Dr. Zhan Deqin reply Family Medicine Question - Page 2

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Understanding Chest Tightness and Throat Discomfort: When to Seek Help

Chest tightness? I have been feeling like there is something stuck in my throat for the past month and a half, especially after eating, and I also experience chest tightness. What kind of examinations should I undergo? I previously consulted an ENT specialist who suggested that I...


Dr. Zhan Deqin reply Family Medicine
1. First, go to a major hospital to see an otolaryngologist (ENT). 2. Next, consult a gastroenterologist to check for any issues with the esophagus. 3. Then, see a pulmonologist to evaluate any potential problems with the lungs. 4. If the chest tightness persists, follow up...

[Read More] Understanding Chest Tightness and Throat Discomfort: When to Seek Help


Is Deafness Hereditary? Understanding Genetic Factors in Family History

Can muteness be inherited? Hello, doctor: My grandmother had many children, two of whom are mute, but my father is normal. Is there a possibility that my future children could also be mute? Is muteness caused by a genetic defect?


Dr. Zhan Deqin reply Family Medicine
According to medical reports, less than 2% of individuals who are deaf and mute are affected by X-linked recessive inheritance; the majority are not. Therefore, the likelihood is very low, but it does exist.

[Read More] Is Deafness Hereditary? Understanding Genetic Factors in Family History


Understanding Finger Numbness: When to Seek Medical Advice

The fingers are becoming increasingly numb? Hello Doctor: About ten years ago, I started experiencing a slight tingling sensation in my fingertips, but at that time, it was only at the tips. Now, the tingling has extended to the back of my hand as well. There is no pain or loss o...


Dr. Zhan Deqin reply Family Medicine
It may be due to poor blood circulation or Raynaud's phenomenon, so it is advisable to consult a vascular specialist.

[Read More] Understanding Finger Numbness: When to Seek Medical Advice


Understanding Abdominal Swelling: Do Lipomas Require Surgery?

Mom's abdomen is very swollen? Hello, doctor. My mother is 48 years old and has been experiencing abnormal abdominal swelling in recent years. She previously visited a gynecologist who said she had a lipoma, but she hasn't followed up since then. Does a lipoma require s...


Dr. Zhan Deqin reply Family Medicine
If it is a large tumor, it is better to have it surgically removed. It is important to follow up quickly. There are many reasons for abdominal distension, and a tumor is one of them; it is not related to postpartum confinement.

[Read More] Understanding Abdominal Swelling: Do Lipomas Require Surgery?


Which Medical Specialist Should We Consult for Mom's Health Issues?

Which specialty should I consult for my mother's condition? Hello Doctor: My mother is 58 years old and feels very fatigued and weak every day. When the weather gets hot, she experiences dizziness, neck and back pain, and often complains of feeling like she is suffocating. S...


Dr. Zhan Deqin reply Family Medicine
Night sweats, sensitivity to cold, and shivering at your mother's age may be symptoms of menopause syndrome. Additionally, elevated blood pressure could indicate hypertension. Therefore, 1. A comprehensive adult health check-up should be conducted to identify any abnormaliti...

[Read More] Which Medical Specialist Should We Consult for Mom's Health Issues?


Can You Contract HIV from Contaminated Toilet Water?

AIDS (Acquired Immunodeficiency Syndrome) Doctor: I used the restroom at the hospital and found that the previous person did not flush the toilet. I went ahead and used it, and at that moment, my bleeding anus was splashed by the feces in the toilet. Is there a possibility of con...


Dr. Zhan Deqin reply Family Medicine
1. No. 2. HIV can only be transmitted through the following three routes: (1) blood products (blood transfusion), (2) semen or vaginal secretions (sexual intercourse), and (3) from mother to child through the placenta or breastfeeding.

[Read More] Can You Contract HIV from Contaminated Toilet Water?


Why Are My Gums Bleeding Daily? When to See a Doctor

My teeth are bleeding? I experience bleeding from my gums almost every day when I brush my teeth, and sometimes when I floss as well. Should I see a doctor?


Dr. Zhan Deqin reply Family Medicine
Of course, you should see a doctor. Start by visiting a dentist!

[Read More] Why Are My Gums Bleeding Daily? When to See a Doctor


Understanding Severe Thirst and Dry Throat: When to Seek Help

Regarding throat dryness? I'm not sure which specialty to ask... I find that if I go without drinking water for less than half an hour to an hour, I feel extremely thirsty and my throat is very dry. However, I already drink more water than anyone I know (I almost constantly ...


Dr. Zhan Deqin reply Family Medicine
There is a condition called xerostomia, which is related to autoimmune issues. You should consult a specialist in immunology, rheumatology, or allergy.

[Read More] Understanding Severe Thirst and Dry Throat: When to Seek Help


Can You Take Expired Vitamins? A Guide to Safety and Efficacy

Expired vitamins Is it safe to take Centrum that has expired for six months? It has been opened and there is still a significant amount left, so I feel it's a waste to throw it away. Thank you.


Dr. Zhan Deqin reply Family Medicine
Expired medications are prone to degradation, so it is best not to take them.

[Read More] Can You Take Expired Vitamins? A Guide to Safety and Efficacy


Understanding Mysterious Symptoms: Vomiting Blood and Severe Pain

I would like to ask about the name of the disease and the reasons for acquiring it? My friend sometimes inexplicably vomits blood (the amount is not very much, about the same as a mouthful of saliva). It seems to have worsened now; whenever her emotions fluctuate too much, she so...


Dr. Zhan Deqin reply Family Medicine
It is important to distinguish between vomiting blood and coughing up blood. If it is vomiting blood (originating from the stomach), it may indicate issues with the stomach or liver, or it could be due to severe vomiting causing esophageal tears. If it is coughing up blood, it ma...

[Read More] Understanding Mysterious Symptoms: Vomiting Blood and Severe Pain


Understanding Anemia and Menstrual Irregularities: Causes and Treatments

Anemia and Menstruation Hello, doctor. After a health check, I was diagnosed with moderate anemia. My meals are normal, and my weight is also normal. I have never had anemia before, but recently my menstrual cycle has been irregular, sometimes extending several days beyond the no...


Dr. Zhan Deqin reply Family Medicine
Menorrhagia is often a primary cause of anemia. However, there are many other potential causes. For instance, gastrointestinal bleeding or chronic diseases that lead to impaired function, such as kidney disease or post-gastrectomy conditions, can also contribute. Additionally, co...

[Read More] Understanding Anemia and Menstrual Irregularities: Causes and Treatments


Understanding Renal Lipomas: Do They Cause Proteinuria?

There is a lipoma in the kidney? My mother was previously diagnosed with a renal lipoma, and during a recent hospital visit, she was found to have proteinuria. The doctor advised her to take medication to manage it for a while and switched her from her original antihypertensive m...


Dr. Zhan Deqin reply Family Medicine
There are many causes of proteinuria, including diabetes, hypertension, various kidney diseases, or kidney inflammation. Antihypertensive medications do not cause proteinuria; rather, hypertension itself can lead to kidney damage and result in proteinuria. Lipomas typically do no...

[Read More] Understanding Renal Lipomas: Do They Cause Proteinuria?


Understanding Body Heat: Causes of Warmth Without Fever

Fever Hello: I often feel warm in my body, and sometimes I experience dizziness or nausea, but I don't have a fever. What could be the issue?


Dr. Zhan Deqin reply Family Medicine
Based on your situation, the first step is to check if you are pregnant. If not, then we can consider whether you have a cold or other conditions.

[Read More] Understanding Body Heat: Causes of Warmth Without Fever


White Bump on Lower Lip: Which Specialist Should You See?

There is a lump on the lower lip? Hello, about two to three weeks ago, a small white bump approximately 0.3 centimeters in size appeared on my lower lip. I initially thought it would go away after some time, but it hasn't. I considered using a needle to puncture it, but I re...


Dr. Zhan Deqin reply Family Medicine
If there is a growth on the lower lip, it's best to consult a general surgeon first!

[Read More] White Bump on Lower Lip: Which Specialist Should You See?


Which Specialist Should I Consult for Health Issues from Unknown Herbal Medicine?

I'm sorry, but I need specific content to translate. Please provide the text you would Hello, I have psoriasis and a family history of lupus in my mother. For certain reasons, I have been taking unknown traditional Chinese medicine for six months. Now, if I want to know whet...


Dr. Zhan Deqin reply Family Medicine
You can start with a general physical examination at a family medicine clinic, primarily to check for any abnormalities in liver and kidney function. For further evaluation, you may need to visit a toxicology department; however, most general hospitals do not have a toxicology de...

[Read More] Which Specialist Should I Consult for Health Issues from Unknown Herbal Medicine?


What to Do About Sudden Swelling and Pain in the Ankle?

What should I do? Hello, doctor. I have a friend whose right foot suddenly swelled, with redness from the dorsum of the foot to the ankle. It hurts when touched, but there is no fever. Usually, it doesn't itch, and there is only one red spot on the ankle. He noticed it on th...


Dr. Zhan Deqin reply Family Medicine
If there is a slight redness, it could be folliculitis. If there is also redness and swelling nearby, it may be cellulitis, in which case antibiotics should be taken or administered.

[Read More] What to Do About Sudden Swelling and Pain in the Ankle?


Frequent Urination at Night: Understanding Possible Causes and Solutions

Sometimes, there is a persistent urge to urinate? Sometimes at night, I feel the urge to urinate frequently. After going once, I immediately feel the need again, and this repeats several times within about thirty minutes, which disrupts my sleep. I drink a cup of oatmeal before b...


Dr. Zhan Deqin reply Family Medicine
1. There are many reasons for frequent urination, with the majority being caused by urinary tract infections. A minority of cases may be due to other factors, such as an enlarged uterus pressing on the bladder, unstable detrusor muscle, or interstitial cystitis. It is advisable t...

[Read More] Frequent Urination at Night: Understanding Possible Causes and Solutions


What Could That Bump on My Neck Be? A Guide to Common Causes

What is that thing on my neck? About two weeks ago, I might have woken up with a sore throat because I didn't cover myself well with the blanket, and then I started to have a bit of a runny nose. A couple of days later, a lump suddenly appeared on my neck. If I use the lower...


Dr. Zhan Deqin reply Family Medicine
The appearance of something that looks like a mosquito bite or resembles a pimple is more likely caused by a subcutaneous infection. The medication prescribed by your doctor is an antibiotic (commonly referred to as an anti-inflammatory), which should gradually resolve the issue,...

[Read More] What Could That Bump on My Neck Be? A Guide to Common Causes


Understanding Common Symptoms: Dizziness, Sleep Changes, and Hair Loss

Symptoms A couple of days ago, I woke up early in the morning feeling very dizzy and nauseous. By the afternoon, it got a bit better. However, since then, I have been feeling sleepier at night compared to before, and I have been going to bed several hours earlier than usual. Yet,...


Dr. Zhan Deqin reply Family Medicine
If a girl feels nauseous and sleepy, she should first check for any menstrual irregularities. If there are abnormalities, a pregnancy test should be conducted. If her eyes are itchy, she should check for conjunctivitis. For hair loss, she should consult a dermatologist, as it may...

[Read More] Understanding Common Symptoms: Dizziness, Sleep Changes, and Hair Loss


Understanding a Painful Lump Between the Breasts: When to Seek Help

A small protrusion has developed below the chest? Hello Doctor, Patient: Female, approximately 22 years old, height: 160 cm, weight: 43 kg. Last month, a protrusion appeared between her breasts, which has been growing larger, reaching a maximum diameter of about 1.5 cm and a he...


Dr. Zhan Deqin reply Family Medicine
You should first see a general surgeon; it shouldn't be a major issue.

[Read More] Understanding a Painful Lump Between the Breasts: When to Seek Help


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