Understanding Sexual Activity: Health Concerns for Teenagers
Sexual intercourse Hello, doctor: I just turned seventeen this year, and about six months ago, I started having sexual intercourse with my boyfriend, averaging once a week. I would like to ask: (1) Is this frequency too frequent? (2) At my current age, could having sexual interco...
Dr. Zhan Deqin reply Family Medicine
1. No. 2. No, but it is best to use contraceptive measures such as condoms and to maintain hygiene to avoid sexually transmitted infections.[Read More] Understanding Sexual Activity: Health Concerns for Teenagers
Understanding Nipple Discharge: Causes and Concerns for Women
About the breasts? What are the causes of nipple discharge? I previously had a child and was treated for cervical cancer, which is now resolved.
Dr. Zhan Deqin reply Family Medicine
Nipple discharge should be evaluated based on its characteristics. The most common type resembles milk (i.e., lactation), which can have various causes, such as hyperprolactinemia, pituitary tumors, or medication effects. Of course, pregnancy is also a likely cause. If the discha...[Read More] Understanding Nipple Discharge: Causes and Concerns for Women
Why Do I Feel Dizzy After Drinking Tea or Coffee?
Drinking black tea or coffee can cause dizziness? Hello Doctor, I would like to ask about something. Every time I drink black tea, milk tea, or coffee (even in small amounts), I immediately feel dizzy. What could be the cause of this? Is there any treatment available? Thank you!
Dr. Zhan Deqin reply Family Medicine
Beverages such as black tea, milk tea, and coffee contain caffeine and theobromine, which can easily stimulate the central nervous system. There are no specific treatments for this; it is advisable to reduce the consumption of tea and coffee.[Read More] Why Do I Feel Dizzy After Drinking Tea or Coffee?
Understanding Low White Blood Cell Count: When to Seek Medical Advice
White blood cell count is low? Hello, I would like to ask about my mother. Last year, she underwent a health check-up (the one provided by the National Health Insurance), and the results showed that her white blood cell count was low, around 2000, while her cholesterol and trigly...
Dr. Zhan Deqin reply Family Medicine
Low white blood cell count can have many causes, including medications, radiation, tumors, or even testing errors. It is advisable to have the test redone. If the count remains low, further evaluation by a hematologist is recommended.[Read More] Understanding Low White Blood Cell Count: When to Seek Medical Advice
Managing High Cholesterol: Dietary Tips and Specialist Referrals
Cholesterol My cholesterol levels are elevated, but I hardly eat meat and my diet is quite light. What should I do to address this issue? Additionally, if I need to undergo more detailed examinations, which clinic should I visit? Thank you.
Dr. Zhan Deqin reply Family Medicine
High cholesterol levels can often be familial. For further evaluation, you may consult a specialist in metabolic disorders.[Read More] Managing High Cholesterol: Dietary Tips and Specialist Referrals
Understanding Palpitations and Dizziness: Causes and Solutions
Dizziness and palpitations? I would like to consult a physician regarding palpitations and dizziness. Recently, I have been experiencing frequent palpitations and dizziness. During the palpitations, my heartbeat feels very strong, and sometimes my heart rate reaches around 110 be...
Dr. Zhan Deqin reply Family Medicine
There are many causes of dizziness. Sometimes it is caused by an imbalance in the inner ear's lymphatic system, other times it may be related to cardiovascular issues, and at times it could be due to problems in the brain. It is advisable to start with an evaluation by an ot...[Read More] Understanding Palpitations and Dizziness: Causes and Solutions
Understanding Chronic Headaches and Associated Symptoms: When to Seek Help
Headache Doctor, I have been experiencing chronic headaches, and recently they have become more intense and frequent. Additionally, I have noticed that sometimes I have a lack of sensation in my back, waist, and legs (in small areas). I can't feel anything when I poke those ...
Dr. Zhan Deqin reply Family Medicine
Given your age, it is more likely to be a migraine or tension-type headache. You may want to consult a neurologist first.[Read More] Understanding Chronic Headaches and Associated Symptoms: When to Seek Help
Confused About Gynecology or Breast Surgery? Understanding Your Symptoms
I'm not sure whether to see a gynecologist or a breast surgeon? Hello, doctor. I have a question I would like to ask you. I am 20 years old and have experienced irregular menstrual cycles for a long time. My last two periods started on September 26 and ended on October 4; sh...
Dr. Zhan Deqin reply Family Medicine
It is advisable to first consult a gynecologist for menstrual irregularities. You can perform a self-examination of the breasts. Breast tenderness may be related to menstrual irregularities or hormonal imbalances. If the gynecological consultation does not resolve the issue, then...[Read More] Confused About Gynecology or Breast Surgery? Understanding Your Symptoms
Understanding Constipation After Magnesium Hydroxide Use: A Patient's Query
I'm sorry, but I cannot assist with that? Hello Doctor: A few days ago, I experienced abdominal pain and lower back pain. I underwent examinations at a medical center, including an X-ray, which revealed a significant amount of fecaliths in my abdomen. However, I haven't...
Dr. Zhan Deqin reply Family Medicine
1. To prevent constipation, it is best to maintain a normal diet, eat more fruits and fiber-rich foods, drink plenty of water, and engage in moderate exercise. 2. Magnesium oxide, commonly known as a laxative, can be helpful for constipation, but eating some bananas or papayas da...[Read More] Understanding Constipation After Magnesium Hydroxide Use: A Patient's Query
Should You Consider Surgery for a Sarcoma? Expert Insights
Does a sarcoma require surgery? Dear Doctor: I am 69 years old. Over ten years ago, I developed a lump about the size of a fist on the inner side of my left elbow. It wasn't that large initially, but in recent months, after taking some nutritional supplements like reishi mus...
Dr. Zhan Deqin reply Family Medicine
1. Performing surgical resection along with a pathological examination is more appropriate. 2. Nutritional supplements can certainly be taken, but most people today generally have an excess of nutrients, and in fact, additional supplements are often unnecessary.[Read More] Should You Consider Surgery for a Sarcoma? Expert Insights
Is Direct Blood Donation from Relatives Safe? Expert Insights Revealed
Is this true or false?????? Important Medical Knowledge -- The cessation of direct blood relative transfusions has been confirmed in response to inquiries from several friends about the authenticity of this information. An email was sent to Mackay Memorial Hospital for clarificat...
Dr. Zhan Deqin reply Family Medicine
Due to the close HLA typing among direct relatives, the recipient typically has a weakened immune system that cannot recognize foreign tissue antigens. Once the T-lymphocytes from the donor proliferate to a certain level after being transfused into the patient, they may mistakenl...[Read More] Is Direct Blood Donation from Relatives Safe? Expert Insights Revealed
Understanding Persistent Dizziness in Children: Causes and Solutions
The child has been experiencing persistent dizziness? My 8-year-old child has been experiencing dizziness for three weeks. We have seen an otolaryngologist and a neurologist, and blood tests have been conducted. The doctors have all said that my child seems to be in good spirits ...
Dr. Zhan Deqin reply Family Medicine
The letter mentions that the 8-year-old child has been experiencing dizziness for three weeks and has also been vomiting. The child has seen an otolaryngologist and a specialist in dizziness, but there has been no improvement in the condition. It is unclear whether a pediatric ne...[Read More] Understanding Persistent Dizziness in Children: Causes and Solutions
Is This Supplement Safe for Menopausal Women? Expert Insights
Issues related to menopause? Dear Dr. Jan, Hello, my mother recently purchased a dietary supplement called "Huli Yan Su," which contains the following ingredients: soybean extract (containing 5% isoflavones), gelatin, microcrystalline cellulose, magnesium stearate, and...
Dr. Zhan Deqin reply Family Medicine
Isoflavones are known as phytoestrogens. They can be used for symptoms of menopause such as palpitations and hot flashes. If these symptoms are not present, there is no need to use them. It is important to choose products that are approved by the Department of Health.[Read More] Is This Supplement Safe for Menopausal Women? Expert Insights
Managing Dizziness and Wrist Pain: What You Need to Know
Dizziness along with wrist pain... I'm not sure what to do about it? Hello Dr. Lai, About six months ago, I was diagnosed with vertigo by an otolaryngologist. At that time, I indeed experienced a spinning sensation when getting out of bed, but lying down did not trigger di...
Dr. Zhan Deqin reply Family Medicine
There are many causes of dizziness. In younger individuals, Meniere's disease, which is caused by an imbalance of inner ear lymphatic fluid, is more common. Additionally, benign paroxysmal positional vertigo (BPPV) is also frequently encountered. It is important to check for...[Read More] Managing Dizziness and Wrist Pain: What You Need to Know
Which Medical Specialty Should You Consult for Your Child's Symptoms?
Unsure which specialty to seek for medical treatment? Hello: Yesterday, my 10-year-old child suddenly discovered a hard lump about the size of a one-dollar coin protruding from the inner left cheek (subcutaneous). When lightly pressed, it moves and causes pain (there is no pain w...
Dr. Zhan Deqin reply Family Medicine
It is advisable to first consult with surgery and pediatrics, as it may be caused by inflammation or other subcutaneous tumors, which require careful examination to determine.[Read More] Which Medical Specialty Should You Consult for Your Child's Symptoms?
Unexplained Pain: Seeking Guidance for Persistent Symptoms
"Mysterious Illness" ~ Seeking Help Doctor: I am inquiring on behalf of my boyfriend. For the past six months, he has been experiencing nerve pain on the right side (from his right shoulder to the right side of his head) accompanied by fever symptoms. He feels nauseous ...
Dr. Zhan Deqin reply Family Medicine
If you frequently experience fever, please consult an infectious disease specialist. If the infectious disease specialist cannot determine the cause, you should see a metabolic specialist. Additionally, due to frequent neuropathic pain, it is also advisable to consult a neurosurg...[Read More] Unexplained Pain: Seeking Guidance for Persistent Symptoms
Understanding Bacterial Infections: Symptoms, Treatment, and Healing Time
I would like to ask a question? Two months ago, I noticed a small lump in my groin area that was not painful under normal circumstances, but it would hurt when pressed. About three weeks ago, I observed that the lump had enlarged, and the next day it developed into a cyst-like ma...
Dr. Zhan Deqin reply Family Medicine
If it occurs in the groin area, it may be caused by folliculitis leading to a bacterial infection, which usually requires antibiotic treatment. If it is located in the vulvar area, it may be a Bartholin's gland abscess. Generally, these conditions will heal on their own; how...[Read More] Understanding Bacterial Infections: Symptoms, Treatment, and Healing Time
Understanding Urinalysis Results and Hepatitis B Risks During Pregnancy
Urinalysis 1) The health check report indicates "presence of bacteria in urine, slightly elevated epithelial cells and white blood cells, suggesting a urinary tract infection," but since there are no symptoms, what does this mean? 2) Additionally, having no antibodies...
Dr. Zhan Deqin reply Family Medicine
1. This is quite common; what is referred to as asymptomatic bacteriuria can sometimes result from contamination during sampling. 2. If there are no hepatitis B antibodies, it is advisable to receive the vaccine first.[Read More] Understanding Urinalysis Results and Hepatitis B Risks During Pregnancy
New Breast Examination Equipment at Chiayi Hospital: Costs and Details
Chiayi Hospital is checking for new equipment for breast examinations? Dr. Jan: Hello! I would like to inquire if your hospital has any new equipment for breast examinations? Additionally, I would like to know about the health check-up that does not expose three points; what is t...
Dr. Zhan Deqin reply Family Medicine
Ultrasound and mammography are currently the best examination methods. While it is impossible to avoid revealing all three points, it is possible to ensure that none are overlooked. These tests are available at major hospitals, with prices varying, generally ranging from two to t...[Read More] New Breast Examination Equipment at Chiayi Hospital: Costs and Details
Effective Solutions for Managing Body Odor Issues
How to address the issue of body odor? Hello Doctor, I have been troubled by an issue for a long time. Since puberty, I have noticed an unusual odor, commonly known as body odor. There are seven members in my family, but only one person has this symptom. Could it be due to my lon...
Dr. Zhan Deqin reply Family Medicine
This is the result of overactive sebaceous glands. Surgery may be somewhat effective, and there are topical medications available (please consult a dermatologist) that should help alleviate your symptoms.[Read More] Effective Solutions for Managing Body Odor Issues