Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Difficulty breathing can cause wheezing, and there may be a stabbing or cramping sensation in the heart? Recently, I've been feeling like I have to take deep breaths to get enough air, and this sensation is more pronounced when I'm wearing a mask. After some physical ac...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it could potentially be a problem related to the stomach, lungs, or heart. However, further examination may be necessary to determine the exact issue. I recommend visiting a cardiology or pulmonology clinic for evaluation. You may need to undergo...[Read More] Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Can Syphilis or STDs Be Transmitted Through Indirect Contact?
Syphilis or sexually transmitted infection (STI) I would like to ask the doctor if it is possible to contract genital warts or syphilis in this situation. I purchased a contouring scissor online, and it was left for three days before I used it. When I opened it, it appeared to ha...
Dr. Hong Yuanbin Reply:
Hello, the cauliflower or syphilis you mentioned is primarily transmitted through sexual intercourse. The speculation you referred to about transmission through contact is unlikely. I suggest not to worry excessively. Thank you for your question.[Read More] Can Syphilis or STDs Be Transmitted Through Indirect Contact?
Managing High White Blood Cell Count and Asthma: Dietary Guidelines
What foods can be consumed with elevated white blood cell count and moderate asthma? Hello, doctor. My family member went to the hospital today for a check-up and found that their white blood cell count is over 20,000. The doctor mentioned there are signs of inflammation. Due to ...
Dr. Hong Yuanbin Reply:
1. Regarding the elevated white blood cell count, it is likely not just inflammation but an indication of infection. Based on the symptoms, the most probable cause is a respiratory infection, and an X-ray may be needed to confirm the presence of pneumonia. Antibiotics or hospital...[Read More] Managing High White Blood Cell Count and Asthma: Dietary Guidelines
Can Fasting Benefit Patients with Ankylosing Spondylitis?
Can fasting be done for ankylosing spondylitis? As the topic suggests, I have been on medication for two years and have maintained a regular exercise routine because I want to improve my athletic performance and achieve a better physique. I am considering trying a 3-day or 5-day ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that fasting will not affect the treatment of ankylosing spondylitis (AS), but it is advisable not to engage in fasting too aggressively. It is recommended to proceed gradually according to what your body can tolerate. Bone health sup...[Read More] Can Fasting Benefit Patients with Ankylosing Spondylitis?
Understanding Gastrointestinal Issues: Causes of Stomach Discomfort
Gastrointestinal issues Hello, doctor: I usually have poor digestion and experience acid reflux. Recently, for the past week, my stomach has not been able to digest anything. I start feeling bloated even after eating just one-third of a bowl of rice, which feels like I've ea...
Dr. Xie Rongyuan Reply:
Hello: These symptoms may indicate a gastric infection caused by Helicobacter pylori. It is recommended to visit a hospital for further examination to obtain a definitive diagnosis. Thank you for your message![Read More] Understanding Gastrointestinal Issues: Causes of Stomach Discomfort
Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Is abdominal pain a sign of a sexually transmitted infection? I had an encounter with a female online friend in March of this year. We did not have sexual intercourse; I engaged in digital penetration for about 30 seconds, touched my own genitals, and she performed oral sex on me...
Dr. Lin Wufu Reply:
Hello: Indeed, some infectious diseases can be transmitted through sexual contact or oral contact (mainly the ones you mentioned), but they would not typically present with abdominal pain lasting six months. Abdominal pain has many differential diagnoses and is likely unrelated t...[Read More] Can Abdominal Pain Be Linked to STIs? Understanding the Risks
Understanding Rheumatoid Arthritis: Symptoms, Triggers, and Healing Insights
Rheumatoid Arthritis - Condition Monitoring and Questions Hello, Dr. Gao: I have been diagnosed with seronegative rheumatoid arthritis for one year and am currently taking pain relievers, corticosteroids, and immunomodulators (quinine/enteric-coated tablets). My main symptoms are...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I will assume that your condition is "seronegative rheumatoid arthritis" for my response. Here is my summary: 1. After dinner, your fingers swell (and the swelling subsides after digestion). 2. During exercise, your fingers swell (an...[Read More] Understanding Rheumatoid Arthritis: Symptoms, Triggers, and Healing Insights
Concerns About Biktarvy Interactions with Other Medications
Questions regarding Biktarvy interactions? Hello, doctor. A few days ago, I had a potential exposure to risky behavior, and the next day I immediately consulted an infectious disease specialist and received HIV post-exposure prophylaxis (PEP) with the medication Biktarvy. The inf...
Dr. Hong Yuanbin Reply:
Hello, based on your description, theoretically, a one-hour interval should minimize any significant drug interactions and should not adversely affect the efficacy of the medication. Thank you for your inquiry.[Read More] Concerns About Biktarvy Interactions with Other Medications
Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Vaccine administration? Hello Dr. Hong, I would like to ask about the medication I received after getting vaccinated this morning. The clinic gave me three yellow tablets of Paracetamol, and I have already taken one. However, I suddenly remembered that a few days ago, another doc...
Dr. Hong Yuanbin Reply:
Hello, Paracetamol, commonly known as acetaminophen, has a slightly weaker analgesic effect. However, due to its lower side effects, it can be used first for fever or pain. Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), has a stronger analgesic and antipyretic effect,...[Read More] Post-Vaccine Medication: Can I Take Ibuprofen for Fever?
Managing Esophageal Discomfort: Medication and Dietary Guidance
Please feel free to ask your question? Thank you, doctor, for your response. I visited the clinic this morning, and the doctor has not recommended an endoscopy yet. He mentioned that there is a high probability that the medication has caused irritation to my esophagus and advised...
Dr. Hong Yuanbin Reply:
Hello, I apologize for the delay in response due to a system malfunction. Regarding medications, it is advisable to avoid drugs that can irritate the stomach, such as non-steroidal anti-inflammatory drugs (NSAIDs). Other medications should be fine to use alongside Gaviscon. In te...[Read More] Managing Esophageal Discomfort: Medication and Dietary Guidance
Why Do Sweets Trigger Stomach Acid Production?
Why do sweets stimulate gastric acid? I recall that carbohydrates are digested and absorbed by saliva and the intestines, with no relation to the stomach. So why do sweet foods easily stimulate gastric acid? Sweet foods should also be considered carbohydrates, right? Thank you.
Dr. Li Jian Reply:
In clinical practice, patients who consume a lot of sweets are more prone to experiencing reflux phenomena. There are various possible reasons for this, such as high carbohydrate/sugar intake leading to feedback to the central nervous system, which inhibits gastric motility and r...[Read More] Why Do Sweets Trigger Stomach Acid Production?
Dealing with Food Particles Stuck in the Windpipe: What to Do?
Food particles lodged in the trachea? Hello doctor, I would like to ask about an incident that happened after I ate guava at night. I felt something stuck in my trachea, similar to the sensation of a grain of rice lodged there. I realized it at that moment and immediately started...
Dr. Hong Yuanbin Reply:
Hello, theoretically, fruit chunks should not get stuck in the throat for too long. It is recommended to drink plenty of water, and they should pass down to the stomach quickly. If there are no further discomforts, everything should be fine. However, if throat discomfort persists...[Read More] Dealing with Food Particles Stuck in the Windpipe: What to Do?
Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot
After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...[Read More] Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot
Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Hello, doctor? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I visited a gastroenterologist and underwent an endoscopy, which revealed only mild gastritis. I also ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I noticed that you have experienced symptoms of dysphagia along with multiple areas of muscle pain, which may be related to rheumatology. If you have seen many specialists without a clear diagnosis, I recommend that you visit a rheumatologist fo...[Read More] Seeking Answers: Navigating Chronic Pain and Unexplained Symptoms
Feeling Nauseous After Exercise: Could It Be Mild Gastritis?
Feeling so hungry that you feel nauseous? Recently, I have been exercising after meals, but after working out, I always feel very hungry yet hesitant to eat. This leads to a strong urge to vomit, although I have little appetite... I looked it up online, and it seems to suggest &q...
Dr. Hong Yuanbin Reply:
Hello, exercise increases adrenaline and related hormones in the body, which can suppress appetite and cause feelings of nausea. This is a normal physiological response after exercise. It is recommended to take a short rest and hydrate, or consume diluted sports drinks, which sho...[Read More] Feeling Nauseous After Exercise: Could It Be Mild Gastritis?
Understanding Persistent Stomach Bloating: Causes and Solutions
Persistent abdominal bloating? Hello, doctor. I've been experiencing bloating for the past month. I've seen four or five doctors, and due to accompanying cold symptoms (nasal congestion, itchy throat, etc.), most diagnosed it as a gastroenteritis. While the cold symptom...
Dr. Hong Yuanbin Reply:
Based on the symptoms you described, it does appear to be a cold, which indicates a higher likelihood of an upper respiratory tract infection given the current community situation in Taiwan. It is advisable to first rule out the possibility of a COVID-19 infection. If the COVID-1...[Read More] Understanding Persistent Stomach Bloating: Causes and Solutions
Should I Get Tested for COVID-19 with Ongoing Stomach Issues?
Re: Persistent Abdominal Bloating Thank you for the doctor's previous response. However, my cold symptoms (such as nasal congestion) have almost completely resolved, and only my stomach issues persist. I visited a clinic today, and the doctor prescribed medication for proble...
Dr. Hong Yuanbin Reply:
Hello, it is indeed advisable to get tested for COVID-19 for safety reasons, and gastrointestinal symptoms should also be considered as one of the symptoms of COVID-19. Of course, the likelihood of a negative result is reassuring. Based on your subsequent symptoms, it seems you a...[Read More] Should I Get Tested for COVID-19 with Ongoing Stomach Issues?
Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....
Dr. Lin Jianliang Reply:
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...[Read More] Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Understanding Abdominal Pain: Causes and Remedies for Discomfort
Stomach pain, abdominal pain leading to bowel movements, and continuous stomach rumbling? Abdominal pain, stomach pain, had one bowel movement and two episodes of diarrhea. The pain is worse when sitting and less intense when lying down. For several consecutive days, about two to...
Dr. Xie Rongyuan Reply:
Hello: If the symptoms persist without improvement, please visit a hospital for an examination to determine the cause, as it could be due to acute gastroenteritis. Thank you for your message![Read More] Understanding Abdominal Pain: Causes and Remedies for Discomfort