Assessing HIV Infection Risk: A Concern After Brief Contact
Is there a risk of HIV infection? I know I might be overly anxious, but I still want to consult a doctor. Getting an answer from a medical professional might help ease my mind. Two days ago, an older woman asked me how to rent a Ubike, and during that time, I took her phone to as...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control (https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids...[Read More] Assessing HIV Infection Risk: A Concern After Brief Contact
Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Immune system? Hello, Doctor: I previously asked you about issues related to rheumatology and immunology, specifically about skin pain and itching. I believe I may have lupus erythematosus, and the doctors have suggested further monitoring. The patient has been experiencing persi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is autonomic nervous system dysfunction included in immune system diseases, or should I consult another specialty? --> Autonomic nervous system dysfunction is not related to the immune system, but immune system di...[Read More] Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Understanding Throat Discomfort: Causes and Concerns for Your Health
Sensation of a foreign body in the throat? I previously experienced a sensation of something stuck in my throat after drinking tea on an empty stomach and then eating pineapple cake. This feeling disappeared the next day, but after a few days, it returned intermittently, even whe...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described are likely caused by two main conditions. First, it could be allergic rhinitis, which can lead to post-nasal drip causing throat discomfort and productive cough. I recommend increasing physical activity and avoiding allergens, which should help i...[Read More] Understanding Throat Discomfort: Causes and Concerns for Your Health
Understanding Thyroid Function: Interpreting Your Blood Test Results
Hyperthyroidism issues? Hello, doctor. Last week, my blood test results came back as follows: Ant-TPO: greater than 600, Ant-Tg: 351.6, Thyroglobulin: 0.34, TSH: 4.18, T4: 0.69. I would like to inquire what these values indicate regarding whether the medication is effectively con...
Dr. Li Jian Reply:
The normal ranges for thyroid function tests may vary slightly among different testing laboratories, so it is necessary to return to the original healthcare facility to confirm the interpretation.[Read More] Understanding Thyroid Function: Interpreting Your Blood Test Results
Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...
Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Sjögren's Syndrome Index Thank you, doctor! First question: I was diagnosed with Sjögren's syndrome on August 19 this year, with an index of 280. Starting from the 20th, I took one quinine daily. On September 21, I had a second blood test, and the index was 334. During ...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: First question: I was diagnosed with Sjögren's syndrome on August 19 of this year, with a score of 280. I started taking one quinine tablet daily from the 20th, and on September 21, my blood was drawn again, showin...[Read More] Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Immune system diseases Hello Doctor, I apologize for the lengthy message. This past March, I experienced a persistent low-grade fever for a month and had blood tests done, which indicated elevated immune system markers suggesting rheumatoid arthritis. I was then referred to a r...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Should taking quinine prevent fever? I informed you that I had a fever for a while that day! But if I haven't been examined, which department should I consult to find out where the inflammation is? --> Fever ...[Read More] Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Renal dysfunction Hello doctor, I am currently eighteen years old. In my health examination report, I found that my creatinine level is elevated (1.45) and my uric acid level is high (9.2). Additionally, there is protein in my urine. Could you please explain what issues this migh...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that you have nephrotic syndrome. Given your age, most cases are benign conditions. I recommend visiting a nephrology clinic for further confirmation and examination. Thank you for your inquiry.[Read More] Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...
Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...[Read More] Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Concerns After Train Door Incident: Injury Risks and Health Advice
I almost got caught by the train door? Hello, today when I was out with my boyfriend, he hurriedly pulled me onto the train, and as I was walking in, the door almost closed on me and I felt a slight bump. Although I don't feel any pain now, I'm wondering if I might have...
Dr. Hong Yuanbin Reply:
Hello, based on your description and the images provided, it seems that there is likely no injury. Regarding your concerns about needle pricks or infections, the chances are low, so there is no need to worry. Thank you for your inquiry.[Read More] Concerns After Train Door Incident: Injury Risks and Health Advice
Concerns After Train Door Incident: Injury Risks and Safety Tips
I almost got caught in the train door by accident? Hello, today when I was out with my boyfriend, he hurriedly pulled me onto the train, and as I was getting on, the door almost closed on me, causing me to be slightly bumped. Although I don't feel any pain now, I'm wond...
Dr. Hong Yuanbin Reply:
Hello, based on your description and the images provided, it does not appear that you have sustained an injury. Regarding your concerns about needle pricks or infection, the likelihood seems low, so there is no need to worry. Thank you for your inquiry.[Read More] Concerns After Train Door Incident: Injury Risks and Safety Tips
Two Medical Questions: Rib Discomfort and Hepatitis B Concerns
Two questions, please ask the doctor? Hello, I have two questions I would like to ask you. Today, while practicing diaphragmatic breathing, I noticed that after exhaling, the left rib, specifically the bone in the upper left part of my abdomen, seems to protrude slightly more tha...
Dr. Hong Yuanbin Reply:
Hello, 1. In a normal human body, the ribs on both sides are not perfectly symmetrical. The condition you mentioned is likely just a normal physiological variation and should not be a cause for concern. 2. The injury you mentioned from being scratched by a fork does not pose a ri...[Read More] Two Medical Questions: Rib Discomfort and Hepatitis B Concerns
Understanding Growths Near the Anus: Causes and Treatment Options
There is a lump in the anus? Hello, I have had a growth near my anus for 10 years, and sometimes there is some discharge. What could it be, and how should I handle it?
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely a benign cyst in the anal area. If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointment. If it becomes bothersome, you may consider surgical removal. You can make an appointment with a...[Read More] Understanding Growths Near the Anus: Causes and Treatment Options
Understanding Growths Near the Anus: Causes and Treatments
There is a lump in the anus? Hello, I have had a growth near my anus for 10 years, and sometimes there is some discharge. What could it be, and how should I handle it?
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be a benign anal cyst. If it is not causing significant issues, you can apply some anti-inflammatory and antibacterial ointments. If it is causing discomfort, you may consider surgical removal. You can make an appointment with a color...[Read More] Understanding Growths Near the Anus: Causes and Treatments
COVID-19 Transmission Concerns: Safety Tips for Healthcare Workers
Transmission of COVID-19 Hello Doctor: Due to work, I come into contact with 3-4 clients daily who are not wearing masks (each interaction lasts about 20 minutes), as well as colleagues. Since I have a one-year-old child at home, my current practice is to spray alcohol all over m...
Dr. Hong Yuanbin Reply:
Hello, 1. The primary mode of virus transmission is through hand contact with surfaces or shaking hands, so handwashing is the most important measure; other forms of exposure are not as significant. 2. The situation you mentioned has a low risk of infection. 3. When outdoors with...[Read More] COVID-19 Transmission Concerns: Safety Tips for Healthcare Workers
Understanding Digestive Motility Issues: Causes and Solutions
Peristalsis issues Hello, doctor. I have been severely troubled by gastrointestinal issues for the past two years. My stomach often makes inexplicable and frequent noises, regardless of whether I have eaten. The sounds are not the usual growling associated with hunger or gas move...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you are primarily troubled by loud bowel sounds. I would like to know if you are experiencing constipation or diarrhea. Typically, the condition you described can be caused by abnormal intestinal motility due to constipation or diar...[Read More] Understanding Digestive Motility Issues: Causes and Solutions
Understanding Neck Tightness and Breathing Issues in Dialysis Patients
Tightness in the neck and difficulty breathing? Hello, doctor. I would like to ask you a question. I have been on dialysis for over six years. Recently, I underwent ablation surgery due to atrial fibrillation. Lately, before dialysis, I often feel a tightness in my neck and diffi...
Dr. Huang Yaoxuan Reply:
"Hello, dialysis patient: Based on your description, I cannot determine the underlying factors... I recommend discussing this with your physician at the dialysis center to see what suggestions they may have, or consider consulting a specialist for cervical spine treatment (u...[Read More] Understanding Neck Tightness and Breathing Issues in Dialysis Patients
Managing Vitamin B Supplementation in Patients with Kidney Disease
Regarding the issue of taking vitamin B? Hello doctor, I have diabetes and a kidney disease known as Fanconi syndrome. I have regular follow-up appointments, and my kidney function is currently about half of that of a normal person. Previously, I visited a neurologist due to pain...
Dr. Huang Yaoxuan Reply:
Hello, Xiao You: "I heard the attending physician in nephrology say that my condition does not allow my body to absorb vitamins." I'm not very clear on what "unable to absorb" means. Generally, vitamins are absorbed through the gastrointestinal tract, and...[Read More] Managing Vitamin B Supplementation in Patients with Kidney Disease
Understanding Declining eGFR: Kidney Health Concerns and Solutions
Kidney problems Hello Dr. Huang, my estimated glomerular filtration rate (eGFR) values from previous years (2017 to 2020) were consistently between 117 and 118. However, after undergoing surgery for a gynecological chocolate cyst at the end of March 2021, I started taking a medic...
Dr. Huang Yaoxuan Reply:
Hello "lulu": An eGFR of 117-118 or 99, 94 is considered normal, so you don't need to worry. If you are concerned about your kidneys, it is recommended to measure your blood pressure at home daily (after resting for 20 minutes before taking the measurement). Thank ...[Read More] Understanding Declining eGFR: Kidney Health Concerns and Solutions
Understanding Declining GFR: Causes, Effects, and Recovery Options
Kidney issues Glomerular Filtration Rate (GFR) Is a continuous decline in glomerular filtration rate (GFR) a cause for concern? After undergoing surgery for an ovarian chocolate cyst in March last year, I have been on medication for a year and a half, and I completed my treatment...
Dr. Xie Rongyuan Reply:
Hello: The glomerular filtration rate (GFR) is divided into five stages: stage 1 >90%, stage 2 60-89%, stage 3 30-59%, stage 4 15-29%, and stage 5 <15%. A GFR of 108 indicates normal function and can be monitored further. Thank you for your message![Read More] Understanding Declining GFR: Causes, Effects, and Recovery Options