Choosing the Right Specialist for Your Grandfather's Abdominal Pain
Which specialty should I choose? Hello Doctor: My grandfather is 83 years old. Recently, he experienced pain near the left side of his abdomen, which has now shifted to the right side, with the pain location varying. Both pains are sharp. He has seen a urologist who diagnosed him...
Dr. Liu Jinyong reply Family Medicine
Approach the issue from two angles: 1. Assess whether the grandfather's bowel habits are normal and if constipation is causing his abdominal discomfort. 2. Consider the psychological aspect by understanding if the grandfather has undergone a series of tests without finding a...[Read More] Choosing the Right Specialist for Your Grandfather's Abdominal Pain
Understanding Bruises and Hard Lumps After a Fall: What to Expect
Ecchymosis Dear Doctor: I had a car accident and fell, resulting in bruising and a lump in the muscle above my thigh near the knee. The bruise is starting to fade, but why is the lump still there? What should I do? Will the lump never go away?
Dr. Liu Jinyong reply Family Medicine
Due to a car accident, there was an impact on the thigh above the knee, resulting in muscle contusions and a hard lump in that area. The cause is attributed to the rupture of blood vessels surrounding the thigh above the knee due to the impact, leading to a hematoma. The presence...[Read More] Understanding Bruises and Hard Lumps After a Fall: What to Expect
Does Air Conditioning or Fans Raise Body Temperature Over Time?
Question Hello, doctor: Does prolonged exposure to air conditioning or a fan cause an increase in body temperature? (If it does, why? If it doesn't, why?)
Dr. Liu Jinyong reply Family Medicine
The human body's temperature regulation control system is located in the hypothalamus, also known as the thermoregulatory system. Generally, our body temperature is maintained within a normal range due to an effective temperature regulation system. It utilizes various heat d...[Read More] Does Air Conditioning or Fans Raise Body Temperature Over Time?
How to Manage Bedsores in Long-Term Care Patients?
How should pressure ulcers be managed? Hello Dr. Liu: My sister has been bedridden for 20 years due to cerebellar ataxia, and she has always been cared for by our mother. Recently, a wound similar to a "pressure ulcer" has appeared near her knee, and despite applying me...
Dr. Liu Jinyong reply Family Medicine
Hello: Regarding Ling Shu's issue with pressure ulcers, it is recommended that you visit a general surgeon at a hospital near your residence under the Ministry of Health and Welfare. Since Ling Shu has been bedridden for a long time, it is advised to reposition her every two...[Read More] How to Manage Bedsores in Long-Term Care Patients?
Understanding Increased Lung Markings: Causes and Health Implications
What is The recent health check report indicates an increase in the pulmonary markings in the lower lung fields. This can occur due to various reasons, including inflammation, infection, or chronic lung conditions. The symptoms you are experiencing, such as chest tightness and wh...
Dr. Liu Jinyong reply Family Medicine
Increased lung markings in the lower lung fields are often caused by acute or chronic bronchitis, with chronic inflammation being more pronounced. It is recommended that you visit a nearby hospital's Department of Thoracic Medicine for further pulmonary function tests (PFT) ...[Read More] Understanding Increased Lung Markings: Causes and Health Implications
Understanding Elevated CA 125 Levels: Next Steps for Women
Cancer Antigen CA 125 I am an unmarried female, and my cancer antigen CA 125 test result is 45.52, which is above the reference value. What further tests should I undergo?
Dr. Liu Jinyong reply Family Medicine
The reference value for CA-125 is <35 U/mL. CA-125 is used for screening ovarian cancer, fallopian tube cancer, and endometrial cancer. Individuals with elevated levels should undergo evaluation by a physician and further examinations such as abdominal ultrasound. Other possib...[Read More] Understanding Elevated CA 125 Levels: Next Steps for Women
Understanding Rib Pain: When to Seek Medical Help for Your Symptoms
Bilateral rib pain? My father-in-law has been experiencing pain in both sides of his ribcage recently, especially at night when the pain worsens, requiring him to hug a soft pillow to sleep. He has a long history of duodenal ulcers and frequently receives intravenous therapy, whi...
Dr. Liu Jinyong reply Family Medicine
(1) Due to the incomplete description of the patient's condition, a comprehensive assessment cannot be made, and only reference information can be provided. Frequent intravenous infusions, if not targeted towards the underlying disease, will not have therapeutic effects. Add...[Read More] Understanding Rib Pain: When to Seek Medical Help for Your Symptoms
Are Doctors and Physicians the Same? Understanding Family Medicine Roles
excuse me? Are "doctor" and "physician" the same?
Dr. Liu Jinyong reply Family Medicine
The terms "doctor" and "physician" no longer hold any substantial distinction in contemporary usage; they are primarily a matter of personal preference. In the past, different titles were used to differentiate educational backgrounds: graduates from vocational...[Read More] Are Doctors and Physicians the Same? Understanding Family Medicine Roles
Unexplained Symptoms: A 7-Month Journey Through Medical Mysteries
Sick for seven months? I am a 26-year-old male, and since March of this year, I have been experiencing a series of health issues. Initially, I had unexplained gas pressure on my chest, and my bowel habits changed to once or twice a day (previously, I would have a bowel movement e...
Dr. Liu Jinyong reply Family Medicine
Due to the presence of incomprehensible codes in the medical history, a complete assessment cannot be made. Therefore, only general recommendations can be provided. It is important to maintain a balanced diet, eat regular and appropriate portions, exercise regularly, and drink pl...[Read More] Unexplained Symptoms: A 7-Month Journey Through Medical Mysteries
Understanding High Cholesterol: Risks, Ratios, and Treatment Options
High cholesterol (Hypercholesterolemia) Hello, I recently went to the hospital for a health check-up at the age of 40 and had a blood test. The results showed cholesterol at 221 mg/dl and triglycerides at 117 mg/dl. The doctor explained that cholesterol is divided into high-densi...
Dr. Liu Jinyong reply Family Medicine
1. Further related examinations are needed. 2. The medical history and chief complaints are incomplete regarding diabetes mellitus (D.M.), smoking history, and heavy alcohol consumption. 3. The patient wishes to undergo relevant examinations and treatment at a hospital near the...[Read More] Understanding High Cholesterol: Risks, Ratios, and Treatment Options
Understanding Positive Urine Blood Test Results: What You Need to Know
What is urinary occult blood? Hello: Last year during my company's health check-up, the report showed a positive result for urine occult blood. What disease could this indicate? Thank you.
Dr. Liu Jinyong reply Family Medicine
The normal value for red blood cells in urine is less than 4 per high power field; exceeding this number indicates the presence of hematuria. Any condition affecting the urinary system, including stones, tumors, infections, or inflammation, can result in hematuria, which is a non...[Read More] Understanding Positive Urine Blood Test Results: What You Need to Know
Understanding Your Health Check Report: Key Insights and Improvement Tips
Health Check Report (Some parts are unclear) I recently received my health check report and have a few questions: 1. What can I do to improve my elevated blood pressure? 2. The microscopic examination showed: - White blood cells in urine: 8-10, with a reference value of 0-5 ...
Dr. Liu Jinyong reply Family Medicine
Hypertension Management 1. Methods to Improve Elevated Blood Pressure: a. Pharmacological Treatment: Generally effective, but requires patient cooperation, such as: i. Taking medication regularly, on time, and in the prescribed dosage. ii. Consulting a physician i...[Read More] Understanding Your Health Check Report: Key Insights and Improvement Tips
Understanding Persistent Pain: Insights from Family Medicine
The distress of pain? Hello Doctor: I have occasionally experienced sharp, penetrating pain in my left clavicle since middle school, without any history of injury. I had an electrocardiogram in high school that was normal. Additionally, I experience lower back pain almost every n...
Dr. Liu Jinyong reply Family Medicine
Left clavicular penetrating pain: If there is a sharp, penetrating pain in the left clavicle without any history of trauma or strain, the initial suspicion may be that the shoulder joint and clavicle are not in their normal anatomical position, potentially indicating clavicular d...[Read More] Understanding Persistent Pain: Insights from Family Medicine
What is Schistosomiasis? Symptoms, Treatment, and Transmission Explained
Schistosomiasis, commonly known as blood fluke infection, is a disease caused by parasitic worms of the genus Schistosoma. These worms are transmitted to humans through contact with contaminated freshwater, where the Schistosomiasis, commonly known as blood fluke infection, is ca...
Dr. Liu Jinyong reply Family Medicine
Schistosomiasis is a type of flatworm that parasitizes the venous blood vessels and related organs in humans and animals. The human schistosomes (trematodes) primarily include three species: 1) Schistosoma japonicum, also known as Oriental schistosomiasis or Katayama disease, is ...[Read More] What is Schistosomiasis? Symptoms, Treatment, and Transmission Explained
Does Sitting Cross-Legged Cause Pelvic Changes and Leg Swelling?
Does sitting cross-legged for a long time really cause the pelvis to widen? After work, I noticed that my leg muscles were sore due to unconsciously crossing my legs for extended periods. In severe cases, I even experienced swelling. I would like to ask the doctor: 1. What diseas...
Dr. Liu Jinyong reply Family Medicine
According to research, most women tend to cross their legs while sitting because it feels more comfortable and relaxed. Some may even find this posture to be sexy and elegant. However, for women who sit for long periods at work, it is advisable to avoid crossing their legs. This ...[Read More] Does Sitting Cross-Legged Cause Pelvic Changes and Leg Swelling?
Understanding Parkinson's Disease: Impact, Treatment, and Social Challenges
Fear of Parkinson's disease? 1. Please provide a brief introduction to the disease, including its English name, prevalence, treatment methods, and stages. 2. Discuss the impact of the disease on patients' social and psychological well-being, recovery, and life cycle.
Dr. Liu Jinyong reply Family Medicine
Parkinson's disease is a common neurodegenerative disorder that typically occurs in middle-aged and older adults, with the average onset age being between 50 and 79 years. The main clinical symptoms of this disease include bradykinesia, tremors in the hands, feet, or other p...[Read More] Understanding Parkinson's Disease: Impact, Treatment, and Social Challenges