Understanding Brief Chest Pain: When to Seek Medical Attention
Mild stabbing pain in the chest? Hello Dr. Lee, during work today I suddenly experienced a brief episode of chest pain, located around the epigastric area. The sensation was a mild stabbing pain that lasted about one minute and occurred with inhalation. My family medical history ...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you first consult a gastroenterologist to determine if this symptom is caused by gastroesophageal reflux disease (GERD), and then decide if further treatment is necessary.[Read More] Understanding Brief Chest Pain: When to Seek Medical Attention
Should You Take Diabetes Medications After Fasting Blood Sugar Tests?
Fasting for tests, blood sugar medication? I would like to ask, if I need to fast after breakfast for a test and my blood sugar is 120, should I still take my medication and administer insulin before breakfast?
Dr. Li Zhiyao reply Internal Medicine
Hello: I don't understand your meaning, so I cannot respond. I apologize![Read More] Should You Take Diabetes Medications After Fasting Blood Sugar Tests?
Understanding GI and Weight Management: Tips for Students
GI-related issues Hello, doctor! 1. I am a student with a BMI of over 20, but compared to others of the same height, my thighs and buttocks are noticeably smaller, while my waist is relatively slim. Why is this? Are there ways to improve it? (I spend most of my time in school a...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. To achieve a good physique, in addition to dietary control, exercise is also essential. 2. Your BMI is approximately 20, so there is no need for weight loss; therefore, questions 3 and 4 are irrelevant (do not trust online information; consulting a nutritionist is the b...[Read More] Understanding GI and Weight Management: Tips for Students
Understanding Excessive Sleep: Causes, Effects, and Solutions
Hypersomnia Since childhood, I have always been someone who needs a lot of sleep. It is common for me to sleep 10 or even more than 12 hours. However, I always thought it was because I often stayed up late that I felt this way. After the Lunar New Year this year, I started feelin...
Dr. Li Zhiyao reply Internal Medicine
Hello: There are dozens of causes for sleep disorders, spanning multiple specialties, making diagnosis challenging. Fortunately, many hospitals now have established "sleep clinics" specifically for diagnosing and treating sleep-related issues. It is recommended that you...[Read More] Understanding Excessive Sleep: Causes, Effects, and Solutions
Understanding Rectal Bleeding: Causes and When to Seek Help
Blood in the stool? Hello doctor, I don't know why, but I've been experiencing pain in my buttocks for the past three days. Additionally, I've noticed some bleeding when I wipe. I'm not sure what's going on, so please give me an explanation. Thank you!
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you consult a gastroenterologist to check for hemorrhoids or other underlying causes.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding the Link Between Skin Infections and HIV Concerns
HIV issues Hello, doctor. I would like to ask if my recurrent back fungal infection or nummular eczema (since I have received differing opinions from two dermatologists) is related to HIV (because HIV causes persistent illnesses). I have had this condition since middle school, an...
Dr. Li Zhiyao reply Internal Medicine
Hello: If you have questions about HIV infection, you can consult an infectious disease specialist. Additionally, some hospitals offer anonymous free HIV testing services, which you can inquire about on your own.[Read More] Understanding the Link Between Skin Infections and HIV Concerns
Chest Tightness and Dizziness After Exercise: When to See a Doctor?
Chest tightness or pain? Hello doctor, I am currently a high school freshman. I went running on the track with friends last night and tonight, completing about 10 laps, with each lap being 200 meters. I felt fine yesterday, but after running today, I experienced chest tightness a...
Dr. Li Zhiyao reply Internal Medicine
Hello: If you feel unwell, do not force yourself to exercise. If you feel good before exercising and the intensity of the workout does not exceed your usual level, but you still feel uncomfortable, it is advisable to consult a cardiologist.[Read More] Chest Tightness and Dizziness After Exercise: When to See a Doctor?
Can Fasting Blood Sugar Be Higher Than Pre-Bedtime Levels?
Is it possible for pre-meal blood sugar to be higher than bedtime blood sugar? Hello Doctor: I would like to ask if it is possible for fasting blood glucose levels to be higher than bedtime blood glucose levels. I usually measure my father's fasting blood glucose in the morn...
Dr. Li Zhiyao reply Internal Medicine
Hello: Please monitor if your father experiences "nocturnal hypoglycemia" and discuss it with his attending physician.[Read More] Can Fasting Blood Sugar Be Higher Than Pre-Bedtime Levels?
Understanding Stomach Noises: Why Lying Down Causes Gurgling Sounds
Bloating? Lying in bed, you may hear your stomach gurgling, and when you massage it in a clockwise direction, you might feel gas. After the massage, you may feel the urge to pass gas. Is this normal?
Dr. Li Zhiyao reply Internal Medicine
Hello: Not experiencing any discomfort is normal.[Read More] Understanding Stomach Noises: Why Lying Down Causes Gurgling Sounds
Understanding Unexplained Nausea and Vomiting: Causes and Solutions
Frequent unexplained nausea? Hello doctor, I have been experiencing frequent vomiting over the past few months. Sometimes I vomit right after eating, and often I wake up and vomit even before having breakfast. Occasionally, this is accompanied by abdominal pain. What could be wro...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended to consult a gastroenterologist for evaluation and treatment.[Read More] Understanding Unexplained Nausea and Vomiting: Causes and Solutions
Understanding Doctor's Decisions on Medication Adjustments for Lipid Levels
I would like to understand issues related to medication prescribed by doctors? Hello Doctor, I would like to ask about my condition. I have been taking lipid-lowering medication for some time, and my last blood test results were as follows: the dosage is 10 mg taken every two day...
Dr. Li Zhiyao reply Internal Medicine
Hello: The decision regarding medication treatment is made by the physician based on a comprehensive assessment of the patient's condition and health insurance regulations.[Read More] Understanding Doctor's Decisions on Medication Adjustments for Lipid Levels
Understanding Intermittent Abdominal Pain: Causes and Insights
Intermittent abdominal pain? What could be causing intermittent abdominal pain? Sometimes it's in the upper abdomen, and other times it's in the lower abdomen.
Dr. Li Zhiyao reply Internal Medicine
Hello: Please visit the gastroenterology department.[Read More] Understanding Intermittent Abdominal Pain: Causes and Insights
Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?
Blood sugar issues? Hello Doctor, I seem to have a tendency to feel very sleepy after meals since childhood. It's severe enough that I often feel drowsy during tutoring, classes, and study sessions, even after eating a small amount, like a bowl of rice or a portion of rice f...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you visit a family medicine physician, and a blood test can help assess your blood glucose levels.[Read More] Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?
Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Gastrointestinal discomfort? One time, after having dinner and overeating while drinking soda, I couldn't sleep all night due to bloating. I thought I might vomit from the fish I ate that night, but I didn't. Instead, I experienced diarrhea, burping, and passing gas. Th...
Dr. Li Zhiyao reply Internal Medicine
Hello: It is recommended that you consult a gastroenterologist.[Read More] Understanding Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Measuring blood glucose? In stroke patients, which hand is more accurate for measuring blood glucose levels? Since the affected side has poorer blood circulation, will this impact the values? Thank you.
Dr. Li Zhiyao reply Internal Medicine
Hello: Both hands can be tested.[Read More] Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Understanding Abdominal Pain: Symptoms and Possible Causes
I have a severe stomachache? Hello, doctor. My symptoms include abdominal pain that isn't very severe but feels somewhat uncomfortable and comes in waves. I also feel a bit nauseous and slightly fatigued. Every time I'm in class, I go to the restroom but can't have...
Dr. Li Zhiyao reply Internal Medicine
Hello: This may be a symptom of gastroenteritis, and it is advisable to consult a gastroenterologist.[Read More] Understanding Abdominal Pain: Symptoms and Possible Causes
Addressing Health Concerns: Emergency Discharge and Symptoms in Young Patients
Questions Regarding Physical Condition and Hospital Admission/Discharge Hello, Director Li: I have a 19-year-old female friend with some questions I would like to ask you. 1. If the parents disregard the patient's signed AAD (Against Medical Advice) voluntary discharge conse...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. Patients can choose which hospital to visit, but once they have received care, they must respect the expertise of the medical team. 2. I am unable to provide a diagnosis; please seek medical attention at a hospital, and if you encounter difficulties, you may seek suppor...[Read More] Addressing Health Concerns: Emergency Discharge and Symptoms in Young Patients
Understanding Sudden Dizziness: Possible Heart Issues and Anemia
Sudden dizziness? Hello Doctor: On Tuesday, while I was taking a bus back to school from Taichung, I fainted at the station. Before fainting, I experienced symptoms such as cold sweats, tinnitus, nausea, blurred vision, and rapid heartbeat, after which I lost consciousness. Accor...
Dr. Li Zhiyao reply Internal Medicine
Hello: 1. A lack of family history of heart disease does not mean that you are personally free from heart disease. 2. Whether you have anemia can be determined through a blood test; however, having anemia does not necessarily mean that your symptoms are solely due to anemia witho...[Read More] Understanding Sudden Dizziness: Possible Heart Issues and Anemia
Understanding Chest Pain and Shortness of Breath in Teens
Chest pain sometimes accompanied by unexplained shortness of breath? Hello, I am a middle school student. After about a month of starting middle school, I occasionally feel a slight pain on the left side of my chest when taking deep breaths. This has continued until now, and even...
Dr. Li Zhiyao reply Internal Medicine
Hello, Yujing: I recommend that you first see a pulmonologist, who can then determine whether you need to consult a cardiologist.[Read More] Understanding Chest Pain and Shortness of Breath in Teens
Understanding the Connection Between High Blood Pressure and Dizziness
Blood pressure issues Doctor, my blood pressure is around 140/90, and my ear temperature is about 37.2. Recently, I've been feeling slightly dizzy and heavy-headed. Could these symptoms be related to high blood pressure?
Dr. Li Zhiyao reply Internal Medicine
Hello: Given your age, a blood pressure reading of 140/90 does require attention. It is recommended that you measure your blood pressure at least twice a day (once in the morning and once in the evening) and keep a record of it. Please consult a cardiologist and provide them with...[Read More] Understanding the Connection Between High Blood Pressure and Dizziness