Family medicine, Family Medicine FAQ - Page 21

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Understanding Unexplained Headaches: When to See a Family Doctor

Consultation for Unexplained Headaches Hello doctor, I previously fell and hit my head, and now I have some symptoms. I've been checked by both psychiatry and cardiology, but no cause has been found. 1. I experience sharp pain in my head when I look down, which worsens after...


Dr. Liao Yaopan Reply:
Hello, regarding your question, it is recommended that parents take you to a pediatric neurology specialist for evaluation. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about...

[Read More] Understanding Unexplained Headaches: When to See a Family Doctor


Which Medical Specialty Should I Consult for My Symptoms?

Which specialty should I see? Hello, since January, I have been experiencing numerous health issues, particularly discomfort in my eyes and head/neck area. I have undergone OCT, dilation, and fundus photography, which showed a red area in the right eye on the OCT, but my vision i...


Dr. Chen Bozhang Reply:
Hello Ms. Wang: The symptoms you mentioned are diverse, primarily including pain around the eyes, tightness and numbness in the head and neck, muscle twitching, tinnitus, shoulder pain, and dizziness. First, we need to check if your blood pressure is within the normal range (100-...

[Read More] Which Medical Specialty Should I Consult for My Symptoms?


Understanding Umbilical Issues: What to Do About Your Symptoms

There is an issue with the navel? I am currently in the second year of junior high school, and it seems that I have had this symptom since the first year. There is a small white tip-like structure inside my navel, and below the tip, it is black. There are also hard black areas in...


Dr. Chen Bozhang Reply:
Hello, Hsu Chun-Hao: The white, fine growths and the black hard areas in your navel should be examined by a dermatologist for a definitive diagnosis and appropriate management. Dr. Chen Po-Chang, Department of Family Medicine, Keelung Hospital, Ministry of Health and Welfare.

[Read More] Understanding Umbilical Issues: What to Do About Your Symptoms


Understanding Immune System Decline: Risks, Symptoms, and Prevention

Decreased immunity? Recently, some friends around me have experienced a decline in immunity, followed by a cold, which resulted in a lack of response in the left facial nerve, causing swelling in the left eye, difficulty smiling, and loss of taste sensation. I would like to know ...


Dr. Chen Bozhang Reply:
Hello, Xiao Chen: In your message, you mentioned that your friend has experienced a lack of response in the left side of their face after catching a cold, is having difficulty smiling, and cannot taste food. This may be indicative of facial nerve paralysis, which is primarily ca...

[Read More] Understanding Immune System Decline: Risks, Symptoms, and Prevention


Persistent Fever for Three Weeks: What Specialist Should You See?

Continuous fever for three weeks? Hello, my symptoms have included a continuous fever for three weeks (from March 21 to today, April 9), fatigue, generalized weakness, muscle aches, and loss of appetite (I didn't eat for two days during the high fever and didn't feel hu...


Dr. Chen Bozhang Reply:
Dear Ms. Lin, You mentioned in your letter that you have been experiencing continuous fever, fatigue, generalized weakness, and poor appetite for three weeks. You have sought medical attention and taken antiviral medication for suspected influenza, but your symptoms have not imp...

[Read More] Persistent Fever for Three Weeks: What Specialist Should You See?


Do Family Medicine Doctors Conduct All Necessary Tests?

Does family medicine perform all types of examinations? I have many various ailments, including occasional swelling in my legs (which has now resulted in hyperpigmentation). Both my blood sugar levels and cardiovascular assessments have been reported as normal. I experience blurr...


Dr. Huang Xunying Reply:
Your condition may not be fully addressed through a health check-up, but we sometimes recommend conducting preliminary tests to rule out certain diseases. Generally, it is still advisable for you to visit a primary care physician!

[Read More] Do Family Medicine Doctors Conduct All Necessary Tests?


Understanding Calf Swelling: When to See a Doctor

Calf swelling Hello, Doctor: Recently, I have been experiencing severe swelling in my calves on a daily basis. After wearing long pants, I notice indentations on both sides of my calves that take a long time to fade. These indentations can last for several hours before disappeari...


Dr. Chen Bozhang Reply:
Dear Ms. Sunny, Thank you for your letter regarding the swelling in your calf. Given the numerous potential causes, I recommend consulting a physician in internal medicine or family medicine to determine the underlying issue for proper management. Dr. Chen Bozhang Department ...

[Read More] Understanding Calf Swelling: When to See a Doctor


Concerns About HIV: Understanding Symptoms and Risks for Young Men

HIV concerns Doctor, I am a virgin and have never engaged in sexual intercourse, donated blood, or gotten a tattoo. However, I recently noticed some unusual symptoms on my body, such as white patches on the edges of my tongue without bleeding, red spots on my tongue, and a previo...


Dr. Chen Bozhang Reply:
Dear Sir, Thank you for your inquiry regarding your concerns about HIV. The symptoms you mentioned, including the white lesions on the edges of your tongue and the swollen, pus-filled lumps on your thigh, do not have a direct correlation with HIV. It would be more appropriate to...

[Read More] Concerns About HIV: Understanding Symptoms and Risks for Young Men


Persistent Fever for Over Two Months: What to Do Next?

Fever of unknown origin with persistent fever? Hello doctor, my family member is a 45-year-old female who has had a persistent fever ranging from 37.5 to 38.5 degrees Celsius for over two months. We have conducted all possible tests and even visited a large hospital, but no defin...


Dr. Chen Bozhang Reply:
Dear Ms. 77, You mentioned that a family member has been experiencing persistent fever for over two months, despite undergoing numerous tests. There are many potential causes for unexplained fever, including underlying infections, rheumatologic or autoimmune diseases, or tumors,...

[Read More] Persistent Fever for Over Two Months: What to Do Next?


Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective

Determining the presence of pneumonia caused by influenza? Hello Doctor, on the morning of February 27th, I had a fever that fluctuated, so I went to a traditional Chinese medicine clinic to get a one-day supply of medicine. After taking it, I had another fever on February 28th, ...


Dr. Liao Yaopan Reply:
Online consultations are not equivalent to in-person medical visits, and they cannot provide accurate diagnoses or treatment recommendations. Please seek in-person medical care for a proper examination by a physician. Changhua Hospital cares about your health.

[Read More] Identifying Influenza-Induced Pneumonia: A Family Medicine Perspective


Which Specialist to See for Stress-Related Appetite Loss?

Which specialty should I see? Hello Doctor: I have been under a lot of stress lately and have suddenly lost my appetite and do not feel hungry. My weight has been dropping continuously. I don't have any discomfort in my abdomen, but I just can't eat. I'm feeling qu...


Dr. Huang Xunying Reply:
If there is weight loss, decreased appetite, and insomnia, it is recommended to visit a family medicine clinic for an evaluation. Blood tests may be necessary to determine the underlying causes of the weight loss. Thank you.

[Read More] Which Specialist to See for Stress-Related Appetite Loss?


Understanding Persistent Dizziness: Causes and Connections to Eye Discomfort

I have been experiencing frequent dizziness lately? Hello, doctor. I have been experiencing dizziness for a while now. About a month ago, during an exam, I sat for a long time and when I stood up, I suddenly felt lightheaded and could barely stand, but it improved in about 10 sec...


Dr. Huang Xunying Reply:
If you experience discomfort in your eyes, it is recommended to visit an ophthalmologist to check for any abnormalities. If dizziness worsens, further blood tests may be considered, and you might want to consult a family medicine physician or a neurologist.

[Read More] Understanding Persistent Dizziness: Causes and Connections to Eye Discomfort


Understanding Stiff Neck: Causes, Duration, and Relief Strategies

What causes a stiff neck? Last Saturday, I woke up with some pain in the back of my neck, which got worse by the afternoon and evening. I don't have much trouble when standing, but bending over at a certain angle or lying down to sleep causes pain. Even though I apply ice or...


Dr. Huang Xunying Reply:
You may consider consulting a family medicine physician or a rehabilitation specialist, as the underlying cause can only be determined after a medical evaluation.

[Read More] Understanding Stiff Neck: Causes, Duration, and Relief Strategies


Should You Follow Up on Slightly Low Alkaline Phosphatase Levels?

Alkaline phosphatase is slightly low? Hello, I recently received my health check report and found an issue, but I'm unsure whether I need to return for follow-up. The report indicates that my liver and gallbladder tests are normal (transaminases and alanine aminotransferase)...


Dr. Huang Xunying Reply:
As the doctor mentioned, a slightly low result is not a major concern! The follow-up schedule will depend on whether there are any other abnormalities to monitor.

[Read More] Should You Follow Up on Slightly Low Alkaline Phosphatase Levels?


Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions

Decreased hemoglobin and hematocrit levels? Hello, doctor. Last week, I underwent an adult health check and blood tests, and compared to two years ago, my hemoglobin, hematocrit, mean corpuscular volume, and mean corpuscular hemoglobin have all decreased significantly. In 2015 ...


Dr. Huang Xunying Reply:
In addition to Mediterranean anemia, you may also have concurrent iron deficiency anemia. If you are experiencing symptoms, it is advisable to consume other iron-rich foods in addition to apples. Regarding the white blood cells, if there are only abnormalities in the differential...

[Read More] Understanding Decreased Hemoglobin and Hematocrit Levels: Causes and Solutions


Understanding Upper Left Back Pain: When to Seek Medical Help

Left upper back pain? The pain is centered around the left upper back, approximately the size of two palms, with the scapula as the focal point. It started suddenly at 6 AM, and any movement or vibration of the body causes pain, which feels like tearing. In November, I underwent ...


Dr. Ye Qianyu Reply:
Hello, since you have previously undergone an electrocardiogram, it is recommended that you first visit the rehabilitation department for consultation. Thank you for your inquiry, and I wish you a speedy recovery!

[Read More] Understanding Upper Left Back Pain: When to Seek Medical Help


Can I Schedule a Hemoglobin A1c Test During Pregnancy?

Glycated hemoglobin (HbA1c) Hello, may I directly make an appointment for a hemoglobin A1c test at the outpatient clinic? I am currently pregnant (I was diagnosed with stage 2 diabetes before pregnancy, and I am taking half a pill for my meals), and my blood sugar levels are with...


Dr. Huang Xunying Reply:
If you want to test HbA1c, you can directly visit a family medicine clinic or an endocrinology clinic. However, if it is during pregnancy and involves gestational diabetes, it is usually managed by an obstetric specialist. Maintaining a good diet and exercise during pregnancy can...

[Read More] Can I Schedule a Hemoglobin A1c Test During Pregnancy?


Understanding Left Rib Pain: When to Seek Medical Attention

Pain upon palpation of the left lower rib cage? Hello, Dr. Yeh: I would like to ask, a few days ago I suddenly experienced sharp pain in the middle of my ribs, slightly to the left. Most of the time, it only hurts when I press on it, but sometimes I feel a sharp pain. This mornin...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you consult with a family medicine physician or a pulmonologist. Thank you for your inquiry.

[Read More] Understanding Left Rib Pain: When to Seek Medical Attention


Confused About Which Specialist to See for My Symptoms?

Unsure which specialty to consult? Frequent dizziness or headaches, mild anemia (but it's been a year since I started medication), palpitations, shortness of breath, sore throat, irregular menstrual cycle with low flow, abdominal pain, nausea, constipation, low blood pressur...


Dr. Ye Qianyu Reply:
Hello! I recommend that you first visit a family medicine or general internal medicine clinic. Thank you for your inquiry!

[Read More] Confused About Which Specialist to See for My Symptoms?


Understanding Umbilical Pain: Causes and When to Seek Help

Pain around the periumbilical area? Hello, doctor. My daughter is 18 years old. Yesterday, she experienced pain around her navel, so I used a cotton swab to clean the inside of her navel. Yellow fluid, resembling pus, came out, and it had a foul odor. When she woke up today, she ...


Dr. Chen Bozhang Reply:
Hello, Mr. Zhou: Your message mentions that there is yellow pus coming from around your navel, along with some dark, dirty material, and redness on the outer edge, which may indicate a bacterial infection. It is recommended that you visit a nearby dermatology or plastic surgery c...

[Read More] Understanding Umbilical Pain: Causes and When to Seek Help


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