Does Ankylosing Spondylitis Slow Down Recovery from Injuries?
Does ankylosing spondylitis cause swelling from injuries to subside more slowly? Hello Doctor: Last year, I had a minor motorcycle accident and developed a lump on my calf. I applied ice and then heat to the area. A classmate who was riding with me also sustained an injury, but h...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I don't think that would be the case, especially regarding your wisdom teeth. Have they not healed for 7 months or 7 weeks? Seven months is quite a long time, and I would recommend seeing a dentist for an evaluation, or even consulting an ...[Read More] Does Ankylosing Spondylitis Slow Down Recovery from Injuries?
Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Blood draw infection issues? Hello, doctor: (1) Last month, I went to a private laboratory for a blood test. Normally, the procedure is to draw blood first and then pay, but that day I paid first before the blood draw. The technician counted out change for me using seven one-hund...
Dr. Liao Zhongxin Reply:
First, it is important to note that the HIV virus can only survive outside the human body for about 10 minutes. Therefore, unless the other person is covered in fresh blood and is in direct contact with your open wound, the risk of infection is very low. If you still have concern...[Read More] Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Concerns About Starting Uric Acid-Lowering Medication
Questions Before Taking Uric Acid Lowering Medication I have had high uric acid levels for several years. My uric acid level was around 7 during high school, and after starting work, it increased to 8. Recently, during a company health check, it rose to 9. When I go back for my n...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. When starting uric acid-lowering medication, we often combine it with colchicine to prevent gout attacks. Once the uric acid levels have been maintained within the normal range for a period of time, we can gradually discontinue colchicine. This...[Read More] Concerns About Starting Uric Acid-Lowering Medication
Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Allergic rhinitis Can I also see the immunology department? May I ask if your treatment methods in immunology involve regular appointments for medication management? What is the difference between immunology and otolaryngology?
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Personally, I believe the differences between our department and the otolaryngology department are as follows: 1. We primarily focus on medication, while otolaryngologists can use endoscopy to observe changes in the nasal cavity, throat, and ea...[Read More] Understanding Allergic Rhinitis: Immunology vs. ENT Treatment Approaches
Can I Transmit STDs to My Partner After Unprotected Sex?
Sexually transmitted infections (STIs) transmission Hello, doctor. I would like to ask, if I had unprotected sex with a sex worker and it has been over two months since then, but I have no symptoms of any sexually transmitted infections (STIs), could I still transmit an STI to my...
Dr. Liao Zhongxin Reply:
Of course, there is still a chance. Safe sexual practices include consistently using condoms, not sharing needles or drugs, and avoiding promiscuity. If you still have questions, you can consult with a nearby medical facility for advice and testing.[Read More] Can I Transmit STDs to My Partner After Unprotected Sex?
Concerns About Undercooked Dumplings: Should You Get Tested?
After eating dumplings, I found a small red piece in the center and I'm worried that I might have swallowed a piece of pork tapeworm tissue? Hello, Doctor. On March 16, 2024, while eating dumplings, I suddenly thought to check if they were fully cooked. I found that one dump...
Dr. Liao Zhongxin Reply:
In principle, as long as one does not consume undercooked pork, beef, or chicken, the risk of contracting animal parasites is generally low. The cases presented in textbooks are more extreme; therefore, prioritizing safety over taste by consuming properly cooked food is the corre...[Read More] Concerns About Undercooked Dumplings: Should You Get Tested?
Understanding Skin Bumps: Are They a Sign of Infection?
Inquiry about arm issues? Hello Doctor: I noticed three small bumps on my arms while showering in the past couple of days. They are a bit itchy, and I scratched the skin on my right arm, while the left arm looks somewhat like acne. I would like to ask if it is possible to contrac...
Dr. Liao Zhongxin Reply:
In public restrooms, it is advisable to use your own bathroom facilities to avoid skin diseases or other infectious diseases. If skin symptoms persist for an extended period or worsen, it is recommended to visit a nearby medical facility for evaluation.[Read More] Understanding Skin Bumps: Are They a Sign of Infection?
Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Bloating, inability to burp, and unexplained fever issues? Hello doctor, I would like to ask about my issues with frequent bloating and an inability to burp, which has made me feel nauseous for over five years. Every morning, I wake up feeling very nauseous, and I almost always e...
Dr. Li Jian Reply:
If traveling abroad can improve the issue, it may be caused by psychological factors. It would be advisable to consider consulting a psychosomatic medicine specialist. Thank you for your inquiry.[Read More] Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Understanding the Link Between Hashimoto's Disease and Thyroid Cancer Risks
Please ask your questions about Hashimoto's disease? Hello Doctor, I researched the connection between Hashimoto's disease and cancer, and here is what I found: Hashimoto's disease is currently known to be a risk factor for thyroid cancer. Chronic inflammation of t...
Dr. Li Jian Reply:
Patients with Hashimoto's thyroiditis have a low risk of developing thyroid cancer; therefore, it is important to have regular follow-up with thyroid ultrasound. Thank you for your inquiry.[Read More] Understanding the Link Between Hashimoto's Disease and Thyroid Cancer Risks
Can Weight Training Cause Gynecomastia in Young Men?
Can weight training cause gynecomastia in women? Hello, doctor. I started weight training at the age of 19, and after six months of training, I began to notice a lump-like formation in my breast at the age of 20, which was painful to touch. I went to a local clinic, where the doc...
Dr. Lin Jianliang Reply:
Hello, it's rare to hear that weight training can cause gynecomastia in men. At least in my understanding, I haven't seen it. I suggest consulting a breast surgeon.[Read More] Can Weight Training Cause Gynecomastia in Young Men?
Understanding Uric Acid Levels: Insights on Gout and Health Management
Interpretation of Uric Acid Levels Hello, Doctor. I am 175 cm tall and weigh 97 kg. I have had high blood pressure since I was 16 years old. I do not drink alcohol but often stay up late. On March 15, I sprained my left ankle; at the time, there was no pain or swelling. However, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have been losing weight for over a month, with my weight dropping from 104 kg to 97 kg. I would like to know if my lowest uric acid level in my life, which is 5.6 mg/dL, is due to dietary control or because I previ...[Read More] Understanding Uric Acid Levels: Insights on Gout and Health Management
Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...
Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics
Should You Get Rabies Vaccination After an Animal Bite in Taiwan?
Animal bite injury About a week ago, I was bitten by some kind of creature while at the beach near Kenting Street. I saw a bat at that time. The next day, I noticed two close red spots on my foot, but since there was no pain, I didn't seek medical attention. Today, I realize...
Dr. Lin Wufu Reply:
It is advised not to proceed, as it is difficult to confirm whether it is an inappropriate bite or if it was a bat bite. Currently, there have been no reported cases of rabies virus found in bats in the country. Alternatively, you can visit a healthcare facility that provides rab...[Read More] Should You Get Rabies Vaccination After an Animal Bite in Taiwan?
Understanding Pain After Kidney Biopsy: Causes and Recovery Tips
Kidney biopsy? Hello Dr. Lin, I just had a kidney biopsy this Thursday, and during the 12 hours of lying flat on a sandbag with pressure applied post-procedure, I experienced an unbearable level of soreness. After getting up 12 hours later, the soreness decreased but persisted su...
Dr. Lin Wuxuan Reply:
Most patients experience discomfort or pain in the flank area on the side of the kidney biopsy, which usually resolves within a few days. If there is an increase in pain at the puncture site or the appearance of hematuria, please seek medical attention promptly. Thank you.[Read More] Understanding Pain After Kidney Biopsy: Causes and Recovery Tips
Understanding Subtle Body Tremors: Causes and Solutions
There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...
Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...[Read More] Understanding Subtle Body Tremors: Causes and Solutions
Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Thyroid medication consultation I have hypothyroidism (Hashimoto's disease) and have been under follow-up for over two years with no significant symptoms. During my last follow-up in March, my levels worsened slightly, and my doctor prescribed Eltroxin 50, instructing me to ...
Dr. Li Jian Reply:
The dosage of Antithyroid medication needs to be monitored by blood tests for TSH and free T4 levels in order to determine the appropriate dosage. Thank you for your inquiry.[Read More] Understanding Side Effects of Levothyroxine in Hypothyroidism Treatment
Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Blood sugar issues? Hello Doctor, I am 22 years old, and my height, weight, and BMI are all normal. I do not have hypertension, hyperlipidemia, or any other unhealthy values. On March 1st of this year, my fasting blood glucose was 89, and today, March 20th, my fasting blood gluco...
Dr. Li Jian Reply:
The current blood test results are normal, so please do not worry excessively. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Should You Worry About Your Readings?
Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Thyroid cancer My mother is 55 years old and has been monitored for nodules for several years. She was recently informed of malignant changes and was subsequently diagnosed with thyroid cancer at a larger hospital. Initially, when it was uncertain whether the cancer was malignant...
Dr. Li Jian Reply:
Thyroid dysfunction can also lead to abnormal cholesterol levels, and diet has a significant impact as well. Thank you for your inquiry.[Read More] Understanding Thyroid Cancer Treatment: Managing Side Effects and Health Concerns
Do Antibiotics and Anti-Inflammatories Affect Stable Stiffness Conditions?
Subject: Do antibiotics and anti-inflammatory medications cause stable stiffness conditions to become unstable? Dear Dr. Gao, I am a patient with ankylosing spondylitis, diagnosed three years ago. My condition has been stable, so I have temporarily stopped taking Celecoxib for s...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Will the aforementioned two medications cause stable stiffness to become unstable? --> I don't believe so. 2. If they do induce instability, are there alternative medications? --> If pain recurs, it may be r...[Read More] Do Antibiotics and Anti-Inflammatories Affect Stable Stiffness Conditions?
Could Oral Contact with a Massage Therapist Lead to Infection?
Infection concerns? Hello doctor, I visited a massage parlor on March 1st and licked the massage therapist's nipple. I know this is very unhygienic, but at that moment, due to some issues, I was emotionally unstable and acted foolishly. Starting on the night of March 3rd, I ...
Dr. Liao Zhongxin Reply:
In addition to HIV, there are other sexually transmitted infections (STIs) or skin diseases that can be transmitted through contact. HIV is primarily spread through unprotected sexual intercourse, sharing of drug injection needles, and vertical transmission from mother to child, ...[Read More] Could Oral Contact with a Massage Therapist Lead to Infection?