Fever, Internal Medicine FAQ - Page 2

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Could Parasites Be Causing My Severe Headaches and Cough?

Cerebral issues caused by parasites? Hello Doctor, I consumed several raw shrimp (purchased from a Japanese restaurant, unsure of the species and handling process) three weeks ago. In the past week, I have experienced severe headaches, strong cough (with phlegm, but minimal nasal...


Dr. Lin Wufu Reply:
Hello, if there is a combination of cough with phlegm, it is advisable to suspect an upper respiratory tract infection (such as a cold, flu, or COVID-19). The likelihood of contracting a parasite from consuming raw shrimp is extremely low, and it is unlikely to experience headach...

[Read More] Could Parasites Be Causing My Severe Headaches and Cough?


Struggling with Unexplained Health Issues: Seeking Effective Solutions

There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...


Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...

[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions


Can Oral Sex Lead to Syphilis Infection? Understanding the Risks

Can a person who performs oral sex on another be at risk of contracting syphilis? On January 25, 2024, I visited a brothel and had oral sex with a sex worker. She mentioned that she uses an alcohol-based mouthwash before each oral encounter. I am very concerned because I have hea...


Dr. Li Jian Reply:
If you have related symptoms, it is recommended that you see an infectious disease specialist for an examination. Thank you for your inquiry.

[Read More] Can Oral Sex Lead to Syphilis Infection? Understanding the Risks


Blood in Sputum Without Cough: Understanding Possible Causes

Coughing up blood-stained sputum without coughing? Today, I started experiencing a sore throat and a fever of 38 degrees Celsius. While taking a shower in the evening, I coughed up phlegm and noticed blood in it, but I haven't had a runny nose or a cough. I visited a clinic ...


Dr. Li Jian Reply:
If symptoms persist, it is recommended to see a pulmonologist for further evaluation. Thank you for your inquiry.

[Read More] Blood in Sputum Without Cough: Understanding Possible Causes


Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID

Recurring fever every month that is neither influenza nor COVID-19? Since changing jobs in the second half of last year, I've been experiencing a lot of health issues (previously, I would only catch a cold once every six months). In May, I developed numerous unexplained red ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Recurrent fever is still a concern, and I recommend that you see a rheumatologist for further evaluation and testing. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital of the Ministry of Health and Welfare is here to assi...

[Read More] Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID


Understanding Sudden Decrease in Complement C3 Levels: What to Do?

Decreased complement C3? Last year on October 21, a complement C3 test was performed in the emergency department, with a value of 104.4, C4 at 21.7, and an ANA titer of 1:80, which was negative. Four days later, on October 25, the C3 value was 85.4 and C4 was 19.5. This year, on ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Complement proteins C3 and C4 are produced by the liver, and the liver tends to produce more complement in response to various bodily stresses, which is why complement levels often rise. A decrease in complement levels is often associated with ...

[Read More] Understanding Sudden Decrease in Complement C3 Levels: What to Do?


Can You Get HIV from Touching with Lubricated Hands?

Will this lead to an HIV infection? I touched the inside of a girl's vagina with my hand that had lubricant on it, and then immediately touched my own glans. I am not circumcised, and I was wearing a condom the entire time. Is there a risk of transmitting HIV in this situati...


Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control and Prevention (CDC), there are three main routes of transmission for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or ...

[Read More] Can You Get HIV from Touching with Lubricated Hands?


Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps

Persistent low-grade fever Hello Doctor, I have been experiencing recurrent low-grade fevers since last Friday afternoon, and it has now been a week with no improvement. I visited a clinic where the doctor prescribed Tamiflu, but it has not been effective. My symptoms include per...


Dr. Li Jian Reply:
It is recommended that you go to the infectious disease department for further blood tests. Thank you for your inquiry.

[Read More] Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps


Understanding Systemic Pain and Itching: A Comprehensive Guide

Generalized tingling, itching, and numbness? Hello Doctor: I have been experiencing sneezing, runny nose, and constipation for the past year. I consulted a gastroenterologist and underwent a colonoscopy and endoscopy, which revealed colon polyps, gastric polyps, and gastroesophag...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend starting with a visit to a family medicine physician. Since you are experiencing some allergy symptoms, if you are truly concerned about potential issues with your immune function, you may also consider seeing an allergist or immunol...

[Read More] Understanding Systemic Pain and Itching: A Comprehensive Guide


Is Syphilis Invisible? Understanding Symptoms and Recurrences

Is syphilis invisible? Last February, I suddenly woke up with a fever, a type of fever I had never experienced before. A few days later, I discovered a half-spherical mass the size of a ping pong ball on my cervix. Initially, I thought I had cancer. After a month, the ulcerous sm...


Dr. Liao Zhongxin Reply:
A. Your description is quite vivid; however, the Treponema pallidum is not that miraculous. It can be cured with a course of penicillin. B. According to the Centers for Disease Control and Prevention (CDC), the modes of transmission are as follows: 1. Close contact during sexual ...

[Read More] Is Syphilis Invisible? Understanding Symptoms and Recurrences


Chronic Lower Back Pain Without Diagnosis: What Are Your Options?

If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...


Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.

[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?


Understanding SLE: Symptoms, Diagnosis, and Treatment Options

SLE (Systemic Lupus Erythematosus) Hello, Director Gao. I am 33 years old and have been experiencing various illnesses and unexplained pains over the past few years, but no cause has been identified. I have also consulted a psychiatrist and taken medication without improvement (s...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A slight fever can still be concerning, and I recommend visiting a rheumatologist. Based on the information you provided, it is not possible to confirm whether there is an issue with your immune system, so it would be best for a physician to exa...

[Read More] Understanding SLE: Symptoms, Diagnosis, and Treatment Options


Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms and Testing

Am I infected with HIV? Hello doctor, I have a question: On October 28, 2023, I went for a massage and had unprotected sexual intercourse with the attendant, although it was only for 5 thrusts. After that, I used a condom. However, I had a fever for one day from November 26 to 27...


Dr. Liao Zhongxin Reply:
1. The transmission routes of HIV include sexual intercourse, sharing needles for drug use, and improper blood transfusions, among others. 2. As for the symptoms of acute HIV syndrome, they can vary widely; if you have engaged in any of the aforementioned high-risk behaviors, pl...

[Read More] Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms and Testing


Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion

Choking on medication? I went to see a doctor because of a sore throat. Previously, I had a vitamin C tablet get stuck in my throat, so I have been avoiding pills since then. However, during my recent visit, the doctor prescribed me pills again. After picking up the medication, I...


Dr. Xie Rongyuan Reply:
Hello: If a medication is lodged in the trachea, it can potentially cause aspiration pneumonia. A chest X-ray can be performed at the hospital. Common symptoms of aspiration pneumonia may include coughing, wheezing, and even fever. Thank you for your message!

[Read More] Choking on Pills: Understanding Risks and Symptoms of Medication Ingestion


Understanding Post-Hospitalization Redness After Cellulitis Treatment

Cellulitis Hello, my dad is about 56 years old and was hospitalized for a week due to cellulitis in his lower leg, which caused a fever. He has been discharged for two days now, and while his leg no longer hurts, it is still red. What could be the reason for this?


Dr. Lin Wufu Reply:
Hello, the most common reason is swelling after an infection, which usually subsides gradually when lying down with the affected area elevated. However, if you stand or walk for a long time, the redness and swelling may return. This is related to poor blood circulation following ...

[Read More] Understanding Post-Hospitalization Redness After Cellulitis Treatment


Can Handling Snails Lead to Guangdong Blood Fluke Infection?

Touching a snail that is eating does not directly lead to a risk of parasitic infection. However, snails can carry parasites, such as those that cause schistosomiasis, which can be transmitted to humans through contact with contaminated water or soil. It is important to practice ...


Dr. Liao Zhongxin Reply:
1. Infection with Angiostrongylus cantonensis is unlikely; it typically requires the consumption of raw snails and occurs in individuals with compromised immune systems. 2. If experiencing symptoms such as fever, headache, or diarrhea, seek medical consultation and testing at a...

[Read More] Can Handling Snails Lead to Guangdong Blood Fluke Infection?


Choking on Saliva: Risks of Aspiration and When to Seek Help

Choking on saliva while swallowing, leading to difficulty breathing? About twenty minutes ago, I choked on my own saliva. This isn't the first time it has happened; each time, I cough to the point where I feel like I can't breathe and I'm close to suffocating. This...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Our trachea is quite sensitive, and even if we choke on water, it is often just a small amount that can be coughed out quickly. The amount of saliva is even less, making it unlikely to choke on a large volume of water, so there is no need to wo...

[Read More] Choking on Saliva: Risks of Aspiration and When to Seek Help


Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis

Joint pain after a confirmed COVID-19 infection? Hello Doctor, I apologize for the lengthy message. I started feeling unwell on November 11th (muscle aches, fever, fatigue, red rashes on limbs, dry eyes, dry mouth). I was diagnosed with COVID-19 on November 13th. On November 16th...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Since the joint discomfort clearly occurred after the blood draw, could it be that the inflammatory markers, ANA, and other indices had not yet shown abnormal trends at that time, and only now can we detect abnormaliti...

[Read More] Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis


Can Mouse Droppings Cause Severe Infections and Sepsis?

Inquire about the authenticity of this medical news article? Dear Dr. Lin, A family friend recently passed away. The elder had diabetes and felt symptoms of a urinary tract infection, so they took over-the-counter medication. That night, they developed a fever, which subsided af...


Dr. Lin Wufu Reply:
Hello, mice and mouse droppings naturally carry many pathogens, and contact with them can indeed lead to severe bacterial infections. However, the progression of the condition you mentioned is not uncommon in diabetic patients and may not necessarily be related to mice. It is imp...

[Read More] Can Mouse Droppings Cause Severe Infections and Sepsis?


Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care

Long-term post-nasal drip has recently worsened, presenting symptoms such as fever, neck swelling, and pharyngeal pain? I suspect I have an infection in my nose, which is causing post-nasal drip and resulting in coughing. This symptom has persisted for about six months (since Apr...


Dr. Lin Wufu Reply:
Hello, it is recommended to visit the ENT department of a major hospital today (10/9) to confirm what the neck mass is. It is most likely lymphadenopathy, which is just an inflammatory response, possibly caused by a new wave of tonsillitis starting from 10/6. This is separate fro...

[Read More] Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care


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