Fever, Internal Medicine FAQ - Page 15

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Sudden High Fever: Understanding Causes and Concerns in Internal Medicine

Unexplained sudden high fever? Two nights ago, I suddenly experienced full-body shaking and a headache. The next day, I woke up feeling weak all over and had a severe headache. Later in the afternoon, my temperature rose to 39.3°C, so I went to a clinic for evaluation. I had no s...


Dr. Hong Yuanbin Reply:
Hello, 1. In cases of more severe bacterial infections, it is usually sufficient to take just one course of antibiotics to control the infection. Based on your description, it seems more likely to be a viral infection or a mild bacterial infection, which should be monitored fur...

[Read More] Sudden High Fever: Understanding Causes and Concerns in Internal Medicine


Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure

Pulmonary issues I have been working in the steel industry, which requires long hours of welding. During the last health check, an X-ray showed abnormalities. The family medicine report indicated a localized shadow in the right lower lung, possible bronchitis, or manganese poison...


Dr. Hong Yuanbin Reply:
Hello, I tend to agree with the second physician's opinion. Indeed, to confirm whether it is manganese poisoning, blood and urine tests are more accurate. Chest X-rays are not very effective in diagnosing manganese poisoning. The presence of shadows or spots in the lungs is ...

[Read More] Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure


Understanding Gastrointestinal Issues and Blood Sugar Levels

Blood sugar issues and gastrointestinal problems? Hello, last week I went to the emergency room because I vomited 5 to 6 times in the middle of the night. The doctor performed several tests and diagnosed me with gastroenteritis. I have two questions: 1. I only vomited and did not...


Dr. Chen Shunfu Reply:
Thank you for your inquiry. 1. Hello, if you are still experiencing gastrointestinal symptoms, in addition to adjusting to a light diet, it is recommended to visit a gastroenterology clinic for evaluation and possible medication/testing to improve your symptoms as soon as possibl...

[Read More] Understanding Gastrointestinal Issues and Blood Sugar Levels


Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice

Abdominal pain, pulmonary inflammation, and high fever issues? Hello Doctor, I apologize for the interruption. I've been experiencing abdominal pain (cramping) for the past two days, and my bowel movements have been very loose. I also have muscle aches, fever (ranging from 3...


Dr. Hong Yuanbin Reply:
Hello: Based on your description of fever, upper abdominal pain, and diarrhea, it is likely that you are experiencing acute gastroenteritis or a gastrointestinal viral infection, possibly caused by consuming contaminated food. The medications you have been prescribed are aimed at...

[Read More] Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice


Feeling Hot Without a Fever: Understanding Your Symptoms

Feeling hot but not having a fever? Hello, I have been experiencing a sensation of heat in my body for quite some time, but my temperature readings do not indicate a fever. A noticeable symptom is that my eye sockets feel even hotter when my body feels warm. Which specialty shoul...


Dr. Lin Wufu Reply:
Hello! In medical terms, a fever is defined as a body temperature exceeding 38 degrees Celsius (or 38.3 degrees Celsius). Therefore, if your temperature readings are consistently normal, it is not related to fever. Additionally, during a fever, individuals primarily experience ch...

[Read More] Feeling Hot Without a Fever: Understanding Your Symptoms


Understanding HIV and Syphilis Testing: 92 Days After Exposure

May I ask the doctor? 1. If you undergo an HIV rapid test using the Abbott test 92 days after engaging in sexual intercourse and the result is negative, it is generally considered a reliable indication that you are not infected with HIV. However, it is always recommended to consu...


Dr. Lin Wufu Reply:
Hello! The window period for HIV varies from person to person. Generally, the duration of the window period can differ based on various testing methods or the individual's health status, such as immune function. Typically, the window period ranges from 3 to 12 weeks. As for ...

[Read More] Understanding HIV and Syphilis Testing: 92 Days After Exposure


Understanding Elevated White Blood Cell Counts and Related Health Issues

Regarding issues related to elevated white blood cell counts? Hello, Doctor; my friend was hospitalized last January due to a fever (at that time, there were abnormal white blood cell counts). However, after hospitalization, the condition was controlled, and the hospital did not ...


Dr. Lin Wufu Reply:
Hello! To determine whether there is a correlation between your friend's two episodes of fever and elevated white blood cell count, it is essential to assess whether the white blood cell count returned to normal between the two hospitalizations, as well as to consider any ot...

[Read More] Understanding Elevated White Blood Cell Counts and Related Health Issues


Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms

Frequent urination, dry throat, and feeling cold? Hello: Since last night, I have been experiencing frequent urination (approximately every half hour). Although I feel the urge to urinate, the volume is not significant, and the urine is clear. This morning, I started to feel dryn...


Dr. Hong Yuanbin Reply:
Based on your description, it is likely that you have a urinary tract infection. Given the accompanying lower back pain, there is a high possibility of a urinary tract infection combined with acute pyelonephritis. It is recommended to drink plenty of water, rest, and maintain a r...

[Read More] Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms


Unexplained Fever: Navigating Persistent High Temperatures and Symptoms

Fever of unknown origin? Hello doctor, since July until now (August 26), my body temperature has been consistently elevated. The lowest temperature in July was 37.2°C, and it intermittently rose to 38°C. After a while, I started experiencing gastrointestinal discomfort, vomiting ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that the fever is caused by some atypical infections or non-infectious conditions. There are indeed many potential reasons for this, and a detailed examination is necessary. If the fever persists, I recommend visiting an infectious...

[Read More] Unexplained Fever: Navigating Persistent High Temperatures and Symptoms


Managing Thyroid Issues During a Cold: What You Need to Know

Thyroid-related issues due to cold exposure? Doctor, I would like to ask about my condition. I have been suffering from hyperthyroidism for over two years. A few days ago, I caught a slight cold and have been experiencing intermittent high fever. When I visited the doctor, my hea...


Dr. Lin Jianliang Reply:
It is recommended that you see a physician for diagnosis and treatment as soon as possible, without delay, to prevent the condition from worsening and endangering your health. Thank you for your message.

[Read More] Managing Thyroid Issues During a Cold: What You Need to Know


Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...


Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...

[Read More] Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions


Accidental Ingestion: What Symptoms to Watch For After Tasting Unknown Liquid

Ingestion issues? Hello, doctor. This morning I saw brown droplets on my desk and mistakenly thought it was a spilled drink, so I dipped my finger in it and put a little in my mouth to taste. However, after tasting it, I realized it had a strange flavor and suspected it might be ...


Dr. Hong Yuanbin Reply:
Hello, animal waste may contain some infectious agents, such as Leptospira, which can cause symptoms like fever and general malaise, as well as gastrointestinal discomfort such as nausea, diarrhea, and abdominal pain. If you are experiencing any discomfort, you can consult a fami...

[Read More] Accidental Ingestion: What Symptoms to Watch For After Tasting Unknown Liquid


Unexplained Nighttime Fever: Causes and When to Seek Help

Fever of unknown origin at night? Hello, Doctor. On July 28th, around 8 PM, I started feeling warmth in my cheeks and experiencing a rapid heartbeat. Even in an air-conditioned room, I was sweating continuously. Later, when I lay down to sleep, I felt my heart racing and continue...


Dr. Hong Yuanbin Reply:
Hello, based on the temperature you measured, there is indeed no fever present. As for the feeling of having a fever that you described, there are many possible causes, including premenstrual syndrome and endocrine issues. I recommend that you first visit an infectious disease sp...

[Read More] Unexplained Nighttime Fever: Causes and When to Seek Help


Understanding Lymph Node Swelling in the Groin: Causes and Concerns

Lymphatic issues Hello, Doctor. I have noticed that I have two or three swollen areas in my left and right groin that have persisted for about six months. They are all less than 1 cm, do not hurt when pressed, and are movable. However, I often feel a dull ache in the area where m...


Dr. Hong Yuanbin Reply:
Hello, there are many causes of lymphadenopathy. Given your age, it is more likely due to an injury or infection in the leg. We need to confirm if you have experienced any fever, weight loss, or other discomfort. If the swelling persists, you may consider undergoing a lymph node ...

[Read More] Understanding Lymph Node Swelling in the Groin: Causes and Concerns


Understanding Persistent Fatigue and Heat Sensation After Napping

Feeling hot in the head? Hello, doctor... A week ago, after waking up from a nap, I started feeling a warm sensation in my head and overall weakness, feeling very fatigued. These symptoms have persisted until now, and I feel like I have a fever, but my body temperature is normal ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you were completely normal until a week ago when you started experiencing fatigue and a feeling of fever. It is highly suspected that you may have an infection, especially since the flu is currently prevalent. The common symptoms of the flu inclu...

[Read More] Understanding Persistent Fatigue and Heat Sensation After Napping


Understanding HIV Transmission Risks: Your Concerns Addressed

Questions about HIV/AIDS Hello Doctor, about a month ago, I had unprotected oral sex with someone (I don't know if the other person has an STD). During the process, I licked her nipples, and I have a sore in my mouth. Is there a possibility of contracting HIV? Then she perfo...


Dr. Lin Wufu Reply:
Hello! The primary transmission route for HIV is through "contact with blood or bodily fluids," with the secretions from sexual organs being the most infectious. Therefore, if your hands come into contact with the secretions of your partner's sexual organs and then...

[Read More] Understanding HIV Transmission Risks: Your Concerns Addressed


Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery

Gastrointestinal discomfort In the early hours of Saturday, around 2-4 AM, I vomited five times (stomach acid) and had two bowel movements (one normal and one small but somewhat loose). Early Sunday morning, around 8:30 AM, I saw a doctor and received an injection. The doctor adv...


Dr. Lin Wufu Reply:
Hello! As you mentioned, the symptoms you are experiencing are indeed common manifestations of gastroenteritis. Typically, discomfort lasts about three days to a week, depending on the severity. If you felt improvement on Saturday along with a reduction in fever, it is likely tha...

[Read More] Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery


Could Your Symptoms Indicate Ankylosing Spondylitis?

What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....

[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?


Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms

Post-PEP Testing Hello Dr. Liao, I engaged in sexual activities on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. There were around 10 thrusts, but the condom was not fitted properly. When I wit...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the topic of body temperature fluctuations and sweating after fever, here is the response: A: 1. If prophylactic treatment (PEP) was initiated within 66 hours and completed a 4-week course on April 16, you should be able to feel reassured. 2. Since the w...

[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms


Understanding Post-Exposure Prophylaxis (PEP) Testing and Results

Post-PEP Testing Hello Dr. Hong, I engaged in sexual activity on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. During the intercourse, the condom did not fit well, and upon withdrawal, only the...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you have completed PEP and subsequent tests have returned negative. Unless you have had further relevant exposure, the likelihood of contracting HIV is indeed very low. As for the symptoms you later described, such as fever, night sweats, and dia...

[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Results


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