Can Tiny Jumping Bugs Enter Your Lungs and Cause Harm?
Jumping worms are very small and can jump in the air; can they be inhaled into the lungs? Hello, doctor. Due to previous flooding of the wooden floor in my home, there has been a presence of damp insects. I hired a pest control company to address the issue, but I later noticed th...
Dr. Lin Wufu Reply:
Hello! No, that's not possible! Our trachea has many cilia, and when foreign objects enter the trachea, it triggers a strong cough reflex to expel the foreign material. It also produces secretions to prevent foreign objects from continuing to enter the lungs. So under normal...[Read More] Can Tiny Jumping Bugs Enter Your Lungs and Cause Harm?
Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Waking up in the middle of the night with a sudden rapid heartbeat? Recently, I have been experiencing episodes during sleep where I feel my heart racing, and I am unable to wake up, accompanied by a sensation of being pressed down by a ghost. Each time, I have to take deep breat...
Dr. Yu Liying Reply:
Hello: This situation may be related to excessive cardiac excitability at night, such as nighttime arrhythmias, anxiety, or panic attacks. It is recommended to try relaxation techniques to reduce nighttime anxiety and stress. Additionally, avoid consuming caffeinated beverages or...[Read More] Sudden Rapid Heartbeat During Sleep: Causes and When to Seek Help
Can You Contract STDs from Kissing After a Lip Injury?
Sexually transmitted infections (STIs) transmission Hello Doctor, I recently engaged the services of a foreign sex worker and used a condom throughout the entire process. During the encounter, I was asked for a wet kiss. However, due to a lack of sleep in the past few days, I hav...
Dr. Liao Zhongxin Reply:
1. Most sexually transmitted infections (STIs) are commonly found in the perineal area, with another frequent site being the oral cavity. Engaging in oral sex without proper protection, such as a condom, can certainly increase the risk of acquiring STIs. 2. In addition to commo...[Read More] Can You Contract STDs from Kissing After a Lip Injury?
Managing Thyroid Medication: From Hyperthyroidism to Hypothyroidism Concerns
The treatment for hyperthyroidism has been reduced, but the medication is still being taken? Hello Doctor: I have been experiencing a rapid heartbeat, and blood tests revealed hyperthyroidism with TSH < 0.005 and Free T4 > 7.7. The doctor prescribed: for the first and secon...
Dr. Li Jian Reply:
During the treatment process for hyperthyroidism, fluctuations may occur. Please ensure regular blood tests are conducted to facilitate dosage adjustments. Thank you for your inquiry.[Read More] Managing Thyroid Medication: From Hyperthyroidism to Hypothyroidism Concerns
Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Cough accompanied by difficulty breathing, causing sleepless nights? Hello, I woke up suddenly around 3 AM with a headache, and then I started sweating profusely. After that, I vomited, possibly due to stomach acid irritating my throat, which now feels like there is something stu...
Dr. Wu Yuwei Reply:
It is recommended to follow up with a gastroenterologist, as gastroesophageal reflux can sometimes cause coughing symptoms.[Read More] Managing Cough and Gastroesophageal Reflux: A Guide to Better Sleep
Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Suspected heart failure with mitral valve issues? Hello Doctor, thank you for your response. To provide some background, last year I experienced several months of sleep deprivation. I usually do not drink alcohol, but one night while out with friends, I was forced to drink a cock...
Dr. Xie Rongyuan Reply:
Hello: MVP is a common condition characterized by the prolapse of one or both leaflets of the mitral valve into the left atrium during systole due to mitral valve insufficiency. The pathological mechanism is not fully understood. Pro-BNP testing can assist in the diagnosis of con...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Failure Symptoms
Understanding Medications for Ankylosing Spondylitis and Related Symptoms
Regarding medications for ankylosing spondylitis? Hello, doctor. I have been experiencing geographic tongue for over three years now. I have been taking two Sertraline tablets in the morning and evening, and one Pantoprazole tablet in the morning, along with medications for gastr...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I have noticed that many patients with ankylosing spondylitis (AS) experience issues with tongue ulcers. Is this related to salazopyridine (Salsalate)? (Because when I first developed geographic tongue over three year...[Read More] Understanding Medications for Ankylosing Spondylitis and Related Symptoms
Understanding Subtle Body Tremors: Causes and Solutions
There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...
Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...[Read More] Understanding Subtle Body Tremors: Causes and Solutions
Concerns About Potential HIV Exposure During Sleep: What You Need to Know
You may experience pinprick sensations while sleeping? A few days ago, I took a short nap (about 10 minutes) in the library, and there was a strange person sitting next to me. I was worried that he might be an HIV-positive patient and could stab me with a needle, and that I might...
Dr. Zeng Guosen Reply:
If you have any questions, it is recommended to visit an infectious disease clinic for expert evaluation. Thank you for your inquiry.[Read More] Concerns About Potential HIV Exposure During Sleep: What You Need to Know
Understanding Sudden Chest Pain: Causes and When to Seek Help
Chest pain? This morning, while trying to go back to sleep, I suddenly experienced a sharp pain in my heart for just a few seconds. This is the first time it has happened. However, I have been experiencing more frequent sharp pains in my right chest. Since it seems to be a chest ...
Dr. Lin Wufu Reply:
Hello, the description seems more related to muscle or nerve issues rather than the heart itself. Further evaluation is needed to determine the exact problem. It is recommended to consult with a family medicine physician, general internist, or neurologist for assessment.[Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Struggling with Unexplained Health Issues: Seeking Effective Solutions
There are many health conditions? Hello, doctor. I have been experiencing many health issues, but I have encountered obstacles in seeking medical help and have not been able to find the cause of my problems or receive effective assistance. Therefore, I would like to seek your opi...
Dr. Lin Wufu Reply:
Hello, you may need to schedule a follow-up appointment with the Infectious Disease Department for further examination to determine if there are any physiological issues. Additionally, please measure your body temperature daily to check for fever after experiencing chills and shi...[Read More] Struggling with Unexplained Health Issues: Seeking Effective Solutions
Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Circadian rhythm, sleep, palpitations, autonomic nervous system dysregulation? Hello, doctor. For the past month, I have developed a habit of staying up late, often not going to sleep until 5 AM. I usually do not eat while staying up late, and my body has not reacted too severely...
Dr. Li Jian Reply:
Because you are still young, it won't take long for you to adjust. It is recommended to get some sunlight during the day and increase your activity level, as this can also improve sleep quality. Thank you for your inquiry.[Read More] Restoring Your Body Clock: Tips for Managing Sleep and Palpitations
Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID
Recurring fever every month that is neither influenza nor COVID-19? Since changing jobs in the second half of last year, I've been experiencing a lot of health issues (previously, I would only catch a cold once every six months). In May, I developed numerous unexplained red ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Recurrent fever is still a concern, and I recommend that you see a rheumatologist for further evaluation and testing. The Allergy, Immunology, and Rheumatology Department at Changhua Hospital of the Ministry of Health and Welfare is here to assi...[Read More] Recurring Monthly Fevers: Unraveling the Mystery Beyond Flu and COVID
Understanding Unexplained Inflammatory Pain: A Guide for Young Adults
Unexplained inflammatory pain? I am currently 23 years old. I started experiencing occasional knee pain in middle school, but it wasn't particularly severe. The frequency of inflammation and pain has increased with age. Since high school, I have also had issues with inflamma...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that conditions such as "recurrent rheumatic disease" can be monitored in the field of immunology and rheumatology. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is...[Read More] Understanding Unexplained Inflammatory Pain: A Guide for Young Adults
Hip and Thigh Muscle Pain: Understanding Post-Hospitalization Discomfort
Hip bone pain, soreness in the outer thigh muscles, and leg twitching when falling asleep? Last Sunday, I was hospitalized due to lower abdominal pain, which was diagnosed as mild appendicitis. I received antibiotic treatment through an IV, and after that, I no longer experienced...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. If you are experiencing pain or cramping at night that interferes with your sleep, it is advisable to schedule an earlier follow-up appointment with your attending physician for evaluation. Some differential diagnoses require a physical examinat...[Read More] Hip and Thigh Muscle Pain: Understanding Post-Hospitalization Discomfort
Should You Remove a 3.6 cm Thyroid Nodule? Understanding Your Options
Thyroid nodule Hello, during a recent physical examination, a 3.6 cm nodule was found on the left side of my thyroid. A fine needle aspiration biopsy was performed, and it was determined to be benign. However, I have recently been experiencing some discomfort in my throat, occasi...
Dr. Li Jian Reply:
If the thyroid nodule is larger than 3 centimeters and there are uncomfortable symptoms, you can consult a thyroid surgeon to discuss how to manage it. Thank you for your inquiry.[Read More] Should You Remove a 3.6 cm Thyroid Nodule? Understanding Your Options
Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
If you have been experiencing lower back pain for more than three months without a clear diagnosis, what should you do? Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require...
Dr. Wu Hongjie Reply:
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?
How to Alleviate Tinnitus Caused by Volleyball Injury After 37 Years
37 years ago, I was hit by a volleyball while passing by the school gymnasium, which resulted in tinnitus? Dr. Tseng, I have been troubled by tinnitus in my left ear for a long time. Thirty-seven years ago, I was hit in the left ear by a volleyball in the school gym, which caused...
Dr. Zeng Guosen Reply:
I apologize, as I am an internist and not specialized in tinnitus. I recommend consulting an otolaryngologist to investigate whether it is a neurological issue, a traumatic problem, or another concern. Thank you for your question.[Read More] How to Alleviate Tinnitus Caused by Volleyball Injury After 37 Years
Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
What are the possible causes of lower extremity edema? Hello Doctor: My father has been experiencing lower limb edema (with pitting), abdominal bloating, loss of appetite, subjective fatigue (increased sleep duration), along with pain in the skin of both legs and ankle joint pain...
Dr. Xie Rongyuan Reply:
Hello: If the albumin level in the blood is too low, it may also cause lower extremity edema. It is recommended to check the albumin level data, as low levels can lead to lower limb swelling. Thank you for your message![Read More] Understanding Causes of Lower Limb Edema: When to Seek Further Medical Advice
Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID
Complement inquiry? Hello Doctor, I have previously asked a question and now I would like to follow up. After being diagnosed with COVID-19 on November 11, I experienced joint swelling, stiffness, discomfort, as well as dry, red, swollen eyes, rashes, and hair loss. After researc...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. I would like to ask if a decrease of 20 and 10 in two complement values over a two-week period is normal. The doctor mentioned that different hospitals may have varying values, but I am unsure if this drop is signifi...[Read More] Understanding Complement Levels and Autoimmune Disease Concerns Post-COVID