Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Bloating for several days? I have been experiencing bloating for about five days now, which has caused me to lose my appetite and have trouble sleeping. The bloating is located in the area below my chest and above my navel. During my recent visit to the doctor, I was diagnosed wi...
Dr. Chen Taicheng Reply:
Considering your age and condition, it is likely that you are experiencing gastrointestinal issues, which may include dyspepsia, gastritis, gastroesophageal reflux disease (GERD), or peptic ulcers. Generally, gastrointestinal problems tend to improve gradually; however, if sympto...[Read More] Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Sudden Facial Swelling in Teens: Causes and When to Seek Help
Sudden swelling of the cheek? My 16-year-old son suddenly developed swelling in his cheek after returning from a tomb-sweeping visit on Sunday afternoon. The swelling is not painful, itchy, or red. We visited a nearby clinic's ENT department, but the doctor couldn't ide...
Dr. Chen Taicheng Reply:
● To assess the degree and location of the swelling, if one side of the cheek suddenly becomes swollen, it is more likely due to an infection or inflammation. For example, swelling can occur from mosquito bites while visiting a cemetery, or it may be due to cellulitis of the chee...[Read More] Sudden Facial Swelling in Teens: Causes and When to Seek Help
Health Concerns: Can Contaminated Money Affect Your Breakfast?
Health issues I would like to ask the doctor: If a breakfast shop collects money and does not wash their hands before preparing food, could the bacteria or viruses on the money cause discomfort after eating? Additionally, if the money comes into contact with cooked food, can the ...
Dr. Chen Taicheng Reply:
● Poor hand hygiene can transfer viruses and bacteria to food, causing gastrointestinal discomfort for consumers; however, the dietary habits and gastrointestinal health of Taiwanese people are generally well-trained in the current dining environment. ● Cooking food thoroughly ca...[Read More] Health Concerns: Can Contaminated Money Affect Your Breakfast?
Understanding Pain Below the Diaphragm: Possible Causes and Concerns
Hello doctor, I have pain below the diaphragm? There is persistent pain under the diaphragm, but I had an endoscopy two years ago. I am unsure if there might be issues with the pancreas or liver. Thank you, doctor.
Dr. Chen Taicheng Reply:
● Right subdiaphragmatic pain may be caused by conditions such as right-sided pneumonia, costochondritis, pleuritis, subdiaphragmatic abscess, hepatitis, liver abscess, gallstones, cholecystitis, gastritis or duodenitis, other gastrointestinal issues, and kidney stones. ● Left ...[Read More] Understanding Pain Below the Diaphragm: Possible Causes and Concerns
Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Causes of sore throat and issues related to insomnia? Hello Doctor: In February, I had a cold and felt unwell, so I went to a clinic to see a doctor and took some medication. My throat still felt a bit uncomfortable; initially, I thought it was due to a fishbone, but after examin...
Dr. Chen Taicheng Reply:
● There is a strict definition for contacts of tuberculosis: individuals who have been in contact with an index case (such as a colleague with pulmonary tuberculosis) for more than 8 hours in a single day, or a cumulative total of over 40 hours during the infectious period. If th...[Read More] Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Understanding Left Lower Abdomen and Back Pain: When to Seek Medical Help
There is pain in the lower left abdomen and left lower back when standing, and it becomes more painful when turning over in bed? Hello Dr. Chen, I have been suffering from pain in my left lower back and left lower abdomen recently, and I'm unsure which specialty I should con...
Dr. Chen Taicheng Reply:
● There are many causes of lower back pain, with the majority being due to muscle strains in the lumbar region, followed by spinal issues. If pain occurs during movement or stretching of the lower back, one should consider problems such as spinal joint degeneration, spondylolisth...[Read More] Understanding Left Lower Abdomen and Back Pain: When to Seek Medical Help
Understanding Chest Pain: When to Seek Medical Attention
Chest issues Hello, recently when I eat, I feel a bit of pain in the area just above the right chest, about two centimeters away from the esophagus. It hurts a little when I press it firmly. Swallowing saliva and deep breathing are fine. I'm not sure which specialty I should...
Dr. Chen Taicheng Reply:
If the pain occurs only when eating, esophageal issues should be considered first, such as the possibility of esophageal ulcers or lesions (especially if there is gastroesophageal reflux, or if there is a tendency to consume spicy, irritating foods, or alcohol that can damage the...[Read More] Understanding Chest Pain: When to Seek Medical Attention
Concerns After Drinking Unsealed Milk: Health Risks and Next Steps
Ingesting an unknown beverage? Hello: On March 16, I bought a one-liter carton of milk from a convenience store. When I drank it on March 19, I noticed there was no plastic pull tab, and the contents were about three-quarters full. I thought a family member had already opened it,...
Dr. Chen Taicheng Reply:
Many foodborne illnesses are self-limiting, with an incubation period typically within one week, and most do not result in chronic infections or carriers. Generally, when dining with others, the risk of infectious diseases is minimal. If milk has been opened, it is important to c...[Read More] Concerns After Drinking Unsealed Milk: Health Risks and Next Steps
Understanding Persistent Chest and Back Pain: A Comprehensive Guide
Chest pain issues? Hello doctor, I have been experiencing chest pain and back pain for the past two months. The pain is located in the central chest area, slightly to the left, and near the upper left back. The chest pain is described as dull and oppressive. 1. I visited a majo...
Dr. Chen Taicheng Reply:
Considering your age, the likelihood of cardiovascular diseases or severe pulmonary conditions is relatively low. The primary concerns are likely to be musculoskeletal or gastrointestinal issues. Orthopedic X-rays are generally used to rule out fractures and other problems. As ...[Read More] Understanding Persistent Chest and Back Pain: A Comprehensive Guide
Understanding Discomfort Near the Anus: Causes and When to Seek Help
Anal blockage? Hello, doctor. I apologize for not knowing which specialty to ask, so I chose family medicine. Thank you. I have a sensation of discomfort near the anus, close to the genital area, which is more noticeable when standing and alleviates when sitting. I would like to ...
Dr. Chen Taicheng Reply:
● Internal and external hemorrhoids, anal canal stenosis (caused by chronic constipation or inflammation), anal fissures leading to nearby lumps, or rectal prolapse may all cause a sensation of obstruction. ● It is recommended to visit the colorectal surgery department at a hospi...[Read More] Understanding Discomfort Near the Anus: Causes and When to Seek Help
Understanding Immunity: Should You Get Tested After Shingles Recurrence?
Immune system assessment? Hello Doctor: I was diagnosed with shingles six years ago, and it seems to have recurred recently (mildly). I heard from a doctor that this condition typically does not recur unless there is an abnormality in the immune system. However, I am only 24 year...
Dr. Huang Xunying Reply:
Hello: The virus that causes shingles remains dormant in your nerve roots after healing. Therefore, whenever your immune system weakens, shingles can recur, and it is also possible for young people to develop shingles. Additionally, blood tests that are more related to immune fun...[Read More] Understanding Immunity: Should You Get Tested After Shingles Recurrence?
Understanding Right Lower Body Pain: Possible Causes and Next Steps
Pain in the lower right side of the body? Since last August, I have been experiencing sudden pain in my lower right body, which has persisted to this day. The pain worsens during my menstrual period, and I also experience numbness in my feet and gastrointestinal issues. I have co...
Dr. Chen Taicheng Reply:
● There are many possible causes for pain in the right lower body, including numbness in the soles of the feet. Considering your age, it is advisable to first rule out issues related to the lumbar spine, such as herniated discs or spondylolisthesis. (For information regarding bac...[Read More] Understanding Right Lower Body Pain: Possible Causes and Next Steps
Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights
Elevated white blood cell count, triglycerides, total cholesterol, and fasting blood glucose levels? Hello Doctor: I recently had blood tests done on March 6, which included urine, blood, liver, and kidney function tests. The results showed elevated white blood cells (17,140), tr...
Dr. Chen Taicheng Reply:
● There are many causes for elevated white blood cell counts, including inflammation, infection, or other diseases. It is advisable to monitor for symptoms such as fever, sore throat, diarrhea, or other recent significant physical discomfort. If none are present, it is still reco...[Read More] Understanding High White Blood Cell Count and Lipid Levels: Key Health Insights
Understanding Abdominal Discomfort and Bladder Pressure: A Guide
Discomfort in the abdominal bladder? Hello Doctor: I have been experiencing a hard and bloated feeling in my abdomen, lower abdomen, and near the bladder for over six months, which is somewhat uncomfortable. I occasionally feel a tight pain in my bladder, have a decreased urine o...
Dr. Chen Taicheng Reply:
● Bladder issues may arise due to the uterus pressing on the bladder (https://goo.gl/kkgH5c). It is important to first rule out problems such as uterine fibroids or endometriosis that could cause adhesions between the uterus, intestines, and bladder. Your previous gynecological e...[Read More] Understanding Abdominal Discomfort and Bladder Pressure: A Guide
Impact of Blood Sample Timing on Cholesterol and Diabetes Tests
Blood test issues? Hello, doctor. I have high cholesterol and diabetes, and I have been regularly following up at a large hospital every three months. However, as I am getting older, the long journey is becoming a bit too much for me. I would like to switch to a small clinic near...
Dr. Chen Taicheng Reply:
● Lipid profile specimens: If whole blood is used, it can be stored at room temperature for 4 hours; however, clinics typically centrifuge whole blood to obtain serum/plasma, which can then be stored at room temperature (15-30°C) for 8 hours and at 2-8°C for 2-5 days. ● Fasting...[Read More] Impact of Blood Sample Timing on Cholesterol and Diabetes Tests
Managing Hyperthyroidism: Key Questions on Medication and Recovery
Thyroid issues Hello, Doctor! My heart rate increased from 70-80 to around 100 due to hyperthyroidism, and my systolic blood pressure rose from 88 to about 103. After taking thyroid medication and the beta-blocker Inderal (propranolol) for two weeks, my systolic blood pressure is...
Dr. Chen Taicheng Reply:
● Entacapone can lower heart rate and partially suppress thyroid function, generally used when the heart rate exceeds 90 beats per minute; if the heart rate returns to normal and there are no other discomforts, it is acceptable to discontinue the medication directly. ● Antithyroi...[Read More] Managing Hyperthyroidism: Key Questions on Medication and Recovery
Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help
Dizziness and syncope? Hello, Doctor. Since high school, I have experienced similar symptoms multiple times. The symptoms include weakness in my limbs, vision going black, cold sweats, and nausea, lasting about 5 to 10 minutes. If I do not sit or lie down immediately, I will lose...
Dr. Chen Taicheng Reply:
● There are many causes of syncope, and the first thing to rule out is cardiac-related issues, including arrhythmias and structural heart problems (including valve issues), which have already been evaluated by a cardiologist. Please pay attention to whether your pulse is too slow...[Read More] Managing Dizziness and Fainting: Understanding Symptoms and Seeking Help
Chest Pain and Breathing Issues: When to Seek Medical Help
Chest pain, shortness of breath when going up and down stairs, and throat pain? I have been experiencing pain for the past six months, feeling like I can't catch my breath. The pain is located in the chest, from the middle to the right side (not near the heart), and my throa...
Dr. Chen Taicheng Reply:
● Initial evaluations by cardiology and pulmonology should rule out common cardiopulmonary diseases. Pain when climbing stairs indicates that the discomfort may be exercise-induced, potentially stemming from muscular or orthopedic issues. Possible causes include fibromyalgia (the...[Read More] Chest Pain and Breathing Issues: When to Seek Medical Help
Swollen Area Under Right Jaw: Possible Causes and When to Seek Help
Swelling on the right side of the jaw? Hello Doctor: Today I suddenly noticed that when I lift my chin, there is a swollen area under the right side of my jawbone, where it meets the neck. It feels tender to the touch, and pressing on it causes slight pain. Swallowing also causes...
Dr. Chen Taicheng Reply:
Based on your description, it is most likely that you are experiencing swelling or discomfort in the throat due to an illness, particularly at the junction of the jaw and neck. If there is indeed a lump in that area, it is most likely due to sialadenitis (inflammation of the sali...[Read More] Swollen Area Under Right Jaw: Possible Causes and When to Seek Help
Understanding Post-Drinking Body Aches and Urinary Changes
Experiencing body aches the day after drinking alcohol? 1. Why do I feel sore all over my body the day after drinking alcohol? In the past, alcohol made me very diuretic, but now it seems to have the opposite effect. I have a history of urinary stones; could that be related? 2. ...
Dr. Chen Taicheng Reply:
- The components of alcohol can still have a diuretic effect, which varies depending on the concentration and brand. Urinary stones do not inhibit diuresis when drinking water. - Urinary stones themselves do not have a diuretic effect, but they may irritate the urinary system, p...[Read More] Understanding Post-Drinking Body Aches and Urinary Changes