Family medicine, Family Medicine FAQ - Page 32

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Understanding Elevated Body Temperature and Lymphocyte Levels in Family Medicine

Elevated body temperature and elevated lymphocyte count? Hello, doctor. Recently, I found two small lumps in my neck, approximately 0.5 cm in size, with a smooth surface, slightly firm, and movable, which are not painful. I initially thought they were swollen lymph nodes, so I we...


Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to seek assistance from specialists in infectious diseases and hematology for evaluation at Changhua Hospital. We care about you.

[Read More] Understanding Elevated Body Temperature and Lymphocyte Levels in Family Medicine


Understanding Unintentional Weight Loss: Causes and Concerns

Weight loss I apologize, but if there is continuous weight loss, could it indicate an underlying illness? What about increased or decreased appetite and frequent urination? I'm asking on behalf of someone else.


Dr. Gao Qingyun Reply:
Hello: Although your symptoms appear to be related to an endocrine disorder, it is still recommended that you visit a family medicine outpatient clinic for a thorough examination and treatment by a specialist. Wishing you a speedy recovery. Sincerely, Dr. Gao Qingyun, Department ...

[Read More] Understanding Unintentional Weight Loss: Causes and Concerns


Understanding Blood in Stool: Tips for Managing Anxiety and Health

Blood in the stool? I live in a dormitory and I feel very anxious about using the bathroom for a bowel movement. I tend to rush and only go when I can't hold it anymore. The first time I wipe with toilet paper, I noticed a circular blood spot, but there was none the second t...


Dr. Gao Qingyun Reply:
Hello: First of all, we would like to express our concern and care regarding your symptoms. Although your symptoms appear to suggest a disorder of the lower gastrointestinal tract, we still recommend that you visit a colorectal surgery clinic for a thorough examination and treatm...

[Read More] Understanding Blood in Stool: Tips for Managing Anxiety and Health


Persistent Swelling Above Right Rib: What Specialist to See?

Swelling above the right rib cage? I have been feeling a swelling sensation above my right rib this month, and it has been uncomfortable. Since I am unsure what the issue is, I visited a family medicine doctor, but they couldn't identify anything wrong and told me it was not...


Dr. Liao Yaopan Reply:
Hello, based on your description, you can consult an orthopedic specialist at Changhua Hospital for further evaluation. They care about your well-being.

[Read More] Persistent Swelling Above Right Rib: What Specialist to See?


Understanding Hand Tremors: Possible Causes and Solutions

Hand problems The hands tremble, often occurring when holding a pen, using chopsticks to eat, pouring drinks, or serving food. Sometimes, there is intense shaking (usually in the right hand). Occasionally, there is significant pain in the middle finger's nerve, lasting about...


Dr. Gao Qingyun Reply:
Hello, a 17-year-old female with such issues requires a more detailed medical history inquiry, including the nature of her work and the pattern of her tremors, as well as a complete physical examination. It is recommended that you visit a neurology outpatient clinic for an evalua...

[Read More] Understanding Hand Tremors: Possible Causes and Solutions


Understanding Unexplained Dizziness: Causes and Concerns in Family Medicine

Unknown dizziness A few nights ago, while lying in bed, I suddenly experienced severe dizziness that scared me. I thought I was possessed and cursed a few times before it subsided. After that, I sometimes feel dizzy when lying down, but without the sensation of vertigo. Occasiona...


Dr. Huang Xunying Reply:
Hello: Dizziness is not necessarily related to arrhythmia. Your dizziness seems to be associated with changes in posture, which could be due to vestibular neuritis or benign paroxysmal positional vertigo (BPPV). I would recommend visiting an otolaryngologist for further evaluatio...

[Read More] Understanding Unexplained Dizziness: Causes and Concerns in Family Medicine


Should You Get Rabies Vaccination After Bat Droppings Exposure?

Regarding rabies infection from bat feces..? Hello, Doctor Gao. I would like to inquire about my situation: I work along the coast in Taoyuan, and there used to be a bat cave indoors, which seems to have been sealed off now. However, there are some small pellets near the window t...


Dr. Gao Qingyun Reply:
Hello: It is advised that there is no need for special vaccination. If you still have concerns, please visit the Infectious Disease Clinic for consultation with a specialist. Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of the Family Medicine Department, Ta...

[Read More] Should You Get Rabies Vaccination After Bat Droppings Exposure?


Which Specialist Should You See for Chest Pain and Coughing?

Which department should I see? Hello, a week ago, I experienced sharp chest pain while breathing, which caused me a brief moment of anxiety about breathing—something I have never experienced before. It was just that one time, and it hasn't happened again. Over the past few d...


Dr. Gao Qingyun Reply:
Hello, first of all, we understand your discomfort and anxiety. Fortunately, based on your description, it seems that it may not be a serious or difficult-to-treat condition. However, we still recommend that you promptly visit a family medicine or pulmonology clinic for an in-per...

[Read More] Which Specialist Should You See for Chest Pain and Coughing?


Persistent Cold Symptoms: Should I See an Endocrinologist or Pulmonologist?

A cold that has not resolved after a month may indicate the presence of a thyroid cyst? Hello, I would like to inquire about which specialty I should consult for a diagnosis based on my current medical history. I have a slight history of nasal allergies, and in mid-May, I often f...


Dr. Gao Qingyun Reply:
Hello: We understand your discomfort and concerns. Although we cannot directly determine the issue from your description, we still recommend that you visit the outpatient clinic of the Department of Metabolism at a medical center for evaluation by a specialist. Thank you, and we ...

[Read More] Persistent Cold Symptoms: Should I See an Endocrinologist or Pulmonologist?


Understanding the Link Between Underweight and Menstrual Pain

Underweight and menstrual pain issues? Hello Doctor, I have been suffering from dysmenorrhea for a long time, especially during my college years. It has been severe enough to cause vomiting, even when I haven't eaten anything, resulting in dry heaving. Although I tried tradi...


Dr. Zhang Hongwei Reply:
Hello, dysmenorrhea can be classified into primary and secondary types. Primary dysmenorrhea typically presents symptoms after menarche, while secondary dysmenorrhea may be caused by other conditions such as adenomyosis or uterine fibroids. Therefore, it is necessary to visit a g...

[Read More] Understanding the Link Between Underweight and Menstrual Pain


Understanding Dizziness and Seizure-Like Symptoms: Possible Causes and Concerns

Dizziness, darkening of vision, and suspected seizure symptoms? Hello Doctor, I often experience dizziness and visual disturbances when I get up from bed. I feel like my vision goes black, and after forcing myself to walk a few steps, I faint. I can distinctly feel myself grabbin...


Dr. Gao Qingyun Reply:
Hello: Based on your description, there is not enough information to make a diagnostic judgment. Please visit the family medicine outpatient department for a physician's examination and treatment. Thank you. Wishing you peace and health. Director of Family Medicine Departmen...

[Read More] Understanding Dizziness and Seizure-Like Symptoms: Possible Causes and Concerns


Why Am I Always Tired? Understanding Chronic Fatigue Symptoms

Feeling sleepy all day long? In the past two weeks, I've been feeling unusually fatigued and waking up with sore eyes every day. I underwent an abdominal ultrasound and liver function tests, all of which came back normal, except for the presence of small polyps in my gallbla...


Dr. Zhang Hongwei Reply:
Hello, I'm not sure about your sleep schedule, including what time you go to bed, the duration of your sleep, your daytime routine, and whether you spend long periods using your phone or computer screens. If the abdominal ultrasound shows a polyp that is less than 1 centimet...

[Read More] Why Am I Always Tired? Understanding Chronic Fatigue Symptoms


Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?

Feeling fatigued and drowsy? Could it be due to Mediterranean anemia or fatty liver disease? Hello Dr. Chen, I have been diagnosed with beta-thalassemia since childhood. I failed two blood tests before my military service, both due to "beta-thalassemia." Additionally, d...


Dr. Chen Bozhang Reply:
Dear Mr. A-Shan, You mentioned a history of thalassemia, and recent health check-ups have revealed severe fatty liver with elevated levels of GOT and GPT, indicating that your fatty liver has led to chronic hepatitis. You often feel fatigued or sleepy, occasionally experience di...

[Read More] Fatigue and Drowsiness: Is It Mediterranean Anemia or Fatty Liver?


Understanding Dizziness: Insights from a Family Medicine Perspective

About Dizziness Hello Dr. Chen, I forgot to mention during my last outpatient visit whether I discussed my dizziness issue. Nearly 20 years ago, I was treated for dizziness at the Department of Health and Chang Gung Memorial Hospital, where I was diagnosed with Meniere's dis...


Dr. Chen Bozhang Reply:
Hello Mr. Zhang: The dizziness symptoms you mentioned, such as paroxysmal vertigo caused by abnormal interference with the vestibular system, are common. A history of Meniere's disease can also lead to recurrent episodes. It is recommended that during an episode, you ensure ...

[Read More] Understanding Dizziness: Insights from a Family Medicine Perspective


Managing Needle Stick Injuries and Blood Exposure Risks in Family Medicine

Needle puncture and infection? If you accidentally pricked yourself with a new needle while measuring someone's blood glucose and did not follow the basic steps of rinsing with water, squeezing out blood, or applying antiseptic, and it has been a few days without checking fo...


Dr. Liao Yaopan Reply:
Hello, regarding the needle stick accident, it is still recommended to consult with an infectious disease specialist for evaluation and follow-up at Changhua Hospital. We care about you.

[Read More] Managing Needle Stick Injuries and Blood Exposure Risks in Family Medicine


Understanding Belly Button Itch: Causes and Care Tips

Itchy navel? Hello, I previously experienced pain after cleaning my belly button, so I only clean it infrequently. This time, because my belly button is very itchy, I noticed that there is some dark, dirty substance. Is the itchiness caused by this dark substance? However, it did...


Dr. Chen Bozhang Reply:
Hello, Ms. Chi: You mentioned that you only clean your navel infrequently, and recently you have been experiencing itching in that area. This could potentially be due to poor local hygiene leading to a rash or inflammation. I recommend that you clean the dirt from your navel regu...

[Read More] Understanding Belly Button Itch: Causes and Care Tips


Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective

Pain points are not always definitive? Hello doctor, I have been experiencing symptoms for over six months. Initially, I had unexplained pain in my left chest, and one time while sleeping, I suddenly had severe pain in my left rib cage and fainted for a moment. After that, I freq...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are quite nonspecific, and further examination may be necessary to make a proper assessment. I recommend that you visit the Family Medicine outpatient clinic for an in-person evaluation by a physician. Thank you. Wishing you safety and health. Si...

[Read More] Understanding Unexplained Chest and Abdominal Pain: A Family Medicine Perspective


Sudden Dizziness and Blurred Vision After Minor Injury: What to Know

Sudden dizziness and blurred vision? The 18-year-old male family member accidentally cut his hand and was bleeding. After about 2 to 3 minutes of wound care, he suddenly experienced dizziness, cold sweats, blurred vision, cold extremities, pale complexion, and an urgent need to h...


Dr. Chen Bozhang Reply:
Dear Ms. Sun, In your letter, you mentioned that an 18-year-old male experienced symptoms such as dizziness, cold sweats, blurred vision, cold extremities, pallor, and a sudden urge to defecate during the process of managing a bleeding wound. After some rest and treatment, his s...

[Read More] Sudden Dizziness and Blurred Vision After Minor Injury: What to Know


Understanding the 'Furlaiminghan' Risk Assessment in Family Medicine

Buddha's Enlightenment Doctor, I have a question regarding a recent health check-up. There is a section called the Framingham Risk Score, which includes a detail about smoking history. Is this determined through a blood test, or is it only assessed through a questionnaire? T...


Dr. Liao Yaopan Reply:
Hello, regarding the smoking history assessment, it is based on the individual's self-report of whether they smoke, rather than blood tests. Changhua Hospital cares about you.

[Read More] Understanding the 'Furlaiminghan' Risk Assessment in Family Medicine


Which Specialist to See for Persistent Fatigue and Low-Grade Fever?

Which specialty should I see for these symptoms? Recently, my husband has been experiencing generalized weakness, fatigue, loss of appetite, and a slightly elevated body temperature (around 37.1-37.4°C). He feels warm and has had several episodes of diarrhea. Initially, we though...


Dr. Gao Qingyun Reply:
Hello: The symptoms you described are atypical and may involve the interplay of multisystem diseases. I recommend that you take your husband to a family medicine outpatient clinic for a thorough examination by a specialist. Wishing you safety and health. Sincerely, Dr. Gao Qingyu...

[Read More] Which Specialist to See for Persistent Fatigue and Low-Grade Fever?


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