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Understanding Breast Development Issues in Young Women: Causes and Solutions

Breast issues Hello doctor, I am a 19-year-old female, almost 20. In my family, my grandmother, mother, and sister all have C to D cup sizes, but I only have an A to B cup size. I would like to know why my breast development seems to be an issue compared to the other women in my ...


Dr. Chen Zonglin reply Family Medicine
Breast development is largely influenced by genetics, hormones, nutrition, and exercise. If you believe there are no specific issues with your diet and exercise, you may consider visiting an endocrinology and metabolism specialist to evaluate your endocrine system status.

[Read More] Understanding Breast Development Issues in Young Women: Causes and Solutions


Understanding Breast Development Issues in Young Women: Causes and Solutions

Breast issues Hello Doctor, I am a 19-year-old female, soon to be 20. My grandmother, mother, and sister all have C to D cup sizes, but I only have an A to B cup size. I would like to know why I am the only one with underdeveloped breasts and if there is a way to improve this sit...


Dr. Chen Zonglin reply Family Medicine
Hello: Due to Dr. Chen's upcoming departure, this question will be answered by Dr. Wu Yu-Ting from the Breast Surgery Department. Breast size is primarily determined by genetics, and while it can be improved through lifestyle changes, the effects are limited. Women's br...

[Read More] Understanding Breast Development Issues in Young Women: Causes and Solutions


Managing Multiple Medications: Addressing Side Effects and Health Concerns

Family medicine issues In the morning, I take medication for insomnia and high blood pressure. I have been switching insomnia medications for about four years. I take a capsule of 0.5 mg of Mecobalamin (Vitamin B12) because I experience a tingling sensation in my head, as if bloo...


Dr. Chen Zonglin reply Family Medicine
Based on what you mentioned, you have been feeling a bit fatigued lately, experiencing pain under your left and right ribs, and tightness with a prickling sensation in the back of your neck. Poor sleep at night can easily lead to daytime fatigue. It would be advisable for you to ...

[Read More] Managing Multiple Medications: Addressing Side Effects and Health Concerns


Common Family Medicine Questions: Cold Sensitivity, Sleep Issues, and More

Please feel free to ask your questions? Hello, doctor. I have a few questions to ask: 1. When the temperature drops below 16 degrees Celsius, I tend to have cold hands and feet, speak more rapidly, and my body feels tense, appearing anxious. However, I don't actually feel ...


Dr. Chen Zonglin reply Family Medicine
1. If this situation is causing you distress, you may consider seeking an evaluation from a psychiatrist. 2. It is uncommon for individuals to lack slow-wave sleep; it is advisable to discuss with the physician who arranged your sleep study whether there are any underlying issues...

[Read More] Common Family Medicine Questions: Cold Sensitivity, Sleep Issues, and More


Understanding Growth Plates: How to Maximize Your Height Potential

Height growth At 13 years old, with the presence of pubic and underarm hair, it is likely that you are in the early stages of puberty. The growth plates in your bones may still be open, which means you have the potential for further growth. To maximize your height potential, cons...


Dr. Chen Zonglin reply Family Medicine
You are only 13 years old, and your growth plates should not be fully closed yet. You can visit an orthopedic specialist to assess your bone age to determine if you can continue to grow taller. It is common for modern children to be taller than their parents. A balanced diet, app...

[Read More] Understanding Growth Plates: How to Maximize Your Height Potential


Understanding Urethritis and Limb Numbness: A Comprehensive Guide

Urethritis and limb numbness? Doctor, I have a question. In the past, I underwent a colonoscopy due to discomfort, which later evolved into long-term issues. I initially thought it was a gastrointestinal problem, but during severe episodes, I experienced lower abdominal pain and ...


Dr. Chen Zonglin reply Family Medicine
1. Severe lower abdominal pain and bleeding: At this point, it is advisable to consult a urologist or gynecologist, who can help identify the source of the bleeding for further evaluation and treatment. 2. Urethritis: You mentioned being overweight, which can lead to increased ...

[Read More] Understanding Urethritis and Limb Numbness: A Comprehensive Guide


Understanding Your Symptoms: Chest Tightness, Dizziness, and Fatigue

Multiple physical discomforts? Hello Doctor: Yesterday in class, I suddenly felt chest tightness, which I thought was due to poor ventilation in the classroom. I stepped outside to calm down, but when I returned to the classroom, the situation worsened. I felt dizzy and nauseous....


Dr. Chen Zonglin reply Family Medicine
Based on your description, since you are experiencing symptoms along with a fever, it is important to determine whether it is due to a bacterial or viral infection or another cause. Please consult a physician nearby for an evaluation based on your medical history and physical exa...

[Read More] Understanding Your Symptoms: Chest Tightness, Dizziness, and Fatigue


Understanding Sudden Weakness and Pain in the Right Leg

Weakness in the right leg? Sometimes my right foot suddenly feels weak. I can still walk, but there is a sense of weakness, and sometimes my thigh bone hurts a lot, especially recently, to the point that my whole leg hurts. I went to see an orthopedic doctor, but they said there ...


Dr. Chen Zonglin reply Family Medicine
The orthopedic evaluation indicated no issues; however, it is unclear whether neurological or vascular problems have been ruled out. If necessary, you may seek assistance from a neurologist or a vascular specialist.

[Read More] Understanding Sudden Weakness and Pain in the Right Leg


Understanding Fever Symptoms: Persistent 38°C Fever and Diarrhea

Fever temperature Since Monday night, I have been experiencing a fever that has persisted until today, with temperatures around 38 degrees Celsius. Yesterday, after dinner, I had one episode of diarrhea. What could these symptoms indicate?


Dr. Chen Zonglin reply Family Medicine
Based on your description, you only have fever and gastrointestinal symptoms. Is there any issue other than gastroenteritis? Please seek a nearby physician for an evaluation based on your medical history and physical examination results. If you have acute symptoms, it is advisabl...

[Read More] Understanding Fever Symptoms: Persistent 38°C Fever and Diarrhea


Do You Need Rabies Vaccination After a Dog Bite in Taiwan?

Dog bite injury? I would like to ask the doctor, if my dog receives rabies vaccinations every year, lives in Taipei, and has not been bitten by other animals, but I was bitten and my skin was broken and bleeding while giving him a pill yesterday, do I need to get a rabies vaccine...


Dr. Chen Zonglin reply Family Medicine
As long as pets receive the rabies vaccine annually, the transmission route can be blocked, and pet owners do not need to worry about the risk of infection. Additionally, it is advisable to monitor the pet for 10 days for any unusual symptoms.

[Read More] Do You Need Rabies Vaccination After a Dog Bite in Taiwan?


Understanding High Eye Pressure, Headaches, and Fatigue After Antibiotic Use

Elevated intraocular pressure, headache, nausea, and lethargy? Hello, doctor. Last month, I had a cold in North America and experienced a fever of 39 degrees Celsius for more than two days. I visited a local clinic and was prescribed the antibiotic Amoxicillin 500 mg, which I too...


Dr. Chen Zonglin reply Family Medicine
The amount of antibiotics remaining in the body after one month is generally very low, so it is unlikely to be related to your symptoms. Regarding the symptoms you mentioned, including elevated intracranial pressure and ocular pressure, how did you come to know about this? If suc...

[Read More] Understanding High Eye Pressure, Headaches, and Fatigue After Antibiotic Use


Understanding Left Upper Abdominal Discomfort: Causes and Concerns

Feeling of something in the left upper abdomen? When standing, I feel something in my left upper abdomen that seems to press down when I apply pressure, and when I release my hand, it feels like that thing slowly bounces back. When I stretch, that area feels tight, and I'm u...


Dr. Chen Zonglin reply Family Medicine
For the sensation of a foreign body in the left upper abdomen, you may first seek a family medicine or internal medicine physician for a physical examination. If necessary, arrangements for X-rays or ultrasound can be made for further evaluation.

[Read More] Understanding Left Upper Abdominal Discomfort: Causes and Concerns


How to Support Healthy Breast Development in Adolescents

Breast development Hello Doctor, I have been engaging in intense physical activities since childhood and rarely wore underwire bras. It wasn't until middle school that I started paying attention to breast development and wearing suitable bras. As a result, my breasts appear ...


Dr. Chen Zonglin reply Family Medicine
Your question did not mention your age. After reaching adulthood, there are no practically effective methods to promote breast growth aside from weight gain, hormonal treatments, or surgery. If needed, consider consulting a breast surgeon or a plastic surgeon for a comprehensive ...

[Read More] How to Support Healthy Breast Development in Adolescents


Loss of Appetite and Itchy Skin: Understanding Common Symptoms

Loss of appetite and itchy skin? I have had a poor appetite these past few days; I feel bloated after eating just a little. This morning I had toast for breakfast, and for lunch, I only had a few bites of vermicelli. I didn't eat anything in between, but by dinner time, I di...


Dr. Chen Zonglin reply Family Medicine
There are many reasons for poor appetite, including physiological and emotional factors, and the issue can range from minor to significant. If poor appetite persists, it is advisable to consult a family physician for evaluation. During colder weather, many people experience dry s...

[Read More] Loss of Appetite and Itchy Skin: Understanding Common Symptoms


Diabetes-Friendly Breakfast Options: Quaker Oats and Greens for Type 2

Diabetic Diet Hello, I would like to ask about a recently diagnosed patient with type 2 diabetes. Is it appropriate for them to have Quaker 10 Grain Cereal with two types of green vegetables for breakfast every day? Or would it be suitable to replace it with Quaker Whole Grain Ce...


Dr. Chen Zonglin reply Family Medicine
Evaluating a diabetes diet should not focus solely on a single meal each day. It is recommended that you keep a food diary for several days and then bring this record to your healthcare provider, where you can have a comprehensive assessment with a dietitian regarding your dietar...

[Read More] Diabetes-Friendly Breakfast Options: Quaker Oats and Greens for Type 2


Understanding Symptoms: Seeking Guidance for My Mother's Health Issues

Inquiry Hello Dr. Chen, My name is Ah Xiang, and I would like to inquire about my mother's symptoms. Currently, her symptoms are described as follows: 1. She experiences nocturia with elevated blood pressure (155-178 mmHg) and tachycardia (heart rate of 108-118 beats per m...


Dr. Chen Zonglin reply Family Medicine
1. What were your daughter's blood pressure and heart rate before urination? Frequent urination at night can lead to poor sleep quality, which may result in elevated blood pressure. It is advisable to visit a urology clinic to address the issue of frequent urination. 2. If...

[Read More] Understanding Symptoms: Seeking Guidance for My Mother's Health Issues


Understanding Health Check Results: Blood Pressure, Cholesterol, and Blood Sugar

Physical examination (blood pressure, cholesterol, blood glucose) Hello Doctor, my father has always been in good health and is 65 years old this year. However, during a recent health check-up: 1. His blood pressure is 175/91 mmHg. Does this indicate hypertension? 2. His choleste...


Dr. Chen Zonglin reply Family Medicine
1. The standard for hypertension is defined as greater than 140/90 mmHg. However, it should not be based on a single blood pressure reading. A reading of 175/91 mmHg is indeed elevated. To determine if it is truly hypertension, it is necessary to monitor blood pressure over a per...

[Read More] Understanding Health Check Results: Blood Pressure, Cholesterol, and Blood Sugar


Impact of Snakebite Surgery and Sleep Habits on Blood Pressure

I am 19 years old and have undergone surgery after being bitten by a cobra? Hello, Dr. Chen! I have recently been experiencing high blood pressure, ranging from 140-150/80-90. I had surgery after being bitten by a snake and received a lot of antivenom; could this have an effect? ...


Dr. Chen Zonglin reply Family Medicine
Currently, there is no evidence suggesting that snake venom antivenom causes hypertension. There are many factors that can lead to high blood pressure. Poor sleep quality at night is one of them. It is recommended that you keep a sleep diary and measure your blood pressure the fo...

[Read More] Impact of Snakebite Surgery and Sleep Habits on Blood Pressure


Managing High Blood Pressure: Can Medication Improve Vision Issues?

Hypertension, blurred vision, dizziness? Hello Doctor: My father is 62 years old and has hypertension. He has been on medication for a month, but his blood pressure remains around 170, compared to 180-200 last month. He will return to the doctor next week for medication adjustmen...


Dr. Chen Zonglin reply Family Medicine
Long-term high blood pressure can potentially lead to eye diseases. It is recommended that you take your father to an ophthalmologist for an evaluation to determine if there are any hypertension-related eye conditions, in order to facilitate early treatment.

[Read More] Managing High Blood Pressure: Can Medication Improve Vision Issues?


Effective Oral Medications for Managing Type 2 Diabetes in Seniors

Diabetes management medications Hello, my father has had type 2 diabetes for about 20 years. Currently, he follows a low-oil diet and does not drink sugary beverages. His meals consist of 1 serving of rice, 1 serving of meat, and 2 servings of vegetables. However, due to work, he...


Dr. Chen Zonglin reply Family Medicine
1. Currently, there is no oral insulin available in pill form. 2. There are currently oral hypoglycemic agents that can be taken three times a day. I wonder if your father is taking three different types of blood sugar-lowering medications? If he is on three different medication...

[Read More] Effective Oral Medications for Managing Type 2 Diabetes in Seniors


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