Family Medicine Q&A - Page 43

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Impact of Vaginal Infection Treatment on Routine Labor Health Exams

General health examination issues for workers? Hello, due to work requirements, I need to undergo a general labor health examination. However, I currently have symptoms of a vaginal infection, and after seeing a doctor, I was prescribed a vaginal suppository. I am also continuous...


Dr. Ye Qianyu Reply:
Hello! In women, vaginal infections may affect the results of urine tests, while contraceptives may not necessarily impact the test results. It is primarily liver and kidney dysfunction that can influence drug metabolism and excretion. Please be reminded that you should fast for ...

[Read More] Impact of Vaginal Infection Treatment on Routine Labor Health Exams


Understanding Anemia: Differentiating Iron Deficiency from Thalassemia

Anemia issues Hello, doctor. I had a physical examination today, and my hemoglobin level is 12.7 g/dL, and my mean corpuscular volume (MCV) is 68.5 fL, both of which are highlighted in red. The other results are in blue. I would like to know how to determine whether I have iron d...


Dr. Lin Zhebin Reply:
Hello: The most accurate way to diagnose iron deficiency anemia and thalassemia is through a blood test. Additionally, you may inquire whether any family members also have a history of anemia. If you are concerned about bleeding, and considering you have gastrointestinal discomfo...

[Read More] Understanding Anemia: Differentiating Iron Deficiency from Thalassemia


Understanding High Cholesterol Levels: Impacts of Elevated HDL and TC/HDL Ratio

Total cholesterol is above the recommended level, and HDL is significantly elevated? Hello, let me explain my cholesterol changes. I underwent health check-ups from 2019 to 2022, with total cholesterol values of 181 mg/dL, 188 mg/dL, 212 mg/dL, and 222 mg/dL. The low-density lipo...


Dr. Hou Angting Reply:
Hello: Cholesterol levels can be influenced by diet and exercise habits. Generally speaking, higher levels of high-density lipoprotein (HDL) cholesterol are associated with a protective effect against cardiovascular diseases, while higher levels of low-density lipoprotein (LDL) c...

[Read More] Understanding High Cholesterol Levels: Impacts of Elevated HDL and TC/HDL Ratio


Understanding Heat Exhaustion Symptoms and When to Seek Help

Suspected heat exhaustion? Hello Doctor: For the past two to three days, I have been feeling a lot of heat in my head, neck, and back, along with tightness in my neck and headaches. My body temperature has been around 37.5°C, and I have been experiencing fatigue, but I do not hav...


Dr. Lin Zhebin Reply:
Hello: 1. Heat exhaustion is defined as a condition that occurs after engaging in strenuous work or activities in a hot environment, leading to excessive sweating, dehydration, and an imbalance of electrolytes, resulting in mild shock symptoms. If you are not in such an environme...

[Read More] Understanding Heat Exhaustion Symptoms and When to Seek Help


Chest Rash and Rib Pain: Understanding Symptoms and Seeking Help

Rash under the left breast along the bra line and behind the bra clasp, with pain in the lower left rib area? 1. Recently, I've been feeling low on energy and easily fatigued, with a slight discomfort in my throat. 2. My neck feels stiff and uncomfortable, similar to a stiff...


Dr. Cai Dongqi Reply:
Hello from Taipei to Vienna: For items 2 and 4, there may be inflammation of the muscles and cartilage; please pay attention to whether your bra is too tight or if the underwire is causing pressure. For items 1, 5, and 6, please consult an otolaryngologist to check for pharyngiti...

[Read More] Chest Rash and Rib Pain: Understanding Symptoms and Seeking Help


Understanding Post-COVID Fatigue: Symptoms and Possible Causes

Generalized weakness and fatigue? Hello, doctor! I was diagnosed in June and isolated at home for seven days. After recovering, I returned to work normally, but about half a month later, I started to feel noticeably fatigued, dizzy, and generally unwell. (I had a platelet count o...


Dr. Lin Zhebin Reply:
Hello: Based on the information you provided regarding your fatigue, several possibilities should be considered: 1. Post-acute sequelae of SARS-CoV-2 infection (PASC): This may persist for 1-3 months, or even up to six months, but it should gradually improve. 2. Anemia: You have ...

[Read More] Understanding Post-COVID Fatigue: Symptoms and Possible Causes


Rabies and Tetanus Vaccination After Cat Scratch: What You Need to Know

Rabies scratch Hello doctor, on July 12th, I was playing with a stray cat being fed by someone on the roadside in Zuoying District, Kaohsiung, and accidentally got scratched by its claw, resulting in a cut about 1 centimeter long on my hand. It was similar to a paper cut; at the ...


Dr. Chen Bozhang Reply:
The risk of rabies in Taiwan is currently limited to wild animals in the central, southern, and eastern mountainous regions, with the main infected species being the ferret badger, along with a few cases involving the white-nosed coati. If you experience any discomfort, please vi...

[Read More] Rabies and Tetanus Vaccination After Cat Scratch: What You Need to Know


Understanding Headaches: When to Seek Further Medical Evaluation

Headache-related issues? I have been experiencing headaches for quite some time, usually occurring when I am very fatigued, feeling unwell, or lacking sleep. Typically, a good night's sleep alleviates the pain, and it feels like a migraine. I mentioned this to my family beca...


Dr. Chen Bozhang Reply:
It is advisable to consult a neurologist for an examination regarding headache issues. Thank you.

[Read More] Understanding Headaches: When to Seek Further Medical Evaluation


Understanding Rectal Bleeding in Elderly Patients: When to Seek Help

Rectal bleeding? You should consult a gastroenterologist or a colorectal surgeon for your mother's condition. They specialize in disorders of the gastrointestinal tract and can provide a thorough evaluation and appropriate management for the bleeding and any potential hemorr...


Dr. Chen Bozhang Reply:
Dear Ms. Chen, You mentioned that your mother is 90 years old and has recently been experiencing recurrent blood clots from the anus. It is recommended that she visit a colorectal specialist for an examination, and to assess whether further investigation is necessary.

[Read More] Understanding Rectal Bleeding in Elderly Patients: When to Seek Help


Understanding Umbilical Skin Issues and Their Possible Connection to Diarrhea

Umbilical dermatitis Hello Doctor, I have two questions I would like to ask: 1. A few days ago, I noticed a patch of broken skin next to my navel, and the navel itself appears red, swollen, and peeling, with a slight aching sensation. I went to the pharmacy to ask the pharmac...


Dr. Lin Zhebin Reply:
Hello: 1. The ingredients in the Yuan Chao Shuyi Skin Ointment include antifungals, steroids, and antibiotics, which should be effective for general epidermal infections. However, if the infection around your navel has penetrated deeper into the tissue, you may need to seek medic...

[Read More] Understanding Umbilical Skin Issues and Their Possible Connection to Diarrhea


Post-Car Accident Pain: Which Specialist Should You See?

Car accident injuries? A few weeks ago, I was injured in a car accident and had X-rays and a CT scan, both of which showed no issues. However, the inner thigh near the groin still hurts a lot. It hurts when I sleep on my side or lie flat, and I walk with a limp. Which specialty s...


Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, there may be concerns regarding issues with the pelvis or hip joint. It is recommended that you consult an orthopedic specialist.

[Read More] Post-Car Accident Pain: Which Specialist Should You See?


Understanding Elevated White Blood Cell and Eosinophil Counts: What to Do Next?

White blood cell-related issues..? Hello Dr. Lin, I previously consulted you regarding related issues, and I appreciate your response. ================== Below are the blood test results from March ================== WBC (White Blood Cells) Report: 16.47 (Reference Range: 3....


Dr. Lin Zhebin Reply:
Hello: According to your test results, your white blood cell count and eosinophil levels have been elevated for some time, but there has been no continuous worsening of your condition. If you are not experiencing any significant discomfort, you may consider monitoring and observa...

[Read More] Understanding Elevated White Blood Cell and Eosinophil Counts: What to Do Next?


Understanding Esophageal Issues: Gas, Food Sensation, and Cold Symptoms

Esophageal issues? This morning, after eating, I felt a slight sensation of food stuck in my throat, but I also have severe bloating. Drinking some water after eating alleviates the discomfort. However, after having lunch, the symptoms reappeared. I have been intentionally burpin...


Dr. Xiao Yongxun Reply:
Dear Anonymous, 1. Gastroesophageal reflux can cause gastric contents to flow back up into the oropharyngeal area, while postnasal drip allows secretions to flow into the oropharynx; both conditions can lead to symptoms such as throat irritation, a sensation of a foreign body, ...

[Read More] Understanding Esophageal Issues: Gas, Food Sensation, and Cold Symptoms


Understanding Ear Discomfort: Earwax Issues or Possible Infections?

Earwax odor and a feeling of fullness in the ear? Hello, doctor. I started noticing a feeling of fullness in my left ear three days ago. I have been cleaning my ears, and the earwax from my left ear smells worse than that from my right ear. The earwax is yellow and stickier than ...


Dr. Liao Yaopan Reply:
Hello, it is recommended to consult an otolaryngologist for further evaluation. If infection symptoms are confirmed, early treatment should be initiated. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatments. Chang...

[Read More] Understanding Ear Discomfort: Earwax Issues or Possible Infections?


Understanding Positive TP and Negative RPR in Blood Test Results

TP positive, RPR negative? Hello, I recently received a blood donation report indicating that my Treponema pallidum (TP) test is positive while the Rapid Plasma Reagin (RPR) test is negative. I have not engaged in any sexual activity or have a history of syphilis, and I do not ha...


Dr. Chen Bozhang Reply:
Hello, Your blood donation report indicates that the TP (Treponema pallidum-specific serological tests, including TPPA and TPHA) is positive, while the RPR is negative. If you have no suspicious symptoms of syphilis and have not engaged in unsafe sexual practices, it is very li...

[Read More] Understanding Positive TP and Negative RPR in Blood Test Results


Understanding Menstrual Irregularities: When to Expect Your Period

I don't know when my period will come? On July 5th, I had sexual intercourse. My period was supposed to arrive on July 14th, but it didn't come. On July 29th, around 11 PM, I started experiencing abdominal pain and discomfort, which I hadn't felt before. Is this pa...


Dr. Chen Bozhang Reply:
Hello, En En: In your message, you mentioned that your menstrual period, which was supposed to come, has not arrived on time, and you have been experiencing abdominal discomfort and pain recently. I recommend that you visit the obstetrics and gynecology outpatient clinic for furt...

[Read More] Understanding Menstrual Irregularities: When to Expect Your Period


Swollen and Painful Perineal Area Near Anus: Causes and Remedies

The tissue near the anus in the perineal area feels red and swollen? Recently, I have been experiencing redness and swelling in the area of the perineal raphe near the anus. It doesn't hurt when I walk, but it does hurt when I touch it while cleaning myself. It feels like in...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is advisable to seek medical attention for an in-person consultation with a physician to confirm the cause. Online consultations are not equivalent to an in-person visit and cannot provide a diagnosis or treatment recommendations. Changhua Hos...

[Read More] Swollen and Painful Perineal Area Near Anus: Causes and Remedies


Understanding Hiccups After Meals: Causes and Treatment Options

Hiccups after eating? Hello doctor, I've been having gastrointestinal issues lately. I've noticed that when I eat, I experience burping, and sometimes during the burp, food comes up to my throat, just around my neck area. Because I'm afraid of vomiting the food, I ...


Dr. Lin Zhebin Reply:
Hello: 1. Based on your description, it is highly likely that you are experiencing gastroesophageal reflux disease (GERD). 2. It is advisable to pay attention to whether certain foods trigger symptoms such as burping or discomfort. Common culprits include: coffee, processed sweet...

[Read More] Understanding Hiccups After Meals: Causes and Treatment Options


Understanding Choking: When to Seek Medical Advice for Throat Issues

Choking is defined as a medical emergency that occurs when an object, such as food or a foreign body, obstructs the airway, Hello, Dr. Lin. I apologize for the interruption. Here’s the situation: while I was eating, I got distracted by my phone and suddenly a mouthful of fried ri...


Dr. Lin Zhebin Reply:
Hello: 1. Based on your description, there should be no foreign body in your trachea and lungs. If there were a foreign body in the trachea, you would experience symptoms such as difficulty breathing and persistent coughing. 2. A sensation of a foreign body in the larynx is commo...

[Read More] Understanding Choking: When to Seek Medical Advice for Throat Issues


Understanding Persistent Chest Pain: Causes and Concerns Explained

Chest pain issues? Hello doctor, I started experiencing pain in the center of my chest around early June, which later became a mild ache. Sometimes I also feel pain on the left side of my chest, but most of the time, the pain is in the center. After feeling that it had persisted ...


Dr. Liu Hongxiang Reply:
Hello, Xin Xin: A CT scan can clearly reveal the presence or absence of aortic dissection. You have been experiencing chest pain for nearly a month, and since the cardiologist found no issues, it may be necessary to consider whether there are any musculoskeletal problems. At this...

[Read More] Understanding Persistent Chest Pain: Causes and Concerns Explained




Family Medicine FAQ

Abdomen Abdominal Pain
Accidental Ingestion After Covid-19 Vaccination
Alcohol Consumption Anal Itching
Anemia Ankle
Ankle Sprain Antibiotics
Anus Armpit Pain
Astrazeneca Vaccine Autonomic Nervous System Dysfunction
Az Vaccine Back Pain
Bad Breath Blood
Blood Pressure Blood Sugar
Blood Test Blood Test Report
Blood Vessels Body Temperature
Bowel Movements Breathing
Bruising Calves
Car Accident Chest
Chest Pain Chest Tightness
Choking Cholesterol
Chromosomes Common Cold
Contagion Cough
Covid-19 Covid-19 Vaccine
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Family Medicine Fatigue
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Lower Back Pain Low-Grade Fever
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Physical Examination Platelets
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Rabies Rabies Vaccine
Rash Red Blood Cells
Rib Pain Ribs
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Tetanus Throat
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Urinalysis Urination
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Which Specialty To See White Blood Cells
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