Should You Get an X-Ray After a Cheekbone Injury?
Fracture of the zygomatic bone? Dr. Lin was at home a few days ago when his child accidentally bumped into his cheekbone. Currently, he has no discomfort, bruising, or swelling. Due to the rising pandemic situation, he is asking whether it is necessary to get an X-ray for confirm...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding the issue of your cheekbone being hit by a child, since you currently have no significant discomfort and there is no redness, swelling, or bruising observed, I personally believe that you can hold off on getting an X-ray for now. However, I recommend that you mon...[Read More] Should You Get an X-Ray After a Cheekbone Injury?
Understanding Left Leg Stiffness During Sleep: Causes and Solutions
During sleep, the left foot feels tight? Last night, while I was sleeping, I woke up in the middle of the night with discomfort in my left foot. My left foot was stiff and I couldn't bend it for some reason. I was sleeping on my side at the time, and I felt a bit of discomfo...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding the discomfort in your left foot, given your age, I personally believe that the likelihood of cardiovascular or neurological issues is low, unless you have an endocrine disorder (such as type 1 diabetes), an autoimmune disease (such as lupus), or if your left foo...[Read More] Understanding Left Leg Stiffness During Sleep: Causes and Solutions
Understanding Blood Pressure Readings: Key Questions Answered by Dr. Lin
Follow-up Inquiry #181218 Blood Pressure Consultation Dear Dr. Lin, Thank you very much for your response to my personal inquiry in the article “#181218 Blood Pressure Inquiry Consultation.” I have greatly benefited from your insights. I have a few more questions I would like to...
Dr. Lin Zhebin reply Family Medicine
Hello: 1. Because the cuff of a tunnel-type blood pressure monitor has a fixed aperture, unlike the adjustable cuffs of arm-type monitors that can accommodate different arm widths, if your arm is thicker than average or if you are wearing clothing, blood pressure detection can ...[Read More] Understanding Blood Pressure Readings: Key Questions Answered by Dr. Lin
Understanding Blood Pressure Readings: Home vs. Hospital Measurements
Blood pressure inquiry consultation? Dear Dr. Lin, Today, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had a "tunnel-type" blood pressure monitor. I measured my blood pressure while wearing a coat, and the r...
Dr. Lin Zhebin reply Family Medicine
Hello: 1. The situation you experienced in the hospital while measuring blood pressure with a cuff-style sphygmomanometer may have been affected by wearing a coat, which can interfere with the inflation and deflation of the cuff as well as the detection of blood pressure. There...[Read More] Understanding Blood Pressure Readings: Home vs. Hospital Measurements
Accidentally Swallowed Live Ants: Should You Worry About Parasites?
Accidentally swallowing live ants is unlikely to cause a parasitic infection. Generally, ants do not carry parasites that can infect humans. There is no need to take antiparasitic medication in this case. However, if you experience any unusual symptoms or discomfort, it is advisa...
Dr. Lin Zhebin reply Family Medicine
Hello: The little ants you accidentally ingested should be killed by stomach acid, so usually no medication is needed. However, if you are concerned, you can monitor for any abdominal pain, vomiting, or diarrhea over the next few days. If you experience any of these symptoms, you...[Read More] Accidentally Swallowed Live Ants: Should You Worry About Parasites?
Is My Blood Pressure Rising? Understanding Prehypertension Risks
Blood pressure issues Hello doctor, I would like to ask about my blood pressure. For the past six years, I have measured it approximately twice a year, and it has been around 102/68. Recently, in the last month, my readings have been around 129/68 and 123/78. Is this considered p...
Dr. Lin Zhebin reply Family Medicine
Hello: By definition, a systolic blood pressure of 120-139 or a diastolic blood pressure of 80-89 is classified as prehypertension. Therefore, the blood pressure values you provided meet the criteria for a diagnosis of prehypertension. Additionally, it is important to consider yo...[Read More] Is My Blood Pressure Rising? Understanding Prehypertension Risks
Understanding Persistent Chest Pain: Causes and When to Seek Help
Pain in the center of the chest? Hello doctor, I started experiencing mild pain in the center of my chest around early March. At first, I didn't pay much attention to it since it didn't affect my daily life. Sometimes, I also felt pain in the upper left side of my chest...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding your chest pain and cough, I personally believe it may be caused by gastroesophageal reflux. I recommend that you seek medical attention and take medications to suppress stomach acid. If you wish to undergo further examination, an endoscopy can also be performed.[Read More] Understanding Persistent Chest Pain: Causes and When to Seek Help
Understanding Left Chest and Rib Pain: Causes and Solutions for Office Workers
Pain in the left sternum and lower edge? Hello Doctor, I am an office worker who has a sedentary lifestyle and lacks exercise. About a month ago, I started experiencing pain in my left back, left sternum (slightly to the left of the nipple line), left armpit, and the rib area ben...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding your pain issue, the general area is located in the left chest and underarm. The potential causes could range from skin, muscle ligaments, breast, ribs, pleura, lungs, or heart problems. Based on your medical evaluation, it is likely that you have a breast fibroc...[Read More] Understanding Left Chest and Rib Pain: Causes and Solutions for Office Workers
Understanding Chronic Hypoxia: Symptoms, Causes, and When to Seek Help
Definition of chronic hypoxia and its effects on the body? I am not sure if my condition qualifies as chronic hypoxia. I often forget to breathe (or breathe too shallowly and infrequently), and occasionally I feel a tingling sensation in my lips, which seems similar to the effect...
Dr. Lin Zhebin reply Family Medicine
Hello: An objective method for assessing hypoxia is through the use of a pulse oximeter and arterial blood gas analysis. Generally, a normal blood oxygen saturation level for healthy individuals should be above 95%. Additionally, common symptoms of hypoxia primarily include short...[Read More] Understanding Chronic Hypoxia: Symptoms, Causes, and When to Seek Help
Medication Consultation for Glaucoma Patients During the Pandemic
Medication consultation Due to the pandemic, I went to buy Litanping Enhanced Tablets and Xinle Le Aisi Coated Tablets today. I have a problem with glaucoma. Can I take both of these medications, or is there one that I should avoid? Additionally, if I feel unwell after getting va...
Dr. Lin Zhebin reply Family Medicine
Hello: The active ingredients in Li-Ting Pain Relief Tablets are Acetaminophen and Caffeine, primarily used for fever reduction and pain relief. The active ingredients in Xinle Le Aisi Coated Tablets include Acetaminophen, Chlorpheniramine Maleate, Pentoxyverine Citrate, Potassiu...[Read More] Medication Consultation for Glaucoma Patients During the Pandemic
Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Postprandial diarrhea I have been experiencing diarrhea for over a week. Last week, I visited a doctor who prescribed me anti-diarrheal medication, and there has been some improvement, with diarrhea occurring twice a day now. However, I still feel the urge to have a bowel movemen...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding your diarrhea issue, it is indeed important to consider the possibility of a concurrent infection, which is commonly viral or bacterial. If there is blood or mucus in the stool, it is more likely to be a bacterial infection, and I recommend seeking medical attent...[Read More] Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Understanding Blood Pressure Readings After a Sudden Trauma: A Medical Inquiry
The blood pressure reading of 197/58 indicates a condition known as isolated systolic hypertension, where the systolic pressure (the first number) is significantly elevated while the diastolic pressure (the second number) is within a normal range. This could be a sign of cardiova...
Dr. Lin Zhebin reply Family Medicine
Hello: Based on the blood pressure data you provided, there is indeed a situation of elevated blood pressure. However, blood pressure naturally fluctuates and can increase due to factors such as exercise, stress, anxiety, or physical discomfort. A single instance of elevated bloo...[Read More] Understanding Blood Pressure Readings After a Sudden Trauma: A Medical Inquiry
Understanding Elevated White Blood Cell Count: What Your Blood Test Results Mean
Hello: Please determine if the following data indicates leukocytosis? Hello Doctor: May I ask if the following data indicates leukocytosis? I have blood tests every three to four months. When reviewing the report, the doctor mentioned that this data is similar to the data from th...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding the abnormal results from your blood test, you indeed have an issue with elevated white blood cell counts. Additionally, upon closer examination of your white blood cell differential, there is a suspicion of eosinophilia, which may be associated with allergies, i...[Read More] Understanding Elevated White Blood Cell Count: What Your Blood Test Results Mean
Understanding Dizziness, High Temperature, and Rapid Heartbeat Symptoms
Dizziness, elevated body temperature, rapid heartbeat? Hello Doctor, I would like to detail my condition and seek your advice on which specialty to consult. Thank you. On April 11 and 12, during dinner time, I experienced symptoms suggestive of hypoglycemia, including mild dizz...
Dr. Lin Zhebin reply Family Medicine
Hello: Your symptoms include dizziness, palpitations, numbness in the hands, elevated body temperature, and feelings of hunger. Initially, we would suspect a possible infection, commonly related to the respiratory, gastrointestinal, or urinary tracts. If you do not have any relat...[Read More] Understanding Dizziness, High Temperature, and Rapid Heartbeat Symptoms
Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Medical consultation Hello, Dr. Lin. I consulted you yesterday regarding my anemia values, but I still have some questions I'd like to ask. Although my hemoglobin has risen to 11.1, I frequently experience dizziness, headaches, and fatigue. Could this be related to my ferrit...
Dr. Lin Zhebin reply Family Medicine
Hello: 1. Your symptoms of dizziness, headache, fatigue, and hair loss are indeed likely related to low ferritin levels. 2. Coffee can affect the gastrointestinal absorption of iron; however, if consumed separately from meals, its impact is minimal. Since you mentioned that your ...[Read More] Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Postprandial diarrhea I have been experiencing diarrhea for over a week. Last week, I visited a doctor who prescribed me anti-diarrheal medication, and there has been some improvement, as I now have diarrhea twice a day. However, I still feel the urge to have a bowel movement imm...
Dr. Lin Zhebin reply Family Medicine
Hello: Regarding your diarrhea issue, we will first consider more common causes such as infections (bacterial and viral) and dietary factors. Additionally, given your situation, we may also consider whether inflammation of nearby pelvic organs (such as the vagina, uterus, fallopi...[Read More] Post-Meal Diarrhea: Causes, Symptoms, and Treatment Insights
Can I Mix COVID Vaccines After Allergic Reaction to Contrast Dye?
COVID-19 vaccine I received my first and second doses of the AstraZeneca vaccine, and I am now preparing to get my third dose. I previously experienced redness and itching after receiving a contrast agent during a CT scan, but I managed it by drinking water without taking any med...
Dr. Lin Zhebin reply Family Medicine
Hello: Since you experience redness and itching after receiving the contrast agent, there is a suspicion that you may have an allergic reaction to it. Currently, it is suspected that an allergy to the contrast agent may increase the risk of allergic reactions to mRNA vaccines (Mo...[Read More] Can I Mix COVID Vaccines After Allergic Reaction to Contrast Dye?
Understanding Iron Deficiency Anemia: Key Questions and Concerns
Medical consultation Hello, Dr. Lin. I would like to ask you about my lab results: Hb: 11.1, RDW-CV: 17.4, RDW-SD: 49.7, HCT: 33.4, ferritin: 9.5. I have been diagnosed with iron deficiency anemia, but are these values considered severe? I have been receiving intravenous iron inf...
Dr. Lin Zhebin reply Family Medicine
Hello: 1. Regarding your anemia issue, it is diagnosed as iron deficiency anemia, which should not be a problem. Your hemoglobin level has increased from 8 to 11.1 after receiving intravenous iron therapy. If you do not have any anemia-related symptoms (such as dizziness or fat...[Read More] Understanding Iron Deficiency Anemia: Key Questions and Concerns
Is It Safe to Get the COVID Vaccine with Complicated UTI?
Inquire whether it is appropriate to receive the vaccine? Hello Doctor, I would like to ask about complex antibiotic-resistant urinary tract infections (UTIs) accompanied by infections in other parts of the urinary system. I have been experiencing recurrent infections and inflamm...
Dr. Lin Zhebin reply Family Medicine
Hello: Based on your current condition, you are eligible to receive the COVID-19 vaccine, and there is no evidence linking the COVID-19 vaccine to urinary tract infections or panic disorders. However, the cause of your recurrent complex urinary tract infections should be investig...[Read More] Is It Safe to Get the COVID Vaccine with Complicated UTI?
Does Tramadol Pain Relief Significantly Impact Kidney Function in Patients?
Does Tramadol pain medication significantly affect kidney function? Hello, doctor. I would like to inquire about the use of Tramadol, a type of analgesic, in patients with pre-existing renal impairment (eGFR 20, 30). Will it significantly affect renal function, especially when ad...
Dr. Lin Zhebin reply Family Medicine
Hello: Tramadol is classified as a weak opioid. It does not inherently affect kidney function; however, in individuals with impaired renal function, the metabolism of the drug may be slower, necessitating careful monitoring for potential side effects such as altered consciousness...[Read More] Does Tramadol Pain Relief Significantly Impact Kidney Function in Patients?