Understanding Ankle Roughness, Swelling, and Darkening: When to Seek Help
Rough, swollen, and darkened ankles? Recently (about 1-2 weeks ago), I noticed that the skin on my left ankle feels quite rough, accompanied by edema (there are noticeable indentations when pressed). The swollen area is also darker than other parts of the ankle. I have already vi...
Dr. Li Zhenggang reply Family Medicine
Hello Mr. X: There are many causes of edema, and based on what you have described, your nephrology examination is normal! You can seek care at the same hospital or at a nearby family medicine or internal medicine facility to review your medical history and symptoms in detail, and...[Read More] Understanding Ankle Roughness, Swelling, and Darkening: When to Seek Help
Assessing Lung Cancer Risks for Food Delivery Workers: Key Considerations
Regarding the job of food delivery and lung cancer? Hello, Doctor! I would like to ask: 1. Due to financial reasons, I have to spend a lot of time riding a motorcycle for food delivery (Foodpanda). If I continue doing this for 20 years, will my risk of developing lung cancer be s...
Dr. Li Zhenggang reply Family Medicine
1. According to a report by the WHO, one of the risk factors for lung cancer is air pollution. Therefore, the longer the exposure to air pollution, the higher the risk compared to individuals who are not exposed to it. As for whether the risk is "very high," that depend...[Read More] Assessing Lung Cancer Risks for Food Delivery Workers: Key Considerations
Understanding Post-Meal Medication Guidelines and Food Interactions
Medication consultation? Hello, doctor. I would like to ask if there is a specific time after taking medications or supplements that one should wait before eating or drinking anything, especially if they are supposed to be taken after meals. This is mainly to consider potential i...
Dr. Li Zhenggang reply Family Medicine
It is recommended to first refer to the instructions for medications or supplements to see if there are any specific guidelines regarding the optimal timing for use. If there are none, under normal circumstances, considering the interactions between food and medications as well a...[Read More] Understanding Post-Meal Medication Guidelines and Food Interactions
Understanding Overwork: The Impact of Intense Exercise vs. Workplace Stress
Workplace, Exercise Hello Dr. Lee, I would like to ask you whether engaging in intense physical activities such as running or hiking can lead to overexertion, or if overexertion is solely related to work. What types of occupations are likely to cause overexertion? What are the co...
Dr. Li Zhenggang reply Family Medicine
Currently, the term "overwork" that we use is a general public expression and does not have an official unified definition. Therefore, whether exercise can lead to overwork depends on your understanding and definition of overwork. As for the issues related to overwork t...[Read More] Understanding Overwork: The Impact of Intense Exercise vs. Workplace Stress
Managing Arrhythmia: The Impact of Shift Work on Health
Arrhythmia Due to working rotating shifts for seven years, I have recently experienced health issues and was diagnosed with arrhythmia after a hospital examination. I am currently undergoing treatment with medication. My family is constantly opposing my shift work. Can the doctor...
Dr. Li Zhenggang reply Family Medicine
Hello: The requirements for a diagnostic certificate depend on each physician's perspective! It is recommended that you discuss the need for a diagnostic certificate with your attending physician. Additionally, if you believe that shift work is indeed causing your arrhythmia...[Read More] Managing Arrhythmia: The Impact of Shift Work on Health
Safe Medication Tips for Divers: Managing Allergies and Motion Sickness
Diving-related medication consultation? Hello, doctor. I have been intermittently taking allergy medication (Loratadine) at night, and I usually don't experience any side effects. I am also prone to motion sickness, so I take Dimenhydrinate before going on a boat or engaging...
Dr. Li Zhenggang reply Family Medicine
Currently, the main medications for allergies are antihistamines, which may cause drowsiness. For safety reasons, it is recommended that you avoid using these medications before diving. Additionally, for nasal congestion, it is advisable to seek assistance from an otolaryngologis...[Read More] Safe Medication Tips for Divers: Managing Allergies and Motion Sickness
Understanding Bruises: Recovery Time and Related Health Concerns
Bruise from a fall? Hello Doctor, thank you for taking the time to respond to my issue with a herniated disc. Since the onset, I have been maintaining my condition through exercise (without going to physical therapy). Six days ago, I fell while ice skating, and I developed a brui...
Dr. Li Zhenggang reply Family Medicine
Based on your description, the recovery speed seems to be within a reasonable range. If the bruise has not faded after a long time, you may seek assistance from a dermatologist.[Read More] Understanding Bruises: Recovery Time and Related Health Concerns
Hydrofluoric Acid Skin Exposure: Risks, Symptoms, and Necessary Checks
Hydrofluoric acid contact with skin? Hello, Doctor. I would like to ask about an incident where I accidentally got about eight drops of hydrofluoric acid on my arm while working. I immediately rinsed it with water, and my skin experienced a burning sensation. Initially, there was...
Dr. Li Zhenggang reply Family Medicine
Regarding the situation after exposure to hydrofluoric acid, it is recommended to visit a nearby medical facility's toxicology or nephrology department for follow-up. A physician will assess your condition based on their expertise and arrange appropriate examinations for you...[Read More] Hydrofluoric Acid Skin Exposure: Risks, Symptoms, and Necessary Checks
Understanding Post-Vaccine Symptoms After COVID-19 Diagnosis
Vaccination and Symptoms After Diagnosis Hello, doctor. I was diagnosed with COVID-19 while getting vaccinated in April, and now I have several symptoms that I don't know what illness they indicate. 1. I have been experiencing a rapid heartbeat for four months, which feels...
Dr. Li Zhenggang reply Family Medicine
Hello: Based on your description, since you have been evaluated by specialists in cardiology and dermatology, you can rest assured that there are no particularly severe or dangerous conditions! Of course, your discomfort still persists and continues to trouble you. In this regard...[Read More] Understanding Post-Vaccine Symptoms After COVID-19 Diagnosis
Understanding Persistent Low-Grade Fever After COVID-19 Recovery
Low-grade fever I tested positive for COVID-19 on July 9 and completed my isolation on July 16. However, I still have positive results on rapid tests, and my body temperature has consistently been elevated (ranging from 37 to 37.6°C), occasionally reaching 37.9°C. I consulted a d...
Dr. Li Zhenggang reply Family Medicine
We recommend that you discuss the above situation further with your telemedicine attending physician to determine if any additional treatment is necessary. Thank you, and wishing you good health![Read More] Understanding Persistent Low-Grade Fever After COVID-19 Recovery
Understanding Back Pain After Swallowing and Hiccups: Causes and Next Steps
Experiencing back pain specifically after swallowing and belching? I have been experiencing persistent back pain for four weeks, primarily characterized by pain near the spine in the upper left back, especially after belching and swallowing. Sometimes, deep breathing and stretchi...
Dr. Li Zhenggang reply Family Medicine
It is recommended that you visit a major hospital or medical center for consultation. Wishing you good health![Read More] Understanding Back Pain After Swallowing and Hiccups: Causes and Next Steps
Understanding Persistent Chest Pain: Causes and When to Seek Help
Chest pain Hello Dr. Lee: I haven't experienced any severe health issues recently, but I have been experiencing significant pain in my chest whenever I touch it. I'm unsure what could be causing this. I usually work in an office setting, sitting for long periods while u...
Dr. Li Zhenggang reply Family Medicine
1. It is recommended that you seek medical examination first. 2. You can schedule an appointment with a family medicine clinic. 3. Wishing you good health![Read More] Understanding Persistent Chest Pain: Causes and When to Seek Help
School Health Checkups: Understanding Pediatric Genital Examinations
School Health Checkup I would like to ask the doctor if they have experience examining students at school. I want to understand the examination process for children's genitalia in detail. Will the examination involve retracting the foreskin? What other issues will be checked...
Dr. Li Zhenggang reply Family Medicine
For the details related to the examination of male genitalia during school health checks, it is more appropriate for a pediatrician or urologist to address these concerns. Gloves will be changed, and if the child is fearful, we will first ask the teacher to provide comfort. If th...[Read More] School Health Checkups: Understanding Pediatric Genital Examinations
Understanding Leg Weakness: Causes and Solutions for Better Mobility
Leg problems I currently feel weak when climbing stairs, but I can sprint short distances and have been doing interval runs for 60 seconds with 60 seconds of rest, completing a total of 5 sets. I can also squat without any issues with my knees. I usually have a habit of jogging a...
Dr. Li Zhenggang reply Family Medicine
Feeling weak when going upstairs refers to either shortness of breath or leg weakness. If it is a respiratory issue, it is recommended to incorporate exercises that enhance cardiovascular fitness. If it is related to the legs, it is advisable to consult a rehabilitation specialis...[Read More] Understanding Leg Weakness: Causes and Solutions for Better Mobility
Understanding Headaches: Are They a Sign of Stress or Illness?
Headache issues In the past two weeks, due to exam stress, I haven't eaten properly for about three days. Since then, I've often felt a heavy sensation in my head, with pressure and even pain in my forehead and temples. Occasionally, it gets severe enough to cause dizzi...
Dr. Li Zhenggang reply Family Medicine
Hello: Based on the situation you described, since your headache continues to be a concern, I recommend that you visit a neurologist for evaluation and treatment. Analyzing the cause of your headache, it seems to be tension-type headache due to increased stress recently, which ty...[Read More] Understanding Headaches: Are They a Sign of Stress or Illness?