Muscle, Internal Medicine FAQ

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Understanding Low Creatinine Levels: Causes and Next Steps

Low creatinine levels? Recently, my health check report indicated a creatinine level of 0.53, which is considered low, and an eGFR of 138.73. Five years ago, my creatinine level was 60 with an eGFR of 123.93. I am a patient with cerebral palsy and have issues with muscle atrophy,...


Dr. Huang Yaoxuan Reply:
You can visit the outpatient clinic for consultation.

[Read More] Understanding Low Creatinine Levels: Causes and Next Steps


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


Managing High Cholesterol and Lipid Levels: A Patient's Guide

High cholesterol and elevated blood lipids? Hello Doctor, I have a question to ask. I recently received my health check report: weight 45 kg, height 164 cm, fasting blood sugar 102 mg/dL, hemoglobin A1c 5.3%, HDL 83 mg/dL, LDL 207 mg/dL, triglycerides 94 mg/dL, and total cholest...


Dr. Lin Jianliang Reply:
Hello: Although you have previously used statin medications for lowering cholesterol, you stopped due to muscle cramping side effects. Currently, dietary control has not effectively reduced your cholesterol levels. You may want to discuss different types of cholesterol-lowering m...

[Read More] Managing High Cholesterol and Lipid Levels: A Patient's Guide


Understanding Immune Disorders and Allergies: A Patient's Guide

Autoimmune diseases and allergic issues? Hello, Doctor. I would like to ask you a few questions: 1. I was diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, usually once a day, and sometimes twice when my back pain is worse. I would like to kn...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You were diagnosed with ankylosing spondylitis over two years ago and started taking Celebrex, typically once a day, and sometimes twice when your back pain is more severe. You are wondering if it is normal to feel tha...

[Read More] Understanding Immune Disorders and Allergies: A Patient's Guide


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


Understanding Lower Abdominal Pain: When to See a Urologist?

Lower abdominal tenderness inquiry? Hello Doctor, in the past week, I have experienced localized tenderness in my lower abdomen. Initially, it was located about one centimeter to the right of my navel, but later it appeared about eight centimeters to the left of my navel, while t...


Dr. Lin Wufu Reply:
Hello, bladder inflammation typically presents with urinary tract symptoms. Your tenderness may also be related to the abdominal wall muscle layer. It is advisable to observe for two to three days, as it often improves on its own. When visiting a urologist, a urinalysis will like...

[Read More] Understanding Lower Abdominal Pain: When to See a Urologist?


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?


Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety

Systemic lupus erythematosus (SLE) Hello Doctor: 1. I am a patient with Systemic Lupus Erythematosus (SLE). I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, despite having a light diet, while still losing weight after being diagnos...


Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. I am an SLE (Systemic Lupus Erythematosus) patient. I would like to ask if it is normal for me to feel very hungry and eat four to five meals a day, even though I have been eating a light diet and have been on medica...

[Read More] Managing Lupus: Weight Loss, Muscle Cramps, and Tattoo Safety


Understanding Weight Changes After Knee Surgery: What to Know

Weight issues Hello Doctor, my mother is about 60 years old and had knee replacement surgery earlier this year. She is currently recovering well and can climb stairs. The only medication she is taking now is one pill in the morning and one in the evening for blood pressure and he...


Dr. Li Jian Reply:
If you are unsure about how to exercise appropriately, you can consult a rehabilitation specialist for therapy to prevent muscle atrophy. Thank you for your inquiry.

[Read More] Understanding Weight Changes After Knee Surgery: What to Know


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


Understanding Muscle Weakness and Pain: Causes and Solutions

Muscle soreness and weakness? Doctor, I often wake up in the morning feeling completely weak in my arms and legs, and even my toes are unable to move. Standing up is difficult, as if I have become a robot. This condition is temporary, but afterward, the areas that were weak becom...


Dr. Li Jian Reply:
You can first consult a neurologist. Thank you for your inquiry.

[Read More] Understanding Muscle Weakness and Pain: Causes and Solutions


Concerns About Potential HIV Exposure During Sleep: What You Need to Know

You may experience pinprick sensations while sleeping? A few days ago, I took a short nap (about 10 minutes) in the library, and there was a strange person sitting next to me. I was worried that he might be an HIV-positive patient and could stab me with a needle, and that I might...


Dr. Zeng Guosen Reply:
If you have any questions, it is recommended to visit an infectious disease clinic for expert evaluation. Thank you for your inquiry.

[Read More] Concerns About Potential HIV Exposure During Sleep: What You Need to Know


Understanding Sudden Chest Pain: Causes and When to Seek Help

Chest pain? This morning, while trying to go back to sleep, I suddenly experienced a sharp pain in my heart for just a few seconds. This is the first time it has happened. However, I have been experiencing more frequent sharp pains in my right chest. Since it seems to be a chest ...


Dr. Lin Wufu Reply:
Hello, the description seems more related to muscle or nerve issues rather than the heart itself. Further evaluation is needed to determine the exact problem. It is recommended to consult with a family medicine physician, general internist, or neurologist for assessment.

[Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help


Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?

Does having wisdom teeth removed surgically affect inflammation levels? Hello Dr. Tseng, I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth removed on February 22, and my cheeks were swollen and painful afterward. It has been 11 days since the proc...


Dr. Zeng Guosen Reply:
After surgery, swelling and pain may affect ESR/CRP levels, but unless it's severe, the impact is limited. Just inform your physician, and they will make the assessment. 2. In the case of sports injuries, such as sprains, muscle strains, or joint injuries, generally, they do...

[Read More] Does Wisdom Tooth Extraction Affect Inflammation Levels in Ankylosing Spondylitis?


Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?

Does having wisdom teeth removed through surgery affect inflammation levels? Hello, Director Gao. I am 20 years old and a patient with ankylosing spondylitis. I had my wisdom teeth extracted on February 22. After the extraction, my cheek was swollen and painful. It has been 10 da...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) My appointment on March 8th is for a quarterly follow-up with the rheumatology department, where I will have blood drawn for monitoring. Should I wait until the swelling and pain in my mouth completely subside before ...

[Read More] Does Wisdom Tooth Extraction Affect Inflammation Markers in Ankylosing Spondylitis?


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 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


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


Chronic Lower Back Pain Without Diagnosis: What Are Your Options?

If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...


Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.

[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?


Sudden Left Chest Pain: Causes and When to Seek Medical Help

Sudden pain in the lower left chest? Hello Dr. Lee, I have seen similar inquiries in the Q&A section, but I still want to confirm my condition with you (as described below). Since childhood, I have experienced sudden sharp pain in the lower left side of my chest. For example,...


Dr. Li Jian Reply:
It is recommended to visit the pulmonology outpatient clinic for further examination. Thank you for your inquiry.

[Read More] Sudden Left Chest Pain: Causes and When to Seek Medical Help


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