Concerns About HIV After Oral Sex: Understanding Symptoms and Risks
HIV/AIDS issues Hello doctor, last week on June 24, I went to a half-service establishment with a friend. That day, I engaged in unprotected oral sex, and I also performed oral sex on the female partner, but I am unsure if she has any sexually transmitted infections. Now, a week ...
Dr. Du Shixi Reply:
Hello: HIV cannot be diagnosed based on symptoms alone; a blood test is required. If you have concerns, it is recommended to visit a urology department for examination. You can simply request a sexually transmitted infection (STI) test. Wishing you good health.[Read More] Concerns About HIV After Oral Sex: Understanding Symptoms and Risks
Understanding Folliculitis vs. Rash: Symptoms and Concerns
Folliculitis? Rash? Hello, Doctor. I have noticed that for the past couple of days, there is an itchy, raised, red, and swollen area on my chin that feels bumpy. It is very uncomfortable, and I am unsure if it is folliculitis or a rash. Additionally, there is slight redness and s...
Dr. Du Shixi Reply:
Hello: A diagnosis cannot be made without an examination; however, if there is a fever or rash, medical evaluation is necessary. Rashes and folliculitis rarely cause lymphadenopathy. Wishing you good health. HIV is rarely diagnosed based on symptoms alone; blood tests are essenti...[Read More] Understanding Folliculitis vs. Rash: Symptoms and Concerns
Understanding Syphilis Treatment: Managing Symptoms and Concerns
Syphilis treatment I previously visited a doctor due to a rash all over my body (including my hands and feet), which was suspected to be secondary syphilis, with a screening result of 64+. At that time, I also had an ulcer in my anal area that was severely swollen and inflamed. 1...
Dr. Du Shixi Reply:
Hello: Syphilis can indeed present such phenomena. It is correct to have a blood test three months after treatment; testing now has no reference value. Additionally, regular blood tests should be conducted within two years, as some individuals may experience a resurgence in their...[Read More] Understanding Syphilis Treatment: Managing Symptoms and Concerns
Understanding Recurring Genital Symptoms: Is It Herpes?
Questions about herpes recurrence? I developed a very itchy area in my genital region at the end of March and beginning of April last year. Initially, the doctor thought it was pubic lice and prescribed topical treatment, which helped. However, nearly a year later, the itchy area...
Dr. Du Shixi Reply:
Hello: 1) This facility cannot provide a diagnosis. 2) Traditional Chinese medicine and Western medicine are quite similar. 3) It is possible. 4) It may not necessarily be lymph nodes; please seek medical examination. 5) Unable to determine. 6) If it is a herpes virus, it is like...[Read More] Understanding Recurring Genital Symptoms: Is It Herpes?
Understanding Syphilis Treatment: Managing Symptoms and Medication Concerns
Syphilis Treatment Hello Doctor: Recently, I developed a rash on my body and after screening, I was confirmed to have syphilis with a titer of 1:64. I am currently being treated at Kaohsiung Medical University Hospital. I suspect that I contracted syphilis during a business trip ...
Dr. Du Shixi Reply:
Hello: If you have previously taken doxycycline, it is not an allergy, but the rash may still be due to the effects of syphilis itself. It is recommended to seek medical attention from an infectious disease specialist at a medical center, as they have access to PENICILLIN injecti...[Read More] Understanding Syphilis Treatment: Managing Symptoms and Medication Concerns
Understanding Soft Tissue Lumps: Tendons or Lymph Nodes in the Thigh?
Inquiry for clarification? Hello Dr. Du Shih-Hsi, I have a question to ask you. On the inner side of my thigh, close to that side, I can feel a long, soft, cord-like structure when I touch it (the skin surface is not raised or red). It doesn't seem to resemble a lymph node. ...
Dr. Du Shixi Reply:
Hello: The likelihood of it being lymph nodes is low; it is more likely related to the muscles. If you are very concerned, it is best to see a physician for an examination to get a definitive answer. Wishing you good health.[Read More] Understanding Soft Tissue Lumps: Tendons or Lymph Nodes in the Thigh?
Understanding Urological Concerns: Could Your Symptoms Indicate an STD?
Inquiry regarding suspected sexually transmitted infections (STIs)? Hello Dr. Du Shih-Hsi, regarding my previous question (#133114), the skin issue has resolved with no more red spots. However, in the past few days, I have been experiencing discomfort in the groin area, which fee...
Dr. Du Shixi Reply:
Hello: Lymph nodes usually present with other symptoms and are typically only palpable when they are at least the size of a peanut. They are not very painful. There may be tenderness upon pressure. Wishing you good health.[Read More] Understanding Urological Concerns: Could Your Symptoms Indicate an STD?
Understanding Lymph Node Sensations and STD Risks After Sexual Encounter
Abnormal sensations in lymph nodes and infectious diseases? Hello, Doctor Du. Due to my inability to find a girlfriend, on February 3rd, I acted on impulse and engaged in sexual activity, which was essentially just the woman performing manual stimulation. This woman, who had a ra...
Dr. Du Shixi Reply:
Hello: If there is lymphadenopathy, it is generally indicative of an infection; however, it is difficult to determine if it is a sexually transmitted infection. It is advisable to have a medical examination at the hospital before your vacation for safety. Additionally, HIV can be...[Read More] Understanding Lymph Node Sensations and STD Risks After Sexual Encounter
Understanding Negative Syphilis RPR Results: What to Do Next?
Syphilis RPR negative? Hello, Doctor! Three months ago, I had unprotected anal intercourse with a male partner. Last month, I experienced severe pain in the lymph nodes on both sides of my chest, followed by the appearance of rashes on my chest, palms, soles, testicles, and aroun...
Dr. Du Shixi Reply:
Hello: 1) If you have symptoms, you should get tested. 2) If VDRL is positive, you should follow up with a TPHA test. If you prefer not to have another blood draw, you can do both tests at once. 3) It is advisable to undergo preliminary sexually transmitted infection testing and ...[Read More] Understanding Negative Syphilis RPR Results: What to Do Next?
Understanding Penile Cancer: Symptoms, Concerns, and Next Steps
Penile cancer issues? Hello, doctor. Last Sunday (12/10), I accidentally came across information about phimosis online and learned that the normal foreskin should retract to expose the glans when not engorged. I realized that my foreskin is a bit long (though it can still be retr...
Dr. Du Shixi Reply:
Hello: This facility is unable to provide a diagnosis. For concerns regarding penile cancer and inguinal lymph nodes, a personal examination by a physician is necessary. If the foreskin can be retracted comfortably during an erection, surgery is not required. Your situation can b...[Read More] Understanding Penile Cancer: Symptoms, Concerns, and Next Steps
Could My Symptoms Indicate HIV or Just a Common Cold?
I would like to ask if I have HIV? I met someone online, and we had sexual intercourse on 10/10, 10/15, and 11/4 without any protective measures. A few days later, I felt some itching around my genital area, but that has since resolved, which is quite strange. From 11/16 to 11/28...
Dr. Du Shixi Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. Hello: There is a window period of about 90 days for HIV testing, during which the virus may not be detectable. Therefore, if you are concerned, you can get tes...[Read More] Could My Symptoms Indicate HIV or Just a Common Cold?
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Persistent Itching and Urinary Issues: Seeking Answers Beyond Pubic Lice
The penis is very itchy? I was diagnosed with pubic lice in early April this year and underwent treatment, recovering in about one to two weeks. However, about a month later, I experienced a recurrence (there was no sexual activity in between). I found it strange and went to see ...
Dr. Du Shixi Reply:
Hello: 1. Pubic lice are now less common, so you may want to examine your living and laundry environments (to ensure that family members are not infected). Regarding the lymph node issue, it may also be necessary to undergo a sexually transmitted infection (STI) screening, even i...[Read More] Persistent Itching and Urinary Issues: Seeking Answers Beyond Pubic Lice
Understanding Bladder Cancer Metastasis and Lung Tumor Diagnosis
Regarding bladder cancer metastasis? My father was diagnosed with stage 1 bladder cancer two years ago and immediately underwent intravesical therapy. During the treatment, there were two instances where the cancer recurred just before the completion of the therapy. Recently, sev...
Dr. Du Shixi Reply:
Hello: It is possible that this is a second type of cancer (the likelihood of developing lung cancer is also very high now). If the oncology department can confirm that it is not metastatic (through a lung biopsy pathology examination to determine if it is of the same tissue type...[Read More] Understanding Bladder Cancer Metastasis and Lung Tumor Diagnosis
Persistent Pain Near Groin: Understanding Lymph Node Issues After UTI
The lymph nodes located near the groin are experiencing persistent pain? Since mid-April, I was hospitalized for a severe urinary tract infection and was discharged at the end of April. During a follow-up appointment in May, the doctor from the nephrology department said I had re...
Dr. Du Shixi Reply:
Hello: If you have undergone examinations in urology and gynecology, there are likely no major issues. However, your urinary tract infections are quite frequent. If you have engaged in unprotected sexual activity, it is important to seek medical evaluation. Additionally, you shou...[Read More] Persistent Pain Near Groin: Understanding Lymph Node Issues After UTI
Understanding Syphilis: Symptoms, Concerns, and Diagnosis
Is there a syphilis infection? Doctor, about two months ago, I developed an ulcer on the inner side of my foreskin that was painful and itchy, along with swollen lymph nodes in the groin that were not painful. At that time, I also had accompanying urethritis. Last week, I took a ...
Dr. Fu Shizhang Reply:
It is recommended to undergo blood tests for syphilis and HIV.[Read More] Understanding Syphilis: Symptoms, Concerns, and Diagnosis
Understanding Testicular Contraction Issues and Urinary Problems
Testicular retraction issues? At first, when I urinated, the first stream was very large, but afterward, I felt like I couldn't completely empty my bladder. On March 28, I visited Chimei Hospital, and during the consultation, I expressed my discomfort due to bladder fullness...
Dr. Du Shixi Reply:
Hello: Regarding your urinary issues, it is recommended that you visit a urologist at the hospital. Additionally, if you experience a rash after taking medication, and it is unclear whether it is due to the medication or an underlying immune issue, you should return to the same u...[Read More] Understanding Testicular Contraction Issues and Urinary Problems
Understanding Syphilis: Symptoms and Lymph Node Swelling Explained
Is there a syphilis infection? The initial ulceration of the foreskin is accompanied by sharp pain and occasional itching, along with swelling of the right lymph nodes. After a week, the sharp pain has disappeared, but occasional itching persists, and the lymph nodes remain swoll...
Dr. Du Shixi Reply:
Hello: Syphilis ulcers are usually not very painful, which may lead patients to avoid seeking medical attention. If you have engaged in unsafe sexual practices, it is advisable to seek medical care, as infections of the glans and foreskin typically do not present with right-sided...[Read More] Understanding Syphilis: Symptoms and Lymph Node Swelling Explained
Managing Syphilis: Is Oral Medication Enough for Effective Treatment?
Syphilis is treated with medication? Hello, doctor. I would like to ask about my recent syphilis diagnosis (confirmed in January). I took minocycline for 14 days, twice a day, one capsule each time. At that time, I had the following symptoms: syphilitic rash on my body and soles ...
Dr. Du Shixi Reply:
Hello: After treatment for syphilis, the titers will gradually decrease, but it is still necessary to monitor for at least three months. There is no such thing as being completely cured; some individuals may no longer have symptoms and their titers may improve, but they should st...[Read More] Managing Syphilis: Is Oral Medication Enough for Effective Treatment?
Assessing Urological Symptoms: Risks of HIV Infection and Testing Accuracy
Symptom assessment On the evening of January 2nd, between 8:00 PM and 10:00 PM, I had sexual intercourse with a stranger. The process began with kissing, followed by digital stimulation of her vagina, and I performed oral stimulation on her clitoris for about 10 seconds. I do not...
Dr. Du Shixi Reply:
Hello: HIV rashes are actually not much different from regular rashes; the main thing is to get a blood test. Symptoms of HIV infection typically do not appear that quickly, but it is advisable to get tested 6-8 weeks after potential exposure, and then again after 3 months for mo...[Read More] Assessing Urological Symptoms: Risks of HIV Infection and Testing Accuracy