Do Thyroid Nodules in Mothers Increase Genetic Risk for Children?
Is it hereditary? Is there a possibility of hereditary transmission if a mother has thyroid nodules? Additionally, how often and what type of examinations should her children undergo? Thank you.
Dr. Xie Rongyuan Reply:
Hello: (1) There is a partial relationship with family genetics. (2) Additionally, exposure to radiation in the head and neck area is also related. Thank you for your message![Read More] Do Thyroid Nodules in Mothers Increase Genetic Risk for Children?
Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Post-operative care considerations after stage II thyroid surgery? I went to the hospital for an examination due to swelling in my neck. Initially, the biopsy report indicated that the thyroid nodule was benign, but since it was 3.5 cm, I was scheduled for a total left thyroidect...
Dr. Xiao Yongxun Reply:
1. The surgeon diagnosed a 3.5 cm thyroid nodule, and despite the fine needle aspiration cytology indicating a benign tumor, he decided to perform a left lobectomy due to the tumor's size or other imaging evidence. The pathological report confirmed it was a follicular thyroi...[Read More] Post-Thyroid Surgery Care: Understanding Follow-Up for Stage II Cancer
Understanding ANA 1:160 Homogeneous Pattern and Its Implications
ANA 1:160 homogeneous type Hello, Doctor Gao. My mother has a family history of immune dysfunction, and she herself has experienced immune system irregularities. Eight years ago, she began to notice unexplained joint pain, primarily affecting her right ankle and the joints of her...
Dr. Gao Jiankai Reply:
Hello, Xiao Yuan. The ANA value of 160 is slightly elevated, which requires further examination. Additionally, since you are experiencing some joint pain symptoms and lymphadenopathy, it is indeed advisable to conduct further tests on your immune function. Please prepare your lab...[Read More] Understanding ANA 1:160 Homogeneous Pattern and Its Implications
Could I Have Ankylosing Spondylitis? Understanding Symptoms and Diagnosis
Ankylosing spondylitis? Hello, doctor! I have been experiencing a low-grade fever for over six months now (around 37.5 degrees Celsius). I tested negative for HLA-B27, but X-rays and a whole-body inflammatory scan showed inflammation in both sacroiliac joints. My symptoms include...
Dr. Gao Jiankai Reply:
Hello, ankylosing spondylitis is more common in males. If HLA-B27 is negative, the likelihood of ankylosing spondylitis decreases further. Ankylosing spondylitis has specific symptoms, including lower back pain that worsens with prolonged rest, asymmetric arthritis, and some indi...[Read More] Could I Have Ankylosing Spondylitis? Understanding Symptoms and Diagnosis
Risk of HIV and Hepatitis Infection from Haircut: What You Need to Know
Infection issues I would like to ask, today I went for a haircut, and because I had a pimple on the back of my neck, the barber accidentally broke it open with the electric clipper while trimming my hair, causing it to bleed. If the clipper had come into contact with the blood of...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding whether popping pimples on the back of the neck that bleed can lead to infection: (1) The infection rates for HIV, HBV, and HCV are approximately 1:10:100. (2) In fact, the likelihood of infection from skin bacteria, such as Staphylococcus and...[Read More] Risk of HIV and Hepatitis Infection from Haircut: What You Need to Know
Understanding Dryness Symptoms: Eye, Throat, and Neck Pain Connection
Dry eyes, dry throat, and an unusual sensation on the tongue? Doctor, I apologize for the previous message. I have another question. I am experiencing shoulder and neck pain, and I wonder if this could also be caused by Sjögren's syndrome. I have seen both traditional Chines...
Dr. Zeng Guosen Reply:
Hello, you can confirm that you have Sjögren's syndrome, but the cause may be due to an immune issue or other factors. The report is normal, and you can consider a salivary gland biopsy. Shoulder and neck pain is only caused by Sjögren's syndrome in a small number of ca...[Read More] Understanding Dryness Symptoms: Eye, Throat, and Neck Pain Connection
Understanding Painful Lumps on the Jaw: Possible Causes and Concerns
There is a small, hard, round lump located on the lower left cheek? Recently, I suddenly noticed a small round hard lump on the lower part of my left cheek near the jaw, and the area around the lump is slightly swollen! It also hurts when I press on it! When I eat, especially whe...
Dr. Xie Rongyuan Reply:
Hello: Based on the symptoms mentioned, it is likely caused by an upper respiratory tract or head and neck infection. It is recommended to visit a hospital for further examination to ensure safety. Thank you for your message![Read More] Understanding Painful Lumps on the Jaw: Possible Causes and Concerns
Understanding Parathyroid Hormone Levels: What You Need to Know
Parathyroid gland Hello Doctor: My mother is 65 years old and recently had a health check-up. The results showed that her parathyroid hormone level is 120, which is above the standard value. She does not have any noticeable symptoms. I would like to ask: 1. Is this significantly ...
Dr. Cai Zonglin Reply:
Each hospital may have slightly different standard values. If parathyroid hormone levels are elevated, further evaluation of blood calcium levels or an ultrasound may be necessary. In cases of parathyroid adenoma accompanied by hypercalcemia or osteoporosis, surgical intervention...[Read More] Understanding Parathyroid Hormone Levels: What You Need to Know
Concerns About a Lymph Node Near My Neck: Should I Worry?
The "suspected lymph node" that I accidentally touched? Hello, Doctor: Here's the situation. The day before yesterday, while I was showering, I accidentally felt an unusual lump below my left ear, near the lower neck area. After looking it up online, I think it mig...
Dr. Gao Jiankai Reply:
Hello, if what you described is movable, soft in texture, and small, the chances of it being problematic or even malignant are low. Throughout a person's life, they will inevitably encounter lymph nodes; they can come and go. As long as there are minor infections in the body...[Read More] Concerns About a Lymph Node Near My Neck: Should I Worry?
Understanding Neck Masses: When to Seek Medical Evaluation
Neck mass Hello Doctor, I have noticed a lump on the left side of my cervical spine over the past couple of days. Recently, an ENT specialist examined my throat and found no issues. The lump is not very prominent; it feels slightly raised, seems to be immobile, and is not very pa...
Dr. Zeng Guosen Reply:
Dear netizens, lumps in the head and neck region are generally first evaluated by an otolaryngologist. If the nature of the lump cannot be determined, it is recommended to consult a plastic surgeon for further evaluation. Most lumps located at the back of the neck are benign, so ...[Read More] Understanding Neck Masses: When to Seek Medical Evaluation
Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Unexplained hand tremors? Unexplained hand tremors, could they be a sign of a disease? Thank you!
Dr. Lin Shunfa Reply:
Dear Anson, 1. Hand tremors may be a sign of underlying conditions such as hyperthyroidism, Parkinson's disease, or alcohol intoxication. However, Parkinson's disease is often associated with bradykinesia, postural instability, and a masked facial expression. Hyperthyr...[Read More] Unexplained Hand Tremors: Are They a Sign of Underlying Illness?
Understanding Dark Spots Around the Forehead and Neck: Symptoms and Specialist Guidance
Melanin around the forehead? The appearance of black spots (dark patches) on the forehead and around the neck, along with small bumps that are itchy, may indicate a skin condition such as hyperpigmentation, dermatitis, or possibly a fungal infection. It is advisable to consult a ...
Dr. Chen Qingbin Reply:
Hello, Xiao Chen: Skin lesions require an in-person examination for diagnosis and treatment. Please visit a dermatology clinic for evaluation.[Read More] Understanding Dark Spots Around the Forehead and Neck: Symptoms and Specialist Guidance
Understanding Lymphadenopathy and Rash: Possible Causes and Insights
Lymphoma rash Hello Doctor: Recently, I've been feeling somewhat unwell, and I'm not sure if it qualifies as an illness. I kindly ask for your preliminary assessment. Around the end of April this year, I noticed a swollen lymph node in my neck, which was accompanied by ...
Dr. Liao Zhongxin Reply:
Hello: 1. If you have a fever along with a rash and have recently visited the beach or mountains, it is possible that you may have contracted scrub typhus. 2. It is recommended that you check for rashes or insect bite marks in areas such as the armpits, around the navel, the groi...[Read More] Understanding Lymphadenopathy and Rash: Possible Causes and Insights
Understanding High Thyroid Antibodies: Implications and Monitoring Guidelines
Thyroid antibodies Due to a slight enlargement in the neck, I went to the hospital for a blood test. The doctor said that all the indices are within the normal range, but my antibody levels are quite high. I would like to ask: (1) If antibody levels are high, what issues could ar...
Dr. Yang Hongzhi Reply:
If thyroid antibodies are present, there is a higher likelihood of developing thyroid dysfunction in the future. If the previous thyroid function test was normal, blood tests can be repeated in about six months. Blood tests can also be conducted at any time if there are symptoms ...[Read More] Understanding High Thyroid Antibodies: Implications and Monitoring Guidelines
Concerns About Distant Metastasis in Papillary Thyroid Carcinoma
Concerns about distant metastasis of papillary thyroid carcinoma? Three years ago (in 2008), my father was diagnosed with papillary thyroid carcinoma at the age of 64. He did not have any obvious symptoms; he only felt a hard lump in his neck. He underwent surgery in May 2008 to ...
Dr. Yang Hongzhi Reply:
Thyroid metastasis from papillary carcinoma can indeed present with normal levels of thyroglobulin, and may not respond to radioactive iodine therapy. However, this occurrence is relatively uncommon. If this is the case, there are currently no specific adjuvant treatments availab...[Read More] Concerns About Distant Metastasis in Papillary Thyroid Carcinoma
Which Medical Specialty Should You Consult After Abnormal Health Check Results?
Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...
Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?
Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
The issue of edema? Dear Doctor, My mother was previously diagnosed with stage II ovarian cancer and has undergone surgery to remove pelvic lymph nodes. Since then, she has gradually started experiencing swelling in her lower extremities. We have tried wearing compression stocki...
Dr. Xiao Yongxun Reply:
Hello: There are many causes of edema, including venous insufficiency, lymphedema, lipedema, heart failure, nephrotic syndrome, cirrhosis, medication effects, parasitic infections, thyroid disorders, and pregnancy, among others. For your daughter's issue, I personally recomm...[Read More] Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Thyroid issues? Hello Dr. Yang, I have a hard lump in my neck. I had it checked two years ago (the doctor inserted a needle into my neck to extract material from the lump), and the doctor said I only need to follow up every six months. However, I am still worried because my gran...
Dr. Yang Hongzhi Reply:
Most patients with thyroid nodules have normal thyroid function. Weight loss is one of the manifestations of hyperthyroidism, and it occurs in only a small number of patients with thyroid nodules. Blood tests are necessary to confirm this. Generally, the effectiveness of medicati...[Read More] Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Sudden Sharp Pain in the Head: Causes and Concerns
Sudden sharp pain in a specific area of the head? Hello, a couple of days ago, I started experiencing an unknown sharp pain on the left side of my scalp. The frequency is about three times a minute, and it feels like someone is poking me with a needle. Pulling the nearby hair als...
Dr. Li Zhiyao Reply:
Dear Mr. Zheng, Headache is merely a symptom, and there are numerous potential causes for it. A thorough evaluation by a physician is necessary, which includes detailed inquiries about the onset, characteristics, location, duration, frequency of the headache, associated symptoms...[Read More] Sudden Sharp Pain in the Head: Causes and Concerns
Fast Heart Rate and Cold Extremities: What Could Be the Cause?
What disease is characterized by a rapid heartbeat and cold extremities? Hello doctor, my father had surgery for hyperthyroidism several decades ago. He does not smoke or drink, and his blood pressure is considered normal, but his cholesterol levels are slightly elevated. His BMI...
Dr. Yang Hongzhi Reply:
After thyroid hyperactivity surgery, there is a possibility of recurrence or developing hypothyroidism. The symptoms you described do not clearly align with manifestations of thyroid dysfunction; however, it is advisable to undergo an examination. You may consider consulting with...[Read More] Fast Heart Rate and Cold Extremities: What Could Be the Cause?