Family Medicine Q&A - Page 10

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Understanding and Addressing Excessive Sweating in the Lower Body

Lower body night sweats? I have been experiencing night sweats from my entire leg to my buttocks for the past few months. Initially, it wasn't very frequent, but this week it has occurred every day. What could be the issue? Should I go to the hospital for an examination?


Dr. Liao Yaopan Reply:
Hello, your symptoms are somewhat vague. If you still have concerns, it is advisable to seek an in-person evaluation, as online consultations are not equivalent to a physical examination and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares about yo...

[Read More] Understanding and Addressing Excessive Sweating in the Lower Body


Managing Type 2 Diabetes: Key Questions for Your Family Doctor

Please provide your questions regarding diabetes? I was diagnosed with type 2 diabetes and hyperlipidemia last November. At that time, my lab results were as follows: fasting blood glucose 143 mg/dL, HbA1c 9.9%, total cholesterol 229 mg/dL, triglycerides 202 mg/dL, HDL cholestero...


Dr. Liu Hongxiang Reply:
Hello Mr. Chang: According to the consensus of international diabetes associations, a glycated hemoglobin (HbA1c) level of less than 6.5% for at least 3 months without the use of antihyperglycemic medications indicates that blood sugar is temporarily normal, and medication may no...

[Read More] Managing Type 2 Diabetes: Key Questions for Your Family Doctor


Understanding the Connection Between Microcytic Anemia and Thrombocytosis

Iron deficiency anemia Hello, doctor. Thank you for taking the time to respond. I would like to ask if my direct relative has "iron deficiency anemia." My personal mean corpuscular volume (MCV) is low, and my platelet count is around 425,000. Are these two values relate...


Dr. Lin Zhebin Reply:
Hello: Iron deficiency anemia is classified as microcytic anemia, so the mean corpuscular volume (MCV) will be low. Additionally, iron deficiency anemia often coexists with thrombocytosis, which means your test results are indeed related to iron deficiency anemia.

[Read More] Understanding the Connection Between Microcytic Anemia and Thrombocytosis


Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective

Headache Hello, Doctor! I would like to ask if washing my hair in the morning during winter can cause migraines. Thank you, Victoria.


Dr. Liu Hongxiang Reply:
Hello Victoria: Generally, washing your hair in winter does not cause headaches. However, if you are under significant stress, fatigued, or sensitive to pain, it can trigger headaches. In such cases, you may try massage, heat therapy, and adequate rest to see if it helps improve ...

[Read More] Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective


Optimal Dosing Schedule for Cephalexin in Dogs: Expert Insights

Regarding the use of the antibiotic cephalexin? Hello Dr. Liao. Recently, an 8-year-old puppy was prescribed the antibiotic cephalexin due to a stye. The pharmacist advised administering it four times a day after each meal and before bedtime. I would like to ask about the timing,...


Dr. Liao Yaopan Reply:
Hello, the ideal medication administration time is every six hours. However, considering the convenience of daily routines, the dosing schedule has been slightly adjusted. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diag...

[Read More] Optimal Dosing Schedule for Cephalexin in Dogs: Expert Insights


Left Side Abdominal Pain After Eating: Possible Causes and Solutions

Pain on the left lateral side of the waist after eating? Hello Doctor, thank you for taking the time to answer my question despite your busy schedule. Sometimes after eating, especially when I feel "full," I experience a dull, intermittent pain on the outer side of my l...


Dr. Liao Yaopan Reply:
Hello, please have a gastroenterologist assess whether it is related to gastrointestinal activity. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.

[Read More] Left Side Abdominal Pain After Eating: Possible Causes and Solutions


Consultation on Trichomoniasis Infection and Treatment Options

Consultation on Trichomoniasis Infection Issues Hello Doctor, about two years ago I was diagnosed with a Trichomonas vaginalis infection, and at that time, the doctor prescribed "Johnson" Metronidazole tablets for seven days. After completing the treatment, I did not re...


Dr. Liao Yaopan Reply:
Hello, trichomoniasis infection requires complete treatment for both partners. The current symptoms need further investigation to confirm the underlying cause and to ensure appropriate treatment. Online consultations are not equivalent to in-person medical visits and cannot provi...

[Read More] Consultation on Trichomoniasis Infection and Treatment Options


Persistent Pain After Injection: Causes and Next Steps

The injection site may be painful? I received an anti-inflammatory injection in my right arm, and it has been two weeks since then. The injection site still experiences pain, the arm feels sore, and there is slight weakness, although there are no visible abnormalities. Could you ...


Dr. Chen Bozhang Reply:
Please return for a follow-up appointment with the original treating physician for evaluation, or visit a family medicine clinic for care. Thank you.

[Read More] Persistent Pain After Injection: Causes and Next Steps


Loss of Appetite and Nausea: Seeking Medical Guidance for Symptoms

Loss of appetite and nausea upon eating? I would like to ask why I have been experiencing a loss of appetite and nausea whenever I eat. I underwent an upper gastrointestinal endoscopy on November 30, 2023, which was normal, and a colonoscopy on December 12, 2023, which was also n...


Dr. Liao Yaopan Reply:
Hello, if you continue to experience gastrointestinal symptoms, it is recommended that you consult a gastroenterologist for a comprehensive evaluation and treatment. If the symptoms are not due to gastrointestinal or hepatobiliary causes, a referral to a neurologist or endocrinol...

[Read More] Loss of Appetite and Nausea: Seeking Medical Guidance for Symptoms


Understanding Unusual Sounds in Your Ears While Running

Hearing unusual sounds in the ears while running? Hello, doctor. I feel that you have been clarifying doubts for everyone for a long time. Today, I have a peculiar question to ask you: Recently, I started jogging to lose weight. At first, I didn't feel much, but in the past ...


Dr. Xiao Yongxun Reply:
Dear Mr. Jam: 1. The exact cause is unknown. 2. From a medical standpoint, it is possible that running caused vibrations in the muscles and ligaments near the cervical spine, leading to a clicking sound. This may be similar to other joints that occasionally produce similar noi...

[Read More] Understanding Unusual Sounds in Your Ears While Running


Understanding Chest Tightness and Breathing Issues After Night Shifts

Chest tightness and difficulty breathing? After working rotating shifts, including both day and night shifts, for about seven years, and having a smoking habit while drinking a cup of American coffee daily, I recently started experiencing episodes of rapid heartbeat, shortness of...


Dr. Xiao Yongxun Reply:
Dear Ms. Huang: 1. The human body has its own physiological clock and circadian rhythms that are inherently aligned with nature. Therefore, long-term night shifts or rotating shifts can have various impacts on sleep, the neuroendocrine system, cardiovascular system, digestive sy...

[Read More] Understanding Chest Tightness and Breathing Issues After Night Shifts


Which Medical Specialty Should I Consult for Rib Pain After a Fall?

Inquiry about medical specialties? Hello, doctor. A few days ago, I fell and hit the ground hard. Since then, I've been experiencing pain near my ribs, but I haven't noticed any bruising. The pain worsens with vigorous activities like running or even laughing. I'm ...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit an orthopedic clinic.

[Read More] Which Medical Specialty Should I Consult for Rib Pain After a Fall?


COVID-19 Transmission Concerns in Shared Living Spaces

COVID-19 Transmission Issues Hello, doctor. Thank you for your hard work. I have two questions: 1. I am currently living in a rented studio apartment with a large window (150*50 cm) that allows for drying clothes. The two neighboring units have similar windows. Recently, I have...


Dr. Lin Zhebin Reply:
Hello: 1. If the window is ventilated with outdoor air, there is no need to close it specifically. 2. Wearing a mask over the nose and breathing in through the nose while exhaling through the mouth does not prevent infection.

[Read More] COVID-19 Transmission Concerns in Shared Living Spaces


Which Medical Specialty Should You See for Rib Pain After a Fall?

Which specialty should I see? Hello, doctor. After falling last week, I have been experiencing pain near my ribs. There are no external injuries or bruises, but the area hurts significantly when I run or laugh. Should I seek medical diagnosis and treatment? Which department shoul...


Dr. Lin Zhebin Reply:
Hello: Based on your description, it is more likely that you have a chest contusion from the fall, which usually heals naturally within a few weeks. However, if the pain persists without improvement or worsens, especially if accompanied by shortness of breath, it is important to ...

[Read More] Which Medical Specialty Should You See for Rib Pain After a Fall?


Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?

Can commercially available disinfectants kill Helicobacter pylori on surfaces? Hello, doctor. Can you please tell me if commercially available disinfectants, such as Noroclean spray (400ml, hypochlorous acid solution, made in Japan), can kill Helicobacter pylori on surfaces like ...


Dr. Ye Qianyu Reply:
Hello! It should be possible. For disinfecting utensils: 20-90 ppm. Remember to rinse with clean water afterward. "Helicobacter pylori is transmitted orally, and improving personal hygiene and dietary practices can reduce the risk of infection. Since cross-infection among fa...

[Read More] Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?


Understanding Umbilical Bleeding: Causes and Care Tips

Umbilical bleeding Last week, I noticed a foul smell coming from my navel. I focused on cleaning it, mostly around the outer rim, to avoid missing the inside. The next day, I found the navel to be moist and sticky, and when I used a cotton swab, there was a slight blood tinge alo...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a medical facility for evaluation.

[Read More] Understanding Umbilical Bleeding: Causes and Care Tips


Understanding Mid-Rib Pain: Causes and Next Steps for Relief

Dull pain at the edge of the costal cartilage of the 7th rib on the right lung? The patient experiences dull pain at the "cartilage edge" of the 7th rib on the right lung. 1. Timing of Occurrence: - After meals while sitting on a chair and napping with arms on the ...


Dr. Lin Zhebin Reply:
Hello: The dull pain along the edge of your costal cartilage, particularly near the seventh rib on the right side of your chest, could be due to several reasons. Besides costochondritis, it is important to consider potential issues with deeper tissues and organs, such as the diap...

[Read More] Understanding Mid-Rib Pain: Causes and Next Steps for Relief


Unexplained Left-Side Numbness and Pain: Seeking Answers in Medical Care

Numbness on the left side of the body, along with weakness and soreness on the inner side of the left arm, with no identifiable cause? Since early last year, I have been experiencing numbness in my left pinky and ring fingers, which then progressed to my legs. By the end of the y...


Dr. Lin Zhebin Reply:
Hello: Based on your symptoms of discomfort on the left side and the tests you have undergone, it may be advisable to consider a cervical MRI to check for any cervical nerve compression. I recommend consulting with a neurologist or neurosurgeon for this matter. Additionally, rega...

[Read More] Unexplained Left-Side Numbness and Pain: Seeking Answers in Medical Care


Understanding Breathing Issues and Fatigue in Elderly Patients

Wheezing, forceful exhalation? My father is 84 years old and has dementia, hypertension, diabetes, and anemia. Recently, he received a blood transfusion due to low hemoglobin levels. After returning home, he has been experiencing excessive sleepiness, and we are unsure of the cau...


Dr. Cai Dongqi Reply:
Hello, Zhang: 1. First, visit an otolaryngologist to check for any issues in the nasal cavity that may be causing respiratory obstruction or sleep apnea. 2. Experiencing shortness of breath during activity and chest pain may indicate heart failure or angina; please consult a card...

[Read More] Understanding Breathing Issues and Fatigue in Elderly Patients


Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?

Persistent vomiting, headache, constipation, and runny nose? Hello Doctor, I started feeling nauseous last Tuesday. On Tuesday morning, without having eaten anything, I vomited the food from Monday night. From 9:00 AM to 12:00 PM, I vomited more than four times, almost every hour...


Dr. Xiao Yongxun Reply:
Dear Miss Rabbit: 1. There are many causes of nausea and vomiting, including: neurological (migraine, inner ear disorders, brain lesions), psychiatric (emotional or environmental stress, cyclical vomiting syndrome in children, psychogenic vomiting), metabolic (renal failure, me...

[Read More] Persistent Nausea, Headaches, and Digestive Issues: What Could It Be?




Family Medicine FAQ

Abdomen Abdominal Pain
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Alcohol Consumption Anal Itching
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