Understanding Night Sweats: When to Seek Medical Help for Fatigue
Night sweats? Since this summer, my physical condition has noticeably worsened. I have to wear long sleeves and long pants to sleep even with the air conditioning set at 27°C. About two months ago, I occasionally woke up at night sweating from my shoulders, neck, chest, and back....
Dr. Cai Dongqi Reply:
Hello, I hope you are well. It is important to adjust your lifestyle (which is currently not normal) by avoiding staying up late and the habit of eating late-night snacks. The causes of night sweats may include menopause, hyperthyroidism, diabetes, and autonomic nervous system di...[Read More] Understanding Night Sweats: When to Seek Medical Help for Fatigue
Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief
My father is experiencing pain in both his ankle and shoulder joints, diagnosed with osteoarthritis. He also has weakness in his legs and is considering receiving hyaluronic acid injections? Hello Doctor: I found a similar article on your website <a href="https://adoctor....
Dr. Chen Bozhang Reply:
Dear Wesley online user, In your message, you mentioned that your 93-year-old father is experiencing degenerative arthritis in multiple joints. Regarding treatment options beyond medication, I recommend taking your father to an orthopedic or rehabilitation clinic (preferably one...[Read More] Managing Osteoarthritis in Elderly: Hyaluronic Acid Injections for Pain Relief
Understanding Elevated Red Blood Cell and Platelet Counts: Causes and Solutions
Elevated red blood cells and platelets? Hello Dr. Lin, I would like to inquire about the reasons for my elevated red blood cell (RBC) and platelet counts over the past three years. Can these values be improved on my own? Here are my annual test results: —2022 RBC 5.58 (10^6/uL) P...
Dr. Lin Zhebin Reply:
Hello: 1. In the case of red blood cells, we typically also assess hemoglobin (Hb) and mean corpuscular volume (MCV) for a comprehensive evaluation. An elevated red blood cell count may be due to conditions such as thalassemia or polycythemia. 2. If platelet counts are elevated a...[Read More] Understanding Elevated Red Blood Cell and Platelet Counts: Causes and Solutions
Understanding Memory Issues in Seniors: When to Seek Medical Help
Could you please clarify if the elderly person is experiencing memory loss, suspected dementia, and has a history of head lacerations? Hello Dr. Tsai, I would like to ask about some memory issues concerning my father. He is over 65 years old and is retired. My mother has been exp...
Dr. Cai Dongqi Reply:
Hello: In the early stages of dementia, it is important to first rule out other brain issues or interfering factors. You can visit our hospital's Geriatric Dementia Clinic for evaluation and treatment.[Read More] Understanding Memory Issues in Seniors: When to Seek Medical Help
Understanding Shingles Transmission Risks and Precautions: Key Insights
Continuation #188054: Shingles Transmission Issues As you mentioned earlier, I would like to ask about a patient with shingles whose lesions are located on the back and waist. I understand that contact with the vesicles of a shingles patient should be avoided. My question is, eve...
Dr. Lin Zhebin Reply:
Hello: 1. The varicella-zoster virus primarily spreads through skin contact, respiratory droplets, and airborne transmission. However, shingles, being a reactivation of the virus in a localized area, typically has lower contagiousness compared to the systemic infection of chicken...[Read More] Understanding Shingles Transmission Risks and Precautions: Key Insights
Understanding Your Health Check Report: Common Concerns and Insights
Questions about health check-up reports? Hello Doctor, I am 186 cm tall and weigh 72 kg. I have a regular exercise routine that includes three aerobic sessions and two strength training sessions per week, with a relatively high intensity. I also pay attention to my diet. However,...
Dr. Lin Zhebin Reply:
Hello: 1. A fasting blood glucose level of 101 is not something to be overly concerned about. The normal reference range is based on the majority of the population, and a single fasting blood glucose measurement can be influenced by the duration of fasting and the food consumed...[Read More] Understanding Your Health Check Report: Common Concerns and Insights
Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Anemia-related issues Hello Doctor, my health check report shows that my average red blood cell volume has been continuously decreasing over the past three years, except for the year 2019, while my platelet count has been steadily increasing. In November of last year, my health c...
Dr. Lin Zhebin Reply:
Hello: 1. The diagnosis of anemia generally begins with evaluating hemoglobin (Hb) levels. For normal females, a hemoglobin level below 12 g/dL can objectively indicate anemia. Based on your description, your hemoglobin levels should be normal. 2. The decrease in your mean corpus...[Read More] Understanding Anemia: Causes, Symptoms, and Gastrointestinal Concerns
Supporting Elderly Recovery: Navigating Health Challenges After Illness
The elderly person was generally healthy but is unable to get up after a serious illness? Hello, doctor. I would like to ask for advice regarding medical management for my grandfather, who is currently 97 years old. Two years ago, he experienced confusion upon waking up and had l...
Dr. Cai Dongqi Reply:
Hello: 1. In elderly patients with fever and shortness of breath, the primary consideration is infection, especially pneumonia. If there are confirmed cases in the household, it is likely that the grandfather may also be infected (rapid testing at the emergency department may be ...[Read More] Supporting Elderly Recovery: Navigating Health Challenges After Illness
Understanding Sudden Weakness: When to Seek Medical Advice
Waking up in the middle of the night with weakness in the limbs? My boyfriend, 35 years old, does not smoke or drink. A few nights ago, he woke up in the middle of the night and found it very difficult to get out of bed, needing to lean against the wall for support. After finally...
Dr. Lin Zhebin Reply:
Hello: 1. Stress and insomnia can indeed affect the body, but your boyfriend's sudden onset of generalized weakness suggests that he should seek medical evaluation to rule out any issues related to the nervous system, cardiovascular system, or endocrine system. 2. It is a go...[Read More] Understanding Sudden Weakness: When to Seek Medical Advice
Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Anemia and Iron Supplement Issues On August 23, the blood test report showed Hb: 9.9, MCV: 68.9, serum iron: 14, and ferritin: 1.21, indicating iron deficiency anemia. After taking iron supplements (ferrous gluconate) for about one and a half months, the blood test on October 15 ...
Dr. Lin Zhebin Reply:
Hello: In addition to iron supplementation for iron deficiency anemia, it is important to identify the underlying causes of chronic blood loss that may be contributing to the anemia. Given your age, a common cause could be heavy menstrual bleeding. Generally, iron supplementation...[Read More] Understanding Iron Deficiency Anemia: Slow Hemoglobin Recovery and Treatment Duration
Understanding Persistent Coughing in Seniors: When to Seek Further Medical Help
Chronic cough with choking sensation Hello doctor, my father (70 years old) has been experiencing a persistent cough for the past two months. He has visited an ENT clinic multiple times without any improvement. Could this be due to a decline in swallowing function or another cond...
Dr. Liao Yaopan Reply:
Hello, it is necessary to first confirm whether there are any diseases affecting swallowing function. You may want to have a neurologist evaluate you, and a rehabilitation specialist can also assess your swallowing function and provide subsequent training. Online consultations ar...[Read More] Understanding Persistent Coughing in Seniors: When to Seek Further Medical Help
Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Chronic halitosis that has been a concern for several decades? Hello, doctor. I have been told that I have bad breath since the Chinese middle period, and I have been seeking the cause and solution for many years. Currently, I do not have any periodontal diseases or related oral ...
Dr. Lin Zhebin Reply:
Hello: Common causes of halitosis include oral diseases (including tonsillitis), respiratory diseases (including nasopharyngitis), gastrointestinal diseases, kidney diseases, and liver diseases. Based on your description, the examinations of the aforementioned organs seem to be n...[Read More] Chronic Bad Breath: Seeking Solutions After Decades of Discomfort
Understanding Blood Test Results: What Do Abnormal Values Mean?
Blood test report Hello, doctor. Last month, I had a check-up for urinary stones and had a blood test done. The report showed several values highlighted in red. I have been sleeping around midnight for over two years, and in the past few months, I have noticed that using a fan at...
Dr. Liao Yaopan Reply:
Hello, based on the data, there is mild anemia. Further evaluation is necessary to determine if it is related to your discomfort. If you have any concerns, it is advisable to seek medical attention. Please note: online consultations are not equivalent to in-person visits and cann...[Read More] Understanding Blood Test Results: What Do Abnormal Values Mean?
Understanding Nighttime Fever: Causes and Concerns in Family Medicine
Fever at specific times? I would like to ask about a situation where there are no respiratory symptoms, and both mental state and appetite are good. However, every night after 10 PM, I experience a fever of 38.3 to 38.5 degrees Celsius (with variations between ears). I measure it...
Dr. Lin Zhebin Reply:
Hello: Regarding your issue of experiencing fever at specific times in the evening, it is important to consider potential causes such as infections, endocrine disorders, autoimmune diseases, or cancer. It is advisable to seek medical attention promptly to investigate the underlyi...[Read More] Understanding Nighttime Fever: Causes and Concerns in Family Medicine
Understanding Weight Fluctuations: Concerns for Young Adults
Abnormal weight? Hello, doctor. I am 20 years old. Four months ago, I was 174 cm tall and weighed around 71 kg (which I maintained for a long time). I started a weight loss journey by changing my diet from regular takeout to eating healthy meal boxes every day. I rarely drink sug...
Dr. Hou Angting Reply:
Hello: It is recommended that you visit the Family Medicine outpatient clinic for evaluation and follow-up. Wishing you good health.[Read More] Understanding Weight Fluctuations: Concerns for Young Adults
Understanding Hair Color Changes and Genetic Testing Options
Hair color issues? Question 1: Why did my mom say I was blonde when I was born, but now my hair color has gotten darker as I grew up? Although there is still a small part that looks blonde in the sunlight, most of it has turned black. Other people, like my foreign language teache...
Dr. Hou Angting Reply:
Hello: Regarding issues related to genetics, I suggest you consult with a facility that offers genetic testing for relevant advice. Wishing you good health.[Read More] Understanding Hair Color Changes and Genetic Testing Options
Post-HPV Vaccine: Exercise and Dietary Recommendations for Teens
Are there any recommendations for exercise and diet after receiving the HPV vaccine? After receiving the vaccine, my eldest daughter (14 years old) wants to play basketball, swim, and go to the beach to dive with her dad. However, I feel that even though she has no adverse sympto...
Dr. Lin Zhebin Reply:
Hello: The HPV vaccine is an inactivated vaccine, and common side effects after vaccination include pain, swelling, redness, itching at the injection site, fever, headache, nausea, and dizziness. If there are no significant physical discomforts after vaccination, there are no spe...[Read More] Post-HPV Vaccine: Exercise and Dietary Recommendations for Teens
Can Low Blood Pressure Justify Irritability in Relationships?
Can low blood pressure justify getting angry? Hello, doctor... My boyfriend is 35 years old, and we have been together for over ten years, living together for five years. In recent years, he has started to show symptoms of low blood pressure (or perhaps he always had it, but I co...
Dr. Lin Zhebin Reply:
Hello: 1. Hypotension is generally defined as a systolic blood pressure of less than 90 mmHg or a diastolic blood pressure of less than 60 mmHg. Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating. Additionally, comm...[Read More] Can Low Blood Pressure Justify Irritability in Relationships?
Can Low Blood Pressure Justify Bad Temper? Understanding the Connection
Can low blood pressure justify getting angry? Hello, doctor… My boyfriend is 35 years old, and we have been together for over ten years, living together for five years. In recent years, he has started to show symptoms of low blood pressure (perhaps he always had it, but I didn...
Dr. Lin Zhebin Reply:
Hello: 1. Hypotension is generally defined as a systolic blood pressure less than 90 mmHg or a diastolic blood pressure less than 60 mmHg. Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating. Additionally, common cau...[Read More] Can Low Blood Pressure Justify Bad Temper? Understanding the Connection
Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained
Symptoms have worsened, with sudden sharp pain in the heart? I have been experiencing chronic headaches and dizziness for about three years (I often take painkillers, consuming an entire bottle during one summer). I am currently trying to control my intake. Previously, I had an E...
Dr. Hou Angting Reply:
Hello: I recommend that you visit a cardiology or family medicine clinic for further evaluation. Wishing you good health.[Read More] Severe Symptoms: Sudden Chest Pain and Ongoing Discomfort Explained