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Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks

Elevated urinary creatinine and urine protein/creatinine ratio in health check results? Hello Doctor, I noticed that most of the questions in the Q&A are related to creatinine levels. However, my mother’s creatinine test results are normal. Yet, the last two items showed abno...


Dr. Zhang Hongwei reply Family Medicine
If the examination shows mild proteinuria, you should consult a nephrologist for further evaluation.

[Read More] Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks


Understanding Blood in Phlegm: Causes and When to Seek Help

Sputum with blood clots? Hello, Doctor. I don't have a cold, but I feel like there's some phlegm in my throat today. After coughing it up, I noticed there were blood clots, about the size of a pinky nail and black in color. Should I be concerned about this? Additionally...


Dr. Zhang Hongwei reply Family Medicine
If symptoms persist, you should consult a pulmonologist and undergo a chest X-ray.

[Read More] Understanding Blood in Phlegm: Causes and When to Seek Help


Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests

Frequent upper back pain? Hello, I would like to ask... I often experience pain in my upper back and feel the urge to stretch my chest and twist my waist. The specific area of pain is in the upper back, around the rib cage, similar to the "gāo huāng" point, with a sensa...


Dr. Zhang Hongwei reply Family Medicine
It is still necessary to visit a hospital and consult a physician for a physical examination in order to make an accurate differential diagnosis.

[Read More] Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests


Understanding Low White Blood Cell Count: Causes, Treatments, and Dietary Tips

Causes of low white blood cell count and related lifestyle and dietary treatments? Hello Doctor, I would like to ask you about my father, who was born in 1954 and has a very slender build. Recently, he underwent a blood test, and his white blood cell count was low, at only 2800. ...


Dr. Zhang Hongwei reply Family Medicine
It is important to consult a hematologist as soon as possible to identify the underlying cause in order to receive appropriate treatment.

[Read More] Understanding Low White Blood Cell Count: Causes, Treatments, and Dietary Tips


Persistent Throat Congestion After Cold: When to See a Doctor?

Feeling of throat obstruction after a cold? I had a cold last December, and it took about a week to recover. However, after I got better, I still felt a sensation of blockage in my throat. I initially thought it was just a lingering effect of the cold and that it would resolve in...


Dr. Zhang Hongwei reply Family Medicine
Due to the prolonged duration and the sensation of a foreign body in the throat, it is recommended to visit an otolaryngologist to confirm if there are any other abnormalities.

[Read More] Persistent Throat Congestion After Cold: When to See a Doctor?


Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?

Fatigue on the right side of the body? Dear Dr. Chang, Hello! I have been feeling extremely fatigued for the past two and a half years, unable to get enough sleep, and struggling with concentration. Additionally, my right side feels particularly heavy, and my bones are very sore...


Dr. Zhang Hongwei reply Family Medicine
Hello: Due to the multiple symptoms you are experiencing, it is recommended that you visit a family medicine department at a hospital for a thorough examination. This may need to include blood tests and abdominal imaging studies. Additionally, these symptoms could also be influen...

[Read More] Understanding Chronic Fatigue and Right-Side Discomfort: What to Do?


Experiencing Pain in the Back of the Head While Walking: Causes and Solutions

Experiencing noticeable pain in the back of the head while walking or moving? After waking up in the morning, I felt some pain in the back of my head (on the right side). Whenever I make a sudden movement or slightly shake my head, the pain becomes quite noticeable. Even walking ...


Dr. Zhang Hongwei reply Family Medicine
Hello: I would like to know if you have a recent history of head trauma, and whether you are experiencing symptoms such as nausea or vomiting. I also recommend checking if you have elevated blood pressure. If your symptoms persist or worsen, please visit a hospital (neurology dep...

[Read More] Experiencing Pain in the Back of the Head While Walking: Causes and Solutions


Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice

Pressure sensation under the right rib cage in the upper right abdomen? First, I would like to mention the symptoms I have experienced in the past. I am a college freshman, 164 cm tall and weigh around 45 kg. I used to have frequent diarrhea and constipation, which started around...


Dr. Zhang Hongwei reply Family Medicine
Hello, your gastrointestinal symptoms do indeed sound quite similar to irritable bowel syndrome. If the endoscopy shows no issues, you might consider using medications for symptom relief, and also try to establish a regular routine and slow down your pace of life, which may help ...

[Read More] Understanding Right Upper Abdomen Discomfort: When to Seek Medical Advice


Can Gastroenteritis Cause Persistent Headaches? Understanding the Connection

Is it possible for gastroenteritis to cause persistent headaches? Hello, Doctor! I previously experienced occasional headaches, but they would usually resolve after a good night's sleep. Recently, starting from last Sunday (August 21), I suddenly developed a fever, headache,...


Dr. Zhang Hongwei reply Family Medicine
Hello, it is possible to experience gastroenteritis along with headaches. Most cases of gastroenteritis are caused by viral infections, and headaches are also a common symptom of viral infections. Generally, symptoms will gradually improve as the immune system recovers. However, ...

[Read More] Can Gastroenteritis Cause Persistent Headaches? Understanding the Connection


Which Specialist Should My 72-Year-Old Mother See for Her Symptoms?

Which department should I see? Hello, doctor. My mother is 72 years old and has been experiencing symptoms such as chest tightness, shortness of breath, palpitations, and dizziness over the past few months. These symptoms become more pronounced, especially when walking a short di...


Dr. Zhang Hongwei reply Family Medicine
Hello, if these symptoms occur after labor or exercise, they may be related to heart issues. It is advisable to return to a cardiologist for further examinations such as echocardiography or a stress electrocardiogram. However, if these symptoms occur randomly or worsen when lying...

[Read More] Which Specialist Should My 72-Year-Old Mother See for Her Symptoms?


Understanding Left Lower Abdominal Pain: Causes and When to Seek Help

Dull pain in the lower left abdomen? Hello Dr. Chang, five days ago after having sexual intercourse with my husband, I felt a pain in the area just left of my navel, which occasionally radiated to my left shoulder. This lasted for about a day and then disappeared. Subsequently, I...


Dr. Zhang Hongwei reply Family Medicine
If the pain has not yet alleviated, it is recommended to undergo an ultrasound examination at the obstetrics and gynecology department. If acute abdominal pain occurs after intercourse, it is important to rule out muscle soreness caused by vigorous exercise and to be cautious of ...

[Read More] Understanding Left Lower Abdominal Pain: Causes and When to Seek Help


Understanding the Link Between Underweight and Menstrual Pain

Underweight and menstrual pain issues? Hello Doctor, I have been suffering from dysmenorrhea for a long time, especially during my college years. It has been severe enough to cause vomiting, even when I haven't eaten anything, resulting in dry heaving. Although I tried tradi...


Dr. Zhang Hongwei reply Family Medicine
Hello, dysmenorrhea can be classified into primary and secondary types. Primary dysmenorrhea typically presents symptoms after menarche, while secondary dysmenorrhea may be caused by other conditions such as adenomyosis or uterine fibroids. Therefore, it is necessary to visit a g...

[Read More] Understanding the Link Between Underweight and Menstrual Pain


Understanding Weight Loss: Stress, Fatigue, and Health Concerns

Weight loss I have been experiencing significant mental stress for over a month, worrying constantly. In the last two weeks, I have started to feel fatigued and have the impression that I am not getting enough sleep. Surprisingly, I have lost 7 kg in this month. What could be the...


Dr. Zhang Hongwei reply Family Medicine
Hello, psychological stress is one of the causes of weight loss. However, it is essential to rule out other underlying diseases, such as diabetes, hyperthyroidism, tuberculosis, or HIV. I would like to know if you have experienced changes in appetite, increased thirst and urinati...

[Read More] Understanding Weight Loss: Stress, Fatigue, and Health Concerns


Understanding Dizziness and Fainting: Low Blood Pressure and Seizure-Like Symptoms

Dizziness, blackouts, and suspected seizure symptoms, along with a feeling of low blood pressure? Hello, doctor. I often experience dizziness and blurred vision when I get up from lying in bed. I feel faint and struggle to walk a few steps before losing consciousness. I can disti...


Dr. Zhang Hongwei reply Family Medicine
Hello, if the fainting episodes occur after a change in posture, it may be caused by orthostatic hypotension. It is recommended to measure blood pressure changes within three minutes of sitting and standing. If there is a change in systolic blood pressure greater than 20 mmHg and...

[Read More] Understanding Dizziness and Fainting: Low Blood Pressure and Seizure-Like Symptoms


Which Specialist to See for Gastrointestinal Issues: A Guide

Which specialty should I see? Hello doctor, I have gastrointestinal discomfort and my stool has mucus. Should I see a gastroenterologist or a colorectal specialist? Which specialty is more appropriate for a colonoscopy?


Dr. Zhang Hongwei reply Family Medicine
Hello, both gastroenterology and colorectal surgery departments typically offer colonoscopy examinations. If your symptoms include issues related to the stomach or upper abdomen, it is advisable to visit a gastroenterologist. Otherwise, you can consult a colorectal surgeon. Thank...

[Read More] Which Specialist to See for Gastrointestinal Issues: A Guide


Why Am I Always Tired? Understanding Sleep and Screen Time Effects

I am not getting enough sleep every day? I used to have a habit of staying up late, but now I sleep around 11 to 12 PM and wake up at 8 AM. However, I often wake up around 3 to 4 AM and spend a long time using my phone and computer every day, which has caused my eyes to feel very...


Dr. Zhang Hongwei reply Family Medicine
Hello, based on your description, it seems that your sleep is somewhat disrupted, and there may be excessive use of electronic devices. I recommend starting with lifestyle changes, such as reducing the use of electronic devices, increasing outdoor physical activity, avoiding caff...

[Read More] Why Am I Always Tired? Understanding Sleep and Screen Time Effects


Why Am I Always Tired? Understanding Chronic Fatigue Symptoms

Feeling sleepy all day long? In the past two weeks, I've been feeling unusually fatigued and waking up with sore eyes every day. I underwent an abdominal ultrasound and liver function tests, all of which came back normal, except for the presence of small polyps in my gallbla...


Dr. Zhang Hongwei reply Family Medicine
Hello, I'm not sure about your sleep schedule, including what time you go to bed, the duration of your sleep, your daytime routine, and whether you spend long periods using your phone or computer screens. If the abdominal ultrasound shows a polyp that is less than 1 centimet...

[Read More] Why Am I Always Tired? Understanding Chronic Fatigue Symptoms


Can Emergency Contraceptive Pills Affect Blood and Urine Tests?

Emergency contraceptive pill If a doctor takes emergency contraceptive pills, will blood tests, urine tests, or urogenital examinations detect it?


Dr. Zhang Hongwei reply Family Medicine
Hello: Generally, routine blood and urine biochemical tests cannot detect the use of emergency contraceptive pills. For more detailed information, please consult a gynecologist at the outpatient clinic. Thank you for your inquiry.

[Read More] Can Emergency Contraceptive Pills Affect Blood and Urine Tests?


Understanding Slow Reaction Times and Memory Issues in Daily Life

Please provide the content or questions you would like me to translate I feel that my reaction time is very slow. When playing sports, I notice that my responses are strange; it's difficult to execute movements smoothly. It seems like my exertion is off—sometimes too much fo...


Dr. Zhang Hongwei reply Family Medicine
Hello, reaction time and the fluency of movements can be improved through training. It is recommended to engage in activities that enhance body coordination, such as jumping rope or swimming. Some sports may also require guidance from a professional coach to identify personal bli...

[Read More] Understanding Slow Reaction Times and Memory Issues in Daily Life


Understanding Numbness, Swelling, and Knee Pain: A Comprehensive Guide

Numbness in the fingers, swelling in the palm near the thumb, and knee pain? I apologize for the numerous questions, but I need some help. Recently, I have been experiencing intermittent numbness in my fingers, sometimes lasting for 4 to 5 hours. No amount of massage or movement ...


Dr. Zhang Hongwei reply Family Medicine
Hello: Regarding your questions, 1. Intermittent finger numbness: More detailed information is needed, such as the specific fingers affected—are they the first three fingers or the last two? Is the numbness related to specific activities or tasks, such as typing on a computer, us...

[Read More] Understanding Numbness, Swelling, and Knee Pain: A Comprehensive Guide


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