Which Medical Specialty Should I Consult for My Unexplained Symptoms?
Which specialty should I see? Hello Doctor, I have many strange little ailments in my body, and I really don't know which specialty to consult. I experience hand tremors that are difficult to control; my hands shake when I hold things, when someone touches me, while picking ...
Dr. Xiao Yongxun Reply:
Dear Miss You: Please discuss this with your neurologist; based on your description, I believe it may be a neurological issue. If necessary, a consultation with a psychiatrist may also be required. Imaging studies or immunological and biochemical tests may not definitively identi...[Read More] Which Medical Specialty Should I Consult for My Unexplained Symptoms?
Understanding Abdominal Pain and Diarrhea After Masturbation in Men
I am a male, and I experience stomach pain and diarrhea the day after masturbation? Hello, doctor. I recently visited both the urology and neurology departments, but it seems neither could resolve my issues. I'm not sure if I consulted the wrong specialties. I've been e...
Dr. Cai Dongqi Reply:
Hello, I would like to know if you underwent an ultrasound examination during your medical visit. Since you are experiencing abdominal pain, have you consulted a gastroenterologist? An ultrasound or more advanced imaging studies might help identify the underlying cause.[Read More] Understanding Abdominal Pain and Diarrhea After Masturbation in Men
Understanding Elevated Amylase Levels: Causes and Concerns
Amylase Yesterday, I had a routine blood test, and overall, my blood cell counts were normal. However, one result showed trypsin at 106, which exceeds the standard of 100. What could this mean? Previously, I had an abdominal ultrasound, which indicated mild fatty liver, but every...
Dr. Cai Dongqi Reply:
Hello, we recommend that you return for a follow-up appointment. Thank you.[Read More] Understanding Elevated Amylase Levels: Causes and Concerns
Understanding Hepatitis A Testing After Travel: What You Need to Know
Hepatitis A testing Hello Dr. Tsai, I recently went hiking in the high mountains of Nepal. I had previously consulted with a family medicine doctor, who mentioned that since I only had 1 to 2 weeks before departure, the effectiveness of the hepatitis A vaccine would not be very g...
Dr. Cai Dongqi Reply:
Hello, generally speaking, the incubation period for hepatitis A is approximately 15 to 50 days, with an average of 28 to 30 days. It is recommended that you get tested around 30 days.[Read More] Understanding Hepatitis A Testing After Travel: What You Need to Know
Understanding Symptoms: Abdominal Pain, Dizziness, and Blurred Vision
Stomach pain, dizziness, and blurred vision? Hello, doctor. This morning while I was in the car, I suddenly experienced severe stomach pain and started sweating profusely. I also had symptoms of diarrhea, dizziness, and blurred vision. After urgently getting out of the car and si...
Dr. Xu Peiqi Reply:
Dear Ms. Sheena, Thank you for your inquiry. Your description is quite detailed, and it currently sounds like the most likely diagnosis is Irritable Bowel Syndrome (IBS). Since the episodes are infrequent and have persisted for many years without developing into a more serious c...[Read More] Understanding Symptoms: Abdominal Pain, Dizziness, and Blurred Vision
Persistent Low-Grade Fever for a Year: Seeking Answers and Relief
Low-grade fever for about a year, it's driving me crazy? Hello Doctor, since around October last year, I suddenly started experiencing low-grade fevers and dizziness that have continued until now. My temperature fluctuates between 37.2°C and 37.8°C daily, and when I have a f...
Dr. Cai Dongqi Reply:
Hello, your symptoms include a low-grade fever accompanied by dizziness and difficulty concentrating. Have you consulted a neurosurgeon? If not, I recommend that you see one. Wishing you a speedy recovery.[Read More] Persistent Low-Grade Fever for a Year: Seeking Answers and Relief
Morning Left Upper Back Pain: Causes and When to Seek Help
I experience a dull, warm pain in my left back every morning upon waking up? Hello, Doctor. For the past two years, I have been experiencing a dull, warm pain in my upper left back almost every morning after waking up. It feels like there is something inside my upper left back, a...
Dr. Cai Dongqi Reply:
Hello, gastroesophageal reflux disease (GERD) can cause chest pain. If you have a history of this condition, it is recommended that you have regular follow-up appointments with a gastroenterologist.[Read More] Morning Left Upper Back Pain: Causes and When to Seek Help
Understanding Abnormal Blood Test Results: Liver Function and Health Tips
Blood test report Hello! I regularly undergo comprehensive health check-ups. In the past, I had liver function blood test reports that, although fluctuating, were within the normal range, averaging once every two years before 2014. This year, my blood test report showed some conc...
Dr. Cai Dongqi Reply:
Hello, there are many factors that can lead to elevated bilirubin levels, and further examinations are needed. However, based on your LDL and total cholesterol levels, you are likely at high risk for hypercholesterolemia. It is advisable to consume a sufficient and balanced diet,...[Read More] Understanding Abnormal Blood Test Results: Liver Function and Health Tips
Can Acute Gastroenteritis Cause Temporary Blood Sugar Elevation?
Elevated blood sugar levels during acute gastroenteritis? Hello Dr. Yeh: Regarding non-diabetic individuals, I would like to inquire if acute gastroenteritis (persistent vomiting and physical weakness), along with blood tests indicating inflammation, could potentially lead to a t...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that your blood sugar levels may fluctuate, but the extent of the changes is unclear. I recommend that you follow up with a metabolic specialist for further evaluation to determine if your glucose metabolism is normal. Thank you fo...[Read More] Can Acute Gastroenteritis Cause Temporary Blood Sugar Elevation?
Concerns About Infection After Fish Spa Treatment: What You Need to Know
Infection issues Dear Doctor: I visited a fish spa in Yilan on September 2nd. On August 28th and 29th, I had some abrasions on my heels and blisters on my feet that have been repeatedly scabbing and breaking open without fully healing. There are four wounds of varying sizes, but ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you have several unhealed wounds on your foot that have been exposed in a fish spa, which raises concerns about bacterial infection, while the risk of bloodborne transmission is relatively low. I recommend that you visit a general surgeon or an i...[Read More] Concerns About Infection After Fish Spa Treatment: What You Need to Know
Understanding Anemia: Common Questions and Concerns for Patients
Questions related to anemia? Recently, I experienced dizziness and pale complexion twice, which led me to undergo a blood test that revealed anemia. Here are my test results: Hb 9.9, Hct 32.8, MCV 75.6, MCH 22.8, MCHC 30.2, RDW 19.7. I would like to ask a few questions: 1. The f...
Dr. Xiao Yongxun Reply:
Dear Ms. RG: 1. The first time, I walked for about half an hour in hot weather, and I started feeling increasingly dizzy, eventually experiencing blurred vision and needing support, along with excessive sweating. After resting for a while, I felt much better. I had eaten less th...[Read More] Understanding Anemia: Common Questions and Concerns for Patients
Understanding Anemia: Symptoms, Risks, and Prevention Strategies
Anemia-related issues Recently, I had a blood test at the hospital with the following results: Hb 9.9, MCV 75.6, Hct 32.8, MCHC 22.8. Due to certain reasons, I did not have my iron levels checked, but the doctor believes there is a high probability of iron deficiency anemia. Here...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, it appears to be microcytic anemia, and there will be significant fluctuations in hemoglobin levels, indicating a higher likelihood of iron deficiency anemia. Regarding the dizziness you mentioned, there are many potential causes, and...[Read More] Understanding Anemia: Symptoms, Risks, and Prevention Strategies
Concerns About Father's Health: Anemia, Low Blood Pressure, and Cancer Risks
Father's current condition? Hello Doctor: Since the last consultation, I heard my father say that the clinic diagnosed him with anemia and low blood pressure, and then he bought candy to suck on! My father has never had anemia or low blood pressure; only my mother (who has p...
Dr. Liao Yaopan Reply:
Hello, it is recommended that you return to your original physician's clinic to review the test results after the relevant examinations. The physician will provide explanations and clarifications, so please try not to be overly anxious. Please note that online consultations ...[Read More] Concerns About Father's Health: Anemia, Low Blood Pressure, and Cancer Risks
Understanding Nucleated Red Blood Cells: What Does a Value of 0.2 Mean?
Nucleated red blood cells (NRBC) 0.2? Hello, Doctor: In the past few weeks, I underwent a health check-up, and the report indicated an abnormality in one of the blood test results, specifically the nucleated red blood cell (NRBC) count, which was 0.2 (where the normal value shoul...
Dr. Xiao Yongxun Reply:
Dear Mr. S: Basically, your questions should be directed to your hematologist, and you should follow their recommendations for further examinations. Below are brief responses to your inquiries: 1. Does "bone marrow fibrosis" on the report mean a confirmed diagnosis, o...[Read More] Understanding Nucleated Red Blood Cells: What Does a Value of 0.2 Mean?
Understanding Whole Body Muscle Twitches: Causes and Concerns
Whole body is constantly twitching? Hello, doctor. I often experience muscle twitching throughout my body, including my thighs, calves, arms, back, and face. This frequent twitching makes me feel quite anxious. I wonder if it is related to sitting in an office for long periods. M...
Dr. Cai Dongqi Reply:
Based on your inquiry, it seems to suggest a possible autonomic nervous system disorder. It is recommended to visit a hospital to see a neurologist or psychiatrist, as the use of anxiolytics may provide more stability.[Read More] Understanding Whole Body Muscle Twitches: Causes and Concerns
Understanding Anemia: Differentiating Between Iron Deficiency and Thalassemia
Anemia issues Hello Doctor: I recently underwent two health check-ups, one on June 21 for a company physical exam and another on July 2 for my first prenatal check-up (I am currently three months pregnant). In terms of blood tests, many of my values did not meet the standard thre...
Dr. Liao Yaopan Reply:
Hello, based on your test results, there is a slight indication of anemia in your hemoglobin levels. We recommend further evaluation, and it would be advisable to follow up with a hematologist since you are currently pregnant. You may also consult with an obstetrician to assess f...[Read More] Understanding Anemia: Differentiating Between Iron Deficiency and Thalassemia
Which Medical Specialty Should I Consult for My Leg Symptoms?
Which specialty should I see? Hello doctor, I noticed two swollen veins on the inner sides of both my feet yesterday, and they are painful when pressed. A few days ago, a prominent vein appeared on the top of my left foot (extending to my left big toe), which sometimes feels numb...
Dr. Chen Bozhang Reply:
Dear Ms. Wang, In your letter, you mentioned that the veins on the dorsum of your foot often hurt and feel numb, and that your left big toe experiences numbness and even has a blackened nail. Additionally, you have some systemic symptoms such as low blood pressure, unusual sensa...[Read More] Which Medical Specialty Should I Consult for My Leg Symptoms?
Understanding Throat Constriction and Cough: When to Seek Help
Throat constriction cough issue? Hello Doctor: I am 38 years old, a non-smoker and non-drinker. Recently, I have been experiencing occasional mild coughing, with the sensation originating in my throat near the neck and the inward concave area of the larynx. It feels like there is...
Dr. Chen Bozhang Reply:
Dear Mr. Xiao Guan, I understand that you have been experiencing occasional coughs recently. You have undergone thorough cardiac examinations, blood tests, and chest X-rays, all of which did not reveal any issues. Additionally, you have taken medication for gastroesophageal refl...[Read More] Understanding Throat Constriction and Cough: When to Seek Help
Which Medical Specialty Should I Consult for Persistent Dizziness?
Inquiry about medical specialties? Hello Doctor, I have been experiencing unexplained dizziness for a long time, which lasts for several days each time. It does not seem to be related to my menstrual cycle, and my daily routine is relatively normal; I do not stay up late, and I d...
Dr. Chen Bozhang Reply:
Dear Ms. Mai, In your letter, you mentioned experiencing unexplained dizziness, mild anemia, bloating with loss of appetite, and frequent diarrhea. These symptoms may be interconnected or could stem from several different diagnoses, which require a physician to conduct a thoroug...[Read More] Which Medical Specialty Should I Consult for Persistent Dizziness?
Impact of Recent Diet on Blood and Urine Test Results in Health Checkups
Health check issues Hello, I had a routine health check-up yesterday, which included blood tests and a urine test. However, the day before, I had beef noodle soup and pig liver soup for lunch, and for dinner, I ate a pan-fried steak (about 9 oz of shoulder meat). I thought it wou...
Dr. Liao Yaopan Reply:
Hello, regarding the aforementioned issue, we are unsure of the extent of the impact. Please follow the examination guidelines for the test. The results reflect the condition at the time of the examination and do not indicate previous states or subsequent changes. Changhua Hospit...[Read More] Impact of Recent Diet on Blood and Urine Test Results in Health Checkups