Understanding Persistent Dizziness and Body Heat: Causes and Solutions
Dizziness and a feeling of warmth in the body? Hello, Doctor. I often experience dizziness and have undergone numerous examinations at major hospitals, but nothing has been found. Recently, the frequency of my dizziness has increased, occurring 3-4 days a week, and I also feel a ...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The differential diagnosis of dizziness generally begins with distinguishing between central and peripheral causes. If the dizziness is due to a central lesion, it is often associated with more serious issues such as tumors, strokes, epilepsy, meningitis, or enc...[Read More] Understanding Persistent Dizziness and Body Heat: Causes and Solutions
Can HIV Be Transmitted Through Hand or Object Contact?
Questions about HIV transmission? I would like to ask the doctor if HIV can be transmitted through contact with hands or objects. Today, I saw a convenience store clerk with a wound on their hand, and I suddenly had this question. The wound looked quite fresh. If their blood came...
Dr. Liao Zhongxin Reply:
Dear readers: A: The transmission routes of HIV are 1. Unprotected sexual intercourse, including various forms of sexual activity without a condom. 2. Sharing needles and syringes during drug use. 3. Transmission from an HIV-positive mother to her fetus/newborn during pregnancy. ...[Read More] Can HIV Be Transmitted Through Hand or Object Contact?
Understanding Urticarial Vasculitis: Symptoms, Diagnosis, and Treatment
The skin has developed a large number of rashes, primarily on the joints and buttocks? Hello Director Gao, since last Thursday when I forcefully dragged the floor, I started to develop numerous red rashes on my hands (which feel like broken capillaries). The next evening, I unexp...
Dr. Gao Jiankai Reply:
Dear Miss Hsu, Thank you for your email. Urticaria and urticarial vasculitis are somewhat different conditions. Generally, urticaria tends to have a stronger itching sensation, while vasculitis is characterized primarily by a stinging pain. Additionally, some urticaria can occur...[Read More] Understanding Urticarial Vasculitis: Symptoms, Diagnosis, and Treatment
Risk of Bloodborne Diseases from Contact with Dried Blood and Mucous Membranes
Is there a risk of contracting bloodborne diseases after coming into contact with dried blood and then touching mucous membranes? Hello Doctor: Here’s what happened: While heading to class, I randomly chose a seat and initially thought the spots on the desk were just graffiti. Up...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "Can one contract HIV, syphilis, gonorrhea, or hepatitis through contact with dried blood followed by contact with mucous membranes?" A: 1. Generally, blood and bodily fluids lose their infectious capability 15 minutes after leaving...[Read More] Risk of Bloodborne Diseases from Contact with Dried Blood and Mucous Membranes
Understanding HIV and Syphilis: Symptoms, Risks, and Concerns
Regarding HIV and syphilis infections? Hello, I would like to ask a few questions regarding HIV/AIDS. The situation is as follows: I work in the service industry and have noticed some customers with unexplained red spots and rashes on their arms and calves, raising concerns about...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the body temperature sometimes remaining above 36.6°C and below 37.2°C around 11 PM to midnight or even later, could this be caused by an acute infection? A: Generally, healthy individuals have a lower body temperature in the early morning and the hi...[Read More] Understanding HIV and Syphilis: Symptoms, Risks, and Concerns
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Can Barley Grass Tablets Help Lower High Uric Acid Levels?
Hyperuricemia Hello, doctor. I would like to ask if taking Chang Gung Biotechnology's barley grass tablets can help lower high uric acid levels. Thank you.
Dr. Huang Yaoxuan Reply:
Non-medical consultation. Hello: "Chang Gung Biotechnology - Barley Grass Tablets" should be classified as a "dietary supplement," which is different from "medications." Before a medication is marketed by a pharmaceutical company, it must undergo mul...[Read More] Can Barley Grass Tablets Help Lower High Uric Acid Levels?
Concerns About HIV Transmission from Contaminated Floors and Shoes
Floor and shoe sole Hello: I work in a pathology lab where specimens often result in blood or bodily fluids dripping onto the floor. After handling specimens, I walk back to the adjacent office and am concerned that HIV in the bodily fluids on the floor could be brought back to t...
Dr. Liao Zhongxin Reply:
Dear readers, 1. The following are legally mandated infectious diseases that can be transmitted through contact: Granulomatous amoebic encephalitis, rabies, anthrax, glanders, leptospirosis, tetanus, neonatal tetanus, scabies, pediculosis, leprosy, cat scratch fever, tularemia, ...[Read More] Concerns About HIV Transmission from Contaminated Floors and Shoes
Concerns About HIV Transmission After Protected Sex: What You Should Know
HIV/AIDS issues Doctor, I had an encounter with a sex worker at the end of February. I used a condom throughout the intercourse, but I did pull out after thrusting a few more times. Is there a risk of fluid exchange in this situation? Recently, I've been experiencing frequen...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the question about having sexual intercourse with a sex worker at the end of February while using a condom throughout the process, and whether there would be any risk of fluid exchange: A. If a condom was used consistently, the risk of infection is ge...[Read More] Concerns About HIV Transmission After Protected Sex: What You Should Know
Understanding Headaches and Discomfort: Possible Causes and Solutions
Headache in the upper right side of the head before and after bowel movements, discomfort in the inner posterior area of the right thigh, and pain in the sole of the right foot? Hello doctor, I work long hours on the computer, am unmarried, and my blood pressure is around 80-90/5...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you follow up with a neurologist.[Read More] Understanding Headaches and Discomfort: Possible Causes and Solutions
Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Arrhythmia in Hyperthyroidism Hello, Doctor. I was diagnosed with Graves' disease and hyperthyroidism at the age of 40. I have been taking medication for hyperthyroidism for a year now, but I still occasionally experience arrhythmias, with a heart rate of about 120, especial...
Dr. Xie Rongyuan Reply:
Hello: You should go to the hospital for further examination of thyroid function abnormalities. As for your daughter's T4 and TSH levels, they are within the normal range. If her symptoms persist, you should promptly visit the hospital to identify the underlying cause. Thank...[Read More] Managing Arrhythmias in Hyperthyroidism: Insights and Recommendations
Understanding Rabies Transmission Risks and Vaccination Concerns
Transmission routes of rabies? Hello Doctor, on April 1st, I went to Xitou with a friend. On the way, I felt like something dripped on my hand, but I didn't think much of it at the time. After about an hour, while having a meal, I remembered that this area might be a rabies-...
Dr. Liao Zhongxin Reply:
Dear readers, 1. First, refer to the explanation from the Centers for Disease Control: Transmission methods: (1) Animals infected with rabies have the virus in their saliva, which can enter the human body through bites or scratches (occasionally through skin wounds or mucous mem...[Read More] Understanding Rabies Transmission Risks and Vaccination Concerns
Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Dietary Issues Hello doctor, I would like to ask you something. Since elementary school, I have noticed that whenever I consume sweet foods or drinks, I start to feel dizzy and nauseous. This is very obvious, for example, when I drink beverages or eat chocolate. Even fruits that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Tsai: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, the following are summarized: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dl during a 2-hour ...[Read More] Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Understanding Pain in Vasculitis: Insights for Lupus Patients
Vasculitis pain sensation Dear Dr. Tseng, I am a patient with systemic lupus erythematosus, and I have vasculitis in my fingers and toes. Initially, the vasculitis on my fingers appeared red and slightly raised, and it was usually not painful, only causing a tingling sensation w...
Dr. Zeng Guosen Reply:
Hello, it is possible that vasculitis is causing your sensory abnormalities. Whether to adjust your medication should be determined after a follow-up visit with your physician. Thank you for your question.[Read More] Understanding Pain in Vasculitis: Insights for Lupus Patients
Understanding Infection Risks from Shared Needles: What You Should Know
Disease transmission I borrowed a needle from a friend to sew some clothes. About six days later, after rinsing the needle with hot water for a few seconds, I used it to prick a pimple on my nose, which caused some bleeding. Now I'm a bit worried that if there was saliva lef...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the questions asked, please consider (1) whether your friend has any illnesses and (2) the handling of needles. (1) Whether your friend has any illnesses: If your friend has bloodborne infections such as syphilis, HIV, hepatitis B, or hepatitis C, then w...[Read More] Understanding Infection Risks from Shared Needles: What You Should Know
Understanding Chest Discomfort: When to Seek Further Medical Evaluation
Chest tightness/chest pain Hello doctor, I have been experiencing chest tightness and chest pain for more than half a month, and sometimes I have difficulty breathing. On March 17, I went to the emergency room, and the doctor ordered blood tests which came back normal. I was advi...
Dr. Zeng Guosen Reply:
Hello, online user: There are many causes of chest pain, and it is recommended to see a pulmonologist for evaluation and examination. If the emergency blood test results are normal, should further in-depth tests be conducted? This should be determined after a consultation with a ...[Read More] Understanding Chest Discomfort: When to Seek Further Medical Evaluation
Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Measuring blood glucose? In stroke patients, which hand is more accurate for measuring blood glucose levels? Since the affected side has poorer blood circulation, will this impact the values? Thank you.
Dr. Li Zhiyao Reply:
Hello: Both hands can be tested.[Read More] Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Understanding Immune System Issues in Atopic Dermatitis Management
Questions about the immune system? Hello Dr. Gao: I would like to ask a question. I have atopic dermatitis, which was relatively well-controlled for a while, but in the past few months, it has been recurring frequently, improving and then flaring up again. I have seen a doctor, b...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Atopic dermatitis is indeed an issue related to the immune system, which is sensitive to stress and lifestyle habits. Therefore, even with medication and topical treatments, atopic dermatitis may still exhibit fluctuations in severity. On the o...[Read More] Understanding Immune System Issues in Atopic Dermatitis Management
Waking Up with Arm Weakness: Causes and Stroke Concerns
Numbness and weakness in the arm upon waking up? Hello! Every day when I wake up, my entire hand and arm feel numb and weak, primarily in my right hand, and sometimes in both hands. After a few minutes, it returns to normal. For the past few months, while sitting on the bed befor...
Dr. Li Zhiyao Reply:
Hello: Your symptoms are likely caused by nerve compression. It is recommended that you consult a neurologist. Wishing you health and safety![Read More] Waking Up with Arm Weakness: Causes and Stroke Concerns
Understanding Blood Circulation Issues in Hands and Feet
Regarding blood circulation issues in the hands and feet? I would like to ask about my condition. My right hand and right foot have a significantly higher temperature compared to my left hand and left foot. Additionally, the joints in my right hand and right foot are swollen and ...
Dr. Li Zhiyao Reply:
Hello: I cannot answer your question without a personal examination. If you are unsure how to seek medical care, I recommend starting with a visit to a family medicine physician.[Read More] Understanding Blood Circulation Issues in Hands and Feet