Managing Chickenpox in Adults: Care Tips and Prevention Strategies
Chickenpox issues in adults? How should adults care for the blisters when infected with chickenpox? If the blisters are not broken, will they dry up on their own? If there are other adults in the household who have not had chickenpox, how can they prevent infection? Can they get ...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Wind: Chickenpox typically dries up and heals naturally within 7 to 10 days; keeping the affected areas dry is important. There is currently a vaccine available for chickenpox, so please consult with a family medicine specialist for more information.[Read More] Managing Chickenpox in Adults: Care Tips and Prevention Strategies
Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?
Unknown symptoms? January 21, 2001 DEAR DR. KOH, HOW ARE YOU? AND HAPPY CHINESE LUNAR NEW YEAR. REF: Nasopharyngeal Carcinoma or Another Health Problem? I have a question I would like to ask Dr. Koh. My blood tests showed: EBV IgA <32x (-) which is normal, but EBV IgG <...
Dr. Ke Zhengchang reply Internal Medicine
Hello Lai Chun Shi: It is recommended that you visit an otolaryngologist for a detailed examination, as blood tests for viral antibodies are not very meaningful.[Read More] Understanding Your Symptoms: Is It Nasopharyngeal Cancer or Something Else?
Understanding Cold Symptoms: When to See a Doctor for Treatment
Common cold Initially, it starts with a cold, followed by phlegm that is sticky, accompanied by wheezing, and then a cough develops. What type of condition does this belong to, and which specialty should I consult?
Dr. Ke Zhengchang reply Internal Medicine
Hello Mr. Shen: A cold can trigger complications such as asthma, bronchitis, and pneumonia, so please schedule an appointment with the pulmonology clinic for treatment.[Read More] Understanding Cold Symptoms: When to See a Doctor for Treatment
Understanding the Symptoms of Veterans' Disease: A Guide for Patients
Symptoms of Veterans' Disease? Hello Dr. Ke: What are the symptoms of Veterans' Syndrome (also known as Gulf War Syndrome) during its onset? Thank you!
Dr. Ke Zhengchang reply Internal Medicine
Hello Lily: The symptoms are similar to those of general pneumonia, such as fever, cough, and chest pain. In severe cases, there may be difficulty breathing, confusion, and gastrointestinal discomfort.[Read More] Understanding the Symptoms of Veterans' Disease: A Guide for Patients
Understanding Mild Chest Discomfort: Causes and When to Seek Help
Occasional mild chest discomfort? Hello, my symptoms include occasional mild chest tightness and a cool sensation, as well as a feeling of something in my throat that comes and goes for over a year. I have undergone a full health check-up and have had blood tests, an electrocardi...
Dr. Ke Zhengchang reply Internal Medicine
Hello Lu: Please follow up for treatment at the cardiology outpatient clinic.[Read More] Understanding Mild Chest Discomfort: Causes and When to Seek Help
Understanding the Risks of High-Dose Vitamins on Kidney Health
The Myths of Vitamins Hello, I have a habit of taking multivitamins to supplement my nutrition. I used to take low-dose multivitamins, but recently I switched to high-dose ones. Since then, my urine has noticeably turned yellow, and I feel discomfort in my lower back (kidneys??)....
Dr. Ke Zhengchang reply Internal Medicine
Hello, Godzilla: Excessive intake of fat-soluble vitamins can affect health, but taking one multivitamin a day does not pose any harm to the body.[Read More] Understanding the Risks of High-Dose Vitamins on Kidney Health
Can Arrhythmia Be Diagnosed with Just an ECG?
Is an electrocardiogram (ECG) sufficient for diagnosing arrhythmias? I would like to ask Anita if the doctor prescribed any medication for her after she was diagnosed with arrhythmia. (Or could the doctor provide me with Anita's email address so I can reach out to her direct...
Dr. Ke Zhengchang reply Internal Medicine
Hello Jane: The diagnosis of arrhythmia through an electrocardiogram (ECG) is essential. If necessary, a 24-hour Holter monitor should be performed. Please follow up for treatment at the cardiology outpatient clinic. Thank you.[Read More] Can Arrhythmia Be Diagnosed with Just an ECG?
Why Do You Experience Bad Breath on an Empty Stomach?
Please provide Why does bad breath occur when fasting?
Dr. Ke Zhengchang reply Internal Medicine
Hello Steve: 1. Consider whether there is periodontal disease. 2. Are there any gastrointestinal issues, such as abnormal fermentation in the digestive tract? 3. Are there any other issues related to diabetes or kidney problems?[Read More] Why Do You Experience Bad Breath on an Empty Stomach?
Should You See a Doctor for a Uric Acid Level of 7.0? Dietary Tips Inside!
Uric acid If a health check reveals a uric acid level of 7.0, should I see a doctor for further evaluation, or is it sufficient to manage it through dietary changes? Should I reduce my meat intake? Thank you!
Dr. Ke Zhengchang reply Internal Medicine
Hello, the normal range for uric acid is below 7.0. If there are no gout attacks, dietary control (low-purine diet) is generally sufficient, and medication is not necessary. It is advisable to consume more fish and vegetables, while limiting intake of meat, organ meats, shrimp, a...[Read More] Should You See a Doctor for a Uric Acid Level of 7.0? Dietary Tips Inside!
Is a Blood Pressure of 130/88 Normal with Calcium and Beta Blockers?
Is it normal? Is it normal for my blood pressure to be maintained at 130/88 or 130/90 if I take one calcium channel blocker and one beta-blocker each morning and evening?
Dr. Ke Zhengchang reply Internal Medicine
Hello, Xiao P: Your blood pressure is normal, and it is reasonable to use two medications for control.[Read More] Is a Blood Pressure of 130/88 Normal with Calcium and Beta Blockers?
Understanding Post-Exercise Heart Palpitations and Breathing Issues
Increased heart rate after exercise? Hello Dr. Ke, I would like to ask you about a heart-related issue. I often experience rapid heartbeat and shortness of breath after exercising, which usually resolves with a bit of rest. However, yesterday was more severe; after cycling, I had...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Antia; it is recommended that you undergo an exercise electrocardiogram (ECG) to check for any arrhythmias and signs of cardiac hypoxia.[Read More] Understanding Post-Exercise Heart Palpitations and Breathing Issues
Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes
Questions regarding diaphragmatic hernia? Hello, I recently underwent a health check-up and the report indicated that I have gastritis, as well as a hiatal hernia. I also experience food reflux when I overeat or consume greasy foods, and I tend to vomit whenever I overeat and lie...
Dr. Ke Zhengchang reply Internal Medicine
Hello Ms. Wu Pei-Rong: A diaphragmatic hernia must be diagnosed through an upper gastrointestinal series. For gastroesophageal reflux, it is advisable to eat small, frequent meals and to stop eating when feeling about 70% full. Avoid lying down immediately after meals. Additional...[Read More] Understanding Diaphragmatic Hernia: Causes, Treatment, and Lifestyle Changes
Do I Need Annual Colonoscopies After Polyp Removal? Expert Insights
There are polyps in the colon? Four years ago, I had blood in my stool and underwent a colonoscopy, during which a polyp was removed using a laser. The following year, I had another colonoscopy that was normal. My doctor advised that I need to have a colonoscopy every year. Howev...
Dr. Ke Zhengchang reply Internal Medicine
Hello, Huya: Generally, individuals who have undergone polypectomy for colorectal polyps are advised by their doctors to have a follow-up colonoscopy annually to monitor for any recurrence. It is recommended that you visit a gastroenterology clinic for this examination.[Read More] Do I Need Annual Colonoscopies After Polyp Removal? Expert Insights
Emergency Steps to Take During a Heart Attack: A Family Guide
How to handle a myocardial infarction in an emergency? Hello, my mother has a history of myocardial infarction, and we are concerned about the possibility of another episode. I would like to know what we can do as a family while transporting her to the hospital if it happens agai...
Dr. Ke Zhengchang reply Internal Medicine
Hello Bear: First, it is essential to have regular follow-up treatment at the cardiology outpatient clinic. You should keep sublingual nitroglycerin tablets at home for chest pain relief. During an episode, provide oxygen (it is best to have a small oxygen tank at home) and immed...[Read More] Emergency Steps to Take During a Heart Attack: A Family Guide
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool?? I drink fresh milk every morning and eat light foods for lunch and dinner. I haven't consumed fried foods or other meat dishes. However, I have been experiencing blood in my stool every morning for the past 5 to 7 days. I'm unsure if this is serious...
Dr. Ke Zhengchang reply Internal Medicine
Hello Ms. Meow: The most common cause of rectal bleeding in young women is hemorrhoids. Please schedule an appointment with a colorectal surgeon for examination and treatment.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Managing Knee Pain in Stroke Survivors: A Guide for Seniors
Stroke The grandmother is 80 years old and had a stroke at the age of 75, but has since recovered. Recently, she has been experiencing knee pain. What should be done?
Dr. Ke Zhengchang reply Internal Medicine
Hello Miss Lo: Your grandmother is suspected to have degenerative arthritis. Please visit the orthopedic department for examination and treatment.[Read More] Managing Knee Pain in Stroke Survivors: A Guide for Seniors
Alternative Diabetes Testing Methods and Treatment for Fungal Infections
Diabetes mellitus I would like to ask the doctor the following questions: 1. Besides blood tests, are there other methods to diagnose diabetes? 2. Are onychomycosis and tinea pedis symptoms of diabetes? 3. What are the treatment options for onychomycosis and tinea pedis?
Dr. Ke Zhengchang reply Internal Medicine
Hello Mr. Lo: 1. Urinalysis is possible, but blood tests are the most accurate. 2. Not necessarily; however, diabetes is more prone to fungal infections. Please visit a dermatology clinic for treatment.[Read More] Alternative Diabetes Testing Methods and Treatment for Fungal Infections
Understanding Duodenal and Gastric Ulcers: Symptoms and Pain Management
Whole body Duodenal ulcer (stenosis), gastric ulcer... pain occurs when fasting and also slightly after eating... pain in the heart and chest ribs... generalized bone pain... leg pain while walking...
Dr. Ke Zhengchang reply Internal Medicine
Hello Judy: It is recommended that you visit the gastroenterology clinic for examination and treatment.[Read More] Understanding Duodenal and Gastric Ulcers: Symptoms and Pain Management
Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis
Then I don't know what type of arrhythmia I have? I am unsure about what type of arrhythmia I have. After taking medication, I no longer experience episodes, and the original symptoms of chest tightness have disappeared. My heart no longer feels heavy, and I should be satisf...
Dr. Ke Zhengchang reply Internal Medicine
Hello Jane: You may be experiencing paroxysmal tachycardia, and a 24-hour Holter monitor may be necessary to identify the cause. I hope you can visit the cardiology outpatient clinic for further evaluation.[Read More] Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis
Arrhythmia Treatment: Medications, Surgery, or Device Options?
Arrhythmia How is arrhythmia treated? Which is better, surgery or medication, or should a device be implanted? Thank you.
Dr. Ke Zhengchang reply Internal Medicine
Hello Mr. Asong: Arrhythmias are generally managed with medication. If they are difficult to control, catheter ablation may be considered. Surgical intervention and the placement of a pacemaker are last resort options.[Read More] Arrhythmia Treatment: Medications, Surgery, or Device Options?