Hand, Internal Medicine FAQ - Page 29

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Understanding Your Symptoms: Abdominal Pain, Diarrhea, and Nausea

Recently, I've been experiencing stomach rumbling, having very loose stools, feeling nauseous, and passing foul-smelling gas? On Monday, I felt very tired, had no appetite, and felt unwell. I still feel the same now. Since Thursday, I've been experiencing diarrhea, naus...


Dr. Liao Zhongxin Reply:
Dear readers, regarding the issue of frequent diarrhea and the inability to eat, I suggest the following: 1. First, recall if you had eaten out or consumed expired food within 4 to 24 hours prior to the onset of diarrhea. 2. Since diarrhea has already occurred, it is advisable...

[Read More] Understanding Your Symptoms: Abdominal Pain, Diarrhea, and Nausea


Understanding HIV Risks and Testing After Condom Failure

HIV infection Hello, Dr. Hsiao. I have some questions that I hope you can answer. Here’s what happened: I had sexual relations with a sex worker in the past couple of days, and during the encounter, the condom broke without us realizing it. It was only after ejaculation that we d...


Dr. Xiao Yongxun Reply:
Response 1: This incident is similar to engaging in unsafe sexual behavior without using a condom. The Centers for Disease Control (CDC) recommends that individuals seek post-exposure prophylaxis (PEP) for HIV within 72 hours at one of the 42 designated hospitals nationwide. Afte...

[Read More] Understanding HIV Risks and Testing After Condom Failure


Can Cupping Therapy Transmit HIV? Understanding the Risks

Can cupping therapy transmit HIV? Hello Dr. Liao: Yesterday, during my visit to the traditional Chinese medicine clinic, the physician used a vacuum cupping device on me. However, I noticed that the cups were put away after use without any disinfection. After the cupping, I have ...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding whether cupping can transmit HIV: (1) First, it is important to understand that the primary transmission routes for HIV are through sharing needles and sexual intercourse, with other routes being rare. (2) Next, observe whether the practitione...

[Read More] Can Cupping Therapy Transmit HIV? Understanding the Risks


Managing High Nighttime Blood Sugar with Normal Morning Levels

High blood sugar before bedtime and normal blood sugar upon waking? Hello Dr. Hsiao, my mother is seventy years old. She takes insulin during the day and controls her diet for three meals, but her blood sugar levels are consistently over 300 before bedtime. In the morning, her le...


Dr. Xiao Yongxun Reply:
1. There are many types of insulin, primarily including ultra-rapid acting, rapid acting, intermediate acting, and long acting. The timing of their peak effect and duration of action varies. Clinically, it is possible to mix rapid acting and intermediate acting insulins for injec...

[Read More] Managing High Nighttime Blood Sugar with Normal Morning Levels


Is It Enterovirus? Understanding Symptoms and Diagnosis

Is it an enterovirus? Hello, doctor: Last week, I had a continuous fever of about 40 degrees Celsius for several days, and my throat showed the following symptoms: https://imgur.com/hKPJaih. I would like to ask the doctor: 1. Does the photo indicate pharyngitis? 2. Given the cont...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the typical common symptoms of enterovirus: (1) Hand, foot, and mouth disease: fever or mild fever, with scattered, non-painful, non-itchy, non-crusted, non-scarring small, elongated, light red rashes or small vesicular lesions on the palms (Figur...

[Read More] Is It Enterovirus? Understanding Symptoms and Diagnosis


Managing Diabetes: Key Questions on Blood Sugar and Diet

Revisiting Diabetes Mellitus? Hello Dr. Hsiao, First of all, thank you for your response last time. Yesterday, I visited the cardiology department to review my blood test results. My fasting blood glucose was 96 mg/dL and my HbA1c was 5.5% (three months ago, my fasting blood glu...


Dr. Xiao Yongxun Reply:
Question 1: Should I still strictly control my intake of starches and sugars? Answer: Strictly controlling the intake of starches and sugars can indeed lower blood glucose and glycated hemoglobin levels, thereby improving conditions such as diabetes or glucose intolerance. In f...

[Read More] Managing Diabetes: Key Questions on Blood Sugar and Diet


Understanding Herpetic Pharyngitis and Prolonged Fever: When to Seek Help

Herpetic pharyngitis with high fever? Hello, doctor. I started experiencing a high fever (39-40 degrees Celsius) from last Thursday, which lasted for three days, and then I developed herpetic pharyngitis. Therefore, the doctor diagnosed it as enterovirus. After three days of sore...


Dr. Xiao Yongxun Reply:
Herpetic pharyngitis presents with painful ulcers in specific areas of the oral cavity, accompanied by fever, sore throat, loss of appetite, general malaise, and respiratory infection symptoms. Hand-foot-mouth disease also manifests with oral ulcers, rashes on the palms and soles...

[Read More] Understanding Herpetic Pharyngitis and Prolonged Fever: When to Seek Help


Do Birds Transmit Rabies? What to Do After a Bird Peck Injury

Bird peck injury? Hello, doctor: I was pecked on the hand by a green-backed tit. Can birds transmit rabies? Do I need to get a rabies vaccine? Thank you very much for your response!


Dr. Xiao Yongxun Reply:
Dear Ms. Liu: The rabies virus primarily affects warm-blooded mammals, including dogs, cats, wolves, foxes, pigs, monkeys, rodents (such as mice and squirrels), and humans. Therefore, bites or pecks from birds do not cause rabies, and there have been no reported cases of such. ...

[Read More] Do Birds Transmit Rabies? What to Do After a Bird Peck Injury


Can Rabies Be Transmitted Through Dog Sneezes? Expert Insights

Rabies Consultation Hello, Dr. Liao: A dog being carried by someone on a motorcycle (standing on the motorcycle seat) passed by me about 1 meter away while I was waiting at a traffic light. It suddenly sneezed, and I have acne on my face that has already scabbed over and is no lo...


Dr. Liao Zhongxin Reply:
Dear readers, I. First, please refer to the announcement from the Centers for Disease Control: http://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=dec84a2f0c6fac5b&tid=9D2E1B3A862F06FB <Transmission Methods> 1. Animals infected with rabies car...

[Read More] Can Rabies Be Transmitted Through Dog Sneezes? Expert Insights


Managing Post-Dialysis Nausea and Dizziness: When to Seek Further Help

Frequent vomiting after dialysis? My boyfriend has been on dialysis for over a year now. Recently, he often feels dizzy after dialysis or the next day, and he frequently experiences vomiting. Sometimes he vomits right after eating, and other times he rushes to the bathroom to vom...


Dr. Wu Jiyu Reply:
Regarding dizziness and frequent vomiting after dialysis or the following day, we can discuss it in two parts: 1. First, consider the quality of dialysis. Is the dialysis adequate? Is there excessive weight gain between sessions? Is there poor blood pressure control? These factor...

[Read More] Managing Post-Dialysis Nausea and Dizziness: When to Seek Further Help


Can Oral Sex with a Condom Prevent HIV and HPV Infection?

Concerns about oral sex? If someone performs oral sex on me (using their mouth) while I am wearing a condom, is there a risk of contracting the HIV virus? If someone performs oral sex on me (using their mouth) while I am wearing a condom, is there a risk of contracting the HPV vi...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Wearing condoms does not guarantee complete protection against sexually transmitted infections (STIs), including HIV, as there may still be exposure to infectious agents, and issues such as improper use or breakage of the condom can occur. 2. STIs are primari...

[Read More] Can Oral Sex with a Condom Prevent HIV and HPV Infection?


Can Hepatitis B Carriers Use Their Breast Milk to Make Soap Safely?

Can a hepatitis B carrier use her breast milk to make soap? If the mother is a carrier of hepatitis B, can her breast milk be used to make soap? If the soap made from breast milk is used for bathing or handwashing, and there happens to be a cut on the skin or hands, could this le...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Theoretically, the transmission routes of Hepatitis B are through blood and sexual contact. 2. If you have further questions about Hepatitis B, you may consult a hepatologist or an infectious disease specialist. Thank you!

[Read More] Can Hepatitis B Carriers Use Their Breast Milk to Make Soap Safely?


Understanding Bruising on Limbs: Causes and When to Seek Help

Bruising on the limbs? Dear Dr. Chen, I have been taking medication for hypertension for a long time, but about two months ago, I started noticing bruises the size of a ten-dollar coin appearing on my limbs. They are not painful and disappear in about one to two weeks. However, ...


Dr. Chen Qingbin Reply:
Hello, Gui Xiang. Your bruising could have various causes, so it's best to consult a family physician for long-term follow-up and examination. Thank you for your message.

[Read More] Understanding Bruising on Limbs: Causes and When to Seek Help


Understanding Anti-CCP: What a Weak Positive Result Means for You

Anti-CCP, or anti-cyclic citrullinated peptide antibodies, are autoantib Hello Dr. Gao, Since the beginning of this year, I have been experiencing difficulty gripping with both hands upon waking up in the morning. My fingers, wrists, and shoulder joints are painful, and sometim...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. A weakly positive anti-CCP refers to a value that is below three times the normal range, while a strongly positive result is above that threshold. In the diagnosis of rheumatoid arthritis, the confirmation relies on the total score from various...

[Read More] Understanding Anti-CCP: What a Weak Positive Result Means for You


Post-Stair Fall: Understanding Pain and Swelling in the Lower Leg

Foot sprain after falling down the stairs? Hello Doctor, I would like to inquire about an incident that occurred on Saturday. I accidentally fell down a wet staircase from the first floor and rolled down, impacting my hands, feet, and head. At the time, I experienced severe pain ...


Dr. Chen Qingbin Reply:
Hello, fractures can usually be detected through X-rays. If the X-ray is normal, it is likely that the pain and swelling are due to a contusion from impact. It is best to consult a surgeon or an orthopedic specialist for further evaluation.

[Read More] Post-Stair Fall: Understanding Pain and Swelling in the Lower Leg


Understanding Male Pear-Shaped Bodies: Causes and Solutions

male pear-shaped body Hello Dr. Tsai: As the title suggests, my upper body is slim, like my father; but my lower body is plump, like my mother (though my hands also resemble my mother's). I am currently a senior in high school, standing at 160 cm and weighing close to 60 kg....


Dr. Cai Zonglin Reply:
Body shape is partially influenced by genetics, and consuming two to three cups of soy milk per week should not significantly affect estrogen levels. In males, elevated estrogen levels combined with reduced testosterone may lead to gynecomastia. Certain genetic disorders may resu...

[Read More] Understanding Male Pear-Shaped Bodies: Causes and Solutions


Understanding Sudden Petechiae on the Arm: Causes and Concerns

Subcutaneous hemorrhage with red spots on the arm? Hello, doctor. This morning, I suddenly noticed petechiae on my left forearm and hand, resembling small pinpricks. There are no similar spots on other parts of my body. I have previously had my platelet count tested several times...


Dr. Gao Jiankai Reply:
Hello, A-Zhe. If there are only small petechiae in a localized area and the platelet count is normal, with no other symptoms present, I believe the likelihood of it being caused by external factors is higher. In principle, sometimes even carrying a heavy backpack can lead to smal...

[Read More] Understanding Sudden Petechiae on the Arm: Causes and Concerns


Understanding the Cancer Risks and Benefits of Baked Foods and Coffee

Food-related Hello Dr. Hsiao, I often come across many articles stating that baked foods can cause cancer. However, baked items like coffee are commonly consumed by humans, and there are numerous studies suggesting that coffee has anti-cancer properties and is beneficial in many ...


Dr. Xiao Yongxun Reply:
1. According to the current medical literature, the consumption of coffee is neither recommended nor discouraged. There are reports indicating that drinking coffee may reduce the risk of Parkinson's disease, Alzheimer's disease, alcoholic liver cirrhosis, gout, and diab...

[Read More] Understanding the Cancer Risks and Benefits of Baked Foods and Coffee


Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management

Diabetic neuropathy? Dear Li, Question 1: Recently, my grandmother has experienced a loss of sensation in the tips of her fingers, particularly in her index, middle, and ring fingers, which has become more severe. In addition to the numbness in her fingers, she also experiences ...


Dr. Cai Zonglin Reply:
Diabetic neuropathy commonly presents with numbness, tingling, or a sensation of wearing gloves in the extremities. If a diabetes educator is available at the hospital, a monofilament test can be performed initially. For further evaluation, a referral to a neurologist may be nece...

[Read More] Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management


Understanding Rapid Heartbeat: Causes and Concerns for Your Health

Rapid heartbeat? Hello, doctor. My usual blood pressure is 90 over 60, but recently it has dropped a bit to 80 over 55. When I exercise, I feel dizzy, and my face and hands turn pale. I often experience headaches at the top of my head. Recently, one night, my right leg started tw...


Dr. Chen Qingbin Reply:
Hello, Xiao Li: Your blood pressure is low, and you are experiencing symptoms such as dizziness, pale complexion, and leg cramps. It is advisable to go to the hospital for a thorough examination and treatment.

[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health


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