Family medicine, Family Medicine FAQ - Page 4

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Understanding Stage 1 Hypertension: Why Diet and Exercise May Not Help

Stage 1 hypertension: Exercise and reducing salt intake don't seem to be effective? Last month, I discovered that my systolic blood pressure reached the 130s, approaching 140, which exceeds the standard of 130/85. Consequently, I started following general recommendations by ...


Dr. Chen Bozhang Reply:
You can follow the 722 principle by regularly measuring your blood pressure and recording it. When visiting a doctor, provide these records for reference. There may be differences in blood pressure readings between your left and right arms; please use the higher reading as the pr...

[Read More] Understanding Stage 1 Hypertension: Why Diet and Exercise May Not Help


Understanding Your Teen's Health: Urine Changes and Skin Yellowing Concerns

Which direction should be examined? My son is 17 years old and is currently working part-time as an electrical and plumbing apprentice. Recently, he asked me to take him for a check-up due to the following concerns: 1. His urine has a stronger odor (ammonia-like), but it is still...


Dr. Liu Hongxiang Reply:
Dear Mr. Rui, Hello. The four data points in your letter did not include the normal reference ranges, but they are within the normal range compared to general laboratory standards. Given the concerns about dehydration and the suspicion of jaundice, you may want to visit a family...

[Read More] Understanding Your Teen's Health: Urine Changes and Skin Yellowing Concerns


Understanding Thumb Joint Pain: Could It Be Rheumatoid Arthritis?

The finger joints are tight and painful? A couple of days ago, I suddenly felt pain in the joint of my left thumb. After that, the pain subsided, but a dark bruise-like discoloration appeared. In the evening, I noticed that pressing on the joint was painful, but now the dark colo...


Dr. Chen Bozhang Reply:
Hello Puzi: Your letter mentions that you have suddenly experienced pain in the joint of your left thumb, along with the appearance of dark bruising for some time. This presentation of acute inflammation in a single joint is not typical of rheumatoid arthritis; it is more likely ...

[Read More] Understanding Thumb Joint Pain: Could It Be Rheumatoid Arthritis?


Understanding Your Health Check Report: Key Indicators and Next Steps

Health Check Report Hello: The health check report has several items highlighted in red as follows: Urine specific gravity 1.006, uric acid 3.4, neutrophil percentage 76.9, lymphocyte percentage 18.9, eosinophil percentage 0.7. Should I seek further medical attention at a hospita...


Dr. Ye Qianyu Reply:
Hello! Laboratory test results must be interpreted in conjunction with clinical findings to be meaningful. It is recommended to consult a family medicine physician.

[Read More] Understanding Your Health Check Report: Key Indicators and Next Steps


Understanding Finger Tremors: When to Seek Medical Advice

Finger tremors Hello Doctor: Recently, I have noticed that my right index finger is constantly shaking. There is no numbness or pain (only this one finger has this issue), and it occurs almost all day long. I would like to ask if this condition requires a medical examination?


Dr. Chen Bozhang Reply:
It is recommended to visit a family medicine or neurology outpatient clinic for examination. Thank you.

[Read More] Understanding Finger Tremors: When to Seek Medical Advice


Understanding Unexplained Small Wounds on Hands and Feet

Recently, I have been experiencing small wounds appearing on my body? Hello, doctor. Recently, I've noticed several small wounds on my hands and feet, and I'm not sure why. They are not large, about the size of a grain of rice or half a grain. Some of these wounds are i...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine or general surgery clinic.

[Read More] Understanding Unexplained Small Wounds on Hands and Feet


Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine

Inquiry Consultation Dear Dr. Lin, I have two questions for you: Q1. I have noticed for over a decade that the skin in my right armpit appears slightly more protruded than in my left armpit, giving the visual impression that the muscles in my right armpit are larger. This condi...


Dr. Lin Zhebin Reply:
Hello: 1. Although your right axilla appears more prominent than your left, if you haven't felt any lumps and this has persisted for over ten years, it is likely not a serious issue. It may be related to the increased muscle development in your right chest, right back, and r...

[Read More] Understanding Asymmetrical Skin Changes: Common Concerns in Family Medicine


Understanding Urinalysis Results: When to Consult a Specialist

Urinalysis Hello, during a recent routine check-up, several urine test results were found to be above the normal range: - Leukocytes: (++), 100/uL - Occult Blood: (++), 50/uL - RBC: 6-9 HPF (reference value: 0-5) - WBC: 20-29 HPF (reference value: 0-5) - Crystals: Ammonium urat...


Dr. Lin Zhebin Reply:
Hello: The results of your urine test do suggest a possible urinary tract infection; however, since you do not have symptoms such as fever, painful urination, lower abdominal pain, or back pain, it is advisable to increase your fluid intake rather than immediately resorting to an...

[Read More] Understanding Urinalysis Results: When to Consult a Specialist


Understanding Multiple Symptoms: When to See a Family Doctor

Recently, I have been experiencing multiple symptoms in my body? Recently, I have been experiencing multiple symptoms and I'm unsure which specialist to see first. Should I go directly to a family medicine doctor for an examination? Over the past two months, I have frequentl...


Dr. Liao Yaopan Reply:
Hello, based on your description, the symptoms are not very typical. It is recommended that you first consult your family physician for an initial evaluation, and then determine if a referral to a specialist is necessary. Please note that online consultations are not equivalent t...

[Read More] Understanding Multiple Symptoms: When to See a Family Doctor


Understanding Persistent Fever: When to See a Family Medicine Specialist

What could this possibly be, and which department should I visit? Started experiencing a fever around midnight on August 1st (ranging from 37.5 to 38 degrees Celsius). Throughout the day on August 1st, I took four doses of pain-relieving and fever-reducing medication (Bole) but t...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine clinic.

[Read More] Understanding Persistent Fever: When to See a Family Medicine Specialist


Understanding Intermittent Chest Pain: Causes and Concerns

Intermittent pain in the left and right chest? Hello Doctor: For the past three days, I have been experiencing frequent chest discomfort, particularly on the left side. Sometimes it feels sharp, and other times it feels like pressure. The pain often starts when I am quiet or rest...


Dr. Lin Zhebin Reply:
Hello: The discomfort in your chest may be related to your late sleeping habits and anxiety. Additionally, it is important to consider the possibility of cardiovascular disease and thyroid disorders. Since you are still a minor, it is advisable to inform and discuss your health c...

[Read More] Understanding Intermittent Chest Pain: Causes and Concerns


Persistent Bruising: Understanding Causes and Treatment Options

Bruises that do not fade? Hello, Dr. Yeh. I have difficulty with bruises healing. In March 2023, I underwent massage therapy, and a small bruise that had been present for over a year (which was not painful or swollen) became larger and swollen after the treatment. I have been int...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a dermatologist. Additionally, you can discuss the target value for glycated hemoglobin with your primary physician to achieve it together.

[Read More] Persistent Bruising: Understanding Causes and Treatment Options


Finger Injuries: When to See a Family Medicine Specialist

Finger problems / Which specialty should I see? Two days ago, while playing on a large slide in the park, I lost control of my direction and ended up rolling off the slide at the end. I used my hand to brace myself against the ground. Afterward, I noticed a small hole on the oute...


Dr. Liao Yaopan Reply:
Hello, it is recommended to visit the orthopedic outpatient clinic for evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.

[Read More] Finger Injuries: When to See a Family Medicine Specialist


Understanding Facial Pain: When to Seek Medical Help

Facial issues? Hello, doctor: I am experiencing pain in the muscles of both cheeks, cheekbones, temporomandibular joint, parotid gland, submandibular gland, sublingual gland, and facial muscles. The pain comes in waves, and there is a painful bump on the temporomandibular joint. ...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you first visit a family medicine clinic. If the temporomandibular joint pain is more pronounced, you may then consult an oral and maxillofacial surgeon.

[Read More] Understanding Facial Pain: When to Seek Medical Help


Understanding Weight and Gastrointestinal Issues in Young Adults

Weight issues, gastrointestinal problems? I am 156 cm tall and underweight, and I don't know why my weight has not been increasing. My appetite hasn't changed; in February, I weighed between 46-47 kg, and at the beginning of March, I was still around 46-47 kg. However, ...


Dr. Chen Bozhang Reply:
Hello, if you feel unwell, please visit a family medicine or gastroenterology clinic for evaluation. For dietary management, you can consult a nutritionist at the nutrition counseling clinic. Thank you.

[Read More] Understanding Weight and Gastrointestinal Issues in Young Adults


Understanding Leg Cramps and Ear Congestion: Causes and Solutions

Muscle cramps and ear congestion? Frequent nighttime calf cramps may indicate a deficiency in certain nutrients, such as potassium, magnesium, or calcium. It is advisable to consult a physician, preferably a primary care doctor or a neurologist, for further evaluation. Regarding...


Dr. Lin Zhebin Reply:
Hello: 1. Calf cramps may be related to a deficiency in electrolytes (sodium, magnesium, potassium, calcium) and vitamins (B vitamins, D). Additionally, it may be associated with blood sugar levels, liver function, and kidney function. It is recommended to consult a family medici...

[Read More] Understanding Leg Cramps and Ear Congestion: Causes and Solutions


Chronic Insomnia, Weight Loss, and Poor Appetite: Seeking Medical Advice

Long-term insomnia, significant weight loss, and poor appetite issues? Hello Doctor, for the past two years, I have been unable to sleep more than three hours a night before waking up and being unable to fall back asleep. I have consulted various psychiatrists and have tried almo...


Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a family medicine clinic.

[Read More] Chronic Insomnia, Weight Loss, and Poor Appetite: Seeking Medical Advice


Understanding Persistent Dizziness: When to Seek Medical Help

Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness frequently for over a week. The sensation feels like a heavy head and light legs, with scattered attention and fatigue, somewhat similar to motion sickness, but not the spinning sensation ...


Dr. Lin Zhebin Reply:
Hello: Your dizziness is likely due to anemia. If the cause of your previous iron deficiency anemia, such as chronic blood loss, was not identified (common causes at your age include heavy menstrual bleeding and gastrointestinal bleeding), it is easy for the anemia to recur after...

[Read More] Understanding Persistent Dizziness: When to Seek Medical Help


Sudden Spike in Blood Sugar: Possible Causes and Concerns

Sudden increase in blood sugar levels? On the afternoon of June 11, I experienced urethral pain and went to the hospital's emergency department. The doctor arranged for blood tests and urinalysis, which generally showed no significant issues, but my blood glucose level was m...


Dr. Chen Bozhang Reply:
There are many reasons that can cause elevated blood sugar levels, including diet, lifestyle habits, stress, inflammation, infections, and medications. It is recommended to continue monitoring and follow up at the outpatient clinic. Thank you.

[Read More] Sudden Spike in Blood Sugar: Possible Causes and Concerns


Understanding Lymphocyte Decline: Causes and Next Steps in Family Medicine

Lymphocyte decrease? Hello, Doctor. Recently, my blood test results show that my lymphocyte count has decreased to 18 (normal range: 19-48), while the other values are generally normal. My neutrophil segment is at 73 (normal range: 40-74) and my white blood cell count is 5090 (no...


Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: The values you have presented are still considered within the normal range of clinical variation, meaning they represent acceptable minor fluctuations. If there are no specific symptoms or discomfort, you can continue to follow up at a general internal medicine ou...

[Read More] Understanding Lymphocyte Decline: Causes and Next Steps in Family Medicine


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