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Understanding Recurring Headaches: Causes and When to Seek Help

Headache Hello Dr. Chen, Around the evening of February 12th, I suddenly experienced dizziness and headaches. I took some acetaminophen on my own, and I felt much better the next day. However, on February 15th or 16th, similar symptoms reappeared, and I took acetaminophen again,...


Dr. Chen Changxun reply Internal Medicine
To my friend DRAGON: Headaches have become bothersome in your daily life over the past two days. Various diseases can induce headaches, with upper respiratory infections, fever, and diarrhea being frequent causes. However, if the symptoms persist for more than a month, you should...

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Persistent Hiccups: Causes, Remedies, and When to Seek Help

Persistent hiccups? I have been hiccuping continuously for four days... I have tried almost all the home remedies I found online. Although they provide temporary relief, the hiccups return shortly after. The hiccups are starting to make me feel a bit nauseous...


Dr. Chen Changxun reply Internal Medicine
TO MICKEUING: Hiccups are a problem caused by spasms of the phrenic nerve. This nerve originates from the brainstem and extends to the cardiac plexus, distributing over the diaphragm. Several abnormalities can induce phrenic nerve spasms and gastric reflux, leading to the onset a...

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Understanding Temperature and Blood Pressure in Dialysis Patients

Dialysis patients Hello Doctor: I would like to ask if dialysis patients tend to have higher body temperatures and blood pressure. What should we pay attention to? Thank you.


Dr. Chen Changxun reply Internal Medicine
1. Patients undergoing dialysis do not typically have elevated body temperatures. (There are no such reports in clinical practice.) 2. Generally, hypertension is more common. Hypertension itself is a risk factor for renal failure, and in the end stages of renal failure, fluid r...

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Understanding Your Health Check: What Do High RBC and Hematocrit Levels Mean?

Health Check Report Hello, doctor. Regarding the health check results: red blood cell count is 555, and hematocrit is 49.7. What do these values indicate? Are they a precursor to any symptoms or diseases? Thank you!


Dr. Chen Changxun reply Internal Medicine
Hct = 49.7 is considered high, and it is generally referred to as polycythemia. The causes can be numerous, including both pathological and physiological factors, such as residents of high altitudes or chronic obstructive pulmonary disease. Additional data can aid in making a dia...

[Read More] Understanding Your Health Check: What Do High RBC and Hematocrit Levels Mean?


Managing Recurrent Fever: Causes and Solutions for Persistent Symptoms

Recurrent fever I sought medical attention due to a cold and fever (with a temperature of 104°F). I received an injection and took medication, which improved my symptoms. However, after taking the medication, my fever subsides, but after a while, it returns (to 99.9°F). I am unsu...


Dr. Chen Changxun reply Internal Medicine
Recurrent fever requires careful attention to its severity, duration, and frequency. If someone experiences recurrent fever for several months, it is advisable to seek medical attention. Various causes such as infections, autoimmune diseases, hematological disorders, and tumors c...

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Understanding Diabetes Management: Myths and Medication Options

Myths about Diabetes My husband is currently 30 years old and was diagnosed with diabetes at the age of 27. He has been managing it with traditional Chinese medicine, taking it four times a day (morning, noon, evening, and before bed). However, his post-dinner blood sugar levels ...


Dr. Chen Changxun reply Internal Medicine
1. At the age of twenty-seven, it is essential to determine whether the diabetes is type 1 or type 2. 2. Currently, Western medicine has made significant advancements, and side effects are minimal, with the primary concern being hypoglycemia. NOVONORM belongs to the third gener...

[Read More] Understanding Diabetes Management: Myths and Medication Options