Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...[Read More] Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained Fever, Nausea, and Loss of Appetite: When to Seek Further Medical Help
Fever of unknown origin, nausea, and loss of appetite? Hello Doctor, I have been measuring my ear temperature between 37.3 and 37.6 degrees Celsius for the past few months, and I feel a heavy sensation in my head similar to having a fever. I often feel nauseous in the morning and...
Dr. Lin Wufu Reply:
Hello, it is recommended to visit a family medicine clinic for an examination and to perform a urinalysis to confirm whether there is a urinary tract infection. Bloating itself can cause a feeling of nausea, which may not necessarily be related to a urinary tract infection or fev...[Read More] Unexplained Fever, Nausea, and Loss of Appetite: When to Seek Further Medical Help
Concerns About Inhalation Pneumonia from Herbal Powder Intake
Throat and tracheal issues, suspected choking on herbal powder? Hello, Dr. Hong. I took some traditional Chinese medicine powder after breakfast, and I’m not sure if my mouth was too dry, but when I poured the powder into my mouth, it felt like it stuck to the back of my throat. ...
Dr. Hong Yuanbin Reply:
Hello, this situation could indeed lead to aspiration pneumonia; however, considering your age, your swallowing function should be normal. Additionally, since you described that there have been no subsequent symptoms of coughing or wheezing, it is likely that your condition has n...[Read More] Concerns About Inhalation Pneumonia from Herbal Powder Intake
Understanding Shortness of Breath During Meals: Possible Causes and Solutions
Dyspnea Hello Doctor, I have noticed that I feel a bit short of breath while eating, which lasted for about 3 hours. During this time, I constantly felt the need to take deep breaths, but I still felt breathless, and eventually, I experienced some tightness and mild pain in my ch...
Dr. Hong Yuanbin Reply:
Based on your description, it is quite difficult to determine which disease is most likely. The possibilities include: 1. Gastroesophageal reflux disease (GERD), which is characterized by the occurrence of symptoms, especially after meals, often accompanied by a burning sensation...[Read More] Understanding Shortness of Breath During Meals: Possible Causes and Solutions
Understanding Unexplained Fever: Insights and Recommendations for Patients
Consultation for Fever of Unknown Origin Hello, doctor. Recently, from the beginning of this month until now, I have measured my ear temperature to be between 37.1 and 38.5 degrees Celsius (my usual ear temperature is around 36 to 36.2 degrees). At the beginning of the month, I v...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding body temperature, different devices and measurement sites can yield varying results. It is advisable to refer to the baseline values provided by the device (usually found in the user manual). Body temperature should be assessed in relation to these baseline ...[Read More] Understanding Unexplained Fever: Insights and Recommendations for Patients
Understanding Fever in Young Adults: Risks and Aftercare
Adult fever If a 22-year-old person has a fever starting around 8 PM and does not seek medical attention until the following morning at 11 AM, it is unlikely to cause significant long-term complications, especially if the fever is not associated with severe symptoms or underlying...
Dr. Hong Yuanbin Reply:
Hello, there are many causes of fever, and it is important to determine the underlying infection to assess the subsequent impact. It is recommended to consult an infectious disease specialist or a family medicine clinic for further evaluation. Thank you for your inquiry.[Read More] Understanding Fever in Young Adults: Risks and Aftercare
Understanding HIV Testing and Symptoms: Your Questions Answered
HIV testing issues? Hello Dr. Hong, I had an encounter with a woman on November 9th last year. About two to three days later, I developed a low-grade fever, sore throat, and a rash. After taking cold medication, I improved. As of today, I have not experienced any other acute HIV ...
Dr. Hong Yuanbin Reply:
Hello, in response to your questions, I will address them in several parts: 1. Regarding the possibility of HIV infection, it is recommended to undergo a second screening test at three months to confirm that there is no infection. 2. Concerning the skin rash, I am unsure about...[Read More] Understanding HIV Testing and Symptoms: Your Questions Answered
Understanding Symptoms After Potential HIV Exposure: What to Know
Infectious symptoms Hello, doctor. I had sexual intercourse with a woman on the afternoon of the 9th. We used a condom throughout, but it slipped off at one point; however, I immediately replaced it with a new one. We also engaged in kissing and oral sex. About 2 to 3 days later,...
Dr. Hong Yuanbin Reply:
Based on your description, it seems that the symptoms you are experiencing may be due to a subsequent cold. However, it is true that the early symptoms of HIV can resemble those of a cold, so it cannot be completely ruled out based solely on symptoms. I recommend that you go to a...[Read More] Understanding Symptoms After Potential HIV Exposure: What to Know
Understanding Infection Risks: Antibiotics and Heart Conditions Explained
Infection concerns? I originally had an inflamed sebaceous cyst scheduled for removal in two weeks. The doctor prescribed a one-day course of prophylactic antibiotics, but due to unforeseen circumstances, I didn't go. Yesterday, I consulted another physician who insisted tha...
Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with a bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that involve bleeding, such as tooth extractions, due to the concern of infective endocarditis. For a simple cyst removal sur...[Read More] Understanding Infection Risks: Antibiotics and Heart Conditions Explained
Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
It seems like your message is incomplete. Could you please provide Hello, Doctor Gao. I am the one who inquired about SLE a week ago. Recently, I have been experiencing low-grade fevers, weakness, loss of appetite, and about ten oral ulcers. I have also noticed a few red spots, a...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The presence of a rash on the skin, along with mouth ulcers and a mild fever, may indicate disease activity. We do not solely rely on blood test results to assess whether a disease is active; clinical symptoms remain very important. Please sched...[Read More] Understanding SLE Symptoms: Low Fever, Fatigue, and Skin Issues
Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...
Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
Understanding Persistent Vomiting: Causes and Solutions
Vomiting Hello doctor, my girlfriend has been vomiting continuously since midnight the day before yesterday. She has vomited everything she ate and has not had a fever or diarrhea. She has vomited to the point of expelling bile. She is afraid to eat because of the vomiting and ha...
Dr. Hong Yuanbin Reply:
Based on your description, it seems to be acute gastroenteritis. Acute gastroenteritis typically presents with persistent vomiting and diarrhea for the first 2-3 days. It is recommended to avoid solid foods initially and to consume clear liquids, such as sports drinks or diluted ...[Read More] Understanding Persistent Vomiting: Causes and Solutions
Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Final inquiry? Hello, doctor. I am the person who had a small abrasion near the frenulum of the penis due to masturbation, and I am concerned about the possibility of infection from touching external surfaces like a bathroom doorknob or faucet, and then touching the abrasion. I a...
Dr. Hong Yuanbin Reply:
1. Yes, the conditions you described do not pose a risk for sexually transmitted infections (STIs). 2. This means that unless you engage in "unsafe sexual practices" in the future and develop other symptoms, you do not need to seek medical attention. 3. Yes, it will not...[Read More] Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Understanding Wound Infection Risks and STD Transmission Concerns
Inquiring about wound infection? Hello, Doctor. I am the person who had a small abrasion near the frenulum of the penis due to masturbation. I am concerned about the possibility of infection from touching external surfaces, such as a bathroom doorknob or faucet, and then touching...
Dr. Hong Yuanbin Reply:
Hello, 1. The contact you described will not transmit sexually transmitted infections. 2. Yes, there is no risk of infection. 3. It is on the inner part of the genitals. 4. Yes, it can be ruled out. 5. Yes, it can be ruled out. 6. Yes, it can be ruled out. 7. There is no risk of ...[Read More] Understanding Wound Infection Risks and STD Transmission Concerns
Understanding STD Risks: Can Minor Skin Injuries Lead to HIV or Syphilis?
I'm sorry, but I need more context or specific content to Hello, doctor. I am the person who had a small abrasion next to the penile frenulum due to masturbation. I'm worried that if I touch external surfaces like a bathroom doorknob or faucet and then touch the small a...
Dr. Hong Yuanbin Reply:
1. Yes, small wounds can become infected, but your actions will not cause an infection. 2. Yes, there is a risk of infection through sexual activity, blood transfusions, or needle stick injuries. 3. This is because needles are designed in a way that can retain more blood, but...[Read More] Understanding STD Risks: Can Minor Skin Injuries Lead to HIV or Syphilis?
Understanding Flu and Cold Symptoms: Insights from Taiwan's Experience
Influenza Issues Hello, I would like to ask you about the issues related to influenza and the common cold. I am from Taichung and have just moved to Keelung two months ago, working in Taipei. I don't know if I was just lucky before, but I have never had influenza and only ca...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described, such as body aches, weakness, sore throat, nasal congestion, and diarrhea, are all indicative of cold symptoms. There are many causes for these symptoms, including influenza virus, parainfluenza virus, adenovirus, and various other types. Accord...[Read More] Understanding Flu and Cold Symptoms: Insights from Taiwan's Experience
Understanding Headaches and Allergies: The Connection to Dental Issues
Headache, allergy issues? Several years ago, I developed a cavity in my upper right molar that was difficult to clean. The decay was quite deep, and the dentist mentioned that fragments had lodged into the gum tissue. Initially, my headaches were caused by the dental issue, and I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, I need to address several points: 1. The term "bacteria entering the bloodstream" typically refers to instances during dental cleanings or surgical procedures. In general, unless there is a dental procedure performed, bacteria from cav...[Read More] Understanding Headaches and Allergies: The Connection to Dental Issues
Understanding Drug Allergies: Symptoms, Testing, and Management
Suspected drug allergy Hello Doctor: Since around the third grade of elementary school, I have experienced prolonged itching on my skin after taking medication for colds from an ear, nose, and throat specialist, although there are no visible symptoms (such as rashes or redness). ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here is a brief summary of your questions: 1. Chronic itching: It is advisable to consult your dermatologist first. If a clear answer is still not obtained, you may consider visiting an allergy, immunology, and rheumatology clinic. The physicia...[Read More] Understanding Drug Allergies: Symptoms, Testing, and Management
Do I Need Screening After Protected Sex? A Doctor's Insight
Is screening necessary? Hello, doctor. Two months ago, I had sexual intercourse with a partner whose health status I was not aware of. I used a condom throughout the entire encounter and changed to a new condom when withdrawing to prevent slippage. Do I need to get tested? Thank ...
Dr. Hong Yuanbin Reply:
Hello, if the entire sexual intercourse was conducted with a condom and the condom did not break, the risk of contracting HIV is very low. Unless there are symptoms such as fever or signs of infection, there is no need for testing. Thank you for your question.[Read More] Do I Need Screening After Protected Sex? A Doctor's Insight
Understanding Enlarged Submandibular Lymph Nodes: Causes and Treatment
Submandibular lymphadenopathy Symptom description: 1) Generalized muscle soreness 2) No fever, but has a cough 3) Pain upon pressing the area between the upper abdomen and the ribs 4) Pain in the left axilla, but no swelling 5) Unilateral (left side) submandibular lymphadenopathy...
Dr. Hong Yuanbin Reply:
Hello, based on your description, we need to first confirm whether the symptoms of muscle soreness, abdominal tenderness, axillary pain, and lymphadenopathy have all occurred recently. If these are long-standing issues, we must consider whether they are due to muscle strain or ot...[Read More] Understanding Enlarged Submandibular Lymph Nodes: Causes and Treatment