Family Medicine Q&A - Page 49

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Understanding Joint and Nerve Issues: When to Seek Medical Help

Joint issues Hello Doctor, since the beginning of last month, I have been experiencing numbness in all fingers of my right hand except for the pinky. The numbness worsens while riding my motorcycle, making it difficult to control the throttle accurately. After resting for a week,...


Dr. Hou Angting Reply:
Hello: I recommend that you visit the Rheumatology and Immunology outpatient clinic for further evaluation. Wishing you good health.

[Read More] Understanding Joint and Nerve Issues: When to Seek Medical Help


Understanding COVID-19 Transmission Risks in Close Proximity Situations

COVID-19 I am concerned about the recent severe COVID-19 situation in Taipei and whether this scenario could lead to droplet transmission, especially since there are elderly individuals at home. Here’s the situation: while I was eating, a colleague who was not wearing a mask walk...


Dr. Lin Zhebin Reply:
Hello: Based on the situation you described, if your colleague has tested positive, there is still a possibility of transmission to you. Given the severity of the current pandemic, if you have concerns about exposure to a confirmed case or are experiencing any symptoms, it is adv...

[Read More] Understanding COVID-19 Transmission Risks in Close Proximity Situations


Understanding High WBC and Ketone Levels: What Your Test Results Mean

Ketones and elevated white blood cell (WBC) count? Hello Doctor, here are the results from my blood and urine tests conducted yesterday: - WBC esterase: Trace - Ketone: 4+ (160) - Protein: Trace (15) - Segment: 76 - Creatinine: 0.53 - Lymphocyte: 17.9 - Eosinophil: 0.6 - Basophi...


Dr. Lin Zhebin Reply:
Hello: An elevated white blood cell count typically indicates an infection or inflammation in the body. Given your symptoms of abdominal pain and diarrhea, there may be a concern for gastrointestinal infection or inflammation, as well as potential issues with other intra-abdomina...

[Read More] Understanding High WBC and Ketone Levels: What Your Test Results Mean


Can People with Favism Safely Undergo Waxing Treatments?

Can individuals with G6PD deficiency undergo hot wax hair removal? Hello, I would like to ask if individuals with G6PD deficiency can undergo waxing hair removal. I have seen many waxing services stating that those with G6PD deficiency need to consult a doctor, so I would like to...


Dr. Lin Zhebin Reply:
Hello: Because you have favism, in addition to avoiding certain foods and medications, you should also be cautious about exposure to substances containing menthol, camphor, and methyl salicylate in your environment. It is recommended that you inquire whether the hot wax used for ...

[Read More] Can People with Favism Safely Undergo Waxing Treatments?


Post-Vaccine Fever: Should You Take Fever Reducers?

Regarding fever after vaccination? My boyfriend developed a fever approximately six hours after receiving the BNT vaccine (ear thermometer reading of 38.2 degrees Celsius). He feels very uncomfortable and took paracetamol to reduce the fever, but the fever returns once the medica...


Dr. Lin Zhebin Reply:
Hello: Here are the answers to your questions: 1. Will taking antipyretics affect the effectiveness of the vaccine? Answer: Taking antipyretics will not affect the effectiveness of the vaccine. 2. If I take antipyretics right after developing a fever, will it worsen my immune...

[Read More] Post-Vaccine Fever: Should You Take Fever Reducers?


Concerns About Inadvertent Ingestion of Epoxy Benzene: Cancer Risks and Detection

Concerns regarding the ingestion of epoxy benzene? If someone accidentally ingests epoxy benzene, could it lead to cancer? If this substance is poured into someone, can it be detected? Is it possible to test for the presence of epoxy benzene in the body at a hospital?


Dr. Liao Yaopan Reply:
Hello, Benzo[u]pyrene is a polycyclic aromatic hydrocarbon consisting of five rings. It is a highly active indirect carcinogen, mutagen, and teratogen. Please note that there are currently no specific methods available for testing in hospitals. Reminder: Online consultations are ...

[Read More] Concerns About Inadvertent Ingestion of Epoxy Benzene: Cancer Risks and Detection


Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns

Persistent numbness in the limbs and dizziness after napping during menstruation? Hello, Doctor: I have issues with polycystic ovary syndrome and iron deficiency anemia. My menstrual period started two days ago, and I experienced light bleeding yesterday. After taking a nap today...


Dr. Lin Zhebin Reply:
Hello: I personally believe that your discomfort is more likely due to anemia, as you have iron deficiency anemia. Additionally, your menstrual cycle may exacerbate the anemia. Typical symptoms of anemia include dizziness and weakness, and it is also possible to experience numbne...

[Read More] Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns


Severe Back Pain and Abdominal Discomfort: Causes and Solutions

Severe stabbing pain in the lower back and abdominal distension? Hello Doctor, since October of last year, I've been experiencing occasional soreness in my lower right back, which has recently escalated to severe stabbing pain. My legs also feel numb, and the discomfort pers...


Dr. Lin Zhebin Reply:
Hello: I will address your concerns regarding lower back pain and abdominal bloating separately: 1. Lower Back Pain: Your lower back pain is likely due to a herniated disc, which may be compressing a nerve and causing severe sharp pain and numbness in both legs. Prolonged sitti...

[Read More] Severe Back Pain and Abdominal Discomfort: Causes and Solutions


Negative Rapid Test but Experiencing Symptoms: A Family Medicine Perspective

Taipei and New Taipei City / Negative rapid test, experiencing symptoms? [Contact and Symptom Record] > v = colleague > l = colleague sitting next to me > s = boyfriend > a = female friend > c = roommate * 05/02 (Mon) took a leave, stayed at home * 05/03 (Tue) v re...


Dr. Chen Bozhang Reply:
It is recommended that if you have concerns, you can first perform a rapid test. If the result is negative, you may continue to monitor your condition. However, if you experience any discomfort, it is advisable to seek medical attention. Thank you.

[Read More] Negative Rapid Test but Experiencing Symptoms: A Family Medicine Perspective


Understanding Jaw Pain After Oral Sex: Causes and Tests

Lateral facial pain A few days ago, I performed oral sex on my boyfriend without a condom. He has no previous sexual experience, and I didn't have any wounds in my mouth. However, about 8 to 10 hours later, I experienced a mild pain near my left jaw close to the chin. Could ...


Dr. Chen Bozhang Reply:
You may continue to monitor your condition, and if you experience persistent discomfort, please visit a family medicine clinic. Thank you.

[Read More] Understanding Jaw Pain After Oral Sex: Causes and Tests


Understanding Left Chest Pain: When to See a Doctor

Left chest pain or heart-related issues? Hello, doctor. I first felt unwell in early March, experiencing intermittent sharp pain in my left chest, which felt somewhat like cramping, accompanied by a sensation of breathlessness and near fainting. This lasted about 5 seconds, but I...


Dr. Liao Yaopan Reply:
Hello, regarding your chest pain issue, it is advisable to first seek an evaluation from a cardiologist. Additionally, please make sure to improve your lifestyle by maintaining a regular schedule, going to bed early, waking up early, eating a balanced diet, and exercising. Online...

[Read More] Understanding Left Chest Pain: When to See a Doctor


Relieving Swelling in Your Index Finger: Tips for Pain Management

Swelling of the index finger on the dominant hand? Recently, due to work, I have been using a ladle daily (the type with a curved handle at the end, but due to the heat from the food, I can only grip it at the end). When using the ladle, I often apply pressure with my right index...


Dr. Lin Zhebin Reply:
Hello: Regarding the swelling and pain in your right index finger, it is likely caused by overuse leading to tendinitis. You can start by applying ice and using anti-inflammatory pain relievers to alleviate the swelling and pain in your right index finger. After a few days, you c...

[Read More] Relieving Swelling in Your Index Finger: Tips for Pain Management


Understanding Discrepancies in COVID-19 PCR Results Among Family Members

Why is it that some family members test positive for COVID-19 via PCR while others test negative? It's truly puzzling whether those who tested negative have recovered from the infection or if they never contracted the virus at all? Hello Dr. Lin, I would like to first descri...


Dr. Lin Zhebin Reply:
Hello: Regarding your inquiry, I will explain it in three aspects: 1. Positive and negative results of rapid tests and PCR: The sensitivity of both tests depends on the viral load and the sampling process (the latter has a lower probability). Additionally, rapid tests may have ...

[Read More] Understanding Discrepancies in COVID-19 PCR Results Among Family Members


Understanding Hand Color Changes: Is It Normal or a Cause for Concern?

Inquiry Consultation Dear Dr. Lin, I have recently observed that the fingertips of my ten fingers appear much redder compared to the other joints, particularly the second and third joints, which seem paler. I would like to ask if this is a normal phenomenon related to blood flow...


Dr. Lin Zhebin Reply:
Hello: Regarding the issue of your fingertips being more reddish compared to other joints, it is primarily likely due to microvascular dilation in the fingertips. If this has always been the case for you, it may be congenital. If it were a circulation issue, it would typically pr...

[Read More] Understanding Hand Color Changes: Is It Normal or a Cause for Concern?


Understanding High Copper Levels in Urine: What You Need to Know

Elevated copper levels in health check-up? Hello Doctor, I had a health check two weeks ago, and my urine test showed the following results: copper (+++), protein (+-), and white blood cells (+). All other parameters like creatinine and uric acid were normal. What could be the ca...


Dr. Lin Zhebin Reply:
Hello: Regarding the elevated ketone levels in your urine test, the most common reason is due to fasting prior to the health examination. Fasting can lead to a decrease in blood glucose levels, causing the body to switch from utilizing glucose to metabolizing fatty acids into ket...

[Read More] Understanding High Copper Levels in Urine: What You Need to Know


Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?

Anemia-related Hello Doctor, I recently underwent a pre-pregnancy health check, and my complete blood count showed several abnormal results highlighted in red. The relevant values are as follows: WBC 5.9, RBC 4.22, Hemoglobin 9.0, Hematocrit 31.2, MCV 73.9, MCH 21.3, MCHC 28.8, P...


Dr. Xiao Yongxun Reply:
Dear Ms. Orange Cat: 1. Since you have questions regarding prenatal examinations, it is advisable to discuss them directly with your obstetrician-gynecologist. 2. Thalassemia, also known as Mediterranean anemia, is caused by a defect in the synthesis of globin chains in hemoglo...

[Read More] Understanding Anemia: Should You Take Iron Supplements or Seek Further Testing?


Post-Moderna Vaccine Cough: When to Seek Medical Attention?

After receiving the Moderna vaccine Main symptoms: Since receiving the vaccine about three weeks ago, I have been experiencing a dry cough daily, typically occurring every one to two minutes with frequent episodes. Sometimes, I find myself taking deep breaths and exhaling forcefu...


Dr. Ye Qianyu Reply:
Hello! The symptom of black stools may indicate the possibility of upper gastrointestinal bleeding. It is recommended that you consult a gastroenterologist.

[Read More] Post-Moderna Vaccine Cough: When to Seek Medical Attention?


Understanding Rapid Heartbeat Before Sleep: Causes and Solutions

Increased heart rate during sleep? Recently, just as I am about to fall asleep, I experience sudden episodes of rapid heartbeat. During these episodes, I feel weakness in my limbs, and my mouth feels too weak to open. However, if I take deep breaths through my nose, my heartbeat ...


Dr. Lin Zhebin Reply:
Hello: Regarding your issue of experiencing palpitations before falling asleep, I suspect that these palpitations may lead to poor blood circulation, which could cause feelings of weakness. Over time, this not only affects your sleep but may also impact heart function, resulting ...

[Read More] Understanding Rapid Heartbeat Before Sleep: Causes and Solutions


Pain Behind the Index Finger Joint: When to Seek Medical Help

The tendon behind the first joint of the index finger on the back of the hand is painful, likely due to an injury from exercise? On the back of the hand, extending more than one centimeter from the first joint of the index finger, it may be referred to as the extensor tendon. Pre...


Dr. Xiao Yongxun Reply:
Dear Mr. A, Please make sure to visit an orthopedic or hand surgery outpatient clinic soon. It could be due to ligament injury, nerve damage, inflammation of the distal interphalangeal joint, or other causes!

[Read More] Pain Behind the Index Finger Joint: When to Seek Medical Help


Understanding Diarrhea and Cramps: Is Your Medication to Blame?

Recently experiencing diarrhea? Hello, I have been prescribed Sivena for menstrual regulation due to low estrogen levels by my gynecologist. Recently, during my workouts, I've experienced cramping in my abdomen followed by diarrhea. Yesterday, my menstrual cycle started, and...


Dr. Lin Zhebin Reply:
Hello: The more common side effects of the medication Siwena for menstrual regulation include breast swelling, nausea, headaches, edema, and irregular vaginal bleeding. Abdominal pain and diarrhea are less common. Based on your description, your abdominal pain and diarrhea may be...

[Read More] Understanding Diarrhea and Cramps: Is Your Medication to Blame?




Family Medicine FAQ

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