Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Thyroid nodule Hello Doctor: My daughter has developed a tumor on her neck that is about 2 centimeters in size. After researching online, I understand that it may require surgical removal. I am very worried and feel helpless, and I want my daughter to undergo an examination as so...
Dr. Li Jian Reply:
It is unnecessary to perform two thyroid biopsies in a short period of time, and health insurance may not cover the second one if done too soon. It is recommended to have one biopsy done at a medical center or a large teaching hospital. Please consult with a thyroid surgeon or an...[Read More] Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Understanding Fluctuations in Hs-CRP Levels for Ankylosing Spondylitis Patients
Does eating salad cause fluctuations in hs-CRP levels? Hello Doctor, I am a patient with ankylosing spondylitis, and my main symptom is pain in the buttocks. Since March 2nd of last year, I have been taking two Salazopyrin daily and only taking Voltaren when I experience pain (th...
Dr. Zeng Guosen Reply:
1) The activity of ankylosing spondylitis naturally fluctuates and is not ineffective. 2) It is possible that medication was not taken, or the disease itself may be changing. 3) There are reports indicating that COVID-19 infection can lead to increased instability in autoimmune d...[Read More] Understanding Fluctuations in Hs-CRP Levels for Ankylosing Spondylitis Patients
Understanding Black Lines on Your Finger: Causes and Concerns
Finger problems I would like to ask the doctor, while I was abroad today, I suddenly noticed a small black line on the pad of my pinky finger that wouldn't wash off. I am wondering if this could be an infection or if it suddenly appeared due to some other issue. I searched o...
Dr. Hong Yuanbin Reply:
Hello, based on your image, it appears to be a mark from a previous accidental injury and does not seem to be a specific pathological change. I recommend monitoring it unless you experience significant discomfort or if it continues to enlarge, in which case you should seek medica...[Read More] Understanding Black Lines on Your Finger: Causes and Concerns
Why Did the Effectiveness of Salazopyrine Diminish for My Ankylosing Spondylitis?
Why has the effect of Salbutamol diminished? Hello, Doctor Gao. I am a patient with ankylosing spondylitis, and my main symptom is pain in the buttocks. Since March 2 of last year, I have been taking two Salazopyrin daily and only taking Voltaren when I experience pain (the pain ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) For patients with ankylosing spondylitis, in the absence of special circumstances and without interruption of medication, the use of Salazopyrin (sulfasalazine) generally maintains effective control over HSCRP levels....[Read More] Why Did the Effectiveness of Salazopyrine Diminish for My Ankylosing Spondylitis?
Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Thyroid blood test report Hello Doctor, I would like to ask you about my blood test results: TSH 1.480 (normal range 0.27-4.20), T4 1.120 (normal range 0.89-1.8), ATA 53.9 (normal range <115), TPO Ab 247 (normal range <34). The doctor mentioned that I have chronic inflammat...
Dr. Li Jian Reply:
If antibody positive, monitor thyroid function at least once a year. If there are abnormalities in thyroid function, consider treatment. Avoid iodine-rich foods such as kelp, seaweed, and nori as much as possible.[Read More] Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...
Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...[Read More] Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Understanding Skin Changes Around the Mouth: What You Need to Know
Issues around the mouth? Hello, doctor. I would like to ask about something I noticed recently. While shaving in the morning, I suddenly realized that the skin on the area where my beard is seems to appear whiter. Is this normal? I previously saw on TV that some people suddenly b...
Dr. Hong Yuanbin Reply:
Hello, based on your image, there doesn't appear to be any significant whiteness. If there are no notable protrusions or pain, it is advisable to simply monitor the situation. Thank you for your inquiry.[Read More] Understanding Skin Changes Around the Mouth: What You Need to Know
Understanding Raynaud's and Scleroderma: Challenges in Major Illness Claims
Raynaud's phenomenon and scleroderma are considered significant illnesses that are not eligible for disability claims? Hello, Doctor Gao. After being diagnosed with COVID-19 this year, I suddenly noticed abnormalities in my fingers. After researching online, I found informat...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The treatment for scleroderma is primarily based on the extent of its impact on vital organs. If you only have Raynaud's phenomenon with mild symptoms, you might want to discuss with your physician the necessity of using off-label medicati...[Read More] Understanding Raynaud's and Scleroderma: Challenges in Major Illness Claims
Can You Get Hepatitis B from Scratching Your Ear After Driving?
Possible infection Hello Doctor, I would like to ask a question. A relative of mine has hepatitis B, and after using his car and navigating for him, I scratched my ear with the same hand. Although my ear did not bleed, I accidentally scratched it a bit harder in the morning, and ...
Dr. Hong Yuanbin Reply:
Hello, the ear pulling condition you mentioned will not lead to a hepatitis B infection. Thank you for your question.[Read More] Can You Get Hepatitis B from Scratching Your Ear After Driving?
Post-Surgery Complications: When to See a Gastroenterologist or Immunologist?
Please specify the medical specialty and medication you would like to inquire about? Two months ago, I underwent electrosurgical treatment for colon swelling, measuring 8 cm. The postoperative recovery was normal; however, one month after the surgery, I experienced intestinal dam...
Dr. Zeng Guosen Reply:
It is recommended that you first consult a gastroenterologist. If necessary, the gastroenterologist will advise whether to see a rheumatologist for further evaluation. Please do not self-medicate. Thank you for your question.[Read More] Post-Surgery Complications: When to See a Gastroenterologist or Immunologist?
Understanding the Causes of Painless Red Spots on Skin
Small red spots appear on the skin? Since the beginning of the year, I have been experiencing painless and itchless small red spots under the skin (which disappear when pressed). Blood tests for platelet count and liver function (including tests for sexually transmitted diseases)...
Dr. Zeng Guosen Reply:
It is recommended to visit a dermatologist. If blood tests are normal and there is no diagnosis, a biopsy may be considered for further differential diagnosis. Thank you.[Read More] Understanding the Causes of Painless Red Spots on Skin
Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Is it better to take medication or to receive a biologic treatment? Hello Doctor, my son is 20 years old and has been diagnosed with ankylosing spondylitis for 3.5 years. It took 1.5 years after the onset of symptoms to confirm the diagnosis and begin formal treatment. The overvi...
Dr. Zeng Guosen Reply:
The general principle is that traditional oral medications are the first-line treatment. If the condition is stable, the use of biologics is not recommended. It may be worth considering a reduction in medication and monitoring the situation. Biologics are also a type of medicatio...[Read More] Medication vs. Biologics: Which is Better for Ankylosing Spondylitis?
Understanding Gas Buildup and Skin Sensations in Dialysis Patients
Hemodialysis Hello, Dr. Lin! I am a dialysis patient and have been undergoing hemodialysis for nearly four years. In the past one to two years, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times. Is...
Dr. Lin Wuxuan Reply:
Hello: Gastrointestinal function issues are common among dialysis patients, primarily caused by renal toxins leading to gastrointestinal dysfunction. As for the skin tingling problem, it is advisable to first discuss with your nephrologist whether it is related to your dialysis c...[Read More] Understanding Gas Buildup and Skin Sensations in Dialysis Patients
Understanding Declining GFR: Is Your Kidney Health at Risk?
Health check for kidney issues? Hello, doctor. I would like to ask if a decrease in glomerular filtration rate (GFR) is concerning. Over the past few years, my GFR has been around 120, but in January of last year, it was 99, and after another test in August, it dropped to 94. Is ...
Dr. Lin Wuxuan Reply:
Hello: Generally speaking, if the glomerular filtration rate (GFR) is between 60 and 90, chronic kidney disease (CKD) should only be diagnosed if there is accompanying proteinuria or structural abnormalities of the kidneys. If neither is present, it is recommended to follow up wi...[Read More] Understanding Declining GFR: Is Your Kidney Health at Risk?
Understanding the Link Between Proteinuria and Osteolytic Lesions
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy Day Six of the Lunar New Year. Following up on my previous question, I will be undergoing a PET scan. I have been diagnosed with stage I papillary thyroid carcinoma (currently no longer classifie...
Dr. Wu Hongjie Reply:
Your question is too complex; please discuss it with your nephrologist. Thank you.[Read More] Understanding the Link Between Proteinuria and Osteolytic Lesions
Understanding Post-Dialysis Symptoms: Gas and Skin Sensations Explained
Post-hemodialysis condition Hello, Doctor Wu! I am a dialysis patient and have been on hemodialysis for nearly four years. In the past year or two, I have been experiencing excessive flatulence during each dialysis session, and I also frequently pass gas during non-dialysis times...
Dr. Wu Hongjie Reply:
It is not recommended to eat during dialysis sessions, as it can lead to digestive discomfort. Please discuss the issue of sweating with your dialysis physician, as it is not directly related to nephrology. You may want to follow up with a dermatologist. Wishing you good health.[Read More] Understanding Post-Dialysis Symptoms: Gas and Skin Sensations Explained
Understanding Food Safety: Handling Raw Meat and Preventing Bacterial Infection
What are the issues related to consuming raw food? Hello, Doctor. 1. If I touch a plate or raw meat, will washing my hands be sufficient to avoid bacteria and infection? 2. If a plate with raw meat is placed on tables or other surfaces, is there a risk of bacteria remaining or ...
Dr. Hong Yuanbin Reply:
Hello, 1. Handwashing is the most effective way to prevent infections. 2. Being separated by a plate does not prevent infection. 3. Any area that comes into contact with raw food may harbor bacteria. 4. Areas that come into contact with raw food should be cleaned, and hands shoul...[Read More] Understanding Food Safety: Handling Raw Meat and Preventing Bacterial Infection
Is It Possible to Still Be HIV Infected After a Year?
Is it still possible to be infected with HIV? A year ago, I had unprotected oral sex with a woman. Afterward, I was worried about HIV infection, so I went to Cheng Kung University for a blood test at the tenth week. During the follow-up appointment, the doctor said everything was...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chance of infection is indeed very low. If you are still very concerned, you may consider getting retested. Thank you for your question.[Read More] Is It Possible to Still Be HIV Infected After a Year?
Understanding Food Safety: Handling Raw Meat and Preventing Bacterial Infections
Could you please clarify your question regarding raw food issues? Hello Doctor, 1. Is washing hands sufficient to avoid bacteria and infections after touching a plate or raw meat? 2. If a plate with raw meat is placed on tables or other surfaces, is there a risk of bacteria re...
Dr. Hong Yuanbin Reply:
Hello, 1. Handwashing is the most effective way to prevent infections. 2. Being separated by a plate does not prevent infection. 3. Any area that comes into contact with raw food may harbor bacteria. 4. Areas that come into contact with raw food should be cleaned, and hands shoul...[Read More] Understanding Food Safety: Handling Raw Meat and Preventing Bacterial Infections
Understanding Anti-TPO Levels and Thyroid Surgery Decisions
Thyroid anti-TPO related issues? Dr. Li, I have had multiple thyroid nodules for 30 years (in 2016, the left side was over 5 cm, and I underwent an ablation procedure). During these 30 years, I experienced two episodes of hyperthyroidism. As of August 2022, my lab results are a...
Dr. Li Jian Reply:
If TPO antibodies are positive, regular monitoring of thyroid function is necessary, as there is a possibility of developing hypothyroidism in the future. Whether thyroidectomy is required should be considered in conjunction with the results of fine needle aspiration cytology, th...[Read More] Understanding Anti-TPO Levels and Thyroid Surgery Decisions