Understanding Sour and Tingling Sensations on the Tongue
Questions about a sour or astringent sensation on the tongue? Hello Doctor, since around the end of last year, I have been experiencing a tingling and sour sensation on parts of my tongue (specifically the left anterior side and tip) intermittently. However, my sense of taste is ...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Jam: The taste receptors in the human body are known as taste buds, which are specialized epithelial cells connected to sensory neurons. They are papillae-shaped and exist on the surface of smooth epithelial cells. Different types of papillae occupy specific regions of ...[Read More] Understanding Sour and Tingling Sensations on the Tongue
Understanding Lower Abdominal Pain: Seeking the Right Specialist
Lower abdominal pain? Hello Doctor: For the past three years, I have been experiencing a vague stabbing and burning sensation in the area just above the genital region, as well as a tight feeling in both groins. I have undergone a gynecological examination, hysterosalpingography,...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Emily: Issues related to the perineum and lower abdomen should indeed consider gynecological or urological problems. Common concerns include infections, tumors, endometriosis, urinary tract stones, and inflammation of the bladder or urethra, among others; of course, ther...[Read More] Understanding Lower Abdominal Pain: Seeking the Right Specialist
Unexplained Skin Redness and Localized Headaches: Possible Causes and Next Steps
Unexplained skin redness and swelling, along with localized headache? Hello Dr. Hsiao, I apologize for the interruption. I am a chronic urticaria patient and have been taking antihistamines (Xyzal) for a long time. Recently, I have experienced the following symptoms on my skin fo...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Feng Yang, 1. I have detected that the links https://ppt.cc/fbcZdx, https://ppt.cc/fjozKx, and https://ppt.cc/fTFQ1x involve network security and personal privacy issues; therefore, I refuse to open them. I apologize for any inconvenience! 2. Based on your description,...[Read More] Unexplained Skin Redness and Localized Headaches: Possible Causes and Next Steps
Do Pregnant Women Need Rabies Vaccination After Dog Bite?
I would like to inquire whether I need to receive the rabies vaccine? Hello doctor, I am currently five months pregnant. On December 8th, I accidentally got scratched on my hand by my pet dachshund, which caused a cut and bleeding. I cleaned the wound immediately. I would like to...
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Wei: 1. Rabies is an acute viral encephalomyelitis caused by the rabies virus; once symptoms appear, the mortality rate approaches 100%. Since 1959, there have been no human cases in our country. There were two imported cases from outside China in 2002 and 2012, and on...[Read More] Do Pregnant Women Need Rabies Vaccination After Dog Bite?
Managing Dizziness: Home Remedies and When to Seek Medical Help
Dizziness symptom consultation? Hello: I previously experienced symptoms of dizziness and consulted a neurologist. Initially, I took DIPHENIDOL, which was ineffective, but later switched to FLUZINE and NILASEN, which significantly improved my symptoms. However, I have recently no...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. R: 1. Dizziness should be considered in the context of benign paroxysmal positional vertigo (BPPV), Meniere's disease, vestibular neuritis, labyrinthitis, posttraumatic vertigo, and superior canal dehiscence syndrome, among others. Neurological conditions should al...[Read More] Managing Dizziness: Home Remedies and When to Seek Medical Help
Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia
Heart Rate and Respiration I have iron deficiency anemia and have been taking iron supplements for 1 month and 3 days. I can usually feel the contractions and relaxations of my heart, regardless of whether I am sitting, lying down, or climbing; as long as I feel calm, I can sense...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Yu: 1. Your description still falls within the range of normal physiological phenomena; I recommend that you share your observations with your attending physician during your next appointment for further evaluation. 2. At that time, if all tests are normal, you may need ...[Read More] Understanding Heart Rate and Breathing Issues in Iron Deficiency Anemia
Unexplained Head Tremors: Could They Be Linked to Heart Issues?
Involuntary head shaking? Hello doctor, I often experience headaches, mostly migraines, but I have had two episodes of unexplained head shaking. The first time, while standing in my room, my head started to shake suddenly, but I was fully conscious and it lasted for nearly a minu...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Xiaohao: 1. Migraine is often characterized as a "pulsating" headache, meaning it follows a rhythmic pattern similar to vascular pulsation. While it typically occurs on one side of the head, pain can also manifest in the forehead, temples, crown, back of the h...[Read More] Unexplained Head Tremors: Could They Be Linked to Heart Issues?
Understanding Mold in Water Bottles: Health Risks and Precautions
Mold-related issues? Hello Dr. Hsiao, I recently discovered a significant amount of mold at the bottom of the water bottle that my family has been using for years (I had never noticed it before). I don't know how long it has been there, so I hurried to clean it. I would like...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. JAM: 1. Fungi are ubiquitous in our subtropical and tropical climate; fungi, also known as mycetes, are diverse, but only a few species can cause diseases in humans. Diseases caused by these pathogens are collectively referred to as fungal infections, mycotic infections...[Read More] Understanding Mold in Water Bottles: Health Risks and Precautions
Understanding Umbilical Pain: When to See a Specialist
Pain in the belly button? After undergoing abdominal surgery for uterine fibroids, there is a postoperative keloid at the navel. Recently, there has been a sudden onset of swelling and pain, with tenderness upon touch. Should I consult a dermatologist (for the keloid) or another ...
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Peipei: Regarding the issue with your navel, there are many possible diagnoses that need to be considered; it is recommended that you visit a general surgery outpatient clinic at a regional hospital or higher.[Read More] Understanding Umbilical Pain: When to See a Specialist
Understanding Unexplained Leg Swelling in Elderly Patients: Causes and Solutions
What could be the possible causes of unexplained swelling in both legs? Hello Dr. Hsiao, I would like to inquire about my grandmother (who is 82 years old). Last month, her lower legs, insteps, and toes suddenly became swollen (like edema, leaving an indentation when pressed). Sh...
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Xiao Bei: 1. There are many causes of lower extremity edema, with common ones including heart failure, nephrotic syndrome, liver failure or cirrhosis, deep vein thrombosis of the lower limbs, cellulitis, lymphedema, hypothyroidism, and side effects of medications, amo...[Read More] Understanding Unexplained Leg Swelling in Elderly Patients: Causes and Solutions
Understanding Unexplained Physical Symptoms: When to Seek Help
Physical discomfort? Hello Doctor, since mid-August, I have been experiencing tingling and numbness in my fingers and limbs upon waking up. I went to a neurologist for an examination, and I will be undergoing more in-depth tests soon. Between mid-August and October, I have felt t...
Dr. Xiao Yongxun reply Family Medicine
Dear Student Chen, The characteristics of Generalized Anxiety Disorder (GAD) include chronic and persistent worry that is multifaceted (e.g., concerning finances, family, health, the future, etc.), excessive, difficult to control, and often accompanied by other nonspecific physi...[Read More] Understanding Unexplained Physical Symptoms: When to Seek Help
Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Gastric ulcer and examination report issues? Hello Doctor, I was diagnosed with a bleeding gastric ulcer during an endoscopy in early January of this year. After taking PPI medication for several months, I still experience a burning sensation and bloating in my abdomen. During a ...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Jason: 1. In clinical practice, common diagnoses for upper abdominal pain or discomfort include gastric ulcers or inflammation, duodenal ulcers or inflammation, gastroesophageal reflux disease, gallbladder or biliary stones, gallbladder or biliary inflammation, liver ab...[Read More] Understanding Stomach Ulcers: Symptoms, Treatment, and Follow-Up Care
Understanding Low Lymphocyte Count: Causes and When to Seek Help
Low lymphocyte count? Hello, doctor. I would like to ask about my recent health issues. I have been experiencing discomfort and fever, and upon visiting the hospital, my blood tests showed lymphocytes at 3.7, neutrophils at 91.5, and a total white blood cell count of 12. Monocyte...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Candy: The average white blood cell count ranges from 4,000 to 11,000/mm³, and most white blood cells can only survive for a few days; during an infection, their lifespan may be reduced to just a few hours. White blood cells can be classified into two categories based o...[Read More] Understanding Low Lymphocyte Count: Causes and When to Seek Help
Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns
Iron deficiency anemia Hello, doctor. I would like to ask about my previous blood test results: Hb: 10.2, HCT: 32.6, MCV: 71.2, MCH: 22.3, PLT: 408, RDW-CV: 17.5, Ferritin: 4.5. Are these anemia values considered severe? What would happen if I don't address this? During my l...
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Ruru, 1. The information you provided indicates that you have microcytic anemia; due to your Ferritin level of 4.5 ng/ml being low (normal values are 23.9-336.2 ng/mL for males and 11.0-306.8 ng/mL for females), this may suggest iron deficiency anemia. A definitive dia...[Read More] Understanding Iron Deficiency Anemia: Severity, Risks, and Treatment Concerns
Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Whole body shaking during sleep? I have been experiencing some insomnia lately, and last night I couldn't sleep. While lying down, I suddenly felt my whole body vibrating, but it subsided within about 5 minutes. After that, I noticed some soreness in my thigh and arm muscles...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. R: 1. Chlorzoxazone (200 mg) acts on the spinal polysynaptic reflex pathways related to skeletal muscle spasms, thereby blocking nerve conduction. It is a centrally acting muscle relaxant that alleviates abnormal muscle tension without affecting normal muscle function. ...[Read More] Understanding Body Vibrations During Sleep: Causes and When to Seek Help
Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?
Questions about receiving the AZ vaccine? Hello doctor, I am a 20-year-old male. I received the AZ vaccine on September 14th at around 4 PM, and it has now been 14 hours since then. However, being young and vigorous, I did not control my desires. About 13 hours later (around 6 AM...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. W: 1. After receiving the AstraZeneca vaccine, common reactions include pain and swelling at the injection site, which usually resolve within a few days. You may apply ice to the area, but please do not rub or scratch the injection site. 2. Fever (≥38°C) may occur afte...[Read More] Does Masturbation After AZ Vaccine Affect Immunity or Side Effects?
Understanding Weight Fluctuations: Is Your Daily Routine Affecting It?
Regarding weight loss? Hello, yesterday morning my weight was 63.3 kg. I didn't eat much throughout the day, only a breakfast sandwich and milk tea. By the evening, before dinner, my weight was 63.5 kg. However, this morning after using the restroom, my weight was 62.2 kg. I...
Dr. Xiao Yongxun reply Family Medicine
1. The water content in the human body accounts for 45-60% of body weight. Two-thirds of this water is located within the cells, referred to as intracellular fluid. One-third is found outside the cells, known as extracellular fluid. It is crucial for the body to maintain the home...[Read More] Understanding Weight Fluctuations: Is Your Daily Routine Affecting It?
Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
Issues with the administration of the second dose of the AZ vaccine? Hello. My elder family member has an appointment to receive the second dose of the AstraZeneca vaccine tomorrow. They had a head injury from a car accident in their younger years and have been experiencing occas...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Cheng: 1. According to the data published by our Centers for Disease Control, the contraindications for the AstraZeneca COVID-19 vaccine include a history of severe allergic reactions to vaccine components, previous severe allergic reactions after receiving this vaccine...[Read More] Is It Safe for Seniors with Head Issues to Get the Second AZ Vaccine?
Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know
Elevated body temperature? Hello Doctor, I received the AZ vaccine a month ago, and it has been over 5 weeks now. My daytime temperature (ear temperature) is around 37.1 degrees Celsius, and during the warmer hours from noon to afternoon, it can reach 37.3 degrees. When I exercis...
Dr. Xiao Yongxun reply Family Medicine
Dear Ms. Lai, 1. The reactions that may occur after receiving the AstraZeneca vaccine are mostly pain and swelling at the injection site, which typically resolve within a few days. You may apply a cold compress, but please do not rub or scratch the injection site. Fever (≥38°C) ...[Read More] Persistent Elevated Body Temperature After COVID-19 Vaccination: What to Know
Understanding Rabies Latency: Risks After Cat Scratch Injury
Rabies incubation period Hello doctor, about six years ago I was scratched by a wild cat. At that time, I was unsure if I received the rabies vaccine (because I heard that the rabies vaccine requires multiple doses; I remember I only received two shots, one for tetanus and I forg...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Jiang: 1. The rabies virus is a rod-shaped virus belonging to the Lyssavirus genus. All viruses in this genus share similar antigens, but monoclonal antibodies or nucleic acid sequencing can distinguish viruses from different regions or animal sources. Animals infected ...[Read More] Understanding Rabies Latency: Risks After Cat Scratch Injury