Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain Hello, doctor. I have unexplained pain that occurs after squatting for too long. When I stand up, I feel pain between my chest and stomach, as well as between my breasts and the upper part of my stomach. This pain lasts for two to three days. When I press on the ...
Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is tenderness upon muscle palpation (for example, muscle spasm). Additionally, it could be due to gas...[Read More] Unexplained Chest and Abdominal Pain: Causes and Solutions
Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions
Unexplained pain? Hello, doctor. I have unexplained pain that occurs when I squat for too long and then stand up. The pain is located between my chest and stomach, as well as between my breasts and the upper part of my stomach. It lasts for two to three days. When I press on the ...
Dr. Lin Zhebin Reply:
Hello: 1. The cause of your chest and abdominal pain, based on your description, is likely related to the diaphragm or muscle, especially since it occurs when you squat and there is pain upon muscle palpation (for example, muscle spasms). Additionally, it could be due to gastroes...[Read More] Understanding Unexplained Chest and Abdominal Pain: Causes and Solutions
Choosing the Right Specialist for Blood in Stool: Gynecology or Gastroenterology?
I'm not sure which department to visit? I have been experiencing blood when wiping after using the restroom for a long time, but I don't feel any discomfort when urinating or having a bowel movement, and I don't have any bloating or pain in my abdomen. The amount o...
Dr. Lin Zhebin Reply:
Hello: Based on your description, it is more likely to be a hemorrhoid issue. It is recommended to consult a colorectal surgeon or a general surgeon. Additionally, if you are concerned about gastrointestinal bleeding, it is advisable to see a gastroenterologist. If you are worrie...[Read More] Choosing the Right Specialist for Blood in Stool: Gynecology or Gastroenterology?
Choosing the Right Specialist for Blood in Stool: A Guide
I'm not sure which department to consult? I have been experiencing blood when wiping after using the restroom for a long time, but I do not feel any discomfort when urinating or having a bowel movement, and there is no bloating or pain in my abdomen. The amount of blood is m...
Dr. Lin Zhebin Reply:
Hello: Based on your description, it is more likely to be a hemorrhoid issue. It is recommended to visit a colorectal surgery or general surgery department. Additionally, if you are concerned about gastrointestinal bleeding, it is advisable to see a gastroenterologist. If you are...[Read More] Choosing the Right Specialist for Blood in Stool: A Guide
Understanding Low WBC Count in High School Health Checkups
Abnormal White Blood Cell Count <High School Freshman Health Examination Report> Hello Doctor: My son's health check report shows that his WBC is slightly low, and there is a value for Ne, which I forgot how to spell, that is 44.2, with a normal range of 45. After look...
Dr. Chen Bozhang Reply:
Hello! If parents have concerns, it is recommended to take the child and the health check report to a regional hospital or higher for consultation with a family medicine specialist. Thank you.[Read More] Understanding Low WBC Count in High School Health Checkups
Can I Take Pain Relievers with Allergy Medication Safely?
Can Panadol be taken together with Dexamethasone? I have been experiencing severe nasal and eye allergies recently, which have led to headaches. I also have a history of urticaria and have been taking antihistamines. However, the headaches are so painful that I can't work. C...
Dr. Chen Bozhang Reply:
Hello! The mechanisms of action of Ibuprofen and Acetaminophen are different. If you have previously taken Acetaminophen without any allergic reactions or discomfort, it should be fine. However, it is recommended to consult your primary physician or pharmacist. Thank you.[Read More] Can I Take Pain Relievers with Allergy Medication Safely?
Understanding the Likelihood of False Positive TPHA Results in Blood Tests
What is the likelihood of a false positive result for the TPHA test? In January, I donated blood and tested negative. However, in August, I was informed that my TPHA was positive and RPR was negative. In November, I went to the infectious disease department for testing, and the r...
Dr. Chen Bozhang Reply:
Hello! Syphilis infection typically enters the body through skin and mucosal lesions, but it is primarily transmitted through sexual intercourse; sharing bathroom facilities, kissing, hugging, and similar activities in daily life do not pose a risk. According to the self-reported...[Read More] Understanding the Likelihood of False Positive TPHA Results in Blood Tests
Numbness and Tingling in the Front of the Left Thigh: Causes and Solutions
The front side of the left thigh feels numb? Hello, doctor. Since last week, I have been experiencing a persistent numbness in the front upper two-thirds of my left thigh. There is a tingling sensation when I apply pressure, and it feels the same as when my foot is numb when I to...
Dr. Lin Zhebin Reply:
Hello: The pain and numbness in your left thigh is likely caused by nerve compression. Given your age, a common reason for this could be a herniated disc. It is recommended that you consult with a neurologist, a rehabilitation specialist, an orthopedic surgeon, or a neurosurgeon.[Read More] Numbness and Tingling in the Front of the Left Thigh: Causes and Solutions
Persistent Bruising After Injury: When to Seek Medical Help
Stasis of blood? Hello doctor, I was in a car accident at the end of September, and my left calf was crushed by a motorcycle, resulting in bruising. The bruising has improved but is not fully healed, and there is still a large area of light-colored bruising on my leg. When I use ...
Dr. Lin Zhebin Reply:
Hello: Your ongoing bruising situation raises concerns about the possibility of fractures, ligament tears, or tendon ruptures. However, if you are still able to walk normally, the likelihood of a fracture is relatively low. It is more probable that you may have a ligament or tend...[Read More] Persistent Bruising After Injury: When to Seek Medical Help
Persistent Bruising After Injury: When to Seek Medical Help
Stagnant blood? Hello doctor, I was in a car accident at the end of September, and my left calf was crushed by a motorcycle, resulting in bruising. The bruising has improved but has not fully healed, and there is still a large area of light-colored bruising on my leg. When I appl...
Dr. Lin Zhebin Reply:
Hello: Your ongoing bruising raises concerns about the possibility of fractures, ligament tears, or tendon ruptures. However, if you are still able to walk normally, the likelihood of a fracture may be low. It is more probable that you are experiencing a ligament or tendon tear. ...[Read More] Persistent Bruising After Injury: When to Seek Medical Help
Do Pre-Marital Health Checks Review Your Medical History?
Will premarital health checks include a review of personal medical history? Will premarital health screenings check for past illnesses that have been cured? If so, will the examination cover the entire medical history from birth to the present, or just the last one or two years?
Dr. Lin Zhebin Reply:
Hello: Pre-marital health examinations will gather information through interviews regarding both parties' family history, history of genetic diseases, and past medical history. Generally, it is necessary to provide health status from birth to the present. Even if a condition...[Read More] Do Pre-Marital Health Checks Review Your Medical History?
Understanding CYP3A5*1: Implications for Tacrolimus Dosing in Precision Medicine
CYP3A5*1 Hello, I would like to ask about a report I received from the Taiwan Precision Medicine Program, which states that I am a carrier of CYP3A5*1. The screening result indicates that as a CYP3A5*1 carrier, I need to increase the dosage of tacrolimus to achieve the therapeuti...
Dr. Lin Zhebin Reply:
Hello: Based on the results you received, CYP3A5*1 is an enzyme related to drug metabolism in the body, and the drug affected by this metabolism is Tacrolimus. In summary, because you have the CYP3A5*1 enzyme in your body, it leads to a faster metabolism of Tacrolimus. Therefore,...[Read More] Understanding CYP3A5*1: Implications for Tacrolimus Dosing in Precision Medicine
Which Specialist to See for Unexplained Breathing and Dizziness Issues?
I'm not sure which specialty to see? Hello Doctor, I have had the following symptoms since childhood: whenever it is too hot, stuffy, rainy, or in poorly ventilated indoor spaces with large crowds, I easily experience sudden shortness of breath, dizziness, and when mild, I t...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to vasovagal syncope or situational syncope. It is usually advisable to avoid triggering situations, such as the ones you mentioned: excessive heat, stuffiness, rainy days, poorly ventilated indoor spaces, and crowded places. Anemia can also pres...[Read More] Which Specialist to See for Unexplained Breathing and Dizziness Issues?
Unexplained Chest Pain and Neck Tightness: Seeking Answers
Chest pain and neck tightness with no identifiable cause? Hello Doctor: I sincerely apologize for the lengthy message, but this issue has been troubling me for over a year... Let me briefly describe my symptoms. Since June of last year, I have been experiencing unexplained tightn...
Dr. Lin Zhebin Reply:
Hello: Your symptoms of left chest pain, palpitations, left shoulder pain, neck tightness, shortness of breath, dizziness, and headaches raise concerns about potential cardiac issues. There is a possibility of acute arrhythmia; however, if you do not experience an episode during ...[Read More] Unexplained Chest Pain and Neck Tightness: Seeking Answers
Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Anemia, issues with taking iron supplements? I would like to ask a question. I visited a hematologist who diagnosed me with iron deficiency anemia and prescribed iron supplements for two weeks. However, my hemoglobin level remains at 8.9 and has not increased, while my ferritin l...
Dr. Lin Zhebin Reply:
Hello: The most common cause of anemia at your age is iron deficiency anemia, which is often related to heavy menstrual bleeding. Generally, treatment with iron supplements requires at least three months to significantly improve the anemia; taking them for only two weeks usually ...[Read More] Understanding Iron Deficiency Anemia: When Iron Supplements Aren't Enough
Understanding Head and Neck Pain: Possible Causes and Solutions
Pain in the zygomatic bone, brow bone, temples, and occipital region? Hello doctor, recently I've been experiencing pain on both sides of the back of my head, extending to my neck and temples. The pain on the sides of my head occurs when I shake my head, and when I lie down,...
Dr. Lin Zhebin Reply:
Hello: 1. The pain you are experiencing on the sides of your nose, cheekbones, and brow bones may be due to allergic rhinitis, sinusitis, gingivitis, trigeminal neuralgia, among others. 2. The pain in your temples, back of the head, and neck may be related to tension headaches, m...[Read More] Understanding Head and Neck Pain: Possible Causes and Solutions
Understanding Infection Risks in Daily Life: A Guide for Family Medicine
Infection issues 1. If I have a wound on my hand and the other person also has a bleeding wound, and their blood comes into contact with coins or paper bills, can I get infected if my wound touches the wet blood or if I directly touch their bleeding wound? 2. If I haven't ...
Dr. Ye Qianyu Reply:
Hello, the hypothetical situation mentioned has a very low chance of causing infection. You may consider wearing gloves, and if you have concerns, you can go to a designated facility for anonymous testing. General contact is unlikely to cause transmission, and regular handwashing...[Read More] Understanding Infection Risks in Daily Life: A Guide for Family Medicine
Interpreting COVID-19 Rapid Test Results: Understanding T and C Lines
COVID-19 Rapid Test Determination Hello Doctor: I performed the Taiwan Salt rapid test twice today, and both times the T line appeared first. The C line is present but faint and not very clear, although it takes longer to show. How should I interpret these results? Thank you.
Dr. Hou Angting Reply:
Hello: I suggest that you let a physician assess the situation on-site. Wishing you good health.[Read More] Interpreting COVID-19 Rapid Test Results: Understanding T and C Lines
Unexplained Fever and Abdominal Muscle Pain: What You Need to Know
Fever of unknown origin with abdominal muscle pain? Hello doctor, for the past two months, I have been experiencing persistent abdominal muscle cramps that feel different from typical leg cramps. It feels like someone is pulling the muscles inward from the inside. I often wake up...
Dr. Lin Zhebin Reply:
Hello: Regarding your abdominal pain, since it is accompanied by headaches and generalized muscle soreness, it is important to consider the possibility of an infection. Additionally, there may be endocrine and hormonal issues at play. From an organ perspective, the problem could ...[Read More] Unexplained Fever and Abdominal Muscle Pain: What You Need to Know
Understanding Sleep Issues: Why Am I Always Tired Despite Long Sleep?
Sleep issues I can sleep up to 12 hours a day, but I still feel sluggish during the day and lack motivation for anything. When my sleep schedule is irregular, I sometimes take naps for two to three hours in the afternoon. No matter how much I sleep, I still feel fatigued. What co...
Dr. Cai Dongqi Reply:
Hello Zhixiang: First, go for a health check-up, adjust your sleep schedule and daily routine. You may want to consult a sleep specialist to help with your sleep patterns.[Read More] Understanding Sleep Issues: Why Am I Always Tired Despite Long Sleep?