Understanding HIV Transmission Risks: Your Questions Answered
Inquiry about HIV issues? Hello, Dr. Hong. My friend is a male HIV patient, but I am very close to him and do not mind his condition. However, just yesterday, he masturbated at my house and ejaculated onto a tissue, which he then threw into the bathroom trash can. After he left, ...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned does indeed carry a certain risk of infection. It is recommended that you visit the infectious disease outpatient clinic for screening and consultation regarding whether any further treatment is necessary. Thank you for your inquiry.[Read More] Understanding HIV Transmission Risks: Your Questions Answered
Understanding the Connection Between Rashes and Medications
Rash and its relationship with medications? Dear Doctor, I have multiple joint inflammations and recently started taking Celebrex (two capsules a day) and Voltaren (one capsule a day). Unfortunately, I contracted COVID-19 after starting the medication, but I continued taking the...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. It may still be related to the medication, so I recommend that you stop taking the medication and return to the original prescribing physician for the Sertraline or consult a rheumatologist. The Allergy, Immunology, and Rheumatology Department a...[Read More] Understanding the Connection Between Rashes and Medications
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?
Understanding High ANA Levels: Impact on Pregnancy and Miscarriage
Antinuclear antibodies (ANA) Hello Doctor, I would like to ask a question. I previously experienced a pregnancy loss due to fetal cardiac arrest. After that, I went to the rheumatology and immunology department for blood tests and found that my ANA (antinuclear antibody) level wa...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many reasons for fetal demise, and immune dysfunction is just one small factor. In cases related to immune dysfunction, it is important to consult with your physician, as there are other tests that can be performed in addition to the ...[Read More] Understanding High ANA Levels: Impact on Pregnancy and Miscarriage
Understanding HIV and STI Risks: Safe Practices and Concerns
Risk of HIV and Other Sexually Transmitted Infections (STIs) Hello doctor, I visited the obstetrics and gynecology department today. Whenever I know an internal examination is needed, I wear disposable underwear. However, today when I threw away the disposable underwear, I accide...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned is unlikely to result in contracting HIV or other sexually transmitted infections. Thank you for your inquiry.[Read More] Understanding HIV and STI Risks: Safe Practices and Concerns
Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Rapid test negative but RPR positive? Due to having a rash on my body, and aside from that, there are no signs of primary syphilis or rashes on my hands and feet. I saw a doctor this morning who ordered a blood test, and I will wait a week for the results. However, I took an anon...
Dr. Liao Zhongxin Reply:
1. First, let's take a look at what tests were performed in the anonymous screening to understand the negative report results. 2. Additionally, syphilis is generally tested using RPR/VDRL and TPHA/TPPA to clarify the patient's status. It is recommended to seek a nearby ...[Read More] Negative Rapid Test but Positive RPR: Understanding Syphilis Diagnosis
Addressing Medication Concerns in Ankylosing Spondylitis Treatment
Medication-related issues in ankylosing spondylitis? Hello Doctor, I am #191834, and I have some additional questions to ask you. Thank you for your help: 1. I have been taking Silenor for about six months, but I feel it is not very effective. What should I do? 2. My doctor did...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. I have been taking Silodosin for about six months, but I feel it is not very effective. What should I do? --> Please discuss this with your prescribing physician, as there are other medications available. If neces...[Read More] Addressing Medication Concerns in Ankylosing Spondylitis Treatment
Can Touching Public Trash Cans Lead to Infections? A Doctor's Insight
May I ask the doctor? Hello doctor, I would like to ask if there is a concern about contracting sexually transmitted infections or other diseases from touching the metal parts of public restroom trash cans or garbage bins? (I wash my hands after using the restroom) Thank you.
Dr. Hong Yuanbin Reply:
Hello, if there is no wound caused, there should be no concern for infection. Thank you for your question.[Read More] Can Touching Public Trash Cans Lead to Infections? A Doctor's Insight
Understanding ANA Testing in Relation to Lupus and Allergies
Regarding ANA testing in systemic lupus erythematosus? Hello, around September 2022, I experienced redness and itching on my face and scalp, along with peeling skin and increased hair loss. I also felt fatigued and had difficulty concentrating. However, I did not have joint pain ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Although the ANA test result is negative, considering that the butterfly rash appeared in September, which was four months ago, how accurate is this blood test? Can systemic lupus erythematosus (SLE) have a negative ...[Read More] Understanding ANA Testing in Relation to Lupus and Allergies
Understanding Positive ANA and Normal Complement Levels in SLE Concerns
ANA positive homogeneous 1:160+ with normal C3 and C4 complement levels? Hello Doctor: Recently, I developed hives and visited the rheumatology and immunology department. After blood tests, it was found that my ANA was positive with a homogeneous pattern at 1:160. Other tests for...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A positive ANA (antinuclear antibody) test can occur in healthy individuals as well. To confirm this possibility, we will investigate the reasons for a positive ANA, including the series of tests you mentioned. If these tests return negative res...[Read More] Understanding Positive ANA and Normal Complement Levels in SLE Concerns
Is There a Connection Between Urticaria and Immune System Disorders?
Is urticaria related to immune system disorders? Hello Doctor, I have been experiencing itching in my limbs for the past three weeks. The itching has progressively worsened, so I consulted a dermatologist who diagnosed me with urticaria, although I have never had this condition b...
Dr. Zeng Guosen Reply:
There is a connection between immune dysregulation and urticaria. For further differential diagnosis, you can consult a dermatologist or an immunology/allergy specialist. Thank you for your question.[Read More] Is There a Connection Between Urticaria and Immune System Disorders?
Understanding Skin Irritations and Vaccine Mixing: Your Health Questions Answered
Please ask your question? Hello, I would like to ask the doctor about a slight itch on my elbow, where I have two or three small bumps. I'm wondering if this is due to an insect bite or some unusual disease. I happened to come across information about HIV, but I have not eng...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your images, it is likely folliculitis or eczema; however, it should not be caused by HIV. A definitive diagnosis may require evaluation by a dermatologist. 2. Hello, I recommend receiving the Moderna next-generation vaccine, as there are no concerns regard...[Read More] Understanding Skin Irritations and Vaccine Mixing: Your Health Questions Answered
Understanding Syphilis and HIV: Key Questions and Answers for Patients
Syphilis/HIV Hello, Doctor. I would like to ask: 1. What is the typical diameter of syphilis rashes? Are they round or irregularly shaped? Are they independent lesions or do they form a confluent area? Do they appear flat or raised? Are the colors light red or dark red? 2. If one...
Dr. Hong Yuanbin Reply:
Hello, 1. Syphilis rashes are usually not itchy or painful, initially appearing as light red spots that can progress to red or dark red, and are typically round in shape. 2. When there are only one or two spots, it can be difficult to distinguish whether they are caused by syp...[Read More] Understanding Syphilis and HIV: Key Questions and Answers for Patients
Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Shared needles Hello doctor, I recently shared a syringe for intravenous injection with an HIV patient. What is the likelihood of infection? I used the syringe at least an hour after he did. I've seen various claims online about the virus survival time, ranging from 3 minute...
Dr. Hong Yuanbin Reply:
Hello, sharing needles can lead to infection regardless of how long they have been used, so it is crucial never to use needles that have been used by others. The so-called rash typically occurs during the secondary stage of syphilis, which happens approximately six weeks to six m...[Read More] Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Shared needles Hello doctor, I recently shared a needle for intravenous injection with an HIV patient. What is the likelihood of infection? I used the needle at least an hour after he did. I've seen various claims online about the virus survival time, ranging from 3 minutes ...
Dr. Hong Yuanbin Reply:
Hello, sharing needles can lead to infection regardless of how long they have been used. Therefore, it is crucial not to use needles that have been used by others. The so-called rash is associated with secondary syphilis, which typically occurs approximately six weeks to six mont...[Read More] Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Sharing needles Hello doctor, I recently shared a needle for intravenous injection with an HIV patient. What is the likelihood of infection? I used the needle at least an hour after he did. I’ve seen various claims online about the virus survival time, ranging from 3 minutes to s...
Dr. Hong Yuanbin Reply:
Hello, sharing needles can lead to infection regardless of how long they have been used. Even if it’s just for one minute, there is still a risk of infection. Therefore, never use needles that have been used by someone else. The so-called rash is associated with the secondary sta...[Read More] Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Sharing needles Hello Doctor, I recently shared a needle for intravenous injection with an HIV patient. What is the likelihood of infection? I used the needle at least an hour after he did. I've seen various claims online about the virus survival time, ranging from 3 minutes...
Dr. Hong Yuanbin Reply:
Hello, sharing needles can lead to infection regardless of how long they have been used; even if it’s just for one minute, there is still a risk of infection. Therefore, never use needles that have been used by someone else. The so-called rash is associated with the secondary sta...[Read More] Understanding Risks of Sharing Needles: HIV and Syphilis Concerns
Understanding Internal Itching: Causes and Solutions After Diagnosis
It feels itchy inside the body? Since the third day after being diagnosed, I have not had a fever, but I feel an internal itch throughout my body. It's very uncomfortable and hard to describe; I feel the need to keep moving to feel a bit better. Even before going to sleep at...
Dr. Hong Yuanbin Reply:
Hello, it is true that some individuals may experience skin rashes due to COVID-19, although the likelihood is low. I would like to know if you are currently taking any medications, as it may be necessary to rule out drug or food allergies. If there are none, then it could be att...[Read More] Understanding Internal Itching: Causes and Solutions After Diagnosis
Understanding Skin Rashes and Elevated C4 Complement Levels
Generalized urticaria and elevated C4 complement levels? Hello doctor, I noticed many small papules on my body on October 9th, particularly on my arms and legs. They are not painful, but sometimes itchy (I'm not sure if it's due to friction from clothing). I had blood d...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Elevated C4 levels can occur when the body is experiencing discomfort, including infections. Generally speaking, elevated complement C3 and C4 levels are usually not concerning, while low levels often indicate abnormalities in immune function. ...[Read More] Understanding Skin Rashes and Elevated C4 Complement Levels
Understanding C3 and C4 Levels: What to Do When Symptoms Persist?
Complement C3 & C4 Every morning when I wake up, my hands are swollen and stiff, and I experience pain in the joints when bending my fingers. Blood tests showed an erythrocyte sedimentation rate of 16, rheumatoid arthritis factor tests (immunoturbidimetry) were less than 20, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your C3 level is slightly low, but this may just be a variation due to your constitution, so there is no need to worry too much. Other tests are normal. I believe that if your morning stiffness lasts for a short duration, such as less than half ...[Read More] Understanding C3 and C4 Levels: What to Do When Symptoms Persist?