Can You Get HIV from Wiping a Wound with Contaminated Wipes?
HIV wet wipes Using a wet tissue or towel that has come into contact with HIV-infected blood or bodily fluids to wipe a wound on your neck could potentially pose a risk of HIV transmission. However, the likelihood of transmission in this manner is considered to be very low. HIV i...
Dr. Liao Zhongxin Reply:
1. Unless it is an emergency situation or in the case of first aid, people generally do not use someone else's blood-stained tissues or towels to clean their own wounds, so the likelihood is low. 2. You can refer to the Centers for Disease Control and Prevention (CDC) for ...[Read More] Can You Get HIV from Wiping a Wound with Contaminated Wipes?
Distinguishing Between Immune Issues and Menopause Symptoms at 50
How to distinguish between immune issues and menopausal symptoms? Hello, Doctor. I am 50 years and 6 months old. My menstrual cycle was regular until December of last year when it suddenly stopped. Before March of this year, I experienced insomnia, excessive sweating, frequent co...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: (1) What tests should be done to confirm if there is inflammation or adhesion in the spine? --> X-rays and blood tests are sufficient. If necessary, an MRI may also be arranged. Your physician may have started treatm...[Read More] Distinguishing Between Immune Issues and Menopause Symptoms at 50
Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Lymphadenopathy Infection Issues Hello Doctor, I would like to ask you some questions: About six months ago, I noticed swelling in the lymph nodes on both sides of my groin. Almost every node in that area has enlarged, with a few becoming elongated, measuring approximately 1 to 2...
Dr. Lin Wufu Reply:
Hello, multiple enlarged lymph nodes usually indicate that there is some condition in the body, ranging from systemic infections, rheumatologic and autoimmune diseases, to hematologic malignancies. Therefore, it is recommended to visit an infectious disease clinic as soon as poss...[Read More] Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Understanding Positive IgM in Coagulation Protein Tests: What It Means for Your Health
Cryoglobulin test The presence of cold agglutinins, indicated by a positive IgM (1+), suggests that your body may be producing antibodies that can cause red blood cells to clump together at lower temperatures. This condition can be associated with various underlying issues, inclu...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It is recommended to return to the rheumatology clinic for follow-up, as further examinations may be necessary. The presence of cryoglobulinemia is related to many factors, with hepatitis C being the most common. Even if hepatitis C tests are no...[Read More] Understanding Positive IgM in Coagulation Protein Tests: What It Means for Your Health
Could Your Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello doctor, I have been experiencing some soreness in my lower back lately, along with tightness and occasional pain in my left thigh, left knee, and even discomfort in my calf muscles and the soles of my feet. These symptoms seem to come and go. I have ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe it is less likely to be ankylosing spondylitis and more indicative of symptoms related to a herniated disc. I recommend consulting a neurosurgeon for confirmation. The Allergy, Immunology, and Rheumatology Department at Changhua Hospit...[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?
Understanding Rheumatoid Factor: Implications for Your Health
Rheumatoid arthritis factor Hello, doctor. I am a patient with ulcerative colitis, and my intestinal mucosa has recovered. Recently, after being diagnosed with COVID-19, I developed skin vasculitis on my calves. I went to the hospital for examination and blood tests, and the vasc...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Although the RF-IgM value is somewhat elevated, it is not significantly high. We generally consider values exceeding four times the upper limit of normal to be more meaningful. Therefore, if you only have the symptoms mentioned in your text, I r...[Read More] Understanding Rheumatoid Factor: Implications for Your Health
Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Oral symptoms raising suspicion for HIV? Hello Doctor: Nine weeks ago, I had unprotected sexual intercourse with a sex worker (two minutes of unprotected vaginal intercourse and three minutes of oral sex performed on her). About three weeks later, I experienced unexplained nasal ...
Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control data, there are three main transmission routes for HIV: (A) Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infection. (B) Bl...[Read More] Understanding Oral Symptoms and HIV Concerns After Unprotected Sex
Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Medication-related issues in ankylosing spondylitis? Hello, doctor. I am #191897. 1. During my previous visit, I asked the doctor about the medication Celebrex (celecoxib). The doctor believed that my condition was not severe enough to require the use of Salazopyrin (sulfasalaz...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. When I previously consulted with my doctor regarding the use of Salazopyrin (Salar), the doctor believed that my condition was not severe enough to warrant its use, so I was prescribed Celebrex instead. However, I am a...[Read More] Understanding Medication Concerns for Ankylosing Spondylitis: Celebrex vs. Salazopyrine
Understanding Urticaria and Thyroid Test Results: Key Insights
Urticaria and Thyroid Testing After catching a cold at the end of February (with symptoms of sore throat and general weakness), I began to develop hives all over my body, particularly around my eyes and neck. I visited a clinic where I was prescribed steroids and received an inje...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is there a connection between urticaria and slightly elevated TSH levels? Do I need to see a rheumatologist for an examination? --> In cases of long-term urticaria, we sometimes check thyroid function. Your TSH is ...[Read More] Understanding Urticaria and Thyroid Test Results: Key Insights
Understanding Thyroid Nodules: Symptoms, Diagnosis, and Treatment Options
Thyroid nodule Three years ago, a company health check revealed slight abnormalities in thyroid indices and a suspected enlargement of the neck. Upon further examination at the hospital, a nodule approximately 1.2-1.4 cm in size (with microcalcifications) was confirmed on the rig...
Dr. Li Jian Reply:
Ultrasound localization is more accurate. If you have recently felt tightness or discomfort in your neck, you can return for ultrasound follow-up, but it is usually not caused by nodules.[Read More] Understanding Thyroid Nodules: Symptoms, Diagnosis, and Treatment Options
Is the Black Spot on My Neck a Side Effect of Quinine?
Pigmentation changes caused by quinine use? I have systemic lupus erythematosus and regularly take quinine (1.5 tablets/day). Recently, I noticed an unfamiliar black spot on the right side of my neck, approximately 2x3 cm in size. I'm unsure if this could be a side effect of...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The pigmentation caused by quinine primarily results in a darker skin tone, and it rarely leads to isolated dark spots. We recommend that you schedule an earlier follow-up appointment. The Allergy, Immunology, and Rheumatology Department at Chan...[Read More] Is the Black Spot on My Neck a Side Effect of Quinine?
Understanding Dizziness and Body Sensations While Using Your Phone
Dizziness with slight swaying of the body? Hello, Doctor. I would like to ask about a situation I experience when lying on my side with a pillow while using my phone, or when lying face down on the bed. Sometimes, I feel a slight swaying sensation in my body, which makes me think...
Dr. Hong Yuanbin Reply:
Hello, the most common causes of dizziness are inner ear imbalance and brain issues. Compression of the sympathetic and parasympathetic nerves in the neck may also lead to dizziness. To determine the specific cause, it is necessary to consult a neurologist or an otolaryngologist ...[Read More] Understanding Dizziness and Body Sensations While Using Your Phone
Understanding Blood Test Results in Rheumatoid Arthritis Patients
Rheumatoid arthritis blood test values I have had rheumatoid arthritis (RA) for three years and have been on biologic therapy for about two years. Since the onset of the disease, my blood test results have shown an ESR between 15-40. Recently, during a follow-up visit, my blood r...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your abnormal blood test results seem to be more related to the biologic therapy, but generally, they are not a major concern. However, if you are still experiencing multiple joint pains despite receiving biologic treatment, it is important to d...[Read More] Understanding Blood Test Results in Rheumatoid Arthritis Patients
Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Thyroid nodule Hello Doctor: My daughter has developed a tumor on her neck that is about 2 centimeters in size. After researching online, I understand that it may require surgical removal. I am very worried and feel helpless, and I want my daughter to undergo an examination as so...
Dr. Li Jian Reply:
It is unnecessary to perform two thyroid biopsies in a short period of time, and health insurance may not cover the second one if done too soon. It is recommended to have one biopsy done at a medical center or a large teaching hospital. Please consult with a thyroid surgeon or an...[Read More] Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...
Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...[Read More] Understanding the Connection Between Nasal Congestion and Rapid Heart Rate
Understanding the Causes of Painless Red Spots on Skin
Small red spots appear on the skin? Since the beginning of the year, I have been experiencing painless and itchless small red spots under the skin (which disappear when pressed). Blood tests for platelet count and liver function (including tests for sexually transmitted diseases)...
Dr. Zeng Guosen Reply:
It is recommended to visit a dermatologist. If blood tests are normal and there is no diagnosis, a biopsy may be considered for further differential diagnosis. Thank you.[Read More] Understanding the Causes of Painless Red Spots on Skin
Understanding the Link Between Proteinuria and Osteolytic Lesions
The relationship between proteinuria and osteolytic lesions? Hello, Doctor Wu. Happy Day Six of the Lunar New Year. Following up on my previous question, I will be undergoing a PET scan. I have been diagnosed with stage I papillary thyroid carcinoma (currently no longer classifie...
Dr. Wu Hongjie Reply:
Your question is too complex; please discuss it with your nephrologist. Thank you.[Read More] Understanding the Link Between Proteinuria and Osteolytic Lesions
Is It Possible to Still Be HIV Infected After a Year?
Is it still possible to be infected with HIV? A year ago, I had unprotected oral sex with a woman. Afterward, I was worried about HIV infection, so I went to Cheng Kung University for a blood test at the tenth week. During the follow-up appointment, the doctor said everything was...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the chance of infection is indeed very low. If you are still very concerned, you may consider getting retested. Thank you for your question.[Read More] Is It Possible to Still Be HIV Infected After a Year?
Concerns After Toddler Falls: X-Ray Insights and Safety Tips
A child fell from a height onto a tiled floor? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor tonight. He stood up after falling from a height of about 120 cm and cried loudly. We immediately took him to a nearby surgical c...
Dr. Hong Yuanbin Reply:
Hello, 1. X-ray results can reveal significant injuries to the skull and cervical vertebrae, but they cannot detect bleeding. 2. Due to radiation concerns associated with computed tomography (CT) scans, clinicians will first assess symptoms to determine the necessity of the sc...[Read More] Concerns After Toddler Falls: X-Ray Insights and Safety Tips
Understanding Sudden Dizziness: Causes and Concerns in Cold Weather
Occasionally, there is a sensation of dizziness or heaviness? Hello, doctor. I would like to ask why sometimes when the weather is cold, I suddenly feel a sense of dizziness or heaviness for about 1-2 seconds. Although it doesn't feel like spinning or nausea, I initially tho...
Dr. Hong Yuanbin Reply:
Hello, what you mentioned is known as orthostatic hypotension, which commonly occurs with sudden changes in posture or changes in surrounding temperature that cause a temporary drop in blood pressure. This is a physiological response. To improve this condition, it is advisable to...[Read More] Understanding Sudden Dizziness: Causes and Concerns in Cold Weather