Understanding Movable Lumps in the Groin: When to Seek Medical Help
There is a hard lump in the groin area? If you have a movable, painless lump under the skin in the groin area that appears white and is slightly larger than a pimple, which specialist should you consult for medical evaluation? Thank you.
Dr. Chen Taicheng Reply:
● In males, the area under the groin may present with epidermoid cysts (commonly known as sebaceous cysts) or Fordyce spots (benign sebaceous gland hyperplasia). Other conditions such as hair follicle cysts or multiple sebaceous cysts, among various skin diseases, need to be diff...[Read More] Understanding Movable Lumps in the Groin: When to Seek Medical Help
Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Abnormal blood test results? Hello, I experienced quite severe insomnia two years ago, but my sleep quality has improved significantly over the past six months, allowing me to fall asleep in about 20 minutes. However, I still feel very fatigued and weak; even after sleeping 8-9 h...
Dr. Chen Bozhang Reply:
Dear Ms. CY, I understand from your letter that you have been experiencing persistent fatigue. Your health check report indicates mild anemia and a slightly elevated eosinophil count. Here’s an explanation: 1) The ideal hemoglobin (Hb) level for women is above 12.0 g/dL. You ha...[Read More] Understanding Abnormal Blood Test Results: Causes of Fatigue and Anemia
Managing Hyperthyroidism: Key Questions and Answers for Patients
Hyperthyroidism issues? Hello, doctor! I have some questions: 1. A family member has been on medication for hyperthyroidism for three months. T4 levels are now normal, but TSH remains low at 0.03. If they experience a fever or sore throat, should they temporarily stop the medic...
Dr. Chen Taicheng Reply:
● First, "Antithyroid medications suppress Free T4 levels quickly, but TSH may remain low for some time (even for several months)." Therefore, if TSH has not normalized, you can consult your physician to adjust the medication. Generally, after three months of treatment,...[Read More] Managing Hyperthyroidism: Key Questions and Answers for Patients
Understanding Skin Issues: When to See a Family Medicine Specialist
Unsure which specialty to consult? Hello, my mother is currently 50 years old. Recently, due to the hot weather, she has developed small red spots from her calves to her ankles, resembling bleeding from the blood vessels underneath. There are no abnormalities when touched, and it...
Dr. Chen Taicheng Reply:
● It is most likely primary purpura or senile purpura. Other conditions such as benign chronic pigmented purpura (purpura pigmentosa chronica) include several disorders like telangiectatic purpura and progressive pigmented dermatosis. ● Other potential causes such as thrombocytop...[Read More] Understanding Skin Issues: When to See a Family Medicine Specialist
Managing Anxiety and Health Concerns After Epididymitis: A Guide
Some questions? Hello, doctor. I tend to be a very pessimistic thinker, and recently I developed epididymitis. I have seen a doctor and have been on antibiotics for three weeks. My symptoms have improved significantly, but whenever I feel slightly uncomfortable, such as pain in t...
Dr. Chen Taicheng Reply:
● Physical discomfort and mental health can influence each other, and sometimes it is difficult to tell oneself not to think that way. There are many relaxation and stress relief methods available in bookstores or online that you can try. Additionally, talking with friends and fa...[Read More] Managing Anxiety and Health Concerns After Epididymitis: A Guide
Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions
Patients with hypertension experiencing persistently low blood pressure? About ten years ago, my father was diagnosed with metabolic syndrome, and since then, he has been regularly having blood tests and follow-up appointments. His blood pressure has generally been well-controlle...
Dr. Chen Taicheng Reply:
● Low blood pressure may be caused by the strong effects of antihypertensive medications, and it is recommended to adjust the medication. Other potential causes include dehydration (such as from diuretics for hypertension), low blood volume (possibly due to chronic blood loss), a...[Read More] Understanding Low Blood Pressure in Hypertensive Patients: Causes and Solutions
Understanding Rabies: Testing for Antibodies After a Dog Bite
Questions about rabies? Hello, doctor! About ten years ago, I was bitten on the thigh by a medium-sized dog in mainland China. At that time, there was no bleeding, but I had redness, swelling, and bite marks, with the redness turning purple and black. I have not received any vacc...
Dr. Wu Fangcan Reply:
According to your statement, you were bitten by a dog ten years ago. Since it has long surpassed the incubation period, there should be no risk of infection. There is no need to test for antibodies.[Read More] Understanding Rabies: Testing for Antibodies After a Dog Bite
Understanding Abdominal Pain: A Comprehensive Guide for Women
Abdominal pain issues? Doctor, my friend is 37 years old and has been experiencing abdominal pain after her menstrual period for the past few months. Sometimes, the pain also occurs before her period. Her menstrual flow is normal, but at times the pain is severe enough to affect ...
Dr. Chen Taicheng Reply:
● It is important to first determine whether abdominal pain is related to menstruation. Discomfort experienced before menstruation is referred to as premenstrual syndrome (PMS), with common symptoms including breast tenderness, abdominal bloating, diarrhea, mood swings, sleep dis...[Read More] Understanding Abdominal Pain: A Comprehensive Guide for Women
Understanding TMJ Disorders: Symptoms and Treatment Options
Temporomandibular disorder (TMD) Hello Doctor, due to extremely poor sleep quality, I have been diagnosed with sleep apnea and underwent orthognathic surgery. On the day after the surgery, I experienced significant pain in the upper part of both eyes. It has been a year and a hal...
Dr. Chen Taicheng Reply:
● The initial impression is that the postoperative pain issue is related to the extensive involvement of muscles, blood vessels, and nerves in orthognathic surgery. If there have been no issues after multiple visits to neurology, ophthalmology, or otolaryngology, it is advisable ...[Read More] Understanding TMJ Disorders: Symptoms and Treatment Options
Understanding Foot Pain: Causes and When to Seek Medical Help
Foot problems Hello doctor, I have been experiencing a pulsating pain in my left foot, from the dorsum to the ankle (I'm not sure if this description is accurate). This issue has occurred before, but previously the pain, rated on a scale of 1 to 10, was around 6 to 8 and mos...
Dr. Liao Yaopan Reply:
Hello, based on your description, it seems that you have not sought medical attention for these discomforts yet. It is recommended to consult a rheumatologist for assistance. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses...[Read More] Understanding Foot Pain: Causes and When to Seek Medical Help
Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options
Oral cauliflower (also known as oral warts or oral papillomas) I am 16 years old and have developed some strange pink bumps under my tongue, about 10 in total, some are separate and some are connected. I am concerned because I performed oral sex on a stranger three weeks ago, so ...
Dr. Chen Taicheng Reply:
● If you suspect warts, you may want to consult an otolaryngologist. If the diagnosis remains uncertain, you can also visit a dermatologist for further evaluation. ● Treatment options for warts include cryotherapy, electrosurgery, laser therapy, topical wart removal medications, ...[Read More] Understanding Oral Warts: Symptoms, Diagnosis, and Treatment Options
Which Medical Specialty Should I Consult for Chest Pain?
Which department should I see? I often experience chest pain, ranging from the upper inner left chest to the upper inner right chest. Yesterday at noon, while trying to take a nap, I suddenly felt intense pain in the center of my chest halfway through lying down. It hurt whether ...
Dr. Chen Taicheng Reply:
● Many specialties have ruled out related issues. If the pain occurs primarily when lying down, consider problems such as gastroesophageal reflux disease (GERD), esophageal ulcers, or pancreatitis. It is advisable to consult a gastroenterologist or a family medicine physician for...[Read More] Which Medical Specialty Should I Consult for Chest Pain?
Understanding Recent Dizziness: Possible Causes and Concerns
I have been feeling a bit dizzy lately? In the past few days, I have experienced mild dizziness, similar to the sensation of being unsteady after spinning in circles. This usually occurs when lying in bed and at the moment of getting up, but I also occasionally feel this way whil...
Dr. Hou Angting Reply:
"Since there are many potential causes for dizziness, it is recommended to visit a family medicine specialist for further evaluation."[Read More] Understanding Recent Dizziness: Possible Causes and Concerns
Understanding Persistent Fever in Infants: Home Care Tips for Remote Areas
Due to the child's illness, they have been experiencing a persistent fever for three days. It is inconvenient to seek medical care in a remote area, so I am reaching out to the physician for assistance? The child is approximately 11 months old and has had a previously normal...
Dr. Chen Taicheng Reply:
Hello, when a child is sick, it is most important to monitor their activity level and appetite. If their appetite is poor, there is a concern for potential nutritional deficiency and dehydration. If a rash appears after a fever has subsided, it may be roseola or another viral ras...[Read More] Understanding Persistent Fever in Infants: Home Care Tips for Remote Areas
Understanding Unexplained Abdominal Pain: Causes and Next Steps
Intermittent referred pain in the abdomen? Hello Doctor, my boyfriend (28 years old) has been experiencing intermittent radiating abdominal pain (similar to an electric shock) since March of last year. The pain does not occur when pressure is applied, and it has persisted for ove...
Dr. Wu Fangcan Reply:
Based on your statement, it is recommended to consult a neurologist or neurosurgeon for an examination. Thank you.[Read More] Understanding Unexplained Abdominal Pain: Causes and Next Steps
Overcoming Dental Anxiety: Finding Solutions for Pain-Phobic Patients
Fear of pain prevents me from doing many things and makes me very anxious? Hello, doctor. I am unsure which specialties to consult, so I am asking here first. I am a severe malocclusion patient, but I have been extremely afraid of pain since childhood, so I have firmly rejected a...
Dr. Chen Taicheng Reply:
Hello. I understand your situation. I have encountered many patients who have undergone surgeries, experienced fractures, childbirth, orthognathic surgery, and chemotherapy for cancer. Pain is inevitable, but each person has a different tolerance for pain and requires different m...[Read More] Overcoming Dental Anxiety: Finding Solutions for Pain-Phobic Patients
Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?
Questions about rabies vaccination after being scratched by a stray cat? Hello, Doctor. About 10 days ago, I encountered a stray cat near the Tamsui MRT Station in New Taipei City. The cat showed no signs of aggression, and I was not licked by it. While I was petting it, it sudde...
Dr. Wu Fangcan Reply:
According to your statement: There have been no reported rabies outbreaks in New Taipei City recently, so the risk of infection is low. Therefore, rabies vaccination is not necessary. As for tetanus, if you have not received a booster shot in the past 5 years, you may need to get...[Read More] Cat Scratch Concerns: Do I Need Rabies and Tetanus Shots?
Can Poor Peripheral Circulation in Legs Be Treated Effectively?
Poor peripheral circulation in the lower extremities... Can it be treated? Hello Doctor, my father has a history of diabetes for thirty years. Recently, after soaking in a hot spring, he suddenly experienced pain in his lower limbs and discovered large wounds on both calves (vary...
Dr. Huang Xunying Reply:
In the case of diabetes, if there is poor circulation in the lower extremities, we would recommend seeing a vascular surgeon to diagnose any vascular issues. Meanwhile, the management of diabetes should remain under the care of a family medicine physician, as stable blood glucose...[Read More] Can Poor Peripheral Circulation in Legs Be Treated Effectively?
Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks
Elevated urinary creatinine and urine protein/creatinine ratio in health check results? Hello Doctor, I noticed that most of the questions in the Q&A are related to creatinine levels. However, my mother’s creatinine test results are normal. Yet, the last two items showed abno...
Dr. Zhang Hongwei Reply:
If the examination shows mild proteinuria, you should consult a nephrologist for further evaluation.[Read More] Understanding Urine Creatinine and Protein/Creatinine Ratio in Health Checks
Understanding Pain Below the Diaphragm: Possible Causes and Concerns
Hello doctor, I have pain below the diaphragm? There is persistent pain under the diaphragm, but I had an endoscopy two years ago. I am unsure if there might be issues with the pancreas or liver. Thank you, doctor.
Dr. Chen Taicheng Reply:
● Right subdiaphragmatic pain may be caused by conditions such as right-sided pneumonia, costochondritis, pleuritis, subdiaphragmatic abscess, hepatitis, liver abscess, gallstones, cholecystitis, gastritis or duodenitis, other gastrointestinal issues, and kidney stones. ● Left ...[Read More] Understanding Pain Below the Diaphragm: Possible Causes and Concerns