Dr. Huang Jianling reply Family Medicine Question

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Confused About Symptoms: When to See a Doctor for Dizziness and Weakness?

I'm not sure what to do? Occasionally, I experience dizziness and weakness in my limbs, to the point where I can no longer stand. My vision becomes dark, and I feel discomfort in my abdomen, along with a persistent urge to have a bowel movement. After I have a bowel movement...


Dr. Huang Jianling reply Family Medicine
It is recommended to consult a family medicine physician or a gastroenterologist for an examination. Sincerely, Dr. Huang Jianling.

[Read More] Confused About Symptoms: When to See a Doctor for Dizziness and Weakness?


Understanding Right Side Lower Back Pain After Sleeping: Causes and Solutions

Experiencing pain in the right side of the lower back that wakes you up after falling asleep? Dr. Huang: Hello, I would like to ask about a problem I have. After I fall asleep lying in bed, I experience significant pain in my right lower back about 5 to 7 hours later. The pain is...


Dr. Huang Jianling reply Family Medicine
It may be a spinal issue. It is recommended to visit a family medicine physician, orthopedic specialist, or rheumatologist for examination, such as HLA-B27, CRP, or spinal X-rays. Sincerely, Dr. Huang Jian-Ling.

[Read More] Understanding Right Side Lower Back Pain After Sleeping: Causes and Solutions


Understanding Your Gastrointestinal Issues: Gas, Bloating, and Breathing Difficulties

What exactly is the problem that is difficult to understand? In the past six months, I have been experiencing persistent stomach pain and bloating. I have a history of gastric bleeding and gastroesophageal reflux disease (GERD), so two months ago, I consulted a gastroenterologist...


Dr. Huang Jianling reply Family Medicine
It could be caused by indigestion or intestinal obstruction, leading to flatulence and bloating. It is recommended to consult a family medicine physician or a gastroenterologist for an examination. Dr. Huang Jianling.

[Read More] Understanding Your Gastrointestinal Issues: Gas, Bloating, and Breathing Difficulties


Understanding Growth Standards for Children's Height and Weight in Taiwan

Growth standards for height and weight in children? For a male child born on January 12, 1995, the appropriate height and weight development can be assessed using growth charts that are specific to age and sex. In the United States, the Centers for Disease Control and Prevention ...


Dr. Huang Jianling reply Physical Fitness
In Taiwan, the average height of an 11-year-old boy is 146.6 cm, with a standard deviation of 6.7 cm. The average weight is 35.7 kg, with a standard deviation of 8.5 kg. For more information, you can visit the Department of Health's website on "Resident Body Measurement...

[Read More] Understanding Growth Standards for Children's Height and Weight in Taiwan


Understanding Evening Chill: Symptoms and When to Seek Medical Advice

I start to feel chills every evening? My father has recently been complaining of feeling cold every evening. What could this be a symptom of, and which specialist should he see? Could you please provide some advice? Thank you. *Note: He is 64 years old and has diabetes.


Dr. Huang Jianling reply Family Medicine
Chills may be a symptom of low blood sugar. If you experience similar symptoms, you can measure your blood sugar before bedtime and take three pieces of sugar if it's low. If the symptoms improve or if your blood sugar is below 80 mg/dL, it may indicate hypoglycemia. It is a...

[Read More] Understanding Evening Chill: Symptoms and When to Seek Medical Advice


Are Low Blood Volume and High Platelet Count Related?

Is there a relationship between low hematocrit and high platelet count? Hello Dr. Huang: Happy New Year! I would like to ask you about the results of my recent blood and urine tests. My hematocrit is 65.5, hemoglobin is 21.8 pg, and platelet count is 452. The doctor mentioned tha...


Dr. Huang Jianling reply Family Medicine
Lisa: There is no direct relationship between low hematocrit and high platelet count; however, anemia (i.e., low hemoglobin) can activate the hematopoietic system, leading to an increased capacity of the bone marrow to produce red blood cells. At the same time, white blood cells ...

[Read More] Are Low Blood Volume and High Platelet Count Related?


Understanding Cold Hands and Feet: Causes and Solutions

Cold and purple hands and feet..? I would like to ask, whenever the weather gets cold, my hands and feet become cold, and sometimes they even turn purple. I would like to know the reason for this and how to improve the situation. Thank you.


Dr. Huang Jianling reply Family Medicine
Hello Lin: Experiencing cold hands and feet that turn purple may be caused by Raynaud’s phenomenon. This occurs when the blood vessels in the extremities constrict in response to cold weather or increased stress, leading to numbness, tingling, or pain in the fingers, toes, and ea...

[Read More] Understanding Cold Hands and Feet: Causes and Solutions


Understanding Ear Sensations in Diabetic and Hypertensive Patients

Is it possible for individuals with diabetes and hypertension to experience a sensation of water in their ears when there is actually none present? Hello: My father has a history of diabetes for several years and also has complications from hypertension. Recently, he has been com...


Dr. Huang Jianling reply Family Medicine
It is recommended to follow up with an otolaryngologist to rule out otitis media, Meniere's disease (which includes issues such as vertigo, tinnitus, and hearing impairment), as well as lymphadenopathy and neurological problems. Sincerely, Dr. Huang Jian-Ling.

[Read More] Understanding Ear Sensations in Diabetic and Hypertensive Patients


Understanding Your Health Checkup Results: Key Insights and Next Steps

Could you please provide the specific questions regarding the health check report? Thank you? Hello, Dr. Huang... First of all, thank you. Last month, I went to the hospital for a health check-up, and the results showed some abnormalities, mainly as follows: Hemoglobin (RBC) 6.3,...


Dr. Huang Jianling reply Family Medicine
1) The hemoglobin (RBC) level is 6.3, with a mean corpuscular volume (MCV) of 70 and a mean corpuscular hemoglobin (MCH) of 231. These results may indicate thalassemia, and it is recommended to conduct further tests for serum iron and thalassemia screening. 2) The basophil perc...

[Read More] Understanding Your Health Checkup Results: Key Insights and Next Steps


Understanding Chronic Headaches: Are They Linked to Hair Loss?

Chronic headache Dear Doctor: I often experience headaches, which I have almost gotten used to. Recently, the pain has become more frequent, occurring about four to five times a week. Additionally, I have been losing a lot of hair; sometimes, just a gentle tug results in a handfu...


Dr. Huang Jianling reply Family Medicine
Hello, Xiao Xi: Headaches and hair loss may be related to stress. Additionally, environmental toxins, scalp disorders, and nutritional deficiencies could also be contributing factors. It is recommended to follow up with a family medicine and dermatology clinic for further evaluat...

[Read More] Understanding Chronic Headaches: Are They Linked to Hair Loss?


Are You Fit Enough for This Test? Understanding Your Assessment Results

You may not be suitable for this test? Smoking one cigarette daily; irregular exercise habits; experienced chest pain during inactivity; has lost balance or consciousness due to dizziness; height 160 cm, weight 73 kg, BMI: 28.52 (considered dangerously overweight); flexibility: 3...


Dr. Huang Jianling reply Physical Fitness
Jill: It is recommended to first go to the hospital to assess for any heart issues such as angina or arrhythmia to avoid potential dangers. Sincerely, Dr. Huang Jianling.

[Read More] Are You Fit Enough for This Test? Understanding Your Assessment Results


Can I Get My Hepatitis B Vaccine at a Local Clinic?

excuse me? Hello, I previously received two doses of the Hepatitis B vaccine at the Far Eastern Memorial Hospital in Banqiao. I am scheduled to receive the third dose in February. Can I get the vaccine closer to my location? Are all the vaccines the same? Should I also go to a fa...


Dr. Huang Jianling reply Family Medicine
Aru: It is recommended to consult with a family medicine physician for vaccination; it is not necessary to go to a specific hospital, as many large hospitals and some clinics offer vaccinations. Sincerely, Dr. Huang Jianling.

[Read More] Can I Get My Hepatitis B Vaccine at a Local Clinic?


Can Fish Oil Be Consumed by Those with Gout and High Uric Acid?

If you cannot eat seafood, can you take fish oil? Individuals with gout and high uric acid levels should avoid seafood. However, the consumption of fish oil may be acceptable, as it does not typically raise uric acid levels. It is advisable to consult with a healthcare profession...


Dr. Huang Jianling reply Family Medicine
Uric acid is a nitrogenous substance found in purines, which are genetic materials such as DNA. It can be synthesized by the body or derived from the metabolism of body tissues or food, such as in cases of injury, intense exercise, or binge eating. Generally, organ meats, gravies...

[Read More] Can Fish Oil Be Consumed by Those with Gout and High Uric Acid?


Effective Tips to Increase Your Height: What Works and What Doesn't

I'm sorry, but I need more context or content to provide a translation? How can I increase my height? I've tried many things, but I still can't grow taller.


Dr. Huang Jianling reply Physical Fitness
A balanced diet, adequate sleep, and sufficient exercise are essential for growth, but height is largely influenced by genetics. Do not be misled by exaggerated advertisements that encourage spending money on expensive height-increasing products. Sincerely, Dr. Huang Jianling.

[Read More] Effective Tips to Increase Your Height: What Works and What Doesn't


Understanding Blood in Urine: Causes, Diagnosis, and Next Steps for Your Health

Regarding hematuria..? Hello Doctor: My mother recently experienced dizziness, so she went to the hospital for an examination. The doctor diagnosed her with hypertension and recommended a physical check-up. During her first urine test, she did not discard the initial portion of t...


Dr. Huang Jianling reply Family Medicine
Jay: The most common causes of hematuria are urinary tract infections, urinary stones, and urinary tumors, in that order. In females, menstrual issues should be ruled out first. Stones typically cause pain only when they reach a certain size, so it is recommended to perform a ren...

[Read More] Understanding Blood in Urine: Causes, Diagnosis, and Next Steps for Your Health


Understanding Your Abnormal Health Check Results: A Guide

Consultation of Test Results Dr. Huang: Here are the abnormal items from my health check-up results: Urine test: Urine Bilirubin - Normal value: Negative, Result: Positive. Urine sediment: Epithelial cells - Normal value: 0-5, Result: 5-10. Complete blood count: %NEUT (Neut...


Dr. Huang Jianling reply Family Medicine
1) Urobilinogen, also known as bilirubinuria, can appear in the urine in cases of liver disease or biliary tract disorders (such as biliary obstruction caused by gallstones or tumors), resulting in a positive test result. 2) An elevated number of epithelial cells in the urine typ...

[Read More] Understanding Your Abnormal Health Check Results: A Guide


Are There Lymph Nodes in the Lower Back? Understanding Your Symptoms

Are there lymph nodes in the lower back area? Recently, I have felt two lumps on both sides of my lower back (just below the kidneys), which feel like lymph nodes, but I'm not sure if that's what they are. They have become more noticeable lately, and I have also been ex...


Dr. Huang Jianling reply Family Medicine
Hello, Xiao Cao: The lower back pain may not necessarily be related to the two lumps in the lower back. There are rarely lymph nodes in that area, and they could be benign tumors such as lipomas. However, if they continue to grow or if the back pain worsens, it is advisable to vi...

[Read More] Are There Lymph Nodes in the Lower Back? Understanding Your Symptoms


Is Your Daily Water Intake Normal? Understanding Hydration Needs

Regarding daily water intake? Symptoms: I have read some reports stating that one should drink at least 1500 to 2000 cc of water per day. However, I drink less than 1500 cc daily. Whenever I drink more than 1000 cc, I have to go to the bathroom every 40 to 50 minutes, and the uri...


Dr. Huang Jianling reply Family Medicine
Hello MIMI: Water constitutes about 70% to 80% of body weight and provides various essential components to cells while also helping to metabolize waste products from the cells. In general, aside from obtaining moisture from food, an individual should drink 6 to 8 cups of water an...

[Read More] Is Your Daily Water Intake Normal? Understanding Hydration Needs


Understanding Low Blood Pressure: Symptoms, Risks, and Care Tips

Hypotension Hello Dr. Huang, I would like to ask you a few questions. Since giving birth (over a year ago), I feel that my body is not as good as it used to be, and my constitution seems to have changed. Previously, my blood pressure readings were always normal, but after givin...


Dr. Huang Jianling reply Family Medicine
Hello Amy: Your blood pressure is 92/68, which is slightly low. However, other conditions such as anemia, acute or chronic hepatitis, and diabetes may also cause symptoms like dizziness and fatigue. It is recommended to maintain a balanced diet, engage in moderate exercise, and g...

[Read More] Understanding Low Blood Pressure: Symptoms, Risks, and Care Tips


Understanding Multiple Sebaceous Cysts: Causes, Treatment, and Prevention

Multiple sebaceous cysts? I have small white bumps under the skin on the inner side of my arms and on my chest, which can be affected during injections and blood draws. When I consulted a dermatologist, the doctor mentioned it might be "multiple sebaceous cysts" (I can&...


Dr. Huang Jianling reply Family Medicine
Hello, it could possibly be a "lipoma" or "fibrous cyst," which are types of benign tissues that many people may have. However, if it continues to grow, changes color, or causes pain, it is advisable to visit a dermatology clinic for a biopsy. Sincerely, Dr. H...

[Read More] Understanding Multiple Sebaceous Cysts: Causes, Treatment, and Prevention


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