Understanding Medication Side Effects: Why Does My Saliva Taste Sour?
Medication issues? Last Saturday, after visiting the doctor and getting my medication, I started taking it. However, by the fourth day, I noticed that my saliva began to taste sour. The medications I took are as follows: Psubityallegra 180 mg/tab, Tidact 150 mg, Methcobal 500 mcg...
Dr. Xu Li'an reply Family Medicine
Hello Wenwen, you can consult the prescribing physician, but I believe it may not be related. Many doctors have a habit of using certain medications, and they should be most familiar with the side effects of the drugs they prescribe. Xu Li'an, employee ID 951018, resignation...[Read More] Understanding Medication Side Effects: Why Does My Saliva Taste Sour?
Understanding Knee Pain in Children: When to Seek Medical Advice
Knee pain Hello, Doctor: My daughter is 8 years old and weighs 38 kg. Recently, she has been frequently complaining of knee pain when climbing stairs. Which department should we consult for this issue? Could it be related to her weight? She is 130 cm tall. Is it possible that she...
Dr. Xu Li'an reply Family Medicine
Hello Frank, it seems you are overweight. You can visit a hospital to consult with the rehabilitation department or go to a medical center that has pediatric orthopedics. Xu Li'an, resignation date 951018.[Read More] Understanding Knee Pain in Children: When to Seek Medical Advice
Is This Medication Safe for G6PD Patients? Exploring Side Effects and Risks
This medication Is this medication safe for patients with G6PD deficiency? Chinese name: Fushugangan capsules. Ingredients: Acetaminophen..........300mg, Chlorpheniramine Maleate.........2.5mg, Dextromethorphan Hydrobromide.....15mg, dl-Methylephedrine Hydrochloride......10mg, Po...
Dr. Xu Li'an reply Family Medicine
Hello, Xiao Lai. This is a comprehensive cold medicine with contraindications and side effects explained in Chinese. Please remember to check and inquire about it when purchasing the medication, as it is the responsibility of the pharmacy and the pharmacist. Xu Li'an, employ...[Read More] Is This Medication Safe for G6PD Patients? Exploring Side Effects and Risks
Is Low G6PD Level a Definitive Indicator of G6PD Deficiency?
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is not synonymous with having favism? Hello Dr. Hsu: I recently underwent a health check-up, and the report indicated that my Glucose-6-Phosphate Dehydrogenase (G6PD) level is 6.9 (with the normal reference value being >8.3 U...
Dr. Xu Li'an reply Family Medicine
Hello Tiffany, you can go to the genetic counseling clinic at the medical center. In Hualien, it is managed by Mennonite Hospital, and the tests are sent to National Taiwan University Hospital for follow-up. Xu Li-an, employee ID 951018, is leaving the office on the specified dat...[Read More] Is Low G6PD Level a Definitive Indicator of G6PD Deficiency?
Understanding Your Annual Health Check Results: Key Improvements for a Healthier You
Health check results Hello Dr. Hsu: Our company's annual health check-up report has been released... Since there are many red flags, I would like to ask how to improve my health. I am currently 31 years old, with a height of 177 cm and a weight of 82.1 kg. The examination re...
Dr. Xu Li'an reply Family Medicine
Hello, A-Feng. You are overweight—please lose weight. Your triglyceride levels are elevated—please reduce your intake of high-fat fried foods. Your uric acid levels are high—please decrease your consumption of high-purine foods. Fruit vinegar is considered a health food but canno...[Read More] Understanding Your Annual Health Check Results: Key Improvements for a Healthier You
Why Do I Feel Dizzy for a Few Minutes After Waking Up?
excuse me? Doctor: Why have I been feeling dizzy for a few minutes after waking up in the morning over the past week? It doesn't happen often, just about 5-10 minutes. I have a history of nasal allergies, but they haven't flared up. What could be causing this and which ...
Dr. Xu Li'an reply Family Medicine
Hello Wenwen, you may have anemia or other issues. I recommend that you visit a family medicine clinic for an examination. Wishing you a speedy recovery. Xu Li'an 950927[Read More] Why Do I Feel Dizzy for a Few Minutes After Waking Up?
Understanding Memory Loss, Heart Pain, and Breathing Issues: A Guide
Amnesia. Chest pain. Difficulty breathing..? Hello, Dr. Hsu! I have been struggling with insomnia for a long time (I have a history of depression with several episodes). Recently (on September 18), I experienced an incident where I forgot the names of my two best friends in the m...
Dr. Xu Li'an reply Family Medicine
Hello, it sounds like you are under a lot of stress. A preliminary guess is that it may be psychosomatic disorder, which means that psychological stress and emotions are causing physical symptoms. I recommend that you see a family physician or a psychosomatic medicine specialist ...[Read More] Understanding Memory Loss, Heart Pain, and Breathing Issues: A Guide
Understanding Resonance in Physical Exams: A Guide for Patients
Health checkup In today's health check-up, the doctor noted "resonance" in the physical examination. What does that mean? I think it was also mentioned during my first year of high school, thank you.
Dr. Xu Li'an reply Family Medicine
There are many items in the physical examination. It is recommended that you bring the report and consult with a health check-up physician.[Read More] Understanding Resonance in Physical Exams: A Guide for Patients
Should My Brother Remove a Pencil Lead Fragment After Years?
excuse me? Hello, I would like to ask about my brother (17 years old). When he was in the second grade of elementary school, he had a pencil lead stuck in the flesh under his fingernail. At that time, it was not handled properly, and a small piece of lead, measuring a fraction of...
Dr. Xu Li'an reply Family Medicine
If the individual does not feel uncomfortable, there is no urgent need for treatment.[Read More] Should My Brother Remove a Pencil Lead Fragment After Years?
Do You Need Treatment for Fatty Liver or Just Diet and Exercise?
Fatty liver disease Is treatment necessary for my 50-year-old family member who has been diagnosed with fatty liver disease, or is exercise and weight loss sufficient?
Dr. Xu Li'an reply Family Medicine
Hello, Lai. Blood tests alone cannot diagnose fatty liver; this diagnosis is usually made through abdominal ultrasound. Common causes include obesity, hyperlipidemia, and alcohol consumption. Treatment methods include abstaining from alcohol, managing hyperlipidemia, and engaging...[Read More] Do You Need Treatment for Fatty Liver or Just Diet and Exercise?
Medication Switch Before Pregnancy: Family Medicine or OB-GYN?
Medication changes before pregnancy? Hello, Doctor: I have a problem with mitral valve prolapse, and the medication I am currently taking is classified as Category C. I plan to start trying to conceive at the end of the year and would like to find a safer alternative medication. ...
Dr. Xu Li'an reply Family Medicine
Hello, please consult with an obstetrician and a cardiologist to determine if it is suitable for you to become pregnant, as well as whether to continue or change your medication. Wishing you success in your endeavors. Xu Li-an 9509121123 Hualien Hospital Family Medicine Departmen...[Read More] Medication Switch Before Pregnancy: Family Medicine or OB-GYN?
Can G6PD Patients Safely Use Insecticides and Facial Cleansers?
Pesticide Can patients with G6PD deficiency be exposed to insecticides? Is it safe for patients with G6PD deficiency to use facial cleansers?
Dr. Xu Li'an reply Family Medicine
Hello, Lai. Pesticides are substances that should not be inhaled by anyone, especially individuals with G6PD deficiency. It's not just about triggering a reaction; there are concerns about carcinogenicity. As for facial cleansers, as long as they are certified and legal prod...[Read More] Can G6PD Patients Safely Use Insecticides and Facial Cleansers?
Why Do Bruises Appear Days After Blood Draw? Understanding the Causes
Bruising may appear a few days after a blood draw? Hello, Doctor: Three days ago, our company conducted a health check-up, which required blood draw. After I had my blood drawn, I followed the nurse's instructions and did not rub the puncture site; I only applied pressure fo...
Dr. Xu Li'an reply Family Medicine
Dear Jackal, it is likely that you are experiencing a subcutaneous hemorrhage due to microvascular rupture. If the bruise persists for more than a week or expands, please visit a hospital's family medicine or hematology department for an examination. Wishing you a speedy rec...[Read More] Why Do Bruises Appear Days After Blood Draw? Understanding the Causes
Understanding High Uric Acid Levels: What You Need to Know
Health check-up Hello, doctor: I would like to ask you some questions. My girlfriend is 21 years old and she had a health check-up two weeks ago. The results showed that her uric acid level is high, but everything else is normal. We don't understand the report because it is ...
Dr. Xu Li'an reply Family Medicine
Dear young patients, typically everything is normal. Doctors usually do not specifically explain that creatinine is related to kidney function; as long as it is within the normal range, it is considered normal. Uric acid is slightly elevated, so dietary attention is needed regard...[Read More] Understanding High Uric Acid Levels: What You Need to Know
Understanding Protein Allergies: Treatment Options for Alcohol, Eggs, and Seafood
Protein allergy (Forwarded from the Director's mailbox) If you have allergies to alcohol, eggs, or seafood, there are several treatment options available. Antihistamines, such as cetirizine or loratadine, can help alleviate mild allergic reactions. For more severe reactions,...
Dr. Xu Li'an reply Family Medicine
Hello Mr. Ou, if you have allergies, you can only take antihistamines, but allergic foods indicate that your body does not accept them, which triggers an allergic reaction as a warning. This is similar to toxins or poisons in the body. You can't keep consuming toxins or pois...[Read More] Understanding Protein Allergies: Treatment Options for Alcohol, Eggs, and Seafood
Can a Cold Cause Headaches? Understanding Symptoms and When to Seek Help
Common cold? Hello, doctor! Can a cold cause headaches? Why didn't I experience headaches during my previous colds? Could there be other reasons for this? Which specialist should I see? Thank you for helping me clarify my doubts...
Dr. Xu Li'an reply Family Medicine
Hello Amin, if you have a cold and experience a fever, it may lead to headaches. Each type of cold can be different, so it's not uncommon to have headaches with some colds and not with others. If your headache persists even after recovering from the cold, please visit a hosp...[Read More] Can a Cold Cause Headaches? Understanding Symptoms and When to Seek Help
Breathing Difficulties and Back Pain: Seeking Solutions for Active Lifestyles
Back pain & difficulty breathing and exercising? Dear Doctor, Hello. I really enjoy running, but for about the past six months to a year, I have been experiencing difficulty breathing while running. I often feel like I can't get enough air, and I sometimes have soreness...
Dr. Xu Li'an reply Family Medicine
Dear Janice, please visit a family medicine physician at the hospital and present the questions you have written down for discussion. They will go through each item with you and arrange for the necessary examinations. Since you are willing to take the time to write down these que...[Read More] Breathing Difficulties and Back Pain: Seeking Solutions for Active Lifestyles
Understanding Right Abdominal Pain: Causes and When to Seek Help
Low back pain The pain in the right abdomen (upper and lower) accompanied by discomfort and bloating in the gastrointestinal area, as well as mild nausea when lightly tapping the area below the right chest, may indicate an issue with the right kidney, liver, gallbladder, or the i...
Dr. Xu Li'an reply Family Medicine
Dear Ching, without seeing you in person, asking detailed questions, and conducting a physical examination, I cannot provide you with an answer. Do you think a doctor can diagnose from a distance? That would make them more skilled than fortune tellers! Please visit a gastroentero...[Read More] Understanding Right Abdominal Pain: Causes and When to Seek Help
Understanding Tendonitis: Symptoms, Diagnosis, and Treatment Options
Tendinitis I accidentally injured my thumb and the surrounding area of my palm while playing basketball. It hurts whenever I apply pressure, and I can't write for too long. The right side of my abdomen also feels like it's inflamed and is very painful when I press on it...
Dr. Xu Li'an reply Family Medicine
Dear Mr. Lai, It is recommended that you see a rehabilitation specialist for sports injuries caused by playing. As for your abdominal pain, it may also be related to a sports injury. You can first have a rehabilitation physician assess your condition, and if necessary, you can t...[Read More] Understanding Tendonitis: Symptoms, Diagnosis, and Treatment Options
Improving High Cholesterol Levels: Tips from a Family Medicine Expert
Health check-up Hello Dr. Hsu: I recently had a health check-up, and one of the results was abnormal: my total cholesterol (CHOL) level. What measures can I take to improve it and bring it back within the normal range?
Dr. Xu Li'an reply Family Medicine
Dear Fred, The normal range for total cholesterol is between 130 and 200 mg/dL. Medication is typically required only if levels exceed 240 mg/dL. Therefore, please focus on dietary control for three months and then return for a follow-up check. In your diet, try to avoid frie...[Read More] Improving High Cholesterol Levels: Tips from a Family Medicine Expert