Identifying Toxic Gas Inhalation Symptoms: Seizures and Heart Issues
Inhalation of toxic gases? I have been chronically exposed to a certain toxic gas, and every night I wake up with body spasms, unable to sleep, often accompanied by palpitations and arrhythmia. What toxic substance might I have inhaled?
Dr. Gao Qingyun reply Family Medicine
Mr. Chang: Hello, based on your description, it is not possible to determine which type of toxic exposure you are experiencing. Please discuss this with your factory's occupational physician, or consult with a physician at a medical center's occupational medicine or tox...[Read More] Identifying Toxic Gas Inhalation Symptoms: Seizures and Heart Issues
Understanding Eardrum Pulsations: When to See an ENT Specialist
There is a pulsating sound in the eardrum? Recently, I've been experiencing a loud pulsating sensation in my left eardrum that feels a bit frightening. It has been ongoing for 3 to 4 days. Should I see an otolaryngologist?
Dr. Gao Qingyun reply Family Medicine
Hello, based on your statement, I recommend that you visit an otolaryngology department for relevant examinations. Thank you. Wishing you safety and health. Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Gao Qingyun.[Read More] Understanding Eardrum Pulsations: When to See an ENT Specialist
Should You See a Doctor for Potential Rabies Exposure in Children?
About rabies? Hello, doctor. At the end of April, my child (currently 2 years and 11 months old) was scratched and bitten by a cat while playing in a monkey park. At that time, the injury did not seem serious, so we did not take him to see a doctor. A few days later, the wound he...
Dr. Gao Qingyun reply Family Medicine
Hello: Based on your description, the likelihood of your child being infected with common bacteria from cats or the rabies virus is low (considering the animal is from a non-endemic area and the wound is minor), so there is no need for special concern. Regarding rabies prophylaxi...[Read More] Should You See a Doctor for Potential Rabies Exposure in Children?
Understanding Thumb Swelling: Causes and Home Remedies
Finger swelling Hello, Doctor. Today while I was out for a walk, my right thumb suddenly became swollen. It has been swelling up without me realizing it, and I noticed a slight itch in the palm of my hand after walking for a short distance. However, this swelling in my thumb occu...
Dr. Gao Qingyun reply Family Medicine
Hello, there are many causes of joint or soft tissue pain or inflammation. The issues you mentioned need to be assessed through a physical examination to determine the underlying cause. I recommend consulting with a physician in the Allergy, Immunology, and Rheumatology departmen...[Read More] Understanding Thumb Swelling: Causes and Home Remedies
Understanding Lower Body Heat: Which Specialist to Consult?
If you are experiencing heat in the lower body, which specialist should you see? Which doctor? (Forwarded from the Director's mailbox) My mother has been experiencing heat in both of her legs, and she has to rinse them with cold water several times a day. When she soaks her ...
Dr. Gao Qingyun reply Family Medicine
Dear Ms. Chang, Hello. The issue you have described requires an examination of the lesions for proper assessment. I recommend that you consult with a physician in the Allergy, Immunology, and Rheumatology department to discuss your concerns. Thank you. Wishing you peace and g...[Read More] Understanding Lower Body Heat: Which Specialist to Consult?
Understanding Nighttime Fever: Causes and Solutions for Your Partner's Discomfort
Experiencing mild fever during the night with temperatures ranging from 37°C to 37.4°C? My boyfriend has been experiencing fevers ranging from 37°C to 37.4°C during the night for the past few days. We have visited three different hospitals, but there has been no improvement. Now,...
Dr. Gao Qingyun reply Family Medicine
Dear Yu-Han, The most important aspects of diagnosing and treating the cause of a fever are a thorough medical history inquiry and a detailed physical examination. I recommend that you visit the Infectious Disease Department for appropriate evaluation and treatment. Wishing you...[Read More] Understanding Nighttime Fever: Causes and Solutions for Your Partner's Discomfort
Experiencing Herbal Medicine Poisoning: Which Specialist to Consult?
If you experience poisoning symptoms after taking traditional Chinese medicine and are concerned about potential sequelae, you should consult a specialist in toxicology or visit an emergency medicine department? On the evening of March 10th, Sunday, after taking traditional Chine...
Dr. Gao Qingyun reply Family Medicine
Hello: If you have acute symptoms, it is recommended that you bring your medications and relevant information directly to the emergency room for medical treatment. If the acute phase has passed and you are concerned about potential liver or kidney function impacts, you can bring ...[Read More] Experiencing Herbal Medicine Poisoning: Which Specialist to Consult?
Legal Framework and Regulations Protecting Blood Donors in Taiwan
Blood donation is based on what legal sources? What legal basis and regulations are in place to protect blood donors?
Dr. Gao Qingyun reply Family Medicine
Hello, regarding the regulations related to your inquiry, detailed information can be found on the Taiwan Blood Services Foundation website (under the section for blood donation guidelines). I recommend that you visit the website for the specific information you need. Thank you.[Read More] Legal Framework and Regulations Protecting Blood Donors in Taiwan
Am I Experiencing Depression or Withdrawal Symptoms from Quitting Smoking?
Could you please tell me if my symptoms are indicative of depression or withdrawal symptoms from quitting smoking? Hello, doctor. In early September, during a routine ultrasound examination for fatty liver and gallstones, the doctor mentioned that it seemed like I had a tumor in ...
Dr. Gao Qingyun reply Family Medicine
Hello, please rest assured and do not worry. Based on your questions, our recommendation is to seek assistance from a smoking cessation clinic in conjunction with appropriate medications to help you quit smoking, which can increase the success rate of cessation and alleviate with...[Read More] Am I Experiencing Depression or Withdrawal Symptoms from Quitting Smoking?
Understanding Low Red Blood Cell Count and Abnormal Lymphocytes in Blood Tests
Complete Blood Count (CBC) Hello, Doctor: I would like to ask about low red blood cell count and abnormal atypical lymphocytes. What could be the issue, and what should I do? These two items were highlighted in red only in this year's health check, and I have not had these i...
Dr. Gao Qingyun reply Family Medicine
Dear Huang, Hello, the interpretation of any medical test results must be accompanied by a complete and detailed medical history and physical examination. I recommend that you bring the relevant reports and discuss them in person with your physician. Thank you! Wishing you safe...[Read More] Understanding Low Red Blood Cell Count and Abnormal Lymphocytes in Blood Tests
Impact of Eating Before Blood Tests: Understanding Glucose and eGFR Results
Eating 1.5 hours before a blood draw can affect the test results? Hello Doctor, I had a blood test for biochemistry at 4 PM, and I ate something 1.5 hours prior (a meat floss rice ball and oat milk). The results showed two abnormal values that made me very anxious: 1. Glucose lev...
Dr. Gao Qingyun reply Family Medicine
Dear Sasa, Hello, the eGFR data is not affected by food intake prior to blood draw. Whether there is renal dysfunction is determined based on a detailed medical history and physical examination, supplemented by appropriate laboratory test results, rather than solely relying on t...[Read More] Impact of Eating Before Blood Tests: Understanding Glucose and eGFR Results
Essential Health Tips: Vitamin D, Calcium Intake, and Post-Meal Care
Health Consultation Hello, I have some health questions to ask. 1. Regarding vitamin D, do I need to sunbathe every day? Can I sunbathe more today and skip it tomorrow? If I get more sun exposure in the summer, can that be stored for use in the winter? 2. About calcium excess—...
Dr. Gao Qingyun reply Family Medicine
Mr. Chen: Hello, 1. Regarding vitamin D, do I need to sunbathe every day? Can I sunbathe more today and skip it tomorrow? If I sunbathe more in the summer, can I store that for use in the winter? Answer: It is better to have a balanced exposure to sunlight. It is okay to skip a...[Read More] Essential Health Tips: Vitamin D, Calcium Intake, and Post-Meal Care
Understanding Painless Diarrhea: Causes and When to Seek Help
Diarrhea without abdominal pain? On the first day, I experienced lower back pain, followed by a headache, and then I had a fever at night. The next day, I didn't feel much discomfort, but after lunch, I vomited. On the third day, I still didn't feel much discomfort. On ...
Dr. Gao Qingyun reply Family Medicine
Hello, 1. Based on your description, it may not be significantly related to the previous appendectomy or peritonitis surgery. 2. Your description suggests a possibility of bacterial or viral gastroenteritis, but a complete medical history and physical examination are still nec...[Read More] Understanding Painless Diarrhea: Causes and When to Seek Help
Persistent Coughing: When to Seek Further Medical Evaluation
Persistent cough? Hello, I have a persistent cough that sometimes leads to vomiting, and occasionally it causes headaches. I have seen an ENT specialist, a gastroenterologist, and a family medicine doctor, and I have taken several medications, but there hasn't been much impr...
Dr. Gao Qingyun reply Family Medicine
Hello, coughs that do not respond well to medication can sometimes be challenging to manage, and they may indeed be caused by gastroesophageal reflux. A thorough examination relies on a complete medical history and physical examination. I recommend consulting a pulmonologist for ...[Read More] Persistent Coughing: When to Seek Further Medical Evaluation
Navigating Long-Term Care Challenges for Seniors with Complex Needs
Long-term care The elderly person has a severe disability certificate, but it does not include the ten major categories. For the first four months, the family provided care on their own, and later applied for foreign caregivers. However, the caregiver is experienced and speaks Ch...
Dr. Gao Qingyun reply Family Medicine
Dear Hong, Hello. Your letter indeed indicates that caring for the elderly in your family has brought you considerable distress. Since I have not personally examined the elderly individual in your home, I may not be able to provide suitable judgments or recommendations. The issu...[Read More] Navigating Long-Term Care Challenges for Seniors with Complex Needs
Understanding Right Leg Weakness: Causes and Concerns in Family Medicine
How many times a week do you experience weakness in your right foot? To address your inquiry, I need to ask for more details: 1. Gender: Male 2. Frequency of episodes: Not consistent, 2-3 times a week. Duration: Typically resolves within 2 hours. Common times for episodes: Varies...
Dr. Gao Qingyun reply Family Medicine
Dear A-Cai, Hello. In young males, muscle weakness can sometimes be related to transient hypokalemia. This low potassium level may also be caused by poor dietary habits, excessive intake of sugary foods, or hyperthyroidism. In treatment, in addition to potassium supplementation,...[Read More] Understanding Right Leg Weakness: Causes and Concerns in Family Medicine
Understanding Weakness and Temperature Differences in the Right Leg
The 15-year-old student in the third year of junior high school experiences weakness in the right leg several times a week? I am currently in the third year of junior high school and often sit for long periods as a participant in the basic competency test. I have experienced an u...
Dr. Gao Qingyun reply Family Medicine
Dr. Tsai: Hello, regarding your inquiry, I may need to ask for more details: 1. Gender 2. Frequency of episodes, duration, and common times of occurrence 3. Personal medical history, family history, and medication history 4. Associated characteristics during episodes 5. A detaile...[Read More] Understanding Weakness and Temperature Differences in the Right Leg
Understanding Thyroid Medication: Dosage, Symptoms, and Specialist Guidance
Thyroid medication I am currently taking medication for hyperthyroidism: Procil (Propylthiouracil) 50mg, 6 tablets per day, and Inderal (Propranolol) 10mg, 3 tablets per day, all after meals. I haven't recorded my T3 and T4 levels, so based on the dosage, would my condition ...
Dr. Gao Qingyun reply Family Medicine
Dear Melody, Hello, the medications you are currently taking (Procil (Propylthiouracil) and Inderal (Propranolol)) are indeed commonly used for hyperthyroidism. However, since individual responses to medications can vary, given your current symptoms of weight gain and decreased ...[Read More] Understanding Thyroid Medication: Dosage, Symptoms, and Specialist Guidance
Struggling with Focus and Fatigue: Understanding Your Symptoms
Inability to concentrate and lack of energy? Hello, Doctor. I have the following questions: I often find it difficult to concentrate on a single task for an extended period. When reading books or studying work-related materials, I feel like I am processing each word, but the info...
Dr. Gao Qingyun reply Family Medicine
Dear Ah-Hong, First of all, whether drinking coffee can enhance alertness or improve attention is still a matter of debate. Since you have consumed a lot of coffee and still experience these issues, you might consider reducing or stopping your coffee intake. Furthermore, regardi...[Read More] Struggling with Focus and Fatigue: Understanding Your Symptoms
Cold Weather Cramps: Understanding Nighttime Leg Cramps and Solutions
Cold weather can cause leg cramps? Hello, Dr. Gao. In the past, I occasionally experienced leg cramps at night, but it has been a long time since it last happened. Recently, due to the cold weather, I have been wearing long pants to sleep, yet I have been experiencing leg cramps ...
Dr. Gao Qingyun reply Family Medicine
Dear Joanne, Nighttime leg cramps can be a very painful issue, and there are many potential causes, including low local temperature, muscle contractions, and electrolyte imbalances. If you have undergone examinations and there are no significant abnormalities, I recommend paying...[Read More] Cold Weather Cramps: Understanding Nighttime Leg Cramps and Solutions