Persistent Discomfort Around the Belly Button: Seeking Medical Guidance
Discomfort to the right of the navel, including the navel itself, has been present since May? I have discomfort around my belly button, including the right side, which has been ongoing since May. Sometimes it feels like I have diarrhea. Previously, pressing on my belly button wou...
Dr. Ye Qianyu reply Family Medicine
Hello! For issues around the navel, it is recommended that you visit a general surgery outpatient clinic for evaluation. Additionally, for regular cleaning, you can use soapy water to gently massage the area after moistening it, and avoid unnecessary scratching.[Read More] Persistent Discomfort Around the Belly Button: Seeking Medical Guidance
Why Slightly Higher Blood Sugar Levels Are Important for Seniors
Why do elderly individuals need to have slightly higher blood sugar levels? Hello, doctor. My grandfather is 80 years old and has been a long-term diabetes patient. He recently visited the dentist and relayed the following conversation: 1. It seems the dentist mentioned that lo...
Dr. Ye Qianyu reply Family Medicine
Hello! Considering the compensatory ability of the elderly, the control standards for blood sugar and blood pressure are relatively lenient. Hypoglycemia can actually be more dangerous. It is recommended that you accompany your elder to follow-up appointments to help confirm thei...[Read More] Why Slightly Higher Blood Sugar Levels Are Important for Seniors
Understanding Blood in Sputum After Endoscopy: What You Need to Know
Blood in sputum? Hello, doctor. I experienced difficulty swallowing and chest pain, so I underwent an endoscopy with biopsy last week. The endoscopy indicated only some reflux. However, this morning when I woke up, I noticed that my phlegm had turned slightly brown. Then, just th...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, the relationship between hemoptysis and gastroscopy is minimal. It is recommended that you consult a pulmonologist and an otolaryngologist.[Read More] Understanding Blood in Sputum After Endoscopy: What You Need to Know
Understanding Elevated Bilirubin and Amylase Levels: A Guide for Patients
Laboratory report: Elevated levels of bilirubin and amylase? In the past two years, direct bilirubin and amylase levels have frequently been slightly elevated, while other liver, gallbladder, and blood/urine values remain normal. There has been a long-term history of right upper ...
Dr. Ye Qianyu reply Family Medicine
Hello! Abnormal levels of bilirubin and amylase suggest that you should follow up with a gastroenterologist specializing in liver and biliary disorders. Additionally, dietary habits are very important, and it is recommended that you reduce your intake of animal fats.[Read More] Understanding Elevated Bilirubin and Amylase Levels: A Guide for Patients
Is a Low Arterial Stiffness Index Dangerous? Understanding Your Health Report
Atherosclerosis index Hello, is a lower atherosclerosis index dangerous? My health check report shows an "atherosclerosis index" of 2.86. Is this normal?
Dr. Ye Qianyu reply Family Medicine
Hello! The ideal normal value for the atherosclerosis index is less than 4. Your index should be considered normal. Please be reminded that clinical status and laboratory values must be evaluated together; diagnosis cannot be made solely based on data.[Read More] Is a Low Arterial Stiffness Index Dangerous? Understanding Your Health Report
Discomfort Below the Rib Cage: Distinguishing Organ Pain from Muscle Pain
Discomfort in the area beneath the rib cage? Recently, I have been feeling discomfort in the area just below my ribs. Additionally, I have lost quite a bit of weight due to dizziness (which I have seen a doctor for, and it is initially thought to be related to sleep issues), and ...
Dr. Ye Qianyu reply Family Medicine
Hello! Since it is not possible to conduct a physical examination online, it is recommended that you visit a medical facility for evaluation.[Read More] Discomfort Below the Rib Cage: Distinguishing Organ Pain from Muscle Pain
Understanding Intermittent Lower Abdominal Pain: Which Specialist to Consult?
If you are experiencing alternating pain on both sides of the lower abdomen, you should consult a gastroenterologist or a general practitioner? Bilateral lower abdominal spontaneous pain occurs intermittently (not daily, but occasionally for about 1 to 2 months). Sometimes, there...
Dr. Ye Qianyu reply Family Medicine
Hello! Please continue with your follow-up in obstetrics and gynecology, and also seek medical attention from a gastroenterologist.[Read More] Understanding Intermittent Lower Abdominal Pain: Which Specialist to Consult?
Understanding Abnormal Breast Exam Results: What You Need to Know
Abnormal breast examination? Hello, Doctor. This inquiry is on behalf of my mother. I would appreciate your insights. About last Friday, my mother's breast examination results came back, and the doctor informed her that the report was abnormal. They found multiple fibroadeno...
Dr. Ye Qianyu reply Family Medicine
Hello! The results of the breast examination are abnormal, and regular follow-up is needed to monitor any changes. Currently, the chances of curing breast diseases are very high if detected early. It is recommended that you remind your mother to return for her follow-up appointme...[Read More] Understanding Abnormal Breast Exam Results: What You Need to Know
Is It Normal for Body Temperature to Fluctuate Between 33°C and 36°C?
Doctor, is it normal for body temperature to fluctuate between 33°C and 36°C? I have recently noticed that when entering stores and other commercial places, the forehead temperature measurements have shown unprecedented low readings in the past couple of days. Today, one reading ...
Dr. Ye Qianyu reply Family Medicine
Hello! The measurement of forehead temperature can vary significantly due to environmental factors and the measurement site. It is recommended to wipe the forehead dry before measuring, eliminate exposure to high or low temperature environments, and then measure again to confirm ...[Read More] Is It Normal for Body Temperature to Fluctuate Between 33°C and 36°C?
Cold Wrists and Weakness After Vaccination: When to Seek Medical Help
The wrist feels cold and somewhat weak? I have hyperthyroidism, and my heart rate is already a bit fast. After receiving the BNT vaccine last Thursday, my heart rate increased from 74-80 to 81-85. Today, my wrist feels a bit cold intermittently. Should I see a specialist, or shou...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, your current physiological responses are still within a reasonable range. Due to the recent significant temperature fluctuations, I recommend dressing in layers with a light jacket. If you experience any other discomfort, please visit a medical f...[Read More] Cold Wrists and Weakness After Vaccination: When to Seek Medical Help
Understanding the Sexual Needs of Individuals with Disabilities
Sexual needs of individuals with disabilities? Individuals with disabilities have sexual needs, but parents may feel conflicted about their children's sexual desires. How can we help parents acknowledge that their children also have sexual needs? What approaches or perspecti...
Dr. Ye Qianyu reply Family Medicine
Hello! Each child's needs are different, so I suggest observing what kind of difficulties, symptoms, or abnormalities the child is experiencing to initiate discussions with the parents. This topic is quite sensitive, so it might be helpful to arrange a psychological counseli...[Read More] Understanding the Sexual Needs of Individuals with Disabilities
Understanding Vaccine-Related Skin Spots: Thrombosis or Purpura?
Vaccine blood spots Hello, doctor. I would like to ask about the petechiae caused by the vaccine. Do these subcutaneous bleeding spots appear suddenly (overnight) with many spots, or do they gradually increase day by day? Before I received the COVID-19 vaccine, I had just visited...
Dr. Ye Qianyu reply Family Medicine
Hello! The causes of the two conditions are different. Please observe if you have any of the following symptoms: severe persistent headache accompanied by vision changes or seizures, severe and persistent abdominal pain lasting more than 24 hours, swelling or pain in the lower ex...[Read More] Understanding Vaccine-Related Skin Spots: Thrombosis or Purpura?
Pain in Armpit: Should You Worry About Breast Cancer?
Pain upon palpation of the axilla? Hello, doctor. I have a painful spot under my right armpit that hurts when pressed, but I don't feel anything when I'm not pressing it. It's been like this for a few years. Since I don't usually press on my armpit, I tend to ...
Dr. Ye Qianyu reply Family Medicine
Hello! Since a simple physical examination cannot provide a differential diagnosis, it is recommended that you visit a breast surgery clinic as soon as possible.[Read More] Pain in Armpit: Should You Worry About Breast Cancer?
Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor
Calf pain Hello, Doctor. I haven't really paid attention to when it started, but I remember it was during my senior year of high school. One night, it was raining, and when I went to bed, I experienced severe pain in my calves that kept me from sleeping. Recently, I've ...
Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you visit a rehabilitation specialist to assess for any lumbar spine issues. During the acute phase, medication treatment may be used, followed by a rehabilitation plan. You can also consult with a rehabilitation physician or physical therapist for a...[Read More] Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor
Can I Get Moderna Vaccine After Hepatitis B Vaccination?
Hepatitis B vaccine Hello, I would like to ask if it is feasible to receive the Moderna vaccine shortly after getting the Hepatitis B vaccine today, or is there a need to wait a few days?
Dr. Ye Qianyu reply Family Medicine
Hello! "Currently, there is no data indicating the impact of simultaneous vaccination with other vaccines on immunogenicity and safety. It is recommended to have an interval of at least 7 days between the COVID-19 vaccine and other vaccines. If the interval is less than the ...[Read More] Can I Get Moderna Vaccine After Hepatitis B Vaccination?
Diarrhea and Rapid Heartbeat: When to See a Doctor?
Diarrhea and rapid heartbeat? Hello, doctor: Recently, my bowel movements have been unformed, and in the last two instances, I noticed that I experienced a rapid heartbeat during defecation. I'm not quite sure what palpitations feel like; I can feel the arteries in my abdome...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description of acute symptoms such as diarrhea and palpitations (feeling your heartbeat), please monitor your body temperature. If the symptoms persist, it is advisable to visit a family medicine or gastroenterology clinic for evaluation.[Read More] Diarrhea and Rapid Heartbeat: When to See a Doctor?
Should You Get Tested for COVID-19 After an ER Visit?
Medical consultation Hello doctor, my mother felt discomfort in her heart yesterday, so we went to the emergency room. However, the area next to the internal medicine department was filled with patients exhibiting symptoms like coughing and vomiting. We wore medical masks the ent...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, the risk you are exposed to currently only requires self-health management. Although the emergency department is considered a high-risk area, it does not necessarily mean there will be cases. It is recommended that you pay close attention to the ...[Read More] Should You Get Tested for COVID-19 After an ER Visit?
Is My Phone Disinfection Routine Too Excessive During COVID-19?
Disinfection of the coronavirus? Recently, due to the pandemic, I often clean my phone before going to bed. However, this has led to arguments with my family, who say that I am being overly excessive. I want to ask the doctor if I am really over-cleaning. Currently, I disinfect m...
Dr. Ye Qianyu reply Family Medicine
Hello! Since I did not see your disinfection practices, I recommend a reasonable disinfection method: areas that are frequently exposed to the outside should be cleaned and disinfected upon returning home. For instance, hand sanitization should be done frequently, and you should ...[Read More] Is My Phone Disinfection Routine Too Excessive During COVID-19?
COVID Vaccine and Medication: Guidance for Patients on Lupron and Endometriosis Treatment
COVID-19 Vaccine Administration 1. Can I receive the BNT vaccine on October 14th after starting the long-acting leuprolide (Lupron) injections on April 10th? 2. Can I continue taking estradiol (Estrace) after starting it on October 10th, or should I stop taking it then? How long ...
Dr. Ye Qianyu reply Family Medicine
Hello! These two medications should not affect the vaccine. It is recommended that you consult your original gynecologist. If there are no contraindications or other acute issues, you can proceed with the vaccination.[Read More] COVID Vaccine and Medication: Guidance for Patients on Lupron and Endometriosis Treatment
Understanding Throat Discomfort After Choking on Medication
Experiencing discomfort in the throat after choking on medication? Hello Doctor: Yesterday, while taking my medication, it got stuck in my throat. I swallowed a large gulp of water, but it didn't go down and I felt a choking sensation. After that, I still had water in my mou...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, it is possible that you may have injured the mucous membrane of your throat while swallowing medication. Please recall if you accidentally swallowed any part of the foil packaging along with the medication. If there is a possibility of having ing...[Read More] Understanding Throat Discomfort After Choking on Medication