Understanding Night Sweats: Causes and When to Seek Medical Help
Regarding sleep issues? Hello, I have been waking up almost every night for the past three months around 2 to 3 AM due to sweating all over my body, regardless of the temperature. What could this condition be? Which specialist should I consult? Thank you! P.S. I underwent emboliz...
Dr. Cai Jueren Reply:
Hello: Regarding your question, the first consideration in Taiwan is tuberculosis. Most patients with tuberculosis experience night sweats due to a slight increase in body temperature in the evening. Of course, this is usually accompanied by symptoms such as cough or hemoptysis, ...[Read More] Understanding Night Sweats: Causes and When to Seek Medical Help
Is Drinking Sugar-Free Beverages Safe for Diabetes Prevention?
Diabetes mellitus Hello, doctor. I have been wanting to change my habit of drinking sugary beverages because my grandmother has diabetes, but I haven't been able to. Since last year, I have mainly been drinking sugar-free beverages, such as unsweetened green tea. I'm wo...
Dr. Lin Mingxing Reply:
Dear Johnny, Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you that having a family history of diabetes generally increases the genetic predisposition to the condition. It is importan...[Read More] Is Drinking Sugar-Free Beverages Safe for Diabetes Prevention?
Understanding Your Gastrointestinal Issues: Gas, Bloating, and Breathing Difficulties
What exactly is the problem that is difficult to understand? In the past six months, I have been experiencing persistent stomach pain and bloating. I have a history of gastric bleeding and gastroesophageal reflux disease (GERD), so two months ago, I consulted a gastroenterologist...
Dr. Huang Jianling Reply:
It could be caused by indigestion or intestinal obstruction, leading to flatulence and bloating. It is recommended to consult a family medicine physician or a gastroenterologist for an examination. Dr. Huang Jianling.[Read More] Understanding Your Gastrointestinal Issues: Gas, Bloating, and Breathing Difficulties
Understanding a Painful Lump Between the Breasts: When to Seek Help
A small protrusion has developed below the chest? Hello Doctor, Patient: Female, approximately 22 years old, height: 160 cm, weight: 43 kg. Last month, a protrusion appeared between her breasts, which has been growing larger, reaching a maximum diameter of about 1.5 cm and a he...
Dr. Zhan Deqin Reply:
You should first see a general surgeon; it shouldn't be a major issue.[Read More] Understanding a Painful Lump Between the Breasts: When to Seek Help
Understanding Evening Chill: Symptoms and When to Seek Medical Advice
I start to feel chills every evening? My father has recently been complaining of feeling cold every evening. What could this be a symptom of, and which specialist should he see? Could you please provide some advice? Thank you. *Note: He is 64 years old and has diabetes.
Dr. Huang Jianling Reply:
Chills may be a symptom of low blood sugar. If you experience similar symptoms, you can measure your blood sugar before bedtime and take three pieces of sugar if it's low. If the symptoms improve or if your blood sugar is below 80 mg/dL, it may indicate hypoglycemia. It is a...[Read More] Understanding Evening Chill: Symptoms and When to Seek Medical Advice
Understanding Small Growths on Genitals: When to Seek Help
Small nodules of sarcoma found on the genital area? Hello, doctor. I'm not sure whether to ask a urologist or a dermatologist about this issue. I have several small growths on my genital area. The size of these growths varies; some are slightly larger than sesame seeds, whil...
Dr. Xu Li'an Reply:
Hello Mr. CK, please visit a dermatologist. I recommend you go to Hualien Hospital to see Dr. Jiang Zhe'en in the dermatology department. Regarding skin issues, we usually need to see them in person, as even photos cannot provide a definitive diagnosis, let alone a written d...[Read More] Understanding Small Growths on Genitals: When to Seek Help
Understanding Venous Sclerosis: Concerns for Young Patients and Pain Management
Venous sclerosis Hello, Dr. Hsu: I often receive injections; sometimes they are pain relief injections for menstrual cramps, and other times they are anti-anxiety injections for hyperventilation. I rarely get IVs; most of my injections are intramuscular. Today, I went for an inje...
Dr. Xu Li'an Reply:
Dear Worried Girl, Due to a previous response, I have forgotten the detailed content because of a computer malfunction. I want to reply again to wish you a Happy New Year, wishing you and your family good health and happiness. If you have any questions, feel free to call me a...[Read More] Understanding Venous Sclerosis: Concerns for Young Patients and Pain Management
Intermittent Swelling of the Salivary Glands: Causes and Concerns
The parotid gland intermittently swells without any apparent reason? I am a 30-year-old male in good health, but I have been experiencing insufficient sleep due to a busy work schedule. About three to four years ago, I started having intermittent swelling of my parotid gland for ...
Dr. Xu Li'an Reply:
If the frequency increases or if there are other related symptoms, it is recommended that you visit a major hospital to see a specialist in immunology, rheumatology, or infectious diseases to check for any immune or infection-related conditions. Wishing you good health and well-b...[Read More] Intermittent Swelling of the Salivary Glands: Causes and Concerns
Should I Take Vitamins? A Guide for Healthy Young Women
Should I take vitamins? Dear Doctor, Hello! I am a 30-year-old woman in generally good health, with some minor issues such as mild constipation, a slightly yellow complexion, and cold hands and feet. I feel that as I age, I should take better care of myself. I am considering whe...
Dr. Liu Jinyong Reply:
1. If you are of your current age and do not have any major illnesses, experiencing mild constipation, please maintain a balanced diet, engage in regular exercise, and follow a normal daily routine. 2. If your complexion appears yellowish and your hands and feet are cold, it ma...[Read More] Should I Take Vitamins? A Guide for Healthy Young Women
Understanding Cold Hands and Feet: Causes and Solutions
Cold and purple hands and feet..? I would like to ask, whenever the weather gets cold, my hands and feet become cold, and sometimes they even turn purple. I would like to know the reason for this and how to improve the situation. Thank you.
Dr. Huang Jianling Reply:
Hello Lin: Experiencing cold hands and feet that turn purple may be caused by Raynaud’s phenomenon. This occurs when the blood vessels in the extremities constrict in response to cold weather or increased stress, leading to numbness, tingling, or pain in the fingers, toes, and ea...[Read More] Understanding Cold Hands and Feet: Causes and Solutions
Understanding Ear Sensations in Diabetic and Hypertensive Patients
Is it possible for individuals with diabetes and hypertension to experience a sensation of water in their ears when there is actually none present? Hello: My father has a history of diabetes for several years and also has complications from hypertension. Recently, he has been com...
Dr. Huang Jianling Reply:
It is recommended to follow up with an otolaryngologist to rule out otitis media, Meniere's disease (which includes issues such as vertigo, tinnitus, and hearing impairment), as well as lymphadenopathy and neurological problems. Sincerely, Dr. Huang Jian-Ling.[Read More] Understanding Ear Sensations in Diabetic and Hypertensive Patients
Understanding Low White Blood Cell Count: When to Seek Medical Advice
White blood cell count is low? Hello, I would like to ask about my mother. Last year, she underwent a health check-up (the one provided by the National Health Insurance), and the results showed that her white blood cell count was low, around 2000, while her cholesterol and trigly...
Dr. Zhan Deqin Reply:
Low white blood cell count can have many causes, including medications, radiation, tumors, or even testing errors. It is advisable to have the test redone. If the count remains low, further evaluation by a hematologist is recommended.[Read More] Understanding Low White Blood Cell Count: When to Seek Medical Advice
Struggling with Constipation and Fatigue: Seeking Solutions for Better Health
Constipation + excessive sleepiness? I have a long-standing habit of constipation, only able to have a bowel movement once a week or even longer. I have tried medications, drinking water, consuming yogurt, and eating high-fiber fruits, but after about four times, they become inef...
Dr. Lin Mingxing Reply:
Dear Qi, Regarding your inquiry, the causes of constipation are complex and not easily defined. Based on the situation you described, poor intestinal motility appears to be the primary issue. In addition to adjusting dietary types and eating habits, regular brisk walking combine...[Read More] Struggling with Constipation and Fatigue: Seeking Solutions for Better Health
Confused About Gynecology or Breast Surgery? Understanding Your Symptoms
I'm not sure whether to see a gynecologist or a breast surgeon? Hello, doctor. I have a question I would like to ask you. I am 20 years old and have experienced irregular menstrual cycles for a long time. My last two periods started on September 26 and ended on October 4; sh...
Dr. Zhan Deqin Reply:
It is advisable to first consult a gynecologist for menstrual irregularities. You can perform a self-examination of the breasts. Breast tenderness may be related to menstrual irregularities or hormonal imbalances. If the gynecological consultation does not resolve the issue, then...[Read More] Confused About Gynecology or Breast Surgery? Understanding Your Symptoms
Understanding Painful Bumps: Could It Be Hemorrhoids or Something Else?
I am not sure if it is hemorrhoids? Hello Dr. Huang, I have noticed a protrusion located between the base of my scrotum and my anus over the past two days. It measures approximately 1 cm by 2 cm, is painful to touch, and seems to be increasing in size. I cannot describe its consi...
Dr. Huang Jianling Reply:
Wind's Trace: There is a tender mass between the base of the scrotum and the anus. I cannot make a diagnosis without further examination, but it may be an infectious disease such as an anal abscess, anal fistula, sexually transmitted infection, or tumor. I recommend followin...[Read More] Understanding Painful Bumps: Could It Be Hemorrhoids or Something Else?
Should You Consider Surgery for a Sarcoma? Expert Insights
Does a sarcoma require surgery? Dear Doctor: I am 69 years old. Over ten years ago, I developed a lump about the size of a fist on the inner side of my left elbow. It wasn't that large initially, but in recent months, after taking some nutritional supplements like reishi mus...
Dr. Zhan Deqin Reply:
1. Performing surgical resection along with a pathological examination is more appropriate. 2. Nutritional supplements can certainly be taken, but most people today generally have an excess of nutrients, and in fact, additional supplements are often unnecessary.[Read More] Should You Consider Surgery for a Sarcoma? Expert Insights
Pre-Marital Health Check: Key Questions for Future Pregnancies
I have some questions after completing the premarital health checkup! Hello Doctor: I am planning to get pregnant soon, but I have a few questions from my premarital health check-up that the doctor did not explain clearly. I hope you can help me with these questions, thank you! ...
Dr. Cai Jueren Reply:
Hello Yuan Yuan: The levels of thyroid hormones are not related to pregnancy, so please rest assured. As for the values mentioned above, they do not require medication treatment. "Counterclockwise deviation of the heart axis" is a finding from the computer report; it is...[Read More] Pre-Marital Health Check: Key Questions for Future Pregnancies
Understanding Nail and Joint Issues: Causes, Symptoms, and Treatment Options
Nail In recent years, I have experienced swelling and protrusion in several joints of my fingers. The swollen areas sometimes feel hard and at other times soft. The joint closest to the nails has become deformed and bent, especially noticeable since last year. My left middle fing...
Dr. Lin Mingxing Reply:
Dear Cynthia, As you mentioned, rheumatoid arthritis or osteoarthritis are both possibilities. Additionally, the acute localized joint condition may be complicated by an infection. Please seek evaluation from an orthopedic surgeon or a rheumatologist as soon as possible. Wishin...[Read More] Understanding Nail and Joint Issues: Causes, Symptoms, and Treatment Options
Understanding Your Health Check Results: Key Concerns and Recommendations
Health check results At the beginning of the school year, a health check-up was conducted, and it has been two years since the last examination. This time, some results were abnormal, specifically: Complete Blood Count: Platelet count (PLT) - 403 (normal range 150-400 x 10^3/ml),...
Dr. Huang Jianling Reply:
Hasi: Platelet count and fasting blood glucose are slightly elevated, but this has minimal impact; regular annual monitoring is sufficient. SGPT is elevated, and further testing is recommended, such as for hepatitis B, hepatitis C, and fatty liver disease. Total cholesterol is hi...[Read More] Understanding Your Health Check Results: Key Concerns and Recommendations
Understanding White Blood Cell Count and Body Temperature Concerns
White blood cell count and body temperature issues? Hello, doctor. I would like to ask two questions. 1. In my routine blood tests over the past few years, my white blood cell count has consistently ranged between 4200 and 4800. However, in a recent blood test conducted a few d...
Dr. Huang Jianling Reply:
Huang Chin-Fen: A white blood cell count of 6,000 is within the normal range and does not require concern. Generally, conditions such as acute or chronic infections, tissue damage, malignant tumors, rheumatoid diseases, and pregnancy can lead to an increase in white blood cell co...[Read More] Understanding White Blood Cell Count and Body Temperature Concerns