Family medicine, Family Medicine FAQ

Concerns About Discontinuing Cholesterol Medication in Family Medicine

Concerns Regarding Medications for Hyperlipidemia Hello, doctor. I would like to consult about my father. He visits a family medicine clinic near our home every month, and every three months he receives medication for his three high conditions (hypertension, hyperlipidemia). Howe...

Dr. Ye Qianyu Reply:
Hello! The target levels for hyperlipidemia medication are determined based on individual risk factors. There are also relevant regulations for health insurance coverage. Typically, if dietary and exercise modifications do not achieve target levels after 3-6 months, medication tr...

Understanding Chronic Fatigue: Causes, Tests, and Treatment Options

The reasons for fatigue and the desire to sleep can vary widely. To investigate these symptoms, several tests can be conducted, including: 1. Complete Blood Count (CBC) - to check for anemia or infection. 2. Thyroid Function Tests - to assess for hypothyroidism or hyperthyroidis...

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related to mental health problems or medication side effects, but it is also important to consider the possibility of physiological diseases, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, o...

Understanding Persistent Fatigue: Causes, Tests, and Treatment Options

Dr. Lin Zhebin Reply:
Hello: Your issue of fatigue and drowsiness may be related not only to mental health problems and medication side effects but also to the possibility of underlying physiological conditions, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, or h...

Which Specialist to See for Abnormal Health Check Results?

Health examination issues Hello, doctor. I recently had a health check-up, and the results showed a leukocyte esterase level of 3+ and a total cholesterol level of 235 (with the standard being below 200). Which specialty should I consult for this? The leukocyte esterase result of...

Dr. Cai Dongqi Reply:
Hello Ms. Lin: 1. The presence of leukocyte esterase indicates a urinary tract infection, as it is produced by bacteria. If you currently have a fever and elevated white blood cell count, it suggests an active infection; if not, it indicates that a previous infection has resolved...

Unexplained Swelling and Pain in the Finger: Possible Causes and Solutions

Unexplained swelling and pain in the fingers? Hello Dr. Lin, I have been experiencing a mild tingling and prickling sensation in the first joint of my left index finger for a while, but since the symptoms disappeared after a few occurrences, I didn't think much of it. Howeve...

Dr. Lin Zhebin Reply:
Hello: You may need to consider cellulitis or tendonitis in your left index finger. It is recommended that you first visit a family medicine or orthopedic clinic for evaluation.

Which Specialist to See After a Spine Injury: A Guide for Patients

After accidentally injuring your spine, which specialty should you consult? Three months ago, while sitting in a chair, I accidentally bumped my spine (the impact point was approximately at the junction of the thoracic and lumbar regions) while changing my position. Since then, I...

Dr. Ye Qianyu Reply:
Hello! For acute issues, it is recommended that you see an orthopedic specialist, preferably one who deals with spinal problems. The sensation loss in your right foot corresponds to the lumbar or even sacral regions. It is advisable to provide a complete description of your sympt...

Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine

More detailed questions? Hello Doctor, I am the person who asked question #206159. I have more related questions today as mentioned in the previous article. My mother has been experiencing diarrhea for two months, accompanied by weight loss, dropping from around 55 kg to 48 kg. H...

Dr. Ye Qianyu Reply:
Hello! If probiotics are helpful, you can continue taking them and gradually reduce the dosage. It's important to maintain a balanced diet that includes all six essential nutrients. Additionally, inquire about the source of the eggs and whether they are cooked, considering t...

Unusual Symptoms After Illness: Understanding Your Body's Signals

Abnormal symptoms after illness? Hello doctor, a few days ago I had a fever, and after recovering, I noticed some unusual symptoms that I don't typically experience: 1. My eye pressure sometimes suddenly spikes. 2. I have been experiencing unexplained sores in my mouth, and ...

Dr. Chen Bozhang Reply:
Dear Canned Cat, You mentioned in your letter that after recovering from a fever, you are experiencing symptoms such as occasional elevated intraocular pressure, mouth sores, and a distorted sense of smell. Due to the various possibilities, I recommend that you visit a general i...

Effective Strategies to Reduce Belly Fat: A Guide for Young Adults

Abdominal obesity issue I have a belly bulge that I've had since I was 23 years old. How can I lose belly fat? Is my metabolism slow?

Dr. Lin Zhebin Reply:
Hello: The general methods for weight loss primarily involve dietary control combined with exercise. Additionally, it is important to consider whether there are any underlying medical conditions contributing to obesity, or if pharmacological assistance for weight loss may be appr...

Understanding Weight Loss After COVID-19: When to Seek Help

Weight loss Hello doctor, I had COVID-19 and developed sequelae in early February, including shortness of breath and coughing. I have seen a doctor about this. After that, I started staying up late during the winter break, and my weight went from 49 kg to now. I have begun eating...

Dr. Lin Zhebin Reply:
Hello: The general definition of significant weight loss is a decrease of 5 kilograms or 5% of body weight within six months to a year. Given your current weight and the fact that you have lost 1.2 kilograms in half a month, it is indeed necessary to consider the possibility of a...

Unexpected Cold Symptoms: Understanding Causes and Concerns

Catching a cold for no apparent reason? One morning I woke up with a sudden sore throat, and shortly after, I developed a fever. Initially, I tested for COVID-19 at home, but the result was negative. Later, I went to the hospital to test for influenza A, which also came back nega...

Dr. Chen Bozhang Reply:
The incubation period for the common cold virus is approximately 1 to 3 days, typically starting with a sore throat, followed by the potential development of other symptoms. If there are any concerns, you may visit a family medicine or general internal medicine clinic for evaluat...

Understanding Arm Hardness and Pain in Seniors: A Family Medicine Perspective

Inquiry about elderly arm issues? I recently noticed that my elderly relative has areas on both arms that feel hard when pressed, but there are no noticeable lumps. When I asked him about it, he mentioned experiencing soreness. The hardness feels somewhat similar to that of a you...

Dr. Lin Zhebin Reply:
Hello: Based on your description, it seems more like a case of localized muscle tension and contraction. If you continue to experience lumps and soreness, it is advisable to consider visiting a family medicine physician.

Can Winter Morning Showers Trigger Migraines? A Family Medicine Perspective

Headache Hello, Doctor! I would like to ask if washing my hair in the morning during winter can cause migraines. Thank you, Victoria.

Dr. Liu Hongxiang Reply:
Hello Victoria: Generally, washing your hair in winter does not cause headaches. However, if you are under significant stress, fatigued, or sensitive to pain, it can trigger headaches. In such cases, you may try massage, heat therapy, and adequate rest to see if it helps improve ...

Consultation on Trichomoniasis Infection and Treatment Options

Consultation on Trichomoniasis Infection Issues Hello Doctor, about two years ago I was diagnosed with a Trichomonas vaginalis infection, and at that time, the doctor prescribed "Johnson" Metronidazole tablets for seven days. After completing the treatment, I did not re...

Dr. Liao Yaopan Reply:
Hello, trichomoniasis infection requires complete treatment for both partners. The current symptoms need further investigation to confirm the underlying cause and to ensure appropriate treatment. Online consultations are not equivalent to in-person medical visits and cannot provi...

Persistent Pain After Injection: Causes and Next Steps

The injection site may be painful? I received an anti-inflammatory injection in my right arm, and it has been two weeks since then. The injection site still experiences pain, the arm feels sore, and there is slight weakness, although there are no visible abnormalities. Could you ...

Dr. Chen Bozhang Reply:
Please return for a follow-up appointment with the original treating physician for evaluation, or visit a family medicine clinic for care. Thank you.

Which Medical Specialty Should You See for Rib Pain After a Fall?

Which specialty should I see? Hello, doctor. After falling last week, I have been experiencing pain near my ribs. There are no external injuries or bruises, but the area hurts significantly when I run or laugh. Should I seek medical diagnosis and treatment? Which department shoul...

Dr. Lin Zhebin Reply:
Hello: Based on your description, it is more likely that you have a chest contusion from the fall, which usually heals naturally within a few weeks. However, if the pain persists without improvement or worsens, especially if accompanied by shortness of breath, it is important to ...

Unexplained Left-Side Numbness and Pain: Seeking Answers in Medical Care

Numbness on the left side of the body, along with weakness and soreness on the inner side of the left arm, with no identifiable cause? Since early last year, I have been experiencing numbness in my left pinky and ring fingers, which then progressed to my legs. By the end of the y...

Dr. Lin Zhebin Reply:
Hello: Based on your symptoms of discomfort on the left side and the tests you have undergone, it may be advisable to consider a cervical MRI to check for any cervical nerve compression. I recommend consulting with a neurologist or neurosurgeon for this matter. Additionally, rega...

Understanding Left Lower Abdominal Pain: When to Seek Medical Help

Mild pain in the lower left abdomen? Hello Doctor: I would like to ask which specialty I should see. I have a mild aching pain about 10 centimeters to the left of my navel, roughly three fingers down. This occurs when I sit and then stand up, but it resolves once I stand up strai...

Dr. Chen Bozhang Reply:
It is recommended to first visit a family medicine clinic for an evaluation by a physician. Thank you.

Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine

Unknown etiology? My normal body temperature ranges from 36.4 to 37.3 degrees Celsius. I have a history of fatty liver disease, and my mother and her relatives have issues related to hypertension, hyperlipidemia, and gastrointestinal problems. My father's side has a history ...

Dr. Xiao Yongxun Reply:
Dear Mr. Lseedead: 1. Since you have been hospitalized and undergone many tests that all returned normal results, I believe that given your age, there shouldn't be any significant issues. 2. The pulmonologist and infectious disease specialist have reviewed your imaging and ...

Can Family Medicine Address Glandular Ulcer Issues?

Glans issues It seems like you have a sore on your glans (without sexual activity). Since the urology department is always fully booked, I noticed that the family medicine department also addresses urological and reproductive issues. Can I see a family medicine doctor?

Dr. Ye Qianyu Reply:
Hello! Since you have clear symptoms, it is recommended that you visit a urology specialist. If the appointments are full, you can ask the registration staff for guidance on how to proceed.

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