Understanding Metabolism Changes and Dietary Concerns in Family Medicine
Metabolic changes and dietary concerns? Hello, doctor. Since 2015, I have gradually felt weaker than before, and I even experience a lack of libido. Recently, I discovered that I have been consistently under-consuming calories, often missing meals. My basal metabolic rate is appr...
Dr. Chen Taicheng reply Family Medicine
● For your daily caloric needs, please refer to https://goo.gl/rk2xTw, https://goo.gl/Vzaj8g, https://goo.gl/XW8g79. Your weight is slightly above normal (BMI: 24.2), and you should aim to consume approximately 30 calories per kilogram. ● If you find it difficult to eat that much...[Read More] Understanding Metabolism Changes and Dietary Concerns in Family Medicine
Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Temporomandibular joint, small white spots on the tongue, and pain when pressure is applied to the throat? Hello Doctor: I have been experiencing issues with my temporomandibular joint (TMJ) for a long time. Whenever I open my mouth slightly, there is a clicking sound that has pe...
Dr. Chen Taicheng reply Family Medicine
● If your temporomandibular joint (TMJ) is consistently making sounds and feels stiff, it may lead to joint wear. Please consult an oral and maxillofacial surgeon or an otolaryngologist at a major hospital. ● Small white spots on the tongue may simply be ulcers, which typically h...[Read More] Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Understanding Abnormal Blood and Urine Test Results: Next Steps
Health check-up issues Dear Doctor: Last week, I underwent blood tests (including general biochemistry and routine tests) and a routine urine test at a medical laboratory. The results showed one abnormal finding in both the blood and urine tests, while the others were normal. The...
Dr. Chen Taicheng reply Family Medicine
● Eosinophils may increase in response to infections, parasites, and allergies. Consider whether you have any allergies, asthma, atopic dermatitis, or if you have pets at home. If none of these apply, there is generally no need for concern. You can follow up with blood tests in t...[Read More] Understanding Abnormal Blood and Urine Test Results: Next Steps
Can I Get the Second MMR Vaccine Dose After 25 Days?
The MMR vaccine is administered in two doses, with the second dose typically given at least 28 days after the first dose? Hello Doctor: During the administration of the first dose, the physician mentioned that the second dose should be given one month apart. Since I can only atte...
Dr. Chen Taicheng reply Family Medicine
● Generally, the second dose should be administered at least 28 days apart; for example, the second dose of MMR can be shortened by four days at the minimum, but if it exceeds five days, that dose will be considered invalid. ● Given your situation, receiving the vaccine 25 days a...[Read More] Can I Get the Second MMR Vaccine Dose After 25 Days?
Pre-Marital Health Check: Which Family Medicine Services to Choose?
For premarital health check-ups, you should schedule an appointment with a family medicine or preventive medicine specialist? Hello, may I ask if all hospitals' family medicine departments offer premarital health check-up services? Thank you.
Dr. Chen Taicheng reply Family Medicine
Hello, some counties and cities offer subsidies for "pre-pregnancy after marriage," with varying amounts depending on the local government. For example, in Taipei City, you can find more information here: https://goo.gl/rdF7pc. The Taoyuan Hospital Advanced Health Exami...[Read More] Pre-Marital Health Check: Which Family Medicine Services to Choose?
Dizziness When Standing After Sitting: Causes and Concerns
Feeling dizzy when standing up after sitting for a while? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness and my vision goes black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng reply Family Medicine
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down; then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Can Memory Loss in Teens Be Reversed? Understanding Your Concerns
Is it possible to recover from poor memory? Hello, I am 17 years old, and recently I have been experiencing noticeable memory decline. I used to be able to remember things immediately, but now I forget them right away, even if I try to memorize them. I forget things I just said o...
Dr. Chen Taicheng reply Family Medicine
● Memory does not suddenly increase or decrease without reason. Given your age, the most likely cause of a temporary change in memory could be a lack of attention or focus during listening or memorization (which means the information was not properly encoded in your brain). Addit...[Read More] Can Memory Loss in Teens Be Reversed? Understanding Your Concerns
Dizziness When Standing After Sitting: Causes and Concerns
Experiencing dizziness when standing up after sitting? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness, with my vision going black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng reply Family Medicine
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down. Then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Why Am I Experiencing Shortness of Breath After Minimal Exercise?
Decreased physical stamina? After almost a week of no exercise, I found myself very out of breath after running one lap (200 meters) around the track this week. Running two laps felt like my limit. I've always disliked running on the track and have poor endurance (I tend to ...
Dr. Chen Taicheng reply Family Medicine
● Exercise tolerance decreases with lack of physical activity. Engaging in a small amount of moderate exercise may help reduce shortness of breath. There are many reasons for dizziness, such as anemia or low blood pressure. Gastrointestinal discomfort may simply be caused by anxi...[Read More] Why Am I Experiencing Shortness of Breath After Minimal Exercise?
Understanding Persistent Health Issues: When to Seek Medical Advice
The body has been experiencing ongoing issues? Hello Doctor: Recently, I have been experiencing ongoing health issues, and I would appreciate your advice regarding my situation. Around early May, I suddenly started having headaches. At first, I thought it was due to work fatigue ...
Dr. Chen Taicheng reply Family Medicine
● Headaches have improved, so there is usually no need for concern. ● Oral ulcers are also quite common and are typically caused by stress, fatigue leading to decreased immunity, or viral infections; if they improve within two weeks, there is no need for worry. ● Coughing may als...[Read More] Understanding Persistent Health Issues: When to Seek Medical Advice
Understanding Weight Loss: Possible Causes and When to Seek Help
Weight loss Hello Doctor, I measured my weight on May 13 and it was 79.5 kg, but on June 23, it dropped to 74.5 kg, a loss of 5 kg. I often feel weakness in my left calf and a tight sensation after running. I am unsure if these two issues are related. My diet has been normal. Wha...
Dr. Chen Taicheng reply Family Medicine
● If you are eating and drinking normally but still experiencing weight loss, it is often indicative of issues such as high blood sugar or endocrine problems like hyperthyroidism. ● Similar personal responses can be referenced in <a href="https://adoctor.tw/article/117383...[Read More] Understanding Weight Loss: Possible Causes and When to Seek Help
Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Continuing from the previous article's question? Hello Doctor, I am the questioner with ID <a href="https://adoctor.tw/article/124564">#124564</a>. Thank you for your detailed explanation in the previous article. However, I realize that I did not descri...
Dr. Chen Taicheng reply Family Medicine
● You don't need to worry too much about X-rays; having a few dozen in a year is still within a tolerable range. The radiation dose from a single X-ray is very low (about 0.02 millisieverts), which is more than 50 times lower than the annual acceptable radiation dose of 1 mi...[Read More] Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Unexplained Weight Loss: Possible Causes and Recommended Tests
Unusual weight changes? Even though I eat normally and have afternoon snacks, and my bowel movements are regular, why is my weight continuously dropping? Could you suggest what tests I should undergo or inform me of the possible reasons?
Dr. Chen Taicheng reply Family Medicine
● If you are eating and drinking normally but still experiencing weight loss, it is often indicative of high blood sugar or endocrine issues such as hyperthyroidism. ● Similar personal responses can be referenced at <a href="https://adoctor.tw/article/117383">#117...[Read More] Unexplained Weight Loss: Possible Causes and Recommended Tests
Understanding Chronic Dizziness: When to Seek Medical Help
Chronic dizziness I have low blood pressure and anemia, which often causes me to feel dizzy. Although I usually don't have major issues in my daily life, recently I've experienced severe dizziness at times, and there have been a few occasions when I couldn't stand ...
Dr. Chen Taicheng reply Family Medicine
Anemia (iron deficiency anemia is common in women due to menstruation) and low blood pressure can both cause dizziness. If it is iron deficiency anemia, iron supplementation may help, or it is necessary to determine if menstrual flow is excessive (consult a gynecologist); low blo...[Read More] Understanding Chronic Dizziness: When to Seek Medical Help
Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine
Dizziness for over a year? Hello, doctor. Over the past year, I have seen many doctors and undergone numerous tests, both Western and traditional Chinese medicine. The Western doctors have suggested that I might be experiencing panic disorder or sleep apnea, while the traditional...
Dr. Chen Taicheng reply Family Medicine
● It sounds like you are experiencing a sensation of swaying and imbalance, which can be exacerbated by neck movement or exposure to hot water, leaning more towards a feeling of unsteadiness. If you also experience a spinning sensation, this is referred to as "vertigo" ...[Read More] Year-Long Dizziness: Seeking Answers from Western and Traditional Medicine
Is It Normal to Feel Something on the Inside of My Tongue?
Tongue issues? Hello doctor, I feel something on the inner right front side of my tongue, but it doesn't hurt. Is this normal?
Dr. Chen Taicheng reply Family Medicine
● It is difficult to make a definitive diagnosis without a physical examination or palpation. Please visit an otolaryngologist or a family medicine physician for further evaluation and treatment. Wishing you good health, Dr. Chen Tai-Cheng from Taoyuan Hospital, Department of Fam...[Read More] Is It Normal to Feel Something on the Inside of My Tongue?
Impact of Air Bubbles in Muscle Injections: What You Need to Know
Intramuscular injection Hello doctor, this morning I went to the clinic to receive the pneumococcal vaccine. During the process, I heard a popping sound, and later I heard the nurse say it was because there was no air released, which caused that sound. Could you please tell me wh...
Dr. Chen Taicheng reply Family Medicine
This vaccine is administered via intramuscular injection. If a small amount of air accidentally enters the body, it will be absorbed on its own, so there is no need to worry too much. Wishing you good health, Dr. Chen Tai-Cheng from the Family Medicine Department of Taoyuan Hospi...[Read More] Impact of Air Bubbles in Muscle Injections: What You Need to Know
Sleeping with the Lights On: Health Risks and Melatonin Insights
Sleeping with the lights on? Hello, doctor. I am afraid of sleeping in complete darkness. Except for the year I stayed in a dormitory during college when I turned off the lights, I have almost always slept with a nightlight or left a lamp on, making the room dim but not completel...
Dr. Chen Taicheng reply Family Medicine
In addition to the melatonin produced naturally by the body, many plants and foods such as coffee, tea, wine, beer, corn, rice, wheat, barley, and oats also contain melatonin (which acts as a natural antioxidant). There are prescription melatonin medications available domesticall...[Read More] Sleeping with the Lights On: Health Risks and Melatonin Insights
Understanding Persistent Dizziness: Causes and Management Strategies
Dizziness for over a year? Hello Doctor, I have been experiencing dizziness for over a year. I have undergone numerous tests, which revealed severe obstructive sleep apnea and mild fatty liver. Since the onset of dizziness last year until January of this year, my dizziness has wo...
Dr. Chen Taicheng reply Family Medicine
● You have undergone a comprehensive evaluation for your dizziness, addressing common issues related to the heart, ears, head, or other medical concerns. ● Dizziness is an annoying symptom that may be slightly alleviated with medication; however, it is advisable to first address ...[Read More] Understanding Persistent Dizziness: Causes and Management Strategies
Understanding Brown Phlegm: Causes, Concerns, and Next Steps
The sputum is brown? Hello Doctor, I apologize for this question, but I'm not sure where to ask it. I have been experiencing phlegm production for a long time, and sometimes it is brown in color. When I wake up in the morning and brush my teeth, the phlegm is often black or ...
Dr. Chen Taicheng reply Family Medicine
● First, determine if there is a tendency to bleed easily or if there are any periodontal issues (for example, if the gums bleed easily when brushing teeth); also check for conditions like allergic rhinitis or asthma that may cause frequent nose blowing or forceful coughing, whic...[Read More] Understanding Brown Phlegm: Causes, Concerns, and Next Steps