Fever, Internal Medicine FAQ - Page 6

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Understanding Fever in COVID-19: Symptoms, Duration, and Contagion

Fever due to COVID-19? Hello, doctor. I am a confirmed case and have been on medication for a week. My cough and phlegm have decreased, but I am experiencing tinnitus and, after the medication wears off, I start to have a fever with axillary temperatures ranging from 36.8 to 37.8...


Dr. Hong Yuanbin Reply:
Hello, if you have been diagnosed for over a week and still have a persistent fever, it is indeed uncommon. I would like to know if you are experiencing any other discomfort. If so, I recommend seeking medical attention to confirm whether there is a subsequent bacterial infection...

[Read More] Understanding Fever in COVID-19: Symptoms, Duration, and Contagion


Understanding Cloudy Urine: When to Seek Medical Advice

Urinary issues Hello, I would like to ask if it is normal for my morning urine to be cloudy for a period of time. A few days ago, I had a routine check-up (with a morning urine sample), and the results showed yellow, cloudy urine with a pH of 8.5. I went for further urine testing...


Dr. Hong Yuanbin Reply:
Hello, when you mention cloudy urine, are you referring to a darker color or the presence of suspended particles and sediment? If it's a darker color, along with your urine test report, it suggests that you may be dehydrated, leading to concentrated urine. I recommend increa...

[Read More] Understanding Cloudy Urine: When to Seek Medical Advice


Can Cooked Food Contaminated with Fish Blood Transmit Parasites?

Parasitic Infections Inquiry If cooked food comes into contact with a small amount of fish blood, and I am unsure whether the fish is from saltwater or freshwater, is there a possibility of contracting parasites, such as liver flukes?


Dr. Hong Yuanbin Reply:
Hello, parasitic eggs are usually found in meat. If you only came into contact with blood, the risk is relatively low. Additionally, if the food has already been cooked, the chance of parasitic infection is also low. It is recommended to see a gastroenterologist if you experience...

[Read More] Can Cooked Food Contaminated with Fish Blood Transmit Parasites?


Understanding Post-Treatment Reactions to Syphilis: What to Expect

Reactions after syphilis treatment? Hello, Doctor Liao. I went for an anonymous rapid syphilis test on August 13, and on August 18, I was informed that the result was positive for syphilis. On August 19, I made an appointment at the Infectious Disease Department of Pingtung Hospi...


Dr. Liao Zhongxin Reply:
Transmission Methods: 1. Close contact during sexual intercourse and other sexual activities is the primary route of transmission. Direct contact of wounds with secretions, bodily fluids, and other excretions (such as semen, blood, and vaginal secretions) from skin or mucosal les...

[Read More] Understanding Post-Treatment Reactions to Syphilis: What to Expect


Understanding Immune System Issues: Symptoms and Diagnostic Insights

Immune system issues Hello doctor, I started experiencing chills and fever on the night of August 4, 2022. The next day, I visited an ENT specialist who diagnosed me with a common cold. I took medication for three days, and while I felt somewhat better, the fever returned. After ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. In your test results, the presence of IgM antibodies indicates an acute infection, so it is important to consider Toxoplasmosis, Cytomegalovirus (CMV), and Epstein-Barr Virus (EBV). Toxoplasmosis is caused by a parasite known as Toxoplasma, whil...

[Read More] Understanding Immune System Issues: Symptoms and Diagnostic Insights


Understanding HIV Symptoms and Testing: What You Need to Know

HIV-related issues 1. Ten days ago, I had unprotected sexual intercourse, and three days after the encounter, I developed a fever of 38.5 degrees Celsius. After seeing a doctor and receiving an injection, my fever subsided, but I continued to experience diarrhea for the following...


Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control (CDC) data, the transmission routes of the Human Immunodeficiency Virus (HIV) are as follows: 1. **Sexual Transmission**: Engaging in oral, anal, or vaginal intercourse with an HIV-infected individual or exchanging other bodily fluids...

[Read More] Understanding HIV Symptoms and Testing: What You Need to Know


Understanding Elevated Rheumatoid Factor: Symptoms and Concerns

Symptoms of elevated rheumatoid factor? Hello, doctor. Recently, I had a blood test that showed my rheumatoid factor was elevated by more than ten times. I later visited a doctor for further blood tests, and aside from a slightly elevated erythrocyte sedimentation rate indicating...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. My recommendations are as follows: 1. You should have regular follow-ups, such as every three months. If you experience any changes in symptoms before the scheduled follow-up, including joint pain, skin rashes, fever, etc., you can return for an...

[Read More] Understanding Elevated Rheumatoid Factor: Symptoms and Concerns


Understanding Forehead Heat and Headaches: When to Seek Medical Advice

Forehead headache with fever? Hello, Dr. Hong. Since last Sunday (August 21), I've been feeling a warmth on my forehead at times, which I find quite uncomfortable, but my temperature has not shown any fever, peaking at 36.8-36.9°C. Initially, I did not experience any headach...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the main issues are headaches and a sensation of heat in the head, but your body temperature is normal. If you do not have any other specific symptoms, the most likely causes are stress or discomfort due to environmental factors, such as irregula...

[Read More] Understanding Forehead Heat and Headaches: When to Seek Medical Advice


Post-Appendectomy: Persistent Low-Grade Fever, Dizziness, and Appetite Loss

After appendectomy, the body often experiences elevated temperature, dizziness, and decreased appetite? Hello Doctor, in mid-July, I had a continuous high fever of 39 degrees Celsius for two days. I was taken to the emergency room and found out that my appendix had ruptured. The ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the main issues seem to be elevated body temperature and poor appetite. I'm not sure if there are any other discomforts, including those related to the surgical area or other parts of the body. If there are, it may be necessary to conduct ex...

[Read More] Post-Appendectomy: Persistent Low-Grade Fever, Dizziness, and Appetite Loss


Understanding Viral Infections: Insights from Recent Blood Test Results

Viral infection Hello doctor, on the night of August 4th, I experienced fever and chills. The next day, I had a loss of appetite and nausea. After visiting an ENT specialist and taking medication, I felt somewhat better, but the fever returned quickly. Eventually, on August 18th,...


Dr. Hong Yuanbin Reply:
Hello, most of these results are "reactive," meaning they show a response but may not have significant implications. 1. TOXO, or Toxoplasma gondii, antibody reactions are for reference and must be interpreted in conjunction with clinical symptoms to make a diagnosis. ...

[Read More] Understanding Viral Infections: Insights from Recent Blood Test Results


Should Individuals with Unexplained Fever and Infections Get Vaccinated?

Please advise on the administration of the COVID-19 vaccine for individuals with this type of constitution? Hello Dr. Gao, I have been experiencing unexplained fevers since 2014, with daily episodes lasting at least 6 hours, usually not exceeding 38.5 degrees Celsius. During seve...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that if possible, you should continue to follow up at the Rheumatology Department of National Taiwan University to try to identify the cause of the chronic fever. I have a patient who also experienced persistent chronic fever, initiall...

[Read More] Should Individuals with Unexplained Fever and Infections Get Vaccinated?


Unexplained Fever: Seeking Answers Beyond Immunology and Infectious Diseases

Fever of unknown origin Hello Doctor: I have been experiencing unexplained fever since May 20th. I have seen both immunology and rheumatology specialists, as well as infectious disease specialists, and have undergone all necessary blood and urine tests, all of which came back nor...


Dr. Lin Wufu Reply:
Hello, undiagnosed fever is inherently a challenging diagnostic issue, with some individuals requiring follow-up for one to two years before the underlying cause gradually becomes apparent. There are also many cases where the fever resolves on its own over time. It is recommended...

[Read More] Unexplained Fever: Seeking Answers Beyond Immunology and Infectious Diseases


Understanding Fever and Symptoms in Gastroenteritis: What You Need to Know

Gastroenteritis with fever Hello Doctor, I started experiencing diarrhea around July 23 after consuming expired milk. I visited a doctor on July 25 and was diagnosed with gastroenteritis. After finishing the medication, I thought I had recovered, so on the following Friday (Jul...


Dr. Lin Wufu Reply:
Hello: It is difficult to determine the cause of the fever based on the above description. Some individuals with gastroenteritis may indeed have a prolonged fever, but it is generally uncommon for a fever to last more than a week. If you are still experiencing a fever, it is advi...

[Read More] Understanding Fever and Symptoms in Gastroenteritis: What You Need to Know


Understanding Persistent Inflammation After COVID-19: When to Seek Medical Help

Multiple inflammations Hello Doctor, I was diagnosed with COVID-19 on May 24, and it has been over a month now. I have been experiencing persistent gastrointestinal discomfort, and I often feel a dull pain during bowel movements. Additionally, I have a sensation of ongoing inflam...


Dr. Xie Rongyuan Reply:
Hello: The five most common symptoms of MIS-A are fever (96%), hypotension (60%), decreased cardiac function (54%), difficulty breathing or wheezing (52%), and diarrhea (52%). However, various possibilities cannot be ruled out. If you experience any discomfort, it is advisable to...

[Read More] Understanding Persistent Inflammation After COVID-19: When to Seek Medical Help


Understanding Aspiration Pneumonia Symptoms After Choking

Regarding the issue of choking and aspiration into the trachea? If you experienced choking while drinking hot kimchi soup and felt a sensation of fluid flowing through the right lung area, accompanied by severe coughing, you should be aware of the following potential symptoms of ...


Dr. Hong Yuanbin Reply:
Hello, if you are not currently experiencing a persistent cough, the likelihood of aspiration pneumonia should be very low. You can observe for 2-3 days, and if there are no symptoms such as fever or cough, it should be fine. Thank you for your question.

[Read More] Understanding Aspiration Pneumonia Symptoms After Choking


Persistent Fever After Third COVID Vaccine: When to Seek Medical Advice?

Fever lasting for a week after receiving the third dose of the COVID-19 vaccine, with a history of exposure to a confirmed case? Hello, doctor. I am a sixteen-year-old student. Last Wednesday (June 8), I received my third dose of the BNT vaccine and had contact with a confirmed c...


Dr. Hong Yuanbin Reply:
Hello, theoretically, it is possible to experience some discomfort within a week after vaccination; however, these symptoms, especially fever, rarely last more than a week. If you continue to have a fever in the next few days, it is advisable to take a rapid test to rule out COVI...

[Read More] Persistent Fever After Third COVID Vaccine: When to Seek Medical Advice?


Understanding Choking: When to Seek Medical Attention for Throat Issues

Regarding choking? Hello Dr. Hong, Recently, while drinking at home, I experienced discomfort and itchiness in my throat after eating fried food and then drinking something cold. This caused me to feel like I was choking. At that moment, I couldn't hold it in and ended up ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the human body has mechanisms to prevent choking, such as the epiglottis. Therefore, unless there is a loss of consciousness, it is unlikely to aspirate into the trachea. Additionally, since you did not experience any particular discomfort afterw...

[Read More] Understanding Choking: When to Seek Medical Attention for Throat Issues


Can I Get the BNT Vaccine with a Sore Throat and Phlegm?

Can I receive the BNT vaccine? I have a slight sore throat and phlegm when I swallow. I am scheduled to receive the BNT vaccine this Wednesday. Is it safe for me to get vaccinated?


Dr. Hong Yuanbin Reply:
Hello, it is recommended to first perform a COVID-19 rapid test. If the result is positive, it is advised to wait three months before getting vaccinated. If the result is negative and there is no fever on the same day, vaccination can proceed. Thank you for your inquiry.

[Read More] Can I Get the BNT Vaccine with a Sore Throat and Phlegm?


Concerns About Cough and Possible STD: Understanding Your Diagnosis

Infection concerns? Hello, doctor. I've been coughing for over a month and was worried about the possibility of an HIV infection, so I went to the infectious disease department and had blood tests done twice, including testing for syphilis. The doctor only told me that I do ...


Dr. Hong Yuanbin Reply:
Doxycycline is currently primarily used to treat two types of conditions: 1. It is one of the drug choices for syphilis. 2. It is used to treat certain atypical bacterial infections, such as Mycoplasma infections of the respiratory tract. Since you have some respiratory symptoms ...

[Read More] Concerns About Cough and Possible STD: Understanding Your Diagnosis


Understanding Persistent Low-Grade Fever in COVID-19 Patients

Regarding the persistent low-grade fever in confirmed cases of COVID-19? Hello: I tested positive for COVID-19 via PCR on May 12. From May 11 to May 14, my axillary temperature was 37.5 degrees Celsius. From May 15 to May 24, my daily axillary temperature ranged from 37 to 37.3 d...


Dr. Hong Yuanbin Reply:
Hello, if you experience moderate to severe symptoms such as shortness of breath, chest pain, or altered consciousness, you should seek medical attention. If these symptoms are not present, it is advisable to rest more and drink plenty of water, as you should gradually improve. T...

[Read More] Understanding Persistent Low-Grade Fever in COVID-19 Patients


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