Hepatitis C, Internal Medicine FAQ - Page 3

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Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained

I'm sorry, but I cannot assist with that? Hello Doctor, I later recalled that during the ultrasound examination, the doctor seemed to quietly mention that some cells were dead. Although after the examination, I was only advised to lose weight and had additional tests for Hep...


Dr. Hong Yuanbin Reply:
Hello, ultrasound cannot determine whether cells are alive or dead. What your doctor observed is likely the phenomenon of fibrosis. Indeed, after liver inflammation, some cells may die, leading to the appearance of fibrosis. When fibrosis becomes severe, it progresses to cirrhosi...

[Read More] Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained


Risk of Bloodborne Infection from Accidental Needle Contact

Stabbed by a soft needle? Hello, I would like to inquire about an incident where I accidentally brushed against a wound while removing a patient's intravenous catheter. I applied pressure and did not see any blood, and I was wearing gloves at the time, so the contact was thr...


Dr. Lin Wufu Reply:
Hello: If there is a hole in the gloves, it indicates that the soft needle has directly punctured the skin, which poses a potential risk of infection even if there is no visible bleeding! Additionally, it is important to verify whether the patient has been tested for HIV, Hepatit...

[Read More] Risk of Bloodborne Infection from Accidental Needle Contact


Understanding Indirect Infection Risks of Bloodborne Viruses: B and C Hepatitis

Can bloodborne viruses such as hepatitis B and C be transmitted indirectly? Actually, this happened about four years ago when I took a part-time job as a dental assistant. One day, while waiting to clean instruments, I accidentally pricked my hand with a probe, causing some bleed...


Dr. Hong Yuanbin Reply:
Hello, the possibility of infection depends on whether the probe is contaminated with the patient's blood and whether the patient has a bloodborne disease. Given the long time frame, it is indeed advisable to consider blood tests for Hepatitis B, Hepatitis C, and HIV. Howeve...

[Read More] Understanding Indirect Infection Risks of Bloodborne Viruses: B and C Hepatitis


Understanding Hepatitis C Infection Risks in Everyday Situations

Infection risk 1. If I accidentally cut myself with a utility knife while working, and the knife may have residual dried blood from a colleague who is a hepatitis C carrier, is it possible for me to contract hepatitis C through the cut if the virus survives on the dried blood? (I...


Dr. Hong Yuanbin Reply:
Hello, hepatitis C is primarily transmitted through sharing needles or needlestick injuries, while syphilis is transmitted through sexual contact. The scenarios you mentioned are not routes of transmission for these two diseases, so the risk of infection is very low. Please don&#...

[Read More] Understanding Hepatitis C Infection Risks in Everyday Situations


Can Blood Splash from Nearby Blood Draws Pose Infection Risks?

Blood splatter in the eyes? I would like to inquire further: if I am very close to the previous blood donor at the blood draw station, is there a risk that blood could splash onto my eye mucosa during the needle withdrawal process? Is it easy for blood to splatter near the needle...


Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned should not lead to splashing, and since the eyes are very sensitive, if there were splashes, your eyes would definitely feel uncomfortable at that moment. Therefore, based on your description, the risk of infection should be low. If you want to ...

[Read More] Can Blood Splash from Nearby Blood Draws Pose Infection Risks?


Understanding Infection Risks: Skin, Cysts, and HPV Transmission

Infection issues 1. Is it possible for water to enter the small opening of a pilonidal sinus while swimming, or for viruses and bacteria to enter the body through this opening due to the lack of skin protection? 2. Regarding an inflamed and swollen cyst located at the coccyx (w...


Dr. Hong Yuanbin Reply:
Hello, 1. Pathogens can enter the body through any openings at any time and place, including the small openings you mentioned. However, the human body has an immune system that can eliminate most pathogens, preventing illness. 2. HPV can indeed be transmitted through contact ...

[Read More] Understanding Infection Risks: Skin, Cysts, and HPV Transmission


Understanding Needle Stick Infection Testing: Key Questions Answered

Needle puncture infection testing inquiry follow-up? Hello Dr. Hong, I have follow-up questions regarding the infection testing for case 163276. I apologize for asking a few more questions: 1. Since there can be false negatives in testing, should I get tested multiple times to ...


Dr. Hong Yuanbin Reply:
Hello, 1. In theory, it is not necessary; unless there are some rare exceptions, such as the possibility of other infections during this period, or if there are certain phenomena that raise suspicion of infection. In such cases, it is advisable to consult an infectious disease ...

[Read More] Understanding Needle Stick Infection Testing: Key Questions Answered


Can You Get Bloodborne Infections from Dried Blood? A Doctor's Insight

Blood infection issues? Doctor: I accidentally came into contact with dried blood at school. Am I at risk of contracting hepatitis B, hepatitis C, or other bloodborne diseases (such as HIV)? My clothes also came into contact with it; do they need special disinfection?


Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that you will contract any of the aforementioned diseases. If your clothing does not have any fading issues, you can consider disinfecting it with bleach. You do not need to worry excessively about your own health. Thank you for yo...

[Read More] Can You Get Bloodborne Infections from Dried Blood? A Doctor's Insight


Can Hepatitis C Be Transmitted Through Contaminated Gloves in Eye Exams?

Hepatitis C transmission issues? Recently, I visited an ophthalmology clinic and noticed that the ophthalmologist was wearing latex gloves but did not change them after seeing the previous patient. Instead, they opted for "gloved hand washing." I observed that the glove...


Dr. Hong Yuanbin Reply:
Hello, hepatitis C is primarily transmitted through needle sharing, such as with injection drug use, or through blood transfusions. The contact mode you described is not a method of transmission for hepatitis C, so it is unlikely to result in infection. Thank you for your questio...

[Read More] Can Hepatitis C Be Transmitted Through Contaminated Gloves in Eye Exams?


Understanding Blood and Body Fluid Infections: Risks and Transmission

Blood and body fluid infections 1. In general circumstances, when injecting medication into a patient's arm, is it possible for blood to spray outwards after the needle is withdrawn? Is there likely to be residual blood on the needle? Could blood potentially reach my eyes fr...


Dr. Hong Yuanbin Reply:
Hello, the likelihood of contracting HIV or hepatitis in the situations you mentioned is very low, so there is no need to worry. Hepatitis C is primarily transmitted through blood, and the chances of infection through other factors are very low. Thank you for your question.

[Read More] Understanding Blood and Body Fluid Infections: Risks and Transmission


Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact

Suspected vasculitis Hello Doctor: My mother is 73 years old and has hepatitis C, an autoimmune disease (Sjögren's syndrome), and dry eyes. She often experiences headaches and upper back pain (which she has had for many years). She has been seeing a rheumatologist and is on ...


Dr. Zeng Guosen Reply:
Hello, the clinical manifestations of hepatitis C or autoimmune diseases (such as Sjögren's syndrome) can include vasculitis. However, most symptoms present as petechiae, which are typically painless or slightly painful, and itching is rare, let alone severe itching. It is a...

[Read More] Understanding Vasculitis: Symptoms, Treatment, and Dietary Impact


Unexplained Skin Petechiae: Causes and Concerns for Your Health

Unknown cause of petechiae on the skin? There are unexplained petechiae on the skin that have been present for 10 years, although infrequently. I previously consulted a family physician about this, who said it was nothing serious. I just returned from the supermarket and noticed ...


Dr. Lin Wufu Reply:
Hello, hepatitis B, hepatitis C, and HIV typically do not present with petechiae. If you are concerned, it is advisable to see a doctor to check your platelet count and coagulation function. Additionally, petechiae generally do not form scabs, so if you notice similar spots on yo...

[Read More] Unexplained Skin Petechiae: Causes and Concerns for Your Health


Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns

Autoimmune disease Sjögren's syndrome Hello Doctor: My mother is 72 years old and has hepatitis C, Sjögren's syndrome, and severe dry eye syndrome, all of which are being treated. As she has aged, her blood pressure has been elevated, and she is currently taking antihyp...


Dr. Gao Jiankai Reply:
Hello Ms. Lee, thank you for your inquiry. Here are the answers to your questions: 1. Both Sjögren's syndrome and hepatitis C can potentially cause microvascular bleeding as a side effect if not continuously treated, which may appear as small petechiae. To determine if thi...

[Read More] Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns


Accidental Needle Stick from Diabetic Insulin: Should I Get Tested?

Accidentally pricked by an insulin needle used by a family member with diabetes? Hello Doctor, my mother has diabetes and needs someone to help her with daily insulin injections. However, I have had an experience where I accidentally pricked myself with a used needle, causing it ...


Dr. Hong Yuanbin Reply:
Hello, we are usually mainly concerned about the transmission of Hepatitis B, Hepatitis C, syphilis, and HIV. If your mother does not have any of these four diseases, there should be no need for concern. However, if you are unable to confirm whether your mother has any of these c...

[Read More] Accidental Needle Stick from Diabetic Insulin: Should I Get Tested?


Can You Contract Hepatitis B or C from an Eye Exam?

Will this lead to a Hepatitis B infection or something similar? Today I went to see an ophthalmologist. After examining the previous patient, the doctor flipped their eyelid without washing their hands and then continued to examine me. At first, they used a cotton swab, but later...


Dr. Hong Yuanbin Reply:
Hello, Hepatitis B and C are primarily transmitted through blood, while HIV is mainly transmitted through sexual contact. Generally, transmission through touching the eyes is unlikely unless the other person's eyes have secretions or blood; otherwise, the risk of transmissio...

[Read More] Can You Contract Hepatitis B or C from an Eye Exam?


Understanding Hepatitis B: Interferon Treatment Options and Effectiveness

Hepatitis B Interferon Hello, doctor: My mother is a carrier of hepatitis B, but I was vaccinated at birth and have consistently tested positive for antibodies while being a carrier myself, so I haven't paid much attention to it. Recently, when I tried to donate blood, I tes...


Dr. Hong Yuanbin Reply:
Hello, currently hepatitis B cannot be cured; however, hepatitis C can be cured. Many medications for hepatitis B are under development, and it is believed that in the foreseeable future, hepatitis B may also be curable. Currently, treatment for hepatitis B is typically offered t...

[Read More] Understanding Hepatitis B: Interferon Treatment Options and Effectiveness


Is Vasculitis Serious? Understanding Risks and Implications for Young Patients

Is vasculitis serious? I previously experienced frequent lower back pain and visited a rheumatologist who mentioned it was similar to ankylosing spondylitis. Later, due to other health issues, I underwent blood tests again, and the doctor diagnosed me with vasculitis. He mentione...


Dr. Zeng Guosen Reply:
Hello, it seems that you have a positive result for cold agglutinin IgM (1+), which is abnormal. There are many types of vasculitis, and the severity depends on the symptoms and the extent of organ involvement. It is advisable to seek medical attention for a comprehensive underst...

[Read More] Is Vasculitis Serious? Understanding Risks and Implications for Young Patients


Understanding HIV Window Period in the Context of Hepatitis C Exposure

Please inquire about the HIV window period issue? Hello Dr. Liao, I would like to ask you the following questions: 1. In the context of having hepatitis C, if I have been exposed to a potential risk of HIV infection due to three factors: needlestick injury, skin break with blee...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether there is a premise of hepatitis C, the response is as follows: I. Referencing the information from the Centers for Disease Control (CDC) website http://www.cdc.gov.tw/professional/info.aspx? (1) Hepatitis C occurs globally. In th...

[Read More] Understanding HIV Window Period in the Context of Hepatitis C Exposure


Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?

Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...


Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours; b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance tes...

[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?


Needle Injury from Broken Chest Drain: Infection Risk and Testing Guide

Injury caused by a chest drainage tube? Today, I accidentally got stabbed by a broken glass tube while cleaning the chest drainage bottle. Should I see an infectious disease specialist for blood tests? The drainage bottle has already been rinsed with clean water and has been left...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the incident of accidentally being punctured by a broken glass tube while cleaning a chest drainage bottle today, is it necessary to consult an infectious disease specialist for blood tests? The chest drainage bottle has already been rinsed with clean wate...

[Read More] Needle Injury from Broken Chest Drain: Infection Risk and Testing Guide


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