Understanding Low Morning Urine Output and Swelling: Causes and Concerns
Decreased urine output upon waking? Hello doctor, I would like to ask, if I sleep for a longer duration of 8 to 9 hours, sometimes I wake up with very little urine, and my face is puffy and my hands feel tight. The swelling goes down after about 1 to 2 hours. Could this be relate...
Dr. Wu Jiyu Reply:
Dear Mary: 1. Based on your description, it is possible that during prolonged sleep, urine formation naturally becomes concentrated (which is why you do not frequently need to use the restroom), leading to a perception of oliguria. This is not indicative of urinary reflux and ty...[Read More] Understanding Low Morning Urine Output and Swelling: Causes and Concerns
Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...
Dr. Zeng Guosen Reply:
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Understanding HIV Transmission Risks in Non-Sexual Encounters
HIV transmission probability Hello, doctor. I would like to ask you about a situation. I met with a female sex worker, but I did not engage in sexual intercourse or oral sex. She was masturbating and applying soap while I watched. At that time, I touched her breasts with my hand,...
Dr. Liao Zhongxin Reply:
Hello readers: 1. First, it is important to confirm whether the other person has any infectious diseases, including HIV. 2. If the person is HIV positive, you should inquire whether they have developed symptoms or are undergoing treatment. 3. If the person has no such issues, we ...[Read More] Understanding HIV Transmission Risks in Non-Sexual Encounters
Managing Multiple Health Issues: Breathing Difficulties and More
Discomfort in multiple areas of the body? Hello Doctor: I have been experiencing a sensation of a foreign body in my throat for six months, and recently I've noticed that my breathing has become increasingly difficult. Occasionally, I also feel chest pain, which becomes more...
Dr. Liao Zhongxin Reply:
Dear readers: 1. If you are experiencing abnormalities in multiple organs, it is advisable to first organize your thoughts by identifying the timing and sequence of each symptom. This will assist the physician in assessing your condition and making a diagnosis and treatment plan....[Read More] Managing Multiple Health Issues: Breathing Difficulties and More
Persistent Sensation of Choking Without Eating: Causes and Concerns
Feeling a constant sensation of choking despite not having eaten anything? About six months ago, I occasionally experienced a sensation of something stuck in my throat even when I hadn't eaten anything. Now, this feeling has extended to my chest. Every time I feel this sensa...
Dr. Chen Qingbin Reply:
It is recommended to proceed for further examination and treatment in the hepatobiliary and gastroenterology department.[Read More] Persistent Sensation of Choking Without Eating: Causes and Concerns
Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Unexplained hand tremors? Unexplained hand tremors, could they be a sign of a disease? Thank you!
Dr. Lin Shunfa Reply:
Dear Anson, 1. Hand tremors may be a sign of underlying conditions such as hyperthyroidism, Parkinson's disease, or alcohol intoxication. However, Parkinson's disease is often associated with bradykinesia, postural instability, and a masked facial expression. Hyperthyr...[Read More] Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Understanding STDs and Diabetes: Key Insights on HIV and Type 1 vs Type 2
Sexually Transmitted Diseases and Diabetes Mellitus Hello Dr. Liao, 1. Can oral sex transmit HIV? 2. I am certain that I have diabetes; how can I determine if it is Type 1 or Type 2?
Dr. Liao Zhongxin Reply:
Hello readers: 1. The risk of HIV transmission through oral sex depends on the health status of both partners. If the oral sex provider is HIV-positive and has other sexually transmitted infections or open sores, and the recipient does not take any precautions, such as using a co...[Read More] Understanding STDs and Diabetes: Key Insights on HIV and Type 1 vs Type 2
When to Seek Emergency Care for Influenza B Symptoms
Under what circumstances should one go to a large hospital for influenza type B? A 31-year-old female family member was diagnosed with influenza B at a clinic two days ago and is currently taking antiviral medication as prescribed by the doctor for five days. She is still experie...
Dr. Li Zhiyao Reply:
Hello Mr. Lin: Most influenza patients recover in about a week, but it is important to pay special attention to any warning signs of severe influenza (such as shortness of breath, difficulty breathing, cyanosis, blood or thick sputum, chest pain, altered consciousness, low blood ...[Read More] When to Seek Emergency Care for Influenza B Symptoms
Can I Get the Chickenpox Vaccine with an Autoimmune Disease?
Diseases and Vaccines Hello, doctor. A year ago, I experienced general fatigue and joint pain, and after undergoing tests at a large hospital, I was diagnosed with an autoimmune disease. The doctor prescribed me medications including quinine, aspirin, and Celebrex. I have also ha...
Dr. Gao Jiankai Reply:
Hello, Jia-Jia, thank you for your question. The varicella vaccine is a live attenuated vaccine, and in patients using immunomodulators, such as quinine and salicylates, there is indeed a possibility that their immune function may be suppressed, which could increase the risk of c...[Read More] Can I Get the Chickenpox Vaccine with an Autoimmune Disease?
Understanding Lymphadenopathy and Rash: Possible Causes and Insights
Lymphoma rash Hello Doctor: Recently, I've been feeling somewhat unwell, and I'm not sure if it qualifies as an illness. I kindly ask for your preliminary assessment. Around the end of April this year, I noticed a swollen lymph node in my neck, which was accompanied by ...
Dr. Liao Zhongxin Reply:
Hello: 1. If you have a fever along with a rash and have recently visited the beach or mountains, it is possible that you may have contracted scrub typhus. 2. It is recommended that you check for rashes or insect bite marks in areas such as the armpits, around the navel, the groi...[Read More] Understanding Lymphadenopathy and Rash: Possible Causes and Insights
Managing Diabetes in Seniors: Key Tips for Care and Nutrition
Concerns about diabetes? Hello, doctor. I would like to ask about my grandmother, who is 77 years old and has diabetes (not on insulin). In mid-July, her blood sugar spiked to over 200, and she received medication at the clinic, which caused her blood sugar to drop too low. Since...
Dr. Xiao Yongxun Reply:
1. The treatment of diabetes includes three main components: diet, exercise, and medication, all of which are essential and cannot be neglected. It cannot be fully explained in just a few words. On the other hand, the complications of diabetes include both acute and chronic condi...[Read More] Managing Diabetes in Seniors: Key Tips for Care and Nutrition
Understanding Paralytic Ileus: Symptoms, Treatment, and Recurrence Risks
Paralytic ileus Two weeks ago, I started experiencing abdominal pain, vomiting, diarrhea, and intermittent cold sweats. Yesterday, a doctor at another hospital diagnosed me with "paralytic ileus" after an X-ray was taken. Six years ago, I had abdominal surgery. Previous...
Dr. Xiao Jingqin Reply:
If it is indeed a case of paralytic ileus in the small intestine, the symptoms are usually quite severe, and the majority of patients require hospitalization. Vomiting can be intense, making it nearly impossible to eat. The upper gastrointestinal tract may produce vomiting due to...[Read More] Understanding Paralytic Ileus: Symptoms, Treatment, and Recurrence Risks
Understanding Infection Risks During Health Checkups: What You Need to Know
Risk of Infection during Health Check-ups Hello, doctor. I recently had a health check-up. 1. Due to my own oversight, I only noticed after the check-up that I had a skin abrasion on my toe. During the examination, there were several procedures where I had to lie down (gastroscop...
Dr. Lin Mingfeng Reply:
1. If the bed sheets are not clean, there is a possibility that viruses or bacteria could enter the body through wounds. However, the HIV virus is extremely fragile and dies within a few hours outside the human body, making transmission through this route unlikely. In accredited ...[Read More] Understanding Infection Risks During Health Checkups: What You Need to Know
Struggling with Sleeplessness and Body Heat After Medication
Unable to sleep and feeling hot all over? Yesterday around 8 PM, I went to see a doctor who sprayed something in my throat (I don't know what it was) and prescribed medication. My symptoms include coughing and nasal congestion. After returning home, I took a dose of the medi...
Dr. Chen Junwei Reply:
Most throat spray medications are local anesthetics, analgesics, or anti-inflammatory drugs, and they should not cause increased heart rate or excitement leading to insomnia. However, sometimes doctors may prescribe bronchodilators or vasoconstrictors (to reduce nasal congestion)...[Read More] Struggling with Sleeplessness and Body Heat After Medication
Understanding Microvascular Rupture: Treatment and Care for Hand Injuries
Microvascular rupture Hello, doctor! I am currently a sophomore student. Today (12/27), during my volleyball class on Monday, I hit the base of my right palm and felt swelling and pain. When I lightly touched it, I noticed it was swollen and seemed to have fluid. After consulting...
Dr. Chen Junwei Reply:
Hello: During the acute phase, immobilization (wrist brace) and ice therapy should be applied for 48 hours. If there is bruising, heat therapy can be applied after 72 hours. If swelling persists and pain has not resolved, wrist movements should be avoided.[Read More] Understanding Microvascular Rupture: Treatment and Care for Hand Injuries
Understanding Numbness and Tingling During a Cold: Causes and Concerns
Cold with numbness in hands and feet? Hello Doctor: On October 1st (Friday), I visited an ophthalmologist due to discomfort in my eyes. The doctor diagnosed me with inflammation of the trigeminal nerve in the eye, which was considered a minor issue, and prescribed eye drops. Afte...
Dr. Liao Zhongxin Reply:
Hello: 1. After taking medication for sinusitis (AMBROXOL, CIMETIDINE, PARAN) and drinking coffee, I experienced mild numbness in my hands and feet, a sore throat, and upon waking up on Saturday morning, I started sneezing, had a fever, dizziness, and cold symptoms. I went to s...[Read More] Understanding Numbness and Tingling During a Cold: Causes and Concerns
Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Finger joint soreness and numbness? Hello Doctor: I have a history of gout for about 10 years, and I haven't had an acute attack for over 6 years. This month, my blood test showed a uric acid level of 8.6. I would like to ask about an incident from early last year when I sud...
Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing do not appear to be acute gout, but chronic gout cannot be ruled out. It is recommended that you visit a hospital for further examination. The sudden sensation of numbness and tingling in the joint of your right little finger and palm, alo...[Read More] Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Understanding Possible Autoimmune Issues in Primary Thrombocythemia Symptoms
Is it a problem related to rheumatology and immunology? I would like to consult Dr. Tseng regarding my husband, who has a history of primary thrombocythemia and has been under regular monitoring. In the past two weeks, he has noticed some pinpoint bleeding on the tips of his fing...
Dr. Zeng Guosen Reply:
Dear Juier, Hello, your description seems to indicate a circulatory abnormality, and it's quite difficult to make a judgment based solely on text. I recommend that you first consult the hematology oncology outpatient department. If necessary, the hematologist will suggest ...[Read More] Understanding Possible Autoimmune Issues in Primary Thrombocythemia Symptoms
Ants in the Toilet: What Does It Mean for Your Health?
Are there ants in the toilet? I recently discovered that there are ants in the toilet bowl of my rented place. At first, I thought it might be due to diabetes attracting them, but after flushing the toilet multiple times and using a handheld shower to rinse the toilet, there are ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Ants are attracted to sweet foods or related substances, as well as the bodies of insects or animals. Therefore, the persistent presence of ants in your toilet may require your careful investigation. 2. Is there a possibility of diabetes? ...[Read More] Ants in the Toilet: What Does It Mean for Your Health?
Can Diabetes Insipidus in Children Be Cured Without Daily Medication?
Can pediatric diabetes insipidus be cured? Recently, my friend's child has been suffering from diabetes insipidus, which is very concerning. Is it curable? Is it possible to avoid taking medication every day? Please help me!
Dr. Yang Weishun Reply:
Both pediatric and adult diabetes insipidus can be classified into two main types: central diabetes insipidus and nephrogenic diabetes insipidus. Central diabetes insipidus is caused by damage to the pituitary gland, such as from tumor invasion or trauma, leading to insufficient ...[Read More] Can Diabetes Insipidus in Children Be Cured Without Daily Medication?