Understanding Compression Fractures of the Twelfth Rib: What You Need to Know
Compression fracture of the twelfth thoracic vertebra? Hello Dr. Wu: I would like to ask where the twelfth rib is located. My brother is currently serving in the military, and according to my mother, he fell and hit himself. He saw a military doctor who said it was a compression ...
Dr. Wu Fangcan reply Family Medicine
The thoracic ribs are not prominent and generally only have a short attachment to the thoracic vertebrae. Typically, thoracic vertebrae can suffer from compression fractures, and thoracic ribs can also fracture. The severity of these injuries should be assessed through chest and ...[Read More] Understanding Compression Fractures of the Twelfth Rib: What You Need to Know
Chickenpox Vaccination: Dosage and Pregnancy Considerations
Chickenpox issues I am 24 years old. I received the first dose of the varicella vaccine in September 2012. I did not receive the second dose because I got the MMR vaccine in between. If I go to get the varicella vaccine now (February 2013), do I only need to receive one more dose...
Dr. Wu Fangcan reply Family Medicine
Recommendation: Since the timing of the MMR vaccination and the interval between it and the varicella vaccine are not specified, we are unable to provide a response. Please consult a nearby obstetrician-gynecologist, pediatrician, or family medicine physician for further guidance...[Read More] Chickenpox Vaccination: Dosage and Pregnancy Considerations
Understanding Hepatitis Testing: Key Differences and Vaccine Antibody Longevity
Hepatitis screening Hello: 1. Why are surface antigens and surface antibodies tested for hepatitis B, while only antibodies are tested for hepatitis A and C? 2. Are the antibodies produced after receiving the hepatitis vaccine permanent or do they have a limited duration? Tha...
Dr. Wu Fangcan reply Family Medicine
1. Hepatitis B is the most well-studied and fortunately has several inexpensive and accurate assays available, allowing for the detection of both antigens and antibodies. Currently, ideal testing reagents for Hepatitis A and C have not yet been developed. 2. In principle, antibod...[Read More] Understanding Hepatitis Testing: Key Differences and Vaccine Antibody Longevity
Understanding Multiple Discomforts: Common Symptoms and Causes
Discomfort in multiple areas of the body? Over the past week, I have been experiencing a tightness in my neck, occasional headaches, and dizziness, somewhat similar to heat exhaustion. However, even after receiving gua sha treatment, I haven't felt any better. I feel extreme...
Dr. Wu Fangcan reply Family Medicine
Sometimes when a person feels unwell, they may experience fatigue, poor appetite, and sleep disturbances. It's important to consider the possibility of hepatitis or anemia. If there is a history of constipation but experiencing diarrhea after meals, one should suspect viral ...[Read More] Understanding Multiple Discomforts: Common Symptoms and Causes
Understanding the Connection Between Dyshidrotic Eczema and Lichen Planus
Dyshidrotic eczema and lichen planus? Hello, I am simultaneously suffering from lichen planus and dyshidrotic eczema. I have been receiving treatment from different dentists and dermatologists for a long time, and both doctors have informed me that these conditions are related to...
Dr. Wu Fangcan reply Family Medicine
Lichen planus is a skin manifestation caused by chronic scratching, while dyshidrotic eczema may be triggered by immune issues leading to vesicular lesions on the skin. It is recommended to visit a dermatology department at a medical center for further evaluation, diagnosis, and ...[Read More] Understanding the Connection Between Dyshidrotic Eczema and Lichen Planus
Understanding Insomnia, Dizziness, and Chest Tightness After Cancer Treatment
Insomnia, dizziness, and chest tightness? Hello Doctor: My mother is currently 60 years old. She was diagnosed with breast cancer last year and only completed her radiation and chemotherapy at the beginning of this year. She is currently resting at home and undergoing hormone the...
Dr. Wu Fangcan reply Family Medicine
Hello, hormone medications can indeed affect mood and sleep. The symptoms you described could potentially be related to anxiety or mild depression, but it is essential to rule out any physiological issues first. It is recommended that your mother consult her oncologist regarding ...[Read More] Understanding Insomnia, Dizziness, and Chest Tightness After Cancer Treatment
Understanding Your Health Check Report: What Do Abnormal Results Mean?
Medical Examination Report Today, I went to the hospital to pick up my school health examination report and found three items marked in red! 1. The white blood cell count (WBC) is 4.9, while the normal range indicated is 5.0 to 10.0. All other blood test results are within normal...
Dr. Wu Fangcan reply Family Medicine
1. The standard range for WBC measurement is 5.0 to 10.0. There is no significant health difference between 4.9 and 5.0; however, they do not fall into the normal or abnormal categories. It is recommended to exercise more and follow up later. 2. Urine pH can vary with diet. A p...[Read More] Understanding Your Health Check Report: What Do Abnormal Results Mean?
Do Routine Blood Tests Include Syphilis and Hepatitis B Screening?
Health check-up issues Does the blood test at the hospital include testing for syphilis and hepatitis B surface antigen antibodies?
Dr. Wu Fangcan reply Family Medicine
The health check-up items are designated by the public. The cost for syphilis testing is 70 NTD, the cost for Hepatitis B antigen is 160 NTD, and the cost for Hepatitis B antibody is 200 NTD.[Read More] Do Routine Blood Tests Include Syphilis and Hepatitis B Screening?
Can You Drink Alcohol with Ankylosing Spondylitis?
Ankylosing Spondylitis Can individuals with ankylosing spondylitis consume alcohol?
Dr. Wu Fangcan reply Family Medicine
In principle, there are no restrictions on alcohol consumption for individuals with ankylosing spondylitis; it is a personal choice. As long as it is not excessive or involves binge drinking, moderate drinking is not absolutely prohibited. If you have any questions, please consul...[Read More] Can You Drink Alcohol with Ankylosing Spondylitis?
Understanding Asymmetrical Breasts: Causes and Solutions
Uneven breast size? Hello, I recently noticed that one of my breasts is significantly larger than the other. What could be the reason for this? Why is this happening? What should I do? Thank you!
Dr. Wu Fangcan reply Family Medicine
The user did not provide age information. If they are still a teenager, further observation may be warranted. However, if they are an adult or if there is a lump in one breast or any discharge accompanied by pain, they should seek an examination from an obstetrician-gynecologist ...[Read More] Understanding Asymmetrical Breasts: Causes and Solutions
Understanding Cheek Muscle Tension: Causes and Solutions for a Square Face
Cheek muscles The facial muscles feel particularly firm, and sometimes there is a sensation of numbness in the cheek muscles, despite not having a habit of chewing betel nut. Is this what is referred to as a "square face"? When I look in the mirror, my face appears angu...
Dr. Wu Fangcan reply Family Medicine
Sometimes, the facial shape may give the impression of thickened cheek muscles. Do you often enjoy eating foods like squid strips, sugarcane, or nuts? If you are concerned about improper chewing, you might want to consult a dentist to check for malocclusion or if you tend to chew...[Read More] Understanding Cheek Muscle Tension: Causes and Solutions for a Square Face
Understanding Dizziness After a Car Accident: Causes and Solutions
Dizziness and blurred vision? I was previously involved in a car accident where my head was possibly run over by a motorcycle at low speed. After being taken to the hospital, I woke up and when I sat up or stood up, I would start to feel dizzy. Initially, I thought it was due to ...
Dr. Wu Fangcan reply Family Medicine
Dizziness after a car accident is likely not related to anemia. If it were caused by anemia, one would feel dizzy throughout the day and experience shortness of breath when walking or climbing stairs. It is advisable to consult a neurologist or an otolaryngologist for further eva...[Read More] Understanding Dizziness After a Car Accident: Causes and Solutions
Understanding Early Puberty and Excessive Masturbation in Children
Precocious puberty and excessive masturbation? It is not uncommon for children to begin developing pubic hair around the ages of 10 to 12, which can be considered a normal part of puberty. Early development can sometimes raise concerns about precocious puberty, but it is importan...
Dr. Wu Fangcan reply Family Medicine
It is not considered too early for fifth and sixth graders to develop pubic hair. After entering junior high school, strong sexual urges and frequent masturbation are often more related to psychological awareness and the effects of sleep. If there are concerns, it is advisable to...[Read More] Understanding Early Puberty and Excessive Masturbation in Children
Which Specialist Should You See for Allergic Rhinitis and Breathing Issues?
Which department should I consult? Hello Doctor, 1. I have allergic rhinitis, and when I run, I feel very short of breath and dizzy. If I run more than about 400 meters, I experience difficulty breathing, as if I can't get enough air. It feels like the world around me is s...
Dr. Wu Fangcan reply Family Medicine
1. Allergic rhinitis often causes swelling and thickening of the nasal mucosa, leading to a narrowing of the nasal passages. This can result in insufficient airflow during exercise, causing difficulty in breathing and potential hypoxia, which may lead to symptoms such as blurred ...[Read More] Which Specialist Should You See for Allergic Rhinitis and Breathing Issues?
Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help
Frequent dizziness, nausea, and abdominal bloating? Hello Dr. Wu: Since the beginning of this month, I have been experiencing dizziness and nausea (I have had these symptoms before, but not as severely as this month). The symptoms are milder during the day, but I still feel dizzy...
Dr. Wu Fangcan reply Family Medicine
Your symptoms may indicate anemia, and individuals with allergic rhinitis often experience nasal congestion, which can also occur after a cold. If you have tinnitus, decreased hearing, and dizziness, Meniere's disease should be suspected. If dizziness occurs during menstruat...[Read More] Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help
Understanding Anal and Genital Itching: When to Seek Medical Help
Anal itching and genital itching? Doctor: Hello! I have been experiencing anal itching for quite some time. I have been hesitant to seek medical attention due to embarrassment, but I have researched various methods to alleviate the itching and possible causes online. I have initi...
Dr. Wu Fangcan reply Family Medicine
There are many causes of anal itching, including atopic dermatitis, contact dermatitis, scabies, pubic lice, lichen planus, xerosis, psoriasis, and seborrheic dermatitis. Some are associated with systemic diseases such as hyperthyroidism, hypothyroidism, chronic renal failure, ir...[Read More] Understanding Anal and Genital Itching: When to Seek Medical Help
Is Deafness Hereditary? Understanding Genetic Factors in Hearing Loss
Is mutism hereditary? Is being mute hereditary? If my sister's boyfriend's mother is mute, will their children be mute after they get married?
Dr. Wu Fangcan reply Family Medicine
1. Most cases of deaf-muteness are caused by hearing loss; I wonder if your sister's boyfriend's mother is also deaf. 2. There are many reasons for being both deaf and mute, such as underdeveloped brain, congenital brain abnormalities, laryngeal vocal cord abnormalities...[Read More] Is Deafness Hereditary? Understanding Genetic Factors in Hearing Loss
Calorie Burn from Breaststroke Swimming: A Guide for Weight Loss
Hello, I am currently trying to lose weight and would like to ask how many calories are burned during this type of exercise? Hello Doctor: I am currently trying to lose weight, and my method is swimming using the breaststroke. However, I have noticed that different websites provi...
Dr. Wu Fangcan reply Family Medicine
I apologize that I currently do not have the detailed information you were hoping for. However, a rough estimate indicates that swimming at a speed of 0.4 km/hr burns approximately 4.4 kcal/kg. Therefore, for your weight of 89 kg swimming at a speed of 1 km in 0.5 hours, you woul...[Read More] Calorie Burn from Breaststroke Swimming: A Guide for Weight Loss