Concerns About HIV Transmission After Protected Sex: What You Should Know
HIV/AIDS issues Doctor, I had an encounter with a sex worker at the end of February. I used a condom throughout the intercourse, but I did pull out after thrusting a few more times. Is there a risk of fluid exchange in this situation? Recently, I've been experiencing frequen...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the question about having sexual intercourse with a sex worker at the end of February while using a condom throughout the process, and whether there would be any risk of fluid exchange: A. If a condom was used consistently, the risk of infection is ge...[Read More] Concerns About HIV Transmission After Protected Sex: What You Should Know
Risk of HIV Transmission from Unprotected Anal Sex: What You Need to Know
Engaging in unprotected anal intercourse with a male partner can increase the risk of HIV transmission. It is important to get tested and consult a healthcare professional for advice on prevention and treatment options? Hello, doctor. I am a gay man. I had anal intercourse with a...
Dr. Liao Zhongxin Reply:
Dear reader, Regarding your question about having anal intercourse with a man in the Philippines without using a condom and having an internal ejaculation, is there a risk of contracting HIV? What is the likelihood? A: (1) The known high-risk groups for HIV infection include th...[Read More] Risk of HIV Transmission from Unprotected Anal Sex: What You Need to Know
Understanding Thiamazole: Is It an Anticoagulant Due to Its Side Effects?
Medication issues Hello, doctor: I would like to inquire about the medication Propylthiouracil for thyroid issues. It has side effects such as thrombocytopenia or impaired coagulation function. Does this mean it is considered an anticoagulant? I'm a bit unclear if they are t...
Dr. Xiao Yongxun Reply:
1. Procil® (PTU, Propylthiouracil 50mg/Tab) concentrates in the thyroid gland after administration, inhibiting the iodination of tyrosine and the coupling of iodinated tyrosine, as well as blocking the conversion of T4 (thyroxine) to T3 (triiodothyronine). The main side effects i...[Read More] Understanding Thiamazole: Is It an Anticoagulant Due to Its Side Effects?
Understanding Lupus: Hereditary Risks and Health Check Recommendations
Systemic lupus erythematosus (SLE) I’m sorry to hear about your mother’s passing due to lupus. Lupus, specifically systemic lupus erythematosus (SLE), can have a genetic component, which means there may be an increased risk of developing the condition if a family member has it. I...
Dr. Zeng Guosen Reply:
Hello, internet user: In systemic lupus erythematosus (SLE), only a small number of cases exhibit hereditary patterns, so there is no need to worry. The clinical symptoms of lupus can be quite diverse. Possible symptoms include: fever, fatigue, joint pain or arthritis, facial ras...[Read More] Understanding Lupus: Hereditary Risks and Health Check Recommendations
Potential Infection Risks for Dental Assistants: What You Need to Know
Stabbed by a needle? As a dental assistant, I have recently experienced several minor accidents, including being pricked by a patient's anesthetic needle, getting sprayed with a small amount of blood, and cutting my foot on a sharp object while disposing of clinic waste, alt...
Dr. Xiao Yongxun Reply:
In larger hospitals, there is usually a standard operating procedure for needlestick injuries. Generally, it is as follows: 1. Report to the infection control department, and the occupational safety and health office will document the incident and provide the personnel department...[Read More] Potential Infection Risks for Dental Assistants: What You Need to Know
Assessing HIV Infection Risk and Symptoms After Protected Intercourse
HIV Infection Risks and Symptoms Hello Doctor: I had vaginal intercourse with a condom the entire time, but after ejaculation in the female-on-top position, my penis became flaccid while still inside the vagina. When I withdrew, the condom was caught by the muscles at the vaginal...
Dr. Liao Zhongxin Reply:
Dear readers: 1. What is the probability of me contracting HIV given my situation? A. If you consistently use condoms and perform post-coital cleaning, the risk is low. 2. Do my symptoms resemble those of acute HIV infection? A. Skin symptoms and fever can be concerning, but...[Read More] Assessing HIV Infection Risk and Symptoms After Protected Intercourse
Assessing HIV Infection Risks After Sexual Encounter: What You Need to Know
Risk of HIV Infection On July 4th of this year, I had sexual relations with a sex worker in Thailand. The encounter involved unprotected oral sex and protected vaginal intercourse. During oral sex, she briefly held my glans, seemingly after I released pre-ejaculate fluid, and the...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the relationship between unprotected oral sex and protected vaginal intercourse with subsequent symptoms of low-grade fever and headache: A: 1. For unprotected oral sex, it is important to check if the partner has any oral diseases or bleeding. ...[Read More] Assessing HIV Infection Risks After Sexual Encounter: What You Need to Know
Managing Joint Pain in Systemic Lupus Erythematosus Patients
Issues related to systemic lupus erythematosus? Hello, doctor. I was diagnosed with systemic lupus erythematosus in early April this year. I have already started taking medication, but I am currently away and do not have the English name of the medication with me, so I cannot pro...
Dr. Xiao Yongxun Reply:
The diagnostic criteria for systemic lupus erythematosus (SLE) include: 1. The presence of a fixed erythematous rash on the cheeks, known as a malar rash or butterfly rash; it typically does not involve the nasolabial folds. 2. The appearance of discoid lupus erythematosus lesion...[Read More] Managing Joint Pain in Systemic Lupus Erythematosus Patients
Is It Enterovirus? Understanding Symptoms and Diagnosis
Is it an enterovirus? Hello, doctor: Last week, I had a continuous fever of about 40 degrees Celsius for several days, and my throat showed the following symptoms: https://imgur.com/hKPJaih. I would like to ask the doctor: 1. Does the photo indicate pharyngitis? 2. Given the cont...
Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the typical common symptoms of enterovirus: (1) Hand, foot, and mouth disease: fever or mild fever, with scattered, non-painful, non-itchy, non-crusted, non-scarring small, elongated, light red rashes or small vesicular lesions on the palms (Figur...[Read More] Is It Enterovirus? Understanding Symptoms and Diagnosis
Understanding Herpetic Pharyngitis and Prolonged Fever: When to Seek Help
Herpetic pharyngitis with high fever? Hello, doctor. I started experiencing a high fever (39-40 degrees Celsius) from last Thursday, which lasted for three days, and then I developed herpetic pharyngitis. Therefore, the doctor diagnosed it as enterovirus. After three days of sore...
Dr. Xiao Yongxun Reply:
Herpetic pharyngitis presents with painful ulcers in specific areas of the oral cavity, accompanied by fever, sore throat, loss of appetite, general malaise, and respiratory infection symptoms. Hand-foot-mouth disease also manifests with oral ulcers, rashes on the palms and soles...[Read More] Understanding Herpetic Pharyngitis and Prolonged Fever: When to Seek Help
Severe Allergic Reactions After Eating Out: Causes and Solutions
Severe allergic reaction and respiratory distress after eating out? Hello, Dr. Gao. I usually experience skin rashes when consuming MSG, but after eating out yesterday, I developed a condition within 15 minutes that included widespread redness, itching, numbness of the tongue, an...
Dr. Gao Jiankai Reply:
Hello Mr. Chen, thank you for your question. The rapid onset of symptoms is indeed very likely to be caused by an allergy. Severe allergies can affect the respiratory system, leading to symptoms similar to an asthma attack. Allergies that cause systemic symptoms are often trigger...[Read More] Severe Allergic Reactions After Eating Out: Causes and Solutions
Understanding RA Symptoms: Are They Related to Vasculitis?
Vasculitis? Rheumatoid Arthritis (RA)? Hello, doctor. I have been diagnosed with rheumatoid arthritis (RA) at a medical center due to polyarticular pain and a strongly positive anti-CCP test. I have been on medication for quite some time. Recently, I have been experiencing recurr...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Based on the symptoms you described, vasculitis is a possibility, and rheumatoid arthritis (RA) can also lead to vasculitis. However, vasculitis associated with RA typically occurs when medication control is inadequate or treatment is irregular....[Read More] Understanding RA Symptoms: Are They Related to Vasculitis?
Understanding ANA and SLE: Do You Need a Positive ANA for Diagnosis?
ANA (Antinuclear Antibody) and SLE (Systemic Lup Hello, Director Gao. I went to see a specialist in immunology due to joint pain and a rash on my cheeks. After reviewing the overall examination results and clinical symptoms, I found that I meet five of the criteria for SLE diagno...
Dr. Gao Jiankai Reply:
Hello, ANA is just one of the diagnostic criteria for Systemic Lupus Erythematosus (SLE). To meet the diagnostic criteria, a patient only needs to satisfy four of the criteria, and it is not necessary to include ANA. Therefore, ANA is not a mandatory requirement. However, the lik...[Read More] Understanding ANA and SLE: Do You Need a Positive ANA for Diagnosis?
Understanding Platelet Count: Is Your Level Too Low?
Platelet count The platelet counts from 1998 to 2001 were 259,000, 260,000, 255,000, 239,000, and 240,000. Are these values considered low? Today, I woke up and suddenly noticed small red spots under the skin on my left forearm, resembling pinpoint bleeding. They are similar to t...
Dr. Gao Jiankai Reply:
Hello, your skin rash does indeed appear to resemble small petechiae, and the possibility of thrombocytopenia should be ruled out. If it is unilateral, we would suspect that the forearm has experienced some form of compression, such as bearing heavy objects, resulting in small br...[Read More] Understanding Platelet Count: Is Your Level Too Low?
Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
Diabetic complications Hello Dr. Liao, 1. I have diabetes and am undergoing treatment, but I still frequently experience fungal infections. What should I do? 2. I develop allergic reactions with redness and rashes after insulin injections. What should I do? What are the side e...
Dr. Liao Zhongxin Reply:
Dear readers: 1. For questions related to diabetes, you can visit the metabolic clinic to consult with a physician and a diabetes educator for clarification. 2. Fungal infections may occur in individuals who are obese, female, or have chronic diseases. It is important to manage b...[Read More] Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
When to Seek Emergency Care for Influenza B Symptoms
Under what circumstances should one go to a large hospital for influenza type B? A 31-year-old female family member was diagnosed with influenza B at a clinic two days ago and is currently taking antiviral medication as prescribed by the doctor for five days. She is still experie...
Dr. Li Zhiyao Reply:
Hello Mr. Lin: Most influenza patients recover in about a week, but it is important to pay special attention to any warning signs of severe influenza (such as shortness of breath, difficulty breathing, cyanosis, blood or thick sputum, chest pain, altered consciousness, low blood ...[Read More] When to Seek Emergency Care for Influenza B Symptoms
Managing Recurrent Infections: Seeking Relief from Pain and Discomfort
Viral infection Hello Dr. Liao, I live in Yuanlin. In recent months, I have been experiencing recurrent infections. Here are my current symptoms: kidney inflammation, urethritis, and abdominal pain (which is so severe that I cannot walk). Last week, I visited an outpatient clinic...
Dr. Liao Zhongxin Reply:
Dear readers, 1. The brief medical condition is as follows: Urinary tract infection with suspected pyelonephritis, for which the physician has prescribed antibiotics and symptomatic treatment; however, side effects from the medication have begun, prompting this inquiry. 2. Lowe...[Read More] Managing Recurrent Infections: Seeking Relief from Pain and Discomfort
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
Could Your Sweet Tooth Be Causing Unexplained Skin Issues?
Is this diabetes? Hello Doctor, I tend to eat more sweets on my days off, but the next day after exercising, I develop large red rashes or spots on my thighs. Both legs have these rashes, which are neither painful nor itchy. They usually disappear after 2 to 3 days, but the skin ...
Dr. Chen Qingbin Reply:
It could be diabetes; it's best to visit a hospital for an internal medicine examination.[Read More] Could Your Sweet Tooth Be Causing Unexplained Skin Issues?
Understanding Recurring Urticaria: Causes and Treatment Options
Recurrent urticaria? Hello Dr. Tseng, since I started eating canned mackerel in tomato sauce last September, I have experienced a resurgence of urticaria that I hadn't had for many years. I have been intermittently taking medications prescribed by the school doctor or small ...
Dr. Zeng Guosen Reply:
Dear online friend, urticaria is a condition that is not easily cured completely. It is best to keep a record of what you ate before the rash appeared, where you have been, and what you have come into contact with, in order to gradually identify related issues. You can also under...[Read More] Understanding Recurring Urticaria: Causes and Treatment Options