Understanding Underarm Pain: When to Seek Medical Attention
Axillary pain Initially thought to be premenstrual symptoms, but due to intermittent pain lasting about a month, with pain in the right armpit, shoulder pain, back pain, and chest tightness (unable to sleep lying down). I have tried massage to relieve discomfort, but I experience...
Dr. Lin Zhebin Reply:
Hello: Your discomfort involves the armpit, shoulder, back, and chest. The organs to consider include the skin, muscles, tendons, ligaments, bones, breasts, lungs, and heart. Therefore, it is recommended that you first visit a family medicine physician for an initial examination....[Read More] Understanding Underarm Pain: When to Seek Medical Attention
Persistent Coughing: Understanding Causes and Seeking Relief
I don't know why I've been coughing for a long time? I have been coughing for over two weeks. It's manageable during the day, but at night, the coughing becomes severe, accompanied by a feeling of chest tightness. Occasionally, I produce a little phlegm, but it is ...
Dr. Hou Angting Reply:
Hello: Based on the situation you described, it is currently not possible to determine the cause. I recommend that you visit a pulmonology clinic for further evaluation of your condition. Thank you.[Read More] Persistent Coughing: Understanding Causes and Seeking Relief
Understanding Chest Discomfort After Eating: Possible Causes and Solutions
Chest tightness after cooking or eating? Hello doctor, I went out for errands at 2:30 PM the day before yesterday and was exposed to the sun for about 20 minutes. I experienced chest tightness, but after drinking water and resting, it improved. I burped and felt better. Today at ...
Dr. Lin Zhebin Reply:
Hello: In addition to gastrointestinal issues (most commonly gastroesophageal reflux), your chest discomfort should also consider potential heart problems (such as angina) or lung issues (such as asthma). It is recommended that you first visit a family medicine physician for an i...[Read More] Understanding Chest Discomfort After Eating: Possible Causes and Solutions
Can You Skip Blood Tests During a Health Checkup?
Is it possible to have a health check-up without a blood test? Hello, doctor: Recently, due to company requirements, I need to undergo a labor health examination. However, I have a fear of needles and have been diagnosed with generalized anxiety disorder by a psychiatrist for the...
Dr. Lin Zhebin Reply:
Hello: This part depends on the examination requirements set by your company. If it is just a general occupational health check-up, it typically includes blood tests, urinalysis, stool tests, chest X-rays, and electrocardiograms (ECGs), all of which are non-invasive procedures. A...[Read More] Can You Skip Blood Tests During a Health Checkup?
Can COVID-19 Cause Bruise-Like Marks on the Chest?
Pneumonia issues I would like to ask about whether COVID-19 can cause marks on the chest that resemble those from gua sha. My boyfriend was diagnosed on Monday, and yesterday he noticed light marks on his chest that look similar to gua sha marks. They are not very prominent, but ...
Dr. Lin Zhebin Reply:
Hello: Skin manifestations are rare in COVID-19 infections; when they do occur, the most common presentations are rashes or erythema. Of course, the marks on your boyfriend's chest that resemble abrasions are also a possibility. It is advisable to monitor your boyfriend'...[Read More] Can COVID-19 Cause Bruise-Like Marks on the Chest?
Understanding Left Chest Pain: Causes and Concerns for Women
Left chest tightness and pain? Hello, doctor! I've been experiencing left chest tightness and pain for the past two days. Sometimes the pain is closer to the nipple, but there is no pain on the right side. The tightness persists throughout the day. My menstrual period just e...
Dr. Xiao Yongxun Reply:
Dear Miss Hsiao-Yu, 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, the differential diagnosis shoul...[Read More] Understanding Left Chest Pain: Causes and Concerns for Women
Understanding Numbness and Appetite Loss: When to Seek Medical Help
Numbness in the hands and feet, along with loss of appetite? A year ago, I experienced shortness of breath, chest tightness, and numbness in my hands, feet, and knees. I went to a family medicine clinic where I had a chest X-ray and heart rate monitoring. The doctor said there we...
Dr. Lin Zhebin Reply:
Hello: Since your discomfort includes symptoms of the upper respiratory tract and considering the current severity of the pandemic, it is recommended that you first conduct a rapid test to check for COVID-19. If the rapid test is negative and there are no significant findings fro...[Read More] Understanding Numbness and Appetite Loss: When to Seek Medical Help
Which Medical Specialty to Consult for Abdominal Pain and Digestive Issues?
For abdominal pain, it is recommended to see a gastroenterologist? Hello doctor, three days before my period this month, I drank pasteurized milk, about two bottles a day, each bottle being 240ml. On one of those days, I also ate three and a half soft-boiled eggs. The day before ...
Dr. Lin Zhebin Reply:
Hello: Regarding your discomfort, it is primarily considered that it may be related to gastrointestinal diseases. Given your age, the likelihood of cancer is lower. It is recommended that you consult a gastroenterologist. Additionally, your weight loss may simply be due to dehydr...[Read More] Which Medical Specialty to Consult for Abdominal Pain and Digestive Issues?
Managing COVID-19 Risks for Diabetic Patients: A Care Guide
Diabetes and confirmed COVID-19 infection? Hello Doctor, my mother is 64 years old and has diabetes and hypertension. She has been regularly visiting a family physician and is on long-term medication for control. However, in September 2020, she experienced pancreatitis (suspected...
Dr. Lin Zhebin Reply:
Hello: After contracting COVID-19, the two main concerns are monitoring the progression of the illness and medication treatment: 1. Monitoring the progression of the illness: This can be divided into subjective and objective components. Subjective component: If your mother experi...[Read More] Managing COVID-19 Risks for Diabetic Patients: A Care Guide
Negative Rapid Test but Experiencing Symptoms: A Family Medicine Perspective
Taipei and New Taipei City / Negative rapid test, experiencing symptoms? [Contact and Symptom Record] > v = colleague > l = colleague sitting next to me > s = boyfriend > a = female friend > c = roommate * 05/02 (Mon) took a leave, stayed at home * 05/03 (Tue) v re...
Dr. Chen Bozhang Reply:
It is recommended that if you have concerns, you can first perform a rapid test. If the result is negative, you may continue to monitor your condition. However, if you experience any discomfort, it is advisable to seek medical attention. Thank you.[Read More] Negative Rapid Test but Experiencing Symptoms: A Family Medicine Perspective
Understanding Left Chest Pain: When to See a Doctor
Left chest pain or heart-related issues? Hello, doctor. I first felt unwell in early March, experiencing intermittent sharp pain in my left chest, which felt somewhat like cramping, accompanied by a sensation of breathlessness and near fainting. This lasted about 5 seconds, but I...
Dr. Liao Yaopan Reply:
Hello, regarding your chest pain issue, it is advisable to first seek an evaluation from a cardiologist. Additionally, please make sure to improve your lifestyle by maintaining a regular schedule, going to bed early, waking up early, eating a balanced diet, and exercising. Online...[Read More] Understanding Left Chest Pain: When to See a Doctor
Understanding Chest Pain with Right Shoulder Discomfort: Causes and Concerns
Chest pain accompanied by right shoulder pain? Hello, Doctor! This morning I noticed a feeling of pressure and pain in my right chest accompanied by shoulder pain. The pressure sensation started today, and I haven't experienced this before. Sometimes the shoulder pain is mor...
Dr. Xiao Yongxun Reply:
Dear Miss Hsiao: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, the differential diagnosis should c...[Read More] Understanding Chest Pain with Right Shoulder Discomfort: Causes and Concerns
Understanding Left Flank Pain: Causes and When to Seek Help
Left flank issue? In recent days, I have been experiencing sudden sharp pains in the area of my left flank, located between my chest and abdomen. During the pain, pressing on the area does not cause discomfort (it feels like I'm pressing on the bone). However, the pain may r...
Dr. Cai Dongqi Reply:
Hello: For lumbar spine or muscle injuries, you may first consult an orthopedic specialist.[Read More] Understanding Left Flank Pain: Causes and When to Seek Help
Understanding Persistent Chest Pain: Causes and When to Seek Help
Pain in the center of the chest? Hello doctor, I started experiencing mild pain in the center of my chest around early March. At first, I didn't pay much attention to it since it didn't affect my daily life. Sometimes, I also felt pain in the upper left side of my chest...
Dr. Lin Zhebin Reply:
Hello: Regarding your chest pain and cough, I personally believe it may be caused by gastroesophageal reflux. I recommend that you seek medical attention and take medications to suppress stomach acid. If you wish to undergo further examination, an endoscopy can also be performed.[Read More] Understanding Persistent Chest Pain: Causes and When to Seek Help
Understanding Left Chest and Rib Pain: Causes and Solutions for Office Workers
Pain in the left sternum and lower edge? Hello Doctor, I am an office worker who has a sedentary lifestyle and lacks exercise. About a month ago, I started experiencing pain in my left back, left sternum (slightly to the left of the nipple line), left armpit, and the rib area ben...
Dr. Lin Zhebin Reply:
Hello: Regarding your pain issue, the general area is located in the left chest and underarm. The potential causes could range from skin, muscle ligaments, breast, ribs, pleura, lungs, or heart problems. Based on your medical evaluation, it is likely that you have a breast fibroc...[Read More] Understanding Left Chest and Rib Pain: Causes and Solutions for Office Workers
Understanding Chronic Hypoxia: Symptoms, Causes, and When to Seek Help
Definition of chronic hypoxia and its effects on the body? I am not sure if my condition qualifies as chronic hypoxia. I often forget to breathe (or breathe too shallowly and infrequently), and occasionally I feel a tingling sensation in my lips, which seems similar to the effect...
Dr. Lin Zhebin Reply:
Hello: An objective method for assessing hypoxia is through the use of a pulse oximeter and arterial blood gas analysis. Generally, a normal blood oxygen saturation level for healthy individuals should be above 95%. Additionally, common symptoms of hypoxia primarily include short...[Read More] Understanding Chronic Hypoxia: Symptoms, Causes, and When to Seek Help
Understanding Persistent Low-Grade Fever: Causes and When to Seek Help
Low-grade fever issue Hello Doctor, I remember that about five or six years ago, I experienced episodes for a few months where I would feel warm and have headaches (my temperature was always between 36-37.5°C without fever). Since then, I have had similar experiences every year. ...
Dr. Liao Yaopan Reply:
Hello, with unexplained fever and elevated body temperature, the primary concern should be to rule out any potential infectious issues. If such concerns are excluded, differential diagnosis for autoimmune rheumatic diseases and even neoplastic conditions should be considered. Ple...[Read More] Understanding Persistent Low-Grade Fever: Causes and When to Seek Help
Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Medical consultation Hello, Dr. Lin. I consulted you yesterday regarding my anemia values, but I still have some questions I'd like to ask. Although my hemoglobin has risen to 11.1, I frequently experience dizziness, headaches, and fatigue. Could this be related to my ferrit...
Dr. Lin Zhebin Reply:
Hello: 1. Your symptoms of dizziness, headache, fatigue, and hair loss are indeed likely related to low ferritin levels. 2. Coffee can affect the gastrointestinal absorption of iron; however, if consumed separately from meals, its impact is minimal. Since you mentioned that your ...[Read More] Understanding Anemia: Common Symptoms and When to Seek Further Medical Advice
Is It Safe to Get the COVID Vaccine with Complicated UTI?
Inquire whether it is appropriate to receive the vaccine? Hello Doctor, I would like to ask about complex antibiotic-resistant urinary tract infections (UTIs) accompanied by infections in other parts of the urinary system. I have been experiencing recurrent infections and inflamm...
Dr. Lin Zhebin Reply:
Hello: Based on your current condition, you are eligible to receive the COVID-19 vaccine, and there is no evidence linking the COVID-19 vaccine to urinary tract infections or panic disorders. However, the cause of your recurrent complex urinary tract infections should be investig...[Read More] Is It Safe to Get the COVID Vaccine with Complicated UTI?
Understanding Unexplained Chest and Back Pain: A Family Medicine Perspective
Physical discomfort? This year, I have occasionally experienced issues with arrhythmia, where my heart suddenly pauses. I have undergone blood tests and various examinations, all of which came back normal. However, today I experienced it again, but this time it occurred more freq...
Dr. Lin Zhebin Reply:
Hello: Although your discomfort is primarily concentrated above the waist, from my perspective, it is still important to address each issue separately. I have broadly categorized your concerns into the following three items: 1. Arrhythmia: Given your age, it is necessary to che...[Read More] Understanding Unexplained Chest and Back Pain: A Family Medicine Perspective