Is Rapid Weight Loss Normal? Insights from Family Medicine
Weight loss I would like to ask about my height of 178 cm. My weight has always fluctuated around 60 to 61 kg, and I have a body type that doesn't gain weight easily. I actually have a large appetite, but sometimes I only eat two meals a day without feeling unwell. Yesterday...
Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. Your body mass index (BMI) is approximately between 18 and 19, which is considered to be in the range between a healthy weight and underweight. 2. [Yesterday your weight was 60.3 kg, and today it has decreased to 59.5 kg]: Since it is currently winter, wearing ...[Read More] Is Rapid Weight Loss Normal? Insights from Family Medicine
Unexplained Fatigue: How Euzip Can Help You Feel Energized Again
Unexplained fatigue can only be alleviated by taking Euzip? Hello Doctor: I am a 31-year-old female. Four years ago, I experienced severe nasal septum deviation and significant work-related stress, which led to a period of severe sleep deprivation and facial nerve paralysis. Sinc...
Dr. Chen Bozhang Reply:
It is recommended that you visit an internal medicine or family medicine outpatient clinic for evaluation. Thank you.[Read More] Unexplained Fatigue: How Euzip Can Help You Feel Energized Again
Understanding Morning Yellow Saliva: Is It GERD or Something Else?
Waking up with yellow saliva? Recently, I've been waking up every morning with yellow saliva (it feels like it's coming from my throat, and it goes away after drinking water). Occasionally, my throat feels swollen, but I can be sure that it’s not caused by a cold. I men...
Dr. Xiao Yongxun Reply:
It is recommended that you visit a family medicine or gastroenterology clinic for evaluation. Thank you.[Read More] Understanding Morning Yellow Saliva: Is It GERD or Something Else?
Understanding Unexplained Warmth in the Lower Back: When to Seek Help
Warm sensation near the lower back? Hello Doctor: In the past week, I've been feeling a warmth in my lower back at times, but there is no pain. It feels more pronounced when I lie down. I'm concerned it might be a kidney inflammation, but my urine looks normal and I don...
Dr. Lin Zhebin Reply:
Hello: The causes of lower back discomfort can be related not only to kidney inflammation but also to other organs and structures such as bones, muscles, and the gastrointestinal tract. It is recommended that you first visit a family medicine physician for evaluation.[Read More] Understanding Unexplained Warmth in the Lower Back: When to Seek Help
Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations
Nasal congestion + runny nose + chest pain + vomiting + palpitations? Hello, I have been experiencing severe nasal congestion since December, which often prevents me from sleeping at night. (When my nose is clear, I have thick white phlegm.) After two to three weeks of significan...
Dr. Lin Zhebin Reply:
Hello: Based on the symptoms you described, we should consider the possibility of a respiratory or gastrointestinal infection. Additionally, the symptoms of chest pain and palpitations may indicate a cardiac issue, as potential causes can involve multiple organs. It is recommende...[Read More] Understanding Symptoms: Nasal Congestion, Chest Pain, Vomiting, and Palpitations
Differentiating Iron Deficiency Anemia from Thalassemia: A Clinical Guide
Differentiation between Iron Deficiency Anemia and Thalassemia? White Blood Cell Count (WBC): 4.53 Red Blood Cell Count (RBC): 4.52 Hemoglobin (HB): 10.8 Hematocrit (HCT): 33.8 Mean Corpuscular Hemoglobin (MCH): 23.9 Mean Corpuscular Volume (MCV): 74.7 Mean Corpuscula...
Dr. Chen Bozhang Reply:
Iron deficiency anemia and thalassemia have different causes, treatments, and management strategies. It is recommended that you bring your reports (or data) to consult with a physician in the hematology department or family medicine clinic. Thank you.[Read More] Differentiating Iron Deficiency Anemia from Thalassemia: A Clinical Guide
Understanding Facial Numbness After Cheekbone Surgery: Next Steps
Zygomatic bone surgery? Hello Doctor, ten years ago I was in a car accident that resulted in fractures of my zygomatic bone and orbital bone. After surgery, titanium metal was placed in my zygomatic bone, and the nerve part healed on its own after six months. In recent years, I h...
Dr. Xiao Yongxun Reply:
Dear Mr. Yao: 1. Based on the symptoms you described, it may be indicative of the distribution of the trigeminal nerve; its branches innervate the gums and the roots of the teeth. Any changes affecting the nerve distribution could lead to sensations of numbness or pain. 2. Of c...[Read More] Understanding Facial Numbness After Cheekbone Surgery: Next Steps
Understanding B12 Deficiency Testing: Key Considerations and Recommendations
Testing for Vitamin B12 Deficiency Hello Doctor: My sisters and I have Mediterranean anemia, and one of them has been a patient with SLE for over twenty years. Some of us have started to experience symptoms and have been informed that there may be a possibility of B12 deficiency....
Dr. Chen Bozhang Reply:
Vitamin B12 is related to the metabolism of homocysteine, and these two values are usually assessed together. It is recommended to visit a family medicine clinic for evaluation by a physician, who can arrange further medical services based on the test results. Please note that th...[Read More] Understanding B12 Deficiency Testing: Key Considerations and Recommendations
Understanding Full Body Heat: Causes and Concerns in Family Medicine
Fever or generalized warmth? Hello Doctor: A few days ago, my blood pressure suddenly rose to 190. After taking antihypertensive medication, it has decreased to 156. Now I feel a heat all over my body, and the area around my eyes feels extremely hot, almost like it's going t...
Dr. Cai Dongqi Reply:
Hello, Xiaofei: Please go to the emergency room to check for any infectious diseases that may be causing high blood pressure.[Read More] Understanding Full Body Heat: Causes and Concerns in Family Medicine
Understanding Arm Pain After Pneumococcal Vaccine: When to Seek Help
Soreness in the upper arm occurred one week after receiving the pneumococcal vaccine? When raising the upper arm, there is a noticeable muscle soreness, and the arm feels slightly swollen. There is no pain when the arm is lowered, and there is no pain when moving the lower arm. T...
Dr. Lin Zhebin Reply:
Hello: The arm soreness caused by vaccine injection typically resolves within three days. Since your arm pain has persisted for almost a week, along with a mild fever, it is advisable to seek medical evaluation and treatment. Given your described symptoms, there is concern about ...[Read More] Understanding Arm Pain After Pneumococcal Vaccine: When to Seek Help
Understanding Drug Resistance Issues in Family Medicine: Key Medications
Regarding issues related to drug resistance? Hello, doctor. Could you please tell me if there will be any drug resistance or other issues if the following four medications are discontinued? 1. ACTEIN EFFERVESCENT TABLETS 600mg (Acetylcysteine) 2. Xyzal® film-coated tablets 5mg (L...
Dr. Ye Qianyu Reply:
Hello! These medications are used to treat symptoms of upper respiratory tract infections. If the symptoms have improved, you can discontinue the medication, as there is no issue of antibiotic resistance.[Read More] Understanding Drug Resistance Issues in Family Medicine: Key Medications
Concerns About Ingesting Hand Soap: Should You Worry?
Please ask your question, and I'll do my best to assist you? Hello Dr. Lin, today when I used a foaming hand wash, I accidentally rinsed my mouth with it. I'm not sure if any of it actually entered my mouth, but I did smell the bubbles. Although I didn't swallow th...
Dr. Lin Zhebin Reply:
Hello: Ingesting hand soap usually involves a small amount, which generally has minimal impact on the oral cavity and gastrointestinal tract. There should not be any issues related to poisoning or alkaline burns. It is recommended to drink plenty of water and then monitor for any...[Read More] Concerns About Ingesting Hand Soap: Should You Worry?
Unexplained Nipple Holes: What Could Be Causing This Pain?
The nipple has developed two unexplained large holes? Hello, a couple of days ago I went to a hot spring and used an oven (I had no issues while bathing). However, yesterday while showering, I noticed some pain in my nipples. Upon inspection, I found two large holes (considering ...
Dr. Liao Yaopan Reply:
Hello, you can consult a breast surgeon online to evaluate your symptoms. Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Unexplained Nipple Holes: What Could Be Causing This Pain?
Understanding Eye Styes: When to Consult Family Medicine and Immunology
Inquiry about medical specialties? Hello Doctor: Since May of this year, I have been experiencing frequent styes, having developed about four of them in the past six months. Each time has been severe enough to require drainage surgery. I would like to know if, in addition to seei...
Dr. Liao Yaopan Reply:
Hello, you can first consult with your family physician regarding your condition. Depending on the situation, further referral for online consultation may be considered. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or t...[Read More] Understanding Eye Styes: When to Consult Family Medicine and Immunology
Understanding Your Health Check Report: Key Insights and Recommendations
Health Check Report Height: 173.1 cm, Weight: 73.2 kg. Below are the results from the company health check in September 2023, with red flags noted in the report provided in October. I would like to inquire about the doctor's recommendations and understand my health status. T...
Dr. Chen Bozhang Reply:
It is recommended to bring your health check-up report to the family medicine outpatient consultation. Thank you.[Read More] Understanding Your Health Check Report: Key Insights and Recommendations
Understanding Low Lymphocyte Percentage in Health Check Results
Lymphocyte percentage: 17.5% The health check results show a lymphocyte percentage of 17.5% (normal range: 18.4% to 45%), while the other results are normal. This means that your lymphocyte count is slightly below the normal range, which could indicate a mild decrease in your imm...
Dr. Chen Bozhang Reply:
Dear Mr. He, In your letter, you mentioned that your lymphocyte percentage from the health check blood test is slightly low (17.5%). This could be due to physical or psychological stress, a viral infection, or other infections, or it may simply be a normal physiological variatio...[Read More] Understanding Low Lymphocyte Percentage in Health Check Results
Unexplained Finger Pain: Causes, Symptoms, and Treatment Options
Unexplained finger pain? Hello, doctor. One day, I suddenly experienced pain in my left middle finger. When I lightly press on the nail bed, it feels like being pinched, and touching the tip of the nail gives me the sensation that the nail might flip open (though it doesn't ...
Dr. Chen Bozhang Reply:
Recommendation for evaluation at a family medicine outpatient clinic. Thank you.[Read More] Unexplained Finger Pain: Causes, Symptoms, and Treatment Options
Understanding Menstrual-Related Back Pain: When to Seek Medical Help
Menstrual cramps may cause lower back pain, but it's uncertain if they are directly related? Hello Doctor, I have been experiencing pain in my right lower back for about three days. Since it coincides with my menstrual period, I initially thought it was just the usual menstr...
Dr. Lin Zhebin Reply:
Hello: Given your age and the description of your lower back pain accompanied by discomfort in your thigh, the following issues should be considered: 1. Herniated Disc: This typically worsens with sitting and bending forward, while lying down or lying flat may relieve the pain. I...[Read More] Understanding Menstrual-Related Back Pain: When to Seek Medical Help
Understanding Bowel Issues: Anxiety and Gastrointestinal Health
Bowel movement issues Hello Doctor: I have been experiencing intermittent bowel issues for quite some time. I wonder if this is related to the anxiety I developed while caring for my father, who had esophageal cancer, about 4 to 5 years ago. I'm not sure what to do... Around...
Dr. Chen Bozhang Reply:
Hello, it is recommended to seek medical attention at a regional or higher-level hospital for a comprehensive evaluation. You may visit the Department of Family Medicine, Hepatobiliary and Gastroenterology, or the Department of Colorectal Surgery. Thank you.[Read More] Understanding Bowel Issues: Anxiety and Gastrointestinal Health
Understanding Persistent Leg Swelling: Causes and Solutions
Bilateral lower extremity edema? My mother has been experiencing swelling in both legs for the past year, sometimes to the point of discomfort. She has consulted with cardiologists, orthopedic specialists, family medicine doctors, obstetricians, nephrologists, and urologists, and...
Dr. Chen Bozhang Reply:
If the elderly person has already consulted multiple specialists and all tests have confirmed no abnormalities, in addition to continuing regular medication and outpatient follow-ups, it may be beneficial to consult a nutritionist for advice. Trying adjustments in diet or daily r...[Read More] Understanding Persistent Leg Swelling: Causes and Solutions