Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Weakness in the calf extending to the foot? Dear Dr. Yeh, My mother is 58 years old, 158 cm tall, and weighs 48 kg. She has had a long-standing issue with kyphosis and has undergone cardiovascular stenting. Her regular medication includes anticoagulants, and she drinks 150 cc of...
Dr. Ye Qianyu reply Family Medicine
Hello! Clinical issues are often the result of multiple contributing factors. Based on the information you provided regarding the causes of intermittent claudication in your mother, here are some analytical suggestions: 1. X-ray shows bone spurs causing nerve compression: This i...[Read More] Exploring Causes of Progressive Leg Weakness: A Guide for Patients
Understanding Bloating, Nausea, and Loss of Appetite: When to Seek Further Testing
Bloating, nausea, and loss of appetite? The patient has been experiencing bloating, nausea, and loss of appetite for over two months. The symptoms appeared suddenly after staying up late, and there were no previous gastrointestinal issues. After seeing a doctor and undergoing an ...
Dr. Ye Qianyu reply Family Medicine
Hello! If you have previously undergone examinations and no structural issues were found, it may be advisable to address potential functional disorders. Please try to minimize staying up late. Given your young age, the current symptoms do not directly raise suspicion of cancer. I...[Read More] Understanding Bloating, Nausea, and Loss of Appetite: When to Seek Further Testing
Persistent Discomfort After Wasp Sting: When to Seek Medical Attention
It has been a week since the bee sting, and I still feel uncomfortable? Hello Doctor, I was stung by a wasp (I didn't see it clearly, but I'm sure it wasn't a bee) a week ago (on July 14) on the area just behind my left ear at the hairline. At that time, I received...
Dr. Ye Qianyu reply Family Medicine
Hello! If possible, I recommend returning to the original clinic where you received treatment for the bee sting, or consulting a dermatologist for further evaluation.[Read More] Persistent Discomfort After Wasp Sting: When to Seek Medical Attention
Understanding Elevated Leukocyte Esterase in Urine: When to Seek Further Testing
Urinalysis Hello Doctor, this year my health check report showed the first occurrence of leukocyte esterase ++. I found online that this could indicate a urinary tract infection, but I usually drink plenty of water, and I do not experience any discomfort when urinating, nor do I ...
Dr. Ye Qianyu reply Family Medicine
Hello! "Leukocyte esterase is produced by white blood cells, and the presence of leukocyte esterase in urine indicates the presence of white blood cells in the urine," which suggests a possible inflammatory response. The results may be influenced by the menstrual cycle....[Read More] Understanding Elevated Leukocyte Esterase in Urine: When to Seek Further Testing
Weight Loss Concerns: Understanding Symptoms and When to Seek Help
Weight loss Hello doctor, I have lost five kilograms in the past month due to gastrointestinal issues. Recently, I visited an ENT clinic, and during an endoscopy, they found a bleeding mass. The clinic mentioned it could possibly be nasopharyngeal cancer. However, a biopsy at a l...
Dr. Ye Qianyu reply Family Medicine
Hello! If the biopsy of your nasopharyngeal issue shows no cancer, it is recommended that you have regular follow-up appointments to reduce your anxiety. However, if you experience a decreased appetite, insomnia, frequent urination, or other autonomic nervous system symptoms that...[Read More] Weight Loss Concerns: Understanding Symptoms and When to Seek Help
Managing Minor Wound Care After a Car Accident: Tetanus Concerns
Wound issues after a car accident? Hello, Doctor: A few days ago, I had an accident and fell, resulting in a localized abrasion on my lower leg (about 2-3 cm). About half an hour later, I went to the pharmacy to purchase antiseptic products, and the next day I visited the hospita...
Dr. Ye Qianyu reply Family Medicine
Hello! Tetanus is caused by the bacterium Clostridium tetani, which is found in soil and animal feces, and it invades the human body through broken skin. It can also be contracted after burns or animal bites. Since tetanus bacteria are anaerobic, the likelihood of infection from ...[Read More] Managing Minor Wound Care After a Car Accident: Tetanus Concerns
Understanding Bruising After an Injury: When to Seek Medical Attention
Increased bruising? About ten days ago, I had a car accident and developed a bruise about the size of two palms below my left knee, which was initially located on my calf. In the past few days, I've noticed that bruises have started to appear below my ankle as well, and the ...
Dr. Ye Qianyu reply Family Medicine
Hello! For changes in symptoms after trauma, it is recommended that you visit an orthopedic clinic. As the bruising disperses, you may feel that the area is enlarging. If the color is turning to light brown or yellow and gradually fading, there is no need for concern. However, if...[Read More] Understanding Bruising After an Injury: When to Seek Medical Attention
Impact of Vaginal Infection Treatment on Routine Labor Health Exams
General health examination issues for workers? Hello, due to work requirements, I need to undergo a general labor health examination. However, I currently have symptoms of a vaginal infection, and after seeing a doctor, I was prescribed a vaginal suppository. I am also continuous...
Dr. Ye Qianyu reply Family Medicine
Hello! In women, vaginal infections may affect the results of urine tests, while contraceptives may not necessarily impact the test results. It is primarily liver and kidney dysfunction that can influence drug metabolism and excretion. Please be reminded that you should fast for ...[Read More] Impact of Vaginal Infection Treatment on Routine Labor Health Exams
Do You Need Rabies Vaccination After a Cat Scratch in Kaohsiung?
Rabies from cat scratches Hello doctor, I would like to ask if I get scratched by a stray cat while playing with it, and the cat shows no signs of rabies, with only a minor bleeding on the surface of the wound, do I need to receive rabies post-exposure prophylaxis in the urban ar...
Dr. Ye Qianyu reply Family Medicine
Hello! Please confirm that if bitten, one must immediately receive a vaccine and observe the biting animal for 10 days. If there are any concerns, please seek medical attention at a healthcare facility.[Read More] Do You Need Rabies Vaccination After a Cat Scratch in Kaohsiung?
Understanding Unexplained Itching: Possible Causes and Solutions
Itching in the flesh? I have been waking up frequently in the morning due to itching, but I can't pinpoint the exact area that itches. Only when I pinch the skin deeply can I find some relief, but scratching the surface doesn't seem to help. What could be the issue?
Dr. Ye Qianyu reply Family Medicine
Hello! I recommend that you visit a dermatologist.[Read More] Understanding Unexplained Itching: Possible Causes and Solutions
How to Adjust Your Sleep Cycle When Waking Up at Night?
How to improve an irregular circadian rhythm? I wake up every day around 3:00 to 3:30 AM and feel the urge to use the bathroom. I initially thought that drinking less water at night would help avoid this, but even on nights when I drink less, I still wake up at the same time, alt...
Dr. Ye Qianyu reply Family Medicine
Hello! "The biological clock has its circadian rhythm. If you maintain a normal routine during the day, the chances of abnormalities at night are relatively low. However, if you disrupt its function during the day, such as taking a three-hour nap, the operation of the biolog...[Read More] How to Adjust Your Sleep Cycle When Waking Up at Night?
Understanding Olfactory Issues After COVID-19: When to Seek Help
Olfactory issues About three days after being diagnosed with COVID-19, I started experiencing severe nasal congestion and difficulty breathing. I initially thought that the nasal congestion was the reason I couldn't smell or taste anything. I could distinguish between sweet,...
Dr. Ye Qianyu reply Family Medicine
Hello! Due to the olfactory abnormalities caused by COVID-19, a small number of individuals may experience a slower recovery. If you have not yet recovered, it is recommended that you visit an otolaryngologist for evaluation.[Read More] Understanding Olfactory Issues After COVID-19: When to Seek Help
Post-Moderna Vaccine Cough: When to Seek Medical Attention?
After receiving the Moderna vaccine Main symptoms: Since receiving the vaccine about three weeks ago, I have been experiencing a dry cough daily, typically occurring every one to two minutes with frequent episodes. Sometimes, I find myself taking deep breaths and exhaling forcefu...
Dr. Ye Qianyu reply Family Medicine
Hello! The symptom of black stools may indicate the possibility of upper gastrointestinal bleeding. It is recommended that you consult a gastroenterologist.[Read More] Post-Moderna Vaccine Cough: When to Seek Medical Attention?
The Risks of Maggots to Human Health: What You Need to Know
The harm of maggots to the human body? Hello, doctor! As mentioned, I am currently a student and working part-time as a cleaner at school. Yesterday, when I lifted the lid of a trash can, a lot of small insects, likely fruit flies, flew out. I also discovered several maggots on t...
Dr. Ye Qianyu reply Family Medicine
Hello! The harm caused by maggots to the body primarily occurs when they burrow into the host's tissues and feed, resulting in severe damage to the host's body tissues. The infected areas typically produce foul-smelling secretions and may become ulcerated, leading to or...[Read More] The Risks of Maggots to Human Health: What You Need to Know
Essential Medications for Mild COVID-19: What You Need to Know
Issues Related to Common Medications for COVID-19 Recently, news reports have frequently mentioned that the Pharmacy Association recommends the public prepare "six essential medications." If someone is diagnosed with mild symptoms, are these medications (antihistamines,...
Dr. Ye Qianyu reply Family Medicine
Hello! These medications can be used to relieve symptoms. It is recommended that you consult a professional when preparing medications to fully understand the dosage and administration. Use them only when symptoms occur.[Read More] Essential Medications for Mild COVID-19: What You Need to Know
Understanding Blood Pressure Changes: Are You at Risk for Hypertension?
Blood pressure readings Hello Dr. Yeh, I have been measuring my blood pressure for the past six years, and it has been around 102/68 (I only measure it twice a year). Recently, in the past month, my readings have been approximately 129/68 and 123/78. Is this considered prehyperte...
Dr. Ye Qianyu reply Family Medicine
Hello! Based on your blood pressure readings, you are classified as having prehypertension. It is recommended that you manage your diet and exercise, and monitor your weight, blood sugar, and lipid levels for any abnormalities. If there are any issues, it is advisable to follow u...[Read More] Understanding Blood Pressure Changes: Are You at Risk for Hypertension?
Understanding Jaw Pain: Is It a Lymph Node Issue?
Jaw pain (lymphatic issue?) Hello, Doctor: Recently, for the past two or three days, I have felt a hard lump on my chin. It feels slightly raised to the touch and is painful when pressed. There are no visible abnormalities on the skin's surface, and it is completely unnotice...
Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you visit an otolaryngology clinic.[Read More] Understanding Jaw Pain: Is It a Lymph Node Issue?
COVID-19 Vaccination Concerns for Patients with Thalassemia
COVID-19 vaccine Doctor, I have mild thalassemia. After receiving the first dose of the AZ vaccine at the end of last year, I have had a persistent low-grade fever ranging from 37 to 38 degrees Celsius for almost three weeks. I also have some rashes on my body, which I believe I ...
Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you go directly to a medical facility for a physician to examine you. If the delayed skin reaction is not too severe, you may still receive the vaccine. However, mixing vaccines may have stronger side effects and may not be suitable for everyone.[Read More] COVID-19 Vaccination Concerns for Patients with Thalassemia
Understanding Prolonged Urination and Enlarged Bladder Issues
Prolonged urination time and issues related to bladder size? Due to a long-standing habit of holding in urine since childhood, I only urinate twice a day, and my urination time is significantly longer than others. Recently, I heard that a urination time greater than one minute co...
Dr. Ye Qianyu reply Family Medicine
Hello! Long-term urinary retention may lead to bladder elasticity fatigue, resulting in subsequent issues such as bladder weakness and secondary urinary tract infections. Fortunately, the current examination results are still normal. It is recommended that you increase your urina...[Read More] Understanding Prolonged Urination and Enlarged Bladder Issues
Concerns About Infection from Contaminated Water Exposure
Infection concerns? Hello, doctor. I would like to ask you about a situation. In an old apartment, there are pigeons being raised upstairs, and the environment is not very good. Today, my family helped to change the water pipes and turned off the main water supply. When it was tu...
Dr. Ye Qianyu reply Family Medicine
Hello! If a wound comes into contact with unclean water sources, it may lead to a bacterial infection. It is recommended that you monitor your temperature daily and observe the wound. If you experience fever or localized redness, swelling, or pain, please seek medical attention a...[Read More] Concerns About Infection from Contaminated Water Exposure