Understanding Cold Medications: Amoxicillin and Safety Precautions
Inquiry about cold medications? Hello doctor, the day before yesterday I think I caught a cold from a friend. I went to see a general practitioner who said it was a mild cold and prescribed an antibiotic called Amoxicillin. I noticed that after taking it, my urine seems to have a...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for urine to have a medication odor after taking medication, so please don't worry. 2. Given the current pandemic situation, it is still recommended to wear a mask to protect yourself and others, unless you are alone and have no contact with others. Th...[Read More] Understanding Cold Medications: Amoxicillin and Safety Precautions
Understanding Cold Medications and Antibiotics: Your Questions Answered
Inquiry about cold medications? Hello doctor, it seems that I caught a cold from a friend the day before yesterday. I went to see a general practitioner who said it was a mild cold and prescribed an antibiotic called Amoxicillin. I noticed that after taking it, my urine has a cer...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal for urine to have a medication odor after taking medication, so please don't worry. 2. Given the current pandemic situation, unless you are alone, it is still recommended to wear a mask to protect yourself and others. Thank you for your question.[Read More] Understanding Cold Medications and Antibiotics: Your Questions Answered
Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...
Dr. Li Jian Reply:
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Understanding Transmission Risks: Can You Catch COVID-19 Over the Phone?
Infectious potential Good evening, doctor. I would like to ask you a few questions. A while ago, an old friend of mine called me. He was diagnosed with COVID-19 in Japan around May. He wasn't hospitalized and experienced difficulty breathing and a persistent fever, which eve...
Dr. Hong Yuanbin Reply:
Hello, 1. You cannot get infected while talking on the phone, so please rest assured. 2. COVID-19 is primarily transmitted through respiratory droplets or contact transmission; however, since the virus is invisible to the naked eye, people often get infected without knowing th...[Read More] Understanding Transmission Risks: Can You Catch COVID-19 Over the Phone?
Unexplained Fever: A 4-Month Journey of Diagnosis and Frustration
Intermittent unexplained fever Hello doctor, my daughter has been experiencing a fever since the end of March, and it continues to this day. Her recorded temperatures have ranged from a low of 36.5°C to a high of 40.3°C, fluctuating back and forth, with an average temperature abo...
Dr. Lin Wufu Reply:
Hello: I'm not sure how old your daughter is, but I assume she is likely a child. In cases of unexplained fever, about 20% may persist without a known cause, and sometimes it can take one to two years for the actual diagnosis to emerge. Therefore, if she can maintain her nor...[Read More] Unexplained Fever: A 4-Month Journey of Diagnosis and Frustration
Managing Skin Cuts: Risks of HIV Infection and Proper Care
Skin abrasion on the hand? Recently, I have some cuts on my hands. Should I bandage them specifically? Is there a risk of contracting HIV if I touch something with these wounds? For example, if I accidentally touch a public door handle that may have blood or bodily fluids on it, ...
Dr. Lin Wufu Reply:
Hello: 1. If there is a bleeding wound, it is recommended to cover it with a bandage. 2. Theoretically, a bleeding wound does have a potential risk of transmitting viruses, but the risk is very low. Additionally, the HIV virus has a very short survival time outside the human body...[Read More] Managing Skin Cuts: Risks of HIV Infection and Proper Care
Is Daily Soy Milk Safe for Kidney Health? Understanding Dietary Concerns
Dietary Issues Can I drink soy milk or black soy milk every day without affecting kidney function? Thank you.
Dr. Hong Yuanbin Reply:
Hello, currently there are no reports linking long-term consumption of soy milk with renal function abnormalities, so there should be no direct correlation between the two. However, in terms of dietary recommendations, each food has its unique nutrients, and consistently consumin...[Read More] Is Daily Soy Milk Safe for Kidney Health? Understanding Dietary Concerns
Understanding Temporary Tinnitus: When to Seek Medical Attention
Sudden transient tinnitus in the ear? Hello, Doctor Hong. Earlier, I suddenly experienced a brief buzzing sound in my right ear for about 10 seconds. Although it disappeared shortly after, it felt like my ear was suddenly blocked. This morning, I had severe nasal congestion due t...
Dr. Hong Yuanbin Reply:
Hello, some individuals may experience temporary tinnitus due to their physical constitution, excessive fatigue, or various other factors. Others may develop tinnitus as a result of a cold. If the tinnitus is only temporary and later improves, no special treatment is necessary. H...[Read More] Understanding Temporary Tinnitus: When to Seek Medical Attention
Choking Hazards: Understanding Risks of Inhaled Water and Throat Issues
Choking issues? Hello, I accidentally drank water when my throat was very dry and suddenly started talking to my family, which caused me to choke. I coughed for a while, and later I felt a bit of water or phlegm in my throat, so I intentionally coughed again. Suddenly, I felt a s...
Dr. Hong Yuanbin Reply:
Hello, since humans have an epiglottic cartilage that helps prevent choking and aspiration pneumonia, based on your described symptoms, it seems that you do not have aspiration pneumonia. Thank you for your inquiry.[Read More] Choking Hazards: Understanding Risks of Inhaled Water and Throat Issues
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang Reply:
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
Understanding Facial Nerve Fibromas: Surgery and Recurrence Risks
Facial nerve fibroma Will surgery for facial nerve neurofibromas in childhood be effective? Will the tumors recur after surgical removal? There are brown patches on the body.
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be a case of café-au-lait spots associated with neurofibromatosis. Some of these conditions are hereditary, and genetic testing is needed for confirmation. They may recur or be associated with issues in other organs. Others may not be...[Read More] Understanding Facial Nerve Fibromas: Surgery and Recurrence Risks
Understanding HIV Testing and Symptoms: Your Questions Answered
HIV testing issues? Hello Dr. Hong, I had an encounter with a woman on November 9th last year. About two to three days later, I developed a low-grade fever, sore throat, and a rash. After taking cold medication, I improved. As of today, I have not experienced any other acute HIV ...
Dr. Hong Yuanbin Reply:
Hello, in response to your questions, I will address them in several parts: 1. Regarding the possibility of HIV infection, it is recommended to undergo a second screening test at three months to confirm that there is no infection. 2. Concerning the skin rash, I am unsure about...[Read More] Understanding HIV Testing and Symptoms: Your Questions Answered
Understanding PEP Treatment: When to Test for HIV Infection
Questions regarding testing after Pep administration? Hello Doctor, I apologize for the interruption. I started Post-Exposure Prophylaxis (PEP) on June 11 due to engaging in high-risk sexual behavior and completed the full course of medication on July 8. However, I mistakenly had...
Dr. Hong Yuanbin Reply:
Hello, this question indeed does not have a standard answer because currently, there are different practices internationally based on various studies and treatment guidelines, including the use of different reagents, which can affect sensitivity. Therefore, each hospital will hav...[Read More] Understanding PEP Treatment: When to Test for HIV Infection
Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Goiter Hello Dr. Lin, I recently visited an endocrinologist after my physical therapist mentioned that my thyroid might be enlarged. The doctor performed a physical examination and noted a thyroid enlargement of grade I-II. My blood test results were Free T4 (1.32), TSH (1.31), a...
Dr. Lin Jianliang Reply:
1. The symptoms mentioned above are similar to those of hyperthyroidism. The dosage of Eltroxin can also affect the severity of symptoms; some doses may exacerbate symptoms while others may not. 2. There are several different types of thyroid enlargement, so it is advisable to ...[Read More] Understanding Thyroid Enlargement: Symptoms, Diagnosis, and Treatment Options
Understanding HPV Warts: Transmission Risks and Precautions
Anxiety inquiry Hello Doctor, I am the one who previously asked about viral warts and have a few more questions after consulting several doctors. 1. I was in contact with a colleague who had viral warts on his hand, which had been treated, but there was a spot that looked like ...
Dr. Hong Yuanbin Reply:
1. There is generally no risk of infection in basic daily activities, so there is no need to worry. 2. The likelihood of infection is higher when coming into contact with areas affected by the patient's viral warts. 3. The changes on your hands need to be directly examin...[Read More] Understanding HPV Warts: Transmission Risks and Precautions
Understanding Headaches and Allergies: The Connection to Dental Issues
Headache, allergy issues? Several years ago, I developed a cavity in my upper right molar that was difficult to clean. The decay was quite deep, and the dentist mentioned that fragments had lodged into the gum tissue. Initially, my headaches were caused by the dental issue, and I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, I need to address several points: 1. The term "bacteria entering the bloodstream" typically refers to instances during dental cleanings or surgical procedures. In general, unless there is a dental procedure performed, bacteria from cav...[Read More] Understanding Headaches and Allergies: The Connection to Dental Issues
IVIG Treatment for Antiphospholipid Syndrome: Hospitalization Necessity Explained
Treatment methods for autoimmune diseases and the necessity of hospitalization? Hello, Doctor. I have been diagnosed with antiphospholipid syndrome. In the past, I have been treated with oral medications, but now I am experiencing discomfort. My attending physician has suggested ...
Dr. Zeng Guosen Reply:
There are only a few cases of patients with antiphospholipid syndrome using IVIG (intravenous immunoglobulin). If it is the first injection, it is recommended to administer it in a hospital setting for observation, as it is safer and more reassuring. If you have any questions or ...[Read More] IVIG Treatment for Antiphospholipid Syndrome: Hospitalization Necessity Explained
Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
In vitro fertilization (IVF) and thyroid issues? Hello Doctor, prior to my IVF treatment, I had a blood test that showed my TSH (Thyroid Stimulating Hormone) level was 3.64, while the doctor hoped for a value below 2.5. Additionally, my thyroid peroxidase antibody level was 119, ...
Dr. Lin Jianliang Reply:
Thyroid diseases can affect both the mother and the fetus during pregnancy. Conversely, pregnancy itself may also impact thyroid function. Based on your description, it may be necessary to consider other factors, such as additional test results, the presence of symptoms, and medi...[Read More] Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions
The steroid dosage has been reduced to 7.5 mg, and the symptoms are becoming more pronounced? Last year, I developed a skin wound from scratching due to flea bites, which became infected with bacteria. The wound started to hurt, but after taking antibiotics, the pain subsided. Ho...
Dr. Zeng Guosen Reply:
Hello, skin disorders can indeed be very bothersome. If reducing the steroid dosage to 10 mg causes instability in your symptoms, there’s no need to panic. This indicates that your skin condition is still unstable. It may be advisable to adjust the methotrexate (MTX) dosage and w...[Read More] Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions