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Morning Hand Numbness: Causes and Further Tests After Nerve Conduction Study

Waking up in the morning with numbness in both hands has been evaluated with nerve conduction studies, which showed no issues. However, has there been any improvement in the hand numbness upon waking? Waking up in the morning with numbness in both hands, and having already underg...


Dr. Wu Fangcan reply Family Medicine
Waking up with numbness in the hands may be related to work, cervical spine issues, or using the hands as a pillow. It is advisable to consult with an orthopedic, neurosurgery, or rehabilitation physician for an evaluation.

[Read More] Morning Hand Numbness: Causes and Further Tests After Nerve Conduction Study


Seeking Solutions for Thick Legs and Ankles: Which Specialist to Consult?

I would like to ask about leg issues? I am 160 cm tall and weigh 53 kg. My upper body is relatively slim, but my lower body is quite heavy. I don't have defined ankles, and my calves are very thick, which is disproportionate to my thighs. I have considered slimming my calves...


Dr. Wu Fangcan reply Family Medicine
According to your statement, the thickness of the calves is related to genetics. Please consult an orthopedic or rehabilitation specialist.

[Read More] Seeking Solutions for Thick Legs and Ankles: Which Specialist to Consult?


Understanding Lower Back Pain: Causes and Remedies for Discomfort

There is severe pain in the left lower back, especially when sitting and trying to stand up straight? Hello Doctor, since last week, I have been experiencing pain after doing stretching yoga, which only starts at night after I get home, but I felt no discomfort immediately after ...


Dr. Wu Fangcan reply Family Medicine
It is recommended to consult a rehabilitation specialist or an orthopedic physician to rule out any sports injuries.

[Read More] Understanding Lower Back Pain: Causes and Remedies for Discomfort


Understanding Chest Tightness: Causes and Solutions for Better Sleep

Chest tightness? In recent nights, I have been feeling a tight and heavy sensation in the left side of my chest, near my heart, which makes it difficult to fall asleep.


Dr. Wu Fangcan reply Family Medicine
According to what you said, there could be many possible causes such as stress, cardiovascular diseases, or pleuritis. It is advisable to consult a family medicine physician for further evaluation.

[Read More] Understanding Chest Tightness: Causes and Solutions for Better Sleep


Understanding Rabies Risks After a Dog Encounter: What You Need to Know

Rabies issues? On the 23rd of last month, I went to buy lunch, and when I was heading home, a large dog ran past and bumped into my right calf. At that moment, I didn't see any wounds. After getting home, I rinsed it with water. In the evening, I asked my dad if I should see...


Dr. Wu Fangcan reply Family Medicine
According to your statement: there was only a bump without any bite, and there have been no new cases reported near New Taipei City. Therefore, the likelihood of transmission is nearly zero. If you still have concerns, you may consult a family medicine physician nearby. Thank you...

[Read More] Understanding Rabies Risks After a Dog Encounter: What You Need to Know


Understanding HIV Risks: Safe Practices and Concerns After Sexual Activity

Questions regarding HIV/AIDS? I had sexual intercourse with a friend recently, which included oral sex, vaginal intercourse, and genital touching, all while using condoms. However, during the process, I touched her genitals and then used the same hand to touch her nipples. I'...


Dr. Wu Fangcan reply Family Medicine
Based on your description, it seems that the subject has an infectious disease. If you suspect it is HIV, since HIV is transmitted through blood, the likelihood of transmission, as you mentioned, is nearly zero.

[Read More] Understanding HIV Risks: Safe Practices and Concerns After Sexual Activity


Understanding Chronic Lower Back Pain: Causes and Treatment Options

Lumbar issues Hello Doctor: I have been experiencing chronic lower back pain. It started during my college years when I worked part-time in a restaurant for over a year, where I was responsible for carrying plates and cleaning. After work, I would feel my back stiffening to the p...


Dr. Wu Fangcan reply Family Medicine
Based on your statement: For individuals who are overweight and have poor posture, it is recommended to manage weight and consult a rehabilitation physician for advice.

[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options


Understanding Anemia and Dizziness: When to Seek Medical Help

Anemia. Dizziness? Hello, I would like to ask the doctor that I went to the hospital for a blood test, and the results were normal. However, after the blood draw, I continued to feel dizzy and had difficulty breathing. Additionally, during my menstrual period, I often feel dizzy ...


Dr. Wu Fangcan reply Family Medicine
According to your description: the examination is normal, but you feel dizzy after blood tests, and the dizziness worsens during your menstrual period. It is recommended to consult a family medicine or gynecology physician for a comprehensive evaluation, and it is not advisable t...

[Read More] Understanding Anemia and Dizziness: When to Seek Medical Help


Understanding Rabies: Testing for Antibodies After a Dog Bite

Questions about rabies? Hello, doctor! About ten years ago, I was bitten on the thigh by a medium-sized dog in mainland China. At that time, there was no bleeding, but I had redness, swelling, and bite marks, with the redness turning purple and black. I have not received any vacc...


Dr. Wu Fangcan reply Family Medicine
According to your statement, you were bitten by a dog ten years ago. Since it has long surpassed the incubation period, there should be no risk of infection. There is no need to test for antibodies.

[Read More] Understanding Rabies: Testing for Antibodies After a Dog Bite


Understanding Persistent Upper Left Back Pain: Causes and Solutions

Pain in the upper left back? Hello Dr. Wu, I would like to ask you about the soreness in my upper left back (near the "Gao Huang" area), which has been persistent for a long time. During this period, I have undergone X-rays (which showed no abnormalities), as well as tr...


Dr. Wu Fangcan reply Family Medicine
It is recommended to undergo an abdominal ultrasound examination. The quickest way is to consult a family medicine physician, which is faster and more effective than searching for a family medicine encyclopedia.

[Read More] Understanding Persistent Upper Left Back Pain: Causes and Solutions


Experiencing Numbness in Left Leg: When to Seek Medical Help?

Only the left foot is numb? Recently, I've been feeling like something is stuck near my left pelvis when sitting, and my left leg feels quite uncomfortable. In the past few days, I've gradually noticed that my left leg becomes numb while sitting, and I even hesitate to ...


Dr. Wu Fangcan reply Family Medicine
It is recommended to consult an orthopedic examination. Thank you.

[Read More] Experiencing Numbness in Left Leg: When to Seek Medical Help?


Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend

Fatigue and early sleep? Doctor, may I ask why my girlfriend has suddenly become fatigued? Her work and class schedule have been normal, and previously, she would stay up until 1 or 2 AM regardless of her menstrual cycle, and she was always energetic during the day. However, ever...


Dr. Wu Fangcan reply Family Medicine
According to your statement: Does your girlfriend have any signs of anemia? Is she taking any medication? Please have your girlfriend consult a family medicine physician nearby and arrange for an examination. Thank you.

[Read More] Understanding Sudden Fatigue: Possible Causes and Solutions for Your Girlfriend


Understanding Unexplained Abdominal Pain: Causes and Next Steps

Intermittent referred pain in the abdomen? Hello Doctor, my boyfriend (28 years old) has been experiencing intermittent radiating abdominal pain (similar to an electric shock) since March of last year. The pain does not occur when pressure is applied, and it has persisted for ove...


Dr. Wu Fangcan reply Family Medicine
Based on your statement, it is recommended to consult a neurologist or neurosurgeon for an examination. Thank you.

[Read More] Understanding Unexplained Abdominal Pain: Causes and Next Steps


Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?

Questions about rabies vaccination after being scratched by a stray cat? Hello, Doctor. About 10 days ago, I encountered a stray cat near the Tamsui MRT Station in New Taipei City. The cat showed no signs of aggression, and I was not licked by it. While I was petting it, it sudde...


Dr. Wu Fangcan reply Family Medicine
According to your statement: There have been no reported rabies outbreaks in New Taipei City recently, so the risk of infection is low. Therefore, rabies vaccination is not necessary. As for tetanus, if you have not received a booster shot in the past 5 years, you may need to get...

[Read More] Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?


Can You Get HIV from Unsanitized Medical Tools?

Is this a way to contract HIV? Hello~ I recently went to a clinic to have a wound treated, but I'm not sure if the forceps they used were sterilized... Could this lead to an infection?


Dr. Wu Fangcan reply Family Medicine
According to your description, the risk of contracting HIV is extremely low. This is only the case if the previous patient had uncontrolled or poorly controlled HIV and their blood contaminated a wound of yours immediately.

[Read More] Can You Get HIV from Unsanitized Medical Tools?


Rabies Risk: What to Do If Your Cat Scratches You

Rabies issues Hello, doctor… I found my cat outside and it hasn't been vaccinated for rabies yet. While I was sleeping, it scratched my foot, and I only treated it 10 hours later. Is there a possibility of infection?


Dr. Wu Fangcan reply Family Medicine
According to your statement: It is recommended to receive a booster rabies vaccine, and the rescued cat should also be taken to a veterinarian for a booster shot. Please be aware that if there is a high fever, seizures, or confusion, seek medical attention immediately.

[Read More] Rabies Risk: What to Do If Your Cat Scratches You


Understanding Right Abdominal Pain: Causes and When to Seek Help

Right abdominal issues? Hello doctor, I have been experiencing pain in my right abdomen for about three to four days. The pain is located just below the rib cage, closer to the right side (if I touch from my shoulder down to below the rib cage). What could be the issue?


Dr. Wu Fangcan reply Family Medicine
According to your description, the area under the right upper rib cage is approximately the location of the gallbladder or liver. You may consult a hepatobiliary specialist or undergo an abdominal ultrasound examination.

[Read More] Understanding Right Abdominal Pain: Causes and When to Seek Help


Understanding Rectal Bleeding and Itching: When to Seek Medical Help

Bleeding from the rectum followed by anal itching? I am a sixth-grade student. Recently, for the past week, I have been experiencing blood in my stool, which has made the toilet bowl filled with bloody water, and the blood is bright red, not dark red. The pain around my anus is m...


Dr. Wu Fangcan reply Family Medicine
Based on your description, the likelihood of hemorrhoids is the highest. However, other possibilities cannot be ruled out. It is recommended to reduce grilled foods and increase fiber intake. You may consult a colorectal surgeon for further evaluation and examination.

[Read More] Understanding Rectal Bleeding and Itching: When to Seek Medical Help


Understanding Sudden Dizziness and Nausea: Possible Causes and Concerns

I have been experiencing sudden dizziness lately? I have been experiencing sudden dizziness and nausea recently, occurring four times with the same symptoms. My eyes suddenly feel uncomfortable, and there is a sensation of whiteness in both eyes as if there is light, followed by ...


Dr. Wu Fangcan reply Family Medicine
What you described seems more like an episode of migraine; however, primary thrombocythemia causing blood thickening or vascular obstruction cannot be ruled out. Please consult a neurologist for further evaluation and differential diagnosis.

[Read More] Understanding Sudden Dizziness and Nausea: Possible Causes and Concerns


Understanding Blood Pressure Differences Between Left and Right Arms

Differences in blood pressure between the left and right arms? Hello Dr. Wu, Due to a family history of hypertension, I have developed a habit of measuring my blood pressure before bedtime. Recently, I measured my blood pressure on my left arm at approximately 117/74 mmHg, while...


Dr. Wu Fangcan reply Family Medicine
According to your statement: It is generally acceptable for there to be some difference in blood pressure between the left and right arms, typically not exceeding 30 mmHg. If the difference exceeds this, vascular abnormalities or vascular inflammation should be suspected. Please ...

[Read More] Understanding Blood Pressure Differences Between Left and Right Arms


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