Understanding Yawning-Related Pain: When to Seek Medical Advice
Please provide the content you would like me to translate? Thank you for your response, Doctor. I was chatting with friends earlier, and they mentioned that yawning too forcefully can lead to similar issues. I would like to ask about what you mentioned regarding caution. I do not...
Dr. Hong Yuanbin Reply:
Hello, you mentioned that sometimes the joints may experience mild inflammation, which typically improves after a period of time. Regarding the cold symptoms, due to the recent COVID-19 pandemic, it is advisable to take a rapid test. If the rapid test is negative, it is more like...[Read More] Understanding Yawning-Related Pain: When to Seek Medical Advice
Third COVID Vaccine Dose: Safety and Recommendations for Mixed Vaccination
Third dose of the COVID-19 vaccine? Hello: My mother is 73 years old. She received the first dose of the AZ vaccine and the second dose of the BNT vaccine. She is now looking to get the third dose, but the hospitals and clinics no longer have BNT available. Some doctors and resea...
Dr. Hong Yuanbin Reply:
Hello, based on some domestic and international studies, the third dose of Moderna is safe and provides strong protection. For individuals who received mixed vaccines for the first two doses, it is generally recommended to receive an mRNA vaccine for the third dose, either BNT (P...[Read More] Third COVID Vaccine Dose: Safety and Recommendations for Mixed Vaccination
Choosing Probiotics for Allergies and Ankylosing Spondylitis in Young Adults
Selection of Probiotics for Stiffness Hello, Doctor. My child is 20 years old and has had allergic issues with the nose and eyes (allergic conjunctivitis) since childhood. They have now been diagnosed with ankylosing spondylitis. Both the allergist and the rheumatologist have sug...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Currently, the relationship between probiotics, allergies, and ankylosing spondylitis is still in the research phase. It is generally believed that changes in the gut microbiome may be related to the worsening or improvement of diseases; howeve...[Read More] Choosing Probiotics for Allergies and Ankylosing Spondylitis in Young Adults
Understanding Ankylosing Spondylitis: Treatment Options and Patient Concerns
Ankylosing spondylitis Dear Doctor: I am a patient with ankylosing spondylitis, diagnosed for 2.5 years, and I am currently 18.8 years old. I have been managing my condition with NSAIDs and have been unable to discontinue them. I would like to ask the following questions: 1) Gen...
Dr. Zeng Guosen Reply:
1) Biological agents tend to be more effective and are easier to achieve stable drug withdrawal. 2) For a 19-year-old, there are no specific recommendations; a general chest X-ray and electrocardiogram are sufficient. 3) It does not necessarily increase. 4) A temporary paus...[Read More] Understanding Ankylosing Spondylitis: Treatment Options and Patient Concerns
Understanding HPV: Testing Options After Partner's Diagnosis
My boyfriend has genital warts? Hello, we are a same-sex couple. My boyfriend previously experienced gastrointestinal discomfort, which led to an examination where warts were found in the anal area, and surgery was arranged. We have had unprotected sexual intercourse, but both of...
Dr. Liao Zhongxin Reply:
1. The more accurate name for the cervical cancer vaccine is the Human Papillomavirus (HPV) vaccine. It not only prevents cervical cancer but also has been scientifically proven to prevent cancers related to the genital area, including effective protection against genital warts. ...[Read More] Understanding HPV: Testing Options After Partner's Diagnosis
Should I Stop My Medications Before Getting the Second BNT Shot?
Should I stop taking muscle relaxants before getting the BNT vaccine? Hello Doctor: I am a patient with ankylosing spondylitis. A month ago, I was experiencing pain in my sacroiliac joint, and my CRP was 0.57 and ESR was 20. At that time, I switched to a different medication, tak...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe it would be better to administer the BNT vaccine after the symptoms improve or the inflammatory markers decrease. Some patients with rheumatic diseases who receive the COVID-19 vaccine before their condition stabilizes often experienc...[Read More] Should I Stop My Medications Before Getting the Second BNT Shot?
Effectiveness of Sulfasalazine in Treating Sacroiliitis: A Doctor's Insight
Is the treatment effect of Salazopyrine for sacroiliac joint arthritis significant? Hello Doctor, I previously asked you about the treatment for my son's ankylosing spondylitis, and I would like to confirm one more thing. I found on the internet that most sources state, &quo...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Salazopyrin is indeed not very effective for sacroiliitis, but it does have a good effect on reducing inflammatory responses. Therefore, for patients with ankylosing spondylitis who only have axial spine inflammation, if there is also an increa...[Read More] Effectiveness of Sulfasalazine in Treating Sacroiliitis: A Doctor's Insight
Understanding Elevated White Blood Cell Count: Causes and Next Steps
A white blood cell count of 12.7 is considered elevated. It is important to consult with a healthcare professional to determine the underlying cause of the increased white blood cell count. Possible causes may include infections, inflammation, stress Hello Doctor, I have iron def...
Dr. Hong Yuanbin Reply:
Hello, the gingival inflammation you mentioned can lead to an increase in white blood cell count. If the teeth have already been extracted, the white blood cell count should decrease. Regarding the DC you mentioned, it refers to the differential count of white blood cells, which ...[Read More] Understanding Elevated White Blood Cell Count: Causes and Next Steps
Does Acne Affect ESR Levels in Young Patients?
Can acne cause an increase in ESR (erythrocyte sedimentation rate)? Hello Doctor: I am a patient with ankylosing spondylitis, and I am 19 years old. Although I take my medication regularly, during my follow-up blood tests, I notice that my CRP levels are relatively stable and wel...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. ESR and CRP are different; they are indirect markers of inflammation and can be influenced by many factors. In principle, your physician will evaluate whether an elevated ESR is truly related to disease activity. Severe acne can also be complic...[Read More] Does Acne Affect ESR Levels in Young Patients?
Understanding Severe Head Pain: Is It Related to Encephalitis?
Severe headache? Sometimes I experience severe and tight headaches that are unbearable, but they are not constant. The pain is not something that can be described as a typical headache; it comes in intense bursts. When I was in elementary school, I saw my name followed by the ter...
Dr. Hong Yuanbin Reply:
Hello, regarding your headache, based on your description, it seems more like a tension-type headache, which typically worsens during specific physiological conditions such as the menstrual cycle, lack of sleep, or high stress. Maintaining a regular routine and consistent exercis...[Read More] Understanding Severe Head Pain: Is It Related to Encephalitis?
Managing Diabetes: Weight Loss, Diet, and Cholesterol Control
Diabetes, Weight, and Diet Last October, I was diagnosed with diabetes and started medication—Metformin. At the end of November, I began intermittent fasting (16:8) to lose weight, eating only lunch and dinner. During my follow-up appointment in February, my weight decreased from...
Dr. Lin Jianliang Reply:
Hello: Avoid consuming items that contain refined sugars, such as candies, sodas, cakes, etc. Instead, try to choose less sweet fruits, such as firm guavas and large tomatoes. You should also discuss with your physician how many calories you can reasonably consume each day based ...[Read More] Managing Diabetes: Weight Loss, Diet, and Cholesterol Control
Understanding Elevated RF Levels: Implications for Autoimmune Disorders
Rheumatoid factor (RF) is elevated in rheumatoid arthritis? Hello Doctor, I have had an allergic constitution since childhood and have been receiving treatment in the rheumatology and immunology department for long-term issues related to my nose and urticaria. During my last visi...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If the test results mentioned above are all the examinations you have undergone, I believe there are additional tests that can be arranged. If you are very concerned and unsure about whether to take quinine, I suggest you consult another rheumat...[Read More] Understanding Elevated RF Levels: Implications for Autoimmune Disorders
Understanding Rising Cholesterol Levels: Key Factors and Next Steps
Elevated total cholesterol? Hello, doctor. Recently, during my follow-up visit for my thyroid condition, the hospital conducted blood tests that included cholesterol and triglyceride levels. I have previously done blood tests myself and noticed that my total cholesterol has been ...
Dr. Li Jian Reply:
Currently, the levels do not appear to be high, so there is no need for excessive concern. Triglycerides may be influenced by recent dietary intake, leading to fluctuations. Some medicinal fish oils can help lower triglyceride levels.[Read More] Understanding Rising Cholesterol Levels: Key Factors and Next Steps
Why Am I Not Growing Taller? Understanding Growth Patterns in Teens
I feel like I'm not growing taller? Hello doctor, I am 13 years old. Ever since I experienced a growth spurt of about 10 centimeters when I was 11, I have been growing less and less. I usually go to bed at 9:30, but sometimes I stay up past 10. I regularly exercise, drink mi...
Dr. Hong Yuanbin Reply:
Hello, regarding height, it is likely influenced by genetics. I suggest you first consider your parents' heights. You can calculate the average height by adding your father's height and mother's height, then dividing by two, and adding about 10 centimeters; this co...[Read More] Why Am I Not Growing Taller? Understanding Growth Patterns in Teens
Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Antihypertensive medications, red yeast rice, and nitric oxide? My husband is 43 years old and has been taking blood pressure medication (Lisinopril and Amlodipine) for about six months. Can he take red yeast rice or nitric oxide-related health supplements?
Dr. Lin Wuxuan Reply:
Hello: Since we are unable to ascertain the current health status of the gentleman, it is recommended to bring the dietary supplements he wishes to take to his regular outpatient physician for consultation. Thank you for your inquiry.[Read More] Can Red Yeast Rice and Nitric Oxide Supplements Be Safe with Blood Pressure Meds?
Understanding HIV Variants: Can Rapid Tests Detect All Types?
HIV-1, HIV-2, latest mutation VB Hello, doctor. I would like to inquire about the recent HIV variant VB. Is it classified as a mutation of HIV-1? Can our current blood and oral rapid tests detect all types of HIV variants (including HIV-1, HIV-2, and VB)? The rapid tests indicate...
Dr. Liao Zhongxin Reply:
1. Yes, it belongs to the HIV-1, subtype B variant (which is prevalent in Europe, particularly in the Netherlands, with at least 109 cases reported). 2. The currently used testing tools can still detect the VB mutant. 3. The VB mutant is characterized by causing infected indivi...[Read More] Understanding HIV Variants: Can Rapid Tests Detect All Types?
Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?
Do patients with stable type 2 diabetes still need to continue follow-up visits at a medical center? Hello Doctor, I apologize for the interruption! I would like to ask you a question. I have been living with type 2 diabetes for over seven years. After discovering this issue duri...
Dr. Li Jian Reply:
If blood sugar levels can be consistently controlled, it is recommended that you transfer to a primary care medical facility for management. It is best to choose a facility that has a physician specializing in metabolic disorders or one that is part of a diabetes collaborative ca...[Read More] Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?
Unilateral Tonsil Swelling: Mild Pain Without Other Symptoms
Unilateral enlargement of the tonsil with mild pain and no other symptoms? Hello doctor, I woke up from a nap on Friday and suddenly felt a slight pain in my throat when I drank water. When I got home and checked, I noticed that the left side of my tonsil is swollen, but I don&#x...
Dr. Hong Yuanbin Reply:
Hello, based on your description and the images, it does appear to be acute tonsillitis. I recommend getting plenty of rest and staying hydrated. If the discomfort persists, you may consider consulting an otolaryngologist. Thank you for your inquiry.[Read More] Unilateral Tonsil Swelling: Mild Pain Without Other Symptoms
Breathlessness After Third Moderna Vaccine: Is It Normal?
Experiencing shortness of breath after receiving the third dose of the vaccine? Hello, doctor! My mother has been experiencing shortness of breath frequently since she received her third dose of the Moderna vaccine two months ago. Is this normal? Two days ago, she mentioned that ...
Dr. Hong Yuanbin Reply:
Hello, myocarditis caused by the Moderna vaccine is less common in the elderly. It is speculated that your mother's underlying health conditions, such as lung or heart issues, may be contributing to her shortness of breath. The likelihood of vaccine side effects is considere...[Read More] Breathlessness After Third Moderna Vaccine: Is It Normal?
Understanding Anti-TPO Antibodies: Impact on Fertility and Thyroid Health
Thyroid Anti-TPO antibodies Hello Doctor, I would like to ask you about my report which shows a positive result for anti-TPO antibodies (348 IU/mL), but both TSH and T4 levels are normal. The rheumatologist mentioned that I currently do not have thyroid disease. Since I am prepar...
Dr. Li Jian Reply:
The prevalence of TPO antibodies is approximately 11%, which may be related to genetics. Women who test positive for these antibodies may have a higher likelihood of experiencing infertility or preterm birth; however, current research findings are inconsistent. It is recommended ...[Read More] Understanding Anti-TPO Antibodies: Impact on Fertility and Thyroid Health