Nutritional Needs for Home Care: Ensuring Adequate Caloric Intake
Nutritional issues If your mother is bedridden and relies on a ventilator at home, the daily caloric intake from canned nutritional supplements should not be less than a certain amount, which typically ranges from 25 to 30 calories per kilogram of body weight, depending on her sp...
Dr. Lin Mingxing Reply:
Dear Ms. Jiang, This is Dr. Lin Ming-Hsing from the Department of Family Medicine at Tainan Hospital, Ministry of Health and Welfare. Basically, a daily caloric intake of 1,600 kilocalories serves as a baseline. To assess whether nutrition is adequate, we consider the followin...[Read More] Nutritional Needs for Home Care: Ensuring Adequate Caloric Intake
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:
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
Understanding High Blood Pressure: Insights from Family Medicine and Dietary Considerations
Regarding blood pressure..? Hello Dr. Huang, Last time I wrote to you asking why my blood pressure is elevated. You suggested that I first see an ophthalmologist because you mentioned that high blood pressure can be related to eye pressure (since I had surgery on my left eye and...
Dr. Huang Jianling Reply:
Essential hypertension can be classified into primary and secondary hypertension. Secondary hypertension can often be treated once the underlying cause is identified; if the cause cannot be found, it is referred to as primary hypertension, which requires long-term medication to c...[Read More] Understanding High Blood Pressure: Insights from Family Medicine and Dietary Considerations
Sudden Dizziness: When to See a Family Doctor or Neurologist?
Sudden dizziness? Recently, I haven't had a cold or any food or drug allergies. I had breakfast (from my usual place) about half an hour before work. About an hour and a half later, I suddenly experienced severe dizziness (the room was spinning), found it very difficult to w...
Dr. Huang Mingde Reply:
1. It is advised that you do not ride a motorcycle or drive if you are experiencing dizziness. 2. It is recommended to consult a neurologist for evaluation.[Read More] Sudden Dizziness: When to See a Family Doctor or Neurologist?
Understanding Persistent Health Issues: A Journey Through Medical Consultations
What exactly is the problem? Hello, my mother is 48 years old, overweight, and her health may not be very good. She often feels unwell, especially since mid-last year when her symptoms have worsened. Initially, she experienced discomfort in her throat and visited a clinic nearby....
Dr. Huang Jianling Reply:
For those feeling overwhelmed: It is recommended to regularly visit a medical center for a comprehensive health check-up. This allows for a thorough understanding of potential diseases, rather than just addressing individual issues in various specialties. If you prefer not to pay...[Read More] Understanding Persistent Health Issues: A Journey Through Medical Consultations
Understanding Health Check Results: Common Concerns and Next Steps
Health check results Hello Doctor, I have some questions and would appreciate your guidance. Background: As part of the new student enrollment process, a health check is required. I had a health check at Tainan City Hospital last year, where my hemoglobin levels were low, but ...
Dr. Lin Mingxing Reply:
Dear Dr. Lin Ming-Hsing of the Family Medicine Department at Tainan Hospital, Health Department of the Executive Yuan: 1. Regarding the issue of protein in urine, it is advisable to avoid testing around your menstrual period and to refrain from taking fish oil. Please consider r...[Read More] Understanding Health Check Results: Common Concerns and Next Steps
Understanding Syphilis Testing for Kitchen Staff Health Exams
Health Check for Kitchen Staff Dear Doctor, I previously had syphilis and after treatment, my RPR/VDRL test results came back non-reactive. If I undergo a health examination for kitchen staff, will the syphilis test results be considered normal? Can I work in the kitchen? I had t...
Dr. Cai Jueren Reply:
Dear Mr. Xiaobai, The diagnosis of syphilis is primarily based on serological tests such as VDRL and TPHA. For individuals with a positive VDRL and a TPHA titer of 1:160 or higher, treatment should be initiated, and follow-up should occur at 3 months, 6 months, 12 months, and 24...[Read More] Understanding Syphilis Testing for Kitchen Staff Health Exams
Understanding Your Blood Test Results: Anemia Types and Severity Explained
Health check-up Hello, I would like to ask about my health check results: White blood cells 6680, Red blood cells 402, Hemoglobin 10.9, Hematocrit 31, MCV 77.11, MCH 27.11, MCHC 35.16, Platelets 41.1. What type of anemia do I have? How severe is the anemia? Is it mild or severe, ...
Dr. Lin Mingxing Reply:
Dear Jean, Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, respectfully responds: Based on your age group and the description provided, it appears that you are experiencing mild iron deficiency anemia, whic...[Read More] Understanding Your Blood Test Results: Anemia Types and Severity Explained
Missed Period Since March: When to Seek Medical Advice?
Menstruation has not occurred since March? My daughter hasn't had her period since March. She says she hasn't engaged in sexual activity, and it might be due to the stress of preparing for her midterm exams. However, now that the exams are over, she still hasn't go...
Dr. Xu Li'an Reply:
Dear Keeper, stress can potentially lead to irregular menstrual cycles. If the stress has been alleviated but menstruation has not resumed, it is advisable to schedule an appointment with a gynecologist. They can perform blood tests, urine tests, and ultrasounds. If you choose to...[Read More] Missed Period Since March: When to Seek Medical Advice?
Understanding Positive Urine Blood Test Results: Next Steps for Patients
Health check-up At 56 years old, you recently underwent a health checkup at a nearby clinic as part of the three-year health insurance screening. The test results showed positive occult blood in the urine, and the urine red blood cell count was 7-9. What does this mean, and which...
Dr. Cai Jueren Reply:
An abnormal increase of red blood cells in urine is referred to as "hematuria." In mild cases, an increased number of red blood cells can be observed under a light microscope; in more severe cases, blood can be seen with the naked eye. Hematuria is commonly associated w...[Read More] Understanding Positive Urine Blood Test Results: Next Steps for Patients
Managing Sleep Deprivation: The Role of Vitamins B, C, and E
Please provide the content you would like me to translate? Thank you for the doctor's response. I bought vitamins B, C, and E because I have three jobs and study at night school, which has led to severe sleep deprivation (one of my jobs is a night shift at a gas station). So...
Dr. Xu Li'an Reply:
Hello Rain, you are really working hard and putting in a lot of effort. Please make sure not to overexert yourself. Vitamins B, C, and E can be taken together without needing to wait half an hour in between. I'm not sure how your blood test results came out. If you have any ...[Read More] Managing Sleep Deprivation: The Role of Vitamins B, C, and E
Understanding Your Health Check Results: Key Questions and Insights
Health check results A few days ago, I sent you a letter, but since I haven't received a response, I am sending it again. Hello: Important medical history: Congenital heart disease, corrected Tetralogy of Fallot. Current symptoms: I often experience cramps in my left leg...
Dr. Cai Jueren Reply:
Dear Ms. Ahua, In response to your questions, I will address them one by one: 1. Your health check report indicates a mean corpuscular volume (MCV) of 70.4 (<80), which suggests microcytic anemia. Aside from thalassemia, other potential causes for the decreased MCV include d...[Read More] Understanding Your Health Check Results: Key Questions and Insights
Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Blood test report Hello, recently the school conducted a blood test, and the report showed that my red blood cell count is high (5.43 million/µL), hemoglobin is low (11.4 g/dL), and mean corpuscular volume is low (65.7 fL). What do these results indicate, and how can I improve th...
Dr. Cai Jueren Reply:
Response to Miss Xiao Miao: The normal range for red blood cell count (RBC) is 3.8 to 6.0 million/µL for males and 3.8 to 5.5 million/µL for females. Elevated levels may indicate polycythemia or thalassemia, while low levels may suggest anemia. The normal range for hemoglobin (Hb...[Read More] Understanding Blood Test Results: High Red Blood Cells and Low Hemoglobin
Understanding Heart Murmurs and High Neutrophil Levels: What You Need to Know
Health check-up findings? A month ago, I underwent a health check-up arranged by the government because I had previously been in a radiation environment. The examination revealed that the doctor said I have a "heart murmur." What does having a heart murmur mean, and how...
Dr. Lin Mingxing Reply:
Dear Sister, Regarding the issue of "heart murmurs," it is advisable to refer you to a cardiologist for an evaluation to determine if there are any functional or organic disease concerns. As for the hematological aspect, the mention of "neutrophilia" should b...[Read More] Understanding Heart Murmurs and High Neutrophil Levels: What You Need to Know
Is Your Three-Year Adult Health Checkup Comprehensive Enough?
Adult health check-up every three years? My dad recently went to a small clinic for his free health check-up, which is done every three years. As far as I know, there are two stages to this process, but my dad said he only had blood drawn, a urine test, and his blood pressure mea...
Dr. Huang Jianling Reply:
Sister's 93rd year adult health check-up items: Phase 1: Fill out basic information, physical examination, blood tests, urine tests. Phase 2: Result interpretation, physician consultation, nutritional counseling, health insurance consultation, and medical complaint hotline: ...[Read More] Is Your Three-Year Adult Health Checkup Comprehensive Enough?
Cost and Items of Pre-Marital Health Checkups: What to Expect?
What are the costs and items included in a pre-marital health check-up? What are the costs and items included in a premarital health check-up? If I decide to have this examination at your hospital, is there a specific time or can it be done at any time?
Dr. Huang Jianling Reply:
Janice: The cost of a pre-marital health check-up ranges from NT$1,000 to NT$3,000, depending on individual needs. Our hospital offers the following services: physical examination, color vision test, palpation of cervical lymph nodes and thyroid, auscultation of heart and lungs, ...[Read More] Cost and Items of Pre-Marital Health Checkups: What to Expect?
Unexplained Hand Swelling: Causes and Solutions for Persistent Symptoms
What are the possible causes of unexplained swelling in the hands? The patient is a 50-year-old female who presents with swelling in her fingers and palms, resembling edema. The skin on her hands appears tight due to the swelling, and there are visible petechiae caused by rupture...
Dr. Hong Shouhong Reply:
There are many causes of hand swelling, which may include joint disorders, poor circulation, or autoimmune issues. It is essential to obtain a detailed medical history along with a comprehensive physical examination. Ideally, relevant blood tests or X-rays should be conducted for...[Read More] Unexplained Hand Swelling: Causes and Solutions for Persistent Symptoms
Understanding Thalassemia: Symptoms, Diagnosis, and Management
Is there such a condition as oceanic anemia? Hello Doctor: I recently underwent a health check-up, and many of my blood test results did not meet the standard values. I would like to ask if I might have thalassemia. (On the day of the health check, I happened to be at the end of ...
Dr. Huang Jianling Reply:
Your blood test results show low MCV (mean corpuscular volume) and low Hb (hemoglobin), which clinically suggests microcytic hypochromic anemia. This is often associated with either thalassemia or iron deficiency anemia. It is advisable to visit an internal medicine or family med...[Read More] Understanding Thalassemia: Symptoms, Diagnosis, and Management
Understanding Hepatitis B Transmission Risks in Couples
I have a question? Hello Dr. Hsu: I have been a carrier of hepatitis B since childhood, and my mother is also a carrier. One of my biggest fears has finally come true. My husband is also a carrier of hepatitis B. Is there a risk of cross-infection between us? What should I be awa...
Dr. Xu Li'an Reply:
Hello, this is Dr. Hsu Li-An's Family Medicine Column. The article discusses what to do if you are a carrier of Hepatitis B. "What should Hepatitis B carriers do?" This is a common question I encounter in family medicine clinics. I usually spend over five minutes e...[Read More] Understanding Hepatitis B Transmission Risks in Couples
Understanding Elevated Cancer Antigen Levels and High Triglycerides: Key Considerations
The cancer antigen (nuclear medicine) from our company's health check shows a level of 3.5 ng/ml? Hello, doctor. 1. The company's health check showed that the embryonic cancer antigen (nuclear medicine) level is 3.5 ng/ml, which exceeds the standard by 0.1 ng/ml. What...
Dr. Hong Shouhong Reply:
Carcinoembryonic antigen (CEA) is a glycoprotein primarily used for monitoring after tumor resection. Elevated CEA levels may be associated with various cancers, such as colorectal, pancreatic, and breast cancers, but it is not specific. An elevated CEA level does not necessarily...[Read More] Understanding Elevated Cancer Antigen Levels and High Triglycerides: Key Considerations