Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Joint and muscle pain Hello Doctor, I would like to ask you a few questions. 1. Initially, I experienced pain in my right knee and went to an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. However, afte...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Initially, I experienced pain in my right knee and visited an orthopedic clinic where an ultrasound revealed inflammation and swelling. The doctor suggested a possible meniscus injury. After a follow-up visit with no i...[Read More] Understanding Joint and Muscle Pain: Causes, Symptoms, and Management
Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Autoimmune hepatitis Hello Doctor: At the end of March this year, I sought consultation in the hepatobiliary and gastroenterology department due to fatigue, jaundice, and tea-colored urine. Blood tests showed AST 675, ALT 1077, and total bilirubin 4.6. Subsequent tests for HBsAg ...
Dr. Zeng Guosen Reply:
It is highly recommended to seek medical attention as soon as possible, preferably by returning to your original treating physician's clinic. If the appointments are fully booked, you should be able to request an additional slot with your original doctor. To determine the si...[Read More] Understanding Autoimmune Hepatitis: Symptoms, Treatment, and Concerns
Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Muscle tremors and abnormal urinalysis? Hello Doctor, I had a routine check-up last week, and the protein test result was (+/-). I initially thought it wasn't a big deal, but recently I've been experiencing involuntary muscle twitching all over my body, and I even had l...
Dr. Lin Wuxuan Reply:
Side effects of the yellow fever vaccine may include headache, muscle pain, and mild fever, resembling cold symptoms, which typically resolve within 1 to 2 days. It is recommended to consult your primary care physician or an internal medicine clinic at the original vaccination fa...[Read More] Muscle Tremors and Abnormal Urinalysis: When to Seek Help?
Could My Symptoms Indicate Fibromyalgia? A Self-Assessment Guide
Could these symptoms be "fibromyalgia"? I'm sorry, Doctor: I would like to self-assess whether I have "fibromyalgia." Q1: I usually experience persistent pain (around 5 to 7 out of 10), and sometimes it suddenly escalates to 10 out of 10, lasting for seve...
Dr. Li Jian Reply:
Please consult a rheumatologist regarding fibromyalgia. Thank you for your inquiry.[Read More] Could My Symptoms Indicate Fibromyalgia? A Self-Assessment Guide
Hip and Thigh Muscle Pain: Understanding Post-Hospitalization Discomfort
Hip bone pain, soreness in the outer thigh muscles, and leg twitching when falling asleep? Last Sunday, I was hospitalized due to lower abdominal pain, which was diagnosed as mild appendicitis. I received antibiotic treatment through an IV, and after that, I no longer experienced...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you are experiencing pain or cramping at night that interferes with your sleep, it is advisable to schedule an earlier follow-up appointment with your attending physician for evaluation. Some differential diagnoses require a physical examinat...[Read More] Hip and Thigh Muscle Pain: Understanding Post-Hospitalization Discomfort
Understanding SLE: Symptoms, Diagnosis, and Treatment Options
SLE (Systemic Lupus Erythematosus) Hello, Director Gao. I am 33 years old and have been experiencing various illnesses and unexplained pains over the past few years, but no cause has been identified. I have also consulted a psychiatrist and taken medication without improvement (s...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A slight fever can still be concerning, and I recommend visiting a rheumatologist. Based on the information you provided, it is not possible to confirm whether there is an issue with your immune system, so it would be best for a physician to exa...[Read More] Understanding SLE: Symptoms, Diagnosis, and Treatment Options
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or could they be a side effect of taking Celebrex? Hello Dr. Zeng, I am a patient with ankylosing spondylitis and have been experiencing symptoms for 2 years. In the first year, I mainly took anti-infl...
Dr. Zeng Guosen Reply:
Is it true that the side effects of Seroquel need to be differentiated? If back pain is a side effect, it will not cause permanent harm to the body. It is recommended to follow up with the attending physician for evaluation.[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
My new lower back pain symptoms could be indicative of ankylosing spondylitis, or they might be a side effect of taking Celebrex? Hello, Doctor. I am a patient with ankylosing spondylitis, and I have been experiencing symptoms for two years. During the first year, I primarily too...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: 1) Starting from the second month after taking Salazopyrin, I developed new symptoms of back pain. However, I have not experienced any rashes, fever, jaundice, pallor, diarrhea, headaches, vomiting, or any other physical ...[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?
Understanding Side Effects of Salazopyrin: Joint and Muscle Pain
Side effects of Salmeterol? Hello, doctor. Does Salmeterol have side effects related to joint or muscle pain? If so, how long does it typically take for this side effect to resolve after discontinuing the medication? Thank you, doctor.
Dr. Zeng Guosen Reply:
Some users have reported side effects related to joint or muscle pain, although these are rare. Symptoms should improve after discontinuing the medication for about two weeks. Thank you.[Read More] Understanding Side Effects of Salazopyrin: Joint and Muscle Pain
Understanding Muscle Pain and Nail Changes: When to Seek Medical Advice
Please ask your two questions? Hello doctor, I would like to ask about an issue I experienced. I was lying in bed in a poor position and suddenly tried to sit up like doing a sit-up. In that moment, I felt a sudden pulling or cramping sensation near my buttocks, close to the anus...
Dr. Hong Yuanbin Reply:
Hello, 1. What you mentioned is likely due to muscle strain caused by poor posture. If there are no specific discomforts afterward, it should be fine to just monitor it. 2. Regarding the nails, it appears that the variation in color is simply due to changes in blood flow and d...[Read More] Understanding Muscle Pain and Nail Changes: When to Seek Medical Advice
Does Salazopyrin Cause Joint or Muscle Pain Side Effects?
Does Salvia have side effects related to joint or muscle pain? Hello, Doctor Gao. Does Salazopyrin have side effects related to joint or muscle pain? If so, how long does it typically take for this side effect to resolve after discontinuing the medication? Thank you, Doctor.
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that Salazopyrin (sulfasalazine) is unlikely to have this side effect, so I recommend that you return to your attending physician for a personal evaluation. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Min...[Read More] Does Salazopyrin Cause Joint or Muscle Pain Side Effects?
Understanding Abdominal Pain: Causes and When to Seek Help
Abdominal pain? Hello Dr. Hong, I would like to ask a question. When I was lying down watching a video, I suddenly felt a sharp pain just above my navel on the left side (below the rib cage), but when I stood up and rubbed the area, the pain subsided after about 5-10 seconds. Alt...
Dr. Hong Yuanbin Reply:
Hello, the areas you mentioned are most commonly the stomach and intestines. Lying face down can indeed lead to indigestion, which may cause discomfort in these areas. Avoiding this position should help improve the situation. Thank you for your question.[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Understanding Steroid Dosage and Side Effects in Myositis Treatment
Steroid dosage usage Hello Dr. Gao, my mother is 68 years old. She was diagnosed with COVID-19 in May of this year. During the infection, she did not experience any severe symptoms. However, one month after testing negative, she developed unexplained muscle pain in both legs, whi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Steroids can be taken on an alternating schedule, which is a method we use to gradually taper the dosage when there isn't a lower dose formulation available for adjustment. Steroids may cause edema and can also affect sleep, so it is advis...[Read More] Understanding Steroid Dosage and Side Effects in Myositis Treatment
Understanding Muscle Pain: Potential Links to Myositis and Genetic Factors
Muscle pain Hello Doctor, I have recently been experiencing proximal muscle soreness in my arms and legs, and sometimes my muscles twitch. I also feel a bit weak (though it doesn't significantly affect my daily life), which manifests as walking more slowly or having difficul...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, it does sound like signs of muscle inflammation. I'm not sure why you previously tested for the IFIH1 gene, but the proteins associated with this gene are indeed related to certain specific manifestations of myositis...[Read More] Understanding Muscle Pain: Potential Links to Myositis and Genetic Factors
Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Understanding Fever Fluctuations and Muscle Pain: Key Insights for Parents
Fever that subsides and then returns? On the morning of June 14, I had a fever with an ear temperature of 38.2 degrees Celsius. After taking an over-the-counter medication, my temperature remained between 37.5 and 38 degrees until around 5 PM on June 14, when it dropped to 36.5 d...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed important to first be cautious about COVID-19, so I recommend doing another PCR test for confirmation. Additionally, you can also perform a PCR test for influenza. Any respiratory infection, including COVID-19, influenza, or other vi...[Read More] Understanding Fever Fluctuations and Muscle Pain: Key Insights for Parents
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Neck pain I recently went to exercise and twisted the right side of my neck. I applied a patch for four days, and it doesn't hurt while it's on, nor in the morning, but by the afternoon, the pain comes and goes. Additionally, I have difficulty swallowing saliva, and swa...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that you are experiencing a muscle strain. However, since you mentioned difficulty swallowing, there is a concern about a possible throat issue or a localized hematoma. I recommend that you first consult an otolaryngologist for an ex...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Muscle Pain: Is It Stress or Something More Serious?
Muscle pain sensation Hello, I would like to ask the doctor about experiencing sudden pain in the right side of my back and a bit under the right breast, which feels like muscle or bone pain, especially when I take a deep breath. This occurs sometimes when I am nervous or afterwa...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you may have a strain in the muscles or joints of your right arm, possibly due to recent activities such as unusual exercise or lifting heavy objects. I recommend doing some warm-up exercises or applying heat to alleviate the discomfort....[Read More] Understanding Muscle Pain: Is It Stress or Something More Serious?
Understanding Nerve vs. Muscle Pain After DIY Activities: What You Need to Know
Nerve or muscle? Hello, after doing some DIY yesterday, I've been experiencing a tingling sensation in my genital area right after finishing, but it goes away quickly. This morning, I visited a urologist, but the doctor said there was no issue and not to worry, and even disc...
Dr. Hong Yuanbin Reply:
Hello, if you experience excessive tension or tightness in the abdominal and genital muscles during masturbation, this is a normal physiological phenomenon. Typically, resting for a few days will resolve the issue, and it should not be related to bowel movements or appendicitis. ...[Read More] Understanding Nerve vs. Muscle Pain After DIY Activities: What You Need to Know
Understanding Abdominal Muscle Pain After Nausea: Causes and Remedies
Abdominal muscles Hello, today I suddenly experienced a dry heaving sensation after drinking water, and I’m not sure if it was too forceful. I felt a sharp, cramp-like pain in my abdomen, specifically near the right side of my navel, lasting about 10 seconds, although it subsided...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed due to vomiting that caused abdominal muscle strain. Applying a warm compress may provide some relief, and you can also use topical analgesic ointments from the rehabilitation department. Thank you for your inquiry.[Read More] Understanding Abdominal Muscle Pain After Nausea: Causes and Remedies