Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis
I'm sorry, but I need more context or specific information to provide an accurate translation or response? Hello Doctor, I was diagnosed with juvenile rheumatoid arthritis about three years ago when I was around 14 years old. It started with pain in my left knee, and then mo...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Juvenile rheumatoid arthritis (JRA) or juvenile idiopathic arthritis (JIA) is different from adult rheumatoid arthritis, so juvenile rheumatoid arthritis does not directly transition into rheumatoid arthritis in adulthood. Therefore, some patie...[Read More] Understanding Inconsistent Symptoms in Juvenile Rheumatoid Arthritis
Understanding Dizziness: Causes and Solutions After a Cold
Dizziness issues? Hello, doctor... Since I caught a cold and had a fever on the 23rd of last month, I've been feeling dizzy, heavy-headed, and lethargic, constantly wanting to sleep. After more than two weeks, the cold symptoms and dizziness improved, but shortly after the d...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Dizziness can generally be categorized into four types: vertigo, presyncope, disequilibrium, and lightheadedness. Research statistics indicate that the most common diagnosis among these is vertigo. 2. The causes of dizziness are numerous. For example: ort...[Read More] Understanding Dizziness: Causes and Solutions After a Cold
Understanding Unusual Sounds from the Buttocks: Is It Normal?
There are gurgling sounds in the buttocks? Sometimes there are gurgling sounds coming from the buttocks, similar to the sounds of a hungry stomach, but it’s not hunger and not flatulence. It’s a noticeable gurgling sound specifically in the area of the buttocks, and sometimes it ...
Dr. Hong Yuanbin Reply:
Hello, what you are hearing is likely the sound of intestinal peristalsis. This sound can indeed be audible, especially in a very quiet environment or if you are feeling anxious, as rapid intestinal movements can be quite pronounced. You can monitor your stool's condition; i...[Read More] Understanding Unusual Sounds from the Buttocks: Is It Normal?
Understanding Lower Abdominal Pain: When to Seek Medical Attention
Lower abdominal pain? Hello doctor, I recently had sexual intercourse with my husband, and the next day I experienced severe abdominal pain. I couldn't exert myself at all, and walking would suddenly cause pain. I've also noticed an increase in the frequency of urinatio...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that there is a higher likelihood of a urinary tract infection; however, gynecological issues cannot be ruled out, such as a ruptured corpus luteum. It is advisable to consult with an infectious disease specialist, nephrologist, or urolo...[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Attention
Understanding Bubbles in Urine: Causes and Concerns Explained
Bubbles in urine? Hello doctor, since mid-February, I have noticed that my urine has been consistently producing small clusters of dense bubbles. I visited the urology department at Taoyuan Hospital, where I underwent an X-ray and urinalysis. The doctor said everything was fine, ...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria. Conditions such as fever, excessive exercise, consumption of high amounts of animal protein, hormonal influences, or other diseases causing abnormal protein production can also be contributing factors. Pr...[Read More] Understanding Bubbles in Urine: Causes and Concerns Explained
Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?
During the recovery phase of facial nerve paralysis, swelling of the eyes and face may occur? Hello Doctor, I experienced facial nerve paralysis on the right side of my face on August 3, 2017. At that time, my right eye's vision, hearing, and taste were all affected. Althoug...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. The unilateral lower limb swelling and pain (right leg) should not be related to the facial nerve paralysis on the same side, nor should it be associated with renal dysfunction (as renal dysfunction typically leads to...[Read More] Understanding Facial Swelling After Facial Nerve Paralysis: What to Do Next?
Managing Recurrence of Pleural Effusion: Insights on Immunity and Treatment
How to manage a recurrence of a chronic thoracic condition? Seven years ago, Xiao Min was hospitalized due to a persistent high fever, which led to the discovery of pleural effusion in the thoracic cavity, diagnosed as pulmonary tuberculosis. He was treated and prescribed medicat...
Dr. Hong Yuanbin Reply:
Hello, the factors influencing the occurrence of diseases are numerous and typically involve a combination of constitution, environment, personal health care, genetics, and other factors. Not smoking or drinking alcohol, maintaining a regular lifestyle, and consistently engaging ...[Read More] Managing Recurrence of Pleural Effusion: Insights on Immunity and Treatment
Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Purulent tonsillitis in the oral cavity, gingival swelling, and purulent lips? Hello Doctor, since I took my sister to the hospital on January 4th and stayed there from 9 AM to 10 PM, I have not slept for eighteen hours. It was the most irregular day for my schedule in over a yea...
Dr. Hong Yuanbin Reply:
Hello, based on your description, your oral ulceration does seem severe. It may not be possible to determine the true cause based solely on your description. I recommend visiting a major hospital's dental department for relevant examinations, including viral testing. If ther...[Read More] Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Unexplained Internal Itching After Facial Fracture Surgery: What to Do?
Itchy face with areas that cannot be reached by hand? A family member sustained a zygomatic bone fracture due to a car accident over 20 years ago. They underwent surgery to place a steel pin at the site of the injury to facilitate healing. Recently, they have noticed that the are...
Dr. Hong Yuanbin Reply:
Hello, typically we assess whether there is an issue at the surgical site based on the presence of fever or localized redness, swelling, heat, and pain. According to your description, it seems that the affected area is only itchy and does not exhibit the aforementioned symptoms. ...[Read More] Unexplained Internal Itching After Facial Fracture Surgery: What to Do?
Can I Rule Out Infection After Multiple Negative Tests?
Will there be a turnaround? Doctor, I had a high-risk exposure on October 7th. I took an RTPCR test on October 18th and November 9th, and I also had P24 antigen and antibody tests done at 10 days, 33 days, 4 weeks, 6 weeks, 8 weeks, and 10 weeks, all of which were negative. I hav...
Dr. Xiao Yongxun Reply:
Dear Mr. Akai: 1. Your question was already addressed on December 4, 2017. In addition to considering HIV, there are many other potential diagnoses that need to be clarified regarding your symptoms of fever, lymphadenopathy, and diarrhea in order to provide appropriate treatmen...[Read More] Can I Rule Out Infection After Multiple Negative Tests?
Understanding Persistent Low-Grade Fever: Possible Causes and Concerns
Unexplained fever with persistent low-grade fever? Hello doctor, I had a herpes outbreak on my lips before December 2nd. On December 1st, I accidentally ingested water from a drainage ditch and kitchen waste. From December 2nd to December 14th, I started experiencing fever, with ...
Dr. Hong Yuanbin Reply:
Hello, since I cannot see the condition of your blisters, I cannot make a clear assessment. However, based on your description, it is most likely a herpes infection. This is primarily transmitted through contact and should not be directly related to drinking contaminated water; i...[Read More] Understanding Persistent Low-Grade Fever: Possible Causes and Concerns
Understanding Persistent Fever and Cough: Possible HIV Concerns
I have been experiencing intermittent fever for a month? 1. What is the likelihood of contracting HIV in this situation? 2. Do these symptoms resemble those of HIV? I have been monitoring my lymph nodes and oral health, and everything appears normal, except for throat pain caused...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding 1. What is the likelihood of contracting HIV in this situation? A: According to the CDC-Taiwan, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exch...[Read More] Understanding Persistent Fever and Cough: Possible HIV Concerns
Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis
Can it be confirmed or not? Doctor, I am from Tainan. On October 7th, I was at high risk. On October 14th, I experienced abdominal pain and diarrhea. On October 18th, I went to a testing facility for an RTPCR test (negative), and the P24 test was also (negative). On November 2nd,...
Dr. Xiao Yongxun Reply:
Dear Mr. A-Kai: 1. HIV RT-PCR is primarily used in the early stages of HIV infection, approximately around 7 days post-exposure. If infection has occurred, the viral load is very low, so PCR is utilized in the laboratory to amplify the viral quantity, allowing for the detection ...[Read More] Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis
Understanding Staphylococcus Blood Infections: Causes and Treatment Options
Staphylococcus aureus infection in the blood? Hello, my family member was hospitalized due to a car accident, suffering from a mild concussion and some external injuries. However, after three days in the hospital, they started experiencing persistent high fever, and tests reveale...
Dr. Liao Zhongxin Reply:
Dear readers, I. Regarding <The incubation period of Staphylococcus in blood infections>: A: Staphylococcus infections often originate from wounds, and occasionally from the respiratory and urinary tracts. In short, as long as there is an entry point on the body that is ...[Read More] Understanding Staphylococcus Blood Infections: Causes and Treatment Options
Can You Get Parasitic Infections from Handling Water Plants?
Parasitic infection issues? Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...[Read More] Can You Get Parasitic Infections from Handling Water Plants?
Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Experiencing lower back pain after receiving the flu vaccine? Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the ...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...[Read More] Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Unexplained Fever from Back to Lower Abdomen: Causes and Solutions
Unexplained fever from the back to the lower abdomen? Hello Doctor: I have been experiencing unexplained warmth from my armpit to my back and lower abdomen, especially after sitting for a long time or lying in bed. My kidney function is not very good; I have previously been hospi...
Dr. Wu Jiyu Reply:
Based on your description, you can start by consulting a nephrologist for some basic tests to identify the underlying cause.[Read More] Unexplained Fever from Back to Lower Abdomen: Causes and Solutions
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
High White Blood Cell Count and Persistent Low-Grade Fever: Should I Seek Further Testing?
White blood cell count is elevated at 12,000. Persistent low-grade fever in the afternoon with temperatures consistently between 37.5°C and 37.8°C. Long-term diarrhea for one month? Hello doctor, I recently had a complete blood count and found that my white blood cell count is el...
Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, it is indeed necessary for you to consult a gastroenterologist or a family medicine physician for further examination to determine if there is a gastrointestinal infection or an endocrine issue. Thank you for your inquiry.[Read More] High White Blood Cell Count and Persistent Low-Grade Fever: Should I Seek Further Testing?
Understanding Tonsil Swelling: Causes and Treatment Options
Swelling near the tonsils? About a month ago, I felt a sensation of something stuck in my throat. I visited an otolaryngologist two or three times, but the feeling of a foreign body has not disappeared. Recently, I noticed a very large mass on my tonsil that is not painful, but t...
Dr. Liao Zhongxin Reply:
Dear readers: 1. It is recommended to first follow up with an otolaryngologist. 2. If you experience fever or sore throat, please consult an infectious disease specialist for further evaluation. Thank you![Read More] Understanding Tonsil Swelling: Causes and Treatment Options