Understanding Right Groin Lymphadenopathy: Causes and Next Steps
Right inguinal lymphadenopathy? Hello, doctor. For the past month, I have been experiencing a feeling of heaviness and discomfort in my groin and lower right abdomen, accompanied by lower back pain. I can feel small lymph nodes on the inner side of my right thigh. Three weeks ago...
Dr. Huang Yaoxuan Reply:
You can go for an outpatient evaluation and examination.[Read More] Understanding Right Groin Lymphadenopathy: Causes and Next Steps
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
Understanding Elevated IgG4 Levels: Causes and Treatment Options
Elevated IgG4 levels? Hello, doctor. For over a year, I have been experiencing unexplained dull pain in my back, and rehabilitation has not shown significant improvement. I have undergone X-rays and tests related to ankylosing spondylitis, all of which returned normal results. Oc...
Dr. Zeng Guosen Reply:
Hello, the IgG4-related disease can cause lymphadenopathy and pancreatitis. It is generally not possible to diagnose solely based on IgG4 levels; lymph node or organ biopsies can provide further assistance in diagnosing the disease. It is recommended to consult a rheumatologist f...[Read More] Understanding Elevated IgG4 Levels: Causes and Treatment Options
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
Understanding Immune System Abnormalities: Symptoms and Risks of Sjögren's Syndrome
Abnormalities in the immune system? In the past three years, I have experienced intermittent urticaria on my face. After consulting with a rheumatologist, it was determined that it was caused by an allergy, and I have also been experiencing joint pain (without swelling), low-grad...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe the likelihood of Sjögren's syndrome is high. Although the tear secretion is not at the standard level, it is close to the abnormal threshold. Additionally, with a positive SSA, elevated IgG levels, and joint symptoms, if the sali...[Read More] Understanding Immune System Abnormalities: Symptoms and Risks of Sjögren's Syndrome
Understanding Abdominal Pain: Is It Appendicitis or Just Muscle Strain?
Please ask your question? Hello, Doctor. I am currently studying high school abroad and would like to ask you a question. After eating today, I lay on my bed and suddenly felt a sharp pain on the right side of my abdomen near the navel. I don't feel it anymore, but I recentl...
Dr. Liao Zhongxin Reply:
A. What is appendicitis? Appendicitis, medically referred to as acute appendicitis, is an inflammation of the appendix, located in the lower right abdomen. When appendicitis occurs, patients may experience abdominal pain, nausea, vomiting, fever, and loss of appetite. Common caus...[Read More] Understanding Abdominal Pain: Is It Appendicitis or Just Muscle Strain?
Concerns About Hookworm Infection After Stepping in Dog Waste
Stepping barefoot on dog feces? On my way to class today (wearing flip-flops), I accidentally stepped in dog feces without noticing it on the ground. Although I was wearing flip-flops, my foot still came into contact with it. I found some tissue to clean my foot about twenty minu...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, the likelihood of a parasitic infection is very low. It is recommended to monitor the condition, provided there are no subsequent symptoms of fever or lymphadenopathy. Thank you for your inquiry.[Read More] Concerns About Hookworm Infection After Stepping in Dog Waste
Understanding Enlarged Lymph Nodes: When to Seek Medical Advice
Lymphadenopathy-related issues? Hello Doctor, I noticed that the lymph nodes in both groin areas have been swollen for over a week. Each side has multiple nodes, approximately 1 cm or slightly more, with a round or oval shape. However, I don't feel any significant discomfort...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The presence of multiple enlarged lymph nodes in the groin area should be evaluated by a physician. Generally, ankylosing spondylitis does not cause lymphadenopathy, so it is advisable to consult a doctor who can assess other parts of your body....[Read More] Understanding Enlarged Lymph Nodes: When to Seek Medical Advice
Understanding Post-Treatment Reactions to Syphilis: What to Expect
Reactions after syphilis treatment? Hello, Doctor Liao. I went for an anonymous rapid syphilis test on August 13, and on August 18, I was informed that the result was positive for syphilis. On August 19, I made an appointment at the Infectious Disease Department of Pingtung Hospi...
Dr. Liao Zhongxin Reply:
Transmission Methods: 1. Close contact during sexual intercourse and other sexual activities is the primary route of transmission. Direct contact of wounds with secretions, bodily fluids, and other excretions (such as semen, blood, and vaginal secretions) from skin or mucosal les...[Read More] Understanding Post-Treatment Reactions to Syphilis: What to Expect
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 Hepatic Cysts: What Your MRI Report Means and Next Steps
Hepatic cyst? Hello Doctor, I would like to ask you about this MRI report. I have fatty liver disease and was found to have a nodule in my liver. I previously underwent a whole-body PET scan which showed no significant issues, and now I have been scheduled for an MRI. MRI Repor...
Dr. Hong Yuanbin Reply:
Hello, according to this report, it is just a liver cyst and there are no signs of cancer. Regular follow-up is sufficient. Thank you for your inquiry.[Read More] Understanding Hepatic Cysts: What Your MRI Report Means and Next Steps
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 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 Neck Pain: Possible Causes and Connections to Recent Meals
Lymphatic issues When I woke up today, I felt some pain on the right side of my neck near the jaw, but there is no swelling. I had a gastroscopy yesterday afternoon and ate ginger duck in the evening, and I'm not sure if this is related.
Dr. Hong Yuanbin Reply:
Hello, could you please check if there is a small lump about the size of a coin? Based on your description, the most likely possibility is lymphadenopathy. If this occurred suddenly, it is usually due to inflammation or infection in the nearby area, most commonly related to denta...[Read More] Understanding Neck Pain: Possible Causes and Connections to Recent Meals
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: Can Minor Skin Injuries Lead to HIV or Syphilis?
I'm sorry, but I need more context or specific content to Hello, doctor. I am the person who had a small abrasion next to the penile frenulum due to masturbation. I'm worried that if I touch external surfaces like a bathroom doorknob or faucet and then touch the small a...
Dr. Hong Yuanbin Reply:
1. Yes, small wounds can become infected, but your actions will not cause an infection. 2. Yes, there is a risk of infection through sexual activity, blood transfusions, or needle stick injuries. 3. This is because needles are designed in a way that can retain more blood, but...[Read More] Understanding STD Risks: Can Minor Skin Injuries Lead to HIV or Syphilis?
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
Understanding Lymph Node Swelling in the Groin: Causes and Concerns
Lymphatic issues Hello, Doctor. I have noticed that I have two or three swollen areas in my left and right groin that have persisted for about six months. They are all less than 1 cm, do not hurt when pressed, and are movable. However, I often feel a dull ache in the area where m...
Dr. Hong Yuanbin Reply:
Hello, there are many causes of lymphadenopathy. Given your age, it is more likely due to an injury or infection in the leg. We need to confirm if you have experienced any fever, weight loss, or other discomfort. If the swelling persists, you may consider undergoing a lymph node ...[Read More] Understanding Lymph Node Swelling in the Groin: Causes and Concerns
Can I Rule Out Infection After Multiple Negative Tests?
Will there be a turnaround? Doctor, I had a high-risk exposure on October 7th. I took an RTPCR test on October 18th and November 9th, and I also had P24 antigen and antibody tests done at 10 days, 33 days, 4 weeks, 6 weeks, 8 weeks, and 10 weeks, all of which were negative. I hav...
Dr. Xiao Yongxun Reply:
Dear Mr. Akai: 1. Your question was already addressed on December 4, 2017. In addition to considering HIV, there are many other potential diagnoses that need to be clarified regarding your symptoms of fever, lymphadenopathy, and diarrhea in order to provide appropriate treatmen...[Read More] Can I Rule Out Infection After Multiple Negative Tests?
Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?
Swollen lymph nodes without cold symptoms? Hello Doctor, two weeks ago, I noticed swelling in the lymph nodes on the right side of my jaw, which is painful when pressed, but I do not have any cold symptoms (no cough, sore throat, nasal congestion, or runny nose). I took antibioti...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Painful swollen lymph nodes are usually associated with local infections, including bacterial and viral infections. Some infections may present with mild symptoms, primarily manifesting as lymphadenopathy. Therefore, if you have swollen and pai...[Read More] Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?