Managing Chronic Health Issues Before Military Service: A Guide
Pre-enlistment Consultation Hello, doctor. I have been seeing various doctors since middle school. My symptoms include pain around the joints at night, sometimes accompanied by redness and swelling, headaches, dizziness, and low-grade fevers (around 37 to 37.9 degrees Celsius, wh...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend discussing your situation with your attending physician to assess whether you meet the criteria for a change in position. If you do, please ask them to issue a medical certificate, which you can then use to apply for a military re-ex...[Read More] Managing Chronic Health Issues Before Military Service: A Guide
Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
I would like to inquire about lymphadenopathy associated with necrosis? Hello Doctor: I have had a history of epilepsy since childhood, but it has been well controlled. At 36, I experienced ovarian decline, and by 37, I had completely gone through menopause. I have had a persiste...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: Question: Could this be Kikuchi disease? Is necrosis very serious? Is surgery necessary, or are there other more conservative treatment options? Response: Kikuchi disease requires a lymph node biopsy. Necrosis is merely ...[Read More] Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot
Questions regarding post-vaccination issues? Hello, I received my second dose of the BNT vaccine on December 6th, and my first dose was the AZ vaccine in September. I experienced a fever after the first dose, but I didn't have any significant reactions after the second dose....
Dr. Hong Yuanbin Reply:
Hello, the chest pain you described due to a change in posture is not typically a symptom of myocarditis; it is usually caused by muscle or bone strain. If it were myocarditis, the chest pain would be persistent and accompanied by shortness of breath. It is advisable to monitor t...[Read More] Post-Vaccine Concerns: Understanding Chest Pain After BNT Shot
Understanding Persistent Elevated Body Temperature After Vaccination
Body temperature issues Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (pulling the ear back and inserting the thermometer deeply), which ranges ...
Dr. Hong Yuanbin Reply:
Hello, 1. It is considered slightly elevated, but it does not reach the level of a true fever (38°C). 2. It is recommended to visit the Infectious Diseases outpatient clinic for a detailed fever evaluation. If everything is normal, you can feel more at ease. 3. It is advisable ...[Read More] Understanding Persistent Elevated Body Temperature After Vaccination
Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Elevated body temperature? Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated. I have been measuring my ear temperature (inserting the thermometer as deeply as possible) and it ranges from ap...
Dr. Liao Zhongxin Reply:
1. Women's body temperature is indeed relatively higher during menstruation, while it tends to be lower at other times. 2. Generally, a person's body temperature can fluctuate throughout the day; for example, it is lowest in the morning upon waking and tends to be highe...[Read More] Understanding Persistent Low-Grade Fever After Vaccination: What You Need to Know
Understanding Sinus Issues and Antibiotic Use for Cough and Phlegm
Inquiry about cold medications? Hello Doctor, today I noticed that sometimes the phlegm I cough up in the morning is a bit yellow and sometimes has an unpleasant smell. I was worried about potential issues with my nasopharynx, so I visited an ENT specialist. The doctor examined m...
Dr. Hong Yuanbin Reply:
Hello, 1. Sinusitis does not always present with nasal congestion; some individuals may experience symptoms such as pain around the nostrils, fever, or purulent nasal discharge. 2. Amoxiclav and moxifloxacin are two completely different antibiotics. In clinical practice, they...[Read More] Understanding Sinus Issues and Antibiotic Use for Cough and Phlegm
Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Is abdominal pain a sign of a sexually transmitted infection? I had an encounter with a female online friend in March of this year. We did not have sexual intercourse; I engaged in digital penetration for about 30 seconds, touched my own genitals, and she performed oral sex on me...
Dr. Lin Wufu Reply:
Hello: Indeed, some infectious diseases can be transmitted through sexual contact or oral contact (mainly the ones you mentioned), but they would not typically present with abdominal pain lasting six months. Abdominal pain has many differential diagnoses and is likely unrelated t...[Read More] Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Potential Risks of Unknown Liquid Exposure: What You Need to Know
Contact with unknown liquid? During my visit to a local hospital in Southeast Asia, I was wearing a face mask and face shield due to the pandemic, so I didn't notice if I came into contact with anything. After returning home, I discovered brownish-yellow stains on my hands (...
Dr. Hong Yuanbin Reply:
Hello, since it is difficult to determine what items you have come into contact with, it is challenging to assess the potential infectious diseases. However, generally speaking, if you do not have any obvious wounds or needle punctures, it is unlikely that you have been exposed t...[Read More] Potential Risks of Unknown Liquid Exposure: What You Need to Know
Signs of Parasite Infection: Unusual Sensations and Symptoms Explained
Suspecting that you have a parasitic infection? During the Mid-Autumn Festival, I ate undercooked crab roe, and later I felt something moving in my arm, but I did not experience any gastrointestinal discomfort. I would like to ask: 1. When infected with parasites, can one feel so...
Dr. Hong Yuanbin Reply:
Hello, parasitic infections mostly present with gastrointestinal symptoms such as nausea, vomiting, diarrhea, fever, and so on. What you described is likely not a parasitic infection. Thank you for your inquiry.[Read More] Signs of Parasite Infection: Unusual Sensations and Symptoms Explained
Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Discomfort after receiving the BNT vaccine? Hello Dr. Hong, I received my first dose of the BNT vaccine on June 20 at 15:58, and I began experiencing pain under my left clavicle at 16:08. Twelve hours after the first dose, I developed a fever and redness and swelling at the injec...
Dr. Hong Yuanbin Reply:
Hello, muscle and joint pain after vaccination is quite common. However, if you have been experiencing pain for two months and it is getting worse, it may be necessary to consider that it might not be solely caused by the vaccine and that other underlying conditions could be invo...[Read More] Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Understanding Oral Candidiasis: Risks and Precautions During Pregnancy
Oral candidiasis Hello, doctor. I noticed some mold spots in the sink while rinsing my mouth tonight. If some of it splashed into my mouth and I only spit it out, then rinsed my mouth after a few minutes, is there a risk of developing a Candida infection? I read online that adult...
Dr. Hong Yuanbin Reply:
Hello, there are many molds in the environment, including the presence of Candida. Most molds coexist peacefully with humans and do not cause infections. For example, Candida infections typically occur when the body's immune system is compromised, such as in cases of diabete...[Read More] Understanding Oral Candidiasis: Risks and Precautions During Pregnancy
Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern
Took antipyretics? Hello doctor, last night I received the AZ vaccine and took a Tylenol beforehand. After taking a shower and doing some work, I went to bed around midnight. Suddenly, around 4 AM, I felt very cold and started shivering. Not long after, at 5 AM, I developed a fev...
Dr. Hong Yuanbin Reply:
Hello, some studies abroad have indeed shown that using antipyretics, such as acetaminophen (Tylenol), may slightly reduce the effectiveness of vaccines, but it does not render the vaccine ineffective. It is recommended that if you have a mild fever or are only slightly uncomfort...[Read More] Can Taking Fever Reducers Affect Vaccine Efficacy? A Patient's Concern
Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Vaccine administration? Hello Dr. Hong, I would like to ask about the medication I received after getting vaccinated this morning. The clinic gave me three yellow tablets of Paracetamol, and I have already taken one. However, I suddenly remembered that a few days ago, another doc...
Dr. Hong Yuanbin Reply:
Hello, Paracetamol, commonly known as acetaminophen, has a slightly weaker analgesic effect. However, due to its lower side effects, it can be used first for fever or pain. Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), has a stronger analgesic and antipyretic effect,...[Read More] Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Understanding Vaccine Side Effects: Is Your Discomfort Normal After AZ Shot?
Vaccine side effects Hello Doctor, this morning my family took me to get the AZ vaccine, and there happened to be some leftover doses. After noon, I suddenly felt very cold and then developed a fever. I took a pill and slept until around 5 PM, waking up sweating. My body temperat...
Dr. Hong Yuanbin Reply:
Hello, a low-grade fever and back pain are very common side effects of the AZ vaccine, so there is no need to worry unless the fever or pain becomes unbearable. In that case, you may consider taking acetaminophen. The vitamin supplements will not have any impact, so you can conti...[Read More] Understanding Vaccine Side Effects: Is Your Discomfort Normal After AZ Shot?
Post-Vaccine Concerns: Understanding Blood Clots and Skin Changes
Post-vaccination issues? Hello doctor, I would like to ask about something. I just received my vaccine around 8 PM, and when I got home, I saw the information they sent back regarding possible symptoms, which mentioned blood clots. I happened to notice two dark spots on my calf, ...
Dr. Hong Yuanbin Reply:
Hello, based on the photos you provided, it appears to be a mole. The blood clots associated with the AZ vaccine refer to thrombosis within blood vessels, which commonly presents with symptoms such as headaches, dizziness, and chest pain, rather than skin lesions like black spots...[Read More] Post-Vaccine Concerns: Understanding Blood Clots and Skin Changes
Concerns About Virus Exposure Before Vaccination: What You Need to Know
Please ask your question? I apologize for bothering you, Doctor. I went to the ENT specialist this morning because I had an itchy ear and a runny nose. After the examination, I mentioned that I would be getting vaccinated this week, and the doctor prescribed me some antipyretics....
Dr. Hong Yuanbin Reply:
Hello, if you and those around you are all wearing masks and you have not had direct contact, your risk of infection should be very low. It is recommended to drink plenty of water and get ample rest without excessive anxiety. You only need to get tested if you develop cold sympto...[Read More] Concerns About Virus Exposure Before Vaccination: What You Need to Know
Understanding Bladder Discomfort: Symptoms and Possible Causes
Urination, urinary issues? Hello doctor, when I press on my abdomen over the bladder, I feel the urge to urinate. Sometimes there is a slight aching pain in the lower left abdomen, but my urination is normal and not infrequent. I have had a urinary tract infection before, but thi...
Dr. Hong Yuanbin Reply:
Hello, the sensation of bloating and pain you mentioned could indeed be related to cystitis, constipation, bloating, or ovarian and uterine conditions. It's important to determine if you are experiencing frequent urination or fever; if so, the likelihood of a urinary tract i...[Read More] Understanding Bladder Discomfort: Symptoms and Possible Causes
Can I Get Vaccinated with a Cold? Expert Advice on Vaccine Safety
Pre-vaccination inquiry The doctor would like to ask you a few questions. A few days ago, I had a cold, and I went back for a consultation today. This morning, I was fortunate enough to secure a vaccine appointment for next Friday. I consulted with an ENT specialist today, and he...
Dr. Hong Yuanbin Reply:
Hello, according to current research, as long as there is no fever and no significant discomfort, vaccination is recommended. If you feel well on the day of vaccination, you can inform the administering physician about your condition over the past few days, and the physician will...[Read More] Can I Get Vaccinated with a Cold? Expert Advice on Vaccine Safety
Can I Get Vaccinated with Mild Cold Symptoms? Expert Advice
Pre-vaccination inquiries The doctor would like to ask you a few questions. A few days ago, I had a cold, and I went back for a check-up today. This morning, I was fortunate enough to secure a vaccine appointment for next Friday. I consulted with an ENT specialist today, and he m...
Dr. Hong Yuanbin Reply:
Hello, according to current research, as long as there is no fever and no significant discomfort, vaccination can be administered. It is recommended that if you feel well on the day of vaccination, you should inform the administering physician about your condition over the past f...[Read More] Can I Get Vaccinated with Mild Cold Symptoms? Expert Advice
Understanding Blood Test Results: What Do They Mean for Your Health?
Blood test results? Other test data source: Test category: Sorted items: Test item name: All. Rotating the mobile screen horizontally will display more data. Test Date | Test Item Name | Test Result 110/08/13 | HCT | 43.5 110/08/13 | HGB | 13.2 110/08/13 | MCH | 21.0 11...
Dr. Hong Yuanbin Reply:
Hello, based on your blood test report: 1. Your blood glucose level is elevated. If this was a fasting blood test, it is recommended to visit a metabolic clinic to check for diabetes. 2. Your oxygen saturation is low, but it is unclear whether the sample was drawn from an arter...[Read More] Understanding Blood Test Results: What Do They Mean for Your Health?