Post-Appendectomy: Persistent Low-Grade Fever, Dizziness, and Appetite Loss
After appendectomy, the body often experiences elevated temperature, dizziness, and decreased appetite? Hello Doctor, in mid-July, I had a continuous high fever of 39 degrees Celsius for two days. I was taken to the emergency room and found out that my appendix had ruptured. The ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the main issues seem to be elevated body temperature and poor appetite. I'm not sure if there are any other discomforts, including those related to the surgical area or other parts of the body. If there are, it may be necessary to conduct ex...[Read More] Post-Appendectomy: Persistent Low-Grade Fever, Dizziness, and Appetite Loss
Navigating Conflicting Medical Opinions: Lymphadenopathy vs. Cellulitis
The initial orthopedic consultation indicated lymphadenopathy, and the follow-up visit diagnosed cellulitis? Hello Doctor, my ex-husband was diagnosed with COVID-19 on June 26. During this time, several areas became swollen and formed hard lumps. The swollen areas initially inclu...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the main issue is the enlargement of the lymph nodes. One aspect that needs clarification is whether this lymphadenopathy occurred suddenly after a COVID-19 infection or if it has been present for some time. If it occurred suddenly, theoretically...[Read More] Navigating Conflicting Medical Opinions: Lymphadenopathy vs. Cellulitis
Understanding Bone Marrow Suppression and Its Complications After Azathioprine
Subsequent Issues Following Bone Marrow Suppression Induced by Azacitidine Hello, Doctor Gao. In February of this year, I visited the rheumatology and immunology department due to mild vitiligo and alopecia areata. I was prescribed Yasmin for a month, which resulted in significan...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I don't believe it's purpura. The likelihood of lymphoma is very low because your lymph nodes are small. It may be more likely that the side effects of the medication have not completely resolved. Although your platelet count is somew...[Read More] Understanding Bone Marrow Suppression and Its Complications After Azathioprine
Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
I would like to inquire about lymphadenopathy associated with necrosis? Hello Doctor: I have had a history of epilepsy since childhood, but it has been well controlled. At 36, I experienced ovarian decline, and by 37, I had completely gone through menopause. I have had a persiste...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: Question: Could this be Kikuchi disease? Is necrosis very serious? Is surgery necessary, or are there other more conservative treatment options? Response: Kikuchi disease requires a lymph node biopsy. Necrosis is merely ...[Read More] Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
Understanding Lymph Node Swelling and Elevated LDH Levels: What to Know
Lymphadenopathy / Elevated LDH levels Hello Doctor, my friend recently developed a sudden swelling in the neck, approximately 1.5 cm in size. Initially, it was painful when pressed, and they immediately went to an ENT specialist who recommended transferring to a larger hospital. ...
Dr. Lin Wufu Reply:
Hello! The enlargement of cervical lymph nodes combined with elevated LDH levels does warrant caution regarding the possibility of hematological disorders or malignancies. However, the most accurate method of diagnosis is through biopsy followed by pathological examination. Typic...[Read More] Understanding Lymph Node Swelling and Elevated LDH Levels: What to Know
Understanding Persistent Throat Discomfort: Causes and Solutions
Oral issues Hello Doctor, I would like to consult you. I have had a sensation of a foreign body and severe pain in my throat for over three months (it was slightly milder three months ago). Currently, the symptoms are located at the left base of my tongue and deep in my throat, w...
Dr. Li Jian Reply:
For issues related to deep throat, abnormalities in the pharyngeal wall, or oral problems, it is important to follow up with an otolaryngology department at a medical center for further evaluation.[Read More] Understanding Persistent Throat Discomfort: Causes and Solutions
Understanding Drug Allergies: Identifying Culprits After Medication Reactions
Drug allergy I would like to ask if it is possible for a drug allergy to manifest as a rash four days after stopping the medication? I had swollen lymph nodes that persisted for a month, so I consulted a doctor and was prescribed Augmentin 1g tablets for a week and a half. After ...
Dr. Hong Yuanbin Reply:
Hello, typically, the chance of an allergic reaction is lower if medication is stopped for four days. However, it is also possible that the subsequent medication caused the reaction, or it could be due to other factors such as food or environmental allergens. The exact cause of a...[Read More] Understanding Drug Allergies: Identifying Culprits After Medication Reactions
Understanding Lymph Node Swelling After Insect Bite: What to Do?
Lymphadenopathy in the groin region has migrated to the axilla? Hello doctor, my father is 83 years old. In the middle of last month, while he was tending to his dragon fruit garden, he was stung by a bee. He mentioned it was only one sting and did not seek medical attention for ...
Dr. Lin Wufu Reply:
Hello: It may be necessary for your father to come to the clinic for further evaluation and examination to determine what is happening. Swollen lymph nodes in different areas can be due to infections or allergic reactions. In older individuals, it is also important to be cautious...[Read More] Understanding Lymph Node Swelling After Insect Bite: What to Do?
Can Dental Procedures Lead to Bloodborne Infections?
Is it possible to have a blood infection from dental procedures? Hello Doctor: When I went to the dental clinic to have my wisdom teeth extracted, I was under anesthesia and couldn't control my rinsing, resulting in water splashing into my eyes. However, there was blood from...
Dr. Hong Yuanbin Reply:
Hello, the likelihood of contracting HIV in the situation you described is very low, so it is unlikely that you are infected unless you experience symptoms such as fever, sore throat, or swollen lymph nodes, in which case you should seek medical attention. Thank you for your inqu...[Read More] Can Dental Procedures Lead to Bloodborne Infections?
Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice
Muscles near the axilla (armpit) Hello Doctor, today I felt a sudden soreness in the muscles under my right armpit or near my chest. When I poke it, it feels like there's something in the muscle or tissue, and it hurts a bit when I press on the bone area. I'm not sure i...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the most likely issue is a strain. The pain from a strain typically worsens with elevated use of the affected hand. As for the pneumothorax you mentioned, it usually presents with asthma-like symptoms and more severe breathing difficulties. Cance...[Read More] Understanding Muscle Pain Near the Armpit: When to Seek Medical Advice
Should I Get Tested for HIV After Contact with Blood in Sparring?
The issue of exposure to a pool of blood? Hello, doctor. I have a habit of practicing martial arts. A few days ago during practice, my opponent had a lot of bleeding from the face, and blood splattered on my face and the floor. Since it was a practice match, I didn't stop th...
Dr. Hong Yuanbin Reply:
Hello, HIV is primarily transmitted through sexual contact or blood transfusion, and the risk of infection through casual contact is very low. Based on the situation you described, it is unlikely that you would contract HIV. However, if you experience any discomfort in the future...[Read More] Should I Get Tested for HIV After Contact with Blood in Sparring?
Understanding Left-Sided Symptoms: Possible Immune System Issues
Immune system issues? Hello, doctor. I am currently preparing for my college entrance exam, but I have been experiencing some unusual symptoms and would like to seek your reassurance. I would like to ask why my symptoms are predominantly affecting the left side of my body. For ex...
Dr. Hong Yuanbin Reply:
Hello: The effects of the immune system are generally systemic, with very few distinctions made between the left and right sides. Therefore, the likelihood of a systemic immune response is relatively low. However, the left-sided lymphadenopathy and some discomfort you described a...[Read More] Understanding Left-Sided Symptoms: Possible Immune System Issues
Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Final inquiry? Hello, doctor. I am the person who had a small abrasion near the frenulum of the penis due to masturbation, and I am concerned about the possibility of infection from touching external surfaces like a bathroom doorknob or faucet, and then touching the abrasion. I a...
Dr. Hong Yuanbin Reply:
1. Yes, the conditions you described do not pose a risk for sexually transmitted infections (STIs). 2. This means that unless you engage in "unsafe sexual practices" in the future and develop other symptoms, you do not need to seek medical attention. 3. Yes, it will not...[Read More] Understanding STD Risks: Do Minor Cuts Lead to HIV or Syphilis Infection?
Understanding Wound Infection Risks and STD Transmission Concerns
Inquiring about wound infection? Hello, Doctor. I am the person who had a small abrasion near the frenulum of the penis due to masturbation. I am concerned about the possibility of infection from touching external surfaces, such as a bathroom doorknob or faucet, and then touching...
Dr. Hong Yuanbin Reply:
Hello, 1. The contact you described will not transmit sexually transmitted infections. 2. Yes, there is no risk of infection. 3. It is on the inner part of the genitals. 4. Yes, it can be ruled out. 5. Yes, it can be ruled out. 6. Yes, it can be ruled out. 7. There is no risk of ...[Read More] Understanding Wound Infection Risks and STD Transmission Concerns
Understanding Enlarged Submandibular Lymph Nodes: Causes and Treatment
Submandibular lymphadenopathy Symptom description: 1) Generalized muscle soreness 2) No fever, but has a cough 3) Pain upon pressing the area between the upper abdomen and the ribs 4) Pain in the left axilla, but no swelling 5) Unilateral (left side) submandibular lymphadenopathy...
Dr. Hong Yuanbin Reply:
Hello, based on your description, we need to first confirm whether the symptoms of muscle soreness, abdominal tenderness, axillary pain, and lymphadenopathy have all occurred recently. If these are long-standing issues, we must consider whether they are due to muscle strain or ot...[Read More] Understanding Enlarged Submandibular Lymph Nodes: Causes and Treatment
Unexplained Heat on the Right Side of the Face: Causes and Solutions
Unexplained fever on the right side of the face? Hello Doctor: About a year ago, I had a blood test at the hospital, and the needle was inserted in the center of my right arm. It hurt for more than three months before it got better. During that time, the pain radiated from the mi...
Dr. Lin Wufu Reply:
Hello! The relationship between the pain in your right arm and the subsequent symptoms cannot be determined at this time. However, based on what you mentioned, you have: 1. Right ear pain 2. Swelling of the right lymph nodes 3. Nasal discharge running into the right ear 4. Hearin...[Read More] Unexplained Heat on the Right Side of the Face: Causes and Solutions
Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Syphilis treatment Last November, I was diagnosed with syphilis with a titer of 1:256. I received one injection and took tetracycline for 21 days. During this week's follow-up, the titer is still at 1:128, which seems to be decreasing slowly. Therefore, I received another in...
Dr. Liao Zhongxin Reply:
Dear readers: 1. <Is the decrease in index a bit slow?> A: If it is a first-time infection and treatment is received within a year, the index does indeed decrease somewhat slowly. If it is a reinfection (more than twice) with an increase of fourfold or more, it can be co...[Read More] Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Understanding HIV Testing: When to Retest After Risky Behavior
HIV screening Hello Doctor, I had an HIV and syphilis test at least four months after my last high-risk sexual encounter (on August 8 of this year), and both tests were negative. However, on the day of the rapid test, the technician used the same gloves without changing them and ...
Dr. Hong Yuanbin Reply:
Hello, the process of blood drawing is not expected to significantly increase the risk of disease transmission. The primary mode of transmission is still through sexual intercourse. It is advisable to estimate based on the timing of sexual activity. Thank you for your question.[Read More] Understanding HIV Testing: When to Retest After Risky Behavior
Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Fever of unknown origin? Hello doctor, since July until now (August 26), my body temperature has been consistently elevated. The lowest temperature in July was 37.2°C, and it intermittently rose to 38°C. After a while, I started experiencing gastrointestinal discomfort, vomiting ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is possible that the fever is caused by some atypical infections or non-infectious conditions. There are indeed many potential reasons for this, and a detailed examination is necessary. If the fever persists, I recommend visiting an infectious...[Read More] Unexplained Fever: Navigating Persistent High Temperatures and Symptoms
Understanding Dry Mouth and White Coating: Is It a Sign of HIV?
Dry mouth and tongue coating? Symptoms of HIV can vary, but common early signs include flu-like symptoms, fatigue, and swollen lymph nodes. The symptoms you describe, such as dry mouth, white patches on the tongue, and skin rashes that come and go, could be indicative of various ...
Dr. Hong Yuanbin Reply:
Hello, if proper safety precautions are taken, the chance of contracting HIV is very low. The symptoms you described, such as the tongue and rash, do not resemble typical manifestations of HIV. An increase in white blood cells is also not a typical presentation. It is recommended...[Read More] Understanding Dry Mouth and White Coating: Is It a Sign of HIV?