Can Immunosuppressants Cause Low White Blood Cell Count in Myasthenia Gravis?
Immunosuppressants Hello Doctor, my mother is a patient with myasthenia gravis and has been suffering from it for over 10 years. This year, she started taking one immunosuppressant daily. Two months ago, she had an infection in her artificial joint and is currently being treated ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Azathioprine, an immunosuppressant, can indeed lead to leukopenia, and the severity varies from person to person. In elderly patients, the bone marrow is often more aged, and combined with fluctuations in their medical condition, even a low dos...[Read More] Can Immunosuppressants Cause Low White Blood Cell Count in Myasthenia Gravis?
Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?
Does mild carbon monoxide poisoning have any long-term effects? Hello, doctor. Today there was a fire in the building, and I had to run back and forth from the 1st to the 16th floor to rescue elderly individuals. I spent nearly half an hour inside and inhaled a lot of smoke. Afte...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that you are experiencing carbon monoxide poisoning. Your discomfort is probably due to the effects of inhaling dense smoke. I recommend that you continue to monitor your condition. If you experience chest pain, shortness of breath...[Read More] Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?
Can You Contract Hepatitis B from Visiting the Dentist?
Can you get hepatitis B from visiting the dentist? A few days ago, I had swelling when my wisdom teeth were coming in, so I visited a relatively tidy dental clinic. Later, I recalled that a few weeks ago, I had undergone testing for hepatitis B surface antigen and antibodies, bot...
Dr. Liao Zhongxin Reply:
According to the CDC website: A. Mode of Transmission: Hepatitis B surface antigen can be found in bodily fluids and secretions, but only blood, semen, and vaginal secretions are considered infectious. The presence of e antigen indicates a high concentration of the virus in the b...[Read More] Can You Contract Hepatitis B from Visiting the Dentist?
Understanding Thyroid Issues: When to Seek Medical Attention
Thyroid issues Hello Doctor, I recently noticed something moving up and down under my Adam's apple when I swallow while looking in the mirror. After some research, I found out that it is the thyroid gland. I have only seen examinations done while tilting the head back. I can...
Dr. Li Jian Reply:
You can visit a hospital to see an endocrinologist for thyroid function tests and a thyroid ultrasound examination to determine if there are any abnormalities.[Read More] Understanding Thyroid Issues: When to Seek Medical Attention
Managing High White Blood Cell Count and Asthma: Dietary Guidelines
What foods can be consumed with elevated white blood cell count and moderate asthma? Hello, doctor. My family member went to the hospital today for a check-up and found that their white blood cell count is over 20,000. The doctor mentioned there are signs of inflammation. Due to ...
Dr. Hong Yuanbin Reply:
1. Regarding the elevated white blood cell count, it is likely not just inflammation but an indication of infection. Based on the symptoms, the most probable cause is a respiratory infection, and an X-ray may be needed to confirm the presence of pneumonia. Antibiotics or hospital...[Read More] Managing High White Blood Cell Count and Asthma: Dietary Guidelines
Understanding Dizziness and Weakness: When to Seek Medical Help
Dizziness and weakness in the limbs? Hello doctor, my mother has been experiencing dizziness, weakness in her limbs, loss of appetite, and sometimes a rapid heartbeat since the beginning of this month. She has been lying down almost all day. What could be the possible causes, and...
Dr. He Yonghe Reply:
Hello, you can come to my clinic for a consultation on the 1st, 2nd, or 4th in the morning.[Read More] Understanding Dizziness and Weakness: When to Seek Medical Help
Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Very thin with high cholesterol? Hello doctor, I am 22 years old, 176 cm tall, and weigh 49 kg, which is quite thin. However, my total cholesterol is 201, which exceeds the standard. Due to my work schedule, I often have irregular sleeping patterns and eat convenience store food....
Dr. Wu Jiyu Reply:
In response to your inquiry regarding oral isotretinoin, it is important to note that a small percentage of patients may experience an increase in blood lipids. It is advisable to monitor lipid levels after discontinuing the medication; if levels decrease, this may indicate a rel...[Read More] Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Understanding Tongue Bumps: Causes and When to Seek Medical Advice
Issues with the tongue while eating? Hello doctor, last night while I was eating German sausage and pizza, I suddenly felt a bump on my tongue. When I looked in the mirror, I found a protrusion that looked like a bruise on my tongue. After researching online, it seems to be a blo...
Dr. Hong Yuanbin Reply:
Hello, this is a small blister caused by microvascular bleeding on the surface of the tongue. It is likely due to accidentally biting your tongue or friction from food. Usually, it does not require special treatment and will disappear in a few days. It does not affect vaccine adm...[Read More] Understanding Tongue Bumps: Causes and When to Seek Medical Advice
Understanding a Red Spot on Your Foot: Causes and Concerns
A red spot on the dorsum of the foot? Hello, I would like to ask the doctor about something. I received a vaccine at the beginning of September, and I am scheduled to get another one next week. However, after taking a shower just now, I suddenly noticed a red spot on the top of m...
Dr. Hong Yuanbin Reply:
Hello, based on the image, it appears to be caused by microvascular hemorrhage in the skin, likely due to unintentional friction or impact. It is advisable to simply observe it, as it should gradually resolve in a few days. Thank you for your inquiry.[Read More] Understanding a Red Spot on Your Foot: Causes and Concerns
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Concerns About Excess Growth Hormone in a Rapidly Growing Child
Suspected excessive secretion of growth hormone? Hello, my child is 7 years old and is almost 150 cm tall. We have seen a pediatric endocrinologist twice, and they said there is no precocious puberty, but her bone age is advanced by 1 to 2 years. We did a blood test once, and the...
Dr. Li Jian Reply:
Since your child is only seven years old, it is recommended that you consult a pediatric endocrinologist. Thank you.[Read More] Concerns About Excess Growth Hormone in a Rapidly Growing Child
Understanding Folliculitis: Is That Red Bump on Your Back a Concern?
Is the redness on the back folliculitis? Hello Doctor, I accidentally discovered a small bump on my back that resembled a pimple while taking a shower, and I accidentally popped it. After class today, I visited a dermatologist who said it was just a common folliculitis and that I...
Dr. Hong Yuanbin Reply:
Hello, based on the image, it does appear to be more like folliculitis rather than a sexually transmitted infection. I recommend using the ointment prescribed by your doctor, so there’s no need to worry. Thank you for your question.[Read More] Understanding Folliculitis: Is That Red Bump on Your Back a Concern?
Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
I'm not sure where to look? The patient has experienced abnormal sensations in the left limb for approximately two years and has had persistent hematuria for over three years, although kidney examinations have returned normal results. There is a mild Raynaud's phenomeno...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I believe it may still be an issue related to immunology or rheumatology. I recommend that you first visit the immunology and rheumatology department at a medical center, where they can arrange for more detailed examinati...[Read More] Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
Understanding HIV Testing: Choosing the Right Panel for Your Needs
HIV testing issues? Hello, doctor. I recently paid out of pocket for a sexually transmitted infection (STI) screening, which had two test panels. The first panel includes: Gonorrhea DNA test, Chlamydia DNA test, Syphilis tests (RPR, TPPA), Urethritis screening (Trichomonas, Candi...
Dr. Hong Yuanbin Reply:
Hello, the main difference between Kit 1 and Kit 2 lies in the HIV testing, particularly regarding the window period. However, since your last sexual encounter was 16 months ago, you have already surpassed the HIV window period. Therefore, given your situation, Kit 2 is indeed su...[Read More] Understanding HIV Testing: Choosing the Right Panel for Your Needs
Understanding Syphilis and HIV Transmission Risks in Everyday Situations
Transmission of Syphilis and HIV 1. If I have eczema on my hands and come into contact with a significant amount of sweat from a person with HIV or syphilis, or if I handle money that has been contaminated with bodily fluids after using the restroom, what is the likelihood of con...
Dr. Liao Zhongxin Reply:
According to data from the Centers for Disease Control, HIV is transmitted through contact with blood or bodily fluids (semen, vaginal secretions, breast milk) that come into contact with mucous membranes or open skin. The modes of transmission include: 1. Sexual transmission: En...[Read More] Understanding Syphilis and HIV Transmission Risks in Everyday Situations
Does BNT Vaccine Affect ESR Levels in Patients with Inflammation?
Will the ESR value increase after receiving the BNT vaccine? Hello Doctor! My son is 18 years old and has stiffness. Over the past year, his CRP/ESR levels have been as follows: - 2021/03/31: CRP - 9.6 / ESR - 36 - 2020/12/22: CRP - 11.8 / ESR - 36 - 2020/11/24: CRP - 16.2 / ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Firstly, it is recommended not to monitor CRP and ESR too frequently; generally, checking them every three months is sufficient. These two values naturally fluctuate, and frequent monitoring can lead to difficulties in interpretation and unnece...[Read More] Does BNT Vaccine Affect ESR Levels in Patients with Inflammation?
Understanding Syphilis Rash: Treatment, Recovery, and Concerns
Syphilis rash-related issues? Hello Doctor: I tested positive for syphilis with an RPR of 1:16 in early October and have been taking Doxycycline for four weeks. Prior to treatment, I had four deep red rashes on my palms. During the second to third week of treatment, I experienced...
Dr. Hong Yuanbin Reply:
Hello, 1. The presence of a rash does not indicate the effectiveness of treatment; in some cases, the rash may become more pronounced during treatment. It is recommended to follow up three months later for a more accurate assessment of the indicators. 2. It is advisable to di...[Read More] Understanding Syphilis Rash: Treatment, Recovery, and Concerns
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Cardiac arrhythmia Since I have developed arrhythmia after receiving the vaccine, my heart rate fluctuates between 40-50 beats per minute and sometimes spikes to 110-120 beats per minute. I also experience missed beats and have a cough, although I do not have a cold. I feel short...
Dr. He Yonghe Reply:
Hello Ms. Momo, if you are experiencing arrhythmia, you should immediately visit a cardiology clinic for evaluation. If you feel very uncomfortable, please go to the emergency department right away.[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Heart sound changes In auscultation, there are specific characteristics of heart sounds that can help differentiate between S1 and S2. S1, the first heart sound, is primarily associated with the closure of the atrioventricular valves (mitral and tricuspid valves) at the beginning...
Dr. Hong Yuanbin Reply:
Hello, auscultation can indeed help infer S1 and S2 heart sounds, but this requires a professional cardiologist's assessment. For the general public, it is sufficient to distinguish whether the heartbeat is regular and to assess the heart rate. A stethoscope cannot accuratel...[Read More] Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Understanding False Positive HIV Test Results: What You Need to Know
Blood test results for HIV are elevated? Hello, doctor. I recently had a health check-up, and the results showed a positive HIV test, which requires retesting. Four months ago, my test results were normal, and I haven't engaged in any activities that could lead to infection ...
Dr. Liao Zhongxin Reply:
A. I tested negative for HIV; why do I need to test again? Answer: If you are in the "window period," you need to retest. The window period is the time from exposure to the HIV virus until antibodies to the virus are detectable in the blood. This period typically lasts ...[Read More] Understanding False Positive HIV Test Results: What You Need to Know