Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns
Is this fluctuation in body temperature normal? Hello Doctor: Since October of last year, due to work fatigue, emotional stress, and irregular eating and sleeping habits, I have experienced difficulty sleeping for over two weeks, frequent diarrhea, and later developed gastroesoph...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your questions. 1. Human body temperature is generally stable, but it does fluctuate slightly throughout the day due to physiological activities of the muscles and liver. Body temperature gradually rises after waking up in the morning, peaks in the afternoon...[Read More] Is Your Temperature Fluctuation Normal? Understanding Fever and Health Concerns
Understanding the Truth About Milk Powder Additives and Their Effects
I'm sorry, I still don't quite understand (Quaker High-Speed Rail Zero Fat Milk Powder)? Hello, Doctor: You mentioned that 1. The additives in milk powder do not necessarily indicate their effectiveness (for example, adding L-ascorbic acid does not guarantee skin whiten...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your questions. 1. According to medical and health regulations, food containing additives or health supplements cannot claim therapeutic effects. Therefore, if the additives in milk are classified as food, it cannot be advertised as having whitening or anti-...[Read More] Understanding the Truth About Milk Powder Additives and Their Effects
Is Quaker High Iron Fat-Free Milk Powder Suitable for Men?
A certain brand of infant formula? Hello, Doctor: I have a question I would like to ask you, and I assure you it is not a waste of medical resources. I came across a can of product called "Quaker High Iron Zero Fat Milk Powder." The label mentions marine collagen, pearl...
Dr. Lai Junlong reply Family Medicine
Hello: 1. The addition of ingredients to formula does not necessarily indicate their effectiveness (for example: adding L-ascorbic acid does not guarantee skin whitening or anti-aging effects; adding calcium does not necessarily increase bone density). Therefore, even if the adde...[Read More] Is Quaker High Iron Fat-Free Milk Powder Suitable for Men?
Understanding Throat Discomfort: Causes and Solutions for Laryngeal Issues
Laryngeal issues Recently, I have been experiencing a sensation of a foreign body in my throat, occasionally accompanied by tinnitus. There is no pain or phlegm, but swallowing feels uncomfortable.
Dr. Lai Junlong reply Family Medicine
Hello: Suspected throat issues causing Eustachian tube dysfunction leading to tinnitus and difficulty swallowing may indicate pharyngeal inflammation symptoms. It is recommended to follow up with an otolaryngology outpatient clinic.[Read More] Understanding Throat Discomfort: Causes and Solutions for Laryngeal Issues
Understanding Hepatitis B Vaccination: Do You Really Need Three Doses?
Hepatitis B vaccine issues Hello Doctor, my health check report from five months ago indicated that I do not have antibodies for Hepatitis B. I received a vaccination three months ago, but I haven't gone back since. I later heard from a friend that it seems like three doses ...
Dr. Lai Junlong reply Family Medicine
Hello: 1. If a person was fully vaccinated against hepatitis B in childhood and had a positive antibody response, but later shows no antibody response, only one booster dose is needed. 2. If a person did not receive a complete series of three doses of the vaccine in childhood, or...[Read More] Understanding Hepatitis B Vaccination: Do You Really Need Three Doses?
Understanding White Hair: Genetics, Health, and Future Concerns
Gray hair issue? Hello Doctor, I would like to ask you: 1. I am over thirty and have a full head of gray hair. My mother started dyeing her gray hair at the age of 18. So I wonder if this is due to genetic factors or if it is caused by excessive mental stress? Also, does having...
Dr. Lai Junlong reply Family Medicine
Hello: Here are the responses to your questions: 1. The early onset of gray hair is related to the decline in the body's ability to synthesize melanin. Genetic factors and excessive mental stress are among the causes that hinder melanin production, and it does not necessari...[Read More] Understanding White Hair: Genetics, Health, and Future Concerns
Understanding Surgical Solutions for Social Anxiety and Blushing
The issue of blushing! Hello, doctor: Below is a report! I would like to ask 1. Is this type of surgery available in Taiwan? 2. Which specialty should I consult? Thank you. Many people are naturally shy, especially in public situations, and they turn red in the face as soon as t...
Dr. Lai Junlong reply Family Medicine
Hello: 1. In Taiwan, endoscopic sympathectomy for the treatment of hyperhidrosis has become quite common. However, while hand sweating may decrease, there is an increased likelihood of compensatory sweating and foot odor. Therefore, the suitability of the procedure and the necess...[Read More] Understanding Surgical Solutions for Social Anxiety and Blushing
Understanding Left Hip Pain: When to Seek Medical Advice
Left buttock pain? Hello, I have recently been experiencing pain in my left hip after lying in bed for a while. When I try to turn over, get up, or lift my left leg, I sometimes feel such intense pain that I can't get up. I would like to know which specialist I should see. T...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, feeling pain in the left hip when turning over in bed or getting up may indicate inflammation of the back or hip muscles, or issues related to the sciatic nerve or spine. It is advisable to consult a family medicine physician or a neurosurgeon...[Read More] Understanding Left Hip Pain: When to Seek Medical Advice
Understanding Back Pain: Causes and When to See a Doctor
The issue of back pain? Hello Doctor: My mother has been experiencing pain in her left back, approximately five centimeters away from her bra clasp. I have noticed that the painful area is red, but there are no signs of bruising or injury. What could be the cause of this? If she ...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, localized inflammation or skin issues are possible. It is recommended to consult a family medicine physician for diagnosis and treatment. Dr. Lai Jun-long from Keelung Hospital is a good option.[Read More] Understanding Back Pain: Causes and When to See a Doctor
Supporting a Loved One's Mental Health After a Serious Injury
Patient's mood Hello Dr. Lai, my father had a car accident at the beginning of September and suffered a fracture in his right knee. Recently, he has developed several complications, such as a gastric ulcer, fever, and osteomyelitis. He has only been able to stand slightly an...
Dr. Lai Junlong reply Family Medicine
Hello! From your inquiry, I have a general understanding of your father's situation and your current circumstances. It is natural to experience negative and pessimistic thoughts when facing difficulties and feeling down. As you are concerned about how to help your father gra...[Read More] Supporting a Loved One's Mental Health After a Serious Injury
Understanding Uncontrollable Head Tremors: Possible Causes and Concerns
Head I would like to consult a doctor... I have an aunt who, when I first started talking to her, I noticed that her head would unintentionally shake, similar to a stroke. Now, about 1-2 months later, when I see her again, the symptoms have worsened compared to the last time I sa...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your inquiry, involuntary head shaking is mostly a neurological control issue. Such problems are often not curable, but the symptoms can be managed and alleviated. It is recommended to consult with Dr. Lai Jun-long at the neurology outpatient clinic.[Read More] Understanding Uncontrollable Head Tremors: Possible Causes and Concerns
Understanding Elevated Red Blood Cell Count: Causes and Concerns
Red blood cells Hello Doctor: I recently received my health check report, which indicates that my red blood cell count is 5.27 (reference range for females is 4.0–5.2) — indicating an increase in red blood cell count. Is my red blood cell count really abnormal? What could be the ...
Dr. Lai Junlong reply Family Medicine
Hello: 1. A slight increase in red blood cell count is not abnormal; it may occur due to an accelerated rate of blood renewal in the body (for example, during a woman's menstrual cycle or in the presence of bleeding). If you are concerned, you can ask your physician to arr...[Read More] Understanding Elevated Red Blood Cell Count: Causes and Concerns
Understanding Intubation and Recovery After Brain Surgery in Elderly Patients
Regarding intubation? Hello, Doctor. My grandmother suffered a cerebral hemorrhage at the beginning of August. The physician mentioned there was an 80% success rate for the surgery, so the family decided to proceed with the operation. However, my grandmother is quite elderly, at ...
Dr. Lai Junlong reply Family Medicine
Hello: 1. If long-term care is considered, a tracheostomy can be performed to facilitate suctioning and related care after extubation. 2. There are many reasons for remaining unconscious postoperatively; it is recommended to consult the attending surgeon for detailed inquiries or...[Read More] Understanding Intubation and Recovery After Brain Surgery in Elderly Patients
Addressing Memory Loss, Insomnia, and Depression in Seniors
Insomnia, memory decline, slowed walking, depression? Hello, my mother is 69 years old and has recently started experiencing severe memory decline symptoms, along with insomnia and significantly slowed walking. Last year, she had an episode of involuntary twitching at the corner ...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, based on the symptoms mentioned by the internet user regarding their mother, it is recommended to first consult a neurologist to rule out conditions such as Parkinson's disease or early-stage dementia. Late-life depression is also a frequ...[Read More] Addressing Memory Loss, Insomnia, and Depression in Seniors
Overwhelming Fatigue at Night: Causes and Solutions
Feeling constantly fatigued? I have been feeling very strange for the past six months. Every night, I feel particularly fatigued and have an overwhelming desire to sleep, to the point where it feels like I would die if I don't sleep. How can I improve this condition?
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, there are many causes of abnormal fatigue. In addition to physical factors, the impact of stress is often overlooked. Furthermore, long-term sleep disturbances can also lead to feelings of exhaustion. In addition to seeking a thorough evaluati...[Read More] Overwhelming Fatigue at Night: Causes and Solutions
Struggling with Sleep and Bloating: A Family Medicine Perspective
Hello, Dr. Lai! Dr. Lai: I haven't been sleeping well for the past few days. I can't seem to fall asleep, so I thought it might be too hot and tried using the air conditioning, but it didn't help. I lie down at midnight and it takes me 1 to 2 hours to fall asleep, ...
Dr. Lai Junlong reply Family Medicine
Hello: Both physical and psychological issues can lead to sleep disturbances, and gastrointestinal discomfort may also affect sleep. The concerns raised by the online user cannot be fully understood from the message alone, so it is recommended to consult a family medicine physici...[Read More] Struggling with Sleep and Bloating: A Family Medicine Perspective
Can Deafness Be Inherited? Understanding Genetic and Environmental Factors
Can deafness and mutism be inherited? I would like to ask, both my parents are deaf and mute, but my grandparents do not have this condition. However, my siblings and I are not deaf or mute. Will this condition be inherited if we get married and have children in the future? It se...
Dr. Lai Junlong reply Family Medicine
Hello: Congenital hereditary deafness is rare, and most cases of hearing impairment lead to language learning disabilities. There are many genetic patterns associated with congenital hearing loss, which can be determined through genetic counseling and testing. If deafness is caus...[Read More] Can Deafness Be Inherited? Understanding Genetic and Environmental Factors
Understanding Upper Right Abdominal Discomfort After Coughing
Abdominal discomfort or pain? Hello, Dr. Lai. Recently, I have been experiencing occasional dull pain in the upper right abdomen (approximately below the chest). After having a cold in April, I developed a severe cough that took several weeks to fully recover from. However, after...
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, persistent coughing may lead to inflammation of the intercostal muscles or the diaphragm, resulting in pain. Additionally, inflammation of the lower lung lobes may also cause pain; it is recommended to seek evaluation from a physician. Further...[Read More] Understanding Upper Right Abdominal Discomfort After Coughing
Which Specialty to Consult for Adrenal Cortex Stress Testing?
Adrenal Cortex Stress Analysis Hello, Doctor: May I ask which department should I consult for the "adrenal cortex stress analysis" test (Allergy, Immunology and Rheumatology, Metabolism, Family Medicine, or Psychiatry)? Is this test covered by health insurance, or does ...
Dr. Lai Junlong reply Family Medicine
Hello: It is recommended to visit the endocrinology (metabolism) outpatient clinic.[Read More] Which Specialty to Consult for Adrenal Cortex Stress Testing?
Is It Back Pain or Kidney Pain? Understanding Your Symptoms
Is it lower back pain or kidney pain? Hello Dr. Lai: Recently, I have been experiencing a lot of pain near my lower back. My friends say it might be related to my kidneys. Due to work commitments, I haven't been drinking much water and often hold my urine. Lately, the pain n...
Dr. Lai Junlong reply Family Medicine
Hello: Most cases of lower back pain are not related to kidney issues. If there is no swelling, it is advisable to drink more water. Kidney pain may originate from back muscle strain or nerve pain, and it could also be due to kidney stones. If there is an infection in the urinary...[Read More] Is It Back Pain or Kidney Pain? Understanding Your Symptoms