Thank you for your inquiry.

[Read More] Understanding Eye Puffiness: Is It Related to Thyroid Issues?


Impact of Delayed Testing After Insulin Injection: What to Expect

Needle stick injury without testing for more than six months? Hello Doctor: I would like to ask if, after more than six months since the injection, a recent blood test can show negative or positive results without prior testing. The injection was done with an insulin needle, and ...


Dr. Liao Zhongxin Reply:
1. First, it is essential to identify which patient the needle belongs to and whether they have any bloodborne infectious diseases, such as HBV, HCV, HIV, or syphilis. 2. Since the window period has already passed, testing at this point can determine if there is an infection. 3. ...

[Read More] Impact of Delayed Testing After Insulin Injection: What to Expect


Managing Autoimmune Disorders: Medication Concerns and Heart Health

Medication issues I would like to ask about my situation. After abnormal ANA antibody results from a blood test, I underwent several examinations. Initially, I tested positive for Sjögren's syndrome antibodies, and recently, due to severe Raynaud's phenomenon, I also te...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that Puda tablets are quite safe medications. Although there is a very small chance of cardiac side effects, they should not affect heart rhythm. If it is just early contractions, I think it is not a concern. However, if there are ind...

[Read More] Managing Autoimmune Disorders: Medication Concerns and Heart Health


Understanding Foamy Urine: Causes, Concerns, and Kidney Health

Foamy urine issue Hello, Doctor: For the past month or so, I have noticed small bubbles in my urine (sometimes a whole patch when it's severe), most of which disperse and disappear within five minutes, but sometimes a little bit remains for a long time. Additionally, I have ...


Dr. Huang Yaoxuan Reply:
Hello Ms. Huang: The normal value for urinary protein is less than or equal to 150 mg per day. The report for urinary protein can be presented in two ways: one is as a concentration value, such as 100 mg/dL, and the other is as a number of "+" signs, such as "2+&qu...

[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health


Should My Son Continue Taking Fish Oil for Ankylosing Spondylitis?

Can I continue taking fish oil? Hello Dr. Tseng, my son is 21 years old and has been diagnosed with ankylosing spondylitis for nearly four years. Initially, he was only taking Celebrex (he tried Voltaren but it was ineffective). Over the past year, he has added two capsules of Sa...


Dr. Zeng Guosen Reply:
The normal range for platelet count is approximately 150,000 to 400,000. Your son's platelet count of 210,000 to 290,000 is actually within the normal range, so there is no need to worry. 1) In healthy individuals who are not taking antiplatelet or anticoagulant medications,...

[Read More] Should My Son Continue Taking Fish Oil for Ankylosing Spondylitis?


Concerns About Wild Dog Encounters: Infection Risks and Precautions

Stray dog issue Hello doctor, today I went up the mountain with my family and while riding a motorcycle, two or three wild dogs suddenly rushed towards us, barking loudly. It was quite frightening, but fortunately, they did not chase us afterward. During the encounter, I don'...


Dr. Li Jian Reply:
If the skin is intact and without wounds, there should be no risk of infectious diseases. Thank you for your inquiry.

[Read More] Concerns About Wild Dog Encounters: Infection Risks and Precautions


Understanding the Transition from Hyperthyroidism to Hypothyroidism

Hyperthyroidism to hypothyroidism? Hello Doctor, in April I was diagnosed with hyperthyroidism with T4: 5.1 and TSH: <0.005. After medication, my levels dropped to low in late May. The doctor advised me to stop the medication for three to five days and then continue with a red...


Dr. Li Jian Reply:
Hello: It is recommended to visit the Department of Endocrinology and Metabolism at a major hospital for diagnosis and treatment. Thank you for your inquiry.

[Read More] Understanding the Transition from Hyperthyroidism to Hypothyroidism


Understanding Suspected Ankylosing Spondylitis: Symptoms and Next Steps

Suspected ankylosing spondylitis? Hello Doctor, I am 28 years old. Initially, six months ago, after a full-body adjustment, I started experiencing stiffness and pain in my back upon waking up, particularly in the upper back (with no issues in the lower back). After stretching in...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Do I have ankylosing spondylitis? --> It would be helpful to check for HLA-B27. Your symptoms have persisted for a while, and chronic lower back pain in young individuals warrants caution regarding ankylosing spondy...

[Read More] Understanding Suspected Ankylosing Spondylitis: Symptoms and Next Steps


Can You Contract HIV from a Needle Stick Injury on a Motorcycle Seat?

Transmission routes of HIV (needle stick) If I was injured by a needle on the seat of a motorcycle while moving it in the morning, and if that needle had HIV-infected blood on it, would I be at risk of contracting HIV from the injury? Why or why not?


Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data: 1. There are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or any other exchange of bodily fluids with an HIV-infected...

[Read More] Can You Contract HIV from a Needle Stick Injury on a Motorcycle Seat?


Understanding RA Diagnosis: Interpreting Joint Ultrasound Results

Is it confirmed? I started seeing a rheumatologist at the end of last year (2022) due to morning stiffness in my fingers. My rheumatoid factor test results have been inconsistent, showing both positive and negative results. The only relatively consistent finding is from the ultra...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Currently, the diagnosis of rheumatoid arthritis (RA) still requires a comprehensive evaluation based on multiple test results, as relying on a single data point has lower accuracy. However, given the number of inflamed and painful joints you ha...

[Read More] Understanding RA Diagnosis: Interpreting Joint Ultrasound Results


Understanding Allergies and Joint Pain: Insights on Rheumatoid Arthritis

Inquiry about Rheumatoid Arthritis Hello, Doctor. Over the past two to three years, I have frequently experienced skin allergies (rashes). When I am back in my hometown (Miaoli), my condition improves significantly during my vacation, but it immediately relapses when I return to ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. For someone like me who experiences long-term allergies that recur, could it be due to environmental factors, stress, or irregular lifestyle? What should I pay attention to or how can I improve? --> All three fact...

[Read More] Understanding Allergies and Joint Pain: Insights on Rheumatoid Arthritis


Should My Son Continue Taking Fish Oil with His Condition?

In this situation, is it safe to continue taking fish oil? Hello Dr. Gao, my son is 21 years old and has been diagnosed with ankylosing spondylitis for nearly 4 years. Initially, he was only taking Celebrex (he tried Voltaren but it was ineffective). Over the past year, he has ad...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) After taking fish oil for one month, my son's platelet count (PLT) is 225 (previously fluctuating between 210 and 250 without fish oil). Should I be concerned that continuing fish oil could lead to internal bleedi...

[Read More] Should My Son Continue Taking Fish Oil with His Condition?


Understanding Persistent Low-Grade Fever in Teenagers: Causes and Solutions

Elevated body temperature? Hello, my daughter is 14 years old and recently her body temperature has been between 37.5 to 38 degrees Celsius. Previously, her temperature was mostly around 36.6 degrees. She does not have any discomfort, and when her temperature reaches 38 degrees, ...


Dr. Zeng Guosen Reply:
Hello, previously my body temperature was around 36.6°C, but recently it has been between 37.5°C and 38°C. If it's not due to my menstrual cycle and I'm not feeling unwell, it shouldn't be related to the weather. I recommend seeing a pediatric infectious disease sp...

[Read More] Understanding Persistent Low-Grade Fever in Teenagers: Causes and Solutions


Concerns About Eating Food Contaminated with Cockroaches: What to Do?

Eating food that contains cockroaches? 1. I found a small dead cockroach in my bowl while having breakfast. I'm not sure if it was crushed by the food or scalded by the freshly cooked food. At that moment, I didn't think much of it and continued eating. Halfway through,...


Dr. Lin Wufu Reply:
1. Theoretically, there is a risk of transmission, but in practice, the number of human infection cases domestically is quite low, and the risk of transmission from a single exposure is very low. 2. The roundworm typically resides in locations such as the oral cavity and esopha...

[Read More] Concerns About Eating Food Contaminated with Cockroaches: What to Do?


Can Scratched Groin Skin Lead to HIV Infection After Safe Sex?

Is there a risk of HIV infection from a scratched area in the groin? Recently, I had sexual relations with a sex worker. About 1-2 months later, I noticed that my groin area had been scratched and was red, with some broken skin, but there was no significant bleeding. I used a con...


Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk o...

[Read More] Can Scratched Groin Skin Lead to HIV Infection After Safe Sex?


Concerns About HIV Symptoms After Protected Sex: What to Do?

Inquiry about HIV symptoms? Last week, I had sexual intercourse with a condom, but I have a solid herpes sore on my vulva that is not bleeding. If my partner has HIV, am I at risk of contracting the virus? This week, I've been feeling the urge to use the restroom after eatin...


Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC), there are two definitions regarding the latency period after HIV infection: A. It refers to the primary infection symptoms resembling flu that appear approximately 2-6 weeks after infection. B. It refers to the per...

[Read More] Concerns About HIV Symptoms After Protected Sex: What to Do?


Can Allergic Reactions Increase HIV Infection Risk Through Mucous Membranes?

HIV Transmission Routes (Allergy) I have an allergic constitution, so my eyes, nose, and ears are easily itchy. To relieve the itching, I often use my hands to touch the mucous membranes of my eyes, ears, and nose. If my hands have HIV-infected bodily fluids and I continuously to...


Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main routes of HIV transmission: A. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk o...

[Read More] Can Allergic Reactions Increase HIV Infection Risk Through Mucous Membranes?


Understanding the Link Between Anxiety and Rheumatoid Arthritis Risk

The likelihood of anxiety-induced rheumatoid arthritis? Hello Doctor, I previously asked you questions related to rheumatoid issues. I have health anxiety and had blood tests for rheumatoid-related checks last November. At that time, the doctor said the results were normal and ad...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. First of all, I'm not sure where you saw that "people who are under long-term stress have a 176 times higher chance of developing rheumatoid arthritis compared to normal individuals." In my knowledge and the relevant literature, ...

[Read More] Understanding the Link Between Anxiety and Rheumatoid Arthritis Risk


Understanding Rheumatoid Arthritis: Early Diagnosis and Concerns at 20

Rheumatoid arthritis Hello, doctor. I would like to ask: 1. In your clinical experience, are there many cases of rheumatoid arthritis diagnosed around the age of 20? 2. Does having rheumatoid arthritis always lead to joint deformities? 3. Is rheumatoid arthritis still considered ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. In your clinical experience, are there many cases diagnosed with rheumatoid arthritis around the age of 20? --> Relatively few; it is more common in middle-aged women. 2. Will joints definitely deform after deve...

[Read More] Understanding Rheumatoid Arthritis: Early Diagnosis and Concerns at 20


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