Understanding Recurrent Inflammation in the Groin: Treatment Options
Recurrent inflammation in the groin area? My son was referred from the infectious disease department to surgery due to a wound in his groin. The diagnosis was a bacterial infection caused by follicular obstruction. The doctor has prescribed antibiotics and ointment for treatment....
Dr. Lin Mingfeng Reply:
The indications for surgery generally include the need for abscess drainage or the removal of structural abnormalities. If antibiotics can lead to complete healing, surgery may be avoided. The question did not specify why surgery is necessary. It is advisable to discuss this in d...[Read More] Understanding Recurrent Inflammation in the Groin: Treatment Options
Recurring Inflammation Under the Groin: Causes and Treatment Options
Recurrent inflammation of the groin? You have a 13-year-old son who is 177 cm tall and weighs 88 kg. He has been experiencing recurrent inflammation in his groin area. Three months ago, he had redness and swelling with a hard lump, accompanied by fever, and several punctate wound...
Dr. Lin Mingfeng Reply:
First, you can inquire with the original surgeon about the culture results from the last drainage of the abscess. If the infection is caused by Staphylococcus aureus, the patient may have a soft tissue infection or possibly acute lymphadenitis caused by this bacterium, which is n...[Read More] Recurring Inflammation Under the Groin: Causes and Treatment Options
Exploring Non-Amputation Treatments for Diabetic Foot Ulcers
Diabetic foot Hello, Doctor. My mother is 87 years old and has diabetes. She previously had a heel injury that improved with hyperbaric oxygen therapy. In February of this year, her heel cracked again, and she has also developed wounds on her toes. We have conducted cardiovascula...
Dr. Shi Guangzhong Reply:
The causes of amputation are often not due to a single factor, but rather the combined effects of multiple factors, including neuropathy, ischemic disease, ulcers, poor wound healing, and infections. Your mother has already undergone cardiovascular examinations; I am unsure of th...[Read More] Exploring Non-Amputation Treatments for Diabetic Foot Ulcers
Understanding HIV Transmission Risks in Emergency Situations
Regarding HIV infection? Hello Doctor: My boyfriend recently assisted in handling a car accident on the street. Due to significant bleeding from the injured party, he used tissue paper to help stop the bleeding, which resulted in some of the other person's blood getting on h...
Dr. Lin Mingfeng Reply:
1. If the skin is intact, the chance of contracting HIV from exposure to the blood of an HIV-positive individual is nearly zero. 2. However, most of the time we are uncertain if there are small cuts on our hands, so healthcare workers wear gloves in all situations where there may...[Read More] Understanding HIV Transmission Risks in Emergency Situations
Post-Amputation Concerns for Diabetic Patients: A Guide
What are some issues after amputation due to diabetes? Hello, Dr. Shi. My mother is 66 years old and has a history of diabetes for 30 years. Six months ago, she accidentally fell and had both of her lower legs amputated. Currently, her wounds have healed, and we are considering p...
Dr. Shi Guangzhong Reply:
Dear Ms. Huang, I apologize for the delayed response as I was abroad. If the wound has healed for more than six months, you may consider getting a prosthesis. If you are experiencing symptoms such as tingling and bouncing in both legs, these are primarily chronic complications of...[Read More] Post-Amputation Concerns for Diabetic Patients: A Guide
Can Saliva and Sweat Transmit HIV? Understanding the Risks
Saliva and sweat do not transmit HIV? Doctor, if I talk to a suspected HIV patient and their saliva sprays into my mouth, or if they sweat a lot and it comes into contact with a wound on my body, or if they sneeze on my face or cough near me, is there a risk of contracting HIV?
Dr. Lin Mingfeng Reply:
If there are no wounds in the oral cavity, kissing (i.e., coming into contact with another person's saliva) does not pose a risk of transmitting HIV. Sweat also does not carry a risk of transmission. Essentially, blood contains a higher viral load, but if the skin of the con...[Read More] Can Saliva and Sweat Transmit HIV? Understanding the Risks
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
Managing Diabetes and Preventing Skin Infections: Essential Tips
What should I do? Hello: My brother is 28 years old and has been diagnosed with diabetes for 2 to 3 years. Recently, he developed cellulitis due to a wound and was hospitalized for surgery, after which he started taking medication to control his blood sugar. However, since that s...
Dr. Shi Guangzhong Reply:
Although your brother has diabetes, he is prone to developing pustules and infections due to acne, and he has even undergone two incision and drainage surgeries. Such cases are not common. The main reasons are: 1. The facial blood circulation is very good, making it less suscepti...[Read More] Managing Diabetes and Preventing Skin Infections: Essential Tips
Diabetic Foot Wounds: When Is Amputation Necessary?
If a diabetic patient's foot wound is not healing, is amputation necessary? My mother is 75 years old and has been suffering from diabetes for 10 years. Her blood sugar, blood pressure, and kidney function are all under control. A year ago, she fell and has a wound that is n...
Dr. Guo Qinghui Reply:
Foot problems are one of the common chronic complications in patients with diabetes and are often a factor that necessitates hospitalization. Due to neuropathy, vascular occlusion, and a higher susceptibility to infections, the feet are more prone to ulcers, gangrene, and even th...[Read More] Diabetic Foot Wounds: When Is Amputation Necessary?
Which Medical Specialty Should You Consult for Diabetic Foot Issues?
Which department should be consulted for a diabetic foot examination? Hello Doctor: Diabetes can lead to foot complications, and which department should one consult for a foot examination? Should it be the Department of Metabolism, Internal Medicine, Surgery, Neurosurgery, Dermat...
Dr. Shi Guangzhong Reply:
1. Regarding which department to consult for foot examinations: Foot lesions can be identified through some simple assessments. Medical institutions within the diabetes care network typically include foot examinations as part of their services. The assessment of small nerve funct...[Read More] Which Medical Specialty Should You Consult for Diabetic Foot Issues?
How Long Can Hepatitis B Virus Survive Outside the Body?
How long can the hepatitis B virus survive outside the body? If saliva from a person with highly infectious hepatitis B comes into contact with clothing during a conversation, is there a possibility of transmission to others? How long can the hepatitis B virus survive outside the...
Dr. Xiao Jingqin Reply:
Hello Linlin~~ Hepatitis B virus is transmitted through body fluids, primarily via blood transfusions, sexual contact, sharing needles, and needlestick injuries. It is not transmitted through respiratory droplets or food. Hepatitis B is very difficult to survive outside the body;...[Read More] How Long Can Hepatitis B Virus Survive Outside the Body?
Understanding Edema and Unexplained Leg Fluid Leakage: Causes and Specialist Guidance
Edema and unexplained fluid accumulation in the calves? I have been experiencing edema for a while, and yesterday and today my calves have been leaking fluid for no apparent reason. What could be the cause of this, and which specialist should I see?
Dr. Yao Quan Reply:
Hello, you have been experiencing edema for a while now, and for the past two days, your calf has been leaking fluid. Based on my personal experience, I have seen patients with severe edema who also had wounds on their legs, which caused continuous fluid leakage from the wounds. ...[Read More] Understanding Edema and Unexplained Leg Fluid Leakage: Causes and Specialist Guidance
Diabetic Foot Care: Are Sandals Safe and Beneficial?
Diabetic foot problems Foot Issues: Are diabetic patients suitable for wearing sandals? Is it better to have cushioning? There are diabetic-specific shoes available on the market (with more options in sandals), are they beneficial for patients? Is it often recommended to massage ...
Dr. Guo Qinghui Reply:
Diabetic foot is a common complication among individuals with diabetes, and in severe cases, amputation may be necessary. Choosing the right footwear is a crucial step in preventing diabetic foot complications and amputations, as diabetes can lead to peripheral neuropathy, result...[Read More] Diabetic Foot Care: Are Sandals Safe and Beneficial?
Understanding Sepsis: Complications and Treatment Challenges in Elderly Patients
Sepsis My father underwent a lengthy surgery for bone spurs and received nearly 20,000 milliliters of blood transfusions. He developed sepsis, and despite more than two months of investigation, the source of the infection remains unidentified. He has been treated solely with anti...
Dr. Lin Mingfeng Reply:
The mortality rate for hospitalized patients with sepsis is generally around 35%. Only 30-50% of blood cultures are positive. Common sources include pneumonia or urinary tract infections. In postoperative patients, bacteria may also originate from surgical wounds. Additionally, i...[Read More] Understanding Sepsis: Complications and Treatment Challenges in Elderly Patients
Can Sweet Drinks Cause Heart Palpitations and Weakness?
Can sweets also cause discomfort in the body? Hello, I recently noticed that whenever I drink sweet beverages like milk tea or soy milk, I experience symptoms such as palpitations and weakness. However, these symptoms disappear after about an hour. I would like to know if this is...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The symptoms of diabetes include polyphagia, polydipsia, polyuria, weight loss, slow healing of wounds, and thirst, among others. If acute complications occur, diabetic ketoacidosis or hyperglycemic hyperosmolar nonketotic coma may develop...[Read More] Can Sweet Drinks Cause Heart Palpitations and Weakness?
Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...
Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues
Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Will fiberglass cause myocardial infarction? Hello Doctor, today I was installing wall outlets, and the wall is a lightweight partition filled with soundproofing fiberglass insulation. After finishing, my hands were covered in fiberglass dust and shards. I seem to recall my chemi...
Dr. Ke Zhengchang Reply:
Hello: It can be said that glass wool cannot penetrate the stratum corneum of the skin to enter the bloodstream and cause myocardial infarction leading to a stroke. There is no need for concern, and there are no reported cases in the literature, unless there is a large wound and ...[Read More] Is Fiberglass Insulation Dangerous? Concerns About Heart Attack Risks
Why Are Ants Attracted to My Used Sanitary Pads?
Diabetes issues? Doctor, I found ants on the used sanitary pads in the trash can (I've seen many ants on the pads several times). I have tested my blood and do not have diabetes. What could be the reason for this? Thank you.
Dr. Xiao Yongxun Reply:
Hello: In response to your question... Symptoms of diabetes include increased thirst, frequent urination, excessive drinking, weight loss, slow healing of wounds, and fatigue, among others. A diagnosis of diabetes is considered when two fasting blood glucose levels are greater th...[Read More] Why Are Ants Attracted to My Used Sanitary Pads?
Exploring the Benefits of Arginine: Circulation and Sexual Health
What are the functions of arginine? Hello Doctor: After the metabolism of arginine, nitric oxide (NO) is produced. How effective is the consumption of commercially available arginine supplements in improving peripheral blood circulation? Is there a significant effect on male sexu...
Dr. Chen Jingwen Reply:
Arginine metabolism produces nitric oxide (NO), which has vasodilatory effects, thereby improving peripheral blood circulation. There are many causes of sexual dysfunction; if it is due to vascular issues such as atherosclerosis, taking arginine-containing nutritional supplements...[Read More] Exploring the Benefits of Arginine: Circulation and Sexual Health
Do Diabetic Patients Need Circumcision Even with Controlled Blood Sugar?
Diabetes mellitus Hello, my boyfriend was diagnosed with diabetes a few months ago. After medication, dietary adjustments, and exercise, his blood sugar is now under control. However, due to diabetes making it harder for wounds to heal, the doctor has recommended that my boyfrien...
Dr. Shi Guangzhong Reply:
Dear: Although your boyfriend has diabetes, it is fortunate that his blood sugar is well-controlled through medication, dietary adjustments, and exercise. This indicates that both of you take diabetes seriously, and it is believed that the impact of any complications arising from...[Read More] Do Diabetic Patients Need Circumcision Even with Controlled Blood Sugar?