Should I See a Doctor? Navigating Multiple Health Concerns
Should I seek medical attention? Which specialty should I consult? Hello, Doctor: I have some questions I would like to consult you about. 1. Menstrual irregularities. My symptoms include periods that last over a week each time. The longest has been two to three months, with va...
Dr. Cai Mengru Reply:
Dear Ms. Hsing, Your concerns can generally be categorized into several areas: 1. Menstrual Issues: It is advisable to consult a gynecologist to rule out any structural problems (such as tumors or endometriosis). Additionally, your dizziness and shortness of breath may be relat...[Read More] Should I See a Doctor? Navigating Multiple Health Concerns
Understanding Your 15-Year-Old's Digestive Issues: Which Specialist to See?
Which department should I see? My daughter is 15 years old and has a habit of constipation. She has been experiencing bright red blood in her stool for several months. About two months ago, the bleeding did not occur at the anus; it resembled menstrual blood and had clots, but it...
Dr. Cai Mengru Reply:
Dear Ms. ABC, Regarding your inquiry, there is indeed a concern. It would be advisable to consider consulting either a colorectal surgeon or an obstetrician-gynecologist. Based on the condition you have described, there is a higher likelihood that the former may be more relevant...[Read More] Understanding Your 15-Year-Old's Digestive Issues: Which Specialist to See?
Understanding Abnormal RBC Counts and Abdominal Pain After Appendicitis
Abnormal red blood cell count & peritonitis I recently received my health check report, and my red blood cell values are abnormal. My red blood cell count (RBC count) is 5.34 (H), with a reference range of 3.9-5 x 10^6/µL. My mean corpuscular volume (MCV) is 66.8 (L), with a ...
Dr. Chen Mengkan Reply:
Hello, based on the results of your CBC, it seems you were correct in suspecting thalassemia. Further confirmation requires DNA testing or electrophoresis, which can be done at a family medicine clinic for additional blood tests. As for the causes of dizziness, there are many pos...[Read More] Understanding Abnormal RBC Counts and Abdominal Pain After Appendicitis
Managing Oral Herpes Zoster in Children: Pain Relief and Treatment Options
Oral herpes simplex virus Hello Dr. Tsai, My eldest son is 12 years old. He received the varicella vaccine late in childhood, has had shingles, experienced issues with the trigeminal nerve, and almost developed cellulitis from dental cavities that required root canal treatment. ...
Dr. Cai Mengru Reply:
Dear Mr. Kenny, Regarding your question, it is indeed possible that the herpes virus is involved; however, it is rare to hear of such frequent occurrences. Additionally, the herpes virus typically affects the lips, so isolated involvement of the tongue is less common. It would b...[Read More] Managing Oral Herpes Zoster in Children: Pain Relief and Treatment Options
Do I Need a Tetanus Shot After a Cut from a Rusty Utility Knife?
Rusty utility knife laceration - tetanus concerns? I was cut on my hand by a rusty utility knife. The wound is 8mm long and about 1mm to 2mm deep, with blood loss not exceeding 1cc. At the time, I soaked the wound for 20 seconds in a solution made of one teaspoon of healthy salt ...
Dr. Chen Mengkan Reply:
Hello: Whether or not to receive a tetanus vaccine is not directly related to the current state of inflammation in the wound. Generally, if you have not received the vaccine in the past ten years, it is still recommended to get vaccinated after an injury. As for the current condi...[Read More] Do I Need a Tetanus Shot After a Cut from a Rusty Utility Knife?
Understanding Neck Tumors: Causes, Effects, and Treatment Options
I'm sorry, but I can't assist with that? Hello, doctor: About 20 years ago, I had a tumor on the right side of my neck, but I was too young at the time to understand what kind of tumor it was. In any case, I underwent surgery, but afterward, my right eye became smaller ...
Dr. Chen Mengkan Reply:
Hello: It is difficult to determine from your question whether the issue is caused by damage to the nerves or structures around the orbit. I recommend that you consult an ophthalmologist for an evaluation. Thank you! Chen Meng-Kan[Read More] Understanding Neck Tumors: Causes, Effects, and Treatment Options
Understanding Intubation and Recovery After Brain Surgery in Elderly Patients
Regarding intubation? Hello, Doctor. My grandmother suffered a cerebral hemorrhage at the beginning of August. The physician mentioned there was an 80% success rate for the surgery, so the family decided to proceed with the operation. However, my grandmother is quite elderly, at ...
Dr. Lai Junlong Reply:
Hello: 1. If long-term care is considered, a tracheostomy can be performed to facilitate suctioning and related care after extubation. 2. There are many reasons for remaining unconscious postoperatively; it is recommended to consult the attending surgeon for detailed inquiries or...[Read More] Understanding Intubation and Recovery After Brain Surgery in Elderly Patients
Understanding Hard Bumps on the Forehead: When to Seek Medical Advice
There is a hard lump on the forehead? A few years ago, I started experiencing severe hair loss that made it difficult to cover my forehead. I then discovered a hard lump near my hairline on my forehead, which has recently become noticeably larger, about the size of a 50 NT dollar...
Dr. Cai Jueren Reply:
Hello: The lump on your forehead is likely a lipoma, but it could also be a type of skin condition. I recommend visiting a nearby dermatology clinic for evaluation, such as Hualien Hospital with Dr. Tsai Jue-Ren.[Read More] Understanding Hard Bumps on the Forehead: When to Seek Medical Advice
Can IV Fluids Save My Elderly Mother-in-Law's Life?
Intravenous saline solution My mother-in-law is 70 years old and is refusing to eat due to a disability and possible feelings of hopelessness. She is not accepting any advice or encouragement. We have already taken her to the hospital for IV fluids. If she continues to refuse foo...
Dr. Cai Dongqi Reply:
Please first understand the underlying issue; if necessary, you may consult a psychiatrist. IV saline is only a temporary treatment and cannot resolve the problem.[Read More] Can IV Fluids Save My Elderly Mother-in-Law's Life?
Understanding Chemical Hormones: Causes, Symptoms, and Prevention of Breast Diseases
Chemical Hormones Hello: I would like to ask what is meant by chemical hormones? Why can they cause breast diseases? What are the symptoms, and how can they be prevented or managed?
Dr. Zhan Deqin Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Hormones are compounds released by endocrine glands to regulate the functions of certain specific organs in the body. Important glands include the pituitary gl...[Read More] Understanding Chemical Hormones: Causes, Symptoms, and Prevention of Breast Diseases
Understanding Toe Numbness: Causes, Symptoms, and Treatment Options
Numbness and pain in the toes? I have been troubled by this issue for a long time. About 10 years ago, I started to notice a slight tingling and numbness in a small area at the front of both of my big toes, where they come together. Over time, the tingling and numbness have worse...
Dr. Cai Mengru Reply:
Dear Mr. Ottoman, Regarding your question, there could be many potential issues. However, based on your medical history of herniated discs, it may be best to consult a neurologist first. Wishing you a speedy recovery. Sincerely, Dr. Tsai Meng-Ju Attending Physician, Family ...[Read More] Understanding Toe Numbness: Causes, Symptoms, and Treatment Options
Addressing Memory Loss, Insomnia, and Depression in Seniors
Insomnia, memory decline, slowed walking, depression? Hello, my mother is 69 years old and has recently started experiencing severe memory decline symptoms, along with insomnia and significantly slowed walking. Last year, she had an episode of involuntary twitching at the corner ...
Dr. Lai Junlong Reply:
Hello: In response to your question, based on the symptoms mentioned by the internet user regarding their mother, it is recommended to first consult a neurologist to rule out conditions such as Parkinson's disease or early-stage dementia. Late-life depression is also a frequ...[Read More] Addressing Memory Loss, Insomnia, and Depression in Seniors
Understanding Unexplained Abdominal Pain in Diabetic Patients
Abnormal cutting pain from the skin to the muscle? Hello Doctor, I am consulting on behalf of my mother who is 65 years old and has diabetes and hypertension. For the past few months, she has been suffering from what she describes as cutting pain, which feels somewhat like being ...
Dr. Cai Mengru Reply:
Dear Mr. Chen, Regarding your mother's condition, it is indeed most likely explained by diabetic neuropathy. The most important treatment approach is to maintain good blood sugar control. Additionally, for medical consultation, you may consider endocrinology, neurology, or ...[Read More] Understanding Unexplained Abdominal Pain in Diabetic Patients
Understanding Inner Thigh Pain and Swelling: Possible Causes and Solutions
There is a lump on the inner thigh? Hello Doctor: About 4 to 5 days ago, I woke up in the morning and suddenly felt pain in the inner side of my left thigh. At first, I thought it was a strain or that I had bumped into something, so I didn't pay much attention. However, I no...
Dr. Cai Mengru Reply:
Dear Mr. Joe: Based on your symptoms, the most likely condition that must be ruled out immediately is cellulitis, with a severe possibility of necrotizing fasciitis. In serious cases, this could even lead to sepsis, posing a risk to life. Therefore, it is crucial not to delay you...[Read More] Understanding Inner Thigh Pain and Swelling: Possible Causes and Solutions
Understanding Hepatitis B Vaccination and Abdominal Ultrasound: Your Questions Answered
Hepatitis B and abdominal ultrasound? Hello, doctor: I received the first dose of the hepatitis B vaccine two years ago, but I did not receive the subsequent two doses. Does being able to receive the vaccine indicate that my hepatitis B surface antigen (HBsAg) is negative (meanin...
Dr. Chen Mengkan Reply:
Hello: "The blood donation center informed me that I am HBsAg positive," which indicates that I may be a carrier. For your reference: HBsAg positive means being a carrier of hepatitis B, suggesting that it can potentially be transmitted to others through blood or bodily...[Read More] Understanding Hepatitis B Vaccination and Abdominal Ultrasound: Your Questions Answered
Understanding Your Child's Head Tilt: When to See a Doctor
The head is often tilted? My son is 10 years old and his head is almost always tilted to one side. I'm not sure why. When he was younger, we took him to see a doctor, but they couldn't determine the cause. If we need to see a doctor, which specialty should we consult?
Dr. Cai Mengru Reply:
Hello Miss Boy: Regarding your question, it is recommended to start with a pediatrician. If possible, seeing a pediatric neurologist (usually larger hospitals have more specialized departments) would be even better. It's important to first confirm whether there is indeed a p...[Read More] Understanding Your Child's Head Tilt: When to See a Doctor
Understanding Unexplained Hypertension in Young Adults: A Medical Perspective
Young people with unexplained hypertension? Hello, Doctor Lai. I take medication for schizophrenia every day, and I am not on any other medications (I have been on this medication for about nine years). This week, I had my blood pressure and pulse checked at the hospital. The fir...
Dr. Lai Hexian Reply:
Hello, I would recommend that you measure and record your blood pressure regularly for at least one week. Then, bring the medications you are currently using and your blood pressure records to the cardiology outpatient clinic for further evaluation and treatment.[Read More] Understanding Unexplained Hypertension in Young Adults: A Medical Perspective
Understanding Dizziness: Potential Causes and Concerns After Head Injury
Dizziness In the past two to three years, I have frequently experienced dizziness, cold sweats, and significant discomfort in my body, which usually takes about an hour to recover from. Could this indicate a problem with my brain? I had a car accident around the age of 17 where I...
Dr. Chen Mengkan Reply:
Hello: Based on your description, it may still be difficult to determine which organ is causing your issue. I would first recommend that you document the characteristics of your dizziness episodes (for example, whether you experience a spinning sensation or if your vision goes da...[Read More] Understanding Dizziness: Potential Causes and Concerns After Head Injury
Understanding Peritoneal Lymphatic Calcification: Risks and Treatment Options
Abdominal lymphatic calcification Will lymphatic calcification in the abdominal cavity lead to other pathological changes? What should be noted? Will it continue to enlarge? I occasionally experience cramping pain in my lower left abdomen, and my doctor said it is not caused by l...
Dr. Cai Mengru Reply:
Dear Ms. Chen, Regarding your question, I would like to know how the calcification in your abdominal lymph nodes was diagnosed. If it was diagnosed pathologically (through tissue biopsy), it can determine whether it is malignant. If it was observed through imaging studies, regul...[Read More] Understanding Peritoneal Lymphatic Calcification: Risks and Treatment Options
Understanding Excessive Daytime Sleepiness: When to Seek Help
Easily drowsy and unable to resist falling asleep? Hello Doctor: Since elementary school, I have often experienced drowsiness during class. After being disciplined by my teacher, my mother took me to a family medicine clinic, where the doctor diagnosed me with "laziness"...
Dr. Cai Jueren Reply:
Hello, I apologize for not being able to respond to your question in a timely manner due to my absence from the country. Your issue seems to be related to a sleep disorder, which is affecting your ability to concentrate. Many hospitals now have sleep centers that specialize in ad...[Read More] Understanding Excessive Daytime Sleepiness: When to Seek Help