Should I See a Doctor? Navigating Multiple Health Concerns
Should I seek medical attention? Which specialty should I consult? Hello, Doctor: I have some questions I would like to consult you about. 1. Menstrual irregularities. My symptoms include periods that last over a week each time. The longest has been two to three months, with va...
Dr. Cai Mengru reply Family Medicine
Dear Ms. Hsing, Your concerns can generally be categorized into several areas: 1. Menstrual Issues: It is advisable to consult a gynecologist to rule out any structural problems (such as tumors or endometriosis). Additionally, your dizziness and shortness of breath may be relat...[Read More] Should I See a Doctor? Navigating Multiple Health Concerns
Understanding Your 15-Year-Old's Digestive Issues: Which Specialist to See?
Which department should I see? My daughter is 15 years old and has a habit of constipation. She has been experiencing bright red blood in her stool for several months. About two months ago, the bleeding did not occur at the anus; it resembled menstrual blood and had clots, but it...
Dr. Cai Mengru reply Family Medicine
Dear Ms. ABC, Regarding your inquiry, there is indeed a concern. It would be advisable to consider consulting either a colorectal surgeon or an obstetrician-gynecologist. Based on the condition you have described, there is a higher likelihood that the former may be more relevant...[Read More] Understanding Your 15-Year-Old's Digestive Issues: Which Specialist to See?
Understanding Mild Proteinuria: Causes and Health Implications
Mild proteinuria Hello doctor, I usually consume high-protein drinks, and recently when I went to the hospital for a urine test, the doctor mentioned that I have mild proteinuria. Will this cause any health issues? Thank you.
Dr. Cai Mengru reply Family Medicine
Dear Student Chen, The glomeruli in the human body function like a sieve. Under normal circumstances, most proteins do not pass through when blood flows through them. However, factors such as exercise and stress can cause some proteins to leak through, and consuming excessive am...[Read More] Understanding Mild Proteinuria: Causes and Health Implications
Managing Oral Herpes Zoster in Children: Pain Relief and Treatment Options
Oral herpes simplex virus Hello Dr. Tsai, My eldest son is 12 years old. He received the varicella vaccine late in childhood, has had shingles, experienced issues with the trigeminal nerve, and almost developed cellulitis from dental cavities that required root canal treatment. ...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Kenny, Regarding your question, it is indeed possible that the herpes virus is involved; however, it is rare to hear of such frequent occurrences. Additionally, the herpes virus typically affects the lips, so isolated involvement of the tongue is less common. It would b...[Read More] Managing Oral Herpes Zoster in Children: Pain Relief and Treatment Options
Understanding Chest Tightness and Headaches: When to Seek Medical Help
Chest tightness and headache? Hello Doctor: I often feel a tightness in my chest, and sometimes it feels as if a heavy object is pressing down on me, making it difficult to breathe. I also experience dizziness and chest pain, and on several occasions, the pain in my chest seems t...
Dr. Cai Mengru reply Family Medicine
Dear Ms. Xingyue, Regarding your question, there could be many possible reasons. Since there are several inquiries that need to be addressed, I recommend that you first visit the Family Medicine department where a physician can ask you detailed questions. Wishing you peace and...[Read More] Understanding Chest Tightness and Headaches: When to Seek Medical Help
Do You Need to Remove Anal Polyps? Understanding Treatment and Differences from Hemorrhoids
Anal polyps Do anal polyps need to be removed? How are they removed? What is the difference between hemorrhoids and polyps? Please reply. Thank you.
Dr. Cai Mengru reply Family Medicine
Dear Ms. Kelly, Regarding your question, anal polyps have the potential to undergo malignant transformation; therefore, it is generally recommended to remove them and perform a pathological examination to determine their nature. The simplest method of removal is through direct e...[Read More] Do You Need to Remove Anal Polyps? Understanding Treatment and Differences from Hemorrhoids
Understanding Allergy Testing: Why Seafood Isn't Always the Culprit
Allergy Hello Doctor, I would like to ask about my recent allergy testing (which included allergens such as oranges, almonds, brewer's yeast, and egg yolk). I have previously experienced allergic reactions to seafood and assumed I was allergic to it. However, the test resu...
Dr. Cai Mengru reply Family Medicine
Dear Ms. CoCo: Although allergen testing is frequently conducted, it often yields results that are difficult to explain. This is primarily because the tests typically use a limited selection of representative allergens and do not encompass all possible allergens. It is possible...[Read More] Understanding Allergy Testing: Why Seafood Isn't Always the Culprit
Understanding Toe Numbness: Causes, Symptoms, and Treatment Options
Numbness and pain in the toes? I have been troubled by this issue for a long time. About 10 years ago, I started to notice a slight tingling and numbness in a small area at the front of both of my big toes, where they come together. Over time, the tingling and numbness have worse...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Ottoman, Regarding your question, there could be many potential issues. However, based on your medical history of herniated discs, it may be best to consult a neurologist first. Wishing you a speedy recovery. Sincerely, Dr. Tsai Meng-Ju Attending Physician, Family ...[Read More] Understanding Toe Numbness: Causes, Symptoms, and Treatment Options
Understanding Unexplained Abdominal Pain in Diabetic Patients
Abnormal cutting pain from the skin to the muscle? Hello Doctor, I am consulting on behalf of my mother who is 65 years old and has diabetes and hypertension. For the past few months, she has been suffering from what she describes as cutting pain, which feels somewhat like being ...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Chen, Regarding your mother's condition, it is indeed most likely explained by diabetic neuropathy. The most important treatment approach is to maintain good blood sugar control. Additionally, for medical consultation, you may consider endocrinology, neurology, or ...[Read More] Understanding Unexplained Abdominal Pain in Diabetic Patients
Understanding Inner Thigh Pain and Swelling: Possible Causes and Solutions
There is a lump on the inner thigh? Hello Doctor: About 4 to 5 days ago, I woke up in the morning and suddenly felt pain in the inner side of my left thigh. At first, I thought it was a strain or that I had bumped into something, so I didn't pay much attention. However, I no...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Joe: Based on your symptoms, the most likely condition that must be ruled out immediately is cellulitis, with a severe possibility of necrotizing fasciitis. In serious cases, this could even lead to sepsis, posing a risk to life. Therefore, it is crucial not to delay you...[Read More] Understanding Inner Thigh Pain and Swelling: Possible Causes and Solutions
Health Risks of Office Printers: Can They Cause Lung Cancer?
The Health Effects of Printers Hello, Doctor: I am an office worker, and there is a medium-sized printer next to my desk that continuously prints documents from morning until night. I often feel hot air coming from the machine, and there is a strong odor of toner. I have heard th...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Steve, Regarding your question, it is indeed a frequently discussed topic online, and there have been some studies that raise such concerns. The summarized information primarily relates to the toner and ozone produced by laser printers. However, after reviewing numerous...[Read More] Health Risks of Office Printers: Can They Cause Lung Cancer?
Understanding Right Shoulder Blade Pain: When to Seek Medical Help
Pain in the right scapula? Hello Dr. Tsai, I have been experiencing pain in the right side of my back near the scapula for over two months. I have seen an orthopedic doctor and undergone physical therapy, but there has been no improvement. Often, an unexpected movement causes a &...
Dr. Cai Mengru reply Family Medicine
Dear Ms. Kelly, Based on the symptoms you provided, it is almost certain that there is an issue related to the musculoskeletal system, specifically concerning the shoulder joint. If you wish to seek medical attention, you should consult a specialist in shoulder joint issues, typ...[Read More] Understanding Right Shoulder Blade Pain: When to Seek Medical Help
Understanding Your Child's Head Tilt: When to See a Doctor
The head is often tilted? My son is 10 years old and his head is almost always tilted to one side. I'm not sure why. When he was younger, we took him to see a doctor, but they couldn't determine the cause. If we need to see a doctor, which specialty should we consult?
Dr. Cai Mengru reply Family Medicine
Hello Miss Boy: Regarding your question, it is recommended to start with a pediatrician. If possible, seeing a pediatric neurologist (usually larger hospitals have more specialized departments) would be even better. It's important to first confirm whether there is indeed a p...[Read More] Understanding Your Child's Head Tilt: When to See a Doctor
Effective Strategies to Reduce Belly Fat: Expert Tips
How to effectively lose belly fat? Hello Dr. Tsai, I noticed in the mirror over the past few days that the area below my navel is protruding. Is this what is referred to as the lower abdomen? How can I slim it down? I often eat until I'm full and sit in front of the computer...
Dr. Cai Mengru reply Family Medicine
Dear Mr. JJ, Each individual's accumulation of body fat varies. If you notice that your lower abdomen is protruding due to fat, please be cautious about the issue of central obesity. The standards for central obesity in Taiwan are a waist circumference of greater than 80 cm...[Read More] Effective Strategies to Reduce Belly Fat: Expert Tips
Understanding Hyperthyroidism: Treatment Options and Chronic Disease Status
Hyperthyroidism Is there a doctor at Taoyuan General Hospital who specializes in treating hyperthyroidism? Additionally, is hyperthyroidism considered a chronic disease? After the consultation, can I request the doctor to issue a prescription for a chronic disease? Thank you!
Dr. Cai Mengru reply Family Medicine
Dear Ms. WEN, Hello, the physicians in the Endocrinology Department of our hospital are all capable of addressing issues related to hyperthyroidism and are experts in this area. Hyperthyroidism is a chronic condition, and once the disease is stabilized, it is possible to conside...[Read More] Understanding Hyperthyroidism: Treatment Options and Chronic Disease Status
Managing Premature Gray Hair: Healthier Alternatives to Dyeing
Juvenile Vitiligo I started having gray hair since the fifth grade, and the situation hasn't changed throughout college. What treatment options are available? I know that dyeing my hair is not good for my health; what should I do? Please help me.
Dr. Cai Mengru reply Family Medicine
Dear Miss, Regarding your concern, I would like to know if you have noticed an increase in your gray hair. Gray hair is caused by a decrease in the function of melanocytes in the hair follicle, and there are many reasons for this. It could be genetic, or it may result from immun...[Read More] Managing Premature Gray Hair: Healthier Alternatives to Dyeing
Understanding Peritoneal Lymphatic Calcification: Risks and Treatment Options
Abdominal lymphatic calcification Will lymphatic calcification in the abdominal cavity lead to other pathological changes? What should be noted? Will it continue to enlarge? I occasionally experience cramping pain in my lower left abdomen, and my doctor said it is not caused by l...
Dr. Cai Mengru reply Family Medicine
Dear Ms. Chen, Regarding your question, I would like to know how the calcification in your abdominal lymph nodes was diagnosed. If it was diagnosed pathologically (through tissue biopsy), it can determine whether it is malignant. If it was observed through imaging studies, regul...[Read More] Understanding Peritoneal Lymphatic Calcification: Risks and Treatment Options
Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey
Hyperthyroidism, frozen shoulder, and a sensation of pressure in the neck? Hello, I am fifty-five years old. I had hyperthyroidism at the ages of twenty-four and thirty-two, and it has recurred this year. I have been seeing a specialist at a large hospital and have been on medica...
Dr. Cai Mengru reply Family Medicine
Dear Mr. regarding your question about hyperthyroidism, if it is confirmed that the size and shape of your thyroid gland are normal, it would be less reasonable to suspect that the thyroid is causing compression. The manifestations of functional abnormalities should not only incl...[Read More] Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey
Understanding Vomiting Linked to Mental Health: Causes and Solutions
Poor mental health can lead to vomiting? I have been experiencing symptoms of occasional vomiting, including the presence of blood in the vomit, for the past month or two due to poor mental health. Could this be related to staying up late? How can I improve my condition without t...
Dr. Cai Mengru reply Family Medicine
Dear Mr. Li, Regarding your question, excessive masturbation should not be used as an explanation, as frequent vomiting is not a normal phenomenon and should prompt an investigation into potential physical or psychological issues. Persistent vomiting may cause damage to the lowe...[Read More] Understanding Vomiting Linked to Mental Health: Causes and Solutions
Understanding Peripheral Circulation Disorders: Symptoms and Supplements
Peripheral circulatory disorder Doctor, I would like to ask if peripheral circulation disorders refer to easy numbness in the limbs or poor blood circulation? A friend gave me a bottle of dietary supplement that states it is indicated for peripheral circulation disorders. I would...
Dr. Cai Mengru reply Family Medicine
Dear Miss Jenny, Regarding peripheral circulatory disorders, there is no clear definition in the medical field. Generally, physicians may prescribe medications that improve peripheral circulation when patients report symptoms such as numbness in the limbs or dizziness, suspectin...[Read More] Understanding Peripheral Circulation Disorders: Symptoms and Supplements