Skin, Internal Medicine FAQ - Page 2

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Blood Draw Infection Risks: Understanding Safety Protocols in Clinics

Blood draw infection issues? Hello, doctor: (1) Last month, I went to a private laboratory for a blood test. Normally, the procedure is to draw blood first and then pay, but that day I paid first before the blood draw. The technician counted out change for me using seven one-hund...


Dr. Liao Zhongxin Reply:
First, it is important to note that the HIV virus can only survive outside the human body for about 10 minutes. Therefore, unless the other person is covered in fresh blood and is in direct contact with your open wound, the risk of infection is very low. If you still have concern...

[Read More] Blood Draw Infection Risks: Understanding Safety Protocols in Clinics


Can You Contract HIV Through Masturbation After Contact with Infected Fluids?

Transmission route - masturbation If a person has contact with the blood or semen of an HIV-infected individual on their hands, does not wash their hands, and then engages in masturbation with broken skin on their genitals, is there a risk of HIV infection?


Dr. Liao Zhongxin Reply:
First, let's review the transmission routes of HIV. There are three main transmission routes for the HIV virus: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual, or exchanging other bodily fluids, carri...

[Read More] Can You Contract HIV Through Masturbation After Contact with Infected Fluids?


Understanding Skin Bumps: Are They a Sign of Infection?

Inquiry about arm issues? Hello Doctor: I noticed three small bumps on my arms while showering in the past couple of days. They are a bit itchy, and I scratched the skin on my right arm, while the left arm looks somewhat like acne. I would like to ask if it is possible to contrac...


Dr. Liao Zhongxin Reply:
In public restrooms, it is advisable to use your own bathroom facilities to avoid skin diseases or other infectious diseases. If skin symptoms persist for an extended period or worsen, it is recommended to visit a nearby medical facility for evaluation.

[Read More] Understanding Skin Bumps: Are They a Sign of Infection?


Managing Mood Swings and Infections in SLE Patients: A Guide

The SLE patient became manic and developed an abscess on the buttocks after changing medication? Hello Doctor: I am a patient with Systemic Lupus Erythematosus (SLE), currently experiencing stage three nephritis and recurrent vasculitis of the skin. My current medications include...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The susceptibility to skin infections is indeed related to the current use of immunosuppressants. You may ask your physician to gradually taper your medication based on your condition. Additionally, it is important to protect your skin from inju...

[Read More] Managing Mood Swings and Infections in SLE Patients: A Guide


Could Oral Contact with a Massage Therapist Lead to Infection?

Infection concerns? Hello doctor, I visited a massage parlor on March 1st and licked the massage therapist's nipple. I know this is very unhygienic, but at that moment, due to some issues, I was emotionally unstable and acted foolishly. Starting on the night of March 3rd, I ...


Dr. Liao Zhongxin Reply:
In addition to HIV, there are other sexually transmitted infections (STIs) or skin diseases that can be transmitted through contact. HIV is primarily spread through unprotected sexual intercourse, sharing of drug injection needles, and vertical transmission from mother to child, ...

[Read More] Could Oral Contact with a Massage Therapist Lead to Infection?


Understanding Skin Rashes and Positive ANA: What You Need to Know

Rash and ANA positive at 1:80? Hello Doctor, I would like to ask about some recent developments. I have noticed three new red spots on the skin of my right cheek. Upon closer inspection, they seem to resemble either subcutaneous bleeding or pigmentation, but they are neither pain...


Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Should I be concerned about my ANA test results? Does a change from negative to positive indicate that my health is deteriorating? --> Since the value is still quite low (80) and within an acceptable range, I reco...

[Read More] Understanding Skin Rashes and Positive ANA: What You Need to Know


Understanding Persistent Skin Rashes: Possible Immune System Disorders

Red rashes on the back, posterior legs, arms, and anterior chest, with itching at night that makes it impossible to sleep, and some areas of skin peeling? Since January 2024, the patient has been experiencing symptoms and has visited three clinics where eczema or urticaria was su...


Dr. Zeng Guosen Reply:
The skin condition described by the netizen seems to be unrelated to the positive antinuclear antibody (ANA) titer of 1:5120. There may be other autoimmune diseases involved, and it is advisable to seek further medical evaluation. It is recommended to first visit a dermatology de...

[Read More] Understanding Persistent Skin Rashes: Possible Immune System Disorders


Understanding Shin Bone Indentation: Causes and Concerns

Tibial compression issues? Hello Dr. Chang, I have noticed that when I press on my shins, they indent and do not immediately bounce back. I remember that the tibia is mostly skin over bone, but recently I have observed that it looks different than before. When I touched it and pr...


Dr. Zhang Shixin Reply:
Hello Nick: Based on your description, this condition may be lower extremity edema. If the symptoms persist without improvement, it is recommended to visit a nephrology clinic for evaluation. Thank you for your inquiry!

[Read More] Understanding Shin Bone Indentation: Causes and Concerns


Can HIV Be Transmitted Through Blood and Alcohol Contact?

Suspected contact with blood that has been exposed to alcohol? Hello, doctor. I'm sorry to ask, but can HIV be transmitted through blood? Today, while disinfecting in the exhibition restroom, I noticed that the alcohol dispenser seemed to have some blood mixed with the alcoh...


Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control and Prevention, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids carries a risk o...

[Read More] Can HIV Be Transmitted Through Blood and Alcohol Contact?


Probiotics for Dialysis Patients: Benefits and Considerations

Patients on dialysis taking kidney-protective probiotics? My father has been a dialysis patient for many years due to uremia. He has always enjoyed various health supplements, and he continues to do so after starting dialysis. Recently, he has seen advertisements for kidney-prote...


Dr. Li Jian Reply:
Patients on dialysis who take probiotics may not see significant effects; it is sufficient to follow a diet plan provided by a nutritionist. Thank you for your inquiry.

[Read More] Probiotics for Dialysis Patients: Benefits and Considerations


Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions

I have a question I would like to ask? Hello Doctor, I am asking on behalf of my mother. For the past two months, she has been experiencing abdominal pain and diarrhea around noon. Sometimes, she even feels the urge to go to the bathroom without having eaten anything. As a result...


Dr. Li Jian Reply:
If you continue to experience gastrointestinal symptoms, it is recommended that you see a gastroenterologist. Thank you for your inquiry.

[Read More] Understanding Afternoon Abdominal Pain and Diarrhea: Causes and Solutions


Consulting a Doctor: COVID-19 Symptoms and Concerns Explained

Consult a doctor? Hello Doctor, I tested positive for COVID-19 a few days ago and have a few questions. I am currently taking Qingguo No. 1 and have also visited an ENT specialist for medication to treat my sore throat and runny nose. I noticed that my phlegm has been yellow and ...


Dr. Liao Zhongxin Reply:
1. After several days of forceful coughing, it is normal to have some blood-tinged sputum due to the rupture of small blood vessels in the trachea. However, if there is a significant amount of fresh blood, it is different, and you should seek medical attention. 2. Whether it...

[Read More] Consulting a Doctor: COVID-19 Symptoms and Concerns Explained


Understanding HIV Transmission Risks in Public Spaces: Key Insights

I forgot to ask for additional information? Hello, doctor! I apologize for my question. If someone with anal fissures or hemorrhoids sits on a public chair and comes into contact with HIV-infected blood or bodily fluids, could they be at risk of infection? I also forgot to ask, i...


Dr. Lin Wufu Reply:
Hello, if an open wound comes into contact with body fluids containing the HIV virus, there is indeed a risk of infection. However, the HIV virus dies within minutes once it leaves the human body, so the likelihood of encountering live HIV in a public place is very low. It is adv...

[Read More] Understanding HIV Transmission Risks in Public Spaces: Key Insights


Understanding Immune System Tests: What Your Results Mean for You

Immune system Anti-Thyroglobulin Antibody (TA) = 13.87 Anti-Nuclear Antibody = Negative at 1:80 C4 Quantitation = 58.46 C3 Quantitation = 137.97 Anti-Thyroid Peroxidase Antibody (AMA) = <3.00 High-Sensitivity C-Reactive Protein (hsCRP) = 0.16 Rheumatoid Factor = 12...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your report shows that only your IgE level is elevated, which is indicative of an allergic condition. If your C4 level is slightly elevated, it is not a concern; C4 can increase when the body is unwell and does not have special significance. I r...

[Read More] Understanding Immune System Tests: What Your Results Mean for You


Understanding Sudden Decrease in Complement C3 Levels: What to Do?

Decreased complement C3? Last year on October 21, a complement C3 test was performed in the emergency department, with a value of 104.4, C4 at 21.7, and an ANA titer of 1:80, which was negative. Four days later, on October 25, the C3 value was 85.4 and C4 was 19.5. This year, on ...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Complement proteins C3 and C4 are produced by the liver, and the liver tends to produce more complement in response to various bodily stresses, which is why complement levels often rise. A decrease in complement levels is often associated with ...

[Read More] Understanding Sudden Decrease in Complement C3 Levels: What to Do?


Can You Contract HIV from Masturbation After Contact with Infected Fluids?

Masturbation-related infection If a person has contact with the blood or semen of an HIV-infected individual on their hands, does not wash their hands, and then engages in masturbation with broken skin on their genitals, is there a risk of HIV infection?


Dr. Liao Zhongxin Reply:
According to the Centers for Disease Control and Prevention (CDC) data, there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids poses...

[Read More] Can You Contract HIV from Masturbation After Contact with Infected Fluids?


Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps

Persistent low-grade fever Hello Doctor, I have been experiencing recurrent low-grade fevers since last Friday afternoon, and it has now been a week with no improvement. I visited a clinic where the doctor prescribed Tamiflu, but it has not been effective. My symptoms include per...


Dr. Li Jian Reply:
It is recommended that you go to the infectious disease department for further blood tests. Thank you for your inquiry.

[Read More] Persistent Low-Grade Fever: Symptoms, Concerns, and Next Steps


Understanding Systemic Pain and Allergic Reactions: When to See a Doctor

Generalized tingling, itching, and numbness? Hello Director Gao: I am following up on my inquiry from January 15 regarding my symptoms of generalized itching, tingling, itchy eyes, itchy ears, fungal patches, difficulty concentrating, memory decline, forgetfulness, headaches, che...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Brittle nails are often a result of nutritional deficiencies, and this can be evaluated by a dermatologist. If your primary care physician is unable to address your concerns, and you are also experiencing anxiety related to allergy symptoms, you...

[Read More] Understanding Systemic Pain and Allergic Reactions: When to See a Doctor


Is Syphilis Invisible? Understanding Symptoms and Recurrences

Is syphilis invisible? Last February, I suddenly woke up with a fever, a type of fever I had never experienced before. A few days later, I discovered a half-spherical mass the size of a ping pong ball on my cervix. Initially, I thought I had cancer. After a month, the ulcerous sm...


Dr. Liao Zhongxin Reply:
A. Your description is quite vivid; however, the Treponema pallidum is not that miraculous. It can be cured with a course of penicillin. B. According to the Centers for Disease Control and Prevention (CDC), the modes of transmission are as follows: 1. Close contact during sexual ...

[Read More] Is Syphilis Invisible? Understanding Symptoms and Recurrences


Can You Catch Rheumatoid Arthritis from Touching an Infected Area?

Inquiry Consultation Hello, Dr. Gao: I have limited understanding of rheumatoid arthritis, so I would like to seek your professional opinion. My question is as follows: Q. If my hand comes into contact with a patient who has rheumatoid arthritis, and that patient shows obvious sy...


Dr. Gao Jiankai Reply:
Hello. Thank you for your inquiry. Rheumatoid arthritis is not contagious, so there is no need to worry. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, cares about you.

[Read More] Can You Catch Rheumatoid Arthritis from Touching an Infected Area?


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