Understanding Health Check Results: Key Concerns for a 63-Year-Old Man
I would like to inquire about the health check results? Hello Doctor, I would like to ask you about my father's health check-up report results: <1> Male, 63 years old, 180 cm, 72 kg <2> Electrocardiogram: Abnormal R wave, abnormal ST segment, heart murmur <3&g...
Dr. Chen Bozhang Reply:
Dear User, Regarding the issues mentioned in your health check report, the points highlighted in red are summarized as follows: 1. **Electrocardiogram (ECG) Findings**: Abnormal R wave, abnormal ST segment, and heart murmurs. It is recommended to visit a cardiology clinic for a...[Read More] Understanding Health Check Results: Key Concerns for a 63-Year-Old Man
Am I Experiencing Depression or Withdrawal Symptoms from Quitting Smoking?
Could you please tell me if my symptoms are indicative of depression or withdrawal symptoms from quitting smoking? Hello, doctor. In early September, during a routine ultrasound examination for fatty liver and gallstones, the doctor mentioned that it seemed like I had a tumor in ...
Dr. Gao Qingyun Reply:
Hello, please rest assured and do not worry. Based on your questions, our recommendation is to seek assistance from a smoking cessation clinic in conjunction with appropriate medications to help you quit smoking, which can increase the success rate of cessation and alleviate with...[Read More] Am I Experiencing Depression or Withdrawal Symptoms from Quitting Smoking?
Understanding Low Red Blood Cell Count and Abnormal Lymphocytes in Blood Tests
Complete Blood Count (CBC) Hello, Doctor: I would like to ask about low red blood cell count and abnormal atypical lymphocytes. What could be the issue, and what should I do? These two items were highlighted in red only in this year's health check, and I have not had these i...
Dr. Gao Qingyun Reply:
Dear Huang, Hello, the interpretation of any medical test results must be accompanied by a complete and detailed medical history and physical examination. I recommend that you bring the relevant reports and discuss them in person with your physician. Thank you! Wishing you safe...[Read More] Understanding Low Red Blood Cell Count and Abnormal Lymphocytes in Blood Tests
Impact of Eating Before Blood Tests: Understanding Glucose and eGFR Results
Eating 1.5 hours before a blood draw can affect the test results? Hello Doctor, I had a blood test for biochemistry at 4 PM, and I ate something 1.5 hours prior (a meat floss rice ball and oat milk). The results showed two abnormal values that made me very anxious: 1. Glucose lev...
Dr. Gao Qingyun Reply:
Dear Sasa, Hello, the eGFR data is not affected by food intake prior to blood draw. Whether there is renal dysfunction is determined based on a detailed medical history and physical examination, supplemented by appropriate laboratory test results, rather than solely relying on t...[Read More] Impact of Eating Before Blood Tests: Understanding Glucose and eGFR Results
Essential Health Tips: Vitamin D, Calcium Intake, and Post-Meal Care
Health Consultation Hello, I have some health questions to ask. 1. Regarding vitamin D, do I need to sunbathe every day? Can I sunbathe more today and skip it tomorrow? If I get more sun exposure in the summer, can that be stored for use in the winter? 2. About calcium excess—...
Dr. Gao Qingyun Reply:
Mr. Chen: Hello, 1. Regarding vitamin D, do I need to sunbathe every day? Can I sunbathe more today and skip it tomorrow? If I sunbathe more in the summer, can I store that for use in the winter? Answer: It is better to have a balanced exposure to sunlight. It is okay to skip a...[Read More] Essential Health Tips: Vitamin D, Calcium Intake, and Post-Meal Care
Chronic Abdominal and Lower Back Pain: Seeking Answers in Family Medicine
Lower back, abdomen I have been experiencing abdominal pain along with discomfort in both lower back areas, extending about a hand's breadth both front and back, for over a year. The pain is not constant in the abdomen, but the discomfort in the lower back is daily. The lowe...
Dr. Liao Yaopan Reply:
Hello, based on your description, it is recommended to continue monitoring and follow-up examinations with the gastroenterology and gynecology departments. Thank you for your message, and Changhua Hospital cares about you.[Read More] Chronic Abdominal and Lower Back Pain: Seeking Answers in Family Medicine
Managing Uncontrolled High Blood Pressure: Seeking the Right Specialist
High blood pressure? Hello, my husband has very high blood pressure, often reaching 180. He previously visited a family medicine doctor, but no cause could be identified, and he can only manage his blood pressure with medication. I would like to ask which specialty we should cons...
Dr. Chen Zonglin Reply:
Hello: In addition to medication management prescribed by a physician, lifestyle modifications are also crucial for blood pressure control. Relying solely on medication without adjusting lifestyle often leads to disappointing results in blood pressure management. If both aspects ...[Read More] Managing Uncontrolled High Blood Pressure: Seeking the Right Specialist
Morning Foot Pain and Swelling: Causes and Treatment Options Explained
In the morning, my entire foot sole hurts, and I am unable to walk? Hello: My feet often swell, and since I work long hours standing, I frequently wake up in the morning with painful soles. When I get out of bed, I can hardly walk and have to drag my feet for a while before I can...
Dr. Chen Zonglin Reply:
Hello: For the condition of foot pain, you can visit an orthopedic or rehabilitation specialist to assess whether there is inflammation in the joints or tendons of the foot. Regarding the heel, considering your history of prolonged standing, it is important to evaluate the possib...[Read More] Morning Foot Pain and Swelling: Causes and Treatment Options Explained
Navigating Multiple Symptoms: A Guide to Comprehensive Medical Care
Seeking treatment options for various symptoms? Hello Dr. Chen, I have many symptoms and since they span multiple specialties, I’ve heard that there can be interactions between different organs. I would like to inquire about the most appropriate way to seek medical treatment. Her...
Dr. Chen Bozhang Reply:
Hello, it is recommended to first adjust your daily routine. If there is no improvement, you may consult a family medicine physician, who will provide professional assessment and relevant advice. Thank you![Read More] Navigating Multiple Symptoms: A Guide to Comprehensive Medical Care
Understanding Painless Diarrhea: Causes and When to Seek Help
Diarrhea without abdominal pain? On the first day, I experienced lower back pain, followed by a headache, and then I had a fever at night. The next day, I didn't feel much discomfort, but after lunch, I vomited. On the third day, I still didn't feel much discomfort. On ...
Dr. Gao Qingyun Reply:
Hello, 1. Based on your description, it may not be significantly related to the previous appendectomy or peritonitis surgery. 2. Your description suggests a possibility of bacterial or viral gastroenteritis, but a complete medical history and physical examination are still nec...[Read More] Understanding Painless Diarrhea: Causes and When to Seek Help
Persistent Coughing: When to Seek Further Medical Evaluation
Persistent cough? Hello, I have a persistent cough that sometimes leads to vomiting, and occasionally it causes headaches. I have seen an ENT specialist, a gastroenterologist, and a family medicine doctor, and I have taken several medications, but there hasn't been much impr...
Dr. Gao Qingyun Reply:
Hello, coughs that do not respond well to medication can sometimes be challenging to manage, and they may indeed be caused by gastroesophageal reflux. A thorough examination relies on a complete medical history and physical examination. I recommend consulting a pulmonologist for ...[Read More] Persistent Coughing: When to Seek Further Medical Evaluation
Understanding Whole Body Itching: Causes and When to Seek Help
Generalized pruritus? I would like to consult a doctor. Last Sunday night, before going to bed, I suddenly experienced intense itching all over my body (without any rash). I initially thought it might be a food or drug allergy since I had eaten raw mango and taken antibiotics tha...
Dr. Chen Bozhang Reply:
If your issue is related to allergies, it is a matter of constitution, and the only solution is to avoid foods or environments that trigger your allergies. It is advisable to find a trusted physician in internal medicine, immunology, rheumatology, or family medicine who is famili...[Read More] Understanding Whole Body Itching: Causes and When to Seek Help
Understanding Japanese Encephalitis Symptoms: When to Seek Medical Help
What are the symptoms of Japanese encephalitis? Hello Doctor, I visited a friend in Kaohsiung Chang Gung Memorial Hospital on June 17th and 18th. Since returning, I have been feeling fatigued, experiencing mild discomfort in my body, and tightness in my shoulders and neck. I init...
Dr. Chen Bozhang Reply:
Japanese encephalitis is mostly an asymptomatic infection, with a minority of symptomatic cases presenting symptoms such as headache, fever, nausea, vomiting, agitation, altered consciousness, seizures, and even coma, with a wide range of severity. You mentioned experiencing symp...[Read More] Understanding Japanese Encephalitis Symptoms: When to Seek Medical Help
Why Do I Experience Sudden Leg Weakness After Waking Up?
After waking up, I experience sudden weakness in my legs while walking, which can lead to falling? I am 15 years old, and before this year, I experienced an incident at school during lunchtime where I lay down on two chairs and slept for about 40 minutes. After waking up, about t...
Dr. Chen Bozhang Reply:
The letter mentions a situation where, after waking up from a nap, there was a sudden weakness in the legs leading to a fall. Generally, if the lower limb blood vessels are compressed, there will be pain and a pale appearance, and only after blood flow is restored will color and ...[Read More] Why Do I Experience Sudden Leg Weakness After Waking Up?
Navigating Long-Term Care Challenges for Seniors with Complex Needs
Long-term care The elderly person has a severe disability certificate, but it does not include the ten major categories. For the first four months, the family provided care on their own, and later applied for foreign caregivers. However, the caregiver is experienced and speaks Ch...
Dr. Gao Qingyun Reply:
Dear Hong, Hello. Your letter indeed indicates that caring for the elderly in your family has brought you considerable distress. Since I have not personally examined the elderly individual in your home, I may not be able to provide suitable judgments or recommendations. The issu...[Read More] Navigating Long-Term Care Challenges for Seniors with Complex Needs
Understanding Right Leg Weakness: Causes and Concerns in Family Medicine
How many times a week do you experience weakness in your right foot? To address your inquiry, I need to ask for more details: 1. Gender: Male 2. Frequency of episodes: Not consistent, 2-3 times a week. Duration: Typically resolves within 2 hours. Common times for episodes: Varies...
Dr. Gao Qingyun Reply:
Dear A-Cai, Hello. In young males, muscle weakness can sometimes be related to transient hypokalemia. This low potassium level may also be caused by poor dietary habits, excessive intake of sugary foods, or hyperthyroidism. In treatment, in addition to potassium supplementation,...[Read More] Understanding Right Leg Weakness: Causes and Concerns in Family Medicine
Understanding Weakness and Temperature Differences in the Right Leg
The 15-year-old student in the third year of junior high school experiences weakness in the right leg several times a week? I am currently in the third year of junior high school and often sit for long periods as a participant in the basic competency test. I have experienced an u...
Dr. Gao Qingyun Reply:
Dr. Tsai: Hello, regarding your inquiry, I may need to ask for more details: 1. Gender 2. Frequency of episodes, duration, and common times of occurrence 3. Personal medical history, family history, and medication history 4. Associated characteristics during episodes 5. A detaile...[Read More] Understanding Weakness and Temperature Differences in the Right Leg
Understanding Thyroid Medication: Dosage, Symptoms, and Specialist Guidance
Thyroid medication I am currently taking medication for hyperthyroidism: Procil (Propylthiouracil) 50mg, 6 tablets per day, and Inderal (Propranolol) 10mg, 3 tablets per day, all after meals. I haven't recorded my T3 and T4 levels, so based on the dosage, would my condition ...
Dr. Gao Qingyun Reply:
Dear Melody, Hello, the medications you are currently taking (Procil (Propylthiouracil) and Inderal (Propranolol)) are indeed commonly used for hyperthyroidism. However, since individual responses to medications can vary, given your current symptoms of weight gain and decreased ...[Read More] Understanding Thyroid Medication: Dosage, Symptoms, and Specialist Guidance
Understanding Multiple Discomforts: Common Symptoms and Causes
Discomfort in multiple areas of the body? Over the past week, I have been experiencing a tightness in my neck, occasional headaches, and dizziness, somewhat similar to heat exhaustion. However, even after receiving gua sha treatment, I haven't felt any better. I feel extreme...
Dr. Wu Fangcan Reply:
Sometimes when a person feels unwell, they may experience fatigue, poor appetite, and sleep disturbances. It's important to consider the possibility of hepatitis or anemia. If there is a history of constipation but experiencing diarrhea after meals, one should suspect viral ...[Read More] Understanding Multiple Discomforts: Common Symptoms and Causes
Struggling with Focus and Fatigue: Understanding Your Symptoms
Inability to concentrate and lack of energy? Hello, Doctor. I have the following questions: I often find it difficult to concentrate on a single task for an extended period. When reading books or studying work-related materials, I feel like I am processing each word, but the info...
Dr. Gao Qingyun Reply:
Dear Ah-Hong, First of all, whether drinking coffee can enhance alertness or improve attention is still a matter of debate. Since you have consumed a lot of coffee and still experience these issues, you might consider reducing or stopping your coffee intake. Furthermore, regardi...[Read More] Struggling with Focus and Fatigue: Understanding Your Symptoms