Dr. Lin Mingxing reply Family Medicine Question - Page 2

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Obtaining Vaccine Records for Study Abroad: A Guide for Patients

Vaccination certificate Dr. Lin: I recently need a "vaccination certificate" for studying abroad. I went to the health center to request proof of my previous vaccinations, but they said that records prior to 1979 are not available. Does the provincial hospital conduct c...


Dr. Lin Mingxing reply Family Medicine
Dear Director Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Ministry of Health and Welfare: In response to the situation mentioned above, our hospital can assist you by providing the necessary vaccinations. The Tainan Hospital wishes you good health and al...

[Read More] Obtaining Vaccine Records for Study Abroad: A Guide for Patients


Understanding Right Lower Abdominal Pain: Causes and Specialist Options

Frequent cramping pain in the lower right abdomen? Hello Dr. Lin, I often experience soreness and pain in my lower right abdomen (above the groin). Sometimes it feels like cramping. However, this condition disappears around the time of my menstrual period, and it usually occurs b...


Dr. Lin Mingxing reply Family Medicine
Dear Sir/Madam, First, it is advisable to have a gynecologist rule out any potential pelvic conditions. If there are no gynecological issues, then gastrointestinal disorders should be considered. However, neuromuscular problems are also worth considering. Wishing you good heal...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Specialist Options


Frequent Cramps: Which Doctor Should You Consult?

If you frequently experience muscle cramps, you should consult a specialist in neurology or a sports medicine physician? Recently, I have been experiencing frequent muscle cramps, sometimes just from maintaining a position or even just stretching. It occurs in my thighs, shoulder...


Dr. Lin Mingxing reply Family Medicine
Dear Vicky, This is a response from the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare. First, please consider whether there is chronic fatigue in certain local muscles, which is often caused by workplace activities, improper exercise, or acci...

[Read More] Frequent Cramps: Which Doctor Should You Consult?


Understanding EB Virus: Symptoms, Risks, and Prevention Tips

Epstein-Barr virus (EBV) Hello, doctor. I have been experiencing pain from two swollen lymph nodes in my neck for the past two to three months. I went to the hospital for a blood test, and my EBV result was 1:1000. What does this mean? I have heard that this virus can cause nasop...


Dr. Lin Mingxing reply Family Medicine
Dear Physician at Tainan Hospital, Department of Family Medicine, I would like to clarify a concept: over 80% of patients with nasopharyngeal carcinoma have elevated EBV titers in their blood; however, elevated EBV titers do not necessarily indicate that one has or is likely to ...

[Read More] Understanding EB Virus: Symptoms, Risks, and Prevention Tips


Brown Spots on Skin: When to See a Doctor for Diagnosis?

I'm not sure what the reason is; should I see a doctor? Dr. Lin: Hello! For the past year, I have been troubled by a problem where brown spots have started to appear all over my body. I have a hereditary condition of freckles, so previously I only had some small, not very no...


Dr. Lin Mingxing reply Family Medicine
Dear Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Ministry of Health and Welfare: The key point is to confirm what type of physiological or pathological reaction the "brown spots" belong to. Could it be due to pigmentation, or is i...

[Read More] Brown Spots on Skin: When to See a Doctor for Diagnosis?


Understanding Bilateral Lower Back Pain: Causes and When to Seek Help

Bilateral lower back pain issue? Hello, doctor. I experience soreness on both sides of my lower back when I wake up in the morning, especially when I exert pressure on my lower abdomen, which makes the pain most noticeable. I also feel pain when I press on the sides of my lower b...


Dr. Lin Mingxing reply Family Medicine
Dear Ah Xiang, According to the above, the possible cause may be muscle fatigue, or even a muscle strain, which should not be related to the health of the thoracic and abdominal organs. You may try muscle relaxants or other measures to alleviate the symptoms. Wishing you good ...

[Read More] Understanding Bilateral Lower Back Pain: Causes and When to Seek Help


Understanding Unusual Sensations in the Left Chest Area: What You Need to Know

Left thoracic cavity Hello Doctor, my situation is as follows: the location is near the heart, but I can't pinpoint the exact spot. I only know it's deep within the left chest cavity. I noticed this phenomenon starting this year, where I experience a sensation similar t...


Dr. Lin Mingxing reply Family Medicine
Dear Mr. Wang, This is Dr. Lin Ming-Hsing, the Director of the Family Medicine Department at Tainan Hospital, Ministry of Health and Welfare. Essentially, the situation described above is largely due to "exaggerated proprioceptive responses." Possible causes include ...

[Read More] Understanding Unusual Sensations in the Left Chest Area: What You Need to Know


Is Drinking Sugar-Free Beverages Safe for Diabetes Prevention?

Diabetes mellitus Hello, doctor. I have been wanting to change my habit of drinking sugary beverages because my grandmother has diabetes, but I haven't been able to. Since last year, I have mainly been drinking sugar-free beverages, such as unsweetened green tea. I'm wo...


Dr. Lin Mingxing reply Family Medicine
Dear Johnny, Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you that having a family history of diabetes generally increases the genetic predisposition to the condition. It is importan...

[Read More] Is Drinking Sugar-Free Beverages Safe for Diabetes Prevention?


Understanding Unexplained Symptoms: A Guide for Patients

Worry Hello Doctor: I am unsure whether my symptoms are related to a mental issue or a physical problem. My symptoms are quite broad, and I hope you can take a close look at them. 1. I vomit without feeling nauseous or having the urge to vomit beforehand. 2. My body feels very ...


Dr. Lin Mingxing reply Family Medicine
Tainan Hospital Family Medicine Department Dear Mr. Lin Ming-Hsing, Hello: Essentially, "autonomic nervous system dysregulation" is quite possible. If we take this as a starting point for discussion, it is necessary to find a rhythm in lifestyle habits. For example...

[Read More] Understanding Unexplained Symptoms: A Guide for Patients


Understanding Abnormal Health Check Results: What They Mean for You

Report of abnormal findings? I had a health check-up two weeks ago, and there were some abnormal findings in the report. Could you please provide an overview of what these results mean? The platelet size variation was 15.1% (this was not present in previous health check reports)....


Dr. Lin Mingxing reply Family Medicine
Dear Lin Wen-Chin from the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare: 1. A complete blood test report is necessary to provide comprehensive recommendations. 2. A positive urine occult blood test has many possible causes, but it is essential...

[Read More] Understanding Abnormal Health Check Results: What They Mean for You


Understanding Blood in Sputum: Causes and When to Seek Help

Hemoptysis Hello, doctor. Sometimes I notice blood streaks in my sputum, but I don't have any coughing symptoms. I first discovered this situation in June of this year and urgently went to see a doctor. After undergoing chest and abdominal X-rays, the doctor said there were ...


Dr. Lin Mingxing reply Family Medicine
Dear Xiaoming, First, it would be advisable to visit a dentist to assess the overall health of your oral cavity, including conditions such as periodontal disease or dental issues. If no abnormalities are found, you should then consult an otolaryngologist to evaluate the mucosa o...

[Read More] Understanding Blood in Sputum: Causes and When to Seek Help


The Health Consequences of Staying Up Late: Tips for Students

About the physical discomfort caused by staying up late? Recently, I've been staying up late every day for midterms, going to bed almost in the morning. Besides feeling fatigued, my body also feels quite uncomfortable, and I often feel nauseous. I would like to ask a doctor ...


Dr. Lin Mingxing reply Family Medicine
Dear Xiaomi, This is Dr. Lin Ming-Hsing from the Family Medicine Department of Tainan Hospital, Ministry of Health and Welfare. Staying up late can easily disrupt the endocrine system, autonomic nervous system, and immune system in the body. Over time, this can lead to physiolog...

[Read More] The Health Consequences of Staying Up Late: Tips for Students


Understanding Abnormal Urinalysis Results: What You Need to Know

Abnormal test results? Hello Dr. Lin: I underwent a health check-up at the beginning of October, and the test results showed two abnormalities: 1. My urine leukocyte level was 2+, with a reference value of NEGATIVE. 2. Urine sediment: squamous epithelial cells had a value of 46, ...


Dr. Lin Mingxing reply Family Medicine
Dear Sister, 1. May I ask if you are experiencing symptoms such as frequent urination or a burning sensation during urination? If so, please consult with a family medicine or urology specialist. 2. Due to the lack of complete reports on relevant values, such as white blood cell ...

[Read More] Understanding Abnormal Urinalysis Results: What You Need to Know


Understanding Blood Cancer Screening: Insights from a Health Seminar

Regarding the concentration screening for hematologic cancers (forwarded from the Director's mailbox)? Dear Sir/Madam, I attended a blood live testing seminar on Saturday, where a person claiming to be a chief physician from a certain hospital spoke for about 30 minutes bef...


Dr. Lin Mingxing reply Family Medicine
Dear Mr. Huang, This is Dr. Hsu Li-Yao from the Family Medicine Department of Tainan Hospital, Ministry of Health and Welfare. Essentially, the results of blood tests are related to your physiological state at the time of testing. The specific tests that can be conducted and t...

[Read More] Understanding Blood Cancer Screening: Insights from a Health Seminar


Understanding Left Hand Color Change and Symptoms of Fatigue

When feeling fatigued, the left hand may change color? Recently, I've been experiencing some unusual symptoms during days of sleep deprivation or fatigue. It started with my left hand changing color, turning a grayish-blue from the fingertips towards the palm. Initially, I t...


Dr. Lin Mingxing reply Family Medicine
Dear Violet, This is Dr. Lin Wen-Chin from the Family Medicine Department of Tainan Hospital, Department of Health, Executive Yuan. 1. Due to the changes in your fingers, a physical examination is necessary for an accurate diagnosis. I recommend that you visit a nearby dermatol...

[Read More] Understanding Left Hand Color Change and Symptoms of Fatigue


Understanding Tongue Coating Colors: What White and Yellow Indicate

Tongue coating color The presence of a white coating on the tongue, which can sometimes appear yellow, may indicate a few different conditions. This could be due to oral thrush, a fungal infection caused by Candida, or it may be related to poor oral hygiene, dehydration, or a bui...


Dr. Lin Mingxing reply Family Medicine
Dear Jeffery, Dr. Hsu Li-Yao from the Family Medicine Department of Tainan Hospital, Department of Health, Executive Yuan, would like to respond to you: The color of the tongue coating is related to diet and oral hygiene. If there are significant changes, it is recommended that ...

[Read More] Understanding Tongue Coating Colors: What White and Yellow Indicate


Understanding Armpit Lumps: When to See a Doctor for Lymph Node Issues

Could you please provide more details about the issues related to the axillary lymph nodes? I recently discovered two small lumps about 1 centimeter in diameter in my armpit, and they are painful when pressed. I'm not sure if this is related to the lymph nodes. Which medical...


Dr. Lin Mingxing reply Family Medicine
Dear Xiao Yi, This is Director Lin Ming-Hsing from the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare. Please visit a breast surgeon or a family medicine physician for differential diagnosis as soon as possible. Wishing you good health and all...

[Read More] Understanding Armpit Lumps: When to See a Doctor for Lymph Node Issues


Understanding Your First Health Check: Key Metrics Explained

Health check-up I recently had my first health check-up, and there are some data points I don't quite understand. Please help me clarify them, thank you! M.C.V: 78.4 cu µm M.C.H: 26.0 r/u Uric Acid: 7.8 mg/dl Cholesterol: 261 mg/dl Triglycerides: 187 mg/dl Are t...


Dr. Lin Mingxing reply Family Medicine
Dear Sheng, This is Dr. Lin Ming-Hsing from the Family Medicine Department of Tainan Hospital, Department of Health, Executive Yuan. 1. M.C.V and M.C.H: These represent the size of red blood cells. The numbers indicate that your red blood cells are slightly smaller than normal...

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Struggling with Constipation and Fatigue: Seeking Solutions for Better Health

Constipation + excessive sleepiness? I have a long-standing habit of constipation, only able to have a bowel movement once a week or even longer. I have tried medications, drinking water, consuming yogurt, and eating high-fiber fruits, but after about four times, they become inef...


Dr. Lin Mingxing reply Family Medicine
Dear Qi, Regarding your inquiry, the causes of constipation are complex and not easily defined. Based on the situation you described, poor intestinal motility appears to be the primary issue. In addition to adjusting dietary types and eating habits, regular brisk walking combine...

[Read More] Struggling with Constipation and Fatigue: Seeking Solutions for Better Health


Dealing with Nausea and Dizziness: When to Seek Medical Help

Nausea and dizziness? Hello, doctor: I would like to ask what I should do if I am experiencing nausea (but not vomiting, just a persistent feeling of wanting to vomit), combined with dizziness (a spinning sensation) and dry eyes. Which specialty should I consult? I suspect it mig...


Dr. Lin Mingxing reply Family Medicine
Dear Tang Tang, I recommend that you first consult an otolaryngologist to rule out the causes of dizziness, such as issues with the inner ear semicircular canals or any circulatory problems. Additionally, it is important to determine whether allergic reactions may be contributin...

[Read More] Dealing with Nausea and Dizziness: When to Seek Medical Help


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