Fever, Internal Medicine FAQ - Page 9

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Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly

Severe stenosis or occlusion of the femoral artery and popliteal artery? Hello Doctor, my mother is 90 years old and accidentally fell while walking. She has been lying in bed for some time now and is currently experiencing coolness and pain in her lower limbs for the past 50 hou...


Dr. Hong Yuanbin Reply:
Hello, this condition is indeed a dilemma because the surgical risks are very high. Even if the surgery is successful, the wound may not heal well. However, if surgery is not performed, it is anticipated that the left leg will gradually deteriorate. Cell death can produce many to...

[Read More] Severe Stenosis or Occlusion of Femoral and Popliteal Arteries in Elderly


Understanding Low-Grade Fever, Chills, Fatigue, and Headache Symptoms

Low-grade fever, chills, weakness, headache? Hello, I have been experiencing a low-grade fever for three to four days (body temperature around 37.3-37.5°C). I also have a headache, fatigue, and slight chills. I took a home rapid test for COVID-19 yesterday, which came back negati...


Dr. Hong Yuanbin Reply:
Hello, other viral infections, urinary tract infections, irregular lifestyle, high stress, and menstrual periods can all contribute to the symptoms mentioned above. It is recommended to maintain a regular schedule, exercise, and have a balanced diet, as well as to drink plenty of...

[Read More] Understanding Low-Grade Fever, Chills, Fatigue, and Headache Symptoms


Understanding Tonsil Stones: Symptoms, Causes, and Treatment Options

Tonsil stones issue? Dr. Hong, I apologize for bothering you. About a week ago, while I was taking a shower, I suddenly felt a sensation of something stuck in my throat. I used my tongue to push towards my throat, and a fairly large stone came out along with some sticky saliva. I...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems likely that you have a stone in the salivary gland or another gland. Typically, after the stone passes, there may be a slight inflammation, but it usually resolves on its own, and most cases improve. If you are not experiencing a fever o...

[Read More] Understanding Tonsil Stones: Symptoms, Causes, and Treatment Options


Understanding Symptoms After Toenail Injury: Fever, Dizziness, and More

After injuring the toenail, a series of symptoms began, primarily persistent low-grade fever and dizziness? Hello, Doctor. At the beginning of last month, while on a business trip and staying at a hotel, I accidentally injured my right big toe by pinching it in the door. There wa...


Dr. Lin Wufu Reply:
Hello! Generally, a nail injury is unlikely to cause a systemic infection (unless the local wound condition is very poor). Your initial symptoms resemble those of a systemic inflammatory response or infection, but typical infections do not usually last for a month. It would be ad...

[Read More] Understanding Symptoms After Toenail Injury: Fever, Dizziness, and More


Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot

After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I&#x...


Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...

[Read More] Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot


Understanding Systemic Heat: Symptoms and Causes in Asthma Patients

Generalized heat sensation? The patient is a young girl with asthma and a history of frequent bronchitis. Her normal body temperature typically ranges from 36 to 36.7 degrees Celsius, not exceeding 37 degrees. However, since early last year, her temperature has been between 37.2 ...


Dr. Hong Yuanbin Reply:
Based on your description, the most likely cause seems to be related to your menstrual cycle. I recommend observing whether you experience this reaction during each menstrual period. If so, you may consider consulting a gynecologist. Another possibility is that recent significa...

[Read More] Understanding Systemic Heat: Symptoms and Causes in Asthma Patients


Understanding Post-Vaccine Reactions: When to Seek Medical Advice

Post-vaccination issues? Hello Dr. Hong, on July 29th at around 1:40 PM, I received the second dose of the Moderna vaccine. On July 30th at 12:30 AM, my ear temperature was 37.2°C; at 2:20 AM, it was 37.9°C; at 4:30 AM, it was 38.6°C (I took one dose of pain reliever). From 5:00 ...


Dr. Hong Yuanbin Reply:
Hello, starting from July 29 at 1:40 PM, experiencing fever, fatigue, and pain within 48 hours is normal. It is advisable to drink plenty of water and rest. If the pain is severe or if the fever is very uncomfortable, you can take a dose of acetaminophen. Symptoms should improve ...

[Read More] Understanding Post-Vaccine Reactions: When to Seek Medical Advice


Post-Accident Health Concerns: Vaccine Eligibility and Recovery Insights

Post-accident condition and vaccine issues? I would like to ask about the injuries I sustained from a car accident two years ago, which resulted in liver and spleen lacerations. I did not undergo invasive treatment, but I fractured five ribs and my sternum. Occasionally, I still ...


Dr. Hong Yuanbin Reply:
Hello, the process of healing at the fracture site and the wound around the knee may lead to fibrosis, which could result in the pulling sensation or pain you mentioned. Theoretically, this should gradually diminish. However, if the pain increases, it is advisable to consult your...

[Read More] Post-Accident Health Concerns: Vaccine Eligibility and Recovery Insights


Understanding Unexplained Low-Grade Fever: Causes and Next Steps

Unexplained low-grade fever Hello doctor, I have been experiencing intermittent elevated body temperature above 37.3°C since the end of May, but it does not exceed 37.8°C (most often occurring in the evening). Although my temperature is not very high, when it rises to this range,...


Dr. Lin Wufu Reply:
Hello: There are many causes of low-grade fever, including underlying infections, autoimmune diseases, tumors, and endocrine issues. It is recommended that you visit an infectious disease clinic and bring your recent test reports to arrange for further relevant examinations (ther...

[Read More] Understanding Unexplained Low-Grade Fever: Causes and Next Steps


Should I Test My Daughter for COVID-19 After Her Recent Symptoms?

COVID-19 Hello, Doctor. My daughter is 14 years old. Yesterday evening, she experienced diarrhea, a sore throat with phlegm, and a fever (temperature of 37.7 degrees Celsius). I gave her medication (Children's Lisinopril), and about an hour later, her fever subsided. She has...


Dr. Lin Wufu Reply:
Hello: Your daughter's symptoms meet the screening criteria for COVID-19, but of course, common cold symptoms can also be similar, making it difficult to determine the possibility of COVID-19. It is recommended that unless all symptoms have completely resolved, you should co...

[Read More] Should I Test My Daughter for COVID-19 After Her Recent Symptoms?


Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?

Health issues I woke up in the morning feeling very sore, so I lay back down thinking I could get up later. After a while, I felt uncomfortable again, with body aches, and I lay down for a bit before finally getting up. I have a history of allergic rhinitis, severe sleep apnea, a...


Dr. Hong Yuanbin Reply:
Hello, do you have any other symptoms? For example, fever, cough, shortness of breath, sore throat, etc.? If you do, it may be a sign of a cold or another illness. If not, it could be due to irregular sleep patterns, high stress, or poor posture. These factors should not affect y...

[Read More] Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?


Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups

Immune system dysfunction in adults with Still's disease? Hello Doctor: I have an immune system disorder (the doctor has diagnosed me with suspected "Adult Still's Disease" on the medical certificate). Due to the recent pandemic, I haven't been able to at...


Dr. Gao Jiankai Reply:
Hello, thank you for your message. The inflammation index you mentioned, which is over ten thousand, could possibly refer to the ferritin level, which is an indicator of adult Still's disease and also serves as a reference for disease stability. Given that your levels were o...

[Read More] Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups


Understanding Foamy Urine: Causes, Concerns, and Kidney Health

Foamy urine? Hello Doctor, I am 32 years old. Recently, I noticed that my urine has bubbles, which dissipate within 5-10 minutes, but there are small persistent bubbles at the edge of the toilet, especially noticeable during the first urination in the morning, where the bubbles d...


Dr. Wu Hongjie Reply:
1. I would like to ask if my situation is considered abnormal. Is a normal eGFR value ideally around 100? The eGFR is an estimate and is related to factors such as gender, muscle mass, and age; a value above 60 is generally acceptable. To diagnose kidney disease, it must be accom...

[Read More] Understanding Foamy Urine: Causes, Concerns, and Kidney Health


Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?

Palpitations after receiving the Moderna vaccine? I received the Moderna vaccine this morning. On the same day, I experienced only arm soreness and a mild fever. However, at night, while lying flat, I felt a noticeable heartbeat. I measured my heart rate multiple times, and it ra...


Dr. Hong Yuanbin Reply:
Hello, the discomfort you described is indeed a common side effect of the Moderna vaccine, typically occurring within 48 hours. Most symptoms improve within this timeframe. If you still feel unwell after 48 hours or experience chest pain, it is advisable to seek medical attention...

[Read More] Heart Palpitations After Moderna Vaccine: When to Seek Medical Attention?


Understanding Eye Symptoms After Late Nights: What You Need to Know

Questions about issues after staying up late? Hello, Doctor. I would like to ask you two questions. The first one is that when I looked in the mirror while showering this morning, I noticed some red streaks and a slight yellow tint around the edges of my eyes. I'm concerned ...


Dr. Hong Yuanbin Reply:
Hello, based on your photo, your sclera primarily shows blood vessels and is not indicative of jaundice, although it appears slightly cloudy. However, this is not jaundice. Considering the situation you described, it is likely a physiological change caused by staying up late. The...

[Read More] Understanding Eye Symptoms After Late Nights: What You Need to Know


Best Over-the-Counter Fever Reducers for COVID Vaccine Recipients

Purchase of antipyretics? Hello, doctor. I am allergic to anti-inflammatory medications such as ibuprofen and aspirin, which cause my eyes to swell. I would like to know which type of fever reducer I can purchase at the pharmacy if I experience a fever after receiving the COVID-1...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you may be allergic to non-steroidal anti-inflammatory drugs (NSAIDs). Acetaminophen would be more suitable for you. Thank you for your inquiry.

[Read More] Best Over-the-Counter Fever Reducers for COVID Vaccine Recipients


Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection

Fever has persisted for nearly four weeks, and no definitive source of infection has been identified? In the first week, there was a persistent elevated body temperature at night, with an ear temperature above 37.5°C. In the second week, after four to five days, the body temperat...


Dr. Lin Wufu Reply:
Hello: Based on the symptoms and test results you described, the most likely diagnosis is infectious mononucleosis caused by CMV infection. To confirm the diagnosis, a measurement of the viral load of CMV in the blood can be performed. Generally, the condition tends to resolve on...

[Read More] Persistent Fever for Four Weeks: Unraveling the Mystery of Undiagnosed Infection


Understanding Fever Fluctuations and Muscle Pain: Key Insights for Parents

Fever that subsides and then returns? On the morning of June 14, I had a fever with an ear temperature of 38.2 degrees Celsius. After taking an over-the-counter medication, my temperature remained between 37.5 and 38 degrees until around 5 PM on June 14, when it dropped to 36.5 d...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed important to first be cautious about COVID-19, so I recommend doing another PCR test for confirmation. Additionally, you can also perform a PCR test for influenza. Any respiratory infection, including COVID-19, influenza, or other vi...

[Read More] Understanding Fever Fluctuations and Muscle Pain: Key Insights for Parents


Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help

Shortness of breath lasting for one week + occasional chest pain? On the night of the 7th, I woke up feeling somewhat short of breath for no apparent reason. I hadn't turned on the air conditioning, and it didn't feel like my usual nasal congestion, but it felt very obs...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that the main issue is subjective discomfort. I recommend measuring your body temperature and blood oxygen levels. If both are normal, you may consider an outpatient consultation. It could be caused by anemia or hyperthyroidism. However,...

[Read More] Persistent Breathing Difficulty and Chest Pain: When to Seek Medical Help


Persistent Symptoms After Negative COVID-19 Tests: What to Do?

Negative rapid test for COVID-19 and normal test results, yet persistent illness? Hello Dr. Hong, First of all, I do not have any chronic illnesses, a travel history, or overlapping exposure to confirmed cases. I live in Taichung City, which is not a hot zone, and I was in good ...


Dr. Hong Yuanbin Reply:
Hello, I'm not sure if the two tests you received were rapid antigen tests (ELISA) or PCR tests. If they were antigen tests, there is indeed a high chance of false negatives, and you may need to consider getting an RT-PCR test for confirmation. If both tests were PCR, the ch...

[Read More] Persistent Symptoms After Negative COVID-19 Tests: What to Do?


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