Frequent Speech Errors and Choking: When to Seek Medical Help?
Frequently mispronouncing words and choking on water? Hello, recently I have been frequently mis-speaking, such as saying "reason" instead of "gift," "elevator" instead of "television," and "clam" instead of "aloe vera" ...
Dr. Cai Dongqi reply Family Medicine
It is recommended that you first consult a neurologist to check for any disorders in the brain's language control functions. If the results are normal, then it is advisable to see a psychiatrist.[Read More] Frequent Speech Errors and Choking: When to Seek Medical Help?
Understanding Whole Body Muscle Twitches: Causes and Concerns
Whole body is constantly twitching? Hello, doctor. I often experience muscle twitching throughout my body, including my thighs, calves, arms, back, and face. This frequent twitching makes me feel quite anxious. I wonder if it is related to sitting in an office for long periods. M...
Dr. Cai Dongqi reply Family Medicine
Based on your inquiry, it seems to suggest a possible autonomic nervous system disorder. It is recommended to visit a hospital to see a neurologist or psychiatrist, as the use of anxiolytics may provide more stability.[Read More] Understanding Whole Body Muscle Twitches: Causes and Concerns
Understanding Back Strains: When to Seek Medical Help
Back strain Hello, doctor. About five days ago, I seem to have strained my right shoulder and right upper back due to poor sleeping posture. I didn't think much of it on the first day, but by the second day, the pain was so severe that I couldn't sleep on my right side....
Dr. Cai Dongqi reply Family Medicine
Hello, it is recommended that you first consult with a rehabilitation specialist or an orthopedic doctor to assess for any potential fractures or ligament tears.[Read More] Understanding Back Strains: When to Seek Medical Help
Understanding Coughing and Shaking: When to Seek Medical Attention
Coughing and shivering? Recently, I've been experiencing symptoms of a cold, including nasal congestion and runny nose, along with coughing. Why do I feel shivery and have the urge to vomit? It doesn't feel like a typical cold; could it be something else affecting my co...
Dr. Cai Dongqi reply Family Medicine
Hello, it is advisable to first rule out whether you have a cold combined with gastroesophageal reflux disease (GERD), as these two conditions can often affect each other. Wishing you a speedy recovery.[Read More] Understanding Coughing and Shaking: When to Seek Medical Attention
Understanding Tight Foreskin: Causes, Symptoms, and Solutions
Foreskin issues When not erect, the foreskin can be pulled down to reveal half of the glans. When erect, the glans is only exposed about one-third, and pulling the foreskin down causes it to retract back by one-third. The glans can only be exposed about two-thirds and cannot be f...
Dr. Cai Dongqi reply Family Medicine
Hello: I apologize for the late response due to other commitments and unstable internet connection. Your situation is quite common and is not necessarily indicative of a tight foreskin issue, so please do not feel embarrassed. If you are still concerned or have any questions, ple...[Read More] Understanding Tight Foreskin: Causes, Symptoms, and Solutions
Why Eating Sweets Causes Dizziness: When to See a Doctor?
Eating sweets can cause temporary dizziness? In the past two months, I've started experiencing dizziness after consuming sweets. I don't have typical symptoms of diabetes, but I've been using fruits as main meals frequently for weight loss. I'm unsure what cou...
Dr. Cai Dongqi reply Family Medicine
It is difficult to diagnose this; it is recommended to first undergo a general health check-up.[Read More] Why Eating Sweets Causes Dizziness: When to See a Doctor?
Understanding Cold Sensation in the Left Arm: Possible Causes and Solutions
Coldness in the left arm? Hello, I have recently been feeling that my left hand is very cold, as if there are ice cubes inside it. This has been going on for several days. I hope to receive a response. Thank you.
Dr. Cai Dongqi reply Family Medicine
If there is numbness or pain, it may indicate a blood circulation issue. If it is only a cold sensation, consider a possible nerve injury and consult a neurologist.[Read More] Understanding Cold Sensation in the Left Arm: Possible Causes and Solutions
Understanding Persistent Blisters Under the Tongue: Causes and Solutions
Sublingual blister Hello, Dr. Tsai: Recently, when I drink hot soup or hot tea, I develop a blister under my tongue. The blister feels empty inside, and while it used to disappear the next day, it has not been resolving lately. What could be causing this issue? Thank you!
Dr. Cai Dongqi reply Family Medicine
Most cases involve sublingual mucosal injury, which will resolve on its own as long as there is no infection. If it persists for an extended period, it is advisable to consult a dentist or an otolaryngologist.[Read More] Understanding Persistent Blisters Under the Tongue: Causes and Solutions
Understanding Pain Above the Collarbone: Causes and Specialist Guidance
Pressing on both sides of the clavicle causes soreness! It seems that there is a tender band on each side of the clavicle that causes pain when pressed, located approximately from the width of the neck extending down to the clavicle. I would like to ask the doctor what could be t...
Dr. Cai Dongqi reply Family Medicine
The shoulder and neck muscle soreness is mostly caused by muscle spasms and stiffness; please consult a rehabilitation specialist.[Read More] Understanding Pain Above the Collarbone: Causes and Specialist Guidance
Understanding High Liver Enzymes and Proteinuria: What Could Be Wrong?
Elevated liver enzymes along with proteinuria may indicate several potential health issues. This combination could suggest liver dysfunction or damage, which might be due to conditions such as hepatitis, fatty liver disease, or cirrhosis. Additionally, the presence of protein in ...
Dr. Cai Dongqi reply Family Medicine
If GOT (AST) exceeds 80, caution is required. If there is proteinuria or bilirubin present, liver or gallbladder issues must be considered. Please consult a hepatobiliary gastroenterologist for an abdominal ultrasound examination.[Read More] Understanding High Liver Enzymes and Proteinuria: What Could Be Wrong?
Foot Ulcers: Which Specialist Should You Consult?
For foot ulcers, you should consult a specialist in Podiatry or a Wound Care Specialist? Hello, doctor. Last week, I wore sneakers to work, and it was raining heavily, causing my shoes to get soaked. In the evening, while taking a shower, my left toe was itchy, and I scratched it...
Dr. Cai Dongqi reply Family Medicine
If there is a wound, it may easily lead to cellulitis; promptly consult a plastic surgeon for wound care.[Read More] Foot Ulcers: Which Specialist Should You Consult?
Can Fava Bean Disease Patients Use Common Ointments and Essential Oils?
Favism Consulting a physician: Can patients with G6PD deficiency use common household medications such as Tiger Balm, Green Oil, or Mentholatum? Are essential oils safe to use? Thank you!
Dr. Cai Dongqi reply Family Medicine
Patients with G6PD deficiency should avoid using ointments such as Tiger Balm, Green Oil, and Mentholatum. However, they must strictly avoid fava beans and aspirin.[Read More] Can Fava Bean Disease Patients Use Common Ointments and Essential Oils?
Understanding Sudden Fainting: Causes and Concerns for Men Over 45
Sudden fainting? Hello, a 45-year-old male has a history of fainting (3-4 times) and has seen many doctors. Some have diagnosed him with anemia, while others suggested hypoglycemia. He experiences discomfort and a near-fainting sensation if he misses meals or goes too long withou...
Dr. Cai Dongqi reply Family Medicine
The causes of fainting or seizures are complex; it is important to first consult a neurologist to rule out any brain-related issues.[Read More] Understanding Sudden Fainting: Causes and Concerns for Men Over 45
Unsure Which Specialist to See for Unexplained Symptoms?
I'm not sure which specialty to consult or what tests to undergo? Hello, doctor. My diet is generally normal; I usually have three meals a day, although I occasionally skip breakfast on weekends. My weight is within the standard range (160 cm / 49 kg), but I appear "thi...
Dr. Cai Dongqi reply Family Medicine
It seems that the symptoms cannot rule out irritable bowel syndrome or functional gastrointestinal disorders; it would be advisable to consult a gastroenterologist first.[Read More] Unsure Which Specialist to See for Unexplained Symptoms?
Understanding Alcohol Testing Accuracy in Medical Emergencies
Methods of Alcohol Testing Doctor, my uncle was in a car accident and was unconscious when he was taken to the hospital. The doctors conducted a blood alcohol concentration test and found a level of 0.074, but in reality, there was no smell of alcohol on him, and even his blood d...
Dr. Cai Dongqi reply Family Medicine
I am not very familiar with this issue; I need to consult the emergency physician and the laboratory technician to understand the testing process.[Read More] Understanding Alcohol Testing Accuracy in Medical Emergencies
Understanding Positive Hepatitis B Surface Antigen in Blood Donation
Hepatitis B surface antigen (HBsAg) A positive result for Hepatitis B surface antigen (HBsAg) in a blood donation report indicates that you are currently infected with the Hepatitis B virus. This means that you can potentially transmit the virus to others, including your girlfrie...
Dr. Cai Dongqi reply Family Medicine
Chronic carriers are individuals who transmit the infection through blood or sexual contact.[Read More] Understanding Positive Hepatitis B Surface Antigen in Blood Donation
Can IV Fluids Save My Elderly Mother-in-Law's Life?
Intravenous saline solution My mother-in-law is 70 years old and is refusing to eat due to a disability and possible feelings of hopelessness. She is not accepting any advice or encouragement. We have already taken her to the hospital for IV fluids. If she continues to refuse foo...
Dr. Cai Dongqi reply Family Medicine
Please first understand the underlying issue; if necessary, you may consult a psychiatrist. IV saline is only a temporary treatment and cannot resolve the problem.[Read More] Can IV Fluids Save My Elderly Mother-in-Law's Life?
Understanding Treatment Practices in Nursing Homes: Alternatives to Restraints
Treatment in nursing homes? The family member is elderly and has been living in a nursing home for a long time, experiencing physical limitations and being bedridden. They require assistance from medical staff to turn from side to side. According to the medical staff, the family ...
Dr. Cai Dongqi reply Family Medicine
This issue is not a medical question and cannot be answered. For rehabilitation concerns, please consult a rehabilitation physician.[Read More] Understanding Treatment Practices in Nursing Homes: Alternatives to Restraints
Understanding Back Pain and Shortness of Breath in MS Patients
Breathing causes back pain ~ sudden shortness of breath? Hello, Doctor. I am a patient with multiple sclerosis. About four days ago, I caught a cold, and my symptoms include: headache, dizziness, nausea, stomach pain, diarrhea, body aches and fatigue, cough (dry cough without phl...
Dr. Cai Dongqi reply Family Medicine
Multiple sclerosis is a specific disease with distinctive symptoms; please consult a rheumatologist or immunologist.[Read More] Understanding Back Pain and Shortness of Breath in MS Patients
Understanding Prolactin Tests in Pre-Marital Health Checkups for Men
Health check-up Hello Dr. Tsai: I would like to undergo a pre-marital health check. I have compared various hospitals and external health screening centers, and one of them offers a special prolactin test for men (which seems like it is only necessary for women). Why is this test...
Dr. Cai Dongqi reply Family Medicine
This examination is performed for females; males only undergo it if they have gynecomastia or other specific conditions; otherwise, it is generally not conducted for them.[Read More] Understanding Prolactin Tests in Pre-Marital Health Checkups for Men