Late Night Study Habits: Impact on Liver Health and Sleep
Sleeping at three in the morning? Hello Doctor, I am a college student. I often stay up late writing assignments and studying, and I have a habit of using my phone before bed, which means I usually go to sleep around 3 AM. This has been my routine for almost two years. Recently, ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. There is no definitive conclusion regarding the correlation between late sleeping and liver enzyme levels; however, late sleeping can indeed affect immune function and blood glucose levels, which are serious issues. There is also no consensus i...[Read More] Late Night Study Habits: Impact on Liver Health and Sleep
Impact of Late Sleep on Liver Function: A College Student's Concern
I go to sleep at 3 AM every day? Hello Doctor, I am a university student and I have been going to bed around 3 AM for the past two years. On one hand, it is due to academic pressure, and on the other hand, I have developed a habit of using my phone before sleep. I usually wake up...
Dr. Li Jian Reply:
If you suspect liver dysfunction, you can consult a hepatobiliary and gastroenterology specialist. Try to go to bed before 11:00 PM. Thank you for your inquiry.[Read More] Impact of Late Sleep on Liver Function: A College Student's Concern
How to Handle Your Child's Pinworm Infection: Essential Tips and Treatments
Childhood parasitic infections Hello Dr. Lin, I apologize for the interruption! I would like to ask what to do if my elementary school daughter has a pinworm infection. The other night, she woke up in the middle of her sleep complaining of itching around her buttocks. Upon checki...
Dr. Lin Wuxuan Reply:
The treatment methods for different intestinal parasitic infections vary, and it is recommended to take children to a healthcare provider for diagnosis and to use antiparasitic medications as prescribed by the physician. Family members living in the same household usually need to...[Read More] How to Handle Your Child's Pinworm Infection: Essential Tips and Treatments
Understanding Joint Discomfort at Night: Causes and Solutions
Experiencing joint stiffness when going to sleep (but not pain)? I have a long-term symptom where, every time I go to sleep, the inner sides of my left elbow and left knee joints feel very sore. Interestingly, the joints on the right side of my body do not exhibit any such sympto...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Your symptoms may require a clinical physical examination along with blood tests to more easily identify potential causes. It is recommended that you seek evaluation from the Department of Allergy, Immunology, and Rheumatology or the Department ...[Read More] Understanding Joint Discomfort at Night: Causes and Solutions
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Understanding Fever and Immune Disorders: Insights on Symptoms and Blood Tests
Immune diseases and related issues of fever? Hello, Doctor Gao. I would like to ask you a few questions: Recently (I'm not sure for how long), almost every night when I feel more fatigued, my body temperature rises slightly (around 36.7°C to 37.0°C or 37.1°C). If I rest for ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Recently, I have been experiencing slight increases in body temperature (around 36.7°C to 37.0-37.1°C) almost every evening when I feel more fatigued. If I rest or wake up from sleep, my temperature returns to normal. ...[Read More] Understanding Fever and Immune Disorders: Insights on Symptoms and Blood Tests
Swallowed Half-Chewed Almond: Understanding Stomach Pain and Risks
Stomach pain after swallowing a half-chewed almond? Last night, while I was chewing almonds, I was urged by my family to quickly grab something, and in a rush, I swallowed a large piece of almond that I hadn't fully chewed. It was sharp and uncomfortable going down. After th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Our bodies have the ability to digest most foods, including nuts. Swallowing them whole may cause some symptoms during the process, but if the symptoms disappear the next day, I think it would be reasonable to continue monitoring. If any discom...[Read More] Swallowed Half-Chewed Almond: Understanding Stomach Pain and Risks
Assessing Bone Marrow Suppression Risks from Salazopyrin Use
Have I already experienced bone marrow suppression as a side effect from taking Salazopyrin? Hello Dr. Tseng, I would like to ask you another question. I am a patient with ankylosing spondylitis, and my main symptom is pain in the buttocks. Since my blood test on March 2 of last ...
Dr. Zeng Guosen Reply:
The user's PLT and WBC are within normal ranges, but Hb is slightly low. Drug-induced bone marrow suppression typically affects WBC and PLT, so it is okay to continue the medication. Follow up with the attending physician for further discussion. There is no need to take iron...[Read More] Assessing Bone Marrow Suppression Risks from Salazopyrin Use
Understanding Oral Mucosal Folds: When to Seek Medical Advice
Oral mucosal folds I noticed something unusual when I licked the inside of my lower lip with my tongue. After looking in the mirror, I found fine lines that appear like folds or small cracks, aligned parallel to my teeth, but they do not extend to the sides. I also feel that my l...
Dr. Hong Yuanbin Reply:
Hello, regarding fine lines or unusual sensations, these are more subjective feelings and can be difficult to diagnose. The blisters are suspected to be caused by the herpes simplex virus, which is often triggered by irregular sleep patterns or high stress levels. Therefore, it i...[Read More] Understanding Oral Mucosal Folds: When to Seek Medical Advice
Understanding Oral Mucosal Folds: When to Seek Medical Advice
Oral mucosal folds The inner side of my lower lip feels strange when I lick it with my tongue. After looking in the mirror, I noticed fine lines that appear like wrinkles or small fissures, aligned parallel to my teeth, but they do not extend to the sides. I also feel that my low...
Dr. Hong Yuanbin Reply:
Hello, regarding fine lines or unusual sensations, these are more subjective experiences and can be difficult to diagnose. The blisters are suspected to be caused by the herpes simplex virus, which is often triggered by irregular sleep patterns or high stress levels. Therefore, i...[Read More] Understanding Oral Mucosal Folds: When to Seek Medical Advice
Why Side Sleeping Causes Abdominal Pain: Causes and Solutions
Unable to sleep on one's side? Hello Doctor: When I sleep on my side for a while and then turn back to a supine position, I experience significant abdominal pain. It feels as if my gastrointestinal tract has sagged due to side sleeping, and the sudden return to a supine posi...
Dr. Hong Yuanbin Reply:
Hello, theoretically, diseases of the intra-abdominal organs should not cause the phenomena you described. It is possible that poor side sleeping posture has led to a strain. I recommend applying heat to the painful area or using anti-inflammatory ointment. If there is no improve...[Read More] Why Side Sleeping Causes Abdominal Pain: Causes and Solutions
Understanding Bone Marrow Suppression Risks from Salazopyrin Use
Could I be experiencing bone marrow suppression as a side effect after taking Salazopyrin? Hello, Doctor Gao. I would like to ask you some additional questions. I am a patient with ankylosing spondylitis, and my main symptom is pain in my buttocks. Since my blood test on March 2n...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) The package insert for Salazopyrin mentions rare side effects such as bone marrow suppression. My RBC, Hb, and PLT levels seem to have started declining after taking Salazopyrin (all have dropped to the lower limit of...[Read More] Understanding Bone Marrow Suppression Risks from Salazopyrin Use
Understanding Elevated Mono Levels and Lymph Node Swelling: What to Know
Infection-related issues? Hello Doctor, I have some questions I would like to ask you: Current situation: 1) During a recent blood test, it was found that my monocyte count was above the normal range (normal is under 10, and my count was around 11; all other blood cell values wer...
Dr. Lin Wufu Reply:
Hello: 1. The total count of monocytes is typically assessed based on the total white blood cell count and the percentage they represent, as looking at the percentage alone may not provide an accurate assessment. 2. If there is only swelling in the groin area, it is important to ...[Read More] Understanding Elevated Mono Levels and Lymph Node Swelling: What to Know
Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Gastrointestinal issues Hello Doctor, I would like to ask about something that happened to me yesterday. Before going to bed, I suddenly felt bloated in my stomach. I managed to fall asleep, but I woke up in the middle of the night feeling uncomfortable and had to have a bowel mo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems to be acute gastroenteritis. As for whether it is caused by norovirus, testing may be needed to confirm. However, the management typically involves a bland diet, plenty of rest, and increased fluid intake, which should lead to gradual im...[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and When to Seek Help
Understanding the Risk of HIV Infection from Blood Exposure
Blood infection Hello Dr. Hong: I apologize for bothering you. Today, when I went to change my sanitary pad, I wrapped the used one and placed it on top of the tissue box. When I was about to throw it away, I thought to myself that I wasn't sure if it was mine, so I careless...
Dr. Hong Yuanbin Reply:
Hello, the situation you mentioned is unlikely to result in an HIV infection, so there is no need for post-exposure prophylaxis at this time. Thank you for your inquiry.[Read More] Understanding the Risk of HIV Infection from Blood Exposure
Understanding Intermittent Pain Under the Left Chest: Causes and Insights
Pain in the lower left chest? Hello, doctor. This morning, I woke up due to a sharp pain in the lower left side of my chest. It feels like intermittent sharp pain (not related to breathing). The pain extends to the side as well, and I can't pinpoint a specific tender spot; I...
Dr. Hong Yuanbin Reply:
Hello, heart valve issues are unlikely to be the cause of your symptoms. The most probable reason is a mild muscle strain related to posture, possibly due to your sleeping position or physical activity. This usually allows the muscles to relax and rest, and it should gradually im...[Read More] Understanding Intermittent Pain Under the Left Chest: Causes and Insights
Concerns After Toddler Falls: X-Ray Insights and Safety Tips
A child fell from a height onto a tiled floor? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor tonight. He stood up after falling from a height of about 120 cm and cried loudly. We immediately took him to a nearby surgical c...
Dr. Hong Yuanbin Reply:
Hello, 1. X-ray results can reveal significant injuries to the skull and cervical vertebrae, but they cannot detect bleeding. 2. Due to radiation concerns associated with computed tomography (CT) scans, clinicians will first assess symptoms to determine the necessity of the sc...[Read More] Concerns After Toddler Falls: X-Ray Insights and Safety Tips
Understanding Elevated Mono Levels: When to Seek Medical Advice
Abnormal blood test results? Hello Doctor, I had a blood test a few days ago and found that my Mono level is 11.4, which is above the normal range, while other parameters are normal. I would like to ask what this might indicate and which specialty I should consult? Background: ...
Dr. Hong Yuanbin Reply:
Hello, MONO (mononuclear cells) levels may fluctuate due to physical conditions, disease factors, or medications. However, since subsequent values are gradually returning to normal, it is likely in the recovery phase. It is recommended to continue monitoring the indices, and if a...[Read More] Understanding Elevated Mono Levels: When to Seek Medical Advice
Understanding False Positives in Military HIV Testing: Key Insights
Military service medical examination issues? Hello doctor, I underwent a military physical examination in December, and a month later I was informed that I tested positive for HIV. In January, I immediately purchased an at-home rapid HIV test, which returned a negative result. I ...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to visit the infectious disease outpatient department at a medical center for a Combo test or Western blot test to confirm whether there is an actual infection. As for your daily routine, it should not significantly affect the test results. Thank you for ...[Read More] Understanding False Positives in Military HIV Testing: Key Insights
Is Frequent Yawning a Side Effect of My Medication?
Is frequent yawning a side effect of medication? Hello Doctor, I am a patient with ankylosing spondylitis. Over the past two years of medication treatment, I took one Celebrex daily for the first year and a half, and then increased to two Salazopyrin daily for the last six months...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe it is unrelated to the medication, as these drugs rarely have yawning as a side effect. I recommend maintaining a regular schedule, avoiding staying up late, and exercising regularly, which is especially important for ankylosing spond...[Read More] Is Frequent Yawning a Side Effect of My Medication?