Family Medicine Q&A - Page 4

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Understanding Platelet Distribution Width and Its Implications for Health

Platelet distribution width (PDW) Hello, Doctor. I have a few questions I would like to ask you: A few days ago, I went to the hospital to check my blood test results. The doctor mentioned that overall, the values suggest iron deficiency anemia (microcytic), but my hemoglobin lev...


Dr. Liao Yaopan Reply:
Hello, 1. It is recommended to clarify the causes of anemia before reassessing the need for immediate treatment. 2. The width of platelet distribution may be related to the differences in the size of blood cells. It is advised to consult a hematology outpatient clinic regardin...

[Read More] Understanding Platelet Distribution Width and Its Implications for Health


Understanding Thigh Pain and Arm Weakness: Causes and Treatment Options

Thigh muscle pain and weakness in raising the arms? Hello Doctor: Recently, after taking a nap on a wooden bench, I experienced symptoms of pain in the outer thigh muscle on the right side, regardless of whether I am standing or sitting. I am unsure if the pain is the reason I do...


Dr. Lin Zhebin Reply:
Hello: The pain on the outer side of your right thigh may be related to issues with the muscles, tendons, or ligaments, while the limited range of motion and pain in your left arm could be associated with problems in the joints, tendons, or ligaments. It is recommended that you c...

[Read More] Understanding Thigh Pain and Arm Weakness: Causes and Treatment Options


Can You Take Yuli Shupan and Healthy Sleep Together Safely?

Can Yu Li Shu Pan and Le Bi Ke be taken together? Hello, may I ask if "Yuli Shupan" and "Jiankang Demian" can be taken together before bedtime? Will there be any interactions between them? Thank you for your clarification!


Dr. Lin Zhebin Reply:
Hello: When taking Fludiazepam and Zopiclone together, it is important to monitor for side effects such as dizziness, difficulty concentrating, and drowsiness.

[Read More] Can You Take Yuli Shupan and Healthy Sleep Together Safely?


How to Reduce Frequent Bathroom Trips After Drinking Caffeinated Beverages?

How to improve the situation of frequently needing to use the restroom after consuming caffeinated beverages? Hello, Doctor. I have a question I would like to ask you. My personal habit is to go to bed very early and wake up early (around 2 or 3 AM). After waking up, I first have...


Dr. Liao Yaopan Reply:
Hello, if your body reacts more noticeably to these stimulating beverages or ingredients and causes discomfort, it is advisable to avoid consuming them. Please maintain a regular routine, go to bed early and wake up early, and establish a consistent exercise habit. Also, avoid ke...

[Read More] How to Reduce Frequent Bathroom Trips After Drinking Caffeinated Beverages?


Which Specialist to See for Sweaty Palms and Shortness of Breath?

If you are experiencing shortness of breath and warmth in your palms, you should consult a specialist in Pulmonology (for respiratory issues) or Internal Medicine? Hello Doctor, my father is about 58 years old and had COVID-19 approximately three years ago. In the last month or t...


Dr. Lin Zhebin Reply:
Hello: Your father's physical discomfort may need to be evaluated for potential heart or lung issues. It is recommended to consult with a cardiologist or a pulmonologist for examination.

[Read More] Which Specialist to See for Sweaty Palms and Shortness of Breath?


Persistent Swelling in Leg After Motorcycle Accident: What to Expect?

Swelling in the lower leg after a car accident that persists for a long time? Hello Doctor, on March 1st, I was involved in a motorcycle accident. The next day, a portion of my calf swelled to about 5x5 cm, but there were no obvious external injuries. The doctor advised me to app...


Dr. Liao Yaopan Reply:
Hello, it is recommended that you return to the original medical institution for an evaluation of your current condition. A face-to-face consultation to understand your recovery status is preferable. Assess whether further treatment is needed, as online consultations are not equi...

[Read More] Persistent Swelling in Leg After Motorcycle Accident: What to Expect?


Concerns About Potential Infections from Hotel Showerheads in Taiwan

Please ask your question? Hello doctor, I would like to ask a question. My family and I were playing at a hotel in Taiwan, and while showering, I pressed the showerhead, which has many tiny holes, and suddenly felt a sharp pain. At that moment, I checked the showerhead and didn&#...


Dr. Chen Bozhang Reply:
If the water pressure is strong and the contact area is small, it is indeed possible to experience a stinging sensation. If there are no external injuries, redness, or other symptoms, there is likely no need for excessive concern. You may also consult a family medicine or dermato...

[Read More] Concerns About Potential Infections from Hotel Showerheads in Taiwan


Understanding Anemia: Iron Deficiency vs. Thalassemia in Blood Tests

Blood test for anemia? Hello, doctor. I would like to ask whether my anemia is due to iron deficiency anemia or thalassemia, and if the values are considered severe. Below are my blood test results. Are there any abnormalities? LDL-C 129 NT-proBNP 27.07 UIBC 394 TIBC (UIBC...


Dr. Cai Dongqi Reply:
Hello: Mild anemia, unlike thalassemia, may be due to iron deficiency anemia, but it is not severe. If there is heavy menstrual bleeding recently, it is necessary to go to the hospital for further examination. If iron deficiency is confirmed, iron supplements will be required.

[Read More] Understanding Anemia: Iron Deficiency vs. Thalassemia in Blood Tests


Understanding Left Upper Back Pain: Causes and When to Seek Help

Pain and swelling in the upper left back? Hello Dr. Chen, I am inquiring on behalf of my father. He is 60 years old and has recently started experiencing pain in his upper left back over the past few days. Last night, I asked him to describe the pain, and he said it feels similar...


Dr. Chen Bozhang Reply:
Could you please ask the current neurologist to assist in the evaluation and refer or arrange for examinations as needed based on the patient's condition? Thank you.

[Read More] Understanding Left Upper Back Pain: Causes and When to Seek Help


Understanding Thalassemia: Diving Safety and Health Implications

Marine anemia and its effects on diving? The blood test report indicates that I have mild thalassemia. It does not affect my daily life at all; I can exercise normally without experiencing shortness of breath. Will there be any related issues when engaging in diving activities?


Dr. Chen Bozhang Reply:
Mild patients can engage in appropriate exercise based on their physical capacity. It is recommended to discuss suitable types and amounts of exercise with their physician. Thank you.

[Read More] Understanding Thalassemia: Diving Safety and Health Implications


Struggling to Gain Weight: Tips and Specialist Consultations

Weight loss and the desire to gain weight? I maintained a weight of 37 kg from high school until I was 24 years old, with a height of 161 cm. After graduating from college, my weight started to drop, and I currently weigh only 34.4 kg. I have been taking traditional Chinese medic...


Dr. Chen Bozhang Reply:
You can consult at the nutrition clinic for dietary and exercise guidance provided by a registered dietitian. Thank you.

[Read More] Struggling to Gain Weight: Tips and Specialist Consultations


Understanding Abnormal White Blood Cell Counts: What You Need to Know

Abnormal white blood cell report? Hello Doctor, I have a few years of health check reports showing two items in the white blood cell count highlighted in red. My neutrophil percentage has been below the normal range, last year it was 35.4%; the lymphocyte percentage was above the...


Dr. Liao Yaopan Reply:
Hello, it is difficult to draw direct conclusions from partial data, and changes in these ratios do not necessarily indicate specific issues. If necessary, please consult a hematologist for evaluation. Please note that online consultations are not equivalent to in-person visits a...

[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know


Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey

Tinnitus and herpes issues? Hello Dr. Liao, I have been experiencing tinnitus for over six months. In addition to the tinnitus, I often feel a tingling sensation in the nerves around my spine. I visited an ENT specialist in December last year, and the doctor said that all my test...


Dr. Liao Yaopan Reply:
Hello, regarding tinnitus, it is a symptom that is not easy to diagnose. It is advisable to follow up with an otolaryngologist for appropriate treatment and to maintain a regular routine, engage in proper exercise, and ensure a balanced diet. Please note that online consultations...

[Read More] Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey


Understanding Cold Sensation and Rapid Heartbeat During Sleep

Regarding feeling cold and experiencing a rapid heartbeat while sleeping? I have been having trouble sleeping lately and have some questions for the doctor. Recently, I feel very cold while sleeping. At first, I thought it might be due to the air conditioning or fan being too str...


Dr. Lin Zhebin Reply:
Hello: The symptoms of feeling cold and having a rapid heartbeat at night are likely due to high stress causing irregular sleep patterns, which results in sympathetic nervous system activation. However, it is also important to consider other issues such as infections or endocrine...

[Read More] Understanding Cold Sensation and Rapid Heartbeat During Sleep


Does Massaging Cystic Acne Worsen Symptoms or Cause Infection?

Will massaging inflamed acne have a counterproductive effect? Hello Doctor, I am a third-year male student. I have a pimple on my face that appears to be cystic in nature, and it has been present for about a month. When I press on it, there is a noticeable soft, jelly-like pus th...


Dr. Lin Zhebin Reply:
Hello: Cystic acne affects the deeper layers of the skin, and after inflammation subsides, it can easily leave scars on the face. Since you have been experiencing this for a month, it is advisable to seek treatment from a dermatologist as soon as possible. Additionally, avoid tou...

[Read More] Does Massaging Cystic Acne Worsen Symptoms or Cause Infection?


Understanding Night Sweats: When to Seek Medical Attention

The issue of night sweats? Hello, doctor. I would like to ask how to distinguish between normal sweating and night sweats. If I can't tell the difference, how can I know if I need to seek medical attention? Do night sweats come with any symptoms, such as cold sweats? Thank y...


Dr. Lin Zhebin Reply:
Hello: Generally, sweating is primarily caused by physical activity or a hot environment, while night sweats are not typically related to these two situations. Night sweats are somewhat similar to cold sweats, but they specifically refer to excessive sweating that occurs at night...

[Read More] Understanding Night Sweats: When to Seek Medical Attention


Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?

Shortness of breath Hello, doctor. I have a question today. I have asthma, and during an attack, I experience frequent coughing, poor sleep, and even difficulty breathing. Using bronchodilators provides significant relief. I find that changes in weather can easily trigger my asth...


Dr. Liu Hongxiang Reply:
Hello, Qing: It seems that you are using short-acting bronchodilators more frequently. If you are experiencing frequent episodes, it is recommended to use both short-acting and long-acting bronchodilators together, as this can help stabilize your breathing. During episodes of dys...

[Read More] Understanding Frequent Breathing Difficulties: Asthma or Heart Issues?


Understanding Sudden Chest Pain and Breathing Difficulties: What Could It Be?

What disease or emergency situation is it? One morning, I felt very unwell upon waking up. I then began to experience chest tightness, shortness of breath, cold sweats, and palpitations after walking a few steps, accompanied by a sensation of darkness in my vision. Half an hour l...


Dr. Lin Zhebin Reply:
Hello: Your physical discomfort may be related to cardiovascular issues, and it is recommended that you see a cardiologist for an examination.

[Read More] Understanding Sudden Chest Pain and Breathing Difficulties: What Could It Be?


Understanding Long-Term Discomfort in the Left Abdomen: Causes and Solutions

Persistent discomfort in the left abdomen? I have been experiencing a strange sensation in my left abdomen for a long time, with persistent bloating and frequent burping. Sometimes, the bloating becomes so severe that I feel the need to have a bowel movement. I have undergone a c...


Dr. Cai Dongqi Reply:
Hello: The organs in the left lower abdomen include the colon and the ovaries. If the colonoscopy is normal, then check the ovaries (gynecology). For issues around the intestines, consult a gastroenterologist for an ultrasound to check for any abnormalities. If everything is fine...

[Read More] Understanding Long-Term Discomfort in the Left Abdomen: Causes and Solutions


Delivery Riders and Lung Cancer Risk: Key Health Insights for Long-Term Workers

Delivery workers and lung cancer? Hello, Doctor! I have a few questions: 1. Due to financial reasons, I have to spend a lot of time riding a scooter for food delivery (Foodpanda). If I continue this for 20 years, will my risk of developing lung cancer be significantly high? (I ...


Dr. Liao Yaopan Reply:
Hello, regarding the selection of masks, please refer to the following expert recommendations: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=578&pid=14519&sid=14142. Lung cancer may be related to multiple factors, and with the advancement of diagnostic tools, there has ...

[Read More] Delivery Riders and Lung Cancer Risk: Key Health Insights for Long-Term Workers




Family Medicine FAQ

Abdomen Abdominal Pain
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Alcohol Consumption Anal Itching
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