Dr. Cai Mengru reply Family Medicine Question - Page 2

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Can You Get HIV from a Straw Used by an Infected Person?

Can you get infected if you are scratched by a straw used by an HIV-positive patient? I accidentally cut my arm with a straw from a bubble tea drink while meeting a friend who is HIV positive, resulting in a small wound that bled slightly. My friend has a smoking habit and poor o...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Ashu, Regarding your question, since it cannot be considered as having direct contact with the patient's bodily fluids, the risk of infection is very low. However, as long as the possibility is not zero, I understand that your anxiety may not completely disappear. ...

[Read More] Can You Get HIV from a Straw Used by an Infected Person?


Understanding Stiff Fingers at Night: Causes and When to See a Doctor

Stiffness in the fingers? My mother is 52 years old, and recently she often wakes up in the middle of the night with her fingers feeling stiff and unable to move. What could be the reason for this? I experienced something similar during winter and thought it was just because it w...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Hsieh, Regarding your question, if this occurs during sleep (when a person is in a semi-conscious state), it may be commonly referred to as sleep paralysis. During this time, brain activity is awake, and some individuals may also experience visual hallucinations, while ...

[Read More] Understanding Stiff Fingers at Night: Causes and When to See a Doctor


Can I Take Medication with Supral? Understanding Cold Symptoms and Gas

Could you please specify the issue regarding medication? Hello, is it okay to take medication with Shupao (a type of herbal drink)? Or will it counteract the medication? Additionally, can a cold cause bloating?


Dr. Cai Mengru reply Family Medicine
Dear Mr. Lai, Regarding your question, the best choice for taking medication is to use plain water. It is advisable to avoid frequently using other beverages to take your medication. Although I cannot provide a precise answer without knowing the specific medication you are using...

[Read More] Can I Take Medication with Supral? Understanding Cold Symptoms and Gas


Can People with Favism Consume Energy Drinks Like Red Bull?

I'm sorry, but I need content to translate. Please provide the text you would like me to translate I would like to ask if individuals with G6PD deficiency can consume "Man Niu" (a product containing vitamin C, taurine, inositol, amino acids, niacinamide, beta-carot...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Lai, Regarding your question, the contraindicated medications for G6PD deficiency are as follows: 1. Antimalarial drugs, such as primaquine, pamaquine, pentaquine, and plasmoquine. 2. Sulfonamides, including sulfanilamide, sulfapyridine, sulfisoxazole, sulfacetamide, s...

[Read More] Can People with Favism Consume Energy Drinks Like Red Bull?


Understanding Your Child's Excessive Sleepiness: When to Seek Help

Child Health Consultation Hello Dr. Tsai, I would like to ask for your advice. My child has been very prone to sleepiness since the third grade. He often dozes off in class and has difficulty concentrating. Sometimes, as soon as he comes home from school, he runs straight to bed...


Dr. Cai Mengru reply Family Medicine
Hello, Qiqi's mother: Regarding your question, since it is related to sleep issues, it is more likely to be associated with the fields of neurology or psychiatry (child or adolescent psychology). I recommend seeking assistance from these two specialties. Additionally, while ...

[Read More] Understanding Your Child's Excessive Sleepiness: When to Seek Help


Understanding Minors' Rights in Medical Consultations: A Parent's Guide

Minors' medical consultations I would like to ask: My child is in the first year of junior high school (13 years old). Recently, she took her health insurance card without permission and visited an ophthalmologist in Kaohsiung because she wanted to wear contact lenses, which...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Liu, Hello. Regarding your inquiry, please find the responses below: 1. Can a general clinic legally allow minors to consult and receive prescriptions on their own? → After investigation, there are no regulations that prohibit this. 2. Can one wear contact lenses whil...

[Read More] Understanding Minors' Rights in Medical Consultations: A Parent's Guide


Managing A-Type Flu at Home: Concerns About Menstruation and Recovery

I have contracted influenza type A and am in isolation at home, but..? Dr. Tsai: I went for a rapid test on Monday, and the result was influenza A. Today is Wednesday, and I have taken five doses of antiviral medication. Currently, my only symptom is a cough (with phlegm), but to...


Dr. Cai Mengru reply Family Medicine
Hello, Miss: Regarding your question, there is no evidence that the effectiveness of Tamiflu (oseltamivir) is diminished due to menstruation. It seems that your condition is not severe, so please make sure to complete the full course of 10 capsules over 5 days to avoid the devel...

[Read More] Managing A-Type Flu at Home: Concerns About Menstruation and Recovery


Understanding Foul Urine Odor: When to Seek Medical Advice

Regarding the issue of foul-smelling urine? Hello Doctor: I apologize for bothering you. I'm unsure if the issue is related to my liver, kidneys, prostate, or a urinary tract infection, so I'm consulting a family medicine physician. I've experienced foul-smelling u...


Dr. Cai Mengru reply Family Medicine
Hello Mr. Chen: Regarding your question, the odor of urine is quite subjective and can be influenced by various factors, such as hydration levels, medications, and foods. Unless the smell is very distinct, it can be difficult to make a direct assessment. It would be more accurate...

[Read More] Understanding Foul Urine Odor: When to Seek Medical Advice


Understanding Right Lower Back Pressure: Possible Causes and Solutions

Thank you for your inquiry! Hello, I have a question: When I press on the right side of my lower back, I feel a sensation of pressure. I'm not sure what the cause might be. Thank you!


Dr. Cai Mengru reply Family Medicine
Hello, Miss: Regarding your question, there could be several possible explanations. The most likely issues may be related to musculoskeletal or neurological problems, but there could also be issues with the kidneys or liver. If your problem persists, it is advisable to consult a ...

[Read More] Understanding Right Lower Back Pressure: Possible Causes and Solutions


Unexplained Fever and Headache: Which Specialist to Consult?

Fever of unknown origin and headache? Doctor: Recently, my friend has been experiencing unexplained fevers and headaches. The first time I took him to a large hospital's emergency department, the doctor only performed a rapid test and, after seeing the results, stated that i...


Dr. Cai Mengru reply Family Medicine
Hello Ms. Tang: Persistent fever is indeed a cause for concern, with the most common issues being infections and autoimmune diseases, among others. It would be advisable to consult an infectious disease specialist or a rheumatologist (the former is recommended). If you also exper...

[Read More] Unexplained Fever and Headache: Which Specialist to Consult?


Where to Get Paternity Testing Services in Changhua, Taiwan?

excuse me? Does the health department provide paternity testing services, or can you recommend places in Changhua that offer this service?


Dr. Cai Mengru reply Family Medicine
Dear Mr. Xiao Qiu, Hello. Hospitals generally do not provide this service; it is typically offered by specialized testing institutions. I apologize, but this matter is not suitable for recommendation here. Wishing you peace and health. Sincerely, Dr. Tsai Meng-Ju Attending...

[Read More] Where to Get Paternity Testing Services in Changhua, Taiwan?


Understanding Left Groin Numbness: Causes and When to Seek Help

There is slight numbness in the skin on the left side of the groin? One day I woke up and noticed a slight swelling on the left side of my groin, but I didn't pay much attention to it at first. Later, after waking up fully, I realized the swelling was gone, but I noticed som...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Ah-Hong, Regarding your concerns, considering your age and symptoms, it is more likely to be a muscular or neurological issue. It may be advisable to monitor the situation or manage it with local anti-inflammatory medication. If you notice any swelling or a significant ...

[Read More] Understanding Left Groin Numbness: Causes and When to Seek Help


Understanding Allergic Reactions to Injections: Patient Rights and Safety

Hello, doctor? Hello, doctor. I would like to ask you some questions regarding allergies and injections. My mother had a cold previously and went to a nearby clinic for treatment. The doctor administered an injection, but shortly after, my mother seemed to have an allergic reacti...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Lala, Based on your description of your mother's symptoms, it seems that the likelihood of a drug allergy is the highest. Many common anti-inflammatory medications are known to easily cause allergic reactions, and there are certainly many other medications that cou...

[Read More] Understanding Allergic Reactions to Injections: Patient Rights and Safety


Effects of Soy Isoflavones on Men's Health: What You Need to Know

What are the effects of consuming soy isoflavones on men's health? Hello, what are the effects of soy isoflavones on men's health? I'm considering purchasing a plant-based protein that contains soy isoflavones, but I found information suggesting that soy isoflavone...


Dr. Cai Mengru reply Family Medicine
Dear Mr. DK, Regarding your concerns about soy isoflavones, there is currently no evidence that soy isoflavones cause feminization in men. In fact, some studies suggest that they may have effects similar to those of postmenopausal women supplementing with soy isoflavones, partic...

[Read More] Effects of Soy Isoflavones on Men's Health: What You Need to Know


Understanding Joint Sounds: When to See a Family Medicine Specialist

Which specialty should I see? Hello, doctor: I often hear sounds coming from my feet when I walk, similar to the cracking sound we make when we crack our knuckles (like the continuous "pop" sound Bruce Lee makes in movies before a fight). My hands also make this sound, ...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Yi, Regarding your question, it seems more likely to be an issue with the joint ligaments, which is quite common and usually does not require specific treatment. If you experience pain or other discomfort, you may want to consult a rehabilitation specialist. Wishing y...

[Read More] Understanding Joint Sounds: When to See a Family Medicine Specialist


How to Test for Favism: Blood Test, Costs, and Specialist Guidance

Please ask your question? Hello! To test for G6PD deficiency (favism), is it sufficient to perform a regular blood test? Additionally, how much does this test typically cost out-of-pocket, and which department should I consult? Thank you!


Dr. Cai Mengru reply Family Medicine
Dear Mr. Lai, Regarding your inquiry, the test for G6PD deficiency (favism) only requires a blood draw, which can be arranged at the outpatient clinic of the Family Medicine Department. As for the cost, it may vary between different medical institutions. Wishing you safety and ...

[Read More] How to Test for Favism: Blood Test, Costs, and Specialist Guidance


Understanding Irregular Periods: Hormonal Imbalances and Health Risks

Menstruation is always irregular? Hello, doctor: My menstruation is often delayed by 2 to 3 months. I went to Mackay Memorial Hospital for an examination, and they said that my hormone secretion is insufficient, which is causing my missed periods. They prescribed hormone medicati...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Pony, Regarding your question, it pertains to secondary amenorrhea. If it has been confirmed that the cause is due to hormonal deficiency, hormone replacement therapy would be a reasonable option. For instance, if there is an early deficiency in female hormones, supplem...

[Read More] Understanding Irregular Periods: Hormonal Imbalances and Health Risks


Which Specialist to See for Tongue Pain and White Spots?

Which specialty should I see? If you have pain on the side of your tongue accompanied by white spots, you should see a dentist or an oral medicine specialist.


Dr. Cai Mengru reply Family Medicine
Dear Ms. Chiu Hsiao-Chen, Regarding your issue, it may be a small ulcer in the oral cavity. However, I recommend that you first visit a family medicine or otolaryngology clinic for a consultation. It is better to confirm the diagnosis before drawing any conclusions. Wishing you...

[Read More] Which Specialist to See for Tongue Pain and White Spots?


Understanding Persistent Left Rib Pain: Possible Causes and Concerns

excuse me? The pain is located about two fingerbreadths below the V-shaped area of the left rib cage. I have been experiencing this pain frequently for the past six months, especially in the morning when I wake up, and it is quite severe. I don't believe it is related to hun...


Dr. Cai Mengru reply Family Medicine
Dear Dr. Ito, Regarding your question, the stomach is indeed located just below the left rib cage. Additionally, pain in the V-shaped area below the sternum may correspond to the position of the duodenum. Symptoms of ulcerative diseases typically worsen when hungry and may also ...

[Read More] Understanding Persistent Left Rib Pain: Possible Causes and Concerns


Coping with Sudden Anxiety: When to Seek Medical Help

Sudden feelings of frustration or agitation? I've been feeling really down lately. Sometimes, while I'm working or doing certain tasks, I suddenly experience anxiety or frustration, and there are times when I feel like crying. What should I do about this? When I'm ...


Dr. Cai Mengru reply Family Medicine
Hello, sir: Regarding your concerns, the likelihood of depression is significant. I recommend that you seek consultation from a psychiatrist or a psychosomatic medicine clinic. Alternatively, you can also visit a family medicine department. In any case, it is best to intervene ea...

[Read More] Coping with Sudden Anxiety: When to Seek Medical Help


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