Understanding Nighttime Stretching and Sighing: Health Insights
Sleep behavior is troubling me? Recently, I often wake up in the middle of the night due to my own stretching behavior. Through my family's observations, I learned that besides stretching, I frequently sigh at night. After researching some information online, it seems that t...
Dr. Cai Ruiyuan reply Family Medicine
Based on your description, it does not seem to be a cardiopulmonary issue. I recommend that you first consult a neurologist to check for any neurological problems. If there are no neurological issues, then please see a psychiatrist for evaluation. I hope you can identify the caus...[Read More] Understanding Nighttime Stretching and Sighing: Health Insights
Understanding Raynaud's Disease: Symptoms and Treatment Options
Shortened fingers? Doctor, I have had cold extremities since childhood. In winter, my toes become red, swollen, and purplish, increasing in size by about half compared to normal. They are very painful to touch, and even walking can be painful. The skin on my toes peels during win...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Based on your description, it seems to be a vascular-related condition, and you should consult a cardiology specialist. The "Ray's disease" you mentioned likely refers to "Raynaud's phenomenon." Whether it is indeed this condition will require...[Read More] Understanding Raynaud's Disease: Symptoms and Treatment Options
Which Specialist to See for Hemorrhoids: Colorectal or Gastroenterology?
For hemorrhoids, you should consult a specialist in proctology or a general surgeon? Which specialist should I see for hemorrhoid issues: a colorectal surgeon or a gastroenterologist, or can I see either?
Dr. Cai Ruiyuan reply Family Medicine
Hello: Hemorrhoid issues should be evaluated by a colorectal surgeon.[Read More] Which Specialist to See for Hemorrhoids: Colorectal or Gastroenterology?
Is a Slightly Elevated ALT Level a Sign of Liver Dysfunction?
Liver function Hello, doctor. I recently had a blood test and found that my ALT (SGPT) level is 71, while the normal range is up to 41, so it's only slightly elevated. I would like to ask if this is considered liver dysfunction. Thank you for taking the time to answer!
Dr. Cai Ruiyuan reply Family Medicine
Your current condition is indeed what is commonly referred to as abnormal liver function, which is considered by doctors to be liver inflammation. It is recommended that you consult a family medicine specialist or a gastroenterologist to determine the underlying cause.[Read More] Is a Slightly Elevated ALT Level a Sign of Liver Dysfunction?
Health Concerns: Effects of Liquid Paper and Skin Wounds Explained
Correction fluid Hello: May I ask: 1. What problems can occur to the human body if correction fluid and glue remain on the skin for an extended period without being removed? 2. If a wound has healed but remains red, should medication still be applied? What methods can accelerate ...
Dr. Cai Ruiyuan reply Family Medicine
If correction fluid and glue remain on the skin for an extended period, they may irritate the skin and cause inflammation. Once a wound has healed, there is no need for further medication; if the redness persists and you wish for it to fade more quickly, you may consult a dermato...[Read More] Health Concerns: Effects of Liquid Paper and Skin Wounds Explained
Understanding Dizziness and Weakness: Essential Tests for Diagnosis
Dizziness and weakness in the limbs? Hello, I am asking on behalf of my uncle, as he has a low IQ. He weighs over 100 kilograms and has recently experienced occasional dizziness and weakness in his limbs for about a month. He has been taken to the emergency room multiple times, b...
Dr. Cai Ruiyuan reply Family Medicine
Many diseases can cause dizziness and weakness in the limbs. It is recommended to first visit a family medicine clinic for evaluation. The physician will conduct necessary examinations based on the condition. If the family medicine clinic is unable to provide a diagnosis, the phy...[Read More] Understanding Dizziness and Weakness: Essential Tests for Diagnosis
Meningitis Vaccine Availability for Students Heading to the U.S.
Meningitis Vaccine Does the health department provide meningitis vaccine injections? My child (18 years old) needs to get this vaccine before studying in the United States. Thank you.
Dr. Cai Ruiyuan reply Family Medicine
Our hospital offers this service. For more details, please contact our health examination department at extension 4006.[Read More] Meningitis Vaccine Availability for Students Heading to the U.S.
Concerns About Inhaling Unknown Chemicals: What You Need to Know
Unknown gas Hello: Today, while passing by a certain location, I noticed a worker spraying some kind of gas that had a paint-like odor. Although I passed quickly, my eyes and skin were still exposed to this gas, and I inhaled a small amount of it. Currently, my eyes and skin feel...
Dr. Cai Ruiyuan reply Family Medicine
Hello Mr. Chen: Gas hazards can be classified into localized hazards and systemic hazards. Localized hazards refer to the harm caused by direct contact, such as mucosal irritation or chemical burns resulting from exposure of the skin, respiratory tract (oral and nasal cavities, t...[Read More] Concerns About Inhaling Unknown Chemicals: What You Need to Know
Can Holding in Urine Cause Sudden Fainting? A Medical Inquiry
Sudden fainting? Hello Dr. Tsai, I would like to ask you about something. There was an occasion when I needed to use the restroom but held it in due to a meeting. Eventually, I suddenly fainted. Could this be related to my holding it in, or could there be another reason? Thank yo...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Holding back from using the restroom can indeed lead to vasovagal fainting, but there may be other possible causes, such as cardiac dysfunction like arrhythmias or insufficient blood volume such as anemia. It is recommended to consult a neurologist or a cardiologist for fu...[Read More] Can Holding in Urine Cause Sudden Fainting? A Medical Inquiry
Understanding Palpitations: Is It Heart Issues, Acid Reflux, or Something Else?
Palpitations? Vertebral adjustment? Gastroesophageal reflux? Hello doctor, I went to a large hospital for an examination in the past few days, and the doctor said I have palpitations. Then, I was asked to undergo an X-ray and an electrocardiogram (ECG). After reviewing my X-ray, ...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Based on your description, your only current issue seems to be occasional palpitations. This condition, based on experience, may be attributed to sudden abnormal contractions of the heart (arrhythmia). If these episodes occur infrequently, a standard resting electrocardiog...[Read More] Understanding Palpitations: Is It Heart Issues, Acid Reflux, or Something Else?
Understanding Causes of Red Lips and When to Seek Medical Help
Excessively red lips? Hello Dr. Tsai, I apologize for interrupting you during your busy schedule. I would like to ask you about my mother's lip color. For some reason, her lips sometimes appear overly red, but after a few days, the redness gradually subsides. However, her li...
Dr. Cai Ruiyuan reply Family Medicine
Generally, lips can appear overly red when the body is overheated, when they are too dry, or when there is inflammation. Based on your description, it is possible that the redness is caused by dry lips. However, it would be more appropriate to consult a dermatologist, as it could...[Read More] Understanding Causes of Red Lips and When to Seek Medical Help
Are Bright Red Lips Linked to High Blood Pressure?
Lips that are excessively red - follow-up question? Hello Dr. Tsai, thank you for your response. I would like to ask you one more thing. My mother has high blood pressure, and I would like to know if the redness of her lips is related to her blood pressure. Thank you for your rep...
Dr. Cai Ruiyuan reply Family Medicine
Increased blood pressure is often associated with facial flushing; however, antihypertensive medications can sometimes cause facial flushing due to excessive dilation of facial blood vessels. It is also possible that overly red lips may be related to elevated blood pressure or th...[Read More] Are Bright Red Lips Linked to High Blood Pressure?
Morning Foot Swelling: Causes and When to Seek Medical Advice
Inquiry When waking up in the morning, if you notice slight swelling on both sides of your feet that subsides after walking around, it could be due to several reasons, such as fluid retention, poor circulation, or prolonged pressure on the feet during sleep. This condition may fa...
Dr. Cai Ruiyuan reply Family Medicine
Hello: The issue of leg swelling may be related to diseases of the kidneys, heart, liver, lower limb lymphatics, or thyroid, and it may also be associated with prolonged standing, excessive salt intake, venous stasis in the lower extremities, premenstrual syndrome, or certain med...[Read More] Morning Foot Swelling: Causes and When to Seek Medical Advice
Concerns About Infection Risks from Playing Volleyball with Open Wounds
Regarding infections caused by viruses or bacteria (I may not have explained it clearly)? Doctor, I apologize for any misunderstanding due to my poor expression. My concern is whether it is possible to get an infection from a volleyball that might be dirty (potentially with blood...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Your expression is very good, and I can understand your concerns. In my previous response, I explained that the likelihood of your wound being infected by bacteria or viruses is very low. However, it seems that my explanation was not clear enough, which has caused you to c...[Read More] Concerns About Infection Risks from Playing Volleyball with Open Wounds
Understanding Infection Risks from Sports Injuries: A Doctor's Insight
Bacterial or viral infection (if you have further questions, please consult a physician)? Hello, doctor. I apologize for the confusion in my previous inquiry. I would like to clarify my situation and ask additional questions: My wound was caused by an insect bite that resulted in...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Let me clarify this a bit more! The transmission of viruses and bacteria follows specific pathways. Sexually transmitted infections (STIs) are transmitted through sexual intercourse, while Hepatitis B and C are transmitted through blood. The wound on your palm from a bug b...[Read More] Understanding Infection Risks from Sports Injuries: A Doctor's Insight
Concerns About Viral and Bacterial Infections After Playing Volleyball
Regarding viral or bacterial infections (I apologize, but I have some more questions to ask the doctor)? Hello, doctor. I apologize for bothering you, but I have a question. I'm not sure if it was an insect bite or something else that bit me. I also wonder if it could be pos...
Dr. Cai Ruiyuan reply Family Medicine
Hello: Perhaps I didn't explain clearly, which made you worry. Let me clarify in another way. Hepatitis B and C are bloodborne infectious diseases, as they are transmitted directly through blood exposure and are not spread by insects. For instance, if a mosquito bites a pers...[Read More] Concerns About Viral and Bacterial Infections After Playing Volleyball
Can You Get Infected from Playing Volleyball with an Open Wound?
Infection by viruses or bacteria? Hello, doctor. I would like to ask you a question. I have a wound on my palm, and because I had to attend physical education class, I played volleyball outdoors (during which I was bleeding and there was a clear fluid). The volleyball was quite d...
Dr. Cai Ruiyuan reply Family Medicine
Hello: The transmission of viruses and bacteria follows specific pathways. For example, sexually transmitted infections are transmitted through sexual intercourse, while hepatitis B or C is transmitted through blood. The superficial and minor wound on your palm caused by playing ...[Read More] Can You Get Infected from Playing Volleyball with an Open Wound?
Concerns About Toxic Gas Exposure: Symptoms and Medical Guidance
Smelling toxic gases? Dear Doctor: While I was at work, I detected what seemed to be toxic gas (coming in from outside). Due to my busy schedule, I did not close the window or leave the area and stayed for about half an hour. After that, I started feeling a bit dizzy and had diff...
Dr. Cai Ruiyuan reply Family Medicine
Hello Ms. Chen: Gas hazards can be categorized into localized hazards and systemic hazards. Localized hazards refer to the damage caused by direct contact, such as mucosal irritation or chemical burns resulting from exposure of the skin, respiratory tract (nasal cavity, trachea),...[Read More] Concerns About Toxic Gas Exposure: Symptoms and Medical Guidance
Understanding Anal Leakage: Causes and Solutions for Your Symptoms
Anal discharge? Hello, doctor. My symptoms include occasional leakage of fluid from the anus, and I often feel a wet sensation in the buttocks area. Additionally, I tend to experience diarrhea after meals. I'm not sure what the cause might be. Could you please provide a roug...
Dr. Cai Ruiyuan reply Family Medicine
Hello, sir: Without a visual examination, it is not possible to determine whether it is a rectal prolapse or hemorrhoids that have protruded. It is advisable to seek treatment from a colorectal surgeon for a more accurate diagnosis.[Read More] Understanding Anal Leakage: Causes and Solutions for Your Symptoms
Finding the Best Thyroid Specialists in Kaohsiung for Hyperthyroidism
Can the doctor tell me where to find a good physician for hyperthyroidism in Kaohsiung? Hello Doctor: When I visited a hospital in Kaohsiung, I felt that the medication prescribed had many side effects. At first, when I started taking the medication, I experienced an increased he...
Dr. Cai Ruiyuan reply Family Medicine
Hello, Mimi: Regarding hyperthyroidism, doctors typically prescribe medications that inhibit the secretion of thyroid hormones as well as medications that suppress heart rate and sympathetic nervous system activity, so it should not cause an increase in your heart rate. Additiona...[Read More] Finding the Best Thyroid Specialists in Kaohsiung for Hyperthyroidism