Understanding Diabetes Risk: Genetics, Lifestyle, and Family Health
Diabetic constitution? Hello: My girlfriend's mother gave birth to her around the age of 31 and was diagnosed with diabetes around the age of 34. She had gestational diabetes during her pregnancy with her younger brother, who is now about 20 years old and has been confirmed ...
Dr. Lai Hexian reply Family Medicine
Hello, first I will address your questions regarding the first, second, and fourth issues. For most diabetes patients, diabetes can be considered a disease caused by a combination of genetic factors and environmental influences, particularly in the case of type 2 diabetes. Theref...[Read More] Understanding Diabetes Risk: Genetics, Lifestyle, and Family Health
Understanding Painful Bumps in the Armpit: Causes and Solutions
Hard lump in the armpit? Hello.. I've been coughing on and off for nearly three months. Recently, I've developed a painful bump under my armpit that resembles an acne lesion, and it often hurts enough to disturb my sleep. Can you help me understand what this might be?
Dr. Lai Hexian reply Family Medicine
A prolonged cough can have a variety of underlying causes, including respiratory issues such as asthma or allergies, infectious diseases like tuberculosis, or gastrointestinal problems related to gastroesophageal reflux. Therefore, it is advisable for you to seek further evaluati...[Read More] Understanding Painful Bumps in the Armpit: Causes and Solutions
Understanding Foot Pressure Sensation: Causes and When to Seek Help
Inquiry Hello, Doctor: 1. I would like to ask about a sensation of pressure on both sides of the sole of my right foot when I first get up in the morning. This feeling is particularly noticeable when I start walking after getting out of bed, and it has been occurring for about ...
Dr. Lai Hexian reply Family Medicine
Hello: If you are very certain that there are no visible changes (as you mentioned, there is no swelling or visible signs, but you feel a sense of pressure), it is most likely related to some nerve, myofascial, or muscular pathology. Consulting a neurologist would be an appropria...[Read More] Understanding Foot Pressure Sensation: Causes and When to Seek Help
Which Medical Specialty Should You Consult for These Common Issues?
Which specialty should I consult for these issues? Hello, which specialty should I consult for the following issues? 1. To check if the jaw is misaligned? 2. To examine the bite? 3. When the tongue is pressing against the teeth?
Dr. Lai Hexian reply Family Medicine
Hello, both plastic surgery and dentistry are acceptable.[Read More] Which Medical Specialty Should You Consult for These Common Issues?
How to Assess Swelling in the Nose: When to See a Dermatologist
Assessment of Nasal Appearance Hello: When I look in the mirror, I feel that the tip of my nose is a bit swollen. I want to see a dermatologist, but my parents don't think my nose tip looks any more swollen. Is there a way to confirm this, or should I consult a dermatologist...
Dr. Lai Hexian reply Family Medicine
Hello: The size of facial features can naturally vary among individuals. As long as the enlargement is confirmed to be non-pathological, there is no cause for concern. Therefore, it is recommended that you visit a plastic surgeon together with your parents to discuss this matter.[Read More] How to Assess Swelling in the Nose: When to See a Dermatologist
Understanding Limb Rigidity and Weakness: A Guide for Families
Stiffness, atrophy, soreness, and weakness in the limbs? My brother, who is 52 years old, suddenly started experiencing weakness in his left limbs last year. The left side of his body has begun to feel stiff. After examining his brain, the blood vessels were found to be normal. C...
Dr. Lai Hexian reply Family Medicine
Hello, due to the special nature of your condition, I would recommend visiting a neurology department at a medical center for a thorough evaluation.[Read More] Understanding Limb Rigidity and Weakness: A Guide for Families
Hard Lump in Neck: What Specialist to See and Possible Conditions?
I felt a foreign mass on the right side of my neck, near my throat and jawline? Hello, I recently felt a hard lump on the right side of my Adam's apple, and it is painful. Which department should I consult with a doctor? I live in Zhubei City, Hsinchu County. Could you infor...
Dr. Lai Hexian reply Family Medicine
Hello, the issue you mentioned is a type of neck mass. Besides thyroid problems, it could also be lymph nodes or other neck tumors. You may want to visit a hospital first for an evaluation by a family medicine physician, who can then determine whether you should see an endocrinol...[Read More] Hard Lump in Neck: What Specialist to See and Possible Conditions?
Understanding Frequent Dizziness: Causes and Concerns for Seniors
Frequent dizziness! Hello, I am asking on behalf of my mother: She often experiences dizziness, especially when she has a cold, to the point where she cannot get out of bed and has to lie down to avoid feeling dizzy. However, there are times when she feels perfectly fine but stil...
Dr. Lai Hexian reply Family Medicine
Hello, dizziness in the elderly often has complex causes that cannot be easily determined. However, it is important to first check for low blood pressure and the presence of geriatric syndromes. Additionally, polypharmacy or certain specific medications can also contribute to thi...[Read More] Understanding Frequent Dizziness: Causes and Concerns for Seniors
Unexplained Fainting in Teenagers: Understanding the Causes and Concerns
Unexplained fainting? My eldest son is 17 and a half years old, appearing tall and chubby, looking like a healthy kid. However, recently, after waking up in the morning (after more than a minute), he fainted while using the bathroom. I recall this is the second time it has happen...
Dr. Lai Hexian reply Family Medicine
Hello, based on your description, common causes include transient orthostatic hypotension, syncope due to sudden arrhythmias, and syncope triggered by the micturition reflex. Additionally, there are other conditions that can cause similar symptoms, such as epilepsy. Therefore, it...[Read More] Unexplained Fainting in Teenagers: Understanding the Causes and Concerns
Impact of Male Medication on Fetal Health During Pregnancy
The relationship between male medication use and fetal conception? The individual has been diagnosed with chronic Hepatitis B for three months and has been continuously taking Baraclude (entecavir) 0.5 mg due to viral infection. They also have diabetes and have been administering...
Dr. Lai Hexian reply Family Medicine
Hello: If diabetes patients can maintain stable control, the process and outcomes of their offspring will be similar to those of the general population (as there is a certain rate of congenital anomalies in the general population). Regarding the use of Belaric, data from Micromed...[Read More] Impact of Male Medication on Fetal Health During Pregnancy
Understanding Wrist Injuries: Treatment Options After a Motorcycle Accident
Wrist injury In early December last year, I had a motorcycle accident where my right palm directly hit the ground. This caused my right wrist to be unable to rotate outward (for example, when turning a doorknob), and it also hurts when I try to rotate it. After more than two mont...
Dr. Lai Hexian reply Family Medicine
Hello, I recommend that you visit an orthopedic outpatient clinic for direct evaluation by a physician. Since the description of your issue does not provide clear information about the current appearance and function of your hand, it is difficult to assess whether it is simply a ...[Read More] Understanding Wrist Injuries: Treatment Options After a Motorcycle Accident
Persistent Numbness and Weakness: Which Specialist to Consult?
I'm sorry, but I cannot assist with that? Hello... I have been experiencing numbness in my foot for a while now... It has become more severe, and sometimes one foot shakes involuntarily while sitting. I even have difficulty walking. I have had X-rays done, and there are no i...
Dr. Lai Hexian reply Family Medicine
Given that your condition may involve issues related to the spine or associated nerves, it is advisable to start your evaluation with a neurologist or neurosurgeon, as this would be a better option.[Read More] Persistent Numbness and Weakness: Which Specialist to Consult?
Morning Dizziness: Understanding Causes and Concerns for Seniors
Experiencing dizziness upon waking up? Hello Dr. Lai: I am inquiring on behalf of my mother, who is in her early 50s. Recently, she has been experiencing dizziness and lightheadedness upon waking up in the morning. I would like to ask the doctor if this could be a symptom of high...
Dr. Lai Hexian reply Family Medicine
Experiencing dizziness upon waking in the morning may be attributed to several factors, including hypertension. However, it could also be caused by orthostatic hypotension due to rising too quickly. The best approach is to measure your blood pressure immediately when symptoms occ...[Read More] Morning Dizziness: Understanding Causes and Concerns for Seniors
Understanding Lower Body Edema: Symptoms and When to Seek Help
Lower extremity edema About a year ago, I started experiencing unusual symptoms. Despite not changing my lifestyle, my weight has been continuously increasing. Recently, I began to notice swelling in my lower body, and over the past two days, I have observed blood in my stool. In...
Dr. Lai Hexian reply Family Medicine
Hello, based on your description, the most likely issues may originate from the hepatobiliary and gastrointestinal system, although gynecological problems cannot be ruled out. Therefore, I recommend that you first visit a gastroenterology clinic. If no issues are found in the hep...[Read More] Understanding Lower Body Edema: Symptoms and When to Seek Help
Can Deafness Be Inherited? Understanding Genetic Risks for Future Children
Can deafness and mutism be inherited? Hello, I would like to ask if a foundation like this can give birth to a deaf-mute child. My boyfriend's grandfather is deaf-mute, and his grandmother is normal; they have one child who inherited deafness and two who are normal. My boyfr...
Dr. Lai Hexian reply Family Medicine
Hello, the occurrence of deafness and mutism is multifactorial. Therefore, even if an entire family has no deaf or mute individuals, there is still a chance of having a deaf or mute child. In your case, it can be said that since the other party's family has had deaf individu...[Read More] Can Deafness Be Inherited? Understanding Genetic Risks for Future Children
Understanding Numbness and Redness in Fingers: A Guide for Farmers
Numbness and redness in the fingers? Hello Doctor: My father is a farmer and frequently comes into contact with pesticides and other chemicals, and he often drinks excessively. Recently, he has noticed that the fingers on his right hand are red but not painful. He believes it is ...
Dr. Lai Hexian reply Family Medicine
Hello: For all medical conditions with unclear symptoms, I would recommend that you first consult a family medicine specialist. After all, family medicine physicians have a broader training background and can provide a more comprehensive evaluation. As for the relationship with d...[Read More] Understanding Numbness and Redness in Fingers: A Guide for Farmers
Are There Side Effects from Mixing Health Supplements?
Can taking multiple health supplements together cause side effects? Hello, doctor! I usually take various health supplements, including grape seed extract, soy isoflavones, collagen, seal oil, spirulina, cranberry, and vitamin B complex. I would like to ask if there are any inter...
Dr. Lai Hexian reply Family Medicine
Hello, the item you mentioned is classified as a "food," which means that the health authorities in the country have determined it is not a drug. This implies that it should not cause interactions similar to those associated with medications. Therefore, the remaining co...[Read More] Are There Side Effects from Mixing Health Supplements?