Understanding Dizziness and Sleep Issues in Night Shift Workers
Feeling dizzy and sleepy? Hello, I would like to ask a question for my girlfriend. She works as an evening news editor, with working hours from 5:30 PM to 11:30 PM. Therefore, her sleep schedule usually starts after 3 AM, and she tends to wake up intermittently until around 1 or ...
Dr. Lin Jiafang Reply:
Hello, I recommend that you first consult a family physician for an initial assessment to determine the underlying cause before proceeding with further examinations. Thank you.[Read More] Understanding Dizziness and Sleep Issues in Night Shift Workers
Difficulty Swallowing or Dizziness: Which Specialist Should You See?
Cardiology or Otolaryngology? Experiencing difficulty swallowing liquids, where it feels like you're about to choke and you need to slow down to avoid it, can be considered a form of dysphagia. This issue occurs specifically with drinking, not with eating. Additionally, you ...
Dr. Gao Qingyun Reply:
Hello: The relevant symptoms can only be assessed after an in-person examination. Please visit the Family Medicine outpatient clinic for evaluation by a specialist. Thank you! Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan Hospital...[Read More] Difficulty Swallowing or Dizziness: Which Specialist Should You See?
Understanding Unfixed Abdominal Pain: Concerns and Insights
Intermittent pain Hello Doctor, I apologize for the lengthy message and hope you can read it patiently: I am 160 cm tall and weigh 45 kg. There is no family history of cancer, but there is a history of diabetes. My health check in April 2015 showed no abnormalities. However, I ha...
Dr. Chen Bozhang Reply:
Dear Ms. IWH, In your letter, you mentioned experiencing occasional sharp pain in your abdomen, a weight loss of 2 kilograms over the past six months, black stools, and various discomforts in your abdomen and back. You expressed concern about losing weight significantly and susp...[Read More] Understanding Unfixed Abdominal Pain: Concerns and Insights
Understanding Symptoms: Seeking Guidance for My Mother's Health Issues
Inquiry Hello Dr. Chen, My name is Ah Xiang, and I would like to inquire about my mother's symptoms. Currently, her symptoms are described as follows: 1. She experiences nocturia with elevated blood pressure (155-178 mmHg) and tachycardia (heart rate of 108-118 beats per m...
Dr. Chen Zonglin Reply:
1. What were your daughter's blood pressure and heart rate before urination? Frequent urination at night can lead to poor sleep quality, which may result in elevated blood pressure. It is advisable to visit a urology clinic to address the issue of frequent urination. 2. If...[Read More] Understanding Symptoms: Seeking Guidance for My Mother's Health Issues
Understanding Chest Tightness, Headaches, and Insomnia in Teens
Chest tightness, dizziness, headache, and insomnia? I am a high school sophomore. I am currently on winter break. Recently, I've been having some trouble sleeping. Normally, I fall asleep easily. Today, I couldn't sleep, and then I suddenly felt some pain in my temples,...
Dr. Wu Fangcan Reply:
Based on your description of recent poor sleep, tenderness in the temples, and chest tightness, the assessment is as follows: Have the recent cold temperatures and closed windows led to poor air circulation? This could result in inadequate sleep, carbon dioxide buildup causing he...[Read More] Understanding Chest Tightness, Headaches, and Insomnia in Teens
Understanding Dizziness: When to See a Family Medicine Specialist
Inquiry about unclear specialties? Sometimes I experience dizziness for several consecutive days. The intensity of the dizziness is not severe, but it lasts for a long time (almost all day). If I lie down or if my head is not elevated enough, or if I turn my head too suddenly or ...
Dr. Hou Angting Reply:
Hello: It is recommended to visit the cardiology outpatient clinic.[Read More] Understanding Dizziness: When to See a Family Medicine Specialist
Neck Pain After a Car Accident: Causes and Treatment Options
Frequent neck pain after a car accident? Two years ago, I was riding my bike when a car hit me from behind and then collided with the car in front of me. The other driver fled the scene, and since I had an exam, I didn't go to the hospital at that time. Since then, I've...
Dr. Gao Qingyun Reply:
Ms. Tsao: Hello, please have an orthopedic physician evaluate and assess the cause of the pain for treatment. Currently, it is difficult to determine the relationship with the previous car accident. Wishing you safety and health. Sincerely, Dr. Kao Ching-Yun, Director of Family M...[Read More] Neck Pain After a Car Accident: Causes and Treatment Options
Which Medical Specialty Should I See for My Neck and Shoulder Pain?
Which department should I see? Hello Doctor: I have been experiencing shoulder and neck pain for six months! I work in a school library, so I often have to lift books. The pain in my shoulder started before last summer, and during the summer break, I went to a traditional Chinese...
Dr. Gao Qingyun Reply:
Hello, please have an orthopedic specialist examine and assess the cause of the pain for treatment. Currently, it is difficult to determine the cause of the pain based on the available information. Wishing you peace and health. Sincerely, Dr. Gao Qingyun, Director of Family Medic...[Read More] Which Medical Specialty Should I See for My Neck and Shoulder Pain?
Understanding Left-Sided Head Numbness and Itching: What to Do Next?
Numbness in the head and extreme fatigue! Hello Doctor, for the past 1 to 2 months, I have been experiencing sharp pain on the left side of my head. After consulting a neurologist and taking medication, the symptoms have changed over the past week or two to numbness and itching. ...
Dr. Gao Qingyun Reply:
Hello: This issue may still fall within the realm of neurology. It is recommended that you continue to discuss it with your original neurologist for evaluation and treatment. Thank you. Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyua...[Read More] Understanding Left-Sided Head Numbness and Itching: What to Do Next?
Understanding Elevated Cholesterol Levels: Causes and Lifestyle Adjustments
Health check inquiry I just received the report from my school entrance examination, indicating that my cholesterol level is 248 mg/dL, which is 48 mg/dL higher than normal. However, I don't eat excessively; I generally have homemade toast with fried eggs and lettuce for bre...
Dr. Chen Bozhang Reply:
Dear Miss, Regarding your school entrance examination report, your cholesterol level is 248 mg/dL, compared to 207 mg/dL four years ago. The ideal total cholesterol standard is between 130-200 mg/dL. Cholesterol metabolism is significantly influenced by genetic factors as well a...[Read More] Understanding Elevated Cholesterol Levels: Causes and Lifestyle Adjustments
Cold Feet and Leg Pain: When to Seek Medical Help?
Cold and painful feet extending to the calves? Hello Dr. Chen: I have cold and tingling sensations in my feet, and I often experience insomnia at night. I also have high blood pressure and have seen a neurologist, but my condition has not improved. Now, the discomfort has extende...
Dr. Chen Bozhang Reply:
Dear Miss Hsuan-Hsuan, In your letter, you mentioned experiencing coldness and a tingling sensation in your feet, which has extended to your calves. These symptoms may indicate issues related to the peripheral nervous system or vascular problems. Given your history of hypertensi...[Read More] Cold Feet and Leg Pain: When to Seek Medical Help?
Understanding Head Stabilization Procedures in Family Medicine
Cranial fixation surgery Could you please explain the circumstances under which one should consult a physician?
Dr. Xu Peiqi Reply:
Hello, head fixation is used for patients with suspected cervical spine injuries to protect the cervical spine from worsening the injury during transport or movement. Thank you for your inquiry.[Read More] Understanding Head Stabilization Procedures in Family Medicine
Concerns About Parasitic Infections from South African Products
Questions about parasitic infections? I would like to ask if there are any medical cases of individuals getting infected with local parasites after purchasing packaged products from South Africa (such as Costco's South African Rooibos tea)? I have read several books that des...
Dr. Gao Qingyun Reply:
Hello, your inquiry is more related to infectious disease specialty. I recommend consulting an online infectious disease physician or visiting a medical center's travel clinic to discuss related issues. Wishing you safety and health. Sincerely, Dr. Gao Qingyun, Director of F...[Read More] Concerns About Parasitic Infections from South African Products
Understanding High Cholesterol: Causes, Concerns, and Next Steps
High cholesterol During enrollment, blood tests are conducted for health checks, but I'm not sure if every school and hospital uses similar standards for evaluation. In my first year of high school, my total cholesterol was over 300, but my blood glucose, urine, and other va...
Dr. Chen Bozhang Reply:
Dear Ms. Hblcm, In your letter, you mentioned that during your freshman year of high school, your cholesterol level was above 300 mg/dL, and during your freshman year of college, your total cholesterol rose to above 300 mg/dL again. Both of these values are significantly high, a...[Read More] Understanding High Cholesterol: Causes, Concerns, and Next Steps
Should I Worry About Rabies After a Possible Animal Scratch?
Hello doctor, could you please help determine if I need to be concerned about rabies? Doctor, I live in the Zhongshan District of Taipei City, and I woke up on the fifth floor to find scratch marks that look like animal scratches. Could these possibly be from a wild animal? Do I ...
Dr. Gao Qingyun Reply:
Hello: Currently, the incidence of rabies has decreased, but we cannot completely rule out the possibility of an animal scratch regarding your wound. It is recommended that you go directly to the Infectious Diseases outpatient clinic to discuss your concerns with a specialist. Wi...[Read More] Should I Worry About Rabies After a Possible Animal Scratch?
Understanding Medical Needs: Addressing Common Discomforts in Family Medicine
What type of medical care is needed? I can read for a while with the book on my abdomen, but when it's on the desk, I don't know where to place my hands. It feels like I'm exerting effort when it's on the desk, and I also have a habit of shaking my legs and cr...
Dr. Chen Bozhang Reply:
Dear Mr. U, In your letter, you mentioned that you are unsure how to position your hands while placing a book on your desk, and that you have a habit of shaking your legs and crossing your toes with tension, which seems to indicate nervousness. Since I am not fully aware of your...[Read More] Understanding Medical Needs: Addressing Common Discomforts in Family Medicine
Concerns About Needle Injuries from Trash Disposal: HIV Risk Explained
The issue of compressing waste? Today, while cleaning my room, I went to take out the trash. Since the communal trash bin was a bit full, I pressed down on it before throwing my trash away. After returning to my room and cleaning for a while, I suddenly felt pain in my hand while...
Dr. Chen Bozhang Reply:
Dear Mr. Fearful, In your letter, you mentioned that after pressing down on the public trash can, you noticed a small abrasion on your right hand. Generally, HIV transmission requires significant exposure to bodily fluids (such as blood or semen) with a high viral load for infec...[Read More] Concerns About Needle Injuries from Trash Disposal: HIV Risk Explained
Understanding Your Sensory Changes: When to Seek Medical Advice
I'm not sure what's wrong with me? Hello, this winter I noticed that when I touch my face with my hands or lick my lips to check if there's anything on them (after eating), I feel like I can't really sense my touch, but my fingertips aren't numb. Which sp...
Dr. Gao Qingyun Reply:
Hello: Based on your question alone, it is difficult to determine the actual cause. I recommend that you visit a Family Medicine outpatient clinic for evaluation by a specialist. Thank you! Wishing you safety and health. Director of Family Medicine, Taoyuan Hospital, Ministry of ...[Read More] Understanding Your Sensory Changes: When to Seek Medical Advice
Understanding Pain Near the Anus: Causes and When to Seek Help
Pain near the anus? I would like to ask about a small round thing near my anus that I don't know the name of, but it's something that females have. Recently, I have been experiencing constipation, and my stools have been difficult to pass, which causes pain when I strai...
Dr. Gao Qingyun Reply:
Hello: Your issue requires an evaluation by a colorectal surgeon. It is recommended that you visit the colorectal surgery outpatient clinic for specialized care. Thank you! Wishing you peace and good health. Sincerely, Dr. Gao Qingyun, Director of Family Medicine, Taoyuan Hospita...[Read More] Understanding Pain Near the Anus: Causes and When to Seek Help
Understanding Sudden Dizziness and Nausea: Common Causes and Solutions
Sometimes I suddenly feel dizzy and nauseous? I would like to ask, recently I often suddenly feel dizzy and nauseous. What could be the cause? I don't have any specific illnesses.
Dr. Gao Qingyun Reply:
Hello: These nonspecific symptoms require an actual consultation and physical examination. Please visit the Family Medicine outpatient department for evaluation by a specialist. Thank you, and wishing you peace and good health. Director of Family Medicine, Taoyuan Hospital, Minis...[Read More] Understanding Sudden Dizziness and Nausea: Common Causes and Solutions