Rabies Concerns After Dog Bite: Is It Too Late for Vaccination?
Two and a half years ago, I was bitten by someone else's dog? Hello doctor, I heard that the incubation period for rabies can last for several years. I remembered that two and a half years ago, I saw a dog brought by someone exercising at school. Since the dog used to come a...
Dr. Lin Zhebin Reply:
Hello: Generally, domestic dogs do not transmit rabies unless the dog that bit you later develops rabies. In Taiwan, the animals that are more commonly known to carry the rabies virus are the ferret badger and the civet. You were bitten by a dog belonging to a member of the publi...[Read More] Rabies Concerns After Dog Bite: Is It Too Late for Vaccination?
Which Specialist to See for Nausea and Dizziness During Activities?
Which department should I see? Hello Doctor: Occasionally, while I am out on activities, I feel nauseous, and shortly after, I want to vomit, experience dizziness, have blurred vision, and feel weak in my limbs, eventually collapsing to the ground. However, after resting for abou...
Dr. Lin Zhebin Reply:
Hello: It is recommended that you and your sister seek medical attention from a neurologist or a cardiologist.[Read More] Which Specialist to See for Nausea and Dizziness During Activities?
Managing High Cholesterol: Diet, Exercise, and Supplements
Cholesterol issues Hello, doctor. I have had high cholesterol for a long time. For the past five years, my cholesterol levels have been elevated. Last year's health check report showed my height/weight as 156 cm/43 kg, total cholesterol at 240 mg/dL, high-density lipoprotein...
Dr. Hou Angting Reply:
Hello Chia: Since you do not have high blood pressure or diabetes, and your lipid report shows some elevated levels, it is recommended that you start with dietary control and appropriate exercise, and follow up in three months. The use of dietary supplements can be based on perso...[Read More] Managing High Cholesterol: Diet, Exercise, and Supplements
Can You Hide Mental Health Records During a Health Checkup?
Can health check-ups conceal records from mental health specialists? Hello Doctor: Since entering the workforce, I have not had this issue, but in the past two years, I have been suffering from insomnia, anxiety disorder, and bipolar disorder. I have been seeing a psychiatrist an...
Dr. Lin Zhebin Reply:
Hello: During health check-ups, the National Health Insurance card is not used to access medical records. Generally, individuals provide their past medical history and medication information, or the physician inquires about it. If the examination does not require the submission o...[Read More] Can You Hide Mental Health Records During a Health Checkup?
Understanding Neck and Head Heat: When to See a Family Medicine Specialist
If the back of your head feels warm while lying down, which specialist should you see? I've seen many specialists, undergone numerous tests, and spent a lot of money? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. I have been...
Dr. Lin Zhebin Reply:
Hello: The symptoms of heat in your head and upper body accompanied by chest tightness, difficulty breathing, rapid heartbeat, and abnormal sensations may suggest neurological and cardiovascular issues. It is advisable to seek medical evaluation from a neurologist or a cardiologi...[Read More] Understanding Neck and Head Heat: When to See a Family Medicine Specialist
Unraveling the Mystery of Chronic Pain: Seeking Answers for Rare Conditions
Rare diseases with unknown origins? Hello Dr. Chen, I have been suffering from pain for over ten years. Thank you for taking the time to read my message. Ten years ago, I experienced lower back pain and was diagnosed with mild bone spurs. However, after starting physical therapy...
Dr. Chen Bozhang Reply:
Hello! If you are unsure about the cause of your discomfort, it is recommended to visit a family medicine clinic at a regional hospital or higher for evaluation. Based on your condition and needs, further medical management can be arranged. Thank you![Read More] Unraveling the Mystery of Chronic Pain: Seeking Answers for Rare Conditions
Understanding Left Chest and Arm Pain: When to Seek Medical Advice
Back pain with tingling in the inner side of the left arm and palm? I have been experiencing pain in the upper middle back for three months. I have seen a traditional Chinese medicine practitioner for acupuncture, who suggested it might be related to my gallbladder. Recently, I h...
Dr. Liao Yaopan Reply:
Hello, based on your description, if the cardiology specialist examination has ruled out cardiovascular-related issues, it may be related to bone, joint, or soft tissue problems. It is advisable to seek further evaluation from a rheumatologist. Please note that online consultatio...[Read More] Understanding Left Chest and Arm Pain: When to Seek Medical Advice
Understanding Left Chest and Arm Pain: When to Seek Medical Advice
Back pain with tingling in the inner side of the left arm and palm? I have been experiencing pain in the upper middle back for three months. I have consulted a traditional Chinese medicine practitioner who performed acupuncture and suggested it might be related to my shoulder pai...
Dr. Liao Yaopan Reply:
Hello, based on your description, if the cardiology specialist examination has ruled out cardiovascular issues, it may be related to bone joints or soft tissues. It is advisable to seek further evaluation from a rheumatologist. Please note that online consultations are not equiva...[Read More] Understanding Left Chest and Arm Pain: When to Seek Medical Advice
Understanding Chest Tightness: Causes, Symptoms, and Solutions
Chest tightness issue? Hello doctor, I am 27 years old. Since last year, I have been experiencing intermittent chest tightness, shortness of breath (feeling like I can't get enough air and needing to take deep breaths), and dizziness. I underwent examinations last year for m...
Dr. Cai Dongqi Reply:
Hello: Autonomic nervous system dysfunction is a combination of various symptoms that may not always be detectable through tests. It often requires empirical treatment. It may be advisable to first consult a psychiatrist to assess for any anxiety or excessive stress that could be...[Read More] Understanding Chest Tightness: Causes, Symptoms, and Solutions
Can HPV Vaccine Be Administered After Thyroid Papillary Cancer?
Can a patient with stage I papillary thyroid carcinoma receive the HPV vaccine? Hello, doctor. I am 47 years old and underwent a total thyroidectomy for stage I papillary thyroid cancer last April. Can I still receive the HPV vaccine? If so, does the HPV vaccine help prevent the ...
Dr. Liao Yaopan Reply:
Hello, HPV (human papillomavirus) is a DNA virus that can lead to carcinogenesis. Common related lesions include cervical intraepithelial neoplasia, cervical cancer, cancers of the external genitalia in both men and women, as well as head and neck cancers (such as oropharyngeal c...[Read More] Can HPV Vaccine Be Administered After Thyroid Papillary Cancer?
Understanding Your Blood Test Results: Do You Have Anemia?
Blood test report Hello Doctor, I donated blood three times a few years ago. When I tried to donate again, the nurse checked my hemoglobin and said it was insufficient. Even though I have been eating iron-rich foods like pork liver and spinach, and exercising, my hemoglobin level...
Dr. Liao Yaopan Reply:
Hello, regarding your question, only some data cannot be determined. It is recommended to return to the original arrangement for a blood test and a complete evaluation by your physician. Online consultations are not equivalent to in-person medical visits and cannot provide diagno...[Read More] Understanding Your Blood Test Results: Do You Have Anemia?
Exploring the Link Between Fatigue and Vitamin D Deficiency
The association between fatigue and vitamin D deficiency? I have been experiencing fatigue and excessive sleepiness for about 6 to 7 years. I have seen various internal medicine specialists and undergone tests for thyroid function, hormones, etc. I even visited a sleep clinic, an...
Dr. Lin Zhebin Reply:
Hello: Vitamin D deficiency may have the following effects: decreased immune function, anxiety, muscle weakness, osteoporosis, dry skin, cardiovascular diseases, etc. Based on your description of physical discomfort, some of it may indeed be related to vitamin D deficiency. Since...[Read More] Exploring the Link Between Fatigue and Vitamin D Deficiency
Understanding Declining GFR: Is It a Sign of Kidney Issues?
Health check-up issues Hello, doctor. I would like to ask if my glomerular filtration rate (GFR) is considered to be declining. I am 32 years old, and for the past few years, my GFR has been around 120. Last January, it was 99, and when I tested again in August, it was 94. Is thi...
Dr. Lin Zhebin Reply:
Hello: The normal glomerular filtration rate (GFR) is typically between 100-120 mL/min. After the age of 30-40, it generally declines by about 1 mL/min each year. This value is primarily calculated based on the serum creatinine level, along with age and gender, but can also be in...[Read More] Understanding Declining GFR: Is It a Sign of Kidney Issues?
Concerns About a Shrimp Sting: When to Seek Medical Attention?
Stung by a live shrimp? Hello, doctor. I would like to inquire about a small puncture wound I received about six months ago while cooking with raw shrimp. Although it appears to have healed, there is still a noticeable red spot at the site of the injury (it looks like skin coveri...
Dr. Liao Yaopan Reply:
Hello, based on your description, if you still have concerns and uncertainties, it is recommended to visit a surgical outpatient clinic for further evaluation of the lump. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatmen...[Read More] Concerns About a Shrimp Sting: When to Seek Medical Attention?
Assessing Post-Car Accident Wounds: Inflammation, Healing, and Next Steps
Hello, Dr. Lin, this is the wound from my car accident on the 28th, which was last Saturday? First, the most severe wound on the foot looks like this: https://upload.cc/i1/2023/01/31/fX9E3l.jpg. I'm not sure if this wound is still inflamed or if the scab is not healing well ...
Dr. Lin Zhebin Reply:
Hello: 1. Regarding the wound on your foot, based on the image, it appears to still have some inflammation, and there may be some exudate present. However, this should be part of the normal healing process. It is recommended to continue regular dressing changes and not to use a...[Read More] Assessing Post-Car Accident Wounds: Inflammation, Healing, and Next Steps
Which Specialist to See for Nausea and Dizziness During Activities?
Which department should I see? Hello Doctor: Occasionally, while participating in activities during outings, I feel nauseous, and shortly after, I experience the urge to vomit, dizziness, blurred vision, and weakness in my limbs, which leads to fainting. However, after resting fo...
Dr. Lin Zhebin Reply:
Hello: Your discomfort may be due to syncope, which is often caused by neurological or cardiovascular issues. It is recommended that you consult a neurologist or a cardiologist.[Read More] Which Specialist to See for Nausea and Dizziness During Activities?
Understanding Left Lower Back Pain: Causes and Solutions
Lumbar issues Doctor, I would like to ask about some symptoms I'm experiencing. Sometimes I have pain in my left lower back, and when I stand, it feels particularly tight, as if there is something inside my lower back. Occasionally, I also feel a sensation of something forei...
Dr. Liu Hongxiang Reply:
Hello Mr. You: Regarding the issues near your lower back, if there are no visible signs, it is recommended to visit the clinic for a physician's examination. If there are concerns, non-invasive tests such as an ultrasound can be arranged for confirmation. Thank you for your ...[Read More] Understanding Left Lower Back Pain: Causes and Solutions
Understanding HIV Risk After Unprotected Sex: Key Insights
HIV-related issues In mid-December, I had unprotected intercourse with someone. Since then, I have been monitoring my temperature daily and have not experienced any fever or other acute HIV symptoms. I would like to know if this means that the likelihood of being infected is very...
Dr. Lin Zhebin Reply:
Hello: The incubation period for HIV can range from a few weeks to several years, and the initial symptoms may resemble mild flu-like symptoms. If you are concerned about the possibility of HIV infection, it is advisable to seek medical evaluation for peace of mind.[Read More] Understanding HIV Risk After Unprotected Sex: Key Insights
Understanding Abnormal Blood Test Results: Do You Have Anemia?
Abnormalities in the blood test section of the health examination report? Hello Doctor, I had a health check-up this month and found that my blood test results showed several abnormalities. My white blood cell count is 11.43, red blood cell count is 4.62, hemoglobin is 10.8 g/dL,...
Dr. Ye Qianyu Reply:
Hello! Based on the data you provided, it appears to be microcytic anemia, which can be re-evaluated and monitored in general internal medicine, family medicine, or hematology.[Read More] Understanding Abnormal Blood Test Results: Do You Have Anemia?
Chills Without Fever: Understanding Cold Sensitivity and Symptoms
Feeling cold and shivering without a fever? Hello doctor, in recent years, whenever the weather gets cold, I suddenly feel cold and start shivering at night, to the point where my teeth chatter. This condition can last for over an hour, but I have never had a fever. I usually use...
Dr. Liao Yaopan Reply:
Hello, based on your description, if an infection has been ruled out, there may be other physical conditions that still need to be evaluated. It is advisable to consult your family physician for assistance, and depending on the situation, they may refer you to other subspecialtie...[Read More] Chills Without Fever: Understanding Cold Sensitivity and Symptoms