Dr. Hou Angting reply Family Medicine Question - Page 2

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Is a Blood Pressure of 130-135/75-80 Considered Hypertension?

Blood pressure issues Hello Doctor: Recently, I measured my blood pressure at home and found that my systolic pressure is between 130-135 and my diastolic pressure is between 75-80. Is this considered high blood pressure? Do I need to take medication to control it?


Dr. Hou Angting reply Family Medicine
Hello: Based on your measured blood pressure, it does not indicate hypertension. It is recommended that you continue to monitor your blood pressure. Wishing you good health.

[Read More] Is a Blood Pressure of 130-135/75-80 Considered Hypertension?


Understanding Your Urine Test Report: Key Questions Answered

Questions about urine test results? Hello Doctor, recently I've been experiencing occasional sharp pain in my kidneys along with foamy urine, so I went to see a nephrologist for an examination. Today, when I reviewed the report with the doctor, he mentioned that all the test...


Dr. Hou Angting reply Family Medicine
Hello: Due to the low specific gravity, the test report indicates a suspicion of dilution. If it is confirmed that this is not the case, it is recommended that you follow up with a nephrologist or a family medicine specialist in the future. Wishing you good health.

[Read More] Understanding Your Urine Test Report: Key Questions Answered


Is a Pale Lower Eyelid Always a Sign of Anemia?

Is the lower eyelid always pale in cases of anemia? Doctor, I researched online and found that a pale lower eyelid can indicate anemia. Although I have symptoms of dizziness and palpitations, my lower eyelids are pinkish-red. However, in the past few days, I have been diagnosed w...


Dr. Hou Angting reply Family Medicine
Hello: I recommend that you visit a family medicine clinic for further evaluation. Wishing you good health.

[Read More] Is a Pale Lower Eyelid Always a Sign of Anemia?


Unexplained Arm Pain: When to Seek Medical Advice?

Unexplained stabbing pain in the arm? Hello Dr. Hou, a few days ago, I slept on my left arm for almost the entire night. The next morning, I woke up with a specific point on my left arm that felt like it was being pricked by a needle, and I confirmed multiple times that there wer...


Dr. Hou Angting reply Family Medicine
Hello: I recommend that you visit an orthopedic outpatient clinic for further evaluation. Wishing you good health.

[Read More] Unexplained Arm Pain: When to Seek Medical Advice?


Understanding Hair Color Changes and Genetic Testing Options

Hair color issues? Question 1: Why did my mom say I was blonde when I was born, but now my hair color has gotten darker as I grew up? Although there is still a small part that looks blonde in the sunlight, most of it has turned black. Other people, like my foreign language teache...


Dr. Hou Angting reply Family Medicine
Hello: Regarding issues related to genetics, I suggest you consult with a facility that offers genetic testing for relevant advice. Wishing you good health.

[Read More] Understanding Hair Color Changes and Genetic Testing Options


Understanding Respiratory Distress: Next Steps for Elderly Care

Respiratory distress syndrome Hello, doctor. I would like to inquire on behalf of my elderly family member. Recently, my grandmother has been experiencing shortness of breath for unknown reasons, and she often feels breathless in the mornings. She has a history of diabetes and pr...


Dr. Hou Angting reply Family Medicine
Hello: I recommend that you visit the pulmonology outpatient clinic for further evaluation. Wishing you good health.

[Read More] Understanding Respiratory Distress: Next Steps for Elderly Care


Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained

Symptoms have worsened, with sudden sharp pain in the heart? I have been experiencing chronic headaches and dizziness for about three years (I often take painkillers, consuming an entire bottle during one summer). I am currently trying to control my intake. Previously, I had an E...


Dr. Hou Angting reply Family Medicine
Hello: I recommend that you visit a cardiology or family medicine clinic for further evaluation. Wishing you good health.

[Read More] Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained


Understanding Hepatitis B Risks After Vaccination and Exposure

Hepatitis B infection issues I was born in 1999 and received three doses of the hepatitis B vaccine when I was younger. However, during a check-up last year, I found that both the hepatitis B surface antigen and antibodies were negative. Therefore, I received an additional dose o...


Dr. Hou Angting reply Family Medicine
Hello: Generally speaking, if there are antibodies to hepatitis B in the body, it is unlikely to become infected unless there is significant exposure to the hepatitis B virus. Wishing you good health.

[Read More] Understanding Hepatitis B Risks After Vaccination and Exposure


Understanding Weight Gain and Abdominal Changes: A Medical Perspective

Weight gain and body shape changes - increased abdominal fat? Hello Dr. Hou, I have a few questions regarding weight gain (I am 156 cm tall and weigh 48.4 kg). 1) Since the Lunar New Year, my weight has been steadily increasing (from 46 kg to the current 48.4 kg), and fat has s...


Dr. Hou Angting reply Family Medicine
Hello: Generally speaking, an increase in the intake of sugary beverages can easily lead to weight gain, so it is recommended that you start with dietary control. As for whether steroids have an impact, it is advisable to discuss this with your rheumatology and immunology special...

[Read More] Understanding Weight Gain and Abdominal Changes: A Medical Perspective


Can Using Blood Collection Cotton Balls Lead to Cross-Contamination?

Can hemostatic cotton cause cross-contamination? Hello Doctor, today when I visited the clinic for a blood draw, the nurse disinfected the area with a cotton ball and then placed that same cotton ball on the cushion used to elevate my arm during the blood draw. After the blood wa...


Dr. Hou Angting reply Family Medicine
Hello: Generally speaking, disinfecting with 75% alcohol can effectively inactivate bacteria, reducing the risk of infection. Wishing you good health.

[Read More] Can Using Blood Collection Cotton Balls Lead to Cross-Contamination?


Understanding Weight Fluctuations: When to Seek Medical Advice

Weight issues I have recently noticed a weight loss, with my daily weight fluctuating by about 0.4 to 0.5 kilograms. I'm concerned whether this is due to eating too little or if there is an underlying disease. I often feel hungry even after eating, and I experience a constan...


Dr. Hou Angting reply Family Medicine
Hello: I suggest you first visit a family medicine outpatient clinic for a physician evaluation. Wishing you good health.

[Read More] Understanding Weight Fluctuations: When to Seek Medical Advice


Nighttime Fever: Should You Seek Medical Attention?

Fever at night? For the past five days, my nighttime ear temperature has been hovering around 37.5°C, and I feel sensations similar to when I used to have a fever, but during the day, I have no discomfort, and my ear temperature ranges between 36.2°C and 36.7°C. I used to sleep s...


Dr. Hou Angting reply Family Medicine
Hello: If you continue to feel unwell, it is recommended that you visit a family medicine clinic for a physician evaluation. Wishing you good health.

[Read More] Nighttime Fever: Should You Seek Medical Attention?


Understanding Temporary Finger Discomfort: When to Seek Medical Advice

Finger numbness issue? Hello, doctor. For the past two weeks, I have suddenly been experiencing brief sensations of discomfort in my fingers (lasting less than 1 second or 1-2 seconds), which feel like a mild ache (not painful, and there's no pain upon pressure; I'm not...


Dr. Hou Angting reply Family Medicine
Hello: If you have a positive rheumatoid factor along with discomfort in both hands and fingers, it is recommended that you visit a rheumatology and immunology specialist for further evaluation. Wishing you good health.

[Read More] Understanding Temporary Finger Discomfort: When to Seek Medical Advice


Understanding Your Health Check Report: Key Lab Values Explained

Questions about health check-up reports? Hello Doctor: I recently had a basic blood test and have some questions regarding the results. Could you please help clarify and provide suggestions based on the following values? Should I visit a hospital for further evaluation? ⭕️ eGFR:...


Dr. Hou Angting reply Family Medicine
Hello: In your examination report, aside from elevated low-density lipoprotein cholesterol, your glycated hemoglobin is also within the range of prediabetes. It is recommended that you maintain a healthy diet without overeating and engage in moderate exercise. A follow-up with yo...

[Read More] Understanding Your Health Check Report: Key Lab Values Explained


Understanding Diabetes Diagnosis and Fatty Liver: Key Insights

Diagnosis of Diabetes and Fatty Liver Disease Hello, I would like to ask if a fasting blood glucose level of 126 mg/dL or higher can be considered as type 2 diabetes, or is it necessary to have two separate diagnoses? If two diagnoses are required, how far apart are these tests t...


Dr. Hou Angting reply Family Medicine
Hello: If your fasting blood glucose is above 100, it is recommended that you maintain a healthy diet and engage in moderate exercise. Additionally, you should visit a family medicine physician for follow-up and assessment three months after your last test. The causes of fatty li...

[Read More] Understanding Diabetes Diagnosis and Fatty Liver: Key Insights


Understanding Cholesterol and Urine Test Results: A Guide for Underweight Patients

Questions about lipid profile and urine tests in health check-ups? I have been underweight for a long time. Recently, I underwent an employee health check, and my measurements were 171 cm and 45.7 kg (I lost about 3 kg in the past year due to orthodontic treatment). The health ch...


Dr. Hou Angting reply Family Medicine
Hello: If you want to gain weight without increasing cholesterol, you can increase your protein intake, reduce high-fat foods, and engage in moderate exercise. It is also recommended to regularly monitor your urine and liver function tests. Wishing you good health!

[Read More] Understanding Cholesterol and Urine Test Results: A Guide for Underweight Patients


Understanding High Cholesterol Levels: Impacts of Elevated HDL and TC/HDL Ratio

Total cholesterol is above the recommended level, and HDL is significantly elevated? Hello, let me explain my cholesterol changes. I underwent health check-ups from 2019 to 2022, with total cholesterol values of 181 mg/dL, 188 mg/dL, 212 mg/dL, and 222 mg/dL. The low-density lipo...


Dr. Hou Angting reply Family Medicine
Hello: Cholesterol levels can be influenced by diet and exercise habits. Generally speaking, higher levels of high-density lipoprotein (HDL) cholesterol are associated with a protective effect against cardiovascular diseases, while higher levels of low-density lipoprotein (LDL) c...

[Read More] Understanding High Cholesterol Levels: Impacts of Elevated HDL and TC/HDL Ratio


Understanding Cholesterol Changes: Is a 24-Point Increase Significant?

Cholesterol has increased by 24 over the past two years? Hello, I would like to ask about my total cholesterol levels. When I was 20 years old, my total cholesterol was 172, and two years later, it increased to 196. Although both values are within the normal range, does this incr...


Dr. Hou Angting reply Family Medicine
Hello: Cholesterol levels can be influenced by diet and exercise habits, and since your cholesterol is still within the normal range, you only need to monitor it regularly without excessive worry. Wishing you good health.

[Read More] Understanding Cholesterol Changes: Is a 24-Point Increase Significant?


Alternatives to Colchicine for Gout in Patients with Favism

Favism & Gout Hello, due to having favism, I have experienced a gout attack in the past few days. I have a history of gout and have seen a rheumatologist who prescribed colchicine and pain relievers. However, I recently discovered that individuals with favism should not take ...


Dr. Hou Angting reply Family Medicine
Hello Zeze: I suggest you discuss gout medication with a rheumatologist. Wishing you good health.

[Read More] Alternatives to Colchicine for Gout in Patients with Favism


Managing High Cholesterol: Key Questions and Answers for Your Health

High cholesterol Hello Doctor: Here are my two test reports, from February 2021 and July 2022: Total cholesterol: 215, 226 (unit: mg/dL) Triglycerides: 69, 126 (unit: mg/dL) HDL-cholesterol: 36, 37 (unit: mg/dL) LDL-cholesterol: 160, 164 (unit: mg/dL) Total cholesterol/...


Dr. Hou Angting reply Family Medicine
Hello: Based on the report and medical history you provided, although your current lipid levels have slightly increased, they are still not at the stage where medication is recommended. It is advised that you reduce your calorie intake, increase your consumption of fruits and veg...

[Read More] Managing High Cholesterol: Key Questions and Answers for Your Health


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