Can G6PD Patients Eat Cola Nuts? Risks of Shampoo in Ears Explained
Hello! Hello, can individuals with G6PD deficiency consume cola nuts? Also, if shampoo gets into the ears while showering, what could happen?
Dr. Cai Jueren reply Family Medicine
Hello, doctors generally advise against consuming fava beans for patients with G6PD deficiency. There are two main contraindications: 1. Fava beans 2. Camphor. For cleaning the ears, the safest method is to gently use a cotton swab to insert it into the ear canal and gently rotat...[Read More] Can G6PD Patients Eat Cola Nuts? Risks of Shampoo in Ears Explained
Dietary Solutions for High Triglycerides: What You Need to Know
Dietary Issues Related to High Triglycerides Hello Doctor: Recently, my health check report indicated that my triglyceride levels are high, and I would like to ask some dietary questions: 1. Should I avoid all animal skin in my diet? 2. If I frequently consume fish, will it worse...
Dr. Cai Jueren reply Family Medicine
Hello, The causes of hyperlipidemia are as follows: 1. Excessive total caloric intake 2. Excessive total fat intake 3. Lack of physical activity 4. Congenital defects 5. Excessive alcohol consumption 6. Complications arising from other diseases Dietary principles includ...[Read More] Dietary Solutions for High Triglycerides: What You Need to Know
Understanding Low White Blood Cell Count: Causes and Health Implications
excuse me? Leukopenia, or a low white blood cell count, can lead to an increased risk of infections, as white blood cells are crucial for the immune response. It can be associated with various conditions, including bone marrow disorders, autoimmune diseases, certain infections, a...
Dr. Cai Jueren reply Family Medicine
Hello, in medical terms, a low white blood cell count is referred to as leukopenia, which is indicated by a white blood cell count of less than 4000/uL in blood test reports. This condition may occur in 1. immunocompromised patients 2. severe bacterial or viral infections (less c...[Read More] Understanding Low White Blood Cell Count: Causes and Health Implications
Understanding Chronic Pain and Fertility Issues: A Comprehensive Guide
I feel discomfort all over my body? Hello Doctor, I have been experiencing persistent headaches in the left back of my head for about 2-3 months. It has become so bothersome that I sometimes feel like I just want to hit my head against a wall. Additionally, my husband and I have ...
Dr. Cai Jueren reply Family Medicine
If you have been engaging in regular sexual intercourse without contraception for over six months without achieving pregnancy, you should consider the possibility of infertility and both partners should undergo evaluation. Additionally, you should inform your physician about any ...[Read More] Understanding Chronic Pain and Fertility Issues: A Comprehensive Guide
Can G6PD Patients Serve in the Military and Use Green Oil?
excuse me? Hello, I would like to ask if a patient with G6PD deficiency can serve in the military? Also, can individuals with G6PD deficiency use medicated oil?
Dr. Cai Jueren reply Family Medicine
Hello, you can definitely use Green Oil while serving in the military. Thank you for your correspondence. Dr. Tsai Jue-Ren, Hualien Hospital.[Read More] Can G6PD Patients Serve in the Military and Use Green Oil?
Understanding Hepatitis B Vaccination: Why Antibodies May Be Low
Vaccine I had a blood test in the fourth grade, and it indicated "please receive the hepatitis B vaccine." However, I had already received three doses as a child. Why is it that I still don't have antibodies? Do I need to get vaccinated again?
Dr. Cai Jueren reply Family Medicine
Hello, receiving the hepatitis B vaccine does not guarantee the presence of antibodies. Since there are over 3 million carriers of hepatitis B in Taiwan, it is recommended that you receive the vaccine as soon as possible. Thank you for your inquiry. Dr. Tsai Jue-ren, Hualien Hosp...[Read More] Understanding Hepatitis B Vaccination: Why Antibodies May Be Low
Understanding Bitter Taste: When to See a Family Medicine Specialist
Taste - Always has a bitter flavor? You should consult a gastroenterologist for your symptoms.
Dr. Cai Jueren reply Family Medicine
Hello, regarding the phenomenon you described, it is likely a temporary change in taste due to the following reasons: 1. Long-term smoking causing damage to the taste buds on the tongue. 2. Upper respiratory infections (such as colds or pharyngitis) leading to temporary taste abn...[Read More] Understanding Bitter Taste: When to See a Family Medicine Specialist
Understanding the Safety of Blood Tests: Addressing Patient Concerns
What is the safety of blood draw testing? Dear Doctor: I am not questioning the hard work and dedication of the nursing staff. However, I previously went to a sexually transmitted disease prevention clinic to get tested for HIV. At that time, it seemed that the nurse did not chan...
Dr. Cai Jueren reply Family Medicine
Hello, under normal circumstances, the action of drawing blood or administering an injection is preceded by disinfection with alcohol swabs before the needle is inserted. It is not only the general public who is concerned about the risk of infection; healthcare professionals, due...[Read More] Understanding the Safety of Blood Tests: Addressing Patient Concerns
Which Specialist to See for Heart and Breathing Issues?
Heart..? If you are experiencing difficulty breathing and unusual sensations in your heart, it is advisable to see a specialist in cardiology or pulmonology. Regarding the cost of visiting a major hospital without health insurance, it can vary widely depending on the specific ser...
Dr. Cai Jueren reply Family Medicine
Hello, if you do not have a family history and you personally do not have congenital heart disease, then the symptoms mentioned above should be temporary and not a cause for concern. A little rest should help. If you are still worried, it is advisable to visit a nearby internal m...[Read More] Which Specialist to See for Heart and Breathing Issues?
Is It Safe for a 28-Year-Old to Take Centrum Silver Vitamins?
Vitamins Hello Dr. Tsai, I am 28 years old. Can I take Centrum Silver vitamins? Will there be any adverse effects? Or can I take them every few days instead?
Dr. Cai Jueren reply Family Medicine
Hello, regarding the use of vitamins, there are many claims in the market. Here is a principle to consider: for most individuals with normal dietary habits, the vitamins obtained from a regular diet are generally sufficient for daily needs. Excess vitamins are usually metabolized...[Read More] Is It Safe for a 28-Year-Old to Take Centrum Silver Vitamins?
Shortness of Breath and Rapid Heartbeat: When to Seek Medical Help?
Shortness of breath and rapid heartbeat? Hello: Since last year, I have occasionally experienced shortness of breath, feeling like I can't get enough air. Each episode lasts about a minute and occurs while walking, and sometimes while sitting. This situation stopped at the b...
Dr. Cai Jueren reply Family Medicine
Hello, regarding your condition, it is possible that you are experiencing symptoms of valvular insufficiency. The severity of these symptoms can vary; in some cases, surgery may be required, while in others, medication may not be necessary at all. I recommend that you visit a maj...[Read More] Shortness of Breath and Rapid Heartbeat: When to Seek Medical Help?
Can You Lack Measles Antibodies After Vaccination?
Is it possible to not produce antibodies after receiving the measles vaccine? I need to provide proof of my measles antibodies because I am going to study in the United States. However, I couldn't find my vaccination record from childhood, so I went to the hospital to have a...
Dr. Cai Jueren reply Family Medicine
Hello, vaccination does not guarantee lifelong immunity. In fact, it provides protection for a certain period of time (usually a long duration). In a small number of individuals, antibodies may wane and become undetectable. If you are studying abroad, you will need to provide pro...[Read More] Can You Lack Measles Antibodies After Vaccination?
Understanding Frequent Hiccups: When to Seek Medical Advice
Hiccup Hello Dr. Tsai, I would like to ask if it is normal to burp more than ten times a day (similar to the burps after a meal). I burp after eating, after drinking water, and even when I haven't eaten anything. Sometimes, I burp even after just taking a couple of bites of ...
Dr. Cai Jueren reply Family Medicine
Hello, it is normal to burp after eating, but if you are burping more than ten times a day on average, it may be abnormal. I recommend changing your chewing habits—chew each bite of food at least 30 times before swallowing. Avoid drinking water while eating, and try to limit the ...[Read More] Understanding Frequent Hiccups: When to Seek Medical Advice
Understanding Thumb Numbness: Causes and Solutions in Family Medicine
Finger numbness Hello Dr. Tsai, recently I have been experiencing numbness in my thumb when I rotate my arm after extending my hand straight (the left hand does not have this issue). Could you please help me with this? Thank you.
Dr. Cai Jueren reply Family Medicine
Hello, regarding the numbness in a single finger, there are several possible causes: 1. Peripheral nerve injury: This can occur due to trauma or sports injuries (such as tennis elbow or working with vibrating tools). 2. Peripheral vascular occlusion: This may result from trauma...[Read More] Understanding Thumb Numbness: Causes and Solutions in Family Medicine
Understanding Lower Back Pain During Bowel Movements: Causes and Solutions
Experiencing lower back pain during bowel movements? During bowel movements (including the preparation for bowel movements), there is a noticeable and intense pain in the lower back and pelvic region, as well as soreness in the legs (both the thighs and calves). Sometimes the sor...
Dr. Cai Jueren reply Family Medicine
Hello, your issue is actually caused by chronic constipation. I recommend referring to another response. Thank you for your message.[Read More] Understanding Lower Back Pain During Bowel Movements: Causes and Solutions
Understanding Post-Defecation Bleeding: When to Seek Medical Help
Bleeding after bowel movements..? I have been struggling with constipation for a long time, and every time I have a bowel movement, I have to struggle for a long time with hard stools. Sometimes there is bleeding, but I usually don't pay much attention to it since it's ...
Dr. Cai Jueren reply Family Medicine
Hello, rectal bleeding is commonly seen in patients with hemorrhoids. Some cases are severe, while others may be mild enough not to require a doctor's visit. Patients with hemorrhoids often have irregular diets or spend long hours sitting in office chairs; however, there are...[Read More] Understanding Post-Defecation Bleeding: When to Seek Medical Help
Understanding Jaw Joint Pain: Seeking the Right Specialist for Relief
Temporomandibular joint pain? In recent years, I have been experiencing pain in my jaw joint after eating. I have undergone occlusal splint therapy, but it has not improved, and the situation has even worsened. I have consulted various hospitals and doctors, but there have been n...
Dr. Cai Jueren reply Family Medicine
Hello, this issue is not difficult to resolve. The pain in the temporomandibular joint (TMJ) is mostly caused by occlusal abnormalities, with a few cases resulting from trauma. Occlusal issues are commonly seen in patients who grind their teeth during sleep, and these individuals...[Read More] Understanding Jaw Joint Pain: Seeking the Right Specialist for Relief
Which Specialist Should I See for My Hand Tremors and Numbness?
I'm sorry, but I need the content you would like me About two years ago, I experienced hand tremors that made it impossible for me to write properly, which lasted for 6 to 7 months. The episodes disappeared, and I thought everything was fine. However, this year my hands star...
Dr. Cai Jueren reply Family Medicine
Hello, your issue seems to be related to a higher-level neurological problem, and I cannot address it in written form as it may cause you further distress. Generally, a neurological examination should be prioritized. If necessary, in addition to endocrine blood tests, a CT scan o...[Read More] Which Specialist Should I See for My Hand Tremors and Numbness?
Understanding Autonomic Nervous System Disorders: Causes, Treatments, and Medications
Autonomic Nervous System Dysregulation Hello: What causes autonomic nervous system dysfunction? What medications should be taken when it occurs? What diagnostic and treatment options should be considered?
Dr. Cai Jueren reply Family Medicine
The so-called "autonomic nervous system" includes the "sympathetic nervous system" and the "parasympathetic nervous system," which govern the activities and functions of the body's internal organs and control the secretion of glands. This system...[Read More] Understanding Autonomic Nervous System Disorders: Causes, Treatments, and Medications
Understanding Your Symptoms: When to Seek Medical Help in Family Medicine
Is it considered a disease?! It seems that about a year or two ago, I started experiencing sudden chest tightness, making it difficult to breathe and causing rapid breathing. It felt like I was struggling to get air. Later on, it seemed to improve somewhat, but recently, I have s...
Dr. Cai Jueren reply Family Medicine
Hello, your concerns can be explained in two aspects. The first issue may be related to arrhythmia or emotional chest tightness. If there is no family history of similar symptoms or heart disease, then based on your age, it is likely to be emotional chest tightness, which typical...[Read More] Understanding Your Symptoms: When to Seek Medical Help in Family Medicine