Understanding Temperature Fluctuations: When to Seek Medical Attention
Body temperature issues Hello, I am 27 years old. My usual body temperature measured with a home thermometer is around 36.5-37.5 degrees Celsius. However, for the past two days, it has suddenly dropped to around 35-35.5 degrees Celsius, accompanied by symptoms such as headache, d...
Dr. Xiao Yongxun Reply:
Dear Ms. Li Hsin-yun: 1. Humans possess physiological mechanisms to regulate and maintain core body temperature. When there is a need to release excess heat, the body cools down by increasing blood circulation to the skin and sweating. Conversely, to retain internal heat, the bo...[Read More] Understanding Temperature Fluctuations: When to Seek Medical Attention
Understanding the Effects and Duration of Blood Pressure Medication: A Guide
Antihypertensive medications? Hello, doctor. I would like to ask about the blood pressure medication, Amlodipine/Benazepril 80/5 mg. How long does it take for the medication to take effect after taking it? How long does its effect last? Is it considered a long-acting, intermediat...
Dr. Liu Hongxiang Reply:
Hello Mr. Lin: The combination medication Amlodipine 80/5 mg is a long-acting antihypertensive that is taken once daily. The pharmacokinetics of the two components do not interfere with each other. Amlodipine begins to take effect approximately 30 to 50 minutes after administrati...[Read More] Understanding the Effects and Duration of Blood Pressure Medication: A Guide
Understanding Nighttime Hypertension: Is It More Dangerous?
Nighttime blood pressure is higher than daytime blood pressure? Hello, doctor. I apologize for bothering you, but I have a question regarding my blood pressure. About a year ago, I measured my blood pressure with a sphygmomanometer, and my systolic pressure was around 120-130, oc...
Dr. Ye Qianyu Reply:
Hello! Generally, blood pressure should be maintained below 130/80 mmHg. Different populations may have different targets set by physicians, so it is advisable to discuss and understand your specific target values with your doctor. If you experience low blood pressure with sympto...[Read More] Understanding Nighttime Hypertension: Is It More Dangerous?
Managing Arrhythmia: The Impact of Shift Work on Health
Arrhythmia Due to working rotating shifts for seven years, I have recently experienced health issues and was diagnosed with arrhythmia after a hospital examination. I am currently undergoing treatment with medication. My family is constantly opposing my shift work. Can the doctor...
Dr. Li Zhenggang Reply:
Hello: The requirements for a diagnostic certificate depend on each physician's perspective! It is recommended that you discuss the need for a diagnostic certificate with your attending physician. Additionally, if you believe that shift work is indeed causing your arrhythmia...[Read More] Managing Arrhythmia: The Impact of Shift Work on Health
Understanding Blood Test Results: What Your Doctor Wants You to Know
Blood disorders Hello, Doctor: Last week, I visited the hospital due to feeling unwell, and the doctor conducted a blood test. The report is as follows: Lymphocyte 22% [19][48], MCH (Mean Corpuscular Hemoglobin) 31.4 g/dL [33][37], MCH 29.0 pg [27][31], MCHC (Mean Corpuscular Hem...
Dr. Lin Zhebin Reply:
Hello: Based on your blood test report, although the RBC is low, the Hemoglobin is within the normal range, so the anemia is likely not severe. Further analysis of the low MCH and low MCHC suggests that it may be microcytic anemia, with the most common cause being iron deficiency...[Read More] Understanding Blood Test Results: What Your Doctor Wants You to Know
Can You Still Test for COVID-19 N Protein Antibodies in Taiwan?
I want to confirm whether I have had COVID-19, but can the SARS-CoV-2 N protein antibodies still be tested in Taiwan? Hello, doctor! I understand that testing for "COVID-19 N protein antibodies" can help determine if I have been infected with COVID-19 in the past few mo...
Dr. Lin Zhebin Reply:
Hello: It is recommended to inquire at a nearby medical center to see if they offer blood tests for COVID-19 antibodies.[Read More] Can You Still Test for COVID-19 N Protein Antibodies in Taiwan?
Understanding Abdominal Pain: Causes and When to Seek Help
Abdominal pain? On January 31st, around 2 AM, I suddenly experienced abdominal pain and had to go to the bathroom about 4 to 5 times. The next day, on February 1st, I went to see a doctor. After taking the medication prescribed by the doctor, I stopped having diarrhea, but my sto...
Dr. Lin Zhebin Reply:
Hello: Your symptoms mainly include left lower abdominal pain and diarrhea. You may need to consider the following conditions: diverticulitis, urinary tract infection, gynecological disorders, gastroenteritis, etc. If the left lower abdominal pain persists without improvement or ...[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Managing Asthma Issues Triggered by Sinusitis in Patients
Sinusitis triggers asthma issues? Hello, doctor. My mother had a cold last week that triggered her sinusitis (she has a history of sinusitis). It has not improved after a week. Three days ago, she visited a doctor and was prescribed antibiotics, which have helped her condition sl...
Dr. Lin Zhebin Reply:
Hello: Sinusitis is classified as an upper respiratory tract infection, but it can potentially progress to a lower respiratory tract infection, such as pneumonia. If you experience persistent tachycardia accompanied by shortness of breath, it is advisable to seek medical treatmen...[Read More] Managing Asthma Issues Triggered by Sinusitis in Patients
Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
Please ask your questions regarding blood tests? Hello, doctor. Last November (2023), I experienced some health issues. Starting around June 2023, I noticed increased appetite, thirst, and urination, but my weight did not decrease. I went to the hospital for a consultation and ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. Your questions should be discussed with your primary care physician, as there are many factors that need to be considered. 2. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL af...[Read More] Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
What Happens If You Accidentally Ingest Mosquito-Infested Skin?
Nausea Parasite If you accidentally squished a mosquito and then forgot to wash your hands before eating, ingesting the remnants of the mosquito on your fingers is unlikely to cause any serious health issues. However, it is always advisable to wash your hands thoroughly before ea...
Dr. Lin Zhebin Reply:
Hello: The situation you described usually does not have an impact on the body, as stomach acid also has antibacterial effects. If you are concerned, it is advisable to monitor for any fever or gastrointestinal symptoms. If you experience any related discomfort, you should seek m...[Read More] What Happens If You Accidentally Ingest Mosquito-Infested Skin?
Understanding Upper Back and Left Chest Pain: Causes and Concerns
Pain in the upper left chest and upper back? Hello Doctor, I have been experiencing pain in my upper back for about two months, particularly around the area near my scapula. In the past few days, I have also felt pain in the upper left side of my chest, with a distinct focal poin...
Dr. Liao Yaopan Reply:
Hello, it is recommended to first consult a cardiologist to rule out any cardiovascular or pulmonary diseases. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares a...[Read More] Understanding Upper Back and Left Chest Pain: Causes and Concerns
Why Do I Feel Dizzy and Lightheaded After Blood Tests?
After drawing blood, my vision goes completely white? Hello, doctor. I would like to ask if the dizziness and temporary whiteout I experience for about 15 to 20 minutes after each blood draw during my health check-up is a case of vasovagal syncope?
Dr. Lin Zhebin Reply:
Hello: The situation you described is indeed very likely to be a case of vasovagal syncope. Additionally, it is important to consider other issues such as cardiovascular diseases, blood sugar abnormalities, blood pressure irregularities, anemia, and anxiety. If dizziness occurs f...[Read More] Why Do I Feel Dizzy and Lightheaded After Blood Tests?
Understanding Left Lower Abdomen Pain: When to Seek Medical Help
Mild pain in the lower left abdomen? Hello doctor, I would like to ask about my symptoms and which specialty I should consult. I have been experiencing soreness about three fingerbreadths below my navel and approximately 10 centimeters to the left. This pain occurs when I sit and...
Dr. Liu Hongxiang Reply:
Hello, Duck Blood: The pain in the lower left abdomen seems to worsen with movement. There are no reported issues with appetite or bowel movements. If there are no external factors such as sports injuries causing this, it is advisable to consult a gastroenterologist. Wishing you ...[Read More] Understanding Left Lower Abdomen Pain: When to Seek Medical Help
Unexpected Cold Symptoms: Understanding Causes and Concerns
Catching a cold for no apparent reason? One morning I woke up with a sudden sore throat, and shortly after, I developed a fever. Initially, I tested for COVID-19 at home, but the result was negative. Later, I went to the hospital to test for influenza A, which also came back nega...
Dr. Chen Bozhang Reply:
The incubation period for the common cold virus is approximately 1 to 3 days, typically starting with a sore throat, followed by the potential development of other symptoms. If there are any concerns, you may visit a family medicine or general internal medicine clinic for evaluat...[Read More] Unexpected Cold Symptoms: Understanding Causes and Concerns
Understanding Arm Hardness and Pain in Seniors: A Family Medicine Perspective
Inquiry about elderly arm issues? I recently noticed that my elderly relative has areas on both arms that feel hard when pressed, but there are no noticeable lumps. When I asked him about it, he mentioned experiencing soreness. The hardness feels somewhat similar to that of a you...
Dr. Lin Zhebin Reply:
Hello: Based on your description, it seems more like a case of localized muscle tension and contraction. If you continue to experience lumps and soreness, it is advisable to consider visiting a family medicine physician.[Read More] Understanding Arm Hardness and Pain in Seniors: A Family Medicine Perspective
Should You Get a Sixth COVID Vaccine Dose? Expert Insights
COVID-19 vaccine Dr. Liao, there has been a recent trend of COVID-19 resurgence. I have already received five doses of the vaccine, but I was still diagnosed last August. I have read several news reports stating that the vaccine's efficacy lasts only six months. I am hesitan...
Dr. Liao Yaopan Reply:
Hello, the COVID-19 virus has a high degree of variability, and the effectiveness of each vaccine dose may diminish or be insufficient. Currently, experts recommend timely booster vaccinations. Changhua Hospital cares about your health.[Read More] Should You Get a Sixth COVID Vaccine Dose? Expert Insights
Should You Test for Measles Antibodies Before MMR Vaccination?
Regarding MMR vaccination? Hello, Doctor. I was born in 1981, and I am uncertain whether I had measles as a child or if I have received the MMR vaccine in the past ten years. Since I plan to travel to Europe soon, where there is currently a measles outbreak, I would like to ask f...
Dr. Lin Zhebin Reply:
Hello: Taiwan began providing free measles vaccinations in 1978, and then started offering the MMR vaccine (measles, mumps, and rubella) for free in 1992. You likely received the measles vaccine during your childhood; however, the effectiveness of vaccines generally starts to dim...[Read More] Should You Test for Measles Antibodies Before MMR Vaccination?
Concerns About Infection Risks from Birds While Riding a Bike
Infection issues? Hello, doctor. I would like to ask if there is a risk of infection from bacteria if birds fly very close while riding a bike, due to contamination on my clothing or the bike itself. Additionally, if I accidentally hit a bird while riding with the visor of my hel...
Dr. Lin Zhebin Reply:
Hello: 1. If there has been contact with secretions or excretions from birds, there is a possibility of infection from pathogens carried by those birds. However, if only your outer clothing and the bicycle have been contaminated, the risk of infection should be very low since the...[Read More] Concerns About Infection Risks from Birds While Riding a Bike
Understanding Unexplained Body Pain: A Comprehensive Guide
Unexplained body pain? Hello Dr. Tsai, I have been experiencing discomfort in my jaw joint for about 8 years. My teeth feel weak, and my upper and lower left teeth keep clenching together, causing more pain. When I blow air into my left cheek, I can hear a sound of fascia moving,...
Dr. Cai Dongqi Reply:
Hello CSH: It is likely that you are experiencing myofascial pain, which can be difficult to diagnose with instruments. It is advisable to consult a rehabilitation specialist for further evaluation.[Read More] Understanding Unexplained Body Pain: A Comprehensive Guide
Understanding Chest Discomfort: When to Seek Medical Help
Chest tightness? Hello doctor, sometimes I experience abdominal bloating and have a constant urge to burp, accompanied by chest tightness and noticeable heart palpitations that feel like sudden fright. When I stand up, I feel dizzy and want to sit down immediately. My breathing f...
Dr. Liu Hongxiang Reply:
Hello, Sir: The letter states that the cardiology examination showed no abnormalities, so the noticeable increase in heartbeats accompanied by a sensation similar to being startled is likely a subjective feeling. The dizziness experienced when standing up may be due to orthosta...[Read More] Understanding Chest Discomfort: When to Seek Medical Help