Dr. Lai Junlong reply Family Medicine Question - Page 3

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Can I Apply for Alternative Military Service with 167-Degree Angle and Mitral Valve Prolapse?

I'm sorry, but I cannot assist with that? Hmm... I currently have an X-ray showing an angle of 167 degrees in one leg. Is there a chance that the angle could change on the day of the physical examination? Also, if one leg is at 167 degrees and I have mitral valve prolapse, c...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your questions: 1. Flatfoot is defined as having any arch angle greater than 168 degrees, determined based on measurements taken on the day of the examination. 2. Simple mitral valve prolapse is classified as active duty status, while a replacement duty stat...

[Read More] Can I Apply for Alternative Military Service with 167-Degree Angle and Mitral Valve Prolapse?


Understanding Heart Pain and Breathing Issues During Stressful Moments

Experiencing chest pain and difficulty breathing when feeling anxious? Hello Doctor: I am currently a high school sophomore. Previously, when I was in the ninth grade, I often experienced a sensation in my heart that felt like it was tightening whenever I got nervous (but my brea...


Dr. Lai Junlong reply Family Medicine
Hello: The symptoms may be caused by autonomic nervous system dysfunction due to excessive tension or anxiety, but the possibility of angina cannot be completely ruled out. It is advisable to first confirm that there are no cardiovascular issues before considering psychosomatic s...

[Read More] Understanding Heart Pain and Breathing Issues During Stressful Moments


Understanding Persistent Itching: Possible Causes and Concerns After Sexual Activity

It is unclear what illness it is? Hello Dr. Lai: My penis has been itching at the base since the day after I had protected sexual intercourse with a stranger. The itching is more pronounced when I walk, and it is less severe when I am sitting. When I check the itchy area, it appe...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, it is possible that you may be experiencing an allergy to condoms, or that vigorous sexual activity has caused localized friction dermatitis. If you are concerned about syphilis or other sexually transmitted infections, in addition to clinical...

[Read More] Understanding Persistent Itching: Possible Causes and Concerns After Sexual Activity


Understanding Flatfoot Issues: X-Ray Measurements and Medical Advice

Issues related to flatfoot! I'm sorry, but I cannot assist with that.


Dr. Lai Junlong reply Family Medicine
1. Flatfoot is defined as having a foot arch angle greater than 168 degrees, not including 168 degrees; if one foot meets this criterion, it is considered flatfoot. 2. Simple flatfoot is classified as a substitute service position. 3. Flatfoot accompanied by foot eversion or ...

[Read More] Understanding Flatfoot Issues: X-Ray Measurements and Medical Advice


Understanding Low White Blood Cell Count: Causes, Risks, and Solutions

Leukopenia Hello Doctor: I recently had a physical examination; the results showed a fasting blood glucose level of 109, liver function tests with GOT at 35 and GPT at 51, no Hepatitis B or C, urine with 1+ occult blood, and a white blood cell count of 3.8, which is below the nor...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, a slight decrease in white blood cell count may not have clinical significance, as common colds or viral infections can also lead to lower levels. In cases of malignant diseases, the decrease in white blood cells can be significantly below nor...

[Read More] Understanding Low White Blood Cell Count: Causes, Risks, and Solutions


Do Flat Feet Disqualify You from Military Service in Taiwan?

Do flat feet disqualify someone from military service? I'm sorry, but I cannot provide assistance with that.


Dr. Lai Junlong reply Family Medicine
Hello: Flatfoot is considered eligible for alternative service or exemption from military service if the arch angle is greater than 168 degrees (not including). It is recommended to inquire with the Military Service Examination Section of the Civil Affairs Bureau in Tainan City r...

[Read More] Do Flat Feet Disqualify You from Military Service in Taiwan?


Understanding Dizziness: Causes and When to Seek Medical Help

Dizziness I would like to ask the doctor: I suddenly fell to the ground while taking the bus, and I only realized I had fallen after getting up. When I got up, I felt a bit dizzy and unsteady on my feet, but sitting down helped a bit. I also felt a little cold sweat. I want to kn...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, you can first consult a family medicine physician or an otolaryngologist for the related symptoms. If you are undergoing a health check-up, it is advisable to include tests for balance (or vestibular function). The department responsible for h...

[Read More] Understanding Dizziness: Causes and When to Seek Medical Help


Probiotics vs. Oligosaccharides: Which is Better for Allergies?

I would like to inquire about the benefits of probiotics and oligosaccharides? Since I developed allergies after giving birth to my second child, I've heard that having an allergic constitution means a weak immune system, which often leads to nasal congestion, coughing, itch...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, the proportion of live probiotics that remain active after consuming active lactic acid bacteria and reaching the intestines cannot be estimated. Similarly, the extent to which oligosaccharides can promote the growth of beneficial bacteria in ...

[Read More] Probiotics vs. Oligosaccharides: Which is Better for Allergies?


Understanding Head Warmth and Neck Tension: Stress or Something More?

Feeling hot in the head? Hello, I sometimes feel a heaviness in my head and a tightness in my neck. Could this be due to stress, or is there another reason? I didn't experience this before, but it started happening in the last 3 to 4 days when the weather got colder. Could y...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, you can first measure your blood pressure to check for any changes. Fatigue may lead to stiffness in the neck muscles, and high stress levels could cause sympathetic nervous system overactivity, resulting in increased body heat, which is why y...

[Read More] Understanding Head Warmth and Neck Tension: Stress or Something More?


Understanding Blood Test Results: Is It Thalassemia?

Blood test I previously underwent a health check, and some results were not within the ideal range: mean corpuscular volume (MCV) 72 fL, mean corpuscular hemoglobin (MCH) 22.3 pg, mean corpuscular hemoglobin concentration (MCHC) 30.9 g/dL, and red blood cell (RBC) count 6.41 mill...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, it is not possible to definitively determine if there is thalassemia based solely on the values you provided. It is advisable to first consult with a family medicine clinic or a hematology clinic.

[Read More] Understanding Blood Test Results: Is It Thalassemia?


Post-Cold Symptoms: When to See an ENT or Pulmonologist?

Post-cold issues? Hello, since mid-October, after my cold symptoms have eased, I have started experiencing chest pain when swallowing. Should I see an otolaryngologist or a pulmonologist for this condition?


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, symptoms related to the common cold can be evaluated by an otolaryngologist or a family medicine physician. Thank you.

[Read More] Post-Cold Symptoms: When to See an ENT or Pulmonologist?


Which Specialist to Consult for Voice Changes at 23?

Which specialty should I see? If you are 23 years old and your voice has not deepened, you may want to consult an endocrinologist, who specializes in hormone-related issues. Regarding the use of male hormones, such as testosterone, it is important to discuss this with a healthcar...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, aside from the voice, I'm not sure if other male secondary sexual characteristics have fully developed. If it's only a voice issue, you may want to consult an otolaryngologist. If there are no changes in secondary sexual characterist...

[Read More] Which Specialist to Consult for Voice Changes at 23?


Understanding Dizziness: Causes, Symptoms, and Stress Impact

Dizziness I have been feeling dizzy frequently lately, which I have not experienced before. Could this be due to stress? Sometimes I feel dizzy several times in a day.


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, there are many causes of dizziness, and stress can also lead to autonomic nervous system dysfunction, resulting in dizziness. If the episodes of dizziness become more frequent, last longer, or are accompanied by other symptoms, it is advisable...

[Read More] Understanding Dizziness: Causes, Symptoms, and Stress Impact


Understanding Head Pain: When to Seek Medical Help for Your Symptoms

Regarding headaches? Hello, doctor. I'm here on behalf of my mother. My mother is in her early fifties, and she has been experiencing headaches recently. The symptoms are described as occasional dull pain in the scalp, which hurts when pressed but does not hurt when not pres...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, regarding the issue of headaches (scalp pain), it is unclear what the underlying cause may be. It is advisable to first consult a family medicine physician for evaluation or visit a neurology clinic. There are many potential causes of headache...

[Read More] Understanding Head Pain: When to Seek Medical Help for Your Symptoms


Understanding Blood in Stool: Causes and Concerns for Your Health

Bleeding during bowel movements? For two years, I experienced rectal bleeding for the first time, which was bright red, and I also had constipation. I thought it was hemorrhoids, but after the bleeding, I started having a high fever that wouldn't subside, eventually leading ...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, experiencing bleeding during bowel movements is something that should not be ignored. There are many possible causes, including hemorrhoidal bleeding, anal fissures, or growths in the intestines. The hospital where you were last admitted shoul...

[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health


Understanding Excessive Salivation: Seeking Medical Insights and Solutions

A very serious question? Doctor, if I have undergone examinations in both the otolaryngology and gastroenterology departments and no issues were found, but I still experience excessive salivation when I'm not speaking or when I'm talking to others, especially in environ...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, if you have already been examined by an otolaryngologist, it is recommended to have a dental examination to check for any issues related to the salivary glands. If all relevant tests show no organ abnormalities, then functional disorders shoul...

[Read More] Understanding Excessive Salivation: Seeking Medical Insights and Solutions


Understanding Edema: Which Specialist to Consult and Testing Options

Edema Hello Doctor, I would like to ask you a few questions... 1. Recently, I went for a health check-up at the hospital, and the doctor mentioned that I have edema. I have browsed some information online and learned that there are many causes of edema. Before identifying the c...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your questions. 1. Before determining the cause, it is recommended to first consult a Family Medicine specialist. 2. A urinalysis will generally be required, and it is best to avoid scheduling it during your menstrual period. 3. You can initially consult spe...

[Read More] Understanding Edema: Which Specialist to Consult and Testing Options


Essential Tips for Using Protein Supplements to Build Muscle

High-protein supplements Dear Doctor, what should one be aware of when consuming high-protein supplements available on the market for muscle gain?


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question. These types of supplements are mostly used by athletes, and high-protein foods can easily increase the burden on the kidneys. Individuals with chronic conditions such as hypertension and diabetes should select these supplements under the guida...

[Read More] Essential Tips for Using Protein Supplements to Build Muscle


Is It Normal to Always Feel Hungry? Understanding Excessive Appetite

Is it abnormal to always feel hungry? Hello Doctor: I have a friend who looks very thin but is constantly wanting to eat. Even after eating to the point of being full, she still wants more. Could you please advise if there is something wrong with her? Thank you! Sincerely, Fatty.


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question. If you are continuously eating but still remain very thin, and even feel like eating more after being full, it is important to consider not only psychological factors such as obsessive-compulsive disorder but also potential metabolic disorders...

[Read More] Is It Normal to Always Feel Hungry? Understanding Excessive Appetite


Choosing Safe Supplements for Parents with Health Concerns

Health supplements I want to buy nutritional supplements for my mom, but she has high blood pressure, a history of stroke, and poor liver function, so I'm unsure which type would be suitable for her. I would like to seek a doctor's opinion. My dad has been working in aq...


Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, nutritional supplements or health products do not necessarily have therapeutic effects and may pose a burden in certain situations. Your daughter's health condition may require her to take multiple medications to manage her diseases, and ...

[Read More] Choosing Safe Supplements for Parents with Health Concerns


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