Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
The issue of edema? Dear Doctor, My mother was previously diagnosed with stage II ovarian cancer and has undergone surgery to remove pelvic lymph nodes. Since then, she has gradually started experiencing swelling in her lower extremities. We have tried wearing compression stocki...
Dr. Xiao Yongxun Reply:
Hello: There are many causes of edema, including venous insufficiency, lymphedema, lipedema, heart failure, nephrotic syndrome, cirrhosis, medication effects, parasitic infections, thyroid disorders, and pregnancy, among others. For your daughter's issue, I personally recomm...[Read More] Understanding Lower Limb Edema After Ovarian Cancer Surgery: Causes and Solutions
Understanding Sudden Lip Redness and Peeling: Causes and Treatment
Swollen lips Hello Doctor, I would like to ask about my mother's suddenly very red lips. After a few days, the redness has gradually decreased, but her lips are peeling and somewhat painful. Could you please explain what might be the cause of this? Additionally, which depart...
Dr. Xiao Yongxun Reply:
Hello: There are many reasons for swollen lips, including viral or bacterial infections, allergic reactions, medication side effects, skin diseases, and more. Just based on this description, it is impossible to make a definitive diagnosis. I recommend that you take your loved one...[Read More] Understanding Sudden Lip Redness and Peeling: Causes and Treatment
Understanding Elevated Liver Enzymes: Concerns and Next Steps
SGOT: 22, SGPT: 43 On September 21, my health check report indicated that my GOT is 22 and GPT is 43. I do not have Hepatitis B or C. Although my levels are only slightly above the standard values by 3, I am still quite worried. Today, I visited a traditional Chinese medicine doc...
Dr. Xiao Jingqin Reply:
There are many reasons for elevated liver function tests, with common causes including viral hepatitis, fatty liver disease, alcoholic hepatitis, and drug-induced hepatitis. Based on your levels, it does not appear to be viral hepatitis (acute hepatitis A or E can likely be ruled...[Read More] Understanding Elevated Liver Enzymes: Concerns and Next Steps
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
Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Aftereffects of weight loss? Hello, Doctor: Last year, after taking traditional Chinese medicine for four months, I lost over 20 kilograms, but then I suddenly experienced significant hair loss (my hair was already thin and soft). I also had two episodes of widespread skin rashes...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Rapid weight loss can indeed lead to hair loss; however, if accompanied by rashes and lymphadenopathy, further investigation is necessary. Generally, a physician will examine the scalp to determine whether the hair loss is simply due to alopecia...[Read More] Post-Weight Loss Symptoms: Hair Loss, Rashes, and Lymph Node Swelling
Which Medical Specialty Should You See for These Symptoms?
Which department should I visit? Hello, doctor. I would like to ask which department I should consult if I have the following symptoms: thick white tongue coating, sore throat, cough, noticeable skin indentations that are difficult to resolve, appearance of petechiae on the skin,...
Dr. Guo Hanyue Reply:
It is recommended that you first visit an outpatient clinic for a complete blood count and coagulation function tests. Generally speaking, if the above symptoms persist for more than two weeks, it is less likely to be a bacterial infection, and consideration should be given to th...[Read More] Which Medical Specialty Should You See for These Symptoms?
Skin Color Changes on Philtrum and Nose: What Should You Do?
Philtrum and nasal bridge? Hello, doctor. I would like to ask about a situation where the skin color on the philtrum and bridge of the nose has changed to a light brown after waking up, resembling a beard from a distance. There has been no change in diet, and I have consulted two...
Dr. Qiu Zhengbin Reply:
Hello, I recommend that you visit a hospital to see a dermatologist or a family medicine physician to check for any similar skin changes or other bodily discomforts, in order to determine if there are any internal medical issues. Thank you for your inquiry, and I wish you good he...[Read More] Skin Color Changes on Philtrum and Nose: What Should You Do?
Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Uncertain etiology? My grandmother is 81 years old and has a history of gastric ulcers. She has been using sleeping pills for a long time and occasionally experiences palpitations, for which she takes medication for heart disease. She also has bone spurs, osteoporosis, and hypert...
Dr. Yang Hongzhi Reply:
Many symptoms cannot be definitively diagnosed; however, it may be worth considering the possibility of peripheral neuropathy. If you have not seen a neurologist, it is advisable to seek medical attention.[Read More] Unexplained Symptoms in an 81-Year-Old: Seeking Diagnosis and Solutions
Understanding Right Side Abdominal Discomfort: When to See a Doctor
Abnormalities in the right abdominal region? Recently, I have been experiencing a tingling sensation in my right abdomen, sometimes accompanied by a burning sensation that makes me feel uncomfortable. If I need to see a doctor, which department should I visit?
Dr. Sun Yizhen Reply:
It is recommended that you self-examine the painful area for any blisters or rashes. If present, you may consult a neurologist or dermatologist. If there are no skin lesions, you can visit an internal medicine clinic for an initial evaluation by a physician.[Read More] Understanding Right Side Abdominal Discomfort: When to See a Doctor
Managing Gout in Hepatitis B Carriers: Safety of Benzbromarone
Patients with hepatitis B who require treatment for gout should be carefully managed to avoid potential drug interactions and complications. It is essential to consult a healthcare provider for appropriate medication options that are safe and I am a carrier of hepatitis B and hav...
Dr. Yang Weishun Reply:
The likelihood of benzbromarone causing fulminant hepatitis is low, with some scholars estimating an incidence of approximately one case per 17,000 people. However, if you have concerns about the medication, there are alternative drugs available. It's important to note that ...[Read More] Managing Gout in Hepatitis B Carriers: Safety of Benzbromarone
Understanding HIV Risks: What to Know After a Potential Exposure
I'm very scared. How long does it take to die from AIDS? Hello Dr. Lin, during a sexual encounter, the condom broke without my knowledge, and I continued for 3-4 minutes before realizing it. I am very scared... I would like to ask you a few questions, and I sincerely hope yo...
Dr. Lin Mingfeng Reply:
Question 1: Some laboratory reports use "non-reactive" to indicate negative results. So far, there is no evidence of HIV infection. Regarding your concerns: 1. Theoretically possible, but if the nurse follows standard procedures, she should not come into contact with yo...[Read More] Understanding HIV Risks: What to Know After a Potential Exposure
Managing High Blood Sugar Levels in Diabetes: Tips and Insights
High blood sugar? Hello Dr. Lee, I would like to ask how to handle high blood sugar levels? My mother has been a diabetic for about 15 years. She was previously controlled with oral medications, but for the past three years, she has started using insulin injections, which have no...
Dr. Li Zhiyao Reply:
Hello Amin, Your question can be summarized as "how to effectively manage diabetes." In addition to the patient and their family, a team consisting of physicians, dietitians, and diabetes educators should be involved in managing diabetes. Currently, health bureaus in v...[Read More] Managing High Blood Sugar Levels in Diabetes: Tips and Insights
Understanding the Risks of Alcohol Disinfectants and Spa Water Ingestion
Disinfectant alcohol Hello, I would like to ask a few questions: 1. When entering a public place, the staff sprayed my hands with disinfectant alcohol, and then I touched food with my hands. If this disinfectant alcohol is ingested, could it cause any problems in the body? 2. T...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, harmful substances enter the human body primarily through three routes: the skin, the digestive tract, and the respiratory tract. 1. There are various types and sources of alcohol. Fermentation combined with distillation can produce aromatic...[Read More] Understanding the Risks of Alcohol Disinfectants and Spa Water Ingestion
Muscle Strain or Kidney Issues? Understanding Your Pain Symptoms
Muscle strain or kidney issues? Five days ago, while swimming, I noticed some pain near my kidney area, similar to the soreness one feels after intense exercise, like sprinting 500 meters. The next day, the pain intensified, but I didn't see a doctor at that time. Over the p...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, pain in the left back near the kidney can have many potential causes. Common conditions include fasciitis, kidney stones, inflammatory arthritis, myofascial pain syndrome, neuritis, skin disorders, tumors, and vascular lesions, among others. B...[Read More] Muscle Strain or Kidney Issues? Understanding Your Pain Symptoms
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
Understanding Cracked Corners of the Mouth: Causes and Dietary Solutions
Cracked corners of the mouth? Hello, doctor: I would like to ask what causes cracks at the corners of the mouth (possibly a deficiency in B vitamins), or which types of vegetables should be included in the diet to prevent this. Thank you.
Dr. Xiao Yongxun Reply:
Hello: "Cracks at the corners of the mouth" are clinically referred to as angular cheilitis, which is characterized by a triangular-shaped redness, swelling, fissuring, and peeling at the corners of the mouth. The causes include infections (such as bacterial or fungal),...[Read More] Understanding Cracked Corners of the Mouth: Causes and Dietary Solutions
Dealing with Winter Itch: Effective Solutions for Dry Skin Relief
Winter itch Hello, I have very dry skin, which leads to dryness issues every time summer transitions to autumn. I sweat during the summer, but in autumn, winter, and spring, I can't sweat at all. As soon as it gets a little warm, my whole body itches, and it's unbearabl...
Dr. Yang Hongzhi Reply:
For issues related to itching, it is advisable to consult a dermatologist. If the dermatologist suspects that your condition may be related to other systemic diseases, you may be referred to other specialists; however, the occurrence of such comorbidities is rare.[Read More] Dealing with Winter Itch: Effective Solutions for Dry Skin Relief
Understanding Wrist Lumps in Children: When to Seek Medical Advice
Wrist Hello Dr. Tseng: My son is 10 years old and has a lump on his wrist (dorsal side) that appears to be a possible sarcoma, but it is not painful. Which specialist should we see? Thank you! A concerned mother.
Dr. Zeng Guosen Reply:
Hello, internet user: Since there are no photos and I haven't seen it in person, I can only make a judgment based on your description. It is possible that the growth is from the skin or from internal structures such as fat, tendons, or synovial membranes. I recommend that if...[Read More] Understanding Wrist Lumps in Children: When to Seek Medical Advice
Understanding Post-Shingles Pain: Treatment and Recovery Insights
Shingles (Herpes Zoster) Hello, Doctor. I experienced a miscarriage on June 15 and subsequently developed shingles on the right side of my waist. After completing a week of Acyclovir at 5 times a day, I felt stiffness and pain in my lower back two days later. I have taken various...
Dr. Wang Fangli Reply:
Gabapentin is an effective medication for treating postherpetic neuralgia, and it should gradually improve. It's important to maintain a balanced diet, ensure adequate sleep, and keep a positive mood as well.[Read More] Understanding Post-Shingles Pain: Treatment and Recovery Insights
Long-Term Medication: Risks, Kidney Health, and Dietary Tips
The medication I am taking? Hello: Thank you for your clarification. I would like to ask the following questions: 1. What is the reason that long-term medication use may lead to dialysis? 2. I am currently taking PROZAC and ZOPICLONE, both of which are medications that need to ...
Dr. Wang Weijie Reply:
1. Long-term medication use may lead to dialysis; what are the reasons for this? The mechanisms by which drugs can impair kidney function include several factors. First, medications can alter the pressure of glomerular perfusion, such as certain antihypertensive drugs or non-ster...[Read More] Long-Term Medication: Risks, Kidney Health, and Dietary Tips