Family medicine, Family Medicine FAQ - Page 13

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Understanding Body Odor: Causes, Symptoms, and Treatment Options

Body odor issues I have had a severe body odor for the past three years, and even people who are far away from me say it smells bad. It started suddenly one day three years ago. I can't smell it myself, but my friends say it has a fishy odor. Do I have axillary osmidrosis, o...


Dr. Chen Bozhang Reply:
Hello! It is recommended that you consult with a family medicine or dermatology specialist for medical advice and treatment. Thank you.

[Read More] Understanding Body Odor: Causes, Symptoms, and Treatment Options


Understanding Elevated Body Temperature: When to Seek Further Medical Advice

Elevated body temperature? Hello, doctor. I recently purchased a new ear thermometer. In the morning, my temperature readings are around 36.9 to 37.1 degrees Celsius, but by noon, it rises to above 37.5 degrees, though it does not exceed 38.0 degrees. The forehead temperature mea...


Dr. Chen Bozhang Reply:
Hello! If you experience any discomfort or have concerns, it is recommended that you visit a family medicine physician and inform the doctor about when you received the vaccine to assist in their diagnosis. Thank you.

[Read More] Understanding Elevated Body Temperature: When to Seek Further Medical Advice


Understanding Back Pain and Headaches: When to Seek Medical Help

Back pain, headache? On October 28, I woke up with pain on the left side of my back. That evening, I visited a traditional Chinese medicine clinic and received acupuncture, but the pain persisted the next day. It then shifted to pain below my right scapula, primarily occurring du...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine or general internal medicine clinic.

[Read More] Understanding Back Pain and Headaches: When to Seek Medical Help


Understanding High Cholesterol: Do You Need Medication and Lifestyle Changes?

High cholesterol Triglycerides (64), high-density lipoprotein (53.7), low-density lipoprotein (160), total cholesterol (223), weight 56 kg, height 156.5 cm, exercising 1 hour daily. Is this cholesterol level too high? Is medication needed for control? Will medication be required ...


Dr. Hou Angting Reply:
Hello Aili: Your blood lipid levels are higher than normal. It is recommended that you maintain a regular exercise routine and avoid binge eating. Additionally, please visit the family medicine clinic regularly for check-ups and evaluations by your physician. Wishing you good hea...

[Read More] Understanding High Cholesterol: Do You Need Medication and Lifestyle Changes?


Preventing Hornet Stings: Essential Tips for Outdoor Activities

Prevention of Asian Giant Hornet Stings Hello Dr. Liao, Due to the need for outdoor activities, in addition to the following precautions: 1. Use insect repellent containing DEET; 2. Avoid dark-colored, woolen, or rough-textured clothing materials, and it is best to wear smooth, ...


Dr. Liao Yaopan Reply:
Hello, regarding a few questions: 1. Normal saline is recommended. 2. All are prescription medications. 3. Currently, a physician's prescription is still required, but not all hospitals have this medication available. Changhua Hospital cares about you.

[Read More] Preventing Hornet Stings: Essential Tips for Outdoor Activities


Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor

Calf pain Hello, Doctor. I haven't really paid attention to when it started, but I remember it was during my senior year of high school. One night, it was raining, and when I went to bed, I experienced severe pain in my calves that kept me from sleeping. Recently, I've ...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a rehabilitation specialist to assess for any lumbar spine issues. During the acute phase, medication treatment may be used, followed by a rehabilitation plan. You can also consult with a rehabilitation physician or physical therapist for a...

[Read More] Understanding Calf Pain: Causes, Symptoms, and When to See a Doctor


Diarrhea and Rapid Heartbeat: When to See a Doctor?

Diarrhea and rapid heartbeat? Hello, doctor: Recently, my bowel movements have been unformed, and in the last two instances, I noticed that I experienced a rapid heartbeat during defecation. I'm not quite sure what palpitations feel like; I can feel the arteries in my abdome...


Dr. Ye Qianyu Reply:
Hello! Based on your description of acute symptoms such as diarrhea and palpitations (feeling your heartbeat), please monitor your body temperature. If the symptoms persist, it is advisable to visit a family medicine or gastroenterology clinic for evaluation.

[Read More] Diarrhea and Rapid Heartbeat: When to See a Doctor?


Understanding Weight Loss and Appetite Changes After Vaccination

Decreased appetite and weight loss? Hello, doctor. I received the Az vaccine half a month ago, and at that time, I experienced symptoms such as dizziness, fever, and muscle aches. After a few days, I gradually recovered, but my appetite has significantly decreased, and I am eatin...


Dr. Hou Angting Reply:
Hello, if you experience unexpected changes in weight, it is recommended that you visit a family medicine clinic for a physician's examination and evaluation. Wishing you good health.

[Read More] Understanding Weight Loss and Appetite Changes After Vaccination


Unexplained Fatigue After Vaccination: When to See a Family Doctor

Unexplained fatigue and a desire to sleep? Hello, doctor. Recently, I've been experiencing fatigue upon waking up. It has worsened after receiving a vaccine about a week ago, and I'm unsure if it's related to the vaccine. Even though I've been sleeping for ove...


Dr. Ye Qianyu Reply:
Hello, yes, you can visit a family medicine clinic for consultation.

[Read More] Unexplained Fatigue After Vaccination: When to See a Family Doctor


Understanding Knee Extension Issues: Could Gout Be the Cause?

Inability to fully extend the knee? Hello doctor, I started experiencing sudden soreness in my thigh last night, which later progressed to difficulty fully extending my leg while walking, accompanied by significant soreness and pain. Could this be related to gout? I have high uri...


Dr. Hou Angting Reply:
Hello, user: I recommend that you visit a family medicine specialist for an examination to clarify the cause of your condition. Wishing you a swift recovery to good health.

[Read More] Understanding Knee Extension Issues: Could Gout Be the Cause?


Post-AZ Vaccine: Managing Fever and Diarrhea Symptoms

After receiving the AZ vaccine, there is a slight increase in body temperature and diarrhea? Hello, doctor. I have completed the AZ vaccine five days ago. For the first two days, I experienced fever and soreness at the injection site as described. By the third day, aside from the...


Dr. Chen Bozhang Reply:
Hello, Xuan: In your message, you mentioned that starting from the fourth day after receiving the vaccine, you have experienced a slightly elevated body temperature, fatigue, and diarrhea. These symptoms may not necessarily be related to the vaccine. If the discomfort persists, i...

[Read More] Post-AZ Vaccine: Managing Fever and Diarrhea Symptoms


Understanding Dizziness: Causes and When to Seek Medical Help

Dizziness issues? Hello, doctor: I have experienced several instances where, after riding my motorcycle for about 1 to 3 hours and stopping for approximately 10 minutes, I start to feel chest tightness and discomfort. Suddenly, I experience vision blackouts, instability while sta...


Dr. Chen Bozhang Reply:
Dear Ms. Chen, In your letter, you mentioned that during several instances of riding your bike, you experienced symptoms such as chest tightness, blurred vision, dizziness, cold sweats, and difficulty breathing. These symptoms are likely related to cardiovascular issues, includi...

[Read More] Understanding Dizziness: Causes and When to Seek Medical Help


Understanding Finger Pain: Causes and When to Seek Medical Advice

Swollen, painful, and shortened fingers? Hello Dr. Chen, I have been experiencing intermittent swelling and pain in the skin around the nails of my fingers (distal phalanges) on both hands for about two months. The pain is not in the joints; it is specifically in the flesh beside...


Dr. Chen Bozhang Reply:
Hello! It is recommended to first consult a family medicine physician for a professional evaluation. Thank you.

[Read More] Understanding Finger Pain: Causes and When to Seek Medical Advice


Understanding the Risks of Long-Term Use of Anxiety Medications for Sleep

Medication Consultation Hello, Doctor. Recently, I've been having difficulty falling asleep, so my family medicine clinic doctor prescribed me Ambien to take every night before bed. Initially, I was given a week's supply of seven pills, and I didn't take them every...


Dr. Chen Bozhang Reply:
Hello! It is advisable to consult your primary care physician. Thank you.

[Read More] Understanding the Risks of Long-Term Use of Anxiety Medications for Sleep


Which Specialist to See for Multiple Symptoms: A Guide

Which specialty should I see for various symptoms? Hello Doctor: About a month ago, I started experiencing dizziness. I consulted a neurologist, but no cause was found, and the medication for inner ear dizziness was not effective. Subsequently, I began having vivid dreams and the...


Dr. Chen Bozhang Reply:
Dear Anonymous Lady, In your letter, you mentioned experiencing dizziness, difficulty sleeping, pain around the ears and neck, and tenderness under your right armpit. These multiple symptoms require a detailed consultation and evaluation by a physician. It is recommended that yo...

[Read More] Which Specialist to See for Multiple Symptoms: A Guide


Understanding Elevated Body Temperature: Causes and Concerns in Family Medicine

Elevated body temperature? Hello, doctor. Since the outbreak of the pandemic in Taiwan, I have been regularly monitoring my temperature due to overlapping exposure with confirmed cases. Previously, I only measured my forehead temperature at work, which mostly ranged from 36.6 to ...


Dr. Liao Yaopan Reply:
Hello, if infections or endocrine system abnormalities have been ruled out, it is recommended to consult with an allergist or immunologist for further evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatmen...

[Read More] Understanding Elevated Body Temperature: Causes and Concerns in Family Medicine


Understanding Hand and Foot Swelling: Causes and When to Seek Help

Swelling in the palm with mild pain? Hello Doctor, I would like to ask you about a symptom where my palms or the soles of my feet feel swollen after waking up, but the swelling returns to normal after getting out of bed for a while. However, in the evening before going to sleep, ...


Dr. Liu Hongxiang Reply:
Hello Mr. Kobayashi: Regarding the sensation of swelling in the palms or soles upon waking, which resolves on its own after a while, this symptom is quite nonspecific. It is advisable to visit a hospital for a clearer diagnosis by a physician, either in internal medicine or famil...

[Read More] Understanding Hand and Foot Swelling: Causes and When to Seek Help


Understanding Blood Sugar Levels: Are You at Risk for Diabetes?

Glycated hemoglobin (HbA1c) and fasting blood glucose levels are used to diagnose diabetes? Hello Doctor, I would like to ask you a few questions: I had a diabetes test done a year ago on August 2020, where my fasting blood glucose was 83 mg/dL and my hemoglobin A1c was 5.61%. I ...


Dr. Huang Hongshuo Reply:
The reference upper limit for fasting blood glucose is 99 mg/dL, while the upper limit for blood glucose two hours after a meal is 139 mg/dL. Hemoglobin A1c, often referred to as average blood glucose, has an upper limit of 5.6%. The range for elevated fasting blood glucose is 10...

[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?


Sudden Inability to Walk: Possible Causes and Specialist Recommendations

Sudden inability to walk? Hello doctor, I would like to ask about a situation I experienced. One morning, I found it difficult to turn over and get out of bed. After getting out of bed, I was unable to put weight on my right leg. Both sitting down and standing up cause pain that ...


Dr. Chen Bozhang Reply:
Dear Ms. M, In your letter, you mentioned that one morning you woke up and were unable to put weight on your right foot, experiencing pain in your hip and leg. These symptoms may indicate nerve compression or issues with blood circulation. If the symptoms were brief and have sin...

[Read More] Sudden Inability to Walk: Possible Causes and Specialist Recommendations


Unexplained Tongue Discomfort: Left Side Sensation and Pain

Foreign body sensation on the left side of the tongue, with a prickling pain at the tip of the tongue? Hello Doctor: Recently, I've been experiencing an unusual sensation in my tongue, particularly on the left side near the base, where I feel a foreign body sensation. I cons...


Dr. Huang Hongshuo Reply:
The more common cause is "gastroesophageal reflux" leading to inflammation of the tongue mucosa, which requires an upper gastrointestinal endoscopy to rule out malignancy. Treatment can be time-consuming and includes medications to reduce (suppress) gastric acid, promot...

[Read More] Unexplained Tongue Discomfort: Left Side Sensation and Pain


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