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?
Understanding Dark Green Stool After Gastroenteritis: Causes and When to Seek Help
The stool is slightly dark green? Hello, Doctor. I had a viral gastroenteritis infection on October 3rd, and I received an injection and took medication for a week. Although I did not experience diarrhea after the injection, I did have constipation and developed internal hemorrho...
Dr. Lin Wufu Reply:
Hello, it is difficult to determine the cause of your dark green stool without further information (usually, stool color is related to food). Typically, viral gastroenteritis resolves completely within two to three weeks and does not usually leave any lasting effects. If you are ...[Read More] Understanding Dark Green Stool After Gastroenteritis: Causes and When to Seek Help
Efficacy of Doxycycline for Treating Primary Syphilis: A Comparison with Penicillin
The effectiveness of Doxycycline in treating syphilis? Hello, doctor. I would like to ask you about the use of the antibiotic doxycycline for oral treatment of primary syphilis. If taken consistently, can it achieve the same effectiveness as injectable penicillin? I couldn't...
Dr. Lin Wufu Reply:
Hello, the rate of antibiotic resistance can vary based on different regions and studies conducted at different times. However, in the current situation in Taiwan, administering penicillin via injection or oral doxycycline usually yields good results. It is important to note that...[Read More] Efficacy of Doxycycline for Treating Primary Syphilis: A Comparison with Penicillin
Understanding Arm Pain in Diabetic Patients: Injection vs. Medication
Arm pain Your mother has chronic conditions such as diabetes, hypertension, hyperlipidemia, and gout, and her kidney function is poor. She has recently started insulin therapy. She has been complaining of arm pain and has been requesting injections at the clinic for years wheneve...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. With abnormal kidney function, both injections and oral medications need to be approached with caution. The injections administered at hospitals or clinics are generally similar, but it is important to remind the prescribing physician that the ...[Read More] Understanding Arm Pain in Diabetic Patients: Injection vs. Medication
Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery
Gastrointestinal discomfort In the early hours of Saturday, around 2-4 AM, I vomited five times (stomach acid) and had two bowel movements (one normal and one small but somewhat loose). Early Sunday morning, around 8:30 AM, I saw a doctor and received an injection. The doctor adv...
Dr. Lin Wufu Reply:
Hello! As you mentioned, the symptoms you are experiencing are indeed common manifestations of gastroenteritis. Typically, discomfort lasts about three days to a week, depending on the severity. If you felt improvement on Saturday along with a reduction in fever, it is likely tha...[Read More] Understanding Gastrointestinal Distress: Symptoms, Causes, and Recovery
Is Ultracet the Right Medication for My Cold Symptoms?
Ultracet Hello doctor, I have a cold with a sore throat and headache, and today is the 11th day. I visited a general clinic three times with no improvement, so I went to a medical center today. The doctor prescribed Ultracet tablets to be taken four times a day and Naposin 250mg ...
Dr. Hong Yuanbin Reply:
Hello, Ultracet's main components are acetaminophen and tramadol. Tramadol injections are indeed commonly used for pain relief in cancer patients; however, Ultracet can also be used for pain management in patients with conditions other than cancer. Therefore, it is not exclu...[Read More] Is Ultracet the Right Medication for My Cold Symptoms?
Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...[Read More] Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study
Understanding Elevated White Blood Cell Counts: What You Need to Know
Leukocytosis Hello Doctor, my girlfriend recently went to the hospital for a blood test and found that her white blood cell count is elevated. Is there anything I should be aware of? Her father passed away from blood cancer and bone cancer, which was attributed to an overdose of ...
Dr. Xiao Yongxun Reply:
Dear Mr. You: Certain types of breast cancer, blood cancer, and bone cancer may be related to genetics or family history; however, the evidence is not always definitive. Nonetheless, physicians will still take this into consideration during medical history inquiries. Many cases ...[Read More] Understanding Elevated White Blood Cell Counts: What You Need to Know
Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Purulent tonsillitis in the oral cavity, gingival swelling, and purulent lips? Hello Doctor, since I took my sister to the hospital on January 4th and stayed there from 9 AM to 10 PM, I have not slept for eighteen hours. It was the most irregular day for my schedule in over a yea...
Dr. Hong Yuanbin Reply:
Hello, based on your description, your oral ulceration does seem severe. It may not be possible to determine the true cause based solely on your description. I recommend visiting a major hospital's dental department for relevant examinations, including viral testing. If ther...[Read More] Understanding Oral Infections: Tonsillitis, Gum Swelling, and Lip Ulcers
Weight Gain of 15 kg in 8 Months: Is It Related to My Medications?
Gained 15 kilograms in 8 months? Hello, doctor: I would like to ask if gaining 15 kilograms in 8 months indicates a problem with my body. I eat a normal amount for three meals a day and drink 3 to 4 liters of water daily. I also exercise three times a week for one hour. I have be...
Dr. Zeng Guosen Reply:
It is recommended to consult an endocrinologist for evaluation. Thank you for your question.[Read More] Weight Gain of 15 kg in 8 Months: Is It Related to My Medications?
Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Experiencing lower back pain after receiving the flu vaccine? Hello doctor, I received the flu vaccine on Friday afternoon, and since then my lower back has been very sore. Is this a side effect of the vaccine? I need to take care of my child, and especially after sitting in the ...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question "<Is back pain after receiving the flu vaccine a side effect of the vaccine?>", here is the response: I. Please refer to the CDC's Q&A: http://www.cdc.gov.tw/qa.aspx? Q1: Is the flu vaccine safe? What side effects m...[Read More] Lower Back Pain After Flu Vaccine: Is It a Side Effect?
Managing Diabetes: Should My Father Be Hospitalized or Treated at Home?
Diabetes issues My father, 46 years old, male, has no family history of diabetes. He was recently diagnosed with diabetes and diabetic ketoacidosis (DKA) after a hospital visit where his blood glucose level was measured at 486 mg/dl. Due to a lack of available beds in the hospita...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen, Diabetic ketoacidosis (DKA) is classified as a hyperglycemic emergency. Key diagnostic points include hyperglycemia, the presence of ketones in urine or blood, and a significant acidotic blood pH. The symptoms can vary widely and may include dehydration, abdominal...[Read More] Managing Diabetes: Should My Father Be Hospitalized or Treated at Home?
Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Pneumonia Hello, doctor... My mother is 60 years old! She initially sought treatment at a clinic for a urinary tract infection but only received injections and medication without improvement for about ten days. She then started experiencing high fevers around 39 to 40 degrees Cel...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your mother's condition may have worsened. If she is feeling very unwell, it is advisable to seek emergency care. Regarding her lung condition, it appears to be quite complex and may involve atypical pathogens or inflammation c...[Read More] Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Understanding Lyme Disease: Symptoms, Diagnosis, and Treatment Insights
Leigh syndrome Hello, Dr. Gao: About a month ago, I started experiencing pain in all my bones, followed by urinary tract infection and conjunctivitis. I have a history of ankylosing spondylitis, but what's strange is that I had a urinary tract infection about 10 months ago. ...
Dr. Gao Jiankai Reply:
Hello Mr. Zhang, thank you for your question. Here are my responses: 1. Although most cases of Lyme disease occur within a month of infection, there are rare instances where it may be related to infections that happened a long time ago. The longer the duration of the infection,...[Read More] Understanding Lyme Disease: Symptoms, Diagnosis, and Treatment Insights
Understanding the Risk of HIV After a Syphilis Diagnosis
Fear of AIDS I would like to ask if someone has recently been confirmed to have syphilis, but they mentioned that it has been 2 months since their syphilis diagnosis. Their test results showed no HIV reaction, only syphilis. I will be getting tested after 3 months. Is it possible...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question of whether I could have contracted HIV after three months of testing, here are the key points: A. The HIV virus has three main transmission routes: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse with an HIV-infected...[Read More] Understanding the Risk of HIV After a Syphilis Diagnosis
Concerns About Dust Contamination During Injections: What You Need to Know
Injection issues? Hello Doctor: A few days ago, I visited a nearby clinic due to feeling unwell and received an intravenous injection. However, I noticed that there was dust floating around the injection area, and I'm worried that some of the dust may have contaminated the m...
Dr. Liao Zhongxin Reply:
Dear readers: Dust generally does not cause infections through needles; it is droplets or aqueous substances (including blood and bodily fluids) that can lead to infections. Thank you![Read More] Concerns About Dust Contamination During Injections: What You Need to Know
Understanding IV Line Infections: Risks and Best Practices for Pediatric Care
Infection issues related to intravenous (IV) catheters? Dear Doctor, I have a question regarding my 1-year and 1-month-old child. Recently, my child was hospitalized and received intravenous therapy. During the hospitalization, the IV tubing connector became loose and fell to th...
Dr. Liao Zhongxin Reply:
Dear readers: <Is there a risk of infection from intravenous infusion lines?> A: 1. Two articles are provided for reference. 2. Administering intravenous or intraosseous infusions to patients, especially infants and young children, is an invasive procedure. Throughout ...[Read More] Understanding IV Line Infections: Risks and Best Practices for Pediatric Care
Understanding Secondary Syphilis: Treatment Progress and Concerns
Syphilis infection Hello Doctor: Since being diagnosed with stage 2 syphilis (within one year), I have received three injections of 2.4 million units of penicillin on February 20, February 24, and March 4. However, as of today, March 12, the rash on my hand (which has resolved on...
Dr. Liao Zhongxin Reply:
Dear readers, regarding issues related to secondary syphilis infection, the following recommendations are provided: 1. You have received three doses of medication on February 20, February 27, and March 4, which should be sufficient; there is no need for a fourth injection. 2. You...[Read More] Understanding Secondary Syphilis: Treatment Progress and Concerns
Low Lymphocyte Count: Could It Indicate HIV Infection?
A low lymphocyte count and a neutrophil count near the upper limit of normal could potentially indicate various conditions, including HIV. However, these findings alone are not definitive for an HIV diagnosis. It is important to consult a healthcare professional for further evalu...
Dr. Liao Zhongxin Reply:
Regarding <My Story>, the response is as follows: 1. I discovered painful urination and purulent discharge in mid-December last year and immediately sought medical attention at a clinic. However, there was no discharge during the examination. The doctor administered an in...[Read More] Low Lymphocyte Count: Could It Indicate HIV Infection?
Understanding the Diabetes Honeymoon Phase: What You Need to Know
Diabetes honeymoon phase Hello Doctor: I was previously diagnosed with prediabetes, and the doctor said that dietary control would suffice. Over the past month, I have been managing my diet and exercising, and my blood sugar levels have gradually returned to normal, which makes m...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The term "diabetes honeymoon phase" refers to a period after the onset of diabetes during which blood sugar levels are well-controlled, often without the need for medication, due to dietary changes, exercise, medication, or insulin therapy. In type 2 d...[Read More] Understanding the Diabetes Honeymoon Phase: What You Need to Know