Hand, Internal Medicine FAQ - Page 23

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Am I at Risk of HIV or STDs from Casual Encounters?

Doctor, will this lead to an infection of HIV, syphilis, or other sexually transmitted diseases? I'm not a medical professional, but I can provide some general information based on your concerns. 1. The risk of contracting HIV or syphilis, as well as other sexually transmit...


Dr. Lin Wufu Reply:
Hello: There can be many similar situations, and the basic principles are as follows: 1. Sexually transmitted infections (STIs) encompass a wide range of diseases. The ones we commonly discuss, such as HIV and syphilis, generally require exposure to blood or bodily fluids from th...

[Read More] Am I at Risk of HIV or STDs from Casual Encounters?


Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns

Unexplained mild warmth at the urethral and anal openings? Hello Dr. Lin, in the past few months, I have been experiencing unusual sensations in the palms of my hands, feeling swollen and warm. When I use the restroom, I also feel a slight warmth around the urethral and anal area...


Dr. Lin Wufu Reply:
Hello Mr. Zhu: It is difficult to determine whether this is related to medication or due to other reasons based solely on this description. However, if the palms of your hands are simply feeling warm without any rash or pain, it is generally advisable to observe the situation fir...

[Read More] Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns


Sudden High Fever: Understanding Causes and Concerns in Internal Medicine

Unexplained sudden high fever? Two nights ago, I suddenly experienced full-body shaking and a headache. The next day, I woke up feeling weak all over and had a severe headache. Later in the afternoon, my temperature rose to 39.3°C, so I went to a clinic for evaluation. I had no s...


Dr. Hong Yuanbin Reply:
Hello, 1. In cases of more severe bacterial infections, it is usually sufficient to take just one course of antibiotics to control the infection. Based on your description, it seems more likely to be a viral infection or a mild bacterial infection, which should be monitored fur...

[Read More] Sudden High Fever: Understanding Causes and Concerns in Internal Medicine


Can You Get HIV from a Small Cut After Shaking Hands?

Questions about HIV transmission? If I shook hands with someone and later discovered a small 0.3 cm cut on my hand that may have been scratched by their fingernail, and I disinfected it immediately after 15 minutes, am I at risk of contracting HIV if the other person is HIV posit...


Dr. Hong Yuanbin Reply:
Hello, if the other party only instructed to scratch without any bleeding or bodily fluids, then HIV cannot be transmitted. Thank you for your question.

[Read More] Can You Get HIV from a Small Cut After Shaking Hands?


Managing High Blood Pressure: Tips for Relief and Better Health

Hypertension issues Hello, Doctor: I would like to ask a question that has been bothering me. Whenever my blood pressure spikes to 130-140, I experience headaches at night. As soon as I close my eyes, it feels like I'm on a roller coaster. For the past two years, my head CT,...


Dr. Lin Wuxuan Reply:
Hello: Based on your symptoms, I would recommend that you regularly measure your blood pressure at home in the morning and evening. Additionally, it is advisable to record your response to the antihypertensive medication and inform your physician during your follow-up visit, as t...

[Read More] Managing High Blood Pressure: Tips for Relief and Better Health


Concerns About Congenital Syphilis in Newborns: A Mother's Guide

Newborns exposed to congenital syphilis? Hello Doctor: I am a pregnant mother. Last week, I took my child to the hospital for a check-up, and in front of me was a 2-month-old baby. After the doctor examined the baby's scrotal rash, the family informed us that the child was b...


Dr. Lin Wufu Reply:
Hello: 1. Syphilis is transmitted through blood or bodily fluids, so simply touching the face will not transmit the infection! 2. Similarly, there is no blood or bodily fluid residue on the skin outside the testicles, so syphilis cannot be transmitted by touching the testicles. 3...

[Read More] Concerns About Congenital Syphilis in Newborns: A Mother's Guide


Can You Contract Hepatitis B or C from an Eye Exam?

Will this lead to a Hepatitis B infection or something similar? Today I went to see an ophthalmologist. After examining the previous patient, the doctor flipped their eyelid without washing their hands and then continued to examine me. At first, they used a cotton swab, but later...


Dr. Hong Yuanbin Reply:
Hello, Hepatitis B and C are primarily transmitted through blood, while HIV is mainly transmitted through sexual contact. Generally, transmission through touching the eyes is unlikely unless the other person's eyes have secretions or blood; otherwise, the risk of transmissio...

[Read More] Can You Contract Hepatitis B or C from an Eye Exam?


Understanding Urticaria and Its Possible Link to Rheumatoid Arthritis

Morning stiffness, urticaria, rheumatoid arthritis? Hello Doctor, last Monday night I accidentally ingested shrimp powder, which caused me to develop hives the next day. At that time, I only went to the pharmacy to buy antihistamines, taking one in the morning and evening on Tues...


Dr. Gao Jiankai Reply:
Hello, Xiaolin. Thank you for your question. I believe your initial concerns are related to urticaria. Some cases of urticaria can have a prolonged duration, starting with widespread symptoms and gradually becoming localized to a few areas, at which point typical urticaria manife...

[Read More] Understanding Urticaria and Its Possible Link to Rheumatoid Arthritis


Understanding HIV Testing: When to Retest After Risky Behavior

HIV screening Hello Doctor, I had an HIV and syphilis test at least four months after my last high-risk sexual encounter (on August 8 of this year), and both tests were negative. However, on the day of the rapid test, the technician used the same gloves without changing them and ...


Dr. Hong Yuanbin Reply:
Hello, the process of blood drawing is not expected to significantly increase the risk of disease transmission. The primary mode of transmission is still through sexual intercourse. It is advisable to estimate based on the timing of sexual activity. Thank you for your question.

[Read More] Understanding HIV Testing: When to Retest After Risky Behavior


Understanding IgA Nephropathy: Key Questions and Concerns for Patients

Regarding IgA nephropathy? Hello Doctor, I recently went to see a physician due to proteinuria and hematuria. After several examinations, the doctor suspects I have IgA nephropathy. Since the test results are not yet available, I would like to ask a few questions in case I am dia...


Dr. Lin Wuxuan Reply:
Hello: Below are the responses to your questions. 1. IgA nephropathy can be well controlled with medication, but regular follow-up appointments are still necessary. Appropriate treatment can indeed reduce the risk of renal function deterioration leading to dialysis. 2. It is re...

[Read More] Understanding IgA Nephropathy: Key Questions and Concerns for Patients


Understanding Indirect Transmission Risks of Syphilis and Gonorrhea

The probability of indirect transmission? Hello, doctor. I am the person with question #138382. Regarding my third question, if I only wiped it with tissue and did not disinfect, what is the likelihood of transmission? New questions: 1. If a wound on my hand comes into direct con...


Dr. Lin Wufu Reply:
Hello, the question of the likelihood of transmission is actually quite difficult to answer, as there are no precise scientific data available. If I had to say, I would estimate that the probability is very low, but of course, it cannot be ruled out completely. Gonorrhea is almos...

[Read More] Understanding Indirect Transmission Risks of Syphilis and Gonorrhea


Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...


Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...

[Read More] Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions


Understanding Risks of Interacting with Friends Who Have STDs

Interacting with Patients with Sexually Transmitted Infections (STIs) 1. If your friend has a sexually transmitted infection (STI) and there are blood or secretions from any sores, there is a risk of transmission if those fluids come into contact with your open wound. Even small ...


Dr. Hong Yuanbin Reply:
Hello, 1. Ordinary wounds are not typically a means of transmitting sexually transmitted infections (STIs) unless they come into contact with semen. The risk of transmission through general bodily fluids is also very low. 2. Common bodily fluids, including saliva and sweat, do no...

[Read More] Understanding Risks of Interacting with Friends Who Have STDs


Can You Get STDs from Contaminated Surfaces? Understanding the Risks

Issues related to wounds from sexually transmitted infections (STIs)? I would like to ask the doctor again. I am the person from #138448. Since I usually do not bandage my wounds and only let them bleed, there is a possibility that I might touch something that has residual bodily...


Dr. Hong Yuanbin Reply:
Hello, unless there is a deep wound that comes into contact with a large amount of pathogenic bodily fluids, the risk of infection is still low. As for everyday items, contact with them does not typically lead to the transmission of sexually transmitted infections (STIs), which a...

[Read More] Can You Get STDs from Contaminated Surfaces? Understanding the Risks


Can You Get STDs from Contact with Infected Bodily Fluids?

Contact with the bodily fluids of a patient with a sexually transmitted infection (STI)? 1. I am very concerned about the possibility of contracting syphilis and gonorrhea if items in public places come into contact with the bodily fluids of an infected individual. If I touch the...


Dr. Lin Wufu Reply:
Hello: Your question is actually one that many people have similar concerns about. The primary mode of transmission for sexually transmitted infections (STIs) is through contact with genital organs and their secretions. In principle, the secretions from an untreated STI patient m...

[Read More] Can You Get STDs from Contact with Infected Bodily Fluids?


Does Drinking Diet Soda Increase Your Risk of Diabetes?

Dietary Habits for Diabetes Management Is drinking diet cola really associated with an increased risk of diabetes? I found an article online that states that due to the presence of artificial sweeteners, when you consume diet beverages, your body is essentially deceived. The swee...


Dr. Lin Jianliang Reply:
Hello: Thank you for your message. According to some studies, both sugar and artificial sweeteners carry a risk of disease (such as diabetes). Therefore, moderation is key to avoid putting a strain on the body.

[Read More] Does Drinking Diet Soda Increase Your Risk of Diabetes?


Managing Chronic Lymphadenitis: Tips for Self-Care and Awareness

What should be noted regarding chronic lymphadenitis? Two to three years ago, I had lymphadenitis in my right armpit. Since then, I have experienced intermittent redness, swelling, and tenderness, which have been milder than the initial infection. There are times when I feel comp...


Dr. Hong Yuanbin Reply:
Hello, it is important to determine whether you have ever had surgery or an injury to your right hand or right chest. Previous injuries or surgeries can indeed lead to the symptoms you are experiencing. If there is no history of such events, we should consider whether your right ...

[Read More] Managing Chronic Lymphadenitis: Tips for Self-Care and Awareness


Understanding HIV Transmission Risks: Your Concerns Addressed

Questions about HIV/AIDS Hello Doctor, about a month ago, I had unprotected oral sex with someone (I don't know if the other person has an STD). During the process, I licked her nipples, and I have a sore in my mouth. Is there a possibility of contracting HIV? Then she perfo...


Dr. Lin Wufu Reply:
Hello! The primary transmission route for HIV is through "contact with blood or bodily fluids," with the secretions from sexual organs being the most infectious. Therefore, if your hands come into contact with the secretions of your partner's sexual organs and then...

[Read More] Understanding HIV Transmission Risks: Your Concerns Addressed


Understanding When to Start Diabetes Medication: A Patient's Dilemma

What is the situation regarding diabetes medications? Hello Dr. Lin, I recently had two fasting blood glucose tests with results of 103 and 107, and my HbA1c levels were 6.5 and 6.8. The physician at the diabetes specialty clinic advised me to start medication and prescribed Metf...


Dr. Lin Wuxuan Reply:
Hello: The treatment of diabetes will generally follow the guidelines provided for diabetes management, but some details will still need to be adjusted based on the physician's clinical experience. Although there are differences in opinion between the two physicians, both fu...

[Read More] Understanding When to Start Diabetes Medication: A Patient's Dilemma


Can You Get HIV from a Minor Scratch? Understanding the Risks

Will this lead to HIV infection? During checkout, I was distracted and accidentally got scratched on my finger by the cashier's nail, resulting in a minor abrasion (the epidermis is red) without any bleeding. Doctor, if the other person has a virus on their hands, am I at ri...


Dr. Hong Yuanbin Reply:
Hello, unless the other person is bleeding and their blood comes into contact with your wound, the risk of transmission is very low. Thank you for your question.

[Read More] Can You Get HIV from a Minor Scratch? Understanding the Risks


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