Does Not Fasting Affect the Accuracy of Health Checkup Results?
Does undergoing a health check-up without fasting affect the interpretation of test results? Thank you? Hello Director Li, I would like to ask you some questions regarding the health check report. Our company is organizing a health check tour, but the hospital has scheduled the h...
Dr. Li Huixiong Reply:
Hello: Some laboratory test results can indeed be influenced by diet. Below, I will list the tests and examinations that are recommended to be fasting for at least eight hours due to dietary effects, for your reference: urine glucose (GLU), pH, total cholesterol (CHOL), triglycer...[Read More] Does Not Fasting Affect the Accuracy of Health Checkup Results?
Does Rheumatoid Arthritis and Lupus Worsen Over Time?
Is the condition worsening or stable? Does rheumatoid arthritis and systemic lupus erythematosus affect the central nervous system (brain), and do the clinical manifestations worsen over time? Does the condition deteriorate or remain stable as time progresses? Thank you, doctor.
Dr. Gao Jiankai Reply:
Hello, the central nervous system lesions associated with lupus erythematosus are quite complex, and the symptoms can be varied and unusual, making it difficult to determine the prognosis in a few words; a thorough examination of the manifestations is necessary for a definitive d...[Read More] Does Rheumatoid Arthritis and Lupus Worsen Over Time?
Understanding White Lesions on the Tongue: Causes and Concerns
Tongue The white objects on both sides at the back of the tongue, each measuring 1x2.5 cm and having some thickness that does not resolve, could be indicative of several conditions. It is advisable to consult a healthcare professional for an accurate diagnosis. Possible causes ma...
Dr. Xiao Yongxun Reply:
Hello, here is the response to your question: There are many different manifestations of tongue diseases. In addition to diseases of the oral mucosa and the tongue itself, systemic diseases (such as anemia, rheumatoid arthritis, tumors, endocrine disorders, amyloidosis, etc.) can...[Read More] Understanding White Lesions on the Tongue: Causes and Concerns
Morning Finger Stiffness: Causes and Solutions for Cold Weather
Waking up in the morning with stiff fingers? For the past year, I have often experienced stiffness in my fingers when getting up in the morning during winter, making it difficult to bend them. The colder the weather, the more likely this occurs.
Dr. Zeng Guosen Reply:
Hello, internet user: Morning finger stiffness may be due to joint degeneration or inflammation (such as rheumatoid arthritis), tendonitis, neuropathy, or circulatory issues, as well as edema and other conditions. It is difficult to make a judgment based on your description, so I...[Read More] Morning Finger Stiffness: Causes and Solutions for Cold Weather
Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants
Recurrent colds Hello doctor, I am currently taking steroids and immunosuppressants, but for the past two weeks, I have been experiencing continuous colds, tonsillitis, headaches, and a tight feeling in my chest. I feel chest pain when lying flat, and I become short of breath aft...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, the diseases treated with corticosteroids and immunosuppressants are generally autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis. If not well controlled, these conditions can also attack the lungs, leading to lung...[Read More] Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants
Understanding Prolonged Fever: When to Seek Medical Attention
Fever for one week? Fever for a week, with daily temperatures exceeding 38 degrees Celsius, except for one day. On the fourth day of the fever, I was examined in the infectious disease department of the hospital, where my WBC was 4400, CRP was 0.4, and platelet count was 298,000....
Dr. Qiu Zhengbin Reply:
Hello: Based on your description, there is a significant chance of a viral infection, and other possibilities such as tuberculosis or autoimmune diseases cannot be ruled out. If the fever persists, I recommend that you return to the hospital's infectious disease department f...[Read More] Understanding Prolonged Fever: When to Seek Medical Attention
Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Finger joint soreness and numbness? Hello Doctor: I have a history of gout for about 10 years, and I haven't had an acute attack for over 6 years. This month, my blood test showed a uric acid level of 8.6. I would like to ask about an incident from early last year when I sud...
Dr. Zeng Guosen Reply:
Hello, the symptoms you are experiencing do not appear to be acute gout, but chronic gout cannot be ruled out. It is recommended that you visit a hospital for further examination. The sudden sensation of numbness and tingling in the joint of your right little finger and palm, alo...[Read More] Understanding Finger Joint Pain: Gout or Rheumatoid Arthritis?
Caring for Rheumatoid Arthritis: Daily Tips for Better Management
Care for Rheumatoid Arthritis Dear Doctor, My friend has rheumatoid arthritis and has been receiving treatment and medication at the hospital for some time. They would like to better understand the information regarding daily care. What should they pay attention to in their dail...
Dr. Zeng Guosen Reply:
Hello, internet user: Rheumatoid arthritis is a chronic inflammatory disease, and it is recommended to seek care from a rheumatologist. In addition to necessary medications, diet, exercise, and support from family and friends are very important. A Mediterranean diet rich in fresh...[Read More] Caring for Rheumatoid Arthritis: Daily Tips for Better Management
Managing Rheumatoid Arthritis Medications During Pregnancy
Medication for Pregnant Patients with Rheumatoid Arthritis (RA) Hello Doctor: I am 34 years old and have been diagnosed with rheumatoid arthritis for 16 years. Currently, I am taking 2.5 mg of steroids daily, one Clinoril pain reliever in the morning and one in the evening, one q...
Dr. Zeng Guosen Reply:
Hello, user: I apologize for the delayed response due to circumstances. The active ingredient in Clinoril is sulindac. Currently, there is insufficient research to confirm its absolute safety during pregnancy; therefore, its use is not recommended during this period. Thank you fo...[Read More] Managing Rheumatoid Arthritis Medications During Pregnancy
Understanding Autoimmune Diseases in the Cavernous Sinus
Autoimmune diseases Hello, doctor: Can autoimmune diseases occur in the cavernous sinus? (This question refers to whether rheumatoid arthritis and lupus can manifest in the cavernous sinus; is this statement correct?) What autoimmune diseases are associated with the cavernous sin...
Dr. Zeng Guosen Reply:
Hello, it seems you are asking whether autoimmune diseases, such as rheumatoid arthritis and lupus, can affect the cavernous sinus. Based on the current available data, I have not encountered such cases, nor have I come across any related reports, so I cannot provide you with a d...[Read More] Understanding Autoimmune Diseases in the Cavernous Sinus
Risks of Pregnancy for Patients with Rheumatoid Arthritis: What to Know
What risks do patients with rheumatoid arthritis face during pregnancy? Hello Doctor: I am 34 years old and have been diagnosed with rheumatoid arthritis for 16 years. I have been taking 2.5 mg of steroids daily, one Clinoril painkiller in the morning and one in the evening, and ...
Dr. Zeng Guosen Reply:
Dear Xiao Pei, Hello, (1) It is possible to become pregnant after stopping methotrexate (MTX) for more than three months, and management can only rely on corticosteroids and anti-inflammatory pain relievers. (2) As long as you cooperate with your physician, the risks are ver...[Read More] Risks of Pregnancy for Patients with Rheumatoid Arthritis: What to Know
Understanding Persistent Fever: Potential Underlying Diseases Explained
Recurrent fever Recurrent fever for five consecutive days without resolution could be caused by several conditions, including infections (such as viral or bacterial infections), autoimmune diseases (like systemic lupus erythematosus or rheumatoid arthritis), malignancies (such as...
Dr. Lin Mingfeng Reply:
Aside from common upper respiratory infections, the primary consideration for fever in young women is urinary tract infection (UTI). Patients often present with symptoms such as dysuria or flank pain. To determine the cause of fever, it is essential to correlate it with various c...[Read More] Understanding Persistent Fever: Potential Underlying Diseases Explained
Understanding Joint Pain: Possible Causes and Treatment Options
Joint issues Doctor: Hello. My left knee cartilage has been worn down due to work for the past ten years. Recently, I've been experiencing pain in the area between my knees and my tailbone. After walking a distance or squatting for a while, both of my heels feel warm, but it...
Dr. Zeng Guosen Reply:
Dear Aa: Hello, based on the described situation, it seems to be related to the tendons and joints. The symptoms alone cannot determine if it is rheumatoid arthritis. I recommend visiting an orthopedic or rehabilitation specialist to identify the specific issue and then provide a...[Read More] Understanding Joint Pain: Possible Causes and Treatment Options
Can Stem Cell Therapy from Cord Blood Treat Rheumatoid Arthritis?
Rheumatoid Arthritis Is stem cell therapy an option for rheumatoid arthritis? I have been suffering from this condition for 5-6 years, and many of my joints can no longer bear weight or have not regained their full range of motion. I am due to give birth this month; can umbilical...
Dr. Wang Fangli Reply:
Hello, Cherry Forest: There are literature reports indicating that the use of stem cells for autologous bone marrow transplantation has therapeutic effects, but it remains a preliminary experimental therapy. It is advisable to consult with a rheumatology and immunology specialist...[Read More] Can Stem Cell Therapy from Cord Blood Treat Rheumatoid Arthritis?
Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Blood draw issues? Hello, on May 19th, I had a health check-up, and the blood test report showed some concerning results: total cholesterol 125, high-density lipoprotein (HDL) 39, urine pH 7, and a positive reaction for occult blood. Does this indicate a risk for cardiovascular d...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The essence of a health check-up is to screen for specific diseases or issues through certain tests or examinations, and if necessary, to conduct further evaluations or diagnoses. 2. Your total cholesterol level is 125 mg/dL, and your high...[Read More] Understanding Blood Test Results: Cholesterol, Gout, and Follow-Up Care
Effective Strategies to Prevent Rheumatoid Arthritis Flare-Ups
How to prevent rheumatoid arthritis? As the weather gets cooler, my knees become inflamed, and I experience soreness in all ten fingers and even my shoulders. What can I do to prevent this from worsening? Thank you.
Dr. Hong Hongchang Reply:
Hello Wansia: 1. As the weather gets colder, poor blood circulation can lead to an increased occurrence or worsening of arthritis, so it is advisable to ensure proper warmth. 2. If there is gouty arthritis or rheumatoid arthritis, a blood biochemical test should be conducted for ...[Read More] Effective Strategies to Prevent Rheumatoid Arthritis Flare-Ups
Understanding Skin Pain Associated with Cold Symptoms
Skin pain caused by a cold? Hello Dr. Zhao, I have a question regarding a cold: Over the past year, whenever I catch a cold, in addition to the usual symptoms of runny nose, nasal congestion, mild dizziness, excessive phlegm, and general discomfort, I have been experiencing &qu...
Dr. Zhao Chongliang Reply:
What you are referring to is abnormal sensation, which is known as paresthesia in English. It can be caused by poor blood circulation throughout the body, atherosclerosis due to deposits of cholesterol or thrombosis, vitamin deficiencies, poor nutritional status, diabetes, hypoth...[Read More] Understanding Skin Pain Associated with Cold Symptoms
Understanding Weakness in Hands and Feet: Causes and Solutions
Weakness in the limbs? Hello, I have been troubled by a long-standing issue where my hands and feet often feel weak. Sometimes, I even struggle to lift my hands to brush my teeth, and when I walk up stairs, it can get so severe that I end up kneeling down. I have low blood pressu...
Dr. Xiao Yongxun Reply:
Hello, in response to your question. The complaint of "weakness in the limbs" is common in clinical practice; however, due to the subjective nature of the experience, which varies from person to person, and the multitude of potential causes that lack specificity, it can...[Read More] Understanding Weakness in Hands and Feet: Causes and Solutions
Understanding Elevated Platelet Counts: Causes and Implications
Thrombocytosis? At the end of January this year, I underwent a health check and found that my platelet count was elevated, with three subsequent tests showing values of 487, 536, and 520. The doctor indicated that the reference range is between 200 and 400. However, the first hos...
Dr. Zeng Guosen Reply:
Hello, most autoimmune diseases cause low platelet counts rather than high. High platelet counts can be classified into: 1. idiopathic, 2. inflammatory diseases, 3. hematologic disorders, 4. medications, and 5. infections. If you have further questions, please consult a hematolog...[Read More] Understanding Elevated Platelet Counts: Causes and Implications
Understanding Quinine Side Effects in Long-Term Use for Arthritis
Quinine side effects? I am a patient with rheumatoid arthritis, with a history of 35 years. In recent years, I have been intermittently taking quinine for a long duration, totaling 8 years. Over the past 2 years, I have noticed darkening of my forehead and chin, hair loss, freque...
Dr. Zeng Guosen Reply:
Hello, quinine can cause hyperpigmentation, leading to darker skin. Aside from discontinuing the medication, there are no effective methods to address this issue. However, it is important to rule out any endocrine, kidney, or liver abnormalities, so please consult a physician for...[Read More] Understanding Quinine Side Effects in Long-Term Use for Arthritis