Sudden Dizziness Upon Waking: Should You See a Doctor?
Sudden dizziness? Upon waking up in the morning, I suddenly experienced dizziness, abdominal pain, and a feeling of nausea. I'm not sure if it's because I stayed up late the night before. After a while, I felt somewhat better, but I still occasionally experience dizzine...
Dr. Chen Bozhang Reply:
Hello Qi, In your letter, you mentioned that upon waking up that morning, you suddenly experienced dizziness, abdominal pain, and nausea. If you continue to have similar symptoms during this time, I recommend that you visit a nearby family medicine or general internal medicine ...[Read More] Sudden Dizziness Upon Waking: Should You See a Doctor?
Understanding Low White Blood Cell Count in Adolescents: When to Seek Help
Leukopenia Hello, doctor. My child is currently in the first year of junior high school. They had a blood test done at school, and the report we received today shows a white blood cell (W.B.C.) count of 3.4 K/µL. Should we go back to the hospital for a follow-up? Additionally, wh...
Dr. Liao Yaopan Reply:
Regarding this concern, the reference range for white blood cell count may vary slightly between laboratories. Additionally, it is important to consider the classification of white blood cells to determine if there are any hematological disorders, which may warrant a follow-up wi...[Read More] Understanding Low White Blood Cell Count in Adolescents: When to Seek Help
Understanding Abdominal Distension: When to Seek Medical Advice
Abdominal issues? Hello, doctor. I would like to ask you about a situation where I am not pregnant, but my abdomen seems to be getting larger while my limbs are thin. My belly, especially after eating, looks quite pronounced, almost like I am pregnant. Which specialty should I se...
Dr. Liao Yaopan Reply:
Hello, online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. In the above situation, it is still advisable to consult a family medicine or gastroenterology physician for further evaluation. We care about you.[Read More] Understanding Abdominal Distension: When to Seek Medical Advice
Understanding Respiratory Issues After Pesticide Inhalation: When to Seek Help
Inhalation of pesticides Hello Doctor, yesterday morning I helped spray pesticides, and that evening I felt a tightness in my throat, chest discomfort, and difficulty breathing. I went to the hospital's emergency department. The emergency physician arranged for an X-ray, an ...
Dr. Liao Yaopan Reply:
Hello, if you still experience difficulty breathing or discomfort in your chest, you can return to the chest medicine department or family medicine clinic for evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide a diagnosis o...[Read More] Understanding Respiratory Issues After Pesticide Inhalation: When to Seek Help
Understanding Diarrhea: When to Seek Further Treatment for Gastroenteritis
Diarrhea issues Hello, Doctor. I would like to ask: I have been experiencing diarrhea for the past four days. The diarrhea is watery and mixed with some soft stools (not formed). The stool color is yellow, without blood or mucus, and I do not feel abdominal pain, but there is sig...
Dr. Liao Yaopan Reply:
Hello, there are many causes of diarrhea. Aside from infections, factors such as food influences or changes in gastrointestinal motility can also be related. If diarrhea persists, it is advisable to seek further evaluation from a gastroenterologist. Please note that online consul...[Read More] Understanding Diarrhea: When to Seek Further Treatment for Gastroenteritis
Understanding Sudden Fainting: Causes, Concerns, and Next Steps
Sudden fainting? A while ago, around eight o'clock in the evening, I was dozing off on the sofa when I suddenly received a phone call. I got up to answer it and spoke on the phone for about 3 to 5 minutes when I suddenly fainted and lost consciousness, hitting my leg on the ...
Dr. Liao Yaopan Reply:
Hello, regarding the situation you mentioned, it is advisable to first confirm the assessment of cardiac and neurological functions before discussing your subsequent conditions with specialists in these fields. Please be reminded that online consultations do not equate to in-pers...[Read More] Understanding Sudden Fainting: Causes, Concerns, and Next Steps
Understanding Persistent Health Issues: A Family Medicine Perspective
The body has been experiencing ongoing issues? Doctor, I have been experiencing drowsiness around 2 PM since July, often falling asleep on the living room sofa. I have a mild scoliosis and am concerned it may worsen. At the end of July, while riding my scooter, I accidentally bum...
Dr. Liao Yaopan Reply:
Hello, physiological changes or psychological anxiety may be potential causes. It is recommended that you first seek a preliminary evaluation from your family physician, and then determine if a referral to another specialist is necessary based on the situation. Online consultatio...[Read More] Understanding Persistent Health Issues: A Family Medicine Perspective
Can Family Medicine Doctors Prescribe GERD and MVP Medications?
Medication issues related to gastroesophageal reflux disease (GERD) and mitral valve prolapse (MVP)? Hello, I previously had gastroesophageal reflux disease and mitral valve prolapse. A while ago, my doctor prescribed me some backup medication, but it's been a long time. I p...
Dr. Liao Yaopan Reply:
Hello, it is recommended that you discuss with your family physician, as the use of medication should be prescribed based on your current symptoms, and there are relevant regulations regarding medication coverage under health insurance. Please note that online consultations are n...[Read More] Can Family Medicine Doctors Prescribe GERD and MVP Medications?
Should I See a Family Doctor or Dentist for My Symptoms?
Which specialty should I see? Hello Doctor: For about a week, my front teeth have been bleeding at the gaps, either briefly or when I brush my teeth. Additionally, my throat feels very dry, and I only cough up phlegm with a coffee-black color in the morning after waking up; I do ...
Dr. Liao Yaopan Reply:
Hello, if symptoms persist, dental follow-up is still necessary. Changhua Hospital cares about you.[Read More] Should I See a Family Doctor or Dentist for My Symptoms?
Urgent Concerns About Low Hemoglobin Levels Before Medical Exam
I have a low hemoglobin level in my health check-up. I'm really anxious about it; please help me? On October 2nd, my blood test showed a hemoglobin level of 9.9, while the first test was 9.6. I need to pass a level of 11.6 before the end of October to qualify for my desired ...
Dr. Liao Yaopan Reply:
Hello, regarding anemia, it is important to identify the underlying cause. If necessary, a referral to a hematologist for further evaluation may be required. As for blood transfusions, it depends on whether there are life-threatening indications based on clinical assessment. Plea...[Read More] Urgent Concerns About Low Hemoglobin Levels Before Medical Exam
Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
A cold can lead to difficulty breathing? Hello Doctor: Around early August, I experienced cold symptoms and visited three ENT clinics. At the third clinic, after taking medication, I experienced difficulty breathing and felt short of breath, but I didn't have these symptoms ...
Dr. Liao Jiasheng Reply:
Due to experiencing shortness of breath while walking, elevated blood pressure, and a rapid heartbeat, it is recommended to schedule an appointment with a cardiologist for further evaluation.[Read More] Understanding Breathing Difficulties After a Cold: A Family Medicine Perspective
Understanding Sudden Drops in Hemoglobin Levels: Causes and Solutions
Hemoglobin levels can drop suddenly due to several reasons, including: 1. Acute blood loss: This can occur from trauma, surgery, or gastrointestinal bleeding. 2. Hemolysis: Conditions that cause the destruction of red blood cells, such as autoimmune hemolytic anemia or certain i...
Dr. Chen Bozhang Reply:
Dear Ms. Jean, Regarding your recent blood test indicating anemia, here is the analysis: The mean corpuscular volume (MCV) of your red blood cells is 70.40 fL, which is low (normal range is 80-100 fL). Your red blood cell count is 5.10 x 10^6, which is high (normal range is 3.5-...[Read More] Understanding Sudden Drops in Hemoglobin Levels: Causes and Solutions
Common Oral Issues: Pain and Bad Breath After Dental Cleaning
Oral issues? Hello, doctor. I have a few questions to ask: 1. Last Saturday, I had a dental cleaning, and after two or three days, I noticed pain in the gum tissue on the inner middle and left side of my teeth. I visited the dentist, who mentioned there was some redness. Addition...
Dr. Chen Taicheng Reply:
● For dental issues, please consult your orthodontist to determine the most suitable treatment and check for any occlusal problems. ● For oral malodor, consider whether it is related to food (strong or spicy), any allergic conditions (such as asthma or allergic rhinitis), or post...[Read More] Common Oral Issues: Pain and Bad Breath After Dental Cleaning
Understanding Nipple Scabs and Hard Lumps in Teenage Boys
There is crusting on the nipple, and there is a hard lump inside? I am a middle school boy, but I feel that there is something unusual with my nipples. I used to feel a hard lump in my right nipple, but after a few weeks, the lump moved to the left side. I usually surf, but after...
Dr. Chen Taicheng Reply:
● Given your age, the likelihood of breast cancer is extremely low. Please visit a pediatrician first. ● The lump inside the nipple is likely just a gland, possibly caused by surfing injuries. Wishing your mother good health. Dr. Chen Tai-Cheng from Taoyuan Hospital Family Medici...[Read More] Understanding Nipple Scabs and Hard Lumps in Teenage Boys
Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Is it really a urinary tract infection? Hello, my mother has undergone a bladder suspension surgery, but in recent years, the surgical sutures have come loose, leading to urinary incontinence that requires her to wear adult diapers to maintain her daily life (she also changes the...
Dr. Chen Taicheng Reply:
● If the issue is related to postoperative sutures, the focus should be on addressing the sutures or any ongoing urinary incontinence problems. Women may experience pelvic organ prolapse (such as the uterus, vagina, urethra, and intestines) due to childbirth, aging, estrogen defi...[Read More] Is It Really a Urinary Tract Infection? Understanding Your Mother's Symptoms
Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
It should not be a diabetic patient; urine ketones were 2+ while blood glucose was normal. After 5 days, urine ketones increased to 3+? I recently underwent a medical examination due to issues with body odor and discovered that my urine ketone levels were abnormal. I would like t...
Dr. Chen Taicheng Reply:
Ketones are products of the body's breakdown of fat for fuel, which can occur in conditions such as type 1 diabetes, prolonged fasting, fever, infections, chronic diarrhea, and vomiting. Unless there is severe ketoacidosis, there may be a distinctive fruity odor. Given your ...[Read More] Understanding Ketosis: Causes of Unusual Body Odor and Management Tips
Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More
Blood test issues Hello Dr. Chen: I recently received my blood donation report, which shows total cholesterol at 188 mg/dL, LDL-C at 132 mg/dL, glycated hemoglobin (HbA1c) at 5.9%, blood pressure at 115/77 mmHg, and ALT at 13 U/L. I would like to ask: 1. Do these results indica...
Dr. Chen Taicheng Reply:
● Total cholesterol is generally considered normal if it is ≤200 mg/dL, and LDL-C is considered normal if it is ≤130 mg/dL, indicating only a slight increase. This is not classified as high lipid levels, and given your age, your cardiovascular risk is generally low. ● The norma...[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and More
Understanding Vasovagal Syncope: Causes and Recovery Tips
Fainting without any apparent reason? Yesterday morning, from 9:00 to 10:00, I was practicing riding a motorcycle outside. After that, a kind person came to teach me some exam techniques for about 10 minutes. I started to feel my vision narrowing and turning black, and then I fai...
Dr. Chen Taicheng Reply:
It is indeed possible that the cause of vasovagal syncope is prolonged standing, leading to blood pooling in the lower extremities and resulting in lower blood pressure, which can cause fainting. The causes of syncope are numerous, and the first step is to rule out cardiac-relate...[Read More] Understanding Vasovagal Syncope: Causes and Recovery Tips
Understanding Abdominal Pain: When to See a Family Medicine Specialist
Abdominal issues? Hello, doctor. In the past year, I've been preparing for exams and have noticed some health issues, but I'm unsure which specialist to see. I've been experiencing intermittent pain near the lower right groin area, which is not constant but occurs ...
Dr. Chen Taicheng Reply:
● All your considerations are possible, but the focus should remain on musculoskeletal issues, and medication can be used to assist. However, women should also consider problems related to the urinary and reproductive systems, such as cystitis, stones, pelvic diseases, or conditi...[Read More] Understanding Abdominal Pain: When to See a Family Medicine Specialist
Understanding Persistent Fatigue: Common Causes and Solutions
Continuous health issues? Dear Doctor, I have been feeling very sleepy for the past few days. I first noticed it on the first day when I felt the urge to sleep around 9 or 10 AM at work and ended up sleeping for over an hour. I also took a nap during lunch for more than an hour...
Dr. Chen Taicheng Reply:
- Seek medical attention to check for any infections or other bodily abnormalities. - If there are indentations on the tongue without any wounds, there is no need to worry too much; sometimes this is related to poor sleep or high stress levels. - The small red spots on the tong...[Read More] Understanding Persistent Fatigue: Common Causes and Solutions