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Understanding Persistent Low-Grade Fever: When to Seek Medical Advice

Persistent low-grade fever Hello, doctor. I would like to inquire about my body temperature. Since this past Monday, my temperature has been fluctuating around 37.5 degrees Celsius, with a maximum of 37.7 and a minimum of 37.1. Most of the time, it is between 37.4 and 37.6. I am ...


Dr. Liao Yaopan reply Family Medicine
Hello, according to the records, your temperature is indeed slightly elevated. If it does not improve, it is advisable to visit the Infectious Disease Clinic for further evaluation. Please note that online consultations are not equivalent to in-person medical visits and cannot pr...

[Read More] Understanding Persistent Low-Grade Fever: When to Seek Medical Advice


Understanding Dry Heaving and Nausea: Stress or Something More?

Dry heaving, vomiting, stress? Hello Doctor, I am a recent graduate preparing for the national exam. Recently, I have been experiencing worsening nausea and dry heaving, so I am inquiring online. The situation is as follows: about three years ago, I choked on toothpaste while bru...


Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended to first consult a gastroenterologist to assess whether there are any abnormalities in gastrointestinal function. If those concerns are ruled out and the issue is related to anxiety, it is advisable to seek assistance from a psychiatrist. Changhua Hospita...

[Read More] Understanding Dry Heaving and Nausea: Stress or Something More?


Understanding Fasting Insulin Levels: What Do They Mean for Your Health?

Fasting insulin Hello Doctor, thank you for taking the time to respond to my questions! I previously went to the hospital (Metabolism Department) to check for any diabetes-related issues. At that time, my diet remained unchanged, my exercise was moderate, and my stress levels wer...


Dr. Liao Yaopan reply Family Medicine
Hello, regarding the aforementioned report, the opinion of the endocrinologist is similar, and there is no diabetes. Type 1 diabetes is characterized by a lifelong deficiency in insulin production from the pancreas, which is different from insulin resistance, which is more common...

[Read More] Understanding Fasting Insulin Levels: What Do They Mean for Your Health?


Feeling Sleepy After Meals: Understanding Your Symptoms and Causes

Feeling sleepy after a meal? Hello, doctor. I have been experiencing symptoms for several days now. After finishing my meals, I often feel sleepy, have difficulty concentrating, and want to lie down. I also experience chest tightness and sweaty palms, although I don't necess...


Dr. Liao Yaopan reply Family Medicine
Hello, the situation described is difficult to explain with a single disease. First, it is important to rule out any sleep disorders. It is recommended to maintain a regular schedule, going to bed early and waking up early, as well as engaging in regular exercise. Please note tha...

[Read More] Feeling Sleepy After Meals: Understanding Your Symptoms and Causes


Understanding Your INR Value: What Does an INR of 0.97 Mean?

INR index: 0.97 Hello, I recently had a blood test at the hospital and checked the results using an app. I found that my INR (International Normalized Ratio) value is 0.97. What does this mean? Thank you!


Dr. Liao Yaopan reply Family Medicine
Hello, this ratio is used clinically to assess coagulation function. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.

[Read More] Understanding Your INR Value: What Does an INR of 0.97 Mean?


How Long Does It Take to Get Lymphoma Pathology Results?

How long does it take to receive a gonorrhea pathology report? Hello Doctor, my mother had sudden swelling under her left neck above the clavicle on May 10, with two palpable lumps that are not painful. She visited a doctor 10 days later, and an ultrasound examination revealed mu...


Dr. Liao Yaopan reply Family Medicine
Hello, the process for pathological examinations may vary slightly between hospitals. It is advisable to return to the outpatient clinic of the surgeon who performed your operation and discuss with your attending physician. Online consultations are not equivalent to in-person vis...

[Read More] How Long Does It Take to Get Lymphoma Pathology Results?


COVID-19 Symptoms or Autonomic Nervous System Disorder?

Is it a symptom of the confirmed diagnosis or is there an additional complication of autonomic nervous system dysfunction? Hello, doctor. I would like to explain that I am experiencing a second diagnosis of COVID-19 and I have a history of mitral valve prolapse with regurgitation...


Dr. Liao Yaopan reply Family Medicine
Hello, whether or not a diagnosis is confirmed should still be determined by viral testing. However, it is difficult to confirm the presence of the aforementioned discomfort symptoms based on experience and clinical research. It is advisable to seek appropriate treatment or manag...

[Read More] COVID-19 Symptoms or Autonomic Nervous System Disorder?


Understanding Chronic Nausea and Dry Heaving: Seeking Solutions

Easily feels nauseous and experiences dry heaving? Hello, doctor. I have been experiencing a symptom since elementary school where I often feel nauseous and have the urge to vomit. I have seen doctors, but no diagnosis was made. Throughout my growth, this symptom has not been con...


Dr. Liao Yaopan reply Family Medicine
Hello, it is essential to first rule out whether physiological factors are the cause. Of course, psychosomatic factors may also play a role, and the low potassium levels in your blood test could be related to unstable intake or absorption. It is advisable to consult your family p...

[Read More] Understanding Chronic Nausea and Dry Heaving: Seeking Solutions


Understanding Tinnitus and Chest Tightness: When to Seek Medical Help

Tinnitus and chest tightness? Hello, doctor. Over the past month, I have experienced episodes of shortness of breath and dizziness two to three times. Initially, I would have tinnitus, chest tightness, and cold sweats. After a few minutes, it would progress to shortness of breath...


Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended that you first consult your family physician for a preliminary assessment, and then determine if a referral to a specialist is necessary based on the situation. Additionally, if you experience an acute episode causing severe discomfort, it is advised to s...

[Read More] Understanding Tinnitus and Chest Tightness: When to Seek Medical Help


Understanding Platelet Distribution Width and Its Implications for Health

Platelet distribution width (PDW) Hello, Doctor. I have a few questions I would like to ask you: A few days ago, I went to the hospital to check my blood test results. The doctor mentioned that overall, the values suggest iron deficiency anemia (microcytic), but my hemoglobin lev...


Dr. Liao Yaopan reply Family Medicine
Hello, 1. It is recommended to clarify the causes of anemia before reassessing the need for immediate treatment. 2. The width of platelet distribution may be related to the differences in the size of blood cells. It is advised to consult a hematology outpatient clinic regardin...

[Read More] Understanding Platelet Distribution Width and Its Implications for Health


How to Reduce Frequent Bathroom Trips After Drinking Caffeinated Beverages?

How to improve the situation of frequently needing to use the restroom after consuming caffeinated beverages? Hello, Doctor. I have a question I would like to ask you. My personal habit is to go to bed very early and wake up early (around 2 or 3 AM). After waking up, I first have...


Dr. Liao Yaopan reply Family Medicine
Hello, if your body reacts more noticeably to these stimulating beverages or ingredients and causes discomfort, it is advisable to avoid consuming them. Please maintain a regular routine, go to bed early and wake up early, and establish a consistent exercise habit. Also, avoid ke...

[Read More] How to Reduce Frequent Bathroom Trips After Drinking Caffeinated Beverages?


Persistent Swelling in Leg After Motorcycle Accident: What to Expect?

Swelling in the lower leg after a car accident that persists for a long time? Hello Doctor, on March 1st, I was involved in a motorcycle accident. The next day, a portion of my calf swelled to about 5x5 cm, but there were no obvious external injuries. The doctor advised me to app...


Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended that you return to the original medical institution for an evaluation of your current condition. A face-to-face consultation to understand your recovery status is preferable. Assess whether further treatment is needed, as online consultations are not equi...

[Read More] Persistent Swelling in Leg After Motorcycle Accident: What to Expect?


Understanding Abnormal White Blood Cell Counts: What You Need to Know

Abnormal white blood cell report? Hello Doctor, I have a few years of health check reports showing two items in the white blood cell count highlighted in red. My neutrophil percentage has been below the normal range, last year it was 35.4%; the lymphocyte percentage was above the...


Dr. Liao Yaopan reply Family Medicine
Hello, it is difficult to draw direct conclusions from partial data, and changes in these ratios do not necessarily indicate specific issues. If necessary, please consult a hematologist for evaluation. Please note that online consultations are not equivalent to in-person visits a...

[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know


Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey

Tinnitus and herpes issues? Hello Dr. Liao, I have been experiencing tinnitus for over six months. In addition to the tinnitus, I often feel a tingling sensation in the nerves around my spine. I visited an ENT specialist in December last year, and the doctor said that all my test...


Dr. Liao Yaopan reply Family Medicine
Hello, regarding tinnitus, it is a symptom that is not easy to diagnose. It is advisable to follow up with an otolaryngologist for appropriate treatment and to maintain a regular routine, engage in proper exercise, and ensure a balanced diet. Please note that online consultations...

[Read More] Understanding Tinnitus and Its Connection to Shingles: A Patient's Journey


Delivery Riders and Lung Cancer Risk: Key Health Insights for Long-Term Workers

Delivery workers and lung cancer? Hello, Doctor! I have a few questions: 1. Due to financial reasons, I have to spend a lot of time riding a scooter for food delivery (Foodpanda). If I continue this for 20 years, will my risk of developing lung cancer be significantly high? (I ...


Dr. Liao Yaopan reply Family Medicine
Hello, regarding the selection of masks, please refer to the following expert recommendations: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=578&pid=14519&sid=14142. Lung cancer may be related to multiple factors, and with the advancement of diagnostic tools, there has ...

[Read More] Delivery Riders and Lung Cancer Risk: Key Health Insights for Long-Term Workers


Can Cold Medicine Cause False Positive in Drug Urine Tests?

Urinalysis Hello, Doctor. I would like to ask about a recent drug test I underwent that involved a urine analysis. I heard from a colleague that taking cold medicine could potentially result in a positive drug test. I did take cold medicine on February 13 due to a cold. If I take...


Dr. Liao Yaopan reply Family Medicine
Hello, certain ingredients in cold medications may cause false positive reactions during screening, but further confirmatory tests can differentiate them. Reminder: Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendatio...

[Read More] Can Cold Medicine Cause False Positive in Drug Urine Tests?


Understanding Elevated Red Blood Cells and Platelets: Causes and Solutions

Blood report Hello Doctor: Recently, I received my blood test results: W.B.C 5360/µL (normal), R.B.C 554 x 10^4/µL (slightly elevated), Hb 15.6 g/dL (normal), Ht 47.1% (normal), MCV 85 fL (normal), MCH 28.2 pg (normal), MCHC 33.1 g/dL (normal), Platelet 402,000/µL (slightly eleva...


Dr. Liao Yaopan reply Family Medicine
Hello, based solely on the numbers, there may not be significant abnormalities. However, a comprehensive evaluation of the related systems is necessary to reach a complete conclusion. Online consultations are not equivalent to in-person medical visits and cannot provide diagnosti...

[Read More] Understanding Elevated Red Blood Cells and Platelets: Causes and Solutions


Understanding Postprandial Blood Sugar Peaks in Type 2 Diabetes Management

Blood sugar issues? Hello, doctor. I am a patient with type 2 diabetes, and I recently purchased a Continuous Glucose Monitor (CGM). After wearing it, I observed that my blood glucose levels typically peak about "one hour after meals" (sometimes reaching values of 170, ...


Dr. Liao Yaopan reply Family Medicine
Hello, it is normal for blood sugar levels to rise after eating. The effectiveness of insulin in your body will be reflected in your postprandial blood sugar levels. Currently, experts agree that evaluating blood sugar levels two hours after a meal is appropriate. Based on your d...

[Read More] Understanding Postprandial Blood Sugar Peaks in Type 2 Diabetes Management


Medication Consultation for High Eye Pressure and Asthma Concerns

Medication consultation I have high intraocular pressure but no glaucoma, and I need to use eye drops to lower my eye pressure daily. I also have asthma, and I'm planning to travel soon. I'm concerned about motion sickness, so my pharmacist prescribed me with Scopolamin...


Dr. Liao Yaopan reply Family Medicine
Hello, Shun An Ning is an antihistamine medication. If you have any concerns while using it, it is advisable to consult your ophthalmologist to assess your eye condition and choose a more suitable prescription. Online consultations are not equivalent to in-person visits and canno...

[Read More] Medication Consultation for High Eye Pressure and Asthma Concerns


Persistent Upper Left Back Pain and Neck Tightness: Which Specialist to See?

Left upper back pain and neck tightness? Hello, doctor. Recently, I have been experiencing unexplained pain in the upper left back and tightness in the neck. However, the symptoms persist even after massage and stretching. I would like to know which department I should consult. (...


Dr. Liao Yaopan reply Family Medicine
Hello, based on your description, it is advisable to have a rehabilitation or orthopedic physician evaluate your condition. Of course, issues related to the cardiopulmonary system should not be overlooked. Please note that online consultations are not equivalent to in-person medi...

[Read More] Persistent Upper Left Back Pain and Neck Tightness: Which Specialist to See?


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