Understanding Morning Fatigue: The Impact of Sleep Oxygen Levels and Anemia
Waking up feeling fatigued? Doctor, I visited an otolaryngologist and the result showed that my sleep oxygen level is 85. Later, I was diagnosed with a deviated septum, which could lead to frequent nasal congestion. Could this be a reason for waking up feeling very tired? In Janu...
Dr. Chen Bozhang Reply:
Hello, In response to your inquiry, you mentioned feeling very fatigued upon waking, and tests revealed that your blood oxygen saturation during sleep was 85%. This indicates a moderate level of hypoxia during sleep, primarily caused by periodic upper airway obstruction. If you...[Read More] Understanding Morning Fatigue: The Impact of Sleep Oxygen Levels and Anemia
Feeling Tired Every Morning: Is It a Sleep Disorder?
Waking up feeling fatigued? Hello. I wake up feeling very tired every day and find it hard to get out of bed. I feel dizzy and lethargic throughout the day, often wanting to sleep. I tend to doze off at work and easily become anxious and stressed. This has been going on for nearl...
Dr. Chen Bozhang Reply:
Dear User, In your message, you mentioned experiencing fatigue, dizziness upon waking, daytime sleepiness, and increased anxiety for the past 12 years. Daytime sleepiness itself is a significant warning sign and may indicate possible sleep disorders, hypoxia, central nervous sys...[Read More] Feeling Tired Every Morning: Is It a Sleep Disorder?
Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects
Strange Symptoms After a Cold On July 21 and 22, I had a cold with symptoms of dizziness and headache. I experienced a low-grade fever and occasional sweating, but never had a high fever. On July 23, I no longer had a headache but had a runny nose and sneezing (I usually have all...
Dr. Chen Bozhang Reply:
Hello: In response to your question, you mentioned experiencing persistent fatigue and drowsiness after taking medication for a cold. Since each person's constitution is different, even the same medication can exhibit varying side effects. It is also possible that these symp...[Read More] Unusual Symptoms After a Cold: Fatigue, Weakness, and Medication Effects
Understanding G6PD Deficiency and Hepatitis B Vaccination: Your Questions Answered
Please provide the content you would like me to translate into English? Hello Doctor: I have G6PD deficiency, but it seems my father does not have it. Previously, my mother had a blood test, and it was found that she also does not have G6PD deficiency. I later went to a family me...
Dr. Liao Yaopan Reply:
1. The test for G6PD deficiency measures the level of the enzyme "G6PD," which is different from hemoglobin. Additionally, this condition is X-linked recessive, meaning that the mother can be an asymptomatic carrier of the gene. 2. The hepatitis B vaccine is administe...[Read More] Understanding G6PD Deficiency and Hepatitis B Vaccination: Your Questions Answered
Understanding Sudden Fainting: Causes and When to Seek Help
Fainting without any apparent reason? A few days ago, after drinking with friends, I suddenly felt dizzy while standing on the street. I was unsteady on my feet, had weakness in my limbs, and then fainted, seemingly losing consciousness briefly. However, I quickly regained awaren...
Dr. Cai Mengru Reply:
Dear Hsiaohung, Hello. Regarding your question, it is possible that blood is predominantly redirected to peripheral tissues, which can often be caused by factors such as alcohol consumption, high fever, or intense exercise. This results in a decrease in central blood volume and ...[Read More] Understanding Sudden Fainting: Causes and When to Seek Help
Blurred Vision and Sweating: Should I Be Concerned?
Inquire about blurred vision and night sweats? This morning, while taking the bus to work, I suddenly felt dizzy and weak. Then I started to feel a pressure in my head and my vision went blank. After a while, my sight slightly returned, and I could see the shadows of other passen...
Dr. Lai Hexian Reply:
Hello, in addition to anemia, paroxysmal arrhythmias or panic disorders could also present in this manner. It is recommended that you visit a hospital as soon as possible for a thorough evaluation by a physician, who can then determine the most appropriate tests to conduct.[Read More] Blurred Vision and Sweating: Should I Be Concerned?
Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help
Frequent dizziness, nausea, and abdominal bloating? Hello Dr. Wu: Since the beginning of this month, I have been experiencing dizziness and nausea (I have had these symptoms before, but not as severely as this month). The symptoms are milder during the day, but I still feel dizzy...
Dr. Wu Fangcan Reply:
Your symptoms may indicate anemia, and individuals with allergic rhinitis often experience nasal congestion, which can also occur after a cold. If you have tinnitus, decreased hearing, and dizziness, Meniere's disease should be suspected. If dizziness occurs during menstruat...[Read More] Understanding Dizziness, Nausea, and Bloating: Seeking the Right Medical Help
Understanding Sudden Fainting: Causes and Concerns for Men Over 45
Sudden fainting? Hello, a 45-year-old male has a history of fainting (3-4 times) and has seen many doctors. Some have diagnosed him with anemia, while others suggested hypoglycemia. He experiences discomfort and a near-fainting sensation if he misses meals or goes too long withou...
Dr. Cai Dongqi Reply:
The causes of fainting or seizures are complex; it is important to first consult a neurologist to rule out any brain-related issues.[Read More] Understanding Sudden Fainting: Causes and Concerns for Men Over 45
Should I See a Doctor? Navigating Multiple Health Concerns
Should I seek medical attention? Which specialty should I consult? Hello, Doctor: I have some questions I would like to consult you about. 1. Menstrual irregularities. My symptoms include periods that last over a week each time. The longest has been two to three months, with va...
Dr. Cai Mengru Reply:
Dear Ms. Hsing, Your concerns can generally be categorized into several areas: 1. Menstrual Issues: It is advisable to consult a gynecologist to rule out any structural problems (such as tumors or endometriosis). Additionally, your dizziness and shortness of breath may be relat...[Read More] Should I See a Doctor? Navigating Multiple Health Concerns
Understanding Anal and Genital Itching: When to Seek Medical Help
Anal itching and genital itching? Doctor: Hello! I have been experiencing anal itching for quite some time. I have been hesitant to seek medical attention due to embarrassment, but I have researched various methods to alleviate the itching and possible causes online. I have initi...
Dr. Wu Fangcan Reply:
There are many causes of anal itching, including atopic dermatitis, contact dermatitis, scabies, pubic lice, lichen planus, xerosis, psoriasis, and seborrheic dermatitis. Some are associated with systemic diseases such as hyperthyroidism, hypothyroidism, chronic renal failure, ir...[Read More] Understanding Anal and Genital Itching: When to Seek Medical Help
Understanding Abnormal RBC Counts and Abdominal Pain After Appendicitis
Abnormal red blood cell count & peritonitis I recently received my health check report, and my red blood cell values are abnormal. My red blood cell count (RBC count) is 5.34 (H), with a reference range of 3.9-5 x 10^6/µL. My mean corpuscular volume (MCV) is 66.8 (L), with a ...
Dr. Chen Mengkan Reply:
Hello, based on the results of your CBC, it seems you were correct in suspecting thalassemia. Further confirmation requires DNA testing or electrophoresis, which can be done at a family medicine clinic for additional blood tests. As for the causes of dizziness, there are many pos...[Read More] Understanding Abnormal RBC Counts and Abdominal Pain After Appendicitis
Understanding Elevated Red Blood Cell Count: Causes and Concerns
Red blood cells Hello Doctor: I recently received my health check report, which indicates that my red blood cell count is 5.27 (reference range for females is 4.0–5.2) — indicating an increase in red blood cell count. Is my red blood cell count really abnormal? What could be the ...
Dr. Lai Junlong Reply:
Hello: 1. A slight increase in red blood cell count is not abnormal; it may occur due to an accelerated rate of blood renewal in the body (for example, during a woman's menstrual cycle or in the presence of bleeding). If you are concerned, you can ask your physician to arr...[Read More] Understanding Elevated Red Blood Cell Count: Causes and Concerns
Understanding Your Blood Test Results: Do You Have Thalassemia?
Mediterranean anemia (also known as thalassemia) Hello Doctor, I recently underwent an electrophoresis test and would like to ask about my results. My mean corpuscular volume (MCV) is normal, but my hemoglobin A1 and F levels are abnormal. Does this mean I have thalassemia? Here ...
Dr. Huang Shaoxin Reply:
Thalassemia, also known as Mediterranean anemia, is a congenital blood disorder related to genetic inheritance from parents. Patients have red blood cells that are more fragile and prone to destruction, resulting in insufficient oxygen-carrying capacity, which can severely impact...[Read More] Understanding Your Blood Test Results: Do You Have Thalassemia?
Can Holding in Urine Cause Sudden Fainting? A Medical Inquiry
Sudden fainting? Hello Dr. Tsai, I would like to ask you about something. There was an occasion when I needed to use the restroom but held it in due to a meeting. Eventually, I suddenly fainted. Could this be related to my holding it in, or could there be another reason? Thank yo...
Dr. Cai Ruiyuan Reply:
Hello: Holding back from using the restroom can indeed lead to vasovagal fainting, but there may be other possible causes, such as cardiac dysfunction like arrhythmias or insufficient blood volume such as anemia. It is recommended to consult a neurologist or a cardiologist for fu...[Read More] Can Holding in Urine Cause Sudden Fainting? A Medical Inquiry
Understanding Early Gray Hair: Causes and When to Seek Help
White hair Hello Doctor: I am 25 years old, and I would like to ask about my premature graying hair. Based on previous experiences, it is often caused by excessive stress. However, my recent lifestyle has been quite normal, and my job is stable and manageable. Yet, I have recentl...
Dr. Cai Mengru Reply:
Dear Ms. Athena, Regarding your questions, I will address them in two parts. The presence of white hair is primarily due to a decrease in melanin within the hair follicles as a result of aging. However, there are various other causes of premature graying that are associated with...[Read More] Understanding Early Gray Hair: Causes and When to Seek Help
Understanding Your Health Check Results: Common Concerns Explained
Inquiry about health check-up concerns? Hello Dr. Tsai, I have a few questions regarding my health check report: 1. My total red blood cell count is low (RBC=3.73, HCT=35.8, MCH=32.2, MONO%=8.7, EO%=4.4). 2. My granulocyte count is elevated (PDW=9.9). 3. My total cholestero...
Dr. Cai Jueren Reply:
Hello: A low total red blood cell count may indicate anemia, but it could also be a temporary condition due to the faster metabolism of red blood cells, which typically lasts about 7 to 10 days. The blood test only reflects a small portion, and the total value can be estimated us...[Read More] Understanding Your Health Check Results: Common Concerns Explained
Understanding Severe Headaches, Fever, and Weakness: A Guide for Patients
Headache, fever, weakness? I started experiencing headaches a few days ago, and I can feel pain around my eyes near the brow bone. At first, I didn't think much of it, but the headaches became more severe (it felt like my head was about to explode), and I started feeling wea...
Dr. Cai Mengru Reply:
Hello Ms. Miao Miao: Regarding your symptoms, if you have had a fever for more than three days or if the fever does not subside with medication, it is best to go to the hospital for an examination. Do not rely solely on acetaminophen to reduce the fever, as it may be caused by a ...[Read More] Understanding Severe Headaches, Fever, and Weakness: A Guide for Patients
Understanding Unexplained Fatigue: A Guide for Patients
Intractable Somnolence Disorder Hello, doctor. I would like to ask about a problem that has been bothering me for a long time: for the past two to three months, I often feel a sense of brain fog. This fatigue doesn't go away with sleep; I frequently experience a feeling of w...
Dr. Cai Mengru Reply:
Dear Student Chen, Do you have emotional issues (such as fluctuations or persistent low mood)? Do you find it difficult to sleep well (including waking up feeling unrefreshed)? Have activities that used to bring you joy become uninteresting? Do you feel worthless, believing that...[Read More] Understanding Unexplained Fatigue: A Guide for Patients
Managing Vasovagal Symptoms: When to Seek Medical Help
Vasovagal..? Hello Doctor: I often feel nauseous, experience decreased hearing, and sometimes feel unsteady after standing for a period of time. I previously inquired at a family medicine clinic, and they mentioned it could be related to vasovagal issues. Although sitting down al...
Dr. Cai Mengru Reply:
Dear Ms. EMMA, Hello. Regarding your issue, it is indeed very likely that it is caused by a dysfunction of the vagus nerve within the autonomic nervous system, leading to a sudden drop in blood pressure. If this is the cause, and excluding any medication factors, it is a constit...[Read More] Managing Vasovagal Symptoms: When to Seek Medical Help
Understanding Heart Issues: Symptoms, Causes, and Recommended Tests
Cardiac issues? Hello doctor, I have often felt drowsy during the day, with a heavy head and difficulty concentrating since high school. When I stand in crowded places for too long, I experience symptoms similar to anemia (such as blackouts, chest tightness, and difficulty breath...
Dr. Cai Jueren Reply:
Hello: If anemia has been ruled out as a cause of your symptoms, you might want to consider postural hypotension. I recommend that you visit a cardiology clinic for an examination, or if you have a blood pressure monitor at home, you can measure the blood pressure in your limbs w...[Read More] Understanding Heart Issues: Symptoms, Causes, and Recommended Tests