Dr. Xu Li'an reply Family Medicine Question - Page 2

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Why Do I Wake Up with Brown Sticky Substance in My Mouth?

Waking up in the morning with an unusual feeling in the mouth? I would like to ask which department I should consult if I wake up every morning with a thick, brownish substance in my mouth. Could you also explain why this might be happening?


Dr. Xu Li'an reply Family Medicine
Dear Mr. Hsieh, please visit a dentist first to check for any issues related to gum bleeding and periodontal disease. If those are not the problems, then please see a family medicine physician for a reevaluation. Wishing you a speedy recovery. Sincerely, Hsu Li-An Hualien Hos...

[Read More] Why Do I Wake Up with Brown Sticky Substance in My Mouth?


Understanding Easy Bruising: Causes and Solutions for Common Concerns

Chronic bruising Hello, Doctor: Over the past year or two, I seem to bruise easily, possibly because I am a bit clumsy and often bump into table corners or chair edges while walking. As a result, I frequently have bruises on my calves and thighs, which I haven't treated spec...


Dr. Xu Li'an reply Family Medicine
Dear Tina, Please visit a family medicine or hematology department at a major hospital. The hematology department usually specializes in hematologic oncology to check for any blood coagulation issues. If there are none, please be careful while walking. As for scar removal, it c...

[Read More] Understanding Easy Bruising: Causes and Solutions for Common Concerns


Unexplained Alcohol Breath: Understanding Possible Causes and Concerns

Breath has a smell of alcohol? Hello, Dr. Hsu. I usually do not drink alcohol (I consume less than 1000cc of beer per year). When I do drink, I quickly experience full-body warmth and redness, but I do not have any allergies. However, in recent years, I have occasionally noticed ...


Dr. Xu Li'an reply Family Medicine
Hello, Mr. Zhang. Please visit a major hospital to see the Endocrinology or Metabolism department, as further tests are needed for a proper diagnosis. Wishing you a speedy recovery. Hsu Li-An, 9507261011, Hualien Hospital, Family Medicine Department.

[Read More] Unexplained Alcohol Breath: Understanding Possible Causes and Concerns


Why Do My Hands Tingle While Sleeping? Causes and Solutions

Numbness in the hands during sleep? Hello Doctor: I often experience numbness in my hands while sleeping, particularly in the palms. I usually can't maintain one sleeping position for too long without feeling numbness in my hands. However, I don't have any particular se...


Dr. Xu Li'an reply Family Medicine
Dear Han, please visit the neurology department at the hospital. If your symptoms continue to worsen, you should get checked as soon as possible. Wishing you a speedy recovery. Xu Li'an 9507261009 Hualien Hospital Family Medicine Department.

[Read More] Why Do My Hands Tingle While Sleeping? Causes and Solutions


Understanding Hair Loss and Associated Symptoms: When to Seek Medical Help

Hair loss issues? Hello, over the past week or two, I have been experiencing some symptoms: 1. Severe hair loss 2. Difficulty breathing (shortness of breath) 3. My mood seems to be unstable (easily irritable) 4. It feels like there is something in my throat when I eat, making it ...


Dr. Xu Li'an reply Family Medicine
Hello Ms. Huang, have there been any issues at home or work-related stress lately? Please visit the hospital and first see a family medicine physician for an evaluation. The family medicine doctor can perform some tests or refer you to other relevant specialties. Wishing you and ...

[Read More] Understanding Hair Loss and Associated Symptoms: When to Seek Medical Help


Understanding Inner Ear Imbalance: Symptoms, Causes, and Treatment

Inner ear imbalance Dr. Hsu: I apologize for bothering you again. I’m not sure if it’s due to stress, but my physical condition has been fluctuating. After experiencing menstrual cramps, I immediately felt dizzy. A few days ago, I visited an internist and reported symptoms includ...


Dr. Xu Li'an reply Family Medicine
Dear worried girl Linda, whether it's a hospital or a clinic, I recommend that you find a regular family medicine physician for consultation. You have been constantly concerned about the issue of medication overdose, but merely worrying is not helpful. Why not make some chan...

[Read More] Understanding Inner Ear Imbalance: Symptoms, Causes, and Treatment


Understanding Hemorrhoids: Symptoms, Stages, and Treatment Options

Hemorrhoid issues..? Hello Doctor: I usually have normal bowel movements, but last year when I visited a colorectal specialist, the doctor diagnosed me with hemorrhoids, specifically internal hemorrhoids. However, I do not experience bleeding or pain after bowel movements; I only...


Dr. Xu Li'an reply Family Medicine
Dear kitty, please go see a colorectal surgeon for a diagnosis and to discuss the surgical options. The physician responsible for your surgery has the obligation to explain your condition to you, including the stage of your illness. However, informing you about whether or not you...

[Read More] Understanding Hemorrhoids: Symptoms, Stages, and Treatment Options


Understanding Eosinophilia: Causes, Complications, and Management Tips

"Eosinophilia" Hello Doctor: My friend has been diagnosed with eosinophilia after a preliminary examination by a physician. What is this condition, and what complications can arise from it? What should be taken into consideration, and are there any dietary restrictions?...


Dr. Xu Li'an reply Family Medicine
Dear Venus, I originally intended to respond to you, but since this concerns your friend's illness and patient privacy rights, I cannot and must refuse to answer your questions. Perhaps you could search online yourself or ask your friend to consult the physician who diagnose...

[Read More] Understanding Eosinophilia: Causes, Complications, and Management Tips


Is Excessive Painkiller Use Harmful to Your Liver and Kidneys?

Using a lot of painkillers can lead to several potential issues. Overuse of nonsteroidal anti-inflammatory drugs (NSAIDs) may cause gastrointestinal problems, such as ulcers or bleeding, as well as kidney damage. Opioids, on the other hand, can lead to dependence, tolerance, and ...


Dr. Xu Li'an reply Family Medicine
Dear worried girl Linda, For menstrual pain, Panadol (Acetaminophen) is usually not very effective. It is better to use Ponstan (Mefenamic Acid) for pain relief and cramping. Brufen or Purfen (Ibuprofen) can also be effective. Ketorolac and Diclofenac are also options. For cram...

[Read More] Is Excessive Painkiller Use Harmful to Your Liver and Kidneys?


Essential Guide to Tuberculosis Testing for Studying Abroad in the U.S.

Regarding the tuberculosis skin test for studying abroad? Dear Dr. Hsu, I will be going to the United States for further studies in August, and the school has provided a list of required vaccinations and examinations. I have obtained my vaccination record card from the health ce...


Dr. Xu Li'an reply Family Medicine
Hello Ansel, I suggest you contact public hospitals such as Chiayi Hospital or Puzi Hospital, or Chiayi Christian Hospital and Chiayi St. Martin Hospital to inquire about the health examination department and family medicine. Generally, if you have received the BCG vaccine, the t...

[Read More] Essential Guide to Tuberculosis Testing for Studying Abroad in the U.S.


Why Am I Getting Sick So Often? Understanding Frequent Illnesses

Why do I often get sick? Hello Dr. Hsu, I have been frequently experiencing colds and gastroenteritis for several weeks now, alternating between the two. I get a cold, recover, and then a few days later, I have gastroenteritis. After recovering from that, I get sick again shortl...


Dr. Xu Li'an reply Family Medicine
Dear Worried Girl Linda, I believe that frequently falling ill helps to build resilience for the future. I have also been sick often since childhood, and even now, many medical issues remain unexplained. Answering why you often get sick is akin to addressing questions like why C...

[Read More] Why Am I Getting Sick So Often? Understanding Frequent Illnesses


Understanding Dizziness: When to See a Doctor and Which Specialist to Consult

excuse me? I sometimes experience dizziness and instability that lasts for about ten seconds. I need to hold onto something to avoid falling. I would like to know what might be causing this and which department I should visit at the hospital.


Dr. Xu Li'an reply Family Medicine
Hello Weiwei, first we need to check if you have anemia. People with anemia may experience dizziness when changing positions, such as standing up suddenly after squatting. Next, it's important to consult with a neurologist and an otolaryngologist. I recommend that you start ...

[Read More] Understanding Dizziness: When to See a Doctor and Which Specialist to Consult


Can Traditional Chinese Medicine Help with Allergic Rhinitis and Throat Issues?

Will transitioning to Traditional Chinese Medicine lead to improvement? Doctor: Sorry to interrupt, but due to my nasal allergies, I often experience post-nasal drip that leads to bacterial infections in my throat. My sore throat hasn't improved, and it's causing severe...


Dr. Xu Li'an reply Family Medicine
Dear Amy, I also suffer from allergic rhinitis. Every morning, I have a runny nose that feels like a faucet. Western medicine can only treat the symptoms, not the root cause. When the symptoms are severe, I take medication; when they are mild, I try to adapt to them. I consider t...

[Read More] Can Traditional Chinese Medicine Help with Allergic Rhinitis and Throat Issues?


Understanding Bright Red Blood in Stool Without Abdominal Pain

Blood in stool If there is blood in the stool, the abdomen is not painful, there are no other physical symptoms, and the stool is normal in shape with bright red blood, what could this condition be? Thank you.


Dr. Xu Li'an reply Family Medicine
Dear Ade, it could be hemorrhoids or an anal fissure, but I still recommend that you get it checked. Please consult a colorectal surgeon or a general surgery outpatient clinic. Wishing you a speedy recovery. Sincerely, Hsu Li-An, Hualien Hospital, Family Medicine Department.

[Read More] Understanding Bright Red Blood in Stool Without Abdominal Pain


Understanding Lymph Node Concerns: When to Worry About Swelling

Lymph node issues? Hello, doctor. I would like to ask you about my severe anxiety regarding HIV. I have heard that one of the warning signs is lymphadenopathy. I tried to move the fat on my neck and felt a lymph node (I asked my dentist, and he confirmed it is indeed a lymph node...


Dr. Xu Li'an reply Family Medicine
Dear Ruke, please visit the hospital to see an infectious disease specialist. There's no need to panic about the illness; please don't scare yourself. Wishing you a speedy recovery and good health. Best regards, Hsu Li-An, Hualien Hospital, 950512.

[Read More] Understanding Lymph Node Concerns: When to Worry About Swelling


Why Is My Head Growing? Understanding Unexplained Changes

Enlarged head The same hat no longer fits, and I've also cut my hair. This has happened in the past few months; is it possible? A towel can no longer wrap around my head.


Dr. Xu Li'an reply Family Medicine
Dear Mei Mei, there could be many possible reasons. Perhaps the hat has shrunk. If you have other symptoms, please visit a neurosurgery outpatient clinic. Wishing you a speedy recovery both physically and mentally. Best regards, Hsu Li-An, Hualien Hospital, Family Medicine Depart...

[Read More] Why Is My Head Growing? Understanding Unexplained Changes


Do I Need a Large Hospital for Hepatitis B Blood Tests?

Hepatitis B Excuse me, I would like to ask if I need to go to a larger hospital for a hepatitis B blood test, or if a smaller clinic would suffice? A friend mentioned that many small clinics do not have the necessary equipment or procedures for this type of blood test and that sa...


Dr. Xu Li'an reply Family Medicine
Dear Xiao Hei, please visit a hospital with family medicine or internal medicine departments to get tested for hepatitis B. The test will show whether the results for the antigen or antibody are negative or positive; there is no need for numerical values. You only need to take th...

[Read More] Do I Need a Large Hospital for Hepatitis B Blood Tests?


Understanding Your Symptoms: Chest Pain, Dizziness, and More

I'm sorry, but I need more context or content to provide a translation. Please provide the specific text you would Hello Dr. Hsu Li-An, I have a few questions I would like to ask you. My first symptom is chest pain and difficulty breathing. The second symptom is persistent d...


Dr. Xu Li'an reply Family Medicine
Hello, the items assessed during military service physical examinations are limited and do not necessarily indicate that you are completely healthy. Since you have so many questions about your health status, I recommend that you visit a family medicine clinic for examination, tre...

[Read More] Understanding Your Symptoms: Chest Pain, Dizziness, and More


Which Specialist to See for Memory Issues and Mood Changes?

Dementia? Depression? Hypothyroidism? Which department(s) should I consult? Hello Doctor, my mother is 55 years old and slightly overweight. She has a history of hypothyroidism and cardiovascular issues (she has a lack of temperature sensation in her left hand and elevated blood ...


Dr. Xu Li'an reply Family Medicine
Dear Kevin, I suggest you take your mother to see a neurologist; some hospitals refer to this as the Department of Neurology. At the same time, you should also visit an endocrinologist, which some hospitals call the Department of Metabolism. It would be best to find a facility wh...

[Read More] Which Specialist to See for Memory Issues and Mood Changes?


Intermittent Pain in the Front of Right Calf: Causes and Solutions

Intermittent sharp pain on both sides of the front of the right calf bone? Hello doctor, my right calf has intermittent sharp pain on both sides of the bone at the front. Sometimes the pain is focused on a specific point on the right side, and other times it is on a specific poin...


Dr. Xu Li'an reply Family Medicine
Hello Mr. Xiaopang, your condition may be related to overuse. I recommend that you see an orthopedic or rehabilitation specialist. Wishing you a speedy recovery. Dr. Hsu Li-An, Hualien Hospital, Family Medicine Department.

[Read More] Intermittent Pain in the Front of Right Calf: Causes and Solutions


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