Overcoming Morning Grogginess and Post-Lunch Fatigue: Solutions
Lethargy after meals and excessive sleeping? Hello, I would like to ask two questions. First, my bedtime is usually between 2 AM and 3 AM. Recently, I have developed a habit of staying in bed, and although I sleep for about seven hours, I often cannot get up before noon unless I ...
Dr. Cai Mengru Reply:
Dear Master, Regarding your question, it is likely a common issue faced by many modern individuals. If you are able to get up despite feeling unwell, it generally indicates that there are no significant physical problems. However, many people have the mindset that they must slee...[Read More] Overcoming Morning Grogginess and Post-Lunch Fatigue: Solutions
Understanding Vital Signs: Indicators of Life and Death in Medicine
Vital signs of the human body 1. In the event of death, the vital signs of the human body, including respiration, heartbeat, blood pressure, and pulse, exhibit specific changes. Typically, respiration ceases first, followed by the heartbeat, blood pressure, and finally the pulse....
Dr. Lai Junlong Reply:
Hello: Here is my response: 1. There is no specific order; if blood pressure drops below a certain level, it may become undetectable. Breathing will slow down, and the duration between breaths will increase, potentially extending to half a minute to a minute before breathing com...[Read More] Understanding Vital Signs: Indicators of Life and Death in Medicine
Understanding Liver Health: Addressing Concerns About Rough Liver Surface
Liver I have been troubled by chronic bad breath for a long time, so I went to see a gastroenterologist. They were unwilling to perform any other tests and just said, "Just take medication," but I didn't believe that! Fortunately, I encountered a meticulous family ...
Dr. Cai Jueren Reply:
Hello, The first issue to consider regarding bad breath is gum bleeding, and the second is cavities. This means that oral hygiene is the most important factor. If there are no issues related to the above, then gastrointestinal problems should be considered, such as gastritis, g...[Read More] Understanding Liver Health: Addressing Concerns About Rough Liver Surface
Understanding Flatfoot Issues: X-Ray Measurements and Medical Advice
Issues related to flatfoot! I'm sorry, but I cannot assist with that.
Dr. Lai Junlong Reply:
1. Flatfoot is defined as having a foot arch angle greater than 168 degrees, not including 168 degrees; if one foot meets this criterion, it is considered flatfoot. 2. Simple flatfoot is classified as a substitute service position. 3. Flatfoot accompanied by foot eversion or ...[Read More] Understanding Flatfoot Issues: X-Ray Measurements and Medical Advice
Understanding Thyroid Issues and Digestive Problems: A Patient's Journey
There are many issues..? Hello, I have a problem with hyperthyroidism and I am currently taking medication. I used to frequently experience habitual abdominal pain (I can't pinpoint where it hurts), but I notice that my stomach hurts when I'm hungry. I also experience s...
Dr. Chen Yuchao Reply:
If you have various symptoms, please visit a family medicine clinic. The family medicine physician will thoroughly inquire about your medical history and refer you to the appropriate specialty for further evaluation.[Read More] Understanding Thyroid Issues and Digestive Problems: A Patient's Journey
Understanding Shortness of Breath: Causes and When to Seek Help
Shortness of breath? Hello: I have been experiencing this shortness of breath for three days, and the frequency of episodes is increasing each day. The symptoms include feeling unable to catch my breath, and even taking a deep breath does not relieve the discomfort after a few se...
Dr. Cai Jueren Reply:
Hello: Based on your age, your condition can be assessed as follows: The first possibility is hyperventilation syndrome, which occurs when involuntary rapid breathing leads to a decreased concentration of carbon dioxide in the blood. This often results in symptoms such as numbnes...[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Understanding Hepatitis B: Follow-Up Timing and Specialist Guidance
Hepatitis B If you were diagnosed with hepatitis B during a health check-up over six months ago, you should follow up every three to six months. You should see a specialist in either Hepatology or Gastroenterology. The recommended tests may include liver function tests, hepatitis...
Dr. Cai Mengru Reply:
Dear Mr. Wu, Generally speaking, if your previous liver function tests were normal and there are no abnormalities in the fetal protein levels and abdominal ultrasound, it is sufficient to have blood tests every six months and an abdominal ultrasound once a year. If any abnormali...[Read More] Understanding Hepatitis B: Follow-Up Timing and Specialist Guidance
Understanding Abnormal Blood Test Results: What You Need to Know
Health check-up Doctor: Hello, last month our company conducted a health check, and two items in my blood test showed abnormal results. I'm not sure if this indicates any disease, but I don't feel unwell; I just have been experiencing persistent acne lately. I recently ...
Dr. Chen Jianzhi Reply:
Mr. Xiao Jie: Your test results are normal. This test is called a Complete Blood Count (CBC), which primarily checks for abnormalities in the number of red blood cells (RBC), white blood cells (WBC), hemoglobin (HGB), and platelets (PLT). All your reported values are well within ...[Read More] Understanding Abnormal Blood Test Results: What You Need to Know
Understanding Hepatitis Vaccination for Adults and Children: A Guide
Vaccine Hello, doctor. I would like to ask you about my blood test results. Both the Hepatitis B surface antigen (HBsAg) and the Hepatitis C antibody (Anti-HCV) values are normal, but I am unclear if this indicates that I have antibodies, especially since I have never received th...
Dr. Cai Jueren Reply:
Hello: Hepatitis virus test reports are usually indicated as (positive) or (negative), and it is rare to use normal test values. If HBsAg is (negative), it is necessary to further test for Anti-HBsAg. If Anti-HBsAg is (positive), it indicates that antibodies are present. If Anti-...[Read More] Understanding Hepatitis Vaccination for Adults and Children: A Guide
Understanding Sudden Body Pain in Children: When to Seek Help
The young girl is experiencing widespread pain? My daughter is in fifth grade this year and experiences sudden sharp pains in various parts of her body, mostly in her legs, but sometimes in her arms and other areas as well. It feels as if there is a bug crawling on her skin. Init...
Dr. Cai Jueren Reply:
Hello: The pain you described is not very clear and seems more like neuropathic pain. I recommend taking her to a large hospital to see a neurologist for an examination. Thank you for your letter. Dr. Tsai Jue-Ren, Hualien Hospital.[Read More] Understanding Sudden Body Pain in Children: When to Seek Help
Understanding Unexplained Facial Pain: When to Seek Medical Help
Unexplained pain~~~ Hello Doctor: I have noticed a small area of hair loss on the lower left side of my face near my left ear, and it feels slightly painful to the touch. I would like to ask why this might be happening, as I have not experienced any trauma or external force. If I...
Dr. Cai Jueren Reply:
Hello: The pain you described may be due to mastoiditis or parotid gland cancer, and another possibility is pain caused by malocclusion. I recommend consulting an otolaryngologist for assistance, such as Dr. Tsai Jue-Ren at Hualien Hospital.[Read More] Understanding Unexplained Facial Pain: When to Seek Medical Help
Understanding Hepatitis B Vaccination for Adolescents: Key Considerations
Issues related to hepatitis B vaccination? The girl is currently 14 years old. During a school health check in the first year of junior high, the results indicated that she is a "carrier of hepatitis B." After further testing at the hospital, it was determined that she ...
Dr. Cai Jueren Reply:
Hello: A negative Hepatitis B surface antibody (Anti-HBs) result may vary depending on different testing machines or reagents. However, since this result is not urgent and will not cause immediate harm to the body, there is no need to worry too much. It is recommended that you vi...[Read More] Understanding Hepatitis B Vaccination for Adolescents: Key Considerations
Managing Low Hepatitis B Antibody Levels: What You Need to Know
How to manage low levels of hepatitis B antibodies? Continuing from the previous question: If surface antibodies were previously produced but their concentration has decreased to undetectable levels, how should this be managed?
Dr. Cai Jueren Reply:
Hello: Due to the high prevalence of hepatitis B carriers in Taiwan, it is recommended that you undergo another check-up next spring to avoid the risk of future infection (low values may be due to issues with the sensitivity of the machine or reagents). If necessary, you should s...[Read More] Managing Low Hepatitis B Antibody Levels: What You Need to Know
Understanding Hepatitis B Test Results: Key Questions Answered
Health Checkup for Hepatitis B Hello, regarding the results of the hepatitis B screening, in 2005, all five tests (HBsAg, HBsAb, HBeAg, HBeAb, HBcAb) were negative. Following the doctor's recommendation, the hepatitis B vaccine was administered, and in 2006, the results show...
Dr. Cai Jueren Reply:
Hello, The following chart is extracted from the Hepatitis Research Center at National Taiwan University, and I hope you can understand it. Interpretation and Clinical Significance of Hepatitis B Serological Markers: | Clinical Significance | HBsAg | HBsAb | HBcAb | HBeAg | H...[Read More] Understanding Hepatitis B Test Results: Key Questions Answered
Understanding Allergens: Which Specialist to Consult for Acne Issues?
Allergen Hello, Dr. Tsai. I have been troubled by acne for the past year and a half, primarily on my chin. When it first occurred, I visited a dermatologist and, after using some oral medications and fruit acid products, I recovered in about a month. However, a year later, it rec...
Dr. Cai Jueren Reply:
Hello Shuyi: The most common allergen tests are patch testing and blood tests. These two types of tests usually have only a few overlapping allergens. Most large hospitals have dermatology departments that offer these tests, and some family medicine departments may also conduct s...[Read More] Understanding Allergens: Which Specialist to Consult for Acne Issues?
Which Specialist Should I See for My Persistent Facial Pain?
I'm not sure which specialty to see? Hello, doctor. My situation is as follows: the symptoms occur occasionally, but recently they have been happening frequently. For the past three to four days, I have experienced multiple episodes of pain in a single day. Initially, there ...
Dr. Cai Jueren Reply:
Hello, your symptoms appear to be quite similar to trigeminal neuralgia. Of course, a detailed examination is necessary for confirmation. I recommend that you first visit the neurology outpatient clinic for an initial assessment. Please rest assured that this is not a serious con...[Read More] Which Specialist Should I See for My Persistent Facial Pain?
Does Not Flushing When Drinking Mean Liver Issues? Find Out!
Drinking alcohol If my face doesn't turn red when I drink alcohol, does that mean my liver is not healthy? Is that true? If I really need to see a doctor, which specialty should I consult? Thank you.
Dr. Cai Jueren Reply:
The flushing of the face when drinking alcohol is not directly related to liver function. If you are still concerned, you can opt for a self-paid health check-up.[Read More] Does Not Flushing When Drinking Mean Liver Issues? Find Out!
Shortness of Breath and Rapid Heartbeat: When to Seek Medical Help?
Shortness of breath and rapid heartbeat? Hello: Since last year, I have occasionally experienced shortness of breath, feeling like I can't get enough air. Each episode lasts about a minute and occurs while walking, and sometimes while sitting. This situation stopped at the b...
Dr. Cai Jueren Reply:
Hello, regarding your condition, it is possible that you are experiencing symptoms of valvular insufficiency. The severity of these symptoms can vary; in some cases, surgery may be required, while in others, medication may not be necessary at all. I recommend that you visit a maj...[Read More] Shortness of Breath and Rapid Heartbeat: When to Seek Medical Help?
Understanding Nail Changes: Signs of Health Issues and Dizziness
Symptoms of Disease Hello Dr. Tsai, I have a question I would like to ask you regarding a white layer on the inner surface of my fingernails that seems to be gradually shrinking. Does this indicate any discomfort or potential disease in the body? Additionally, I sometimes exper...
Dr. Cai Jueren Reply:
Hello Allen: The size of the lunula at the base of the nail varies from person to person, and whether it can be used as a criterion for assessing bodily diseases is still a matter of debate. However, if there is a noticeable change in its size, it may indicate a change in bodily ...[Read More] Understanding Nail Changes: Signs of Health Issues and Dizziness
Effective Ways to Reduce Double Chin: Tips from Family Medicine Experts
Double chin Hello~ Recently, I've noticed that my double chin has become quite prominent. I'm not sure how to get rid of it. Can you give me some advice?
Dr. Xu Li'an Reply:
Little boy, may I ask if you have gained weight? It shouldn't just be a double chin, perhaps it is related to weight gain. I'm not sure how to eliminate a double chin, as you may still grow. Could you please visit a family medicine clinic? I often say that what matters ...[Read More] Effective Ways to Reduce Double Chin: Tips from Family Medicine Experts