Understanding Phlegm in the Throat: Allergies and Sinusitis Connection
Frequent phlegm in the throat? I have nasal allergies and had sinusitis when I was younger. Ever since then, I experience phlegm stuck in my throat for about half an hour to an hour after meals. This issue has been bothering me for a long time, but I haven't sought treatment...
Dr. Lin Jiafang Reply:
Chronic sinusitis and allergies could both lead to the symptoms you described, but there are other potential causes as well, such as gastroesophageal reflux, chronic bronchitis, or chronic laryngitis. It is advisable to visit a family medicine or otolaryngology specialist to dete...[Read More] Understanding Phlegm in the Throat: Allergies and Sinusitis Connection
Understanding Nerve Pain in Elderly: A Case of Grandma's Finger Discomfort
【Inquiry】My grandmother is experiencing numbness and pain in the tips of her fingers? My grandmother is 70 years old and has symptoms of diabetes and hypertension. During the Lunar New Year this year, she mentioned that she burned her finger while cooking. Since then, she frequen...
Dr. Gao Qingyun Reply:
Hello: The health conditions of elderly individuals are often complex, and a single symptom may involve interactions between multiple systemic diseases. It is recommended that you take your family member to a family medicine outpatient clinic for a thorough examination and treatm...[Read More] Understanding Nerve Pain in Elderly: A Case of Grandma's Finger Discomfort
Addressing Chest Discomfort: Insights from a Family Medicine Perspective
Once again, I apologize for troubling Dr. Chen? Hello Dr. Chen, I visited your clinic on the afternoon of the 16th of this month, and I appreciate your detailed explanation. However, I seem to have forgotten to mention some conditions during the visit, so I would like to provide ...
Dr. Chen Bozhang Reply:
Hello Mr. Zhang: Based on the examination of your symptoms and the physical examination the other day, I believe you do not need to worry about heart and lung issues for now; the likelihood of gastroesophageal reflux disease (GERD) is relatively high. GERD often occurs during tim...[Read More] Addressing Chest Discomfort: Insights from a Family Medicine Perspective
Understanding Cholesterol Levels: Insights from Health Check Results
Health Check Report - Total Cholesterol 195, Triglycerides 22, Globulin 37? Hello Dr. Chen: I had a health check-up in May this year, and my total cholesterol was 195, triglycerides were 22, and globulin was 37. Last year, my total cholesterol was 207, with both high-density lipo...
Dr. Chen Bozhang Reply:
Dear Ms. Ahi, You mentioned that after a year of dedicated exercise and dietary control, your health check results showed only a slight decrease in total cholesterol. In fact, the more important indicators of cholesterol are high-density lipoprotein (HDL) and low-density lipopro...[Read More] Understanding Cholesterol Levels: Insights from Health Check Results
Understanding Unusual Cold Symptoms: When to Seek Medical Help
Strange cold Last Wednesday, I contracted an infection during a teacher appreciation banquet. My symptoms include persistent post-nasal drip and coughing. I first visited a doctor who prescribed Acetaminophen 500 mg, Dextromethorphan 30 mg, Donison 5 mg, Norsecon, Augmentin 625 m...
Dr. Gao Qingyun Reply:
Hello: The changes in your condition require an in-person consultation and examination. It is recommended that you see a specialist in Family Medicine for evaluation and treatment. Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan Hos...[Read More] Understanding Unusual Cold Symptoms: When to Seek Medical Help
Seeking Expert Advice on Chest Discomfort: A Patient's Journey
Appointment has been scheduled? Hello Dr. Chen, I have been experiencing a sudden tightening sensation in the center of my chest. The cardiology department at Chang Gung Hospital insists that it is not related to the heart, and the gastroenterology, pulmonology, and neurology dep...
Dr. Chen Bozhang Reply:
Hello Mr. Chang: Regarding the chest symptoms you mentioned, if taking a packet of antacid alleviates or resolves the symptoms, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or excessive gastric acid secretion. When the gastric contents reflux in...[Read More] Seeking Expert Advice on Chest Discomfort: A Patient's Journey
Common Family Medicine Questions: Cold Sensitivity, Sleep Issues, and More
Please feel free to ask your questions? Hello, doctor. I have a few questions to ask: 1. When the temperature drops below 16 degrees Celsius, I tend to have cold hands and feet, speak more rapidly, and my body feels tense, appearing anxious. However, I don't actually feel ...
Dr. Chen Zonglin Reply:
1. If this situation is causing you distress, you may consider seeking an evaluation from a psychiatrist. 2. It is uncommon for individuals to lack slow-wave sleep; it is advisable to discuss with the physician who arranged your sleep study whether there are any underlying issues...[Read More] Common Family Medicine Questions: Cold Sensitivity, Sleep Issues, and More
Understanding Dizziness: Causes, Remedies, and Long-term Effects
Easily prone to dizziness? Hello doctor, I have been particularly prone to dizziness since childhood. I remember that certain foods, like jellyfish, would make me dizzy, and I never understood why, which led me to avoid those foods. As I grew older, I also experienced dizziness f...
Dr. Gao Qingyun Reply:
Hello: Dizziness is a common symptom encountered in family medicine clinics. There are many potential causes for dizziness or headaches. It is recommended that you visit a family medicine clinic for diagnosis and treatment to identify the underlying cause, which will lead to bett...[Read More] Understanding Dizziness: Causes, Remedies, and Long-term Effects
Managing Chronic Conditions: Insights on Hypertension and Thyroid Health
Health check-up Hello Dr. Chang, I have been taking medication for hypertension, lipid-lowering, and insomnia related to neurological issues. A few years ago, I was diagnosed with arrhythmia, and the clinic prescribed me medication for it, which I took for a year. My thyroid-stim...
Dr. Zhang Hongwei Reply:
1. Urinary protein can often yield false positives in situations such as fever, infection, or intense exercise. It is recommended to retest, and if urinary protein persists, then consult a nephrologist. 2. Elevated thyroid-stimulating hormone (TSH) levels, in the absence of any...[Read More] Managing Chronic Conditions: Insights on Hypertension and Thyroid Health
Thank You, Dr. Chen: A Heartfelt Appreciation for Family Medicine Support
Thank you, Dr. Chen? Due to accidentally deleting my email, I am unable to give Dr. Chen a thumbs up, so I am posting this message to express my gratitude for Dr. Chen's detailed and patient explanations and suggestions. Of course, I also want to thank the many compassionate...
Dr. Chen Bozhang Reply:
Hello Mr. Chang: You're welcome, and I hope this is helpful to you. However, please note that online consultations may still have some oversights since they do not involve an in-person examination. If necessary, it is advisable to visit the outpatient clinic for a consultati...[Read More] Thank You, Dr. Chen: A Heartfelt Appreciation for Family Medicine Support
How to Lower Lymphocyte Levels and Boost Neutrophils?
A lymphocyte percentage of 60% is considered elevated. To lower this percentage, it's important to identify the underlying cause, which may include infections, autoimmune disorders, or other medical conditions. Here are some general approaches: 1 Hello, doctor. I recently h...
Dr. Wu Fangcan Reply:
According to your description, the total white blood cell count was not mentioned. Under normal circumstances, the total white blood cell count is set between 4,000 and 10,000. If the total white blood cell count is too high or too low, and the lymphocyte percentage is also eleva...[Read More] How to Lower Lymphocyte Levels and Boost Neutrophils?
Understanding DRG Payment Structures in Family Medicine: Key Questions
Questions regarding DRG regulations? Hello, I would like to ask why the payment amounts for DRGs 16/17, 129/130, and 153/154/155 are the same for cases with and without surgical complications. Does this mean that if a patient experiences complications during surgery, the payment ...
Dr. Ye Qianyu Reply:
Thank you for your inquiry! Since the DRG has not officially launched yet, I recommend consulting with the National Health Insurance Administration.[Read More] Understanding DRG Payment Structures in Family Medicine: Key Questions
Seeking Dr. Chen's Advice on Unexplained Chest Tightness Issues
I would like to consult Dr. Chen again? Hello Dr. Chen, I am unsure if the link above can be opened successfully. Regarding the issue of my heart or the sensation of tightness in my chest, I have already undergone diagnostic examinations in both the thoracic and gastroenterology ...
Dr. Chen Bozhang Reply:
Hello Mr. Chang: You mentioned that you experience a sudden tightening sensation in the area of your heart, which is likely due to intermittent abnormal heartbeats. Given your history of cardiovascular disease, it would be best to continue your evaluation and treatment with your ...[Read More] Seeking Dr. Chen's Advice on Unexplained Chest Tightness Issues
Morning Dizziness: Causes and Solutions for Persistent Symptoms
Dizziness upon waking up? Hello, I experience dizziness every morning after waking up, which can last until noon without any relief. I feel a heaviness in the back of my head and chest. Sometimes, if I take a short nap around noon, the dizziness goes away, but other times it pers...
Dr. Chen Bozhang Reply:
Dear Ms. Sophia, Thank you for your message. You mentioned that you occasionally experience dizziness upon waking up in the morning, along with a feeling of heaviness in the back of your head and chest. There could be various reasons for this, including your sleep quality at nig...[Read More] Morning Dizziness: Causes and Solutions for Persistent Symptoms
Experiencing Sharp Pain in Right Big Toe: Which Specialist to See?
Pain in the pad of the right big toe? You can consult a podiatrist for the occasional tingling pain in the pad of your right big toe.
Dr. Chen Pengsheng Reply:
If persistent pain occurs in the right thumb pad, it is recommended to consult a family medicine physician or a neurologist.[Read More] Experiencing Sharp Pain in Right Big Toe: Which Specialist to See?
Understanding Low HDL Cholesterol: When to See Your Doctor
Low levels of high-density lipoprotein cholesterol (HDL-C)? Hello, I had a health check-up last week, and the doctor mentioned that I have low levels of high-density lipoprotein (HDL) cholesterol. I was advised to follow up at the family medicine clinic in three months. Should I ...
Dr. Liao Yaopan Reply:
Hello, based on the report you provided, all lipid profile indicators are normal. Please continue to maintain your health. Changhua Hospital cares about you.[Read More] Understanding Low HDL Cholesterol: When to See Your Doctor
Understanding Temple Headaches: Is It Tension-Type Headache?
Temporalis headache The sensation of pain feels like someone is pressing hard on your temples, and this type of headache occurs frequently. Each episode makes me want to press on the painful area with my hand. Could this be classified as a type of tension-type headache?
Dr. Chen Bozhang Reply:
Dear Ms. Alice, In your letter, you mentioned that you occasionally experience severe pain in your temples. This symptom could be indicative of tension-type headaches, migraines, or other types of headaches. I recommend that you visit a family medicine clinic and provide your ph...[Read More] Understanding Temple Headaches: Is It Tension-Type Headache?
Chronic Fatigue in Students: Understanding Sleep Issues and Solutions
Constantly feeling sleepy? Hello doctor, I am a student and I have been accustomed to going to bed between 12:30 and 1:00 AM and waking up at 6:30 AM. However, recently I have been unusually tired and can't help but doze off in class (this has been happening more frequently....
Dr. Gao Qingyun Reply:
Hello: Amenorrhea and excessive sleepiness are systemic issues that require a clinical evaluation to determine the underlying causes. Please visit the obstetrics and gynecology outpatient department as well as the family medicine outpatient department for assessment and treatment...[Read More] Chronic Fatigue in Students: Understanding Sleep Issues and Solutions
Understanding Headaches and Sore Throat: Common Symptoms Explained
May I ask the doctor? Symptom 1: For the past month, I have been suffering from headaches. However, they are not the kind of pain that is unbearable or feels like my head is going to split open. Instead, they come in waves, lasting about one second each time. The pain mainly occu...
Dr. Wu Fangcan Reply:
Based on your description, dizziness, headache, and sore throat may indicate a cold or upper respiratory infection. It is advisable to consult with an internist or family medicine physician for evaluation and assessment. Thank you.[Read More] Understanding Headaches and Sore Throat: Common Symptoms Explained
Understanding Red Lips in Children: Causes and Solutions
Redness of the lips? Hello, my child is currently 9 years old and has recently experienced redness on the lips and the skin around the upper lip without having a cold. There is even a slight feeling of crusting. What could be the reason for this?
Dr. Gao Qingyun Reply:
Hello! For skin issues in infants and young children, it is advisable to consult a dermatologist. Please proceed to the dermatology outpatient clinic for evaluation and treatment. Wishing you health and happiness! Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan H...[Read More] Understanding Red Lips in Children: Causes and Solutions