Dr. Ye Qianyu reply Family Medicine Question - Page 2

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Understanding Unintentional Weight Loss: When to Seek Medical Advice

Weight loss within six months? Hello, doctor. This inquiry is on behalf of my mother. She is currently 56 years old and has experienced a weight loss from 61 kg to around 56 kg over the past 5 to 6 months, without any dieting or exercise. My mother is a teacher and often skips lu...


Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended to visit the Metabolism Clinic for consultation.

[Read More] Understanding Unintentional Weight Loss: When to Seek Medical Advice


Which Specialist Should I See for My Digestive and Anxiety Issues?

What is wrong with me, and which specialty should I see? Hello Doctor, I would like to ask you some questions. Thank you. Currently, I am experiencing symptoms related to anxiety, extreme fatigue during the day, and gastroesophageal reflux disease (GERD). However, the medication ...


Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you avoid foods and beverages containing caffeine, sweets, fried foods, and alcohol. Do not drink too much at once when having beverages or soups, and refrain from consuming fluids after dinner at night. If you feel thirsty, sip slowly and in small a...

[Read More] Which Specialist Should I See for My Digestive and Anxiety Issues?


Which Specialist to See After a Spine Injury: A Guide for Patients

After accidentally injuring your spine, which specialty should you consult? Three months ago, while sitting in a chair, I accidentally bumped my spine (the impact point was approximately at the junction of the thoracic and lumbar regions) while changing my position. Since then, I...


Dr. Ye Qianyu reply Family Medicine
Hello! For acute issues, it is recommended that you see an orthopedic specialist, preferably one who deals with spinal problems. The sensation loss in your right foot corresponds to the lumbar or even sacral regions. It is advisable to provide a complete description of your sympt...

[Read More] Which Specialist to See After a Spine Injury: A Guide for Patients


Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine

More detailed questions? Hello Doctor, I am the person who asked question #206159. I have more related questions today as mentioned in the previous article. My mother has been experiencing diarrhea for two months, accompanied by weight loss, dropping from around 55 kg to 48 kg. H...


Dr. Ye Qianyu reply Family Medicine
Hello! If probiotics are helpful, you can continue taking them and gradually reduce the dosage. It's important to maintain a balanced diet that includes all six essential nutrients. Additionally, inquire about the source of the eggs and whether they are cooked, considering t...

[Read More] Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine


Managing Umbilical Issues After Laparoscopic Surgery: Expert Advice

Umbilical issues related to laparoscopic surgery? A long time ago, I underwent laparoscopic surgery, and since then, my belly button has become smaller, and there is a large scar from excessive suturing next to it. After some time, my belly button starts to hurt, emits a foul odo...


Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you schedule an appointment with a general surgery clinic.

[Read More] Managing Umbilical Issues After Laparoscopic Surgery: Expert Advice


Understanding Chronic Diarrhea and Weight Loss: A Guide for Families

Diarrhea and weight loss? Hello doctor, I hope you can help me with my concerns. This is regarding my mother. Recently, she has been experiencing diarrhea for two months, and she has lost weight. Every weekday at noon, whenever she eats, she starts to have abdominal pain and rush...


Dr. Ye Qianyu reply Family Medicine
Hello! Since diarrhea can lead to weight loss, please continue your treatment in the hepatobiliary and gastroenterology department. If your weight continues to decrease by more than 5-10% and the cause remains undetermined, please consult the endocrinology department.

[Read More] Understanding Chronic Diarrhea and Weight Loss: A Guide for Families


Understanding Hemolysis Results in LDL Cholesterol Testing: What Does 2+ Mean?

Questions about blood test results? Hello Dr. Yeh, I would like to ask about the laboratory test order name for the Low-Density Lipoprotein Cholesterol test. The result for Sample Hemolysis is 2+. Could you please explain what 2+ means? Thank you!


Dr. Ye Qianyu reply Family Medicine
Hello, this indicates the degree of hemolysis, suggesting that some values may be affected by hemolysis. If there are concerns, it may be necessary to retest.

[Read More] Understanding Hemolysis Results in LDL Cholesterol Testing: What Does 2+ Mean?


Understanding Nighttime Hypertension: Is It More Dangerous?

Nighttime blood pressure is higher than daytime blood pressure? Hello, doctor. I apologize for bothering you, but I have a question regarding my blood pressure. About a year ago, I measured my blood pressure with a sphygmomanometer, and my systolic pressure was around 120-130, oc...


Dr. Ye Qianyu reply Family Medicine
Hello! Generally, blood pressure should be maintained below 130/80 mmHg. Different populations may have different targets set by physicians, so it is advisable to discuss and understand your specific target values with your doctor. If you experience low blood pressure with sympto...

[Read More] Understanding Nighttime Hypertension: Is It More Dangerous?


Which Medical Specialty Should I Consult for Rib Pain After a Fall?

Inquiry about medical specialties? Hello, doctor. A few days ago, I fell and hit the ground hard. Since then, I've been experiencing pain near my ribs, but I haven't noticed any bruising. The pain worsens with vigorous activities like running or even laughing. I'm ...


Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you visit an orthopedic clinic.

[Read More] Which Medical Specialty Should I Consult for Rib Pain After a Fall?


Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?

Can commercially available disinfectants kill Helicobacter pylori on surfaces? Hello, doctor. Can you please tell me if commercially available disinfectants, such as Noroclean spray (400ml, hypochlorous acid solution, made in Japan), can kill Helicobacter pylori on surfaces like ...


Dr. Ye Qianyu reply Family Medicine
Hello! It should be possible. For disinfecting utensils: 20-90 ppm. Remember to rinse with clean water afterward. "Helicobacter pylori is transmitted orally, and improving personal hygiene and dietary practices can reduce the risk of infection. Since cross-infection among fa...

[Read More] Can Store-Bought Disinfectants Kill H. Pylori on Surfaces?


Understanding Umbilical Bleeding: Causes and Care Tips

Umbilical bleeding Last week, I noticed a foul smell coming from my navel. I focused on cleaning it, mostly around the outer rim, to avoid missing the inside. The next day, I found the navel to be moist and sticky, and when I used a cotton swab, there was a slight blood tinge alo...


Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you visit a medical facility for evaluation.

[Read More] Understanding Umbilical Bleeding: Causes and Care Tips


Can Family Medicine Address Glandular Ulcer Issues?

Glans issues It seems like you have a sore on your glans (without sexual activity). Since the urology department is always fully booked, I noticed that the family medicine department also addresses urological and reproductive issues. Can I see a family medicine doctor?


Dr. Ye Qianyu reply Family Medicine
Hello! Since you have clear symptoms, it is recommended that you visit a urology specialist. If the appointments are full, you can ask the registration staff for guidance on how to proceed.

[Read More] Can Family Medicine Address Glandular Ulcer Issues?


What to Do If a Maggot Gets in Your Nose: Risks and Symptoms

Mosquito-borne diseases If a maggot were to enter the nose, the worst-case scenario could involve a range of complications, including nasal irritation, infection, or even more severe conditions such as myiasis, where the larvae can infest tissue. Symptoms may include nasal pain, ...


Dr. Ye Qianyu reply Family Medicine
Hello! This is a hypothetical question. If you see maggots, you may be concerned about myiasis, which typically occurs in individuals with poor immune and hygiene conditions. The life cycle of a fly consists of four stages: egg, larva (maggot), pupa, and adult. Female adult flies...

[Read More] What to Do If a Maggot Gets in Your Nose: Risks and Symptoms


Why Do I Feel Sleepy After Lunch? Understanding Post-Meal Fatigue

Feeling extremely sleepy after eating? Hello, doctor. I've noticed that about an hour after having Chinese food, I tend to feel very sleepy, whether I'm at work (sitting at a desk) or at home on a day off (sitting in front of the computer). I suddenly become very tired ...


Dr. Ye Qianyu reply Family Medicine
Hello! Feeling sleepy after a meal is not directly related to any disease. A common situation may occur when eating too much at once, which causes blood to be diverted to the gastrointestinal tract and activates the parasympathetic nervous system, leading to drowsiness. It is adv...

[Read More] Why Do I Feel Sleepy After Lunch? Understanding Post-Meal Fatigue


Understanding the Link Between Insulin Resistance and Glucose Intolerance

The correlation between insulin resistance and impaired glucose tolerance? Thank you, doctor, for taking the time to answer my questions amidst your busy schedule. Hello, doctor, I would like to ask: 1. Is the relationship between insulin resistance and impaired glucose tolerance...


Dr. Ye Qianyu reply Family Medicine
Hello! First, you should know that the insulin resistance index is calculated using fasting blood glucose levels and fasting insulin levels, with the formula being "(fasting blood glucose x fasting insulin) divided by 405." Impaired glucose tolerance is characterized by...

[Read More] Understanding the Link Between Insulin Resistance and Glucose Intolerance


Understanding Fluctuations in HbA1c Levels: A Month of Concerns

There is significant fluctuation in glycated hemoglobin levels within a month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, aside from my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I a...


Dr. Ye Qianyu reply Family Medicine
Hello! First, you should understand that glycated hemoglobin (HbA1c) is an indicator of average blood glucose levels over the past three months, so testing on different dates reflects average blood glucose status during different periods. Any factors that affect calorie intake an...

[Read More] Understanding Fluctuations in HbA1c Levels: A Month of Concerns


Should a 14-Year-Old Take Arginine Capsules for Fatigue?

A 14-year-old junior high school student? Hello doctor, my son is a 14-year-old in the ninth grade, weighing 46 kilograms. He sleeps until noon on weekends and seems very fatigued throughout the day. Is it safe for him to take over-the-counter arginine capsules?


Dr. Ye Qianyu reply Family Medicine
Hello! A 14-year-old male middle school student is still in the growth and development stage. If there is an unusual sense of fatigue, it is advisable to first visit a pediatrician to rule out any underlying medical conditions. Nutritional supplementation should primarily focus o...

[Read More] Should a 14-Year-Old Take Arginine Capsules for Fatigue?


Understanding Mycoplasma Infection: Transmission Risks and Precautions

Mycoplasma infection Hello, doctor. My family members were recently diagnosed with a mycoplasma infection and have since recovered, but they are experiencing some related sequelae, such as coughing. I did not live with them during their illness, so I did not get infected. However...


Dr. Ye Qianyu reply Family Medicine
Hello! Mycoplasma is a type of bacteria that can cause atypical pneumonia. The transmission occurs through respiratory droplets and contact with nasal secretions, so preventive measures include wearing masks, proper hand hygiene, and using alcohol for simple environmental disinfe...

[Read More] Understanding Mycoplasma Infection: Transmission Risks and Precautions


Understanding Elevated Homocysteine Levels and Cardiovascular Health

Cardiovascular examination and homocysteine levels? Dear Doctor, in my blood test report, there is an item: cardiovascular examination with homocysteine level at 17.53 (reference range 5.9–16 umol/L). This value exceeds the reference range. What should I be aware of, or which dep...


Dr. Ye Qianyu reply Family Medicine
Hello! If there are kidney diseases, medication-related issues, alcohol abuse, or a deficiency of sufficient vitamin B6, vitamin B12, and folate in the diet, the level of homocysteine in the blood may increase. If only one of these is elevated, it is recommended to supplement wit...

[Read More] Understanding Elevated Homocysteine Levels and Cardiovascular Health


Understanding Low C3 Complement Levels and Lupus Diagnosis

C3 complement levels are below the standard range? Hello, I currently have symmetrical pain in my finger joints and went to the hospital for examination. The test results show: ANA 1:160, C3 79 (below normal), C4 17.6 (normal). Six months prior to the hospital visit, I was hospit...


Dr. Ye Qianyu reply Family Medicine
Hello! Based on the information you provided, a diagnosis cannot be made at this time. If you have concerns, you may consult a physician at a medical facility.

[Read More] Understanding Low C3 Complement Levels and Lupus Diagnosis


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