Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Post-Exposure Prophylaxis (PEP) Hello doctor, today I went to Mackay Memorial Hospital for PEP treatment, and the doctor prescribed me BikTarVy (bictegravir/emtricitabine/tenofovir alafenamide). Can I drink alcohol while taking this medication? If so, how long should I wait after...
Dr. Liao Zhongxin Reply:
1. First, regarding the precautions for using Loxone (Tadalafil): When using Loxone film-coated tablets, please adhere to the following precautions and medication recommendations: - Follow the physician's prescription: Before using Loxone film-coated tablets, obtain an ...[Read More] Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Autoimmune hepatitis Hello Doctor: At the end of March this year, I sought consultation in the hepatobiliary and gastroenterology department due to fatigue, jaundice, and tea-colored urine. Blood tests showed AST 675, ALT 1077, and total bilirubin 4.6. Subsequent tests for HBsAg ...
Dr. Zeng Guosen Reply:
It is highly recommended to seek medical attention as soon as possible, preferably by returning to your original treating physician's clinic. If the appointments are fully booked, you should be able to request an additional slot with your original doctor. To determine the si...[Read More] Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Muscle tremors and abnormal urinalysis? Hello Doctor, I had a routine check-up last week, and the protein test result was (+/-). I initially thought it wasn't a big deal, but recently I've been experiencing involuntary muscle twitching all over my body, and I even had l...
Dr. Lin Wuxuan Reply:
Side effects of the yellow fever vaccine may include headache, muscle pain, and mild fever, resembling cold symptoms, which typically resolve within 1 to 2 days. It is recommended to consult your primary care physician or an internal medicine clinic at the original vaccination fa...[Read More] Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Cough accompanied by difficulty breathing, causing sleepless nights? Hello, I woke up suddenly around 3 AM with a headache, and then I started sweating profusely. After that, I vomited, possibly due to stomach acid irritating my throat, which now feels like there is something stu...
Dr. Wu Yuwei Reply:
It is recommended to follow up with a gastroenterologist, as gastroesophageal reflux can sometimes cause coughing symptoms.[Read More] Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Persistent Dizziness: Understanding Causes and Seeking Solutions
Dizziness and lightheadedness? I have been experiencing dizziness for some reason lately, and it has persisted for a week. I visited an otolaryngologist last week and took medication, but the issue has not improved. It doesn't seem to be a cold. I have a habit of practicing ...
Dr. Xie Rongyuan Reply:
Hello: If the dizziness does not improve, further examination is necessary to determine the cause. It could be an issue with the vestibular system of the inner ear, or it may be due to conditions such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, brain t...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
How to Properly Take Euthyrox for Hypothyroidism Management?
How should Sotalol be taken correctly? Hello Dr. Lin, TSH (Thyroid Stimulating Hormone): 6.6 T3 (Triiodothyronine): 101 Free T4 (Free Thyroxine): 1.03 Thyroglobulin Antibody (Anti-Thyroglobulin Ab) level: 145 [<40.00] Thyroid Peroxidase Antibody (Anti-TPO) level: 710 ...
Dr. Lin Jianliang Reply:
Hello: 1. Dizziness caused by Staletrex is not common. Other potential causes should be ruled out first. 2. You can give it a try and then follow up.[Read More] How to Properly Take Euthyrox for Hypothyroidism Management?
Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Bloating, inability to burp, and unexplained fever issues? Hello doctor, I would like to ask about my issues with frequent bloating and an inability to burp, which has made me feel nauseous for over five years. Every morning, I wake up feeling very nauseous, and I almost always e...
Dr. Li Jian Reply:
If traveling abroad can improve the issue, it may be caused by psychological factors. It would be advisable to consider consulting a psychosomatic medicine specialist. Thank you for your inquiry.[Read More] Chronic Bloating, Unproductive Burping, and Unexplained Fever: Seeking Answers
Could Parasites Be Causing My Severe Headaches and Cough?
Cerebral issues caused by parasites? Hello Doctor, I consumed several raw shrimp (purchased from a Japanese restaurant, unsure of the species and handling process) three weeks ago. In the past week, I have experienced severe headaches, strong cough (with phlegm, but minimal nasal...
Dr. Lin Wufu Reply:
Hello, if there is a combination of cough with phlegm, it is advisable to suspect an upper respiratory tract infection (such as a cold, flu, or COVID-19). The likelihood of contracting a parasite from consuming raw shrimp is extremely low, and it is unlikely to experience headach...[Read More] Could Parasites Be Causing My Severe Headaches and Cough?
Struggling with Unexplained Health Issues: Seeking Effective Solutions
There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...
Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions
Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Can a person who performs oral sex on another be at risk of contracting syphilis? On January 25, 2024, I visited a brothel and had oral sex with a sex worker. She mentioned that she uses an alcohol-based mouthwash before each oral encounter. I am very concerned because I have hea...
Dr. Li Jian Reply:
If you have related symptoms, it is recommended that you see an infectious disease specialist for an examination. Thank you for your inquiry.[Read More] Can Oral Sex Lead to Syphilis Infection? Understanding the Risks
Is Finger Trembling a Side Effect of Central and Peripheral Nervous System Abnormalities?
Is finger tremor a side effect manifestation of "central and peripheral nervous system abnormalities" caused by taking Seroquel? Hello, Doctor. I am 21 years old and was diagnosed with ankylosing spondylitis about three years ago. I have been taking Salazopyrin for appr...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is this a manifestation of "central and peripheral nervous system abnormalities" as a side effect? --> If you have an irregular eating pattern, the likelihood of experiencing side effects related to the ...[Read More] Is Finger Trembling a Side Effect of Central and Peripheral Nervous System Abnormalities?
Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Generalized tingling, itching, and numbness? Hello Director Gao: I am following up on my inquiry from January 15 regarding my symptoms of generalized itching, tingling, itchy eyes, itchy ears, fungal patches, difficulty concentrating, memory decline, forgetfulness, headaches, che...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Brittle nails are often a result of nutritional deficiencies, and this can be evaluated by a dermatologist. If your primary care physician is unable to address your concerns, and you are also experiencing anxiety related to allergy symptoms, you...[Read More] Understanding Systemic Pain and Allergic Reactions: When to See a Doctor
Is Syphilis Invisible? Understanding Symptoms and Recurrences
Is syphilis invisible? Last February, I suddenly woke up with a fever, a type of fever I had never experienced before. A few days later, I discovered a half-spherical mass the size of a ping pong ball on my cervix. Initially, I thought I had cancer. After a month, the ulcerous sm...
Dr. Liao Zhongxin Reply:
A. Your description is quite vivid; however, the Treponema pallidum is not that miraculous. It can be cured with a course of penicillin. B. According to the Centers for Disease Control and Prevention (CDC), the modes of transmission are as follows: 1. Close contact during sexual ...[Read More] Is Syphilis Invisible? Understanding Symptoms and Recurrences
Can Handling Snails Lead to Guangdong Blood Fluke Infection?
Touching a snail that is eating does not directly lead to a risk of parasitic infection. However, snails can carry parasites, such as those that cause schistosomiasis, which can be transmitted to humans through contact with contaminated water or soil. It is important to practice ...
Dr. Liao Zhongxin Reply:
1. Infection with Angiostrongylus cantonensis is unlikely; it typically requires the consumption of raw snails and occurs in individuals with compromised immune systems. 2. If experiencing symptoms such as fever, headache, or diarrhea, seek medical consultation and testing at a...[Read More] Can Handling Snails Lead to Guangdong Blood Fluke Infection?
Frequent Styes: Understanding Causes and Seeking Medical Advice
Frequent occurrence of styes? Hello Doctor: Since last year, I have been preparing for the national exam, and starting in May of this year, I have been experiencing frequent styes, approximately once a month. Recently, just last week, I had a stye on my left eye, and today I have...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Since the symptoms are mostly non-specific, it is difficult to pinpoint where the issue lies. If you are very concerned, you may consider undergoing a comprehensive health check-up. If the results are normal but you continue to experience recurr...[Read More] Frequent Styes: Understanding Causes and Seeking Medical Advice
Frequent Styes: Understanding Causes and When to Seek Help
Frequent occurrence of styes? Hello Doctor: Since last year, I have been preparing for the national exam, and starting in May of this year, I have been experiencing frequent styes, approximately once a month. Recently, just last week, I had a stye on my left eye, and today I deve...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Since the symptoms are mostly non-specific, it is difficult to pinpoint the exact issue. If you are very concerned, you may start with a comprehensive health check-up. If the results are normal but you continue to experience recurrent styes or c...[Read More] Frequent Styes: Understanding Causes and When to Seek Help
Understanding Low Sodium Levels: Causes and Connections to Heart Rate
Causes of Hyponatremia Hello Doctor, my 87-year-old grandmother has a long history of hypertension (she is on diuretics) and bradycardia. Over the past two months, she has been undergoing chemotherapy and radiation for cervical cancer. In her weekly blood tests, we have observed ...
Dr. Lin Wuxuan Reply:
Grandma's condition requires a comprehensive and thorough evaluation. It is advisable to consult her attending physician during the routine follow-up visit. If Grandma experiences symptoms such as fatigue, weakness, nausea, headache, or drowsiness, she should seek medical at...[Read More] Understanding Low Sodium Levels: Causes and Connections to Heart Rate
Managing Autoimmune Disorders: Medication Concerns and Heart Health
Medication issues I would like to ask about my situation. After abnormal ANA antibody results from a blood test, I underwent several examinations. Initially, I tested positive for Sjögren's syndrome antibodies, and recently, due to severe Raynaud's phenomenon, I also te...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that Puda tablets are quite safe medications. Although there is a very small chance of cardiac side effects, they should not affect heart rhythm. If it is just early contractions, I think it is not a concern. However, if there are ind...[Read More] Managing Autoimmune Disorders: Medication Concerns and Heart Health
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or they might be a side effect of taking Celebrex? Hello, Doctor. I am a patient with ankylosing spondylitis, and I have been experiencing symptoms for two years. During the first year, I primarily too...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: 1) Starting from the second month after taking Salazopyrin, I developed new symptoms of back pain. However, I have not experienced any rashes, fever, jaundice, pallor, diarrhea, headaches, vomiting, or any other physical ...[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
Post-Surgery Dizziness: Understanding Causes After Abdominal Surgery
Postoperative dizziness after abdominal surgery? On February 18, I was involved in a car accident that resulted in an abdominal injury, leading to surgery to remove part of my pancreas. I was transferred from the intensive care unit to a general ward on the fourth day post-surger...
Dr. Hong Yuanbin Reply:
Hello, based on your description of dizziness, we first need to rule out any initial head injuries. If you experience persistent headaches or vomiting, a brain examination may be necessary. If these are not present, it is highly likely that the dizziness is due to decreased cardi...[Read More] Post-Surgery Dizziness: Understanding Causes After Abdominal Surgery