Impact of Frequent Masturbation in Elementary and Middle School Students
The impact of high masturbation frequency in elementary school children? Hello, doctor. I am currently a middle school student and have been frequently masturbating since I was 10 years old, at a rate of once a day, continuing to the present. Is this frequency considered excessiv...
Dr. Li Jian Reply:
Hello, here are my responses to your points: 1. Is it excessive? No. According to the "Nine-Nine Ejaculation Table," it is considered normal for individuals in their twenties to ejaculate up to eight times a week, not to mention younger individuals. Additionally, main...[Read More] Impact of Frequent Masturbation in Elementary and Middle School Students
Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Recently, blood sugar levels have been consistently rising? Hello Doctor! My mother is 75 years old and has a long-standing history of diabetes. At the beginning of this month, she had a follow-up appointment, and the doctor prescribed half a tablet of Metformin and one tablet of...
Dr. Li Jian Reply:
The current dosage may be insufficient, and it is necessary to consult the original physician to adjust the dosage. Additionally, fried noodles are considered refined carbohydrates and should not be consumed frequently.[Read More] Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Post-Exposure Prophylaxis: Symptoms and Concerns After Risky Encounter
Post-exposure prophylaxis symptom inquiry Hello Doctor, I engaged in high-risk sexual behavior with a sex worker on August 31st at noon. That evening at 7 PM, I immediately registered at the infectious disease department, and at 8 PM, I started taking PEP (post-exposure prophylax...
Dr. Hong Yuanbin Reply:
Hello, 1. Your symptoms are more indicative of an allergic reaction or eczema, and it may not necessarily be a treatment failure. Whether you are HIV positive can only be determined through testing. 2. The incidence of HIV infection after prophylactic treatment failure is very...[Read More] Post-Exposure Prophylaxis: Symptoms and Concerns After Risky Encounter
Choosing the Right Specialist for Allergic Rhinitis: ENT vs. Immunology
Allergic rhinitis Should I see an Ear, Nose, and Throat (ENT) specialist or a Rheumatologist? I noticed that after my last visit to the ENT, I wasn't scheduled for a follow-up appointment, but the Rheumatology department keeps scheduling my next visits. Which specialty shoul...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I personally believe that if rhinitis requires localized treatment, you can consult an otolaryngologist. If symptoms persist and long-term medication is needed, both specialties can assist. If your symptoms improve and medication use decreases, ...[Read More] Choosing the Right Specialist for Allergic Rhinitis: ENT vs. Immunology
Persistent Skin Rashes: Allergies or Immune System Issues?
Environmental stimuli and mosquito bites causing a rash that has not improved over time? Hello, I would like to ask about my friend who is 27 years old. In July, he worked in a central kitchen, which is a humid and hot environment, handling food while wearing gloves. After just s...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. My answer is as follows: Q: I would like to ask if this is considered an immune system issue? Because he only develops new red rashes on his right arm where he was bitten by mosquitoes initially, and it's not without reason that the rash...[Read More] Persistent Skin Rashes: Allergies or Immune System Issues?
Understanding Your Symptoms: When to Seek Medical Attention
Medical issues? Hello Doctor, I have been experiencing persistent dull pain in my lower right abdomen for two weeks, which is why I consulted a gastroenterologist this week. I have undergone eight blood tests, a fecal occult blood test, and an abdominal X-ray, and I am currently ...
Dr. Hong Yuanbin Reply:
Hello, your previous abdominal pain was indeed evaluated by a gastroenterologist. However, the subsequent dizziness and shortness of breath may not necessarily be related to the abdominal pain. It might be necessary to check for issues in other systems. I recommend scheduling an ...[Read More] Understanding Your Symptoms: When to Seek Medical Attention
Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Glomerular filtration rate (GFR) issues? Hello Doctor: I would like to inquire about my glomerular filtration rate (GFR) results from my blood tests. In December 2020, my GFR was 100.6, in May 2021 it was 119.6, and in November 2021 it was 85.3. My concern is why today's GFR...
Dr. Lin Wuxuan Reply:
Hello Ms. Chen, the glomerular filtration rate (GFR) only reflects kidney function, so there is no need to worry too much. If there are additional concerns such as proteinuria, hematuria, abnormalities in ultrasound examinations, or other chronic conditions, please consult a neph...[Read More] Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Consultation for Symptoms of Hypotension Currently, my average blood pressure is 90-105/52-60, and I often feel fatigued. My nails appear slightly purple. What symptoms would suggest that I should go to the hospital for low blood pressure? What tests are typically performed to de...
Dr. Lin Wuxuan Reply:
Hello Liu, it is recommended to first consult with a family medicine or general internal medicine outpatient clinic. Based on the physician's assessment, further management can be determined. Thank you.[Read More] Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Understanding Your HIV Viral Load: What to Do Next?
HIV Viral Load has a numerical value? Hello Dr. Hong, I am an HIV-positive patient. I have been adhering to my medication regimen daily to control the virus. However, after my routine blood test this month, I saw in the National Health Insurance Quick Translation system that my H...
Dr. Hong Yuanbin Reply:
Hello, your viral load does appear to have increased. However, whether a change in medication is necessary or if we should just monitor the situation requires evaluation by your attending physician. Therefore, I recommend that you schedule an appointment with your doctor for conf...[Read More] Understanding Your HIV Viral Load: What to Do Next?
Assessing HIV Infection Risks After Encountering Blood in an Elevator
Infection concerns? Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was co...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or direct contact with fresh blood through an obvious wound, it appears that there is...[Read More] Assessing HIV Infection Risks After Encountering Blood in an Elevator
Concerns About Eye Exposure to Water in Public Transport: Should I Worry?
Please ask your question? Hello Doctor, today when I was on my way home after class, I took the MRT and suddenly water started dripping from the ceiling. I suspect it might have come from some pipes, and some of it got into my eyes. Although I rinsed my eyes at a nearby departmen...
Dr. Hong Yuanbin Reply:
Hello, some sexually transmitted infections, including HIV, are not transmitted through eye contact as you mentioned. The only concern would be the possibility of a bacterial infection causing conjunctivitis; however, since you have rinsed your eyes, the risk is lower. Unless you...[Read More] Concerns About Eye Exposure to Water in Public Transport: Should I Worry?
Concerns About HIV Infection Risks After Encountering Blood in Elevator
Infection Inquiry Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was cove...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or any obvious open wounds that came into direct contact with fresh blood, it current...[Read More] Concerns About HIV Infection Risks After Encountering Blood in Elevator
Unexplained Fever After Family COVID-19 Diagnosis: What to Know
Fever of unknown origin (not diagnosed) Hello, doctor. On Sunday (September 11), a family member tested positive for COVID-19, and the next day (September 12), another family member also tested positive. I have no other symptoms of COVID-19, although I did experience wrist pain f...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that you are experiencing early symptoms of COVID-19. Initially, the viral load may be low, which could result in a false negative on a rapid test. Another possibility is whether you have been taking any prophylactic medications, a...[Read More] Unexplained Fever After Family COVID-19 Diagnosis: What to Know
Concerns About HIV Infection Risks After Encountering Blood in Elevator
Infection concerns? Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was co...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in an elevator. However, since you did not have mucous membrane exposure or direct contact with fresh blood through an open wound, it currently appears that th...[Read More] Concerns About HIV Infection Risks After Encountering Blood in Elevator
Understanding Fever in COVID-19: Symptoms, Duration, and Contagion
Fever due to COVID-19? Hello, doctor. I am a confirmed case and have been on medication for a week. My cough and phlegm have decreased, but I am experiencing tinnitus and, after the medication wears off, I start to have a fever with axillary temperatures ranging from 36.8 to 37.8...
Dr. Hong Yuanbin Reply:
Hello, if you have been diagnosed for over a week and still have a persistent fever, it is indeed uncommon. I would like to know if you are experiencing any other discomfort. If so, I recommend seeking medical attention to confirm whether there is a subsequent bacterial infection...[Read More] Understanding Fever in COVID-19: Symptoms, Duration, and Contagion
Understanding Kidney Pain: Causes and Remedies After Hair Dyeing
Kidney pain I recently experienced pain in my right abdomen after dyeing my hair. I didn't have this pain often before, and although there are no stones seen in the imaging, I wonder if dyeing my hair back to black would alleviate the pain. I also heard that someone in my gr...
Dr. Zeng Guosen Reply:
Hello, the abdominal pain you are experiencing is likely unrelated to hair dyeing. There are many potential causes for right-sided abdominal pain, with kidney stones or renal issues being just a few of them. If the pain does not improve, it is advisable to consult a gastroenterol...[Read More] Understanding Kidney Pain: Causes and Remedies After Hair Dyeing
Understanding Sjögren's Syndrome: Key Questions and Dietary Guidance
Sjögren's Syndrome Index Hello Dr. Tseng! I have been diagnosed with Sjögren's syndrome, and I have some questions to ask: 1. Is an ANA (antinuclear antibody) titer of 1:80 (+) and Cyto-C, SSA at 280 (+) considered severe? 2. What does Cyto-C refer to? 3. Is it possible...
Dr. Zeng Guosen Reply:
Hello, online friend. 1. ANA and SSA are only for diagnostic reference; their values are not necessarily related to the severity of the condition. 2. I'm not sure what Cyto-C is. 3. The SSA index can fluctuate, and it can certainly decrease. 4. If you experience dry mouth or...[Read More] Understanding Sjögren's Syndrome: Key Questions and Dietary Guidance
Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
The correlation between low albumin levels in systemic lupus erythematosus (SLE) and pregnancy/abortion, along with proteinuria and the calculation method? Dear Dr. Gao, Thank you for your prompt response to my inquiry regarding #186219. I have another question related to lupus...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In 2017, starting from June, my proteinuria fluctuated between negative and positive, eventually showing ++ and +++. However, at that time, my albumin level was still at 4.2. There was a year when I did not undergo uri...[Read More] Exploring the Link Between Low Albumin in Lupus and Pregnancy Outcomes
Does Rheumatoid Arthritis Affect CEA Levels in Blood Tests?
Does rheumatoid arthritis affect CEA? Hello, my mother experienced lower back pain and underwent an ultrasound in the nephrology department, which revealed a shadow on her liver. A blood test was then arranged, and her CEA level was found to be 1119, which is extremely high. Howe...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Psoriatic arthritis should not affect CEA levels. It is recommended to investigate the reasons for the elevated levels, particularly concerning the gastrointestinal tract. This is from the Department of Allergy, Immunology, and Rheumatology at C...[Read More] Does Rheumatoid Arthritis Affect CEA Levels in Blood Tests?