Dr. Cai Mengru reply Family Medicine Question - Page 4

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Managing Morning Thirst and Anxiety: Tips for Emotional Stability

I have been feeling constantly thirsty (forwarded from the Director's mailbox)? I feel a bit anxious, but drinking water helps. In the morning at home, I feel restless and keep drinking water. In the afternoon, when I arrive at National Chung Hsing University, I feel more st...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Chen, Regarding your question, I am unsure how long this has been occurring. If we rule out physiological responses due to hot weather or recent stressors in your environment, it is possible that you may be experiencing some anxiety. However, a clinical diagnosis of anx...

[Read More] Managing Morning Thirst and Anxiety: Tips for Emotional Stability


Understanding Chest and Shoulder Pain: When to Seek Medical Help

excuse me? Recently, I've been experiencing soreness in my back, chest, and shoulders, along with a tight sensation in my neck (which becomes more pronounced after meals). I also have random episodes of chest tightness (for example, I might feel tightness for 2 to 3 minutes ...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Hsiao-Wen, Regarding your issue, it is likely a manifestation of cervical and shoulder syndrome, primarily caused by poor posture or muscle tension in the neck and shoulders. I recommend that you first visit a family medicine or rehabilitation clinic, as it should be mo...

[Read More] Understanding Chest and Shoulder Pain: When to Seek Medical Help


Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments

What is trigeminal neuralgia? Trigeminal neuralgia, often referred to as tic douloureux, is characterized by sudden, severe, and recurrent episodes of facial pain. The pain typically occurs in the distribution of the trigeminal nerve, which can affect areas such as the cheeks, ja...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Abo, Regarding your question, trigeminal neuralgia is characterized by paroxysmal facial pain, presenting as episodes of sharp or stabbing sensations. The trigeminal nerve is the fifth pair of cranial nerves, and it is named for its three branches: the ophthalmic branch...

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments


Understanding Early Gray Hair: Causes and When to Seek Help

White hair Hello Doctor: I am 25 years old, and I would like to ask about my premature graying hair. Based on previous experiences, it is often caused by excessive stress. However, my recent lifestyle has been quite normal, and my job is stable and manageable. Yet, I have recentl...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Athena, Regarding your questions, I will address them in two parts. The presence of white hair is primarily due to a decrease in melanin within the hair follicles as a result of aging. However, there are various other causes of premature graying that are associated with...

[Read More] Understanding Early Gray Hair: Causes and When to Seek Help


Understanding Involuntary Twitches Behind the Left Ear: Causes and Solutions

There is twitching behind the left ear? My wife has recently been experiencing what seems to be a twitching sensation behind her left ear. I'm not sure what kind of condition this could be or how to address it.


Dr. Cai Mengru reply Family Medicine
Dear Mr. Abo, Regarding your question, there are several possibilities, with the most likely being muscle twitching behind the ear, which may be caused by involuntary nerve discharges. There are various reasons for this, such as compression by surrounding tissues or the influenc...

[Read More] Understanding Involuntary Twitches Behind the Left Ear: Causes and Solutions


Which Medical Specialty to Choose for a General Health Checkup?

Which department should I consult for a health check-up? For a general health check-up, you should schedule an appointment with a primary care physician or a family medicine specialist. The cost can vary widely depending on the location and specific tests included, but it typical...


Dr. Cai Mengru reply Family Medicine
Dear Ms. AE, Regarding your inquiry, general health check-ups are typically handled by the Family Medicine department in most hospitals. However, I am not sure what specific tests you are interested in or if you are experiencing any health issues. It would be best to first consu...

[Read More] Which Medical Specialty to Choose for a General Health Checkup?


Can Healthy Individuals Use Low-Sodium Salt for Better Health?

Health Can healthy individuals consume regular low-sodium salt? It is labeled as suitable for those with restricted intake. If it's for health reasons, can healthy people also use it?


Dr. Cai Mengru reply Family Medicine
Dear Mr. Xiaobai, Hello, regarding your question, it is generally safe for the average person to use low-sodium salt. In fact, not only those with health issues should consider this; for your health, it is best to reduce sodium intake to avoid elevated blood pressure. Sincere...

[Read More] Can Healthy Individuals Use Low-Sodium Salt for Better Health?


Understanding Left Lower Abdominal Pain: When to Seek Medical Help

Lower left Hello. I have been experiencing pain in my lower left abdomen recently. The pain is so intense that it also affects my lower back. I need to support my back when standing up from a seated position, and I can only stand up by bending over. This pain has lasted for more ...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Nana, Hello. Based on your symptoms, it is more likely that the issues may be related to the gastrointestinal tract, urinary tract, or gynecological concerns. If the symptoms are correlated with your menstrual cycle, gynecological issues should be the primary considerat...

[Read More] Understanding Left Lower Abdominal Pain: When to Seek Medical Help


Which Medical Specialty Should I See for My Symptoms?

Which department should I make an appointment with? I have recently had a poor appetite, and I find it hard to eat anything. I also feel very fatigued and often want to sleep. Sometimes I sleep for over ten hours and still feel tired. Is there something wrong? Which department sh...


Dr. Cai Mengru reply Family Medicine
Dear Mr. A-Guang, Hello. Regarding your concerns, it is possible that they are due to psychosomatic stress, or there may be issues with your internal organs, such as the liver. If you find that you cannot identify any explainable psychosomatic stress and that you do not experien...

[Read More] Which Medical Specialty Should I See for My Symptoms?


Impact of Drug Use on Fetal Development and Pregnancy Timing

The effects of drugs on the fetus? What are the potential harms of short-term drug use on the body, and what effects can it have on fetal development? If there are effects on the fetus, how long should one wait after quitting drugs before trying to conceive?


Dr. Cai Mengru reply Family Medicine
Dear Mr. Leetp, Regarding your question, I will address it in several parts: 1. **Short-term effects of drugs on the body**: It is difficult to provide a precise answer without knowing which specific drug you are referring to. However, generally speaking, there are usually not ...

[Read More] Impact of Drug Use on Fetal Development and Pregnancy Timing


Why Do I Find Stains in My Underwear After Passing Gas?

Residual fecal stains on underwear after passing gas? Hello Dr. Tsai, after I pass gas and go to the bathroom to have a bowel movement, I suddenly notice traces of stool on my underwear when I put them on. I have never experienced this before. Could you please explain why this is...


Dr. Cai Mengru reply Family Medicine
Dear Mr. ZENG, Regarding your question, if your stools are relatively loose, it may occur. I'm not sure if this is a frequent or occasional issue. If it is frequent, a more likely diagnosis could be a functional gastrointestinal disorder (such as irritable bowel syndrome). ...

[Read More] Why Do I Find Stains in My Underwear After Passing Gas?


Preventing Diseases Through Diet: The Truth About Juices and Supplements

Disease Prevention and Diet Hello, doctor: Some medical literature suggests that regularly consuming fruit and vegetable juices can help prevent diseases and cancer. The commercially available canned fruit and vegetable juices taste sweet; do they really produce many enzymes in t...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Kevin, Regarding your question, it is indeed difficult to provide a complete answer, but understanding some principles may make it easier. The benefits of fruits and vegetables extend beyond their richness in certain vitamins and beneficial components such as potassium ...

[Read More] Preventing Diseases Through Diet: The Truth About Juices and Supplements


Understanding Painful Bump on the Sole: Causes and Solutions

A lump on the sole of the foot? Hello: I don't know when it started, but a lump has inexplicably appeared on the sole of my right foot. Previously, I would press it down, and it would temporarily flatten. Recently, it has been increasingly painful. Whenever I sit and then st...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Meng-Fen, Regarding your question, since I do not know the exact location of your lump, I cannot clearly tell you what it might be. Possibilities include conditions such as a tendon tumor, corn, viral wart, among others. The only way to definitively identify it is to ha...

[Read More] Understanding Painful Bump on the Sole: Causes and Solutions


How to Manage High Blood Sugar Levels: Tips and Guidance

Could you please tell me about my high blood sugar issue? Hello doctor, I recently had a health check-up and my blood sugar level is quite high, with a reading of 118. Should I seek medical treatment or could you provide guidance on methods to lower it? (My weight is 60 kg and my...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Beauty, Regarding your blood sugar levels, they have not yet reached the point where medication is necessary. Please focus on increasing your physical activity and avoid binge eating. Return to the clinic for follow-up in three months. Wishing you peace and health, ...

[Read More] How to Manage High Blood Sugar Levels: Tips and Guidance


Understanding Abnormal Health Check Results: What to Do Next?

Health check-up issues? C-reactive protein (CRP) abnormal positive, thyroid hormone T3 elevated at 1.5, red blood cell count (RBC) abnormal at 6.41, mean corpuscular volume (MCV) abnormal at 66.1, mean corpuscular hemoglobin (MCH) abnormal at 20.7, hemoglobin (Hgb) abnormal at 13...


Dr. Cai Mengru reply Family Medicine
Dear Mr. Xiao An An, Hello, your report mainly has three issues: the abnormal levels of red blood cells (RBC), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and hemoglobin (Hgb) indicate the same condition, suggesting that you may be a carrier of beta-thalass...

[Read More] Understanding Abnormal Health Check Results: What to Do Next?


Is Drinking Hot or Cold Tea Healthy? Expert Insights on Tea Choices

Health Inquiry I would like to inquire whether drinking iced or hot black tea, milk tea, or fat-burning green tea is better for my health. Will it affect my body health? Thank you for your response, doctor!


Dr. Cai Mengru reply Family Medicine
Dear Ms. Ching, Regarding your question, when consuming liquids at varying temperatures, they first pass through the oral cavity, where their temperature is adjusted to be close to body temperature. The esophagus and stomach also have similar mechanisms. Therefore, unless consum...

[Read More] Is Drinking Hot or Cold Tea Healthy? Expert Insights on Tea Choices


Understanding the Impact of Bacterial Infection on Head Pain and Cognitive Function

Inquiry 1. What symptoms may occur if bacteria enter the head? For example, headaches or a dazed appearance of the face! 2. When I was in high school, my mother had me take traditional Chinese medicine pills to help with my myopia. One night, I woke up in the early morning and ...


Dr. Cai Mengru reply Family Medicine
Dear Ms. Yu, Regarding your question, first of all, bacterial infections are typically acute issues and are unlikely to persist for ten to twenty years. Therefore, if your current condition is similar to what it was twenty years ago, it is unlikely to be the result of a bacteria...

[Read More] Understanding the Impact of Bacterial Infection on Head Pain and Cognitive Function


Can You Catch Polio from CPR Training? Understanding Risks and Symptoms

Polio (Poliomyelitis) Last Wednesday (January 7), I trained with a colleague who has polio using a CPR Annie mannequin, and I would like to ask the doctor if I could be infected with polio. Additionally, around January 12, I started experiencing symptoms such as headache, sore th...


Dr. Cai Mengru reply Family Medicine
Dear Any, Regarding your question, if you have previously received the complete polio vaccination, the chance of infection is very low, as the vaccine provides strong protection. Patients with polio are not always contagious (otherwise, they would need to be isolated for life). ...

[Read More] Can You Catch Polio from CPR Training? Understanding Risks and Symptoms


Essential Health Supplements for College Students: A Comprehensive Guide

Regarding suitable health foods for students? Hello Dr. Tsai: I have some questions regarding health supplements. I am a 19-year-old female student, and I would like to know about the necessity of taking health supplements. As a student living away from home, it can be quite chal...


Dr. Cai Mengru reply Family Medicine
Dear Miss Ting-Ting, Hello. Regarding your question, I would like to address it from several aspects. The necessity of dietary supplements is a common concern; however, there is very little clear evidence in the medical field to support the benefits of supplementation in the abs...

[Read More] Essential Health Supplements for College Students: A Comprehensive Guide


Which Medical Specialty Should You See for Muscle Cramps?

For muscle cramps, you should consult a specialist in the field of Orthopedics or a Neurologist? Twenty years ago, I suffered a severe ankle sprain on my right foot while on duty. At that time, I did not see a doctor and only used topical ointments for treatment, which took about...


Dr. Cai Mengru reply Family Medicine
Dear Mr. A-Jia, Based on your situation, if you are considering seeking medical treatment, it is important to first rule out a condition known as "Restless Legs Syndrome." The diagnostic criteria include: symptoms worsening when at rest; relief upon movement; and varia...

[Read More] Which Medical Specialty Should You See for Muscle Cramps?


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