Viral infection, Internal Medicine FAQ - Page 4

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Post-Fever Complications: Understanding Symptoms and Concerns

Problems that may arise after a high fever? Hello, I would like to ask about my condition. Two days ago, I had a high fever of 39.5 degrees Celsius and visited a family medicine clinic. The doctor mentioned that my high fever could be due to either a bacterial or viral infection....


Dr. Li Huixiong Reply:
Based on the symptoms you described, it does seem to be a respiratory infection. Typically, primary care physicians will only provide medications for symptomatic treatment. From the medications you are taking, it appears that the physician who examined you not only prescribed sym...

[Read More] Post-Fever Complications: Understanding Symptoms and Concerns


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


Understanding Possible Autoimmune Issues in Primary Thrombocythemia Symptoms

Is it a problem related to rheumatology and immunology? I would like to consult Dr. Tseng regarding my husband, who has a history of primary thrombocythemia and has been under regular monitoring. In the past two weeks, he has noticed some pinpoint bleeding on the tips of his fing...


Dr. Zeng Guosen Reply:
Dear Juier, Hello, your description seems to indicate a circulatory abnormality, and it's quite difficult to make a judgment based solely on text. I recommend that you first consult the hematology oncology outpatient department. If necessary, the hematologist will suggest ...

[Read More] Understanding Possible Autoimmune Issues in Primary Thrombocythemia Symptoms


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


Understanding Diarrhea: Causes, Symptoms, and Treatment Options

Regarding diarrhea issues? Hello Doctor: I started experiencing diarrhea on the morning of April 28, going to the bathroom three times, and in the afternoon, I also had a fever. I went to the hospital for a consultation, and the doctor told me it was caused by a viral infection. ...


Dr. Liao Zhongxin Reply:
Hello: 1. After reviewing your description, I understand that you are a meticulous patient. You have clearly articulated your symptoms and provided the prescription issued by your physician. 2. Since the morning of April 28, you have experienced diarrhea, fever, and watery sto...

[Read More] Understanding Diarrhea: Causes, Symptoms, and Treatment Options


Understanding Unexplained Fever: Causes and Solutions

Fever of unknown origin (FUO) I have been experiencing unexplained fevers every afternoon for the past six months, from November 1998 to May 1999. Despite undergoing various tests, no cause has been identified, and I have not had any relief from the fever during this time. I woul...


Dr. Guo Hanyue Reply:
Hello: There are many possible causes for fever of unknown origin, and if it lasts for six months, it is generally unlikely to be due to a bacterial or viral infection. It is advisable to consult a dedicated infectious disease specialist to discuss the situation and evaluate the ...

[Read More] Understanding Unexplained Fever: Causes and Solutions


Understanding Elevated Monocytes: Causes, Concerns, and Next Steps

Monocyte issues Hello Doctor: I recently had an examination, and the report indicated that my monocyte level is 14.9%, which is slightly elevated. Does this indicate any specific disease, or could there be an underlying condition? Should I pursue further monitoring or treatment? ...


Dr. Yang Zhongwei Reply:
There are many reasons for elevated monocytes, the most common being viral infections, but it may also be due to hematologic malignancies. It is recommended that the user "Weiwei" seek medical attention at a hematology department in a medical center.

[Read More] Understanding Elevated Monocytes: Causes, Concerns, and Next Steps


Understanding Irritable Bowel Syndrome: Symptoms and Concerns

Irritable Bowel Syndrome (Continued) Thank you, Dr. Sun, for your prompt response. As mentioned in my previous email, the situation lasted only a few days and has improved. During those days, although it felt unusual, the frequency of bowel movements did not increase; it was just...


Dr. Sun Yizhen Reply:
Based on your description of symptoms, it is possible, but remote consultations may not always provide detailed assessments. To truly understand your condition, it is advisable to visit a clinic for a thorough clinical evaluation by a physician.

[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Concerns


Persistent Fever for a Week: Understanding Possible Causes and Concerns

Fever for nearly a week? About four days ago, I started feeling unwell. My ear thermometer recorded a temperature of around 37.7 to 38.3 degrees Celsius, along with some body aches. I thought it might just be a common viral infection, so I decided to rest. However, yesterday my t...


Dr. Lü Jing Reply:
This issue is not within the scope of metabolic disorders; it is recommended to schedule an appointment with the infectious disease department.

[Read More] Persistent Fever for a Week: Understanding Possible Causes and Concerns


Urgent Medical Advice Needed for 63-Year-Old with Unusual Symptoms

Request for consultation advice? My father is 63 years old and was previously in good health without any chronic illnesses. About a month ago, he sought medical attention for sudden hearing loss, which was diagnosed as a viral infection likely caused by a cold. He was treated wit...


Dr. Chen Junwei Reply:
Hello: The main symptoms currently are poor mental state, lack of appetite, and general weakness. However, many internal medical conditions can present with similar symptoms, such as electrolyte imbalance, dehydration, adrenal insufficiency, hyperglycemia or hypoglycemia, and liv...

[Read More] Urgent Medical Advice Needed for 63-Year-Old with Unusual Symptoms


Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns

How to interpret abnormal blood test results? CBC data: WBC 4.41 (Normal: 4.8-10.8) is low; WBC differential count shows Neutrophils 41.1 (Normal: 40-74), Lymphocytes 51.9 (Normal: 19-48) (which has been stable around these values in recent years), and the rest are within normal ...


Dr. Lin Mingfeng Reply:
The so-called normal range is determined by human standards. If your CBC/DC values have been consistent over the years, it may be a stretch to explain it solely as a general viral infection. However, it is still advisable to test for conditions like HIV. It is recommended to firs...

[Read More] Understanding Low WBC and High Lymphocyte Ratio: Causes and Concerns


Understanding Recurrent Fever: Causes and Concerns in Adults

High fever Hello Doctor: Two years ago, on October 10th, while I was walking with a friend after visiting a night market, I started to feel pain in the back of my head, which then radiated to my back. Generally, I experience pain in the back of my head when I am very tired, but i...


Dr. Liao Zhongxin Reply:
Hello Nancy: 1. The fever and headache on October 10, 2005, may indicate a viral infection, possibly even symptoms of a central nervous system infection. After treatment (such as intravenous fluids and medication), the white blood cell count quickly rose from over 1000 to 4000,...

[Read More] Understanding Recurrent Fever: Causes and Concerns in Adults


Understanding Low Platelet Count: Causes, Treatments, and Concerns

A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...


Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...

[Read More] Understanding Low Platelet Count: Causes, Treatments, and Concerns


Understanding Viral Infections in Children: Antibiotics and Fever Concerns

Issues Related to Viral Infections and Antibiotics My child is nine years old and last Wednesday had a fever reaching 40 degrees Celsius. We went to the pediatric outpatient clinic, where the doctor found only slight redness and swelling in the throat. Auscultation showed no bron...


Dr. Lin Mingfeng Reply:
1. Viral infections refer to infections caused by filterable viruses. Influenza (commonly known as the flu) is just one of them; most colds are also caused by viruses. 2. Antibiotics are not needed for viral infections unless a bacterial infection occurs as a complication. 3....

[Read More] Understanding Viral Infections in Children: Antibiotics and Fever Concerns


What to Do If You Have Low White Blood Cell Count?

excuse me? Doctor: May I ask, I went to the hospital for a check-up and found that my white blood cell count is low. What should I do? Also, what foods should I eat to improve this condition?


Dr. Wang Fangli Reply:
Low white blood cell count can sometimes indicate serious blood disorders, liver cirrhosis with splenomegaly, or certain viral infections during their acute phase. If none of these conditions are present, further monitoring and testing may be necessary, as a small percentage of h...

[Read More] What to Do If You Have Low White Blood Cell Count?


Understanding Elevated Lymphocyte Levels: What It Means for Your Health

Elevated lymphocyte count? Dr. Liao, I apologize for the interruption. During my recent health check-up, one of my lymphocyte counts was slightly higher than the normal range. Could you please advise what this might indicate regarding my health? Thank you for taking the time to r...


Dr. Liao Zhongxin Reply:
Dear readers: 1. We know that blood consists of blood cells and plasma, with blood cells being divided into red blood cells, white blood cells, and platelets. Among these, white blood cells include granulocytes and lymphocytes. The normal range of white blood cells is approxima...

[Read More] Understanding Elevated Lymphocyte Levels: What It Means for Your Health


Understanding Dizziness: Causes and Concerns for Young Adults

First episode of dizziness? Hello, Doctor: I am a second-year graduate student. My daily routine usually involves entering the lab at 9 AM and returning to my dormitory around midnight, falling asleep between 1 and 2 AM. The day before yesterday, when I woke up in the morning, I ...


Dr. Wang Fangli Reply:
In healthy individuals, dizziness can occur in the presence of viral infections, bacterial infections, sleep deprivation, or stress. If you have iron deficiency anemia with a hemoglobin level of only 8, you should seek treatment at a hospital and pay attention to your diet and li...

[Read More] Understanding Dizziness: Causes and Concerns for Young Adults


Understanding Low Neutrophils and High Eosinophils: What It Means for Your Health

Low neutrophil count and high eosinophil count? Hello, I recently had a health check-up and the results showed a white blood cell count of 5.52 (normal), neutrophils at 43.50% (normal range: 45.0-75.0%, slightly low), and eosinophils at 6.00% (normal range: >5.0%, slightly hig...


Dr. Hong Hongchang Reply:
Hello, Xiao Liang: The white blood cell count is 552/cumm with slightly low neutrophils and a slight increase in eosinophils. There is a possibility of a viral infection, so please follow up with the hematology or infectious disease department.

[Read More] Understanding Low Neutrophils and High Eosinophils: What It Means for Your Health


Understanding Your Child's Abdominal Pain: When to Seek Further Evaluation

Abdominal pain Hello Doctor: My child has been complaining of stomach pain for the past few days. Sometimes the pain is quite severe, but most of the time it's just mild. The bowel movements are soft, but not watery enough to be considered diarrhea; sometimes they occur up t...


Dr. Hong Hongchang Reply:
Hello: Based on your description, the child seems to be experiencing a viral infection combined with acute gastroenteritis. If there is a decrease in activity level and signs of dehydration, it is advisable to visit a major hospital for evaluation, as the symptoms currently do no...

[Read More] Understanding Your Child's Abdominal Pain: When to Seek Further Evaluation


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