Understanding Your Symptoms: When to Seek Medical Help for Dizziness
I'm not quite sure what's wrong with me? I sometimes experience dizziness, headaches, nausea, unsteadiness, and temporary vision loss (complete blackout) when discussing schoolwork with my dad. I also sweat profusely (like really drenched in sweat), and these episodes l...
Dr. Xu Peiqi reply Family Medicine
Hello, Mag: The most common cause of these symptoms is related to autonomic nervous system issues, but other potential causes cannot be completely ruled out. I recommend that you schedule an appointment with a neurologist. Wishing you peace and good health![Read More] Understanding Your Symptoms: When to Seek Medical Help for Dizziness
Understanding Painful Movable Lump in the Right Lower Abdomen
There is a small lump in the right lower abdomen that is painful when pressed? Hello Doctor: For the past two days, I have been experiencing pain when pressing on the right lower abdomen (above the pubic hair). Upon closer examination, I can feel a small, soft, movable lump. Over...
Dr. Xu Peiqi reply Family Medicine
Hello: The most common situation is lymphadenopathy, often caused by an infection! If it improves on its own in a few days, you can just monitor it! However, if the symptoms persist, you can seek medical evaluation from a general internist or family medicine physician![Read More] Understanding Painful Movable Lump in the Right Lower Abdomen
Struggling with Sleep Issues and Lactose Intolerance: Seeking Solutions
Severe sleep disturbances but with lactose intolerance? Hello Doctor: I often feel exhausted after spending the whole day at work or out on weekends, yet I struggle to fall asleep. I frequently hear people say that if you can't sleep, it's because you're not tired ...
Dr. Xu Peiqi reply Family Medicine
Hello: If you have already tried to improve your sleep habits, such as going to bed at the same time, avoiding intense activities an hour before sleep, maintaining a regular exercise routine, and not eating a heavy dinner, but still cannot improve your sleep condition, it is advi...[Read More] Struggling with Sleep Issues and Lactose Intolerance: Seeking Solutions
Understanding Low Body Temperature and Cold Sweats in Young Adults
Low body temperature, cold sweats, and general malaise? Hello! My son suddenly felt cold all over and broke out in a cold sweat while working at a construction site yesterday. His complexion looked very poor. This morning when I got home and saw him lying down, I asked why his co...
Dr. Xu Peiqi reply Family Medicine
Hello, Mrs. Lin. A body temperature of 35 degrees Celsius is considered hypothermia. It is advisable to take him to a medical facility immediately. There are many possible causes, with the most common being chills prior to a fever. However, a definitive diagnosis can only be made...[Read More] Understanding Low Body Temperature and Cold Sweats in Young Adults
Which Specialist to Consult for Post-Infusion Swelling and Pain?
Which department should I see? Three weeks ago, when I was receiving an IV, my hand swelled up. The nurse then changed the IV site, and the swelling subsided shortly after. Recently, I noticed a section of a blood vessel (about 1 cm) near the original swollen area that has become...
Dr. Xu Peiqi reply Family Medicine
Hello: This condition may be due to vascular inflammation, lymphatic obstruction, or other issues. It is recommended that you visit a nearby clinic or health center for medical attention; either an internal medicine or surgical clinic would be appropriate![Read More] Which Specialist to Consult for Post-Infusion Swelling and Pain?
Understanding the Connection Between Abdominal Bloating and Back Pain in Teens
Abdominal bloating and pain accompanied by spinal pain? My daughter is a 14-year-old second-year junior high school student who is suspected of having Asperger's syndrome combined with psychosomatic symptoms. She has been taking Buspirone for six months. A month ago, she vis...
Dr. Xu Peiqi reply Family Medicine
Hello, Afun. I can see that you are very concerned about your daughter, and I understand how difficult this must be for you. Currently, it seems that we cannot completely rule out a connection between her spinal pain and gastrointestinal discomfort. Her spinal pain is somewhat un...[Read More] Understanding the Connection Between Abdominal Bloating and Back Pain in Teens
Understanding Sleep Paralysis and Hallucinations: A Medical Perspective
Yin-Yang Eyes and Sleep Paralysis Hello doctor, my girlfriend says she sees spirits and experiences sleep paralysis (usually around 2 AM when she is about to fall asleep). Sometimes she sees a spirit staring at her with wide eyes, sometimes she hears voices, and other times she f...
Dr. Xu Peiqi reply Family Medicine
Hello: These symptoms would be explained as hallucinations in Western medicine. To understand the severity and treatment options, it is essential to consult a psychosomatic medicine specialist. As for the possibility of it being caused by a brain tumor, while I cannot guarantee w...[Read More] Understanding Sleep Paralysis and Hallucinations: A Medical Perspective
Why Iron Supplements Aren't Improving Your Anemia: What to Do Next
If anemia does not improve with iron supplements, which specialist should you see? Hello Doctor, I visited a dermatologist last year due to severe hair loss. After a blood test, most of my values were normal, but my hemoglobin was at the lower limit and my ferritin was too low. (...
Dr. Xu Peiqi reply Family Medicine
The relationship between ferritin, anemia, and hair loss is not absolute. If your primary concern is hair loss, there are many factors involved, and sometimes it can be difficult to pinpoint a single cause! However, reducing life stress, improving sleep quality, and supplementing...[Read More] Why Iron Supplements Aren't Improving Your Anemia: What to Do Next
Feeling Constantly Tired: Is It a Liver Issue or Sleep Disorder?
Constantly feeling sleepy? Hello Doctor, I am the patient #143991. When I stay up late (around 1 AM), I feel extremely nauseous and want to vomit either at that moment or the next morning. Could this be related to a liver issue? Two years ago, when I entered university, I had a b...
Dr. Xu Peiqi reply Family Medicine
It should not be the case; it is recommended to maintain a consistent sleep schedule and to avoid staying up late as much as possible.[Read More] Feeling Constantly Tired: Is It a Liver Issue or Sleep Disorder?
Interpreting Health Check Results: Urological and Liver Function Concerns
Interpretation of Health Check Report Hello Dr. Hsu: I recently underwent a health examination and would like your assistance in interpreting some indices related to potential urinary tract issues and liver function abnormalities. Thank you. Urine protein qualitative test: +/- ...
Dr. Xu Peiqi reply Family Medicine
Health check reports only provide partial examination values. For a definitive diagnosis, it is recommended to schedule an appointment with a physician, either a general internist or a family medicine doctor.[Read More] Interpreting Health Check Results: Urological and Liver Function Concerns
Understanding and Managing Eyelid Twitching: Causes and Solutions
Eyelid twitching Hello, doctor. Recently, I have been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days. Initially, it occurred about once every few minutes, but now...
Dr. Xu Peiqi reply Family Medicine
Hello Ken, thank you for your question. If eyelid twitching occurs without accompanying symptoms such as facial nerve paralysis on one side or limb dysfunction, there is generally no need for excessive concern. However, if the twitching causes discomfort or affects your daily lif...[Read More] Understanding and Managing Eyelid Twitching: Causes and Solutions
Constant Sleepiness: Understanding Causes and Necessary Tests
Constantly feeling sleepy? Hello doctor, I constantly feel sleepy. Even after getting enough sleep, about 3 hours later, I want to sleep again. I sleep more than 7 hours every day. What could be the reason for this? What tests should I undergo? If tests are needed, what specific ...
Dr. Xu Peiqi reply Family Medicine
Hello Ms. Chen, thank you for your question. Everyone has different sleep habits; some people need ten hours of sleep each day, while others only require six hours. Whether there is an issue with sleep depends on how refreshed one feels upon waking. It is quite normal for an aver...[Read More] Constant Sleepiness: Understanding Causes and Necessary Tests
Understanding Behçet's Disease: Symptoms, Diagnosis, and Specialist Referrals
Regarding Behçet's disease? Hello Doctor, I have the following symptoms and would like to inquire if they could possibly be related to Behçet's disease; if not, which specialty should I consult for improvement? 1. I have seborrheic dermatitis on my scalp, which causes ...
Dr. Xu Peiqi reply Family Medicine
Hello, Miss Fei: Thank you for your questions. Regarding the first issue of scalp itching, I recommend using a shampoo with lower degreasing ability and washing your hair every two days. Due to the nature of your hair, applying lotion to the scalp can be challenging, so the best ...[Read More] Understanding Behçet's Disease: Symptoms, Diagnosis, and Specialist Referrals
Understanding Your Symptoms: When to Seek Medical Help for Discomfort
Physical discomfort? Hello Doctor: In recent months, I have been experiencing various pains, and I'm unsure if they are due to stress or if there are actual health issues. For the past few weeks, I have been feeling very dizzy, accompanied by a constant desire to sleep. Ofte...
Dr. Xu Peiqi reply Family Medicine
Hello Mr. Hsueh, thank you for your inquiry, and I appreciate your efforts regarding your health condition. To summarize your concerns, you are experiencing dizziness and fatigue, nausea, poor appetite, acid reflux, irregular bowel movements with blood, and occasional chest tight...[Read More] Understanding Your Symptoms: When to Seek Medical Help for Discomfort
How Eating Slowly Affects Post-Meal Blood Sugar Measurement Timing
Postprandial blood glucose measurement timing? Hello, Doctor. I eat very slowly. If I want to measure my blood sugar two hours after a meal, should I start timing from the first bite? However, if I am still eating close to the two-hour mark, will this affect my blood sugar levels...
Dr. Xu Peiqi reply Family Medicine
Hello, the blood glucose test two hours after a meal is calculated from the first bite of food! You don't need to worry about how long it took you to eat! Additionally, since fasting blood glucose levels have a greater impact on prognosis in diabetes, postprandial blood gluc...[Read More] How Eating Slowly Affects Post-Meal Blood Sugar Measurement Timing
Understanding Anemia: Symptoms, Treatment, and When to Seek Help
Anemia-related issues I have symptoms of anemia, and in late August, my hemoglobin level was only 10. After taking iron supplements for a month, it has increased to 10.7. I am still taking the iron supplements, and it has been two months now. Recently, my dizziness has improved s...
Dr. Xu Peiqi reply Family Medicine
Thank you for your question! Based on your description, the recent dizziness may not necessarily be related to your previous anemia, unless there is sudden significant blood loss from somewhere in your body, such as the gastrointestinal tract or menstruation. I recommend that you...[Read More] Understanding Anemia: Symptoms, Treatment, and When to Seek Help
Understanding Symptoms: Abdominal Pain, Dizziness, and Blurred Vision
Stomach pain, dizziness, and blurred vision? Hello, doctor. This morning while I was in the car, I suddenly experienced severe stomach pain and started sweating profusely. I also had symptoms of diarrhea, dizziness, and blurred vision. After urgently getting out of the car and si...
Dr. Xu Peiqi reply Family Medicine
Dear Ms. Sheena, Thank you for your inquiry. Your description is quite detailed, and it currently sounds like the most likely diagnosis is Irritable Bowel Syndrome (IBS). Since the episodes are infrequent and have persisted for many years without developing into a more serious c...[Read More] Understanding Symptoms: Abdominal Pain, Dizziness, and Blurred Vision
Understanding Head Pain: Common Causes and When to Seek Help
Head issues Hello, I have been facing a major exam recently and haven't been able to spend much time seeing a doctor, so I would like to consult with you here. 1. About six months ago, I started noticing pain in the lower left back of my head (seems to be the occipital mus...
Dr. Xu Peiqi reply Family Medicine
Hello Ms. Chen, your description is very detailed. However, due to the complex structure of the head and neck, and since your lesions are mostly smaller than one centimeter, I recommend that you seek medical attention in person. A doctor’s examination will provide a more accurate...[Read More] Understanding Head Pain: Common Causes and When to Seek Help
Assessing the Need for STI Testing After Unsafe Sex: A Patient's Journey
From the end of February 2018 to the end of April 2018, there was unprotected sexual intercourse? I started staying up late in 2018, often going to bed at 3 AM. Between late February and the end of April, I engaged in unprotected sexual activity. In August, I began experiencing a...
Dr. Xu Peiqi reply Family Medicine
Hello: Based on the current description, recurrent folliculitis is not sufficient to support a suspicion of HIV! Therefore, if you are concerned about a possible infection, it is recommended to retest in three to six months. Thank you for your inquiry![Read More] Assessing the Need for STI Testing After Unsafe Sex: A Patient's Journey
Will I Still Grow Taller? Understanding Height Growth at 14
Are you still growing taller? I am currently 14 years old, approximately 165 cm tall, and I have developed pubic hair as well as underarm hair (which seems to be still developing). I have a habit of masturbating about two to three times a week, and I usually go to bed around 11:0...
Dr. Xu Peiqi reply Family Medicine
Hello, generally speaking, a sudden increase in height is a sign of early puberty, while the mid-puberty stage is characterized by the development of secondary sexual characteristics. You have a good understanding of your body condition and have done your homework, so I believe y...[Read More] Will I Still Grow Taller? Understanding Height Growth at 14