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Common Oral Issues: Pain and Bad Breath After Dental Cleaning

Oral issues? Hello, doctor. I have a few questions to ask: 1. Last Saturday, I had a dental cleaning, and after two or three days, I noticed pain in the gum tissue on the inner middle and left side of my teeth. I visited the dentist, who mentioned there was some redness. Addition...


Dr. Chen Taicheng reply Family Medicine
● For dental issues, please consult your orthodontist to determine the most suitable treatment and check for any occlusal problems. ● For oral malodor, consider whether it is related to food (strong or spicy), any allergic conditions (such as asthma or allergic rhinitis), or post...

[Read More] Common Oral Issues: Pain and Bad Breath After Dental Cleaning


Understanding Nipple Scabs and Hard Lumps in Teenage Boys

There is crusting on the nipple, and there is a hard lump inside? I am a middle school boy, but I feel that there is something unusual with my nipples. I used to feel a hard lump in my right nipple, but after a few weeks, the lump moved to the left side. I usually surf, but after...


Dr. Chen Taicheng reply Family Medicine
● Given your age, the likelihood of breast cancer is extremely low. Please visit a pediatrician first. ● The lump inside the nipple is likely just a gland, possibly caused by surfing injuries. Wishing your mother good health. Dr. Chen Tai-Cheng from Taoyuan Hospital Family Medici...

[Read More] Understanding Nipple Scabs and Hard Lumps in Teenage Boys


Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms

Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...


Dr. Chen Taicheng reply Family Medicine
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...

[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms


Understanding Ketosis: Causes of Unusual Body Odor and Management Tips

It should not be a diabetic patient; urine ketones were 2+ while blood glucose was normal. After 5 days, urine ketones increased to 3+? I recently underwent a medical examination due to issues with body odor and discovered that my urine ketone levels were abnormal. I would like t...


Dr. Chen Taicheng reply Family Medicine
Ketones are products of the body's breakdown of fat for fuel, which can occur in conditions such as type 1 diabetes, prolonged fasting, fever, infections, chronic diarrhea, and vomiting. Unless there is severe ketoacidosis, there may be a distinctive fruity odor. Given your ...

[Read More] Understanding Ketosis: Causes of Unusual Body Odor and Management Tips


Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More

Blood test issues Hello Dr. Chen: I recently received my blood donation report, which shows total cholesterol at 188 mg/dL, LDL-C at 132 mg/dL, glycated hemoglobin (HbA1c) at 5.9%, blood pressure at 115/77 mmHg, and ALT at 13 U/L. I would like to ask: 1. Do these results indica...


Dr. Chen Taicheng reply Family Medicine
● Total cholesterol is generally considered normal if it is ≤200 mg/dL, and LDL-C is considered normal if it is ≤130 mg/dL, indicating only a slight increase. This is not classified as high lipid levels, and given your age, your cardiovascular risk is generally low. ● The norma...

[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More


Understanding Vasovagal Syncope: Causes and Recovery Tips

Fainting without any apparent reason? Yesterday morning, from 9:00 to 10:00, I was practicing riding a motorcycle outside. After that, a kind person came to teach me some exam techniques for about 10 minutes. I started to feel my vision narrowing and turning black, and then I fai...


Dr. Chen Taicheng reply Family Medicine
It is indeed possible that the cause of vasovagal syncope is prolonged standing, leading to blood pooling in the lower extremities and resulting in lower blood pressure, which can cause fainting. The causes of syncope are numerous, and the first step is to rule out cardiac-relate...

[Read More] Understanding Vasovagal Syncope: Causes and Recovery Tips


Understanding Abdominal Pain: When to See a Family Medicine Specialist

Abdominal issues? Hello, doctor. In the past year, I've been preparing for exams and have noticed some health issues, but I'm unsure which specialist to see. I've been experiencing intermittent pain near the lower right groin area, which is not constant but occurs ...


Dr. Chen Taicheng reply Family Medicine
● All your considerations are possible, but the focus should remain on musculoskeletal issues, and medication can be used to assist. However, women should also consider problems related to the urinary and reproductive systems, such as cystitis, stones, pelvic diseases, or conditi...

[Read More] Understanding Abdominal Pain: When to See a Family Medicine Specialist


Understanding Persistent Fatigue: Common Causes and Solutions

Continuous health issues? Dear Doctor, I have been feeling very sleepy for the past few days. I first noticed it on the first day when I felt the urge to sleep around 9 or 10 AM at work and ended up sleeping for over an hour. I also took a nap during lunch for more than an hour...


Dr. Chen Taicheng reply Family Medicine
- Seek medical attention to check for any infections or other bodily abnormalities. - If there are indentations on the tongue without any wounds, there is no need to worry too much; sometimes this is related to poor sleep or high stress levels. - The small red spots on the tong...

[Read More] Understanding Persistent Fatigue: Common Causes and Solutions


Why Am I Suddenly Sensitive to Heat? Understanding Body Temperature Changes

Increasing sensitivity to heat and elevated body temperature? Hello, doctor: When I was a child, I was very sensitive to cold and had a high tolerance for heat. During the summer, I could stay in a room without air conditioning without any issues, and even when the air conditioni...


Dr. Chen Taicheng reply Family Medicine
● I am not familiar with Sanfu Plaster; please consult your physician. ● During the summer, it is possible to have a higher body temperature due to the hot weather; generally, no one remains in a state of heatstroke continuously. ● If you feel hot but your body temperature is not...

[Read More] Why Am I Suddenly Sensitive to Heat? Understanding Body Temperature Changes


Understanding Tongue Coating: What It Reveals About Your Health

Tongue coating concerns? Hello, I noticed that my tongue coating was thicker for a while, but recently it has decreased a bit. Today, I observed that the middle and back parts of my tongue have more coating again. When I scrape it off and smell it, there is a slight strange odor,...


Dr. Chen Taicheng reply Family Medicine
● The tongue coating may indeed change slightly over time, due to diet and individual health conditions. However, these changes are often not significant issues and may improve on their own. ● Generally, observation is sufficient; if discomfort occurs, it is advisable to seek fur...

[Read More] Understanding Tongue Coating: What It Reveals About Your Health


Can You Donate Blood with Thalassemia Trait?

Oceanic anemia Hello Doctor: My grandfather and mother both have thalassemia. During my school entrance health check, I was also found to be a mild carrier, but I usually don't have any symptoms and feel fine. Can I donate blood under these circumstances?


Dr. Chen Taicheng reply Family Medicine
● In cases of mild thalassemia, individuals may not exhibit any symptoms, and hemoglobin levels can be within the normal range, typically above 11.5 g/dL for females. ● If your hemoglobin is normal, you may donate blood. However, if your hemoglobin is below 10 g/dL, it is advis...

[Read More] Can You Donate Blood with Thalassemia Trait?


Is Exercising Before Dinner Beneficial or Harmful to Your Health?

Questions about exercising before meals? Hello, doctor. I would like to ask you about my recent lifestyle. I usually work until 6 PM, then exercise for an hour (swimming), and ride my bike home, arriving around 8 PM for dinner. Sometimes, during the period between exercising and ...


Dr. Chen Taicheng reply Family Medicine
● I am not a sports medicine expert, but I can provide insights from a general internal medicine perspective. ● As a young person, you likely do not have any chronic diseases. Exercising before dinner is beneficial, as eating too much after a meal can hinder physical activity. Mo...

[Read More] Is Exercising Before Dinner Beneficial or Harmful to Your Health?


Understanding Blood Test Safety: Addressing Concerns About Contamination

Blood test issues? Hello, doctor. I asked about the blood test procedure the day before yesterday (<a href="https://adoctor.tw/article/126694">#126694</a>), and I appreciate your response. I apologize for asking another question. Initially, I was very concer...


Dr. Chen Taicheng reply Family Medicine
● You don't need to worry about the risk of infection at all. Additionally, the purpose of disinfecting the blood draw site with alcohol is also for this reason. You can refer to similar responses in articles #126643 and #126615. ● Hepatitis B is transmitted through blood an...

[Read More] Understanding Blood Test Safety: Addressing Concerns About Contamination


Understanding Diabetes Medication: Is My Dosage Too Low?

Diabetes medication issues? Hello, Doctor. About a year ago, I was diagnosed with diabetes (pre-meal blood sugar 143, HbA1c 8.3). The doctor prescribed medication and advised me to lose weight (one Kuroda tablet in the morning and evening, and one Forxiga in the morning). After w...


Dr. Chen Taicheng reply Family Medicine
● It is indeed not significant; with your diet, exercise, weight loss, and medication assistance, your blood sugar is well controlled. ● However, with a hemoglobin A1c of 4.8, you should be cautious of the risk of hypoglycemia, although the risk is lower with Kuroda and Forxiga. ...

[Read More] Understanding Diabetes Medication: Is My Dosage Too Low?


Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain

Oral issues Hello, doctor. I would like to ask why I have been experiencing an unusual taste in my mouth for the past week (sometimes it feels sour, but it doesn't seem to be). My tongue occasionally feels prickly. How can I improve this condition?


Dr. Chen Taicheng reply Family Medicine
● If you have recently taken medication, such as antibiotics, it may sometimes cause changes in taste, which will gradually improve after discontinuation. ● Oral malodor should also consider the possibility of sinusitis, gastroesophageal reflux, excessive salivation, or oral hygi...

[Read More] Understanding Oral Issues: Causes and Solutions for Bad Breath and Tongue Pain


Managing Irregular Periods and Skin Growths: A Guide for Seniors

Could you please provide more details or specify your question? 1. In the past 2-3 years, my menstrual cycle has not been as regular as it used to be, occurring every 30-40 days. Now, it comes approximately every 2-3 months. I have seen a gynecologist who conducted blood tests fo...


Dr. Chen Taicheng reply Family Medicine
● The average age for women to reach menopause is around 51 years, and in the years leading up to it, they may experience irregular menstruation and some may have menopausal symptoms. Normal hormone levels indicate that menopause has not yet occurred; if there are no menopausal s...

[Read More] Managing Irregular Periods and Skin Growths: A Guide for Seniors


Understanding Skin Pain and Infection: Possible Causes and Concerns

Skin experiencing tingling and infection issues? Today while walking, I felt a sudden sharp pain in my left elbow as sweat dripped down. When I got home, I checked and there didn't seem to be any wounds or broken skin. However, when I lightly touched it with my fingers, I ex...


Dr. Chen Taicheng reply Family Medicine
- Skin tingling is more likely related to pressure; however, due to the injury at the C5 cervical vertebra, it may also cause discomfort in the elbow, although this is less common. If the issue is related to the neck, symptoms of numbness and tingling in the hand would persist. I...

[Read More] Understanding Skin Pain and Infection: Possible Causes and Concerns


Concerns About Plague: Symptoms and Prevention After Mouse Infestation

Worried about contracting the plague? Hello: I recently moved back to a house I haven't lived in for a year, and after a few days of staying there, I discovered a lot of mouse droppings. I am now very concerned about the possibility of contracting the plague. Are there any s...


Dr. Chen Taicheng reply Family Medicine
● Plague: Taiwan has not reported any cases since 1948. There were cases in Kinmen in 1950, but they ceased by 1953. Currently, the main endemic areas for plague are South America, Africa, and Southeast Asia. According to the World Health Organization, there are approximately 1,0...

[Read More] Concerns About Plague: Symptoms and Prevention After Mouse Infestation


Assessing Virus Infection Risks from Blood Contact in Sports

Risk of Viral Infection (Continued Inquiry) Dear Dr. Chen, Thank you for your response. I am the gentleman who inquired about the risk of viral infection. Here is a recap of my previous question: Yesterday, while playing basketball, my hand came into contact with a friend's...


Dr. Chen Taicheng reply Family Medicine
According to data from the Centers for Disease Control and Prevention (CDC) in the United States: - The transmission risk from needlestick injuries is as follows: - Hepatitis B: 6-30% - Hepatitis C: 1.8% - HIV: 0.3% - If there is contact with blood through intact ...

[Read More] Assessing Virus Infection Risks from Blood Contact in Sports


Concerns About Blood Test Procedures and Infection Risks in Family Medicine

Questions about the blood draw process? Hello, Doctor: Today I went to the hospital for a blood draw, and the lab technician crumpled the order form and threw it into the trash can (the alcohol swabs used for disinfection were also discarded there). Later, it seems they retrieved...


Dr. Chen Taicheng reply Family Medicine
●Will not transmit any diseases. Wishing you good health, Dr. Chen Tai-Cheng from the Family Medicine Department of Taoyuan Hospital cares about you~

[Read More] Concerns About Blood Test Procedures and Infection Risks in Family Medicine


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