Lips, Internal Medicine FAQ

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Understanding HIV Transmission Risks: Oral and Anal Concerns

Regarding healthcare? Hello, doctor. I would like to ask three questions. 1. If there is a wound in the mouth (such as on the lips or inside the mouth), can I get infected if I eat something that has HIV-infected blood or bodily fluids? 2. Similarly, if I have a wound in my m...


Dr. Lin Wufu Reply:
1. If bodily fluids contain live HIV, there is indeed a risk of infection. 2. All diseases transmitted through bodily fluids or droplets have the potential for infection. 3. Viruses typically die within minutes outside the human body, and public restrooms are unlikely to have bod...

[Read More] Understanding HIV Transmission Risks: Oral and Anal Concerns


Understanding Systemic Pain and Itching: A Comprehensive Guide

Generalized tingling, itching, and numbness? Hello Doctor: I have been experiencing sneezing, runny nose, and constipation for the past year. I consulted a gastroenterologist and underwent a colonoscopy and endoscopy, which revealed colon polyps, gastric polyps, and gastroesophag...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend starting with a visit to a family medicine physician. Since you are experiencing some allergy symptoms, if you are truly concerned about potential issues with your immune function, you may also consider seeing an allergist or immunol...

[Read More] Understanding Systemic Pain and Itching: A Comprehensive Guide


Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care

Long-term post-nasal drip has recently worsened, presenting symptoms such as fever, neck swelling, and pharyngeal pain? I suspect I have an infection in my nose, which is causing post-nasal drip and resulting in coughing. This symptom has persisted for about six months (since Apr...


Dr. Lin Wufu Reply:
Hello, it is recommended to visit the ENT department of a major hospital today (10/9) to confirm what the neck mass is. It is most likely lymphadenopathy, which is just an inflammatory response, possibly caused by a new wave of tonsillitis starting from 10/6. This is separate fro...

[Read More] Managing Chronic Post-Nasal Drip with Fever and Neck Swelling: When to Seek Emergency Care


Can You Get HIV or Other Bloodborne Diseases from Oral Wounds?

Please provide the content you would like me to translate into English? Hello, doctor. Previously, I asked you the following question: "If there are sores or wounds inside or outside the mouth (such as on the lips), and if I consume food that has come into contact with the b...


Dr. Lin Wufu Reply:
1. There is a risk of transmission, but the risk is low; the likelihood of becoming infected from a single exposure is at most one percent. 2. The transmission efficiency and risk associated with each pathogen vary, and they cannot be discussed collectively. In principle, there i...

[Read More] Can You Get HIV or Other Bloodborne Diseases from Oral Wounds?


Understanding Behçet's Disease: Symptoms and Diagnosis in Adults

Behçet's disease? Hello, doctor. I am a 43-year-old male. Previously, I experienced some issues with my glans and foreskin; when I tried to retract the foreskin to clean the glans, it would sometimes cause minor tears, but this would heal after a while. This symptom occurred...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The oral mucosal ulcers associated with Behçet's disease, similar to thrush, often occur in multiple locations, and the ulcers in the genital area are also similar. Based on your symptoms, it seems unlikely to be Behçet's disease. Addi...

[Read More] Understanding Behçet's Disease: Symptoms and Diagnosis in Adults


Understanding Cryptococcus Infection Risks and Testing Options

Cryptococcal infection issues Hello doctor, two days ago while riding my motorcycle, I suddenly felt something drop onto my lower lip. I immediately wiped it off with my finger and discovered it was a yellow substance. My belongings were also contaminated with a small drop of yel...


Dr. Lin Wufu Reply:
Hello, Cryptococcus is not only found in pigeon droppings; it can also be present on many plants in the environment. In most cases, inhaling Cryptococcus does not lead to infection. The likelihood of contracting a Cryptococcus infection is higher when one's immune system is ...

[Read More] Understanding Cryptococcus Infection Risks and Testing Options


Can You Contract HIV or Other Bloodborne Diseases Through Oral Wounds?

Medical issues Hello, doctor. I would like to ask about the risk of contracting HIV or other bloodborne pathogens through food that may have come into contact with the bodily fluids or blood of an infected person. Specifically, if I have cuts or sores inside or outside my mouth (...


Dr. Lin Wufu Reply:
Hello, the HIV virus has a very short survival time outside the body, so transmission is usually more likely to occur through direct oral contact with bodily fluids containing the virus during sexual activity. Currently, there have been no reported cases worldwide of contracting ...

[Read More] Can You Contract HIV or Other Bloodborne Diseases Through Oral Wounds?


Understanding Disease Risks from Oral Contact: A Medical Perspective

Will I contract any diseases? Hello, doctor. I would like to ask a question: Over three years ago, I engaged in sexual activities with a sex worker and kissed a girl. Because I was inexperienced, my teeth accidentally poked her mouth (I am not sure if it was her lips or the insid...


Dr. Lin Wufu Reply:
Hello, there is always a certain risk of disease transmission with exposure to blood and bodily fluids. However, unless there is significant bleeding, the risk of transmission for HIV, Hepatitis B, Hepatitis C, and syphilis is quite low. On the other hand, viruses such as cytomeg...

[Read More] Understanding Disease Risks from Oral Contact: A Medical Perspective


Understanding Lip Pain: When to Seek Medical Advice

Lip issues Hello, I would like to ask about suddenly feeling a slight pain in my lips at night. When I looked, they seemed a bit red. Is this normal? I asked my sister, and she said it might be because I accidentally bit them, and that applying oral ointment would be fine. Howeve...


Dr. Hong Yuanbin Reply:
Hello, the most common cause of red and painful lips is indeed accidentally biting them. Aside from that, the most frequent issue is viral infections, such as herpes virus infections. Most cases will resolve on their own, so there is no need to worry. As for the very few cases th...

[Read More] Understanding Lip Pain: When to Seek Medical Advice


Is Frequent Urination Linked to Kidney Health Issues?

Is there a relationship between frequent urination and the kidneys? Hello doctor, I have been experiencing frequent urination, more than 8 times a day, with each voiding around 50, 100, or 150 ml, and sometimes it can reach 200 ml. The color of my urine is deep yellow in the morn...


Dr. Lin Wuxuan Reply:
Hello, Yaxun. If the frequency of urination increases, it could indeed indicate a problem with the kidneys. However, it may also be due to excessive fluid intake or psychological factors such as anxiety and stress leading to psychogenic polydipsia. Other potential causes include ...

[Read More] Is Frequent Urination Linked to Kidney Health Issues?


Understanding Nail Color Changes: What Purple Nails Could Indicate

Nail color consultation? Hello, doctor. I would like to ask about something I noticed this morning when I looked at my nails, particularly the area near the lunula on my thumb, which appears to have a deeper, slightly purplish color. It's most noticeable when viewed from the...


Dr. Hong Yuanbin Reply:
Hello, if you do not experience shortness of breath while walking, the likelihood of hypoxia is low. As for the color of your nails appearing darker, it should still be within the normal color range. A small number of people may have darker nail coloration due to temperature chan...

[Read More] Understanding Nail Color Changes: What Purple Nails Could Indicate


Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies

Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...


Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...

[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies


Understanding Unusual Lip Color Changes: Causes and Solutions

The color of the lips is different from others? Hello Doctor: My lips, as shown in the linked photo (https://img.onl/el2H6z), are usually a purplish-black color, similar to the character Fujiki from "Chibi Maruko-chan." I didn't have this discoloration during infan...


Dr. Hong Yuanbin Reply:
Hello, based on your photo, the color of your lips is only slightly darker but still within the normal range. Mitral valve prolapse and tricuspid regurgitation can indeed cause hypoxia, which may lead to darker lip color; however, if you do not experience shortness of breath, it ...

[Read More] Understanding Unusual Lip Color Changes: Causes and Solutions


Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options

Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...

[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options


Why Is My Cold Lasting Over 20 Days? Understanding Prolonged Symptoms

Cold not yet healed? I have had a cold for over 20 days and have seen two or three doctors who all diagnosed it as a cold. I have been taking my medication as prescribed, but I am still not better. An X-ray of my lungs showed no issues. I have a mild cough and a sore throat, and ...


Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your concern may be a persistent cough. Some individuals do experience bronchitis as a complication after a cold, which can lead to a prolonged cough. Additionally, the recent poor air quality can further trigger coughing. I recomme...

[Read More] Why Is My Cold Lasting Over 20 Days? Understanding Prolonged Symptoms


Concerns About Water Contamination After Spa Visit: What You Need to Know

Waterborne infection issues? Hello Doctor, I previously visited a massage parlor (only hand services, no intercourse). While cleaning myself, I accidentally rinsed my mouth or splashed water on my lips with the showerhead. I’m concerned that if the previous user had any bodily fl...


Dr. Hong Yuanbin Reply:
Hello, waterborne transmission typically involves gastrointestinal diseases, which usually manifest within a week. If you do not experience any discomfort within a week, there is generally no need for special examinations. Thank you for your inquiry.

[Read More] Concerns About Water Contamination After Spa Visit: What You Need to Know


Accidental Exposure to Hand Sanitizer: What You Need to Know

Accidentally sprayed with hand sanitizer? Hello, as mentioned in the title, while using hand sanitizer, I accidentally sprayed a little bit at an angle towards my mouth. I quickly rinsed my mouth out, but I'm not sure if this will cause any issues. I didn't swallow it; ...


Dr. Hong Yuanbin Reply:
Hello, the main ingredient in hand sanitizer is alcohol, and if a small amount accidentally comes into contact with the mouth, it will not have any significant effect on the body. Please don't worry, and thank you for your question.

[Read More] Accidental Exposure to Hand Sanitizer: What You Need to Know


Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance

Sebaceous gland abnormalities Symptoms: 1. Several small white spots on the inner side of the lips (appeared at the end of October, confirmed by a dentist as sebaceous glands). 2. Dense small white spots on the upper eyelids and around the eyes (have been present for some time, c...


Dr. Li Jian Reply:
Excessive hair loss and weight loss can be evaluated for thyroid function abnormalities, while sebaceous gland issues should be referred to a dermatologist.

[Read More] Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance


Assessing Infection Risks After Condom Slippage During Intercourse

Infection risk I had sexual intercourse with a female online friend the day before yesterday, and I am unsure of her health status. We used a condom throughout, but during a position change, the condom slipped off and got stuck at her vaginal opening. We continued with the condom...


Dr. Hong Yuanbin Reply:
Hello, if a condom slips off, it is indeed considered unsafe sex. However, whether or not an infection occurs depends on whether the partner has a sexually transmitted infection (STI). It is recommended to get tested or consider anonymous testing. Thank you for your question.

[Read More] Assessing Infection Risks After Condom Slippage During Intercourse


Understanding Lip Issues: Causes and Solutions for Cracked Lips

Lip issues Hello, Doctor. Since the year before last, my lips have been cracking whenever there is a change in weather (such as rain or colder temperatures). Sometimes, the corners of my mouth also crack and bleed. I previously consulted a dermatologist who diagnosed me with angu...


Dr. Hong Yuanbin Reply:
Based on your description, it seems that you are experiencing chapped lips, which can be attributed to individual physiological factors. Many people have lower sebum production, making them more prone to this condition. Adjusting your daily habits and supplementing with vitamins ...

[Read More] Understanding Lip Issues: Causes and Solutions for Cracked Lips


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