Dr. Hong Hongchang reply Internal Medicine Question - Page 2

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Do You Really Need Antibiotics for Your Symptoms?

Do I need to take antibiotics? I have a headache and a fever of 37.8°C. My throat is slightly swollen (day one). I saw a doctor who prescribed antibiotics. Should I take the antibiotics? I have a sensitive stomach, and every time I take medication, my stomach hurts the next day a...


Dr. Hong Hongchang reply Internal Medicine
Hello: Thank you for your question. In response to your inquiry, I would like to provide the following advice: Most respiratory infections do not require antibiotics. If you have any further questions, please feel free to ask.

[Read More] Do You Really Need Antibiotics for Your Symptoms?


Understanding Lower Abdominal Bloating: Causes and Remedies

Lower abdominal bloating, caused by retained stool? How to effectively treat it? Hello, my sister (27 years old) has been experiencing frequent bloating in her lower abdomen (below the navel) for the past few months. She previously underwent an ultrasound for uterine fibroids, an...


Dr. Hong Hongchang reply Internal Medicine
Hello, Miss: Retained stool can potentially cause lower abdominal bloating. Constipation may be due to congenital issues or surgical adhesions. Increasing physical activity, drinking more water, and consuming high-fiber foods can help alleviate constipation. If further examinatio...

[Read More] Understanding Lower Abdominal Bloating: Causes and Remedies


Understanding Your Abdominal Pain: Causes and Solutions

Stomach discomfort..? I've been feeling strange in my abdomen for the past month or two. I experience severe abdominal pain that lasts for over a week, causing me to feel cold and nauseous. After that week, I feel fine again, but this cycle keeps repeating, and I don't ...


Dr. Hong Hongchang reply Internal Medicine
Hello, Xiao Hui: Based on the description of the condition, gastrointestinal dysfunction seems to be more fitting. However, further examination is recommended. Gynecological issues or other intra-abdominal infections are also possible, so please seek consultation with a gastroent...

[Read More] Understanding Your Abdominal Pain: Causes and Solutions


Struggling with Chronic Constipation: Seeking Effective Solutions

Constipation for nearly 10 years..? Hello, Doctor: I have been experiencing constipation since elementary school, having a bowel movement about once a week, with the longest interval being 14 days. On the day I finally have a bowel movement, I experience full-body allergies (prob...


Dr. Hong Hongchang reply Internal Medicine
Hello Letty: Generally speaking, constipation is often related to the intake of fluids, exercise, and fiber. It can also be caused by congenital disorders or poor bowel habits. Please visit a gastroenterology clinic for further evaluation.

[Read More] Struggling with Chronic Constipation: Seeking Effective Solutions


Effective Strategies to Prevent Rheumatoid Arthritis Flare-Ups

How to prevent rheumatoid arthritis? As the weather gets cooler, my knees become inflamed, and I experience soreness in all ten fingers and even my shoulders. What can I do to prevent this from worsening? Thank you.


Dr. Hong Hongchang reply Internal Medicine
Hello Wansia: 1. As the weather gets colder, poor blood circulation can lead to an increased occurrence or worsening of arthritis, so it is advisable to ensure proper warmth. 2. If there is gouty arthritis or rheumatoid arthritis, a blood biochemical test should be conducted for ...

[Read More] Effective Strategies to Prevent Rheumatoid Arthritis Flare-Ups


What Does Green Stool Mean? Causes and Concerns Explained

Green stool? I have been experiencing green stools, resembling olive green, for the past week or two. However, the shape and odor are normal. What could be the cause of this?


Dr. Hong Hongchang reply Internal Medicine
Hello, Candy: Green stool may be caused by bile or food coloring leading to digestive issues. It is recommended to consult a gastroenterologist for further examination.

[Read More] What Does Green Stool Mean? Causes and Concerns Explained


Understanding Constipation: When to Seek Medical Help for Digestive Issues

Constipation? Hello Doctor: My symptoms are as follows: for about the past two weeks, I have been experiencing very little bowel movement. I have been eating normally for all three meals, so I used to have a substantial amount, but recently, for some unknown reason, it has sudden...


Dr. Hong Hongchang reply Internal Medicine
If there are changes in bowel habits or stool shape, it is necessary to visit a gastroenterology clinic for further examination to rule out the possibility of colorectal tumors or other lesions.

[Read More] Understanding Constipation: When to Seek Medical Help for Digestive Issues


Common Gastrointestinal Issues: Solutions for Bloating and Gas

Two small problems, yet they are a big hassle! Hello Dr. Hong: Previously, a netizen mentioned that their stomach was constantly gurgling, and they were experiencing excessive and foul-smelling gas, with occasional smooth bowel movements. It seems that many people have this issue...


Dr. Hong Hongchang reply Internal Medicine
Hello Lily: 1. Foods that can cause gas, such as milk, soy milk, bread, and cake, as you described, are indeed related to endocrine disorders like thyroid dysfunction, which can also lead to increased anxiety. Treatment options include exercise or medication, but it is essential ...

[Read More] Common Gastrointestinal Issues: Solutions for Bloating and Gas


Understanding Splenomegaly: What It Means for Your Health

What is splenomegaly? I apologize! I would like to ask about my previous health check report, which indicated splenomegaly. I want to understand what this means and which organ might be affected. Thank you! Also, I had a health examination before, and the report showed elevated...


Dr. Hong Hongchang reply Internal Medicine
Hello, Xiao Qiang: Splenomegaly is one of the abnormalities commonly detected in ultrasound and health check-ups. Common causes of splenomegaly include hereditary anemia and liver diseases. Elevated alkaline phosphatase levels may indicate issues related to the gastrointestinal t...

[Read More] Understanding Splenomegaly: What It Means for Your Health


Understanding Gastrointestinal Issues: Seeking Medical Advice for Relief

Gastrointestinal discomfort requires medical advice? I have experienced acute gastroenteritis since I was young, and sometimes I have stomach pain about 1 to 2 times a month. Whenever I drink cold beverages, I definitely have diarrhea, and I often drink soda. I know it's not...


Dr. Hong Hongchang reply Internal Medicine
Hello, Brother Li: Based on your description of the gastrointestinal symptoms, I cannot provide an answer regarding folk remedies due to the lack of credible research reports. Since you live in Hsinchu, could you please visit the Gastroenterology Department at Hsinchu Hospital fo...

[Read More] Understanding Gastrointestinal Issues: Seeking Medical Advice for Relief


Managing Irritable Appendicitis: Effective Strategies for Relief

Acute appendicitis I have been suffering from irritable bowel syndrome (IBS) for 2 years, and it has been getting worse each year. I experience constant bloating and abdominal pain. Medications haven't helped, and despite following my doctor's advice to eat more fruits ...


Dr. Hong Hongchang reply Internal Medicine
Hello, Apan: In clinical practice, there is a term for acute irritable bowel syndrome, but there is no term for acute irritable appendicitis. Therefore, if the symptoms persist with pain, it is necessary to visit an outpatient clinic to check for the possibility of other lesions ...

[Read More] Managing Irritable Appendicitis: Effective Strategies for Relief


Improving Bowel Health: Tips for Clean and Comfortable Bowel Movements

Defecation 1. If you are experiencing incomplete bowel movements, what should you eat more of? For instance, if after a bowel movement you still feel some residue, it can be quite uncomfortable. 2. If you have a bowel movement every morning, are you expelling waste from yesterd...


Dr. Hong Hongchang reply Internal Medicine
Hello: If you are experiencing incomplete bowel movements and a sense of urgency, the situation may be related to the types of food you consume and the motility of your intestines. Therefore, it is advisable to consult a gastroenterologist first. Thank you.

[Read More] Improving Bowel Health: Tips for Clean and Comfortable Bowel Movements


Understanding Hepatitis B: Testing and Vaccination Guidance

Hepatitis B Over a year ago, I underwent a school health check, and I was informed that I had no antibodies and needed to get vaccinated. However, I missed the vaccination due to a cold. Now, after some time has passed, I would like to know which department I should visit. Should...


Dr. Hong Hongchang reply Internal Medicine
Please schedule an appointment with either Family Medicine or Gastroenterology. First, perform a blood test to check for the presence of antibodies. If antibodies are not present, then proceed with the administration of the Hepatitis B vaccine.

[Read More] Understanding Hepatitis B: Testing and Vaccination Guidance


Is Low Uric Acid a Concern? Understanding Risks During Pregnancy

Is having low uric acid a problem? Hello, our organization recently provided health check-ups for employees, and the result for the uric acid test was 1.9 mg/dL. I understand that high uric acid levels can pose risks such as gout, but are there issues with low levels as well? I a...


Dr. Hong Hongchang reply Internal Medicine
Pregnant women: Uric acid is primarily produced from the metabolism of purine-rich foods (such as legumes, organ meats, and seafood). Low uric acid levels may indicate insufficient intake of purine-rich foods, rapid renal metabolism, or imbalanced nutrient intake. Therefore, it i...

[Read More] Is Low Uric Acid a Concern? Understanding Risks During Pregnancy


Am I Dying? Understanding Unexplained Symptoms and Seeking Help

Am I going to die soon? Doctor, my symptoms are quite strange... 1. When I walk, I feel unsteady... I can't tell if it's my head or my body that's shaking... 2. It feels like something is jumping in my chest, which is very uncomfortable. 3. My chest has been hurtin...


Dr. Hong Hongchang reply Internal Medicine
For those who are unsure of what to do: Based on your description of the condition, it seems to involve a wide range of issues. However, I recommend starting with a visit to a cardiologist, followed by a consultation with a psychiatrist, so that your symptoms and physical manifes...

[Read More] Am I Dying? Understanding Unexplained Symptoms and Seeking Help


Understanding Chronic Dry Heaving: When to Seek Medical Help

Prolonged episodes of dry heaving? Hello! I am a 16-year-old high school student, 165 cm tall and weighing 72 kg. For the past 6 to 8 months, I have been experiencing headaches and nausea with dry heaving (approximately 3 to 5 times a week). My daily routine is relatively normal,...


Dr. Hong Hongchang reply Internal Medicine
Hello, Miss Meow: Long-term symptoms of headaches, nausea, and dry heaving can have various causes, including gastrointestinal issues, endocrine disorders, anorexia, and neurological problems. Therefore, please consult a family medicine clinic first.

[Read More] Understanding Chronic Dry Heaving: When to Seek Medical Help


Understanding Low Neutrophils and High Eosinophils: What It Means for Your Health

Low neutrophil count and high eosinophil count? Hello, I recently had a health check-up and the results showed a white blood cell count of 5.52 (normal), neutrophils at 43.50% (normal range: 45.0-75.0%, slightly low), and eosinophils at 6.00% (normal range: >5.0%, slightly hig...


Dr. Hong Hongchang reply Internal Medicine
Hello, Xiao Liang: The white blood cell count is 552/cumm with slightly low neutrophils and a slight increase in eosinophils. There is a possibility of a viral infection, so please follow up with the hematology or infectious disease department.

[Read More] Understanding Low Neutrophils and High Eosinophils: What It Means for Your Health


Managing Fatty Liver: Diet and Exercise Tips for Recovery

Fatty liver disease I have been diagnosed with fatty liver. I often eat fried chicken, but I have started to avoid it. I run 600 meters daily and do sit-ups. Is this effective? Can you provide dietary recommendations?


Dr. Hong Hongchang reply Internal Medicine
Fatty liver treatment: 1. Diet should consist of low-fat and unsaturated fatty acid foods. 2. Exercise 3.3.3 (three times a week, each session lasting more than 30 minutes, with a heart rate exceeding 130 beats per minute) to help metabolize fat. 3. Avoid social drinking, and und...

[Read More] Managing Fatty Liver: Diet and Exercise Tips for Recovery


Understanding Abdominal Pain: Exercise or Health Issue?

Abdominal pain? Hello: I have abdominal pain, but I'm not sure what the cause is. I did sit-ups last night, and this morning my stomach hurts a lot. The pain is cramp-like and comes in waves. Is this an issue with my body, or is it just pain from exercising? If it is a bodil...


Dr. Hong Hongchang reply Internal Medicine
Hello MM: If you experience abdominal pain after intense exercise, it is often due to muscle strain. If there are gastrointestinal discomforts, it may be accompanied by gastrointestinal symptoms such as nausea, diarrhea, and bloating. Please follow up with an outpatient clinic fo...

[Read More] Understanding Abdominal Pain: Exercise or Health Issue?


Understanding Blood in Stool: Causes and Concerns for Your Health

Hemorrhoidal bleeding Hello Dr. Hong, a few days ago, after the late stage of a cold, I experienced a dry cough and diarrhea (which was watery and light yellow in color) for about a week. However, now when I wipe after a bowel movement, there is blood on the toilet paper, althoug...


Dr. Hong Hongchang reply Internal Medicine
Hello, the presence of blood in the stool combined with diarrhea can have many causes, including colitis, hemorrhoids, or acute tumors. Additionally, abdominal distension may indicate a gastric issue. Please seek consultation at a gastroenterology clinic promptly. Thank you.

[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health


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