Consultation on Stomach Medications for Aspirin Users
Gastrointestinal medication consultation? Hello, my mother previously took aspirin and Kangsulong. When she was taking aspirin, she was also prescribed Famotidine for her stomach. Later, due to increased use of Kangsulong, her stomach medication was changed to Pantoprazole. I wou...
Dr. Lin Zhebin Reply:
Hello: Taking Aspirin and Prednisolone together can lead to gastrointestinal discomfort as a side effect, so it is usually recommended to take a gastric protective agent alongside. However, even when taking Aspirin alone, gastrointestinal discomfort can occur, which is why it is ...[Read More] Consultation on Stomach Medications for Aspirin Users
Sudden Pain in Long-Standing Lymph Node: When to Seek Medical Attention?
A lymph node that has been inactive for over five years suddenly becomes painful? I previously discovered lymphadenopathy in the right side of my neck, which has not changed in size or caused pain for over five years. I haven't paid much attention to it, but today it suddenl...
Dr. Liao Yaopan Reply:
Hello, if there are any changes, please be reminded to visit the ENT clinic for further evaluation. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Sudden Pain in Long-Standing Lymph Node: When to Seek Medical Attention?
Do I Need Rabies Vaccine After Being Bitten by a Formosan Black Bear?
Rabies vaccine Three and a half years ago, I was bitten by a Formosan black bear in the mountainous area of Taitung. I managed to stop the bleeding myself after applying pressure, and once I descended, I only bandaged and treated the wound on my own. Later, I learned that Formosa...
Dr. Lin Zhebin Reply:
Hello: Post-exposure rabies vaccination (vaccination after an animal bite) is recommended to be administered as soon as possible after being bitten by an animal suspected of having rabies. Generally, if rabies infection occurs without appropriate treatment, symptoms typically beg...[Read More] Do I Need Rabies Vaccine After Being Bitten by a Formosan Black Bear?
Can Herpes Spread Through Washing Hair and Face?
Herpes issues? Doctor, can herpes be transmitted to other areas through the water flow while washing hair and face? Thank you, doctor.
Dr. Ye Qianyu Reply:
Hello! Blisters can be contagious before they crust over. The contagious period for shingles is highest 2 to 3 days before the rash appears and until the lesions crust over. Transmission can occur through respiratory droplets and bodily fluids. Individuals who have not had chicke...[Read More] Can Herpes Spread Through Washing Hair and Face?
Understanding Anemia: Insights from Recent Health Check Results
Anemia issues Hello Doctor, recently in March 2023, my health check showed hemoglobin at 12.6, hematocrit at 37.4, MCV at 85.4, MCH at 28.8, MCHC at 33.7, and RDW at 12.8. However, in June 2021, my hemoglobin was 14.4. Before the health check, my HbA1c was 5.6, and I have been co...
Dr. Lin Zhebin Reply:
Hello: Based on your blood test results, you have a condition of normocytic anemia, and there is a significant decrease compared to your values from two years ago. It is usually important to investigate whether there is any internal bleeding, with gastrointestinal bleeding being ...[Read More] Understanding Anemia: Insights from Recent Health Check Results
Understanding Facial Hematomas: When to See a Specialist After an Injury
Hematoma on the cheek? Hello doctor, I was in a car accident last July. The right side of my face sustained a significant impact, resulting in my cheek becoming completely bruised and swollen. After two days, it started to turn purple. Now, there are no visible bruises, but I sti...
Dr. Lin Zhebin Reply:
Hello: The discomfort, pain, and lump on the right side of your face are likely due to contusions and bleeding of the muscles and other soft tissues following the impact from the car accident. It is possible that this may progress to fibrosis during the recovery process. It is re...[Read More] Understanding Facial Hematomas: When to See a Specialist After an Injury
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Inquiry about weight loss in diabetes? Hello, doctor. I have been managing gestational diabetes for 13 years with medication, but my blood sugar levels have not been ideal. My recent blood test showed a fasting glucose level of 172 mg/dL and a hemoglobin A1c of 8.5%. I am 163 cm ...
Dr. Liu Hongxiang Reply:
Dear Ms. Dong, I hope this message finds you well. After reading your letter several times, I can sense your efforts in managing your blood sugar levels; please continue to maintain this. If you want to achieve weight loss effectively, it is essential to focus primarily on dieta...[Read More] Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Concerns About Chemical Residues in Your New Ceramic Coated Thermos
Chemical substances in thermos bottles? A few days ago, I bought a ceramic-coated thermos. After using it for a few days, I just noticed that when I shake the bottle vigorously, a layer of white foam appears on the water, and the water becomes slightly cloudy. After sitting for a...
Dr. Liao Yaopan Reply:
Hello, if you have concerns about a product, it is advisable to contact the manufacturer. Please note that clinical tools cannot perform product testing. Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhu...[Read More] Concerns About Chemical Residues in Your New Ceramic Coated Thermos
Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults
Chest pain, chest tightness, difficulty breathing, and dizziness? Hello doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center. Even when I am sitting still...
Dr. Xiao Yongxun Reply:
Dear Mr. Yang: 1. When a clinician addresses the issue of chest pain, the first four critical conditions to rule out are myocardial infarction, pulmonary embolism, pneumothorax, and aortic dissection. If none of these conditions are present, differential diagnoses should be cons...[Read More] Understanding Chest Pain, Shortness of Breath, and Dizziness in Young Adults
Understanding Monthly Illness in Mothers: Causes and Solutions
The mother falls ill every month for no apparent reason? My mother is fifty years old, 162 cm tall, and weighs 41 kg. About a year ago, she started getting sick once or twice a month, and in recent months, this has become more frequent. Her weight has decreased from approximately...
Dr. Chen Bozhang Reply:
Hello, it is difficult to make a comprehensive assessment based solely on the text description. It is recommended to take the elderly to a regional hospital or higher-level family medicine clinic for evaluation. After the doctor assesses the patient's condition, they will ar...[Read More] Understanding Monthly Illness in Mothers: Causes and Solutions
Dog Bite Concerns: Rabies, Tetanus, and Wound Care Explained
Bitten on the hand by my own dog? Hello, doctor. I would like to ask four questions: 1. I was bitten on my finger by my dog around midnight on April 13. The bite site is shown in the photos linked here. There was no bleeding, and I'm not sure if there are other bite marks....
Dr. Lin Zhebin Reply:
Hello: 1. Currently, rabies in Taiwan only occurs in wild animals such as badgers and civets, and there is no transmission among domestic dogs and cats. Additionally, your pet dog has been vaccinated against rabies, so the likelihood of contracting rabies from being bitten by you...[Read More] Dog Bite Concerns: Rabies, Tetanus, and Wound Care Explained
Essential Tips for Preventing Infections During Military Service
Questions about self-protection during service? Hello Doctor, I will soon be serving mandatory military duty. While I have some concerns about physical training and fitness, my main worry is the possibility of inadvertently contracting certain infectious diseases (especially sexu...
Dr. Xiao Yongxun Reply:
Dear Mr. JAM: 1. Condyloma acuminata (genital warts) and syphilis are primarily transmitted through intimate sexual contact. The pathogen for the former is the Human papillomavirus (HPV). If you are concerned, you can consider receiving the three-dose vaccine series (each dose c...[Read More] Essential Tips for Preventing Infections During Military Service
Understanding Heartbeat Issues: When to Seek Medical Advice
Heart rate issues? Hello doctor, I have recently noticed that after concentrating on a task for a while, I often experience chest tightness, as if my heart is a bit weak and I feel like I'm lacking oxygen. My heart rate seems slower, but when measured, it's actually bet...
Dr. Lin Zhebin Reply:
Hello: Although your increased heart rate is still within the normal range (60-100 bpm), the discomfort in your chest and the noticeable sensation of your heartbeat may raise concerns about potential arrhythmias. Indeed, after recovering from COVID-19, it is possible to experienc...[Read More] Understanding Heartbeat Issues: When to Seek Medical Advice
Does Eating Pineapple Affect Urine Odor? Understanding the Connection
After eating pineapple, urine may have a pineapple scent? Hello, doctor. As the title suggests, my urination is normal usually, but today after eating pineapple, I noticed a similar smell in the bathroom, and I'm a bit worried if there might be an issue with my body. Three y...
Dr. Xiao Yongxun Reply:
Dear Anonymous Sir: 1. The food or beverages we consume undergo processes of absorption, distribution, metabolism, and excretion in the body, with most being eliminated through urine. Some substances are transformed into various metabolites, while others are metabolized but reta...[Read More] Does Eating Pineapple Affect Urine Odor? Understanding the Connection
Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Dizziness, low high-density lipoprotein (HDL) cholesterol, abnormal white blood cell count, home blood glucose monitoring, painless hematuria? 1. **[Adult Health Check, Results Indicated in Red, What Does It Mean?]** Examination Date: 10/19/2022 Test Code: 09015C Creati...
Dr. Lin Zhebin Reply:
Hello: 1. Creatinine is typically a concern when elevated, as high levels indicate declining kidney function, while low levels are often due to lower body weight or muscle mass. The TC/HDL ratio reflects whether there is sufficient good cholesterol (HDL), which has a protective...[Read More] Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Understanding Urine Changes After Eating Pineapple: What You Need to Know
About urine? Hello, doctor. After eating pineapple yesterday, I had to use the restroom, and afterward, I noticed a faint, pungent smell of pineapple in the bathroom. Three years ago, I had blood tests for liver, kidney, and blood sugar levels, and my doctor said everything was n...
Dr. Lin Zhebin Reply:
Hello: The pineapple-like odor in your urine may be caused by ammonia present in the urine, which is commonly associated with factors such as holding in urine, dehydration, or urinary tract infections, among others. Additionally, dietary factors could also be a concern, such as g...[Read More] Understanding Urine Changes After Eating Pineapple: What You Need to Know
Risk of Hantavirus Infection After Contact with Dead Mouse
The transmission rate of hantavirus? Yesterday morning, I had no choice but to park my scooter next to a dead rat. The rat was quite fresh and appeared to have just been crushed, with blood still oozing out. When I finished work at 5 PM, the dead rat seemed to have been moved a f...
Dr. Lin Zhebin Reply:
Hello: 1. Diseases that may be transmitted by rodents include viruses (Hantavirus, Lassa virus, Arenavirus, etc.), bacteria (plague, rat-bite fever, Salmonella, Leptospira, endemic typhus, etc.), and parasites (Toxoplasma, Coccidia, Echinococcus, Amoeba, etc.). If you have come i...[Read More] Risk of Hantavirus Infection After Contact with Dead Mouse
Excessive Yawning and Tears: Is It Normal and How to Improve?
Medical Consultation: Family Medicine Issue - Yawning I would like to ask the doctor, even after getting enough sleep, I still find myself yawning excessively and tearing up, to the point where I can yawn 5 to 6 times in a row, and my mask gets wet from the tears. Is this normal?...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. Essentially, the physiological mechanisms behind yawning are not yet fully understood in the medical field. It may be triggered by insufficient cerebral blood circulation or the accumulation of carbon dioxide, prompting yawning to expel carbon dioxide and inhale...[Read More] Excessive Yawning and Tears: Is It Normal and How to Improve?
Understanding Neck Stiffness and Discomfort: Causes and Remedies
Stiffness and discomfort in the nape of the neck? Hello, Doctor. I am 27 years old and have a history of gastroesophageal reflux disease (GERD). Last Saturday, after dinner, I clearly felt stiffness and discomfort in my neck, and it was difficult to turn my head from side to side...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to the following conditions: 1. Infection, most likely a viral infection 2. Allergies 3. Migraine. It is recommended that you first perform a COVID-19 rapid test. Additionally, if you have any over-the-counter medications for symptom relief (such...[Read More] Understanding Neck Stiffness and Discomfort: Causes and Remedies