Wound, Internal Medicine FAQ - Page 19

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Is Your Blood Sugar Test Accurate? Understanding Post-Meal Readings

Same-day follow-up appointment? Hello, doctor. Continuing from my previous question, that night I felt anxious and restless. After having dinner, about two hours later, I went to one of the clinics to self-pay for a blood glucose test. The nurse cleaned my finger with alcohol and...


Dr. Xiao Yongxun Reply:
Dear Mr. Cheng: 1. Blood consists of approximately 55% blood cells and 45% plasma. During circulation, some plasma can seep into the interstitial spaces, mixing with the secretions of tissue cells to form interstitial fluid. Therefore, the concern you have regarding the dilution...

[Read More] Is Your Blood Sugar Test Accurate? Understanding Post-Meal Readings


Rabies Exposure Concerns: What Parents Need to Know

Rabies infection issues Hello, doctor. I would like to ask, if my hand came into contact with the saliva of a stray dog and I only washed my hands normally afterward, touching water 2-3 times during that period, and then handled fruit for my child to eat (with my hands touching t...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding the question of whether contact with the saliva of a stray dog could lead to rabies infection after only washing hands normally, touching water 2-3 times, and then cutting fruit for a child (with the hands touching the fruit), especially since the child h...

[Read More] Rabies Exposure Concerns: What Parents Need to Know


Needle Injury from Broken Chest Drain: Infection Risk and Testing Guide

Injury caused by a chest drainage tube? Today, I accidentally got stabbed by a broken glass tube while cleaning the chest drainage bottle. Should I see an infectious disease specialist for blood tests? The drainage bottle has already been rinsed with clean water and has been left...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the incident of accidentally being punctured by a broken glass tube while cleaning a chest drainage bottle today, is it necessary to consult an infectious disease specialist for blood tests? The chest drainage bottle has already been rinsed with clean wate...

[Read More] Needle Injury from Broken Chest Drain: Infection Risk and Testing Guide


Understanding HIV Risks: Oral Sex, Kissing, and Safety Measures

Could you please provide more context or specify what type of infection you are referring to? 1. The risk of contracting HIV from the activities described is generally low, especially since you used a condom during intercourse. However, the risk is not zero, and factors such as t...


Dr. Hong Yuanbin Reply:
Hello: 1. If condoms are used consistently throughout the sexual activity, it is considered safer sex, and the risk of infection is lower, but it does not eliminate the possibility of infection entirely. 2. Circumcision can reduce the risk of infection, but it does not provide 10...

[Read More] Understanding HIV Risks: Oral Sex, Kissing, and Safety Measures


Cat Scratch Injury: What Diabetics Need to Know About Infection Risks

Scratched by a stray cat at Dayeh University? Since I have diabetes, I was scratched by a stray cat while feeding it. The wound is small, but what should I pay attention to? Should I get a tetanus shot? I'm a bit worried about the risk of infection or cat scratch fever.


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the concerns about whether a wound may become infected or if there is a risk of cat scratch fever, according to the Centers for Disease Control data: http://www.cdc.gov.tw A. Transmission methods: Most patients (over 90%) have a history of being licked, b...

[Read More] Cat Scratch Injury: What Diabetics Need to Know About Infection Risks


Risk of STIs After Unprotected Oral Sex: What You Need to Know

In February, I had unprotected oral sex with a sex worker? Hello, doctor. In February of this year, I had unprotected oral sex and genital rubbing with a sex worker, but there was no complete vaginal penetration. The encounter lasted only a few minutes. Last week, I noticed some ...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation of having unprotected oral sex and genital rubbing with a sex worker in February of this year, but without complete vaginal penetration, and the encounter lasting only a few minutes. I noticed some mild rashes and itching on my body last week...

[Read More] Risk of STIs After Unprotected Oral Sex: What You Need to Know


Understanding the Risks of HIV and Hepatitis B from Toilet Exposure

Issues related to HIV and Hepatitis B virus infection? Hello, doctor. I accidentally got splashed by toilet water on my anus while using the restroom, and there is a wound on my anus (there is blood when I wipe with toilet paper). If the previous user had HIV or Hepatitis B and l...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the question about hepatitis B, "I seem to have lost my antibodies during my high school tests, and I have not received any booster shots since then. If I get splashed with toilet water on a wound, could I get infected?" A: Generally, young...

[Read More] Understanding the Risks of HIV and Hepatitis B from Toilet Exposure


Understanding Symptoms After Intimate Encounters: When to Seek Medical Help

This symptom is somewhat severe..? Hello Dr. Liao, on October 10th, I went to a hotel with my girlfriend for the first time. The bathroom was dry, and we took about 40 minutes before using the toilet. That day, I did not have an erection or penetration, but I did use my tongue to...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the question, "I have two areas of broken skin on my foot; could the hotel be the source of infection?" A: If it was oral sex, the wounds on your foot are not related to sexually transmitted infections. Just ensure proper wound care. 2. Con...

[Read More] Understanding Symptoms After Intimate Encounters: When to Seek Medical Help


Morning Fatigue and Swelling: Managing Chemotherapy Side Effects

I can't get out of bed in the morning..? Hello, Doctor Wu. I would like to ask about my mother, who has been taking chemotherapy medication, specifically Capecitabine, for the past two months. She has gradually started experiencing some physical discomfort, including difficu...


Dr. Wu Hongjie Reply:
Hello: Regarding the weakness caused by chemotherapy drugs, it is recommended that you consult with your original hematology-oncology physician or seek assistance from traditional Chinese medicine for support. Wishing you all the best.

[Read More] Morning Fatigue and Swelling: Managing Chemotherapy Side Effects


Understanding Acute Kidney Failure Recovery: Key Insights and Timeline

Recovery from renal failure Hello Dr. Wu, in May of this year, I underwent blood tests due to feeling unwell. The first test results showed BUN: in the 120s and Cr: around 5.5 (with no proteinuria present). Two days later, I had another blood test, and the results were BUN: in th...


Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, if kidney function was normal during the previous year's health check and has suddenly deteriorated this year, the clinical course should primarily be considered as acute kidney injury. However, acute kidney injury can lead to va...

[Read More] Understanding Acute Kidney Failure Recovery: Key Insights and Timeline


Understanding Genital Warts: Treatment, Surgery, and Aftercare

Cauliflower issues and cleaning aspects? Hello, doctor. I apologize for bothering you with a few questions. Today, I went for a gynecological check-up, and during the ultrasound, I inquired about a small bump at the vaginal opening that I initially thought was folliculitis. Howev...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding: 1. I found a small bump at the vaginal opening that I initially thought was folliculitis, but after examination, the doctor said it was a wart and immediately scheduled me for electrosurgery in four days. However, I expect my period to start that day. ...

[Read More] Understanding Genital Warts: Treatment, Surgery, and Aftercare


Could These Symptoms Indicate a Tetanus Infection?

Could you please clarify if this could be a tetanus infection? Hello doctor, a few weeks ago I had some small wounds on my body and I'm not sure if they got infected. Last week, the wounds healed and there were no issues, but recently I've been feeling strange in the mo...


Dr. Hong Yuanbin Reply:
Based on your symptom description, it seems more like cold symptoms rather than tetanus symptoms. Tetanus typically occurs with larger wounds and a higher likelihood of contact with rusted objects or soil. Your symptoms do not include spasms; they are simply general weakness foll...

[Read More] Could These Symptoms Indicate a Tetanus Infection?


Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained

Is the risk of HIV high? Hello, I would like to ask about an incident that happened yesterday while I was riding my motorcycle at approximately 40 km/h. Suddenly, I felt a sharp pain in my back. I immediately touched the area but didn’t feel anything. Later, a person rode past me...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the chance of HIV infection is indeed very low, and there is no need for prophylactic medication. The pain in the skin on your back is usually caused by muscle soreness. If you are concerned, you can have a blood test done in 3 to 6 weeks. Thank ...

[Read More] Is My Sudden Back Pain a Sign of HIV Risk? Common Concerns Explained


Concerns About Possible Animal Bites and Rabies Risk: What to Do?

Infection issues Hello, doctor. I would like to ask you about an incident that happened last Tuesday. While I was riding my motorcycle at a speed of about 30 km/h, I suddenly felt a sharp pain near my right knee. At that moment, I didn't notice anything hitting me, and I don...


Dr. Hong Yuanbin Reply:
Currently, urban areas, including Chiayi City, are not considered rabies-endemic regions, and there have been fewer cases of rabies reported in mountainous areas recently, so the risk is indeed very low. Moreover, without any obvious bite wounds, the likelihood of contracting rab...

[Read More] Concerns About Possible Animal Bites and Rabies Risk: What to Do?


High Creatinine Levels After Dialysis: Causes and Solutions

After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...


Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...

[Read More] High Creatinine Levels After Dialysis: Causes and Solutions


Understanding HIV Risks: Safe Practices and Wound Visibility

Safety issues If both vaginal and oral intercourse were performed with a condom, but the condom was removed during manual stimulation without a condom and the person's hand came into contact with vaginal fluids, is there a risk of contracting HIV? Also, can wounds on the pen...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the question, "If both vaginal and oral intercourse were performed with a condom, but then the condom was removed for manual stimulation without a condom, and the woman's hand came into contact with her vaginal fluid, is there a risk of contracti...

[Read More] Understanding HIV Risks: Safe Practices and Wound Visibility


Concerns About Possible Exposure to Bodily Fluids: What You Need to Know

Encountering a strange person who splashes liquid while walking? Hello Doctor, on Wednesday, May 11, I was chatting with a friend in an alley when a group of strange individuals walked by, seemingly under the influence of drugs. After they slowly passed in front of me, I felt an ...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the sensation of an unknown salty liquid (several drops, possibly more than 5 or 6, uncertain) entering my mouth, during those days I also noticed that my mouth had wounds that bled when brushing my teeth. Upon closer inspection, I found that my gums had b...

[Read More] Concerns About Possible Exposure to Bodily Fluids: What You Need to Know


Concerns About HIV After Unprotected Sex: What You Need to Know

Fear of contracting HIV? Hello, doctor: I had sexual intercourse with a foreign girl the day before yesterday, and her vagina accidentally bled when I used my hand. I also had a wound on my hand. After that, we had protected vaginal intercourse, but afterward, I felt dizzy and we...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the situation where I had sexual intercourse with a foreign girl, and her vagina accidentally bled due to my hand, which also had a wound, I later engaged in protected intercourse but felt dizzy and weak afterward. The next day, I continued to experience d...

[Read More] Concerns About HIV After Unprotected Sex: What You Need to Know


Can HIV Be Transmitted Through Hand or Object Contact?

Questions about HIV transmission? I would like to ask the doctor if HIV can be transmitted through contact with hands or objects. Today, I saw a convenience store clerk with a wound on their hand, and I suddenly had this question. The wound looked quite fresh. If their blood came...


Dr. Liao Zhongxin Reply:
Dear readers: A: The transmission routes of HIV are 1. Unprotected sexual intercourse, including various forms of sexual activity without a condom. 2. Sharing needles and syringes during drug use. 3. Transmission from an HIV-positive mother to her fetus/newborn during pregnancy. ...

[Read More] Can HIV Be Transmitted Through Hand or Object Contact?


Understanding Wound Healing in HIV Patients: Common Misconceptions

Questions about wounds related to HIV/AIDS? I have a question. A friend told me that wounds in HIV patients, such as cuts or bleeding, are difficult to heal. 1. If it's just a minor cut or burn, can it still heal on its own in about a week like in a healthy person? 2. If we ...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Regarding the topic of "wounds in HIV-infected patients being difficult to heal": A: (1) Generally, wounds in regular patients should improve within a week with proper medication and avoiding unnecessary exposure to water; the same applies to HIV-inf...

[Read More] Understanding Wound Healing in HIV Patients: Common Misconceptions


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