Understanding Non-Specific Dizziness: Causes and Management Strategies
Nonspecific dizziness Hello, doctor. One morning in February of last year, I woke up feeling dizzy (I weighed 116 kg at the time). Initially, it felt like an earthquake, and I didn't think much of it. However, by the end of March last year, my doctor prescribed me medication...
Dr. Ye Qianyu Reply:
Hello! In clinical practice, the various conditions you mentioned can indeed lead to dizziness. I recommend keeping a diary to thoroughly assess the events before and after the episodes of dizziness, as this will help identify the key factors contributing to your symptoms and all...[Read More] Understanding Non-Specific Dizziness: Causes and Management Strategies
Understanding Groin Lumps: Causes and When to Seek Medical Help
Symptoms similar to lymphadenopathy in the groin area? Hello Doctor, I sit at my computer desk for long periods every day. A few months ago, I experienced similar symptoms. At that time, I squeezed a lump in my groin, and after applying a topical antibiotic for several weeks, it ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, it may be a skin abscess, which, if not properly managed, could progress to cellulitis. I recommend that you visit a dermatology or surgical outpatient clinic for evaluation and treatment. Thank you for your inquiry, and I wish you a speedy recov...[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Help
Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...
Dr. Chen Taicheng Reply:
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Is Exercising Before Dinner Beneficial or Harmful to Your Health?
Questions about exercising before meals? Hello, doctor. I would like to ask you about my recent lifestyle. I usually work until 6 PM, then exercise for an hour (swimming), and ride my bike home, arriving around 8 PM for dinner. Sometimes, during the period between exercising and ...
Dr. Chen Taicheng Reply:
● I am not a sports medicine expert, but I can provide insights from a general internal medicine perspective. ● As a young person, you likely do not have any chronic diseases. Exercising before dinner is beneficial, as eating too much after a meal can hinder physical activity. Mo...[Read More] Is Exercising Before Dinner Beneficial or Harmful to Your Health?
Managing Irregular Periods and Skin Growths: A Guide for Seniors
Could you please provide more details or specify your question? 1. In the past 2-3 years, my menstrual cycle has not been as regular as it used to be, occurring every 30-40 days. Now, it comes approximately every 2-3 months. I have seen a gynecologist who conducted blood tests fo...
Dr. Chen Taicheng Reply:
● The average age for women to reach menopause is around 51 years, and in the years leading up to it, they may experience irregular menstruation and some may have menopausal symptoms. Normal hormone levels indicate that menopause has not yet occurred; if there are no menopausal s...[Read More] Managing Irregular Periods and Skin Growths: A Guide for Seniors
Understanding a Persistent Black Spot on the Sternum: Causes and Concerns
There is a black patch on the skin at the xiphoid process of the sternum? The black patch typically does not cause any issues; it is neither painful nor itchy nor swollen. However, whenever I have a fever or cold, the patch begins to feel warm, becomes red and swollen (the swelli...
Dr. Chen Taicheng Reply:
● Black spots may be benign lesions or moles, but if there are changes in shape, size, color, or borders, it is important to be cautious about the possibility of malignancy. Please consult a dermatologist. Wishing you good health, Dr. Chen Tai-Cheng from the Family Medicine Depar...[Read More] Understanding a Persistent Black Spot on the Sternum: Causes and Concerns
Understanding Complex Migraine Symptoms and Their Management
The chief complaint is migraine? Hello, Doctor. I apologize for writing this as I have multiple symptoms. My migraines are accompanied by tinnitus, and the pain can last for several days. Sometimes, I experience a heavy sensation in my head that causes it to droop forward. Occasi...
Dr. Chen Taicheng Reply:
● There are many causes of headaches, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exace...[Read More] Understanding Complex Migraine Symptoms and Their Management
Do Low Platelets and White Blood Cells Require Ongoing Monitoring?
Thrombocytopenia and leukopenia? Dr. Chen: Hello, ten years ago during a health check-up, it was found that my platelet count was 66,000/CUMM, white blood cell count was 2,700/CUMM, segmented neutrophils were 41%, mixed cells were 18%, and lymphocytes were 41%. I was hospitalized...
Dr. Chen Pengsheng Reply:
Dear Mr. Lin: Regarding the issue you raised, regular follow-up and consulting with a hematology-oncology specialist on how to proceed would be a better strategy. Hualien Hospital, Ministry of Health and Welfare, cares about you.[Read More] Do Low Platelets and White Blood Cells Require Ongoing Monitoring?
Understanding Hypertension: Managing Blood Pressure and Cholesterol Levels
Hypertension screening? Hello doctor, I'm 33 years old, 167 cm tall, and weigh 85 kg. Last year during my health check-up, my blood pressure was high at 145/92 and my heart rate was 88, which I think might have been due to nerves. Since I didn't feel any particular symp...
Dr. Chen Taicheng Reply:
● Normal blood pressure is defined as ≤120/80 mmHg; hypertension is defined as ≥140/90 mmHg. However, blood pressure can sometimes be elevated due to anxiety during a clinic visit, so it is best to measure blood pressure at home, which should be the primary reference. If home blo...[Read More] Understanding Hypertension: Managing Blood Pressure and Cholesterol Levels
Can Slouching Affect Rib Structure and Cause Heart Palpitations?
Is there a relationship between protruding ribs and palpitations? What are the potential harms of having a hunchback? Can it be corrected? Since elementary school, I have been slouching while sitting every day until now at the age of 22. My body is completely relaxed (just slumpe...
Dr. Xu Peiqi Reply:
Hello Mr. Ahua, thank you for your question. The protrusion of the ribs and palpitations should not be related. Severe deformities of the spine or thorax can potentially affect breathing and even compress the heart. However, based on your description, it seems you have not reache...[Read More] Can Slouching Affect Rib Structure and Cause Heart Palpitations?
Understanding Metabolism Changes and Dietary Concerns in Family Medicine
Metabolic changes and dietary concerns? Hello, doctor. Since 2015, I have gradually felt weaker than before, and I even experience a lack of libido. Recently, I discovered that I have been consistently under-consuming calories, often missing meals. My basal metabolic rate is appr...
Dr. Chen Taicheng Reply:
● For your daily caloric needs, please refer to https://goo.gl/rk2xTw, https://goo.gl/Vzaj8g, https://goo.gl/XW8g79. Your weight is slightly above normal (BMI: 24.2), and you should aim to consume approximately 30 calories per kilogram. ● If you find it difficult to eat that much...[Read More] Understanding Metabolism Changes and Dietary Concerns in Family Medicine
Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Temporomandibular joint, small white spots on the tongue, and pain when pressure is applied to the throat? Hello Doctor: I have been experiencing issues with my temporomandibular joint (TMJ) for a long time. Whenever I open my mouth slightly, there is a clicking sound that has pe...
Dr. Chen Taicheng Reply:
● If your temporomandibular joint (TMJ) is consistently making sounds and feels stiff, it may lead to joint wear. Please consult an oral and maxillofacial surgeon or an otolaryngologist at a major hospital. ● Small white spots on the tongue may simply be ulcers, which typically h...[Read More] Understanding TMJ Disorders: Tongue Pain and Related Symptoms
Dizziness When Standing After Sitting: Causes and Concerns
Feeling dizzy when standing up after sitting for a while? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness and my vision goes black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down; then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Can Memory Loss in Teens Be Reversed? Understanding Your Concerns
Is it possible to recover from poor memory? Hello, I am 17 years old, and recently I have been experiencing noticeable memory decline. I used to be able to remember things immediately, but now I forget them right away, even if I try to memorize them. I forget things I just said o...
Dr. Chen Taicheng Reply:
● Memory does not suddenly increase or decrease without reason. Given your age, the most likely cause of a temporary change in memory could be a lack of attention or focus during listening or memorization (which means the information was not properly encoded in your brain). Addit...[Read More] Can Memory Loss in Teens Be Reversed? Understanding Your Concerns
Dizziness When Standing After Sitting: Causes and Concerns
Experiencing dizziness when standing up after sitting? Hello, doctor. Recently, when I sit back in a chair (or lie down to watch something) and then stand up, I often experience a moment of dizziness, with my vision going black, but the symptoms disappear quickly. I used to have ...
Dr. Chen Taicheng Reply:
It sounds like you may be experiencing orthostatic hypotension. You can prepare a blood pressure monitor at home and measure your blood pressure while lying down. Then, measure it again after suddenly standing up or sitting. If the systolic pressure drops by 15 mmHg, it could ind...[Read More] Dizziness When Standing After Sitting: Causes and Concerns
Understanding Anal and Bowel Issues: Symptoms and Solutions
Anal and bowel issues? Hello, doctor. Recently, I've been experiencing difficulty with bowel movements. Three days ago, I felt like I injured my anus during a bowel movement. At that time, my stool was normal, but towards the end, it became thin and intermittent, making it h...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is recommended that you visit a colorectal surgeon for further evaluation. Maintaining a regular routine and healthy eating habits is still an important reminder. Please note that online consultations are not equivalent to in-person medical visi...[Read More] Understanding Anal and Bowel Issues: Symptoms and Solutions
Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Continuing from the previous article's question? Hello Doctor, I am the questioner with ID <a href="https://adoctor.tw/article/124564">#124564</a>. Thank you for your detailed explanation in the previous article. However, I realize that I did not descri...
Dr. Chen Taicheng Reply:
● You don't need to worry too much about X-rays; having a few dozen in a year is still within a tolerable range. The radiation dose from a single X-ray is very low (about 0.02 millisieverts), which is more than 50 times lower than the annual acceptable radiation dose of 1 mi...[Read More] Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Understanding Chronic Lower Back Pain: Causes and Treatment Options
Lumbar issues Hello Doctor: I have been experiencing chronic lower back pain. It started during my college years when I worked part-time in a restaurant for over a year, where I was responsible for carrying plates and cleaning. After work, I would feel my back stiffening to the p...
Dr. Wu Fangcan Reply:
Based on your statement: For individuals who are overweight and have poor posture, it is recommended to manage weight and consult a rehabilitation physician for advice.[Read More] Understanding Chronic Lower Back Pain: Causes and Treatment Options
Understanding Persistent Dizziness: Causes and Management Strategies
Dizziness for over a year? Hello Doctor, I have been experiencing dizziness for over a year. I have undergone numerous tests, which revealed severe obstructive sleep apnea and mild fatty liver. Since the onset of dizziness last year until January of this year, my dizziness has wo...
Dr. Chen Taicheng Reply:
● You have undergone a comprehensive evaluation for your dizziness, addressing common issues related to the heart, ears, head, or other medical concerns. ● Dizziness is an annoying symptom that may be slightly alleviated with medication; however, it is advisable to first address ...[Read More] Understanding Persistent Dizziness: Causes and Management Strategies
Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Iron deficiency anemia with splenomegaly? Hello Doctor, I was informed during a recent company health check that I have splenomegaly measuring 9 centimeters. I had a medical history of iron deficiency anemia four years ago, for which I received iron supplements until my levels re...
Dr. Chen Pengsheng Reply:
Dear Ms. Wei, The symptoms you described could have many possible causes, and iron deficiency anemia is one of them. I recommend that you bring your test results to see a physician for a detailed discussion. If it is iron deficiency anemia, effective treatment should be availab...[Read More] Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help