Understanding the Risk of HIV Infection After Sexual Encounter
What is the likelihood of contracting the HIV virus? Hello Doctor: - I had contact with a sex worker on August 16: unprotected oral sex and protected vaginal intercourse. - About 3 to 4 days after the incident, I felt a slight tingling sensation on the glans and noticed white or...
Dr. Liao Zhongxin Reply:
According to data from the Centers for Disease Control (CDC) in Taiwan, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-in...[Read More] Understanding the Risk of HIV Infection After Sexual Encounter
Understanding Persistent Low-Grade Fever in Teenagers: Causes and Solutions
Elevated body temperature? Hello, my daughter is 14 years old and recently her body temperature has been between 37.5 to 38 degrees Celsius. Previously, her temperature was mostly around 36.6 degrees. She does not have any discomfort, and when her temperature reaches 38 degrees, ...
Dr. Zeng Guosen Reply:
Hello, previously my body temperature was around 36.6°C, but recently it has been between 37.5°C and 38°C. If it's not due to my menstrual cycle and I'm not feeling unwell, it shouldn't be related to the weather. I recommend seeing a pediatric infectious disease sp...[Read More] Understanding Persistent Low-Grade Fever in Teenagers: Causes and Solutions
Understanding Cellulitis: Managing Pain and Mobility Issues
Unable to walk after contracting cellulitis? Three days ago, I was diagnosed with an infection in my left leg. I have been taking my medication regularly, but I have been experiencing fever almost continuously after taking the medication. Additionally, standing up causes unbearab...
Dr. Lin Wufu Reply:
Hello, if you are still experiencing a fever three days after starting antibiotics, it usually indicates that the cellulitis has not been adequately controlled. It is advisable to return for a follow-up or consult an infectious disease specialist for evaluation. If the fever has ...[Read More] Understanding Cellulitis: Managing Pain and Mobility Issues
Understanding Immune System Abnormalities: Symptoms and Risks of Sjögren's Syndrome
Abnormalities in the immune system? In the past three years, I have experienced intermittent urticaria on my face. After consulting with a rheumatologist, it was determined that it was caused by an allergy, and I have also been experiencing joint pain (without swelling), low-grad...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe the likelihood of Sjögren's syndrome is high. Although the tear secretion is not at the standard level, it is close to the abnormal threshold. Additionally, with a positive SSA, elevated IgG levels, and joint symptoms, if the sali...[Read More] Understanding Immune System Abnormalities: Symptoms and Risks of Sjögren's Syndrome
Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Choking on a pill? Hello, Doctor: Recently, I have been taking medication frequently, but sometimes I am afraid that the pills might go down the trachea. After taking the medication, I often feel a sensation of something stuck in my throat, and sometimes I cough. Could this be as...
Dr. Xie Rongyuan Reply:
Hello: Aspiration pneumonia can cause coughing, fever, and shortness of breath. A chest X-ray is necessary. As for whether Codemin can be opened and dissolved in water, please consult a pharmacist. Thank you for your message![Read More] Concerns About Choking on Pills: Risks and Solutions for Safe Swallowing
Understanding Recurrent Fever: Immune System Challenges and Solutions
Repeated fever over the past two months? Hello, since May, I have noticed that my immune system has been getting weaker. I used to rarely get sick, but on May 8, I discovered I had shingles (the doctor said it was due to stress and a decline in immunity, and prescribed zinc for m...
Dr. Liao Zhongxin Reply:
1. Since you have been diagnosed with influenza type A and are receiving treatment with oseltamivir, it is important to rest well and allow your immune system to recover to eliminate the virus from your body. 2. As for persistent symptoms after infection, this is common with COV...[Read More] Understanding Recurrent Fever: Immune System Challenges and Solutions
Understanding the Effectiveness and Frequency of Immune System Tests
Immune system examination? Hello Doctor: I had an immune system blood test related to rheumatoid conditions last November, and all the values were normal at that time. I would like to ask how long the effectiveness of the immune system test lasts and how often I should have it do...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If your tests are all normal and you do not have any symptoms related to the immune system or rheumatic diseases, I believe routine follow-up may not be necessary. However, if you experience rheumatic symptoms such as joint pain, skin rashes, un...[Read More] Understanding the Effectiveness and Frequency of Immune System Tests
Understanding Antinuclear Antibody Test Results: What Do They Mean?
Antinuclear Antibody (Indirect Immunofluorescence) Report I had this report done at the end of last year because I have been experiencing itchy and painful bones for many years, so I underwent a thorough examination. In my report, there are two highlighted results. One is the ant...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. The general value should be less than 1:40. What does it mean if my value is so high? Is there a possibility of developing a disease? --> Generally, a value of 1:1280 is considered high, and we would conduct furthe...[Read More] Understanding Antinuclear Antibody Test Results: What Do They Mean?
Do Other Viruses Affect HIV Test Results? Insights on RT-PCR and Rapid Tests
Will it affect the test results? Hello doctor, I would like to ask if the presence of other viruses in the body, such as COVID-19, monkeypox, dengue fever, and other diseases, can affect the results of RT-PCR or other rapid tests for HIV?
Dr. Liao Zhongxin Reply:
If you receive a positive result for HIV, don't panic! Let's discuss the concept of "false positives" in statistics. Imagine a scenario where you are not part of a high-risk group for HIV and have no specific sexual orientation, but you accidentally get expose...[Read More] Do Other Viruses Affect HIV Test Results? Insights on RT-PCR and Rapid Tests
Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Subcutaneous ecchymosis of the calf? Hello, I was diagnosed with COVID-19 on June 11, and around June 24, I noticed purpura and petechiae on my calves. I visited a dermatologist on June 26, where the doctor ordered blood tests including CBC, ESR, Creatinine, AST, ALT, and CRP. Th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have researched that one type of vasculitis is classified as ANCA-associated, which can present with symptoms such as sinusitis. I have been diagnosed recently and occasionally experience yellow nasal discharge tha...[Read More] Understanding Subcutaneous Hemorrhages in the Context of COVID-19
Understanding Hand Rash: Possible Causes and Concerns for Travelers
Inquire about hand issues? Hello Doctor, I am currently on a business trip in Indonesia. Three days ago, I suddenly noticed a rash on the palm of my right hand, but it diminished by the evening and was gone the next day. I recall that during those three days, I was frequently usi...
Dr. Liao Zhongxin Reply:
1. First, consider whether there have been any heavy objects or sharp items that may have left marks. 2. Additionally, assess whether the environment is clean and well-ventilated, or if it has not been cleaned for a long time, which could lead to bites from rodents or insects. 3....[Read More] Understanding Hand Rash: Possible Causes and Concerns for Travelers
Concerns Over Raw Okinawan Sausage: Risks of Parasites and Symptoms
Accidental ingestion of "Ryukyu" raw sausage? I ate raw Okinawan sausage and fresh pork while barbecuing in the Ryukyu Islands. It was left at room temperature and labeled as raw food. After doing some research, I found out that Okinawan sausage does not use nitrates fo...
Dr. Lin Wufu Reply:
The chance of contracting pork tapeworm from a single consumption of raw pork is very low. The pork tapeworm does not reproduce in the human body, so unless there is repeated exposure, the likelihood of experiencing symptoms due to the parasite is relatively low. In fact, there a...[Read More] Concerns Over Raw Okinawan Sausage: Risks of Parasites and Symptoms
Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Oral symptoms raising suspicion for HIV? Hello Doctor: Nine weeks ago, I had unprotected sexual intercourse with a sex worker (two minutes of unprotected vaginal intercourse and three minutes of oral sex performed on her). About three weeks later, I experienced unexplained nasal ...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main transmission routes for HIV: (A) Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. (B) Bl...[Read More] Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Understanding Abdominal Pain: Is It Appendicitis or Just Muscle Strain?
Please ask your question? Hello, Doctor. I am currently studying high school abroad and would like to ask you a question. After eating today, I lay on my bed and suddenly felt a sharp pain on the right side of my abdomen near the navel. I don't feel it anymore, but I recentl...
Dr. Liao Zhongxin Reply:
A. What is appendicitis? Appendicitis, medically referred to as acute appendicitis, is an inflammation of the appendix, located in the lower right abdomen. When appendicitis occurs, patients may experience abdominal pain, nausea, vomiting, fever, and loss of appetite. Common caus...[Read More] Understanding Abdominal Pain: Is It Appendicitis or Just Muscle Strain?
Understanding Chills and Shaking: Possible Causes and When to Seek Help
Chills and shivering? Recently, I suddenly felt chills and shivering, which lasted for about an hour, followed by mild nausea and a small amount of vomiting. After that, I suddenly felt fine. Since this has never happened to me before, I would like to ask what the possible diagno...
Dr. Zeng Guosen Reply:
Feeling cold and shivering can sometimes be a precursor to a fever, but there are other potential causes as well. If a fever is present, you may want to consult an infectious disease specialist for differential diagnosis. If there is no fever, it would be advisable to see a famil...[Read More] Understanding Chills and Shaking: Possible Causes and When to Seek Help
Alternatives to NSAIDs for Fever Relief and Allergy Concerns
Drug allergy Hello, doctor. If I have already experienced allergic reactions to NSAID fever reducers and have recently discovered that I am also allergic to acetaminophen, do I have other options for fever reducers? Additionally, could taking acetaminophen and traditional Chinese...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The likelihood of being allergic to paracetamol (acetaminophen) in clinical practice is very low; I rarely encounter such cases. Especially if you suspect it may be related to traditional Chinese medicine, I recommend confirming this further. F...[Read More] Alternatives to NSAIDs for Fever Relief and Allergy Concerns
Understanding HIV Testing Timelines After Potential Exposure
HIV Testing Timeline Hello doctor, I had unprotected sexual intercourse in March of this year. In mid-April, I experienced a hoarse throat and a slight fever (37 degrees Celsius), but no other symptoms. At that time, I didn't think much of it due to work stress. Then in May,...
Dr. Liao Zhongxin Reply:
Great, regular follow-up has been established. The next follow-up will be from late June to early July. If the results are negative, you can feel reassured. Please continue to practice safe behaviors and avoid drug use.[Read More] Understanding HIV Testing Timelines After Potential Exposure
Understanding Fever and Immune Disorders: Insights on Symptoms and Blood Tests
Immune diseases and related issues of fever? Hello, Doctor Gao. I would like to ask you a few questions: Recently (I'm not sure for how long), almost every night when I feel more fatigued, my body temperature rises slightly (around 36.7°C to 37.0°C or 37.1°C). If I rest for ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Recently, I have been experiencing slight increases in body temperature (around 36.7°C to 37.0-37.1°C) almost every evening when I feel more fatigued. If I rest or wake up from sleep, my temperature returns to normal. ...[Read More] Understanding Fever and Immune Disorders: Insights on Symptoms and Blood Tests
Persistent Dry Cough After COVID-19: Understanding Symptoms and Management
A slight cough (non-productive) in the throat persisting for six months after a confirmed COVID-19 infection? Hello Doctor: I am 20 years old and have ankylosing spondylitis. I tested positive for COVID-19 in early October 2022, experiencing mild symptoms (low fever for 1-2 days,...
Dr. Xie Rongyuan Reply:
Hello: After being diagnosed with COVID-19, there may be upper respiratory symptoms. If the symptoms persist, you may visit a hospital for medical care to alleviate the symptoms. Thank you for your message![Read More] Persistent Dry Cough After COVID-19: Understanding Symptoms and Management
Long COVID Management Tips for Patients with Ankylosing Spondylitis
Considerations for Long COVID Treatment in Patients with Ankylosing Spondylitis Hello Doctor: My son, who is 20 years old, has a history of ankylosing spondylitis. He tested positive for COVID-19 in early October 2022, experiencing mild symptoms (low-grade fever for 1-2 days, mus...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Is the slower recovery from long COVID possibly related to ankylosing spondylitis? How long does it take to fully recover? --> Long COVID can be monitored for three months; after three months, most symptoms should g...[Read More] Long COVID Management Tips for Patients with Ankylosing Spondylitis