Ears, Family Medicine FAQ - Page 36

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Is Your Medication Routine Straining Your Kidneys? Expert Insights

Will this cause any issues with the kidneys? Dear Dr. Chen, I have recently felt that I am taking quite a few medications and would like to ask if this could put a burden on my kidneys. My daily medication schedule is as follows: 1. Upon waking up, I take 6 capsules of Jin Yong...


Dr. Chen Zonglin Reply:
1. The impact of Western medicine on kidney function is minimal. 2. After taking the medication, the blood pressure is 134/87; however, it may rise above 140/90 after discontinuation. Currently, it is not recommended to stop the medication, and blood pressure should continue to b...

[Read More] Is Your Medication Routine Straining Your Kidneys? Expert Insights


Persistent Right Lower Abdomen Lump: Seeking Medical Guidance and Non-Radiation Tests

There is a palpable mass in the right lower abdomen? Hello Doctor, my question is about a lump I can feel in my lower right abdomen (approximately 6-7 cm to the right of the navel and 5-6 cm down). I experience dull pain when I have the urge to defecate or urinate, and there is a...


Dr. Gao Qingyun Reply:
Dear Alen, I generally agree with the assessment made by the previous physician regarding your symptoms; however, a physical examination is necessary for a detailed evaluation. The medical examination process involves taking a comprehensive medical history and conducting a thoro...

[Read More] Persistent Right Lower Abdomen Lump: Seeking Medical Guidance and Non-Radiation Tests


Managing High Blood Pressure in Seniors: Medication Timing and Dietary Tips

Hypertension issues Dear Doctor, My mother is 72 years old and has a history of hypertension. Recently, with the colder weather, her blood pressure readings have been around 160/88. Sometimes, even after taking antihypertensive medication, her blood pressure does not decrease. S...


Dr. Chen Zonglin Reply:
As winter approaches, the significant temperature fluctuations between morning and evening can lead to variations in blood pressure, causing it to spike or drop unexpectedly. The antihypertensive medications typically used are long-acting, which may not be effective for acute inc...

[Read More] Managing High Blood Pressure in Seniors: Medication Timing and Dietary Tips


Feeling Tired and Unfocused? Understanding Chronic Fatigue in Family Medicine

I'm not sure how to get started..? I have been feeling fatigued for a long time and need to take a nap; otherwise, I often feel irritable. My appetite and food intake are normal, and my weight hasn't changed much. I don't have insomnia (I sleep for 7 hours), but I ...


Dr. Chen Bozhang Reply:
Dear User, You mentioned feeling persistently fatigued, unable to concentrate, and needing to take naps. This may be related to chronic fatigue, which can have various underlying causes, including metabolic disorders, sleep apnea or other sleep disorders, and psychiatric conditi...

[Read More] Feeling Tired and Unfocused? Understanding Chronic Fatigue in Family Medicine


Which Medical Specialty Should I Choose for My Health Issues?

Which department should I consult? Hello: Due to being quite busy, I haven't had the time to seek medical attention and will have to wait until mid-December for my salary to afford a doctor. It's been a while... Next month, I will have two evenings free and would like t...


Dr. Ye Qianyu Reply:
It is advisable to minimize staying up late and excessive eye strain, as these can significantly reduce discomfort. For issues related to styes and eye discomfort, please consult an ophthalmologist. For acne and gastroesophageal reflux, you may see a general internist or family m...

[Read More] Which Medical Specialty Should I Choose for My Health Issues?


Understanding Dizziness: Common Causes and When to Seek Help

Could you please clarify what you mean by "easily dizzy"? Hello Doctor: I often experience dizziness and headaches, such as when taking an elevator, getting off a motorcycle, or searching for something. I also tend to get motion sickness, but I don't vomit. Wearing...


Dr. Chen Bozhang Reply:
Hello, Xiaozhu: In your message, you mentioned experiencing dizziness and headaches, such as when using an elevator, getting off a motorcycle, searching for items, or wearing a helmet for an extended period. There are many potential causes for dizziness, including common issues ...

[Read More] Understanding Dizziness: Common Causes and When to Seek Help


Understanding Weight Loss: Is It Physical or Mental Health Issues?

I can't distinguish whether it's a physiological issue or depression-related anxiety? Hello, doctor. I am an 18-year-old college student. Over the past two years, I have lost about 10 kilograms, but I did not intentionally lose weight; I just feel that my appetite is no...


Dr. Chen Zonglin Reply:
There are many reasons for weight loss. You may start by keeping a food diary for a period of time and then bring your previous medical reports to the school health office to consult with the school physician. If there is no school physician available, you can also visit a nearby...

[Read More] Understanding Weight Loss: Is It Physical or Mental Health Issues?


Understanding Right Leg Weakness in Seniors: When to Seek Medical Help

Weakness in the right leg? My mother is 79 years old and is a farmer. Last year, she had a fracture in her right calf, which has since healed after treatment. This year, she has been experiencing frequent lower back pain, which has been alleviated through massage. Recently, she s...


Dr. Hou Angting Reply:
If you suddenly experience weakness in your right leg and have difficulty walking straight, it is advisable to see a neurologist for further evaluation. If you notice any sensory abnormalities (such as insensitivity or heightened sensitivity to cold, heat, or pain) or if the weak...

[Read More] Understanding Right Leg Weakness in Seniors: When to Seek Medical Help


Can a High-Protein Diet Effectively Manage Diabetes?

Can a whole protein diet control diabetes? Hello Dr. Chen, my mother has had diabetes for many years, but her blood sugar is not well controlled. Would it be effective to eliminate starchy foods and switch to a diet consisting solely of complete proteins (meat, seafood, tofu, egg...


Dr. Chen Bozhang Reply:
Hello: An improper high-protein diet can place a burden on the kidneys, and stricter protein dietary restrictions require monitoring of microalbuminuria levels. It is recommended that you consult with a physician in the Metabolism Department, who can provide advice based on your ...

[Read More] Can a High-Protein Diet Effectively Manage Diabetes?


Can You Correct Long-Term Hunchback Posture at 23?

Have had a hunchback for a long time? I have had a hunchback since childhood and have always wanted to correct it. Every time I try to stand up straight, I revert back to hunching over after a while. Now at 23 years old, I suddenly feel back pain after stretching my arms back. I ...


Dr. Chen Bozhang Reply:
Hello: There are many causes of kyphosis, which may be due to musculoskeletal issues or poor posture. It is recommended that you consult a rehabilitation or orthopedic specialist who can arrange for relevant imaging studies for further evaluation. Thank you!

[Read More] Can You Correct Long-Term Hunchback Posture at 23?


Understanding Tetanus: When to Get Vaccinated After an Injury

The issue of tetanus? Hello: My father was punctured in the finger by a rusty metal object last Saturday, resulting in bleeding. The wound is a small round dot, approximately 0.1 cm deep. I would like to ask: 1. Given the above situation, should he receive a tetanus shot? 2. Unde...


Dr. Gao Qingyun Reply:
Dear Peter, For adults who have not received a tetanus vaccination in the past ten years, all wounds that compromise skin integrity should be considered for early tetanus vaccination. However, your father's wound needs to be assessed in person to determine if a vaccination ...

[Read More] Understanding Tetanus: When to Get Vaccinated After an Injury


Living Near a Telecom Facility: Health Concerns and Medical Guidance

I live in the most dangerous area of this community (forwarded from the Minister's mailbox)? My room is located above the community's telecommunications equipment room. Whenever I stay there for just 30 minutes, I experience an increased heart rate, nosebleeds, and blee...


Dr. Liao Yaopan Reply:
Hello, based on the symptoms you described in your letter, it is recommended to have a cardiology and otolaryngology evaluation to check for any abnormalities. Changhua Hospital cares about you.

[Read More] Living Near a Telecom Facility: Health Concerns and Medical Guidance


Can the Human Immune System Eliminate Cryptococcus Infection?

Can cryptococcosis be cleared by the immune system? Hello Dr. Liao: I previously inquired about the cryptococcal issue after feeding pigeons, but I have not received a response, so I would like to ask you, who responds quickly... Can the human body’s immune system clear cryptococ...


Dr. Liao Yaopan Reply:
Hello, regarding cryptococcal infection, an individual's immune status is a significant factor influencing whether clinical manifestations will occur. Each of us may come into contact with this microorganism, but not everyone will exhibit clinical symptoms. However, when sym...

[Read More] Can the Human Immune System Eliminate Cryptococcus Infection?


Navigating Tough Decisions: A Family's Dilemma on Life Support Options

Can surgery be performed? Follow-up question? Dear Doctors of the e-Hospital in Taiwan, Hello! I previously wrote to inquire about my father, who has been intubated for over a month. The doctors have stated that he is 100% dependent on the ventilator for survival and will never ...


Dr. Liao Yaopan Reply:
Hello, would you like to understand the situation regarding "tracheostomy"? Based on the aforementioned circumstances, the chances of successfully extubating in the short term are low. I personally recommend that a tracheostomy is a better option for an assisted airway....

[Read More] Navigating Tough Decisions: A Family's Dilemma on Life Support Options


Deciding on Surgery for an Elderly Patient with Dementia: A Family's Dilemma

Can I ask if surgery is possible? (Forwarded from the Minister's mailbox) My father is currently 84 years old and has been in a coma for over a month due to a cerebral hemorrhage that required emergency intubation. The doctors are now recommending another CT scan of the brai...


Dr. Liao Yaopan Reply:
Hello, I understand that you are facing a challenging situation, and the pressure on your family is as significant as the patient's suffering. Firstly, regarding the decision about surgery, it is advisable for family members to discuss the pros and cons of surgical intervent...

[Read More] Deciding on Surgery for an Elderly Patient with Dementia: A Family's Dilemma


Seeking Medical Advice: Which Specialty to Consult for Unexplained Symptoms?

If you're feeling unwell and are unsure which department to visit, I recommend starting with a general practitioner or family medicine physician. They can assess your symptoms and refer you to the appropriate specialist if necessary. Thank you? Hello: My mother, Chen Li-Man ...


Dr. Liao Yaopan Reply:
Hello, based on the information in your letter, it is currently not possible to determine the cause of the symptoms presented or to make a diagnosis. You should have already arranged for several basic blood tests, and no specific abnormalities were found. As for the saliva analys...

[Read More] Seeking Medical Advice: Which Specialty to Consult for Unexplained Symptoms?


Understanding Body Temperature: Is Yours Normal or a Cause for Concern?

Questions about body temperature? Hello Dr. Gao, I would like to ask you about some concerns regarding body temperature: 1. My body temperature is mostly between 37.2°C and 37.6°C (measured by ear). Is this normal? Is it considered elevated? 2. I have read many articles online st...


Dr. Gao Qingyun Reply:
Dear Xiao Ke, Hello. When measuring ear temperature, a fever is defined as a temperature of 38 degrees Celsius or higher for children under two years old, 37.8 degrees Celsius or higher for children aged three to ten, and 37.6 degrees Celsius or higher for individuals aged eleve...

[Read More] Understanding Body Temperature: Is Yours Normal or a Cause for Concern?


Pregnancy After Overcoming Alcohol and Drug Addiction: What You Need to Know

How long after overcoming alcohol addiction can one become pregnant? Dr. Liao: In your last response regarding alcohol and substance addiction, I would like to know about your current treatment situation. (I had alcohol and substance addiction five years ago, but I have been sobe...


Dr. Liao Yaopan Reply:
Hello, regarding alcohol, there is basically no accumulation; if there is no further exposure, the impact on the fetus is relatively minimal. As for substance addiction, there are many types, making it difficult to generalize. Thank you.

[Read More] Pregnancy After Overcoming Alcohol and Drug Addiction: What You Need to Know


Can Pregnant Women with a History of Alcohol and Drug Addiction Safely Conceive?

Is it safe to become pregnant for someone with alcohol addiction? Hello Dr. Liao: I had a history of alcohol and substance addiction for three years several years ago. If I want to become pregnant, what effects could this have on the fetus? For individuals with a history of alcoh...


Dr. Liao Yaopan Reply:
Hello, regarding alcohol or substance addiction, may I ask about your current treatment situation? Continuous exposure to alcohol or drugs is certainly not suitable for pregnancy. Long-term abuse of these substances can affect the user's own functioning, and any residual iss...

[Read More] Can Pregnant Women with a History of Alcohol and Drug Addiction Safely Conceive?


Understanding Urine Test Results: Blood and Protein in Young Adults

Urine test strips for detecting urinary occult blood? Today at school, I conducted a urine test using urine test strips. The results indicated that there seems to be hematuria (blood in urine) and proteinuria (protein in urine). Is this normal? Why is there blood? I'm only 2...


Dr. Chen Bozhang Reply:
Hello: The interpretation of hematuria in a health check refers to the presence of blood in the urine. Generally, in severe cases, the urine may appear red, which can be visually identified (known as gross hematuria). If there is a small amount of bleeding, the urine may not show...

[Read More] Understanding Urine Test Results: Blood and Protein in Young Adults


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