Hand, Internal Medicine FAQ

Understanding Low Neutrophil and High Lymphocyte Levels in Blood Tests

Blood Test Report The report indicates that the neutrophil percentage is 35.8%, which is low, and the lymphocyte percentage is 54.6%, which is high. These findings could suggest an underlying issue. A low neutrophil count (neutropenia) may increase the risk of infections, as neut...

Dr. Lin Wuxuan Reply:
Hello: The interpretation of blood test reports requires the complete report, so the physician will still need your white blood cell count report and the complete differential white blood cell count. Although your inquiry lacks sufficient details, generally speaking, a decrease i...

Understanding Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise

Dizziness, nausea, and rapid heartbeat? A few days ago, I went to exercise because I felt that the pressure from my studies had kept me from working out for a long time. While doing pull-ups, I pushed myself to do more until I couldn't continue, and I drank electrolyte bever...

Dr. Hong Yuanbin Reply:
Hello, excessive exercise may lead to rhabdomyolysis, which can cause acute kidney failure. However, based on your age and physical condition, the likelihood of this is probably low. Another more probable scenario is that some individuals may experience mild nephrotic syndrome, p...

Can Mosquito Blood Transmit HIV? Addressing Your Concerns

Mosquito blood, excessive worry? Hello Dr. Liao, a few days ago (in early April), I killed a mosquito that was bleeding a lot while using the restroom. After rinsing my hand, I accidentally touched the urethral opening. Is there a possibility of contracting HIV from this? I know ...

Dr. Liao Zhongxin Reply:
Dear readers: A: It should not be a concern as long as personal hygiene is maintained; you can refer to the CDC's information at http://www.cdc.gov.tw/professional/page.aspx?treeid=7B56E6F932B49B90&nowtreeid=D03CCE3DF521E46A. There are three main routes of HIV transmissi...

Measles Vaccine Concerns: Risks for Young Adults and Hospital Visits

Measles vaccine Hello, doctor. Recently, the measles outbreak has caused public panic, and young adults in their 20s have been identified as a high-risk group. However, the Ministry of Health and Welfare has urged that vaccines be prioritized for frontline healthcare workers and ...

Dr. Liao Zhongxin Reply:
Dear readers, In response to the sudden increase in demand for the self-paid MMR vaccine, the Centers for Disease Control (CDC) has urged prioritization of vaccination for high-risk groups (CDC Circular No. 351, April 24, 2018). 1. Due to recent public concern regarding the me...

Understanding Kidney Health: Tests, Concerns, and Dietary Advice

Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...

Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...

Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...

Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough investigation is warranted. Generally, hypoglycemia can be categorized int...

Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough evaluation is necessary. Generally, hypoglycemia can be categorized into f...

Understanding Heart Palpitations: Tests and Treatment Options

Cardiac issues and diagnostic concerns? Recently, my heart has been racing, reaching a maximum of 136 beats per minute, and my hands also tremble. I underwent a resting electrocardiogram and a chest X-ray, and the doctor said everything was normal, only prescribing me antiarrhyth...

Dr. Hong Yuanbin Reply:
Hello, heart rhythm medications primarily control heart rate and should not have a significant impact on thyroid function. As for the reason behind your increased heart rate, it may be necessary to visit a family medicine or cardiology specialist for a 24-hour Holter monitor to c...

Understanding HIV Transmission Risks in Sports and Everyday Situations

Several questions regarding HIV transmission? 1. Hello, doctor. I have a few questions. First, are there any documented cases in medical history where HIV was transmitted through playing basketball? Since basketball is a contact sport, there can be minor injuries during the game,...

Dr. Xiao Yongxun Reply:
Dear Inquirer: 1. The HIV virus is primarily transmitted through blood or serum; however, for successful transmission to occur, the virus must be intact and present in sufficient quantities. Additionally, the infected individual's wound must come into contact with the viru...

Is Morning Stiffness Always a Sign of Arthritis? Understanding the Causes

Is morning stiffness always caused by arthritis? Hello, Doctor Gao. Recently, over the past week or two, I've suddenly noticed that when I wake up in the morning (this has happened for three consecutive days, but also occurred once or twice last week), my hand joints feel st...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. The definition of morning stiffness is joint stiffness and pain lasting more than one hour. Therefore, if your morning joint stiffness lasts only 5 minutes, it does not meet the criteria for morning stiffness. However, even if your morning join...

Can I Rule Out Infection After Multiple Negative Tests?

Will there be a turnaround? Doctor, I had a high-risk exposure on October 7th. I took an RTPCR test on October 18th and November 9th, and I also had P24 antigen and antibody tests done at 10 days, 33 days, 4 weeks, 6 weeks, 8 weeks, and 10 weeks, all of which were negative. I hav...

Dr. Xiao Yongxun Reply:
Dear Mr. Akai: 1. Your question was already addressed on December 4, 2017. In addition to considering HIV, there are many other potential diagnoses that need to be clarified regarding your symptoms of fever, lymphadenopathy, and diarrhea in order to provide appropriate treatmen...

Understanding HIV Risks After Safe Sex Practices: Your Questions Answered

Regarding HIV infection issues? Hello doctor, I would like to ask a question. I have engaged in sexual activity with men, and I made sure to inquire about their status beforehand. They have all been tested and found to be negative, and their sexual partners have also been screene...

Dr. Liao Zhongxin Reply:
Dear readers: <Should I still question whether they are carriers?> A: You can refer to the information from the Centers for Disease Control: www.cdc.gov.tw I. There are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engag...

Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms of g...

Dr. Xiao Yongxun Reply:
Dear Ms. Kiki: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. When uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to go...

Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check-up, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms o...

Dr. Xiao Yongxun Reply:
Dear Ms. KiKi: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. If uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to gout....

Seeking Medical Help for Unexplained Weight Gain at 40

Abnormal weight gain Hello: I am 40 years old, 170 cm tall, and currently eat one meal a day while walking 10,000 steps. My lifestyle is regular. I have gained 12 kg in the past six months, and my endocrine blood tests have shown no issues. How should I seek medical assistance?

Dr. Xiao Yongxun Reply:
Dear Mr. Aqi: 1. Factors contributing to weight gain include diet, patterns of physical activity, and differences in energy metabolism; very few cases are due to single-gene mutations or specific genetic disorders. 2. Familial obesity may be influenced not only by genetic facto...

Can You Get Parasitic Infections from Handling Water Plants?

Parasitic infection issues? Due to the need for fish farming, I manually pulled aquatic plants from a field ditch. After pulling them out, I washed my hands, and once they were dry, I ate some mint candy. Later, I discovered some worms in the aquarium that seem to be schistosomes...

Dr. Liao Zhongxin Reply:
Dear readers: Regarding <Parasites...> the response is as follows: A: You can refer to the CDC website at http://www.cdc.gov.tw/diseaseinfo.aspx? 1. Overview of Common Intestinal Parasitic Diseases: Intestinal parasitic diseases are prevalent in tropical and subtropical ...

Understanding HbA1c Testing: Impact of Blood Donation and Accuracy Concerns

Glycated Hemoglobin Test (HbA1c Test) Hello Doctor: Recently, I have been experiencing intermittent itching around the skin near my ankles. I found online that this could be a symptom of peripheral neuropathy related to diabetes. Two years ago, my company's health check repo...

Dr. Xiao Yongxun Reply:
Dear Mr. Xiao Lu: 1. The diagnosis of diabetes has consensus standards in medicine: According to the diagnostic criteria from the American Diabetes Association, a. Fasting plasma glucose level ≥126 mg/dL after at least 8 hours of fasting, b. 2-hour plasma glucose level ≥200 mg/d...

Understanding Treatment Options for Reiter's Syndrome: Common Concerns and Questions

Treatment for Listeriosis Dear Dr. Gao, I previously consulted with you, and I appreciate your professionalism! I have been seeing a specialist (who answered my questions vaguely), and I have been taking Celebrex for almost three months, one capsule in the morning and one in the...

Dr. Gao Jiankai Reply:
Dear Mr. Chang, Thank you for your email. I would like to respond to your questions as follows: 1. If your attending physician believes you have Reiter's syndrome and your condition does not improve after a period of medication, I think it would be appropriate to adjust yo...

Exercise Concerns for Patients with Hypothyroidism: What You Need to Know

Concerns about exercise in hypothyroidism? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. Last week, I discovered a lump in my neck, and after visiting the clinic yesterday, I was diagnosed with hypothyroidism. The physician mentioned that it is...

Dr. Hong Yuanbin Reply:
Hello, it is recommended to avoid intense exercise in the initial stages to prevent overexertion. Once the medication stabilizes, you can gradually increase the intensity of your workouts. However, it is still advisable not to push yourself too hard. Thank you for your question.

Understanding Discomfort from Skipping Meals: Causes and Solutions

Discomfort caused by excessive hunger? Hello Doctor: I have experienced 2 to 3 episodes of extreme hunger leading to discomfort over the past year (for example, only having breakfast, skipping lunch, and eating dinner). The symptoms I experience include intense hunger, trembling ...

Dr. Li Zhiyao Reply:
Hello, Xiao Kai: Based on your description, your symptoms of discomfort seem to be more like those caused by "hypoglycemia." I recommend the following: 1. Limit your intake of sugary beverages. 2. Maintain regular and balanced meals. 3. Consult an endocrinologist.

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