Dr. Xie Rongyuan reply Internal Medicine Question - Page 2

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Understanding Intermittent Pulsations in the Lower Abdomen

Intermittent pulsations in the lower abdomen? Hello, doctor. Recently, I have been experiencing intermittent pulsations in my lower abdomen, below the navel, about 3 to 4 times a day. There is no pain associated with it. I usually take anti-anxiety medication and anti-arrhythmic ...


Dr. Xie Rongyuan reply Internal Medicine
Hello: You need to visit a hospital for a proper diagnosis to determine the cause. Thank you for your message!

[Read More] Understanding Intermittent Pulsations in the Lower Abdomen


Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?

Medical consultation (upon waking up in the morning) Hello Doctor, I am Xiao Wu. My height is 179 cm and my weight is 93 kg. On the morning of June 7th, I woke up at 6 AM and began to feel pain in the liver area (mild pain with breathing and more intense pain when pressed). Howev...


Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended to visit the hospital for an X-ray or abdominal ultrasound examination. Thank you for your message!

[Read More] Morning Pain in the Liver and Rib Area: When to Seek Medical Advice?


Understanding Abnormal Temperature Sensation in the Left Lower Body

Abnormal sensation in the left lower body, approximately below the navel? Abnormal temperature sensation on the left side of the body, where touching ice does not elicit a cold sensation and may even feel slightly warm at the moment of contact, suggests a potential neurological i...


Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended to consult a neurologist. Thank you for your message!

[Read More] Understanding Abnormal Temperature Sensation in the Left Lower Body


Concerns About IV Flushes in Pediatric Patients: Risks and Precautions

Intravenous injection issues When a child is hospitalized and receiving intravenous fluids, if the IV line becomes obstructed, a nurse may flush it with saline to restore patency. Is there a risk of blood clots being pushed into the bloodstream? What precautions should be taken?


Dr. Xie Rongyuan reply Internal Medicine
Hello: In this situation, I am unable to respond as I was not present at the time and do not know the circumstances. Thank you for your message!

[Read More] Concerns About IV Flushes in Pediatric Patients: Risks and Precautions


Persistent Dry Cough After COVID-19: Understanding Symptoms and Management

A slight cough (non-productive) in the throat persisting for six months after a confirmed COVID-19 infection? Hello Doctor: I am 20 years old and have ankylosing spondylitis. I tested positive for COVID-19 in early October 2022, experiencing mild symptoms (low fever for 1-2 days,...


Dr. Xie Rongyuan reply Internal Medicine
Hello: After being diagnosed with COVID-19, there may be upper respiratory symptoms. If the symptoms persist, you may visit a hospital for medical care to alleviate the symptoms. Thank you for your message!

[Read More] Persistent Dry Cough After COVID-19: Understanding Symptoms and Management


Frequent Dizziness and Unsteadiness: When to Seek Medical Attention

Dizziness and unsteadiness? Hello, Doctor. I would like to ask about my condition. Over the past few weeks, I have been experiencing frequent dizziness. It started with pain in the back of my head, followed by dizziness and instability when standing. I often feel like I'm go...


Dr. Xie Rongyuan reply Internal Medicine
Hello: If you frequently experience dizziness, it is important to seek medical attention to determine the underlying cause. Thank you for your message!

[Read More] Frequent Dizziness and Unsteadiness: When to Seek Medical Attention


Daily Lip Care: Effects of Excessive Wiping with Tissue

Lip issues If you wipe your mouth with tissue paper 4 to 6 times a day, it may lead to irritation or sensitivity of the skin around your mouth. Frequent wiping can strip the skin of its natural oils, potentially causing dryness, chapping, or even dermatitis. It's important t...


Dr. Xie Rongyuan reply Internal Medicine
Hello: The pressure applied while rubbing should not be excessive, so there should be no problem. However, if this behavior persists, you may want to seek medical attention at a hospital. Thank you for your message!

[Read More] Daily Lip Care: Effects of Excessive Wiping with Tissue


Is Eating Undercooked Pork Risky for Parasite Infections?

Is there a risk of parasitic infection from consuming raw pork that leads to diarrhea? Hello doctor, last weekend I suspect I ate undercooked pork (purchased from a traditional market) and experienced diarrhea that night. Besides the diarrhea, I haven't had any other abnorma...


Dr. Xie Rongyuan reply Internal Medicine
Hello: Consuming undercooked food can lead to parasitic infections and may also result in norovirus infection, causing diarrhea. Therefore, it is recommended that if you experience any discomfort, please seek medical attention at a hospital. Thank you for your message!

[Read More] Is Eating Undercooked Pork Risky for Parasite Infections?


Understanding Arrhythmia: Causes, Symptoms, and Treatment Options

Arrhythmia Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.


Dr. Xie Rongyuan reply Internal Medicine
Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition. Thank you for your message!

[Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options


Unexplained Left Back Pain: Causes and When to Seek Help

Unexplained back pain? Left-sided back pain that comes and goes mildly, with no pain during breathing. There is a slight tingling sensation in the left arm and a feeling of chest tightness. I have seen a cardiologist and also visited a clinic; my blood pressure is normal and lung...


Dr. Xie Rongyuan reply Internal Medicine
Hello: You may consider visiting the pulmonary medicine outpatient clinic. Thank you for your message!

[Read More] Unexplained Left Back Pain: Causes and When to Seek Help


Understanding Your Cardiac Test Results: Key Insights and Implications

What are the results of the examination? MEASUREMENTS AND SCREENING AO Diameter (MM) 31 LA/AO 1 Aortic Cusp (MM) 20 IVSd (MM) 10 LVIDd (MM) 50 LVPWd (MM) 8 IVSs (MM) 17 LVIDs (MM) 30 LVPWs (MM) 19 MV Deceleration Time (ms) 270 MV Deceleration Slope (mm/s²) 3...


Dr. Xie Rongyuan reply Internal Medicine
Hello: Regarding your inquiry, please consult a cardiologist for further advice. Thank you for your message!

[Read More] Understanding Your Cardiac Test Results: Key Insights and Implications


Understanding Taste Loss After COVID-19: Causes and Recovery

Loss of taste after COVID-19? A month ago, I had COVID-19 which caused me to lose my sense of taste. On January 1st, my taste suddenly returned, but the next day it diminished again. What could be the reason for this? Will it gradually recover? (I have a habit of smoking.)


Dr. Xie Rongyuan reply Internal Medicine
Hello: Among patients infected with COVID-19, approximately 90% will fully recover from taste abnormalities, but about 10% may experience prolonged taste disturbances or permanent loss of taste. Thank you for your message!

[Read More] Understanding Taste Loss After COVID-19: Causes and Recovery


Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns

I have been experiencing issues with frequent loose stools? Hello, doctor. I started experiencing diarrhea and almost daily soft stools (with a slight shape, small lumps) at the beginning of the year. Later, during a health check, I had a positive fecal occult blood test. Followi...


Dr. Xie Rongyuan reply Internal Medicine
Hello: It may be an issue related to irritable bowel syndrome. Since the colonoscopy results are normal, you might consider starting medication to see if your symptoms improve. If you frequently experience acid reflux, it would also be advisable to undergo an upper endoscopy. Tha...

[Read More] Understanding Chronic Loose Stools: IBS and Gastrointestinal Concerns


Understanding Enlarged Fingers in Teens: Causes and When to Seek Help

Swelling of the fingers? Hello, Doctor Hsieh. I would like to ask about my 16-year-old daughter. The joints at the base of her four fingers, except for the thumb, are noticeably swollen compared to the other two segments, resembling a bottle shape. However, she has normal movemen...


Dr. Xie Rongyuan reply Internal Medicine
Hello: If your fingers on both hands have recently become swollen, it is advisable to visit a hospital for an examination to determine the cause. It is recommended to first consult a family medicine physician. Thank you for your message!

[Read More] Understanding Enlarged Fingers in Teens: Causes and When to Seek Help


Understanding Declining GFR: Causes, Effects, and Recovery Options

Kidney issues Glomerular Filtration Rate (GFR) Is a continuous decline in glomerular filtration rate (GFR) a cause for concern? After undergoing surgery for an ovarian chocolate cyst in March last year, I have been on medication for a year and a half, and I completed my treatment...


Dr. Xie Rongyuan reply Internal Medicine
Hello: The glomerular filtration rate (GFR) is divided into five stages: stage 1 >90%, stage 2 60-89%, stage 3 30-59%, stage 4 15-29%, and stage 5 <15%. A GFR of 108 indicates normal function and can be monitored further. Thank you for your message!

[Read More] Understanding Declining GFR: Causes, Effects, and Recovery Options


Understanding Duodenal Polyps: Cancer Risk and Health Implications

Duodenal polyp Hello, doctor. I recently had a full body check-up and discovered a polyp approximately 2 centimeters in size in a concealed area of the duodenum. The polyp itself is irregular in shape. I would like to know if the likelihood of cancer associated with this symptom ...


Dr. Xie Rongyuan reply Internal Medicine
Hello: Duodenal polyps should undergo biopsy for pathological examination to determine the condition, as they may also be neuroendocrine tumors. The pathology report will be the primary basis for diagnosis. Thank you for your message!

[Read More] Understanding Duodenal Polyps: Cancer Risk and Health Implications


Sudden Back Pain and Nausea: When to Seek Medical Help?

Sudden lower back pain accompanied by nausea? Hello doctor, I urgently need advice. My girlfriend woke up that morning with lower back pain and discomfort. When she got to work, she started vomiting and even vomited blood. Later, she felt like she had a fever. At that moment, she...


Dr. Xie Rongyuan reply Internal Medicine
Hello: If you have symptoms such as fever, lower back pain, and vomiting blood, you should go to the emergency room immediately to determine the cause. Thank you for your message!

[Read More] Sudden Back Pain and Nausea: When to Seek Medical Help?


Understanding Hepatitis B Carriers: Can Infection Occur During Childhood?

Questions related to hepatitis B carriers? I recently learned that my husband is a carrier of hepatitis B after his health check-up. I would like to understand if, apart from vertical transmission at birth, it is possible for someone to become a carrier through infection during t...


Dr. Xie Rongyuan reply Internal Medicine
Hello: The transmission routes of hepatitis B primarily involve the entry of blood or bodily fluids infected with the hepatitis B virus into the human body through the skin or mucous membranes, particularly into the bloodstream. Hepatitis B can also be transmitted from mother to ...

[Read More] Understanding Hepatitis B Carriers: Can Infection Occur During Childhood?


Understanding Elevated Basophils: Causes and Health Implications

Elevated basophils (Baso) Hello, Dr. Hsieh. In my personal health check reports from the past two years, the percentage of basophils (Baso) was 0.6% and 0.8%, but this year it has increased to 1.6% (which is above the normal range). Could you please explain what might be causing ...


Dr. Xie Rongyuan reply Internal Medicine
Hello: Basophils account for approximately 0.5% to 1% of white blood cells in the circulatory system and are involved in promoting inflammatory responses in various immune reactions. Elevated levels are associated with allergic diseases, asthma, atopic dermatitis, chronic granulo...

[Read More] Understanding Elevated Basophils: Causes and Health Implications


Understanding Chest Tightness and Weakness After a Head Injury: What to Know

Occasional chest tightness with shaking and deep breathing? Doctor, why do I experience chest tightness, and even before an episode, I get goosebumps, feel a bit dizzy, and have overall weakness when I take deep breaths? I had a car accident in early June 2020 that resulted in a ...


Dr. Xie Rongyuan reply Internal Medicine
Hello: If the symptoms occur frequently, it is recommended to visit a cardiologist to check for coronary artery disease or other underlying issues. Thank you for your message!

[Read More] Understanding Chest Tightness and Weakness After a Head Injury: What to Know


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