Family medicine, Family Medicine FAQ - Page 47

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Sudden Knee Pain: Should You Get Checked After Waking Up?

Sudden severe pain near the knee? I experienced sudden severe pain near my knee while turning over in bed this morning. After getting up, the pain became less noticeable, but it is more pronounced when bending. Do I need to get it checked?


Dr. Cai Mengru Reply:
Dear Ms. Lee: Regarding your question, if there is significant redness, swelling, heat, or pain, or if there is a limitation in joint movement, you should seek medical attention. If the pain is intermittent and does not affect your functionality, it is less urgent to seek care. F...

[Read More] Sudden Knee Pain: Should You Get Checked After Waking Up?


Can Vena-CA-B6 Be Injected Intramuscularly? Effects on Pregnant Women

excuse me? Can Vena-Ca-B6 be administered via intramuscular injection? What is its effect on pregnant women? Thank you.


Dr. Cai Mengru Reply:
Dear Miss Mentholatum, Regarding your question, Vena-ca-b6 is primarily administered via intravenous injection. Since our hospital does not have this medication, we are unable to access its prescribing information, making it difficult to determine whether intramuscular injection...

[Read More] Can Vena-CA-B6 Be Injected Intramuscularly? Effects on Pregnant Women


Understanding Dizziness: Causes, Treatments, and When to Seek Help

I have been experiencing dizziness recently? Dr. Tsai: Hello! I have been experiencing frequent dizziness lately, and I'm unsure of the cause. I also don't know which specialty to consult. I recently recovered from a cold and have visited two clinics. Initially, I went ...


Dr. Cai Mengru Reply:
Xiao Ting: Hello, many medications for colds can cause dizziness and drowsiness, especially those effective for runny nose and cough, which are particularly likely to induce sleepiness. Additionally, the fatigue from the cold itself necessitates rest, and it is also possible that...

[Read More] Understanding Dizziness: Causes, Treatments, and When to Seek Help


Understanding G6PD Deficiency and Hepatitis B Vaccination: Your Questions Answered

Please provide the content you would like me to translate into English? Hello Doctor: I have G6PD deficiency, but it seems my father does not have it. Previously, my mother had a blood test, and it was found that she also does not have G6PD deficiency. I later went to a family me...


Dr. Liao Yaopan Reply:
1. The test for G6PD deficiency measures the level of the enzyme "G6PD," which is different from hemoglobin. Additionally, this condition is X-linked recessive, meaning that the mother can be an asymptomatic carrier of the gene. 2. The hepatitis B vaccine is administe...

[Read More] Understanding G6PD Deficiency and Hepatitis B Vaccination: Your Questions Answered


Understanding Sudden Fainting: Causes and When to Seek Help

Fainting without any apparent reason? A few days ago, after drinking with friends, I suddenly felt dizzy while standing on the street. I was unsteady on my feet, had weakness in my limbs, and then fainted, seemingly losing consciousness briefly. However, I quickly regained awaren...


Dr. Cai Mengru Reply:
Dear Hsiaohung, Hello. Regarding your question, it is possible that blood is predominantly redirected to peripheral tissues, which can often be caused by factors such as alcohol consumption, high fever, or intense exercise. This results in a decrease in central blood volume and ...

[Read More] Understanding Sudden Fainting: Causes and When to Seek Help


Are Expired Multivitamins Safe? Health Risks and Considerations

About vitamins? Hello Doctor: I accidentally consumed a bottle of multivitamins that were two months past their expiration date for almost two weeks. I would like to know if this could have any negative effects on my health. Thank you!


Dr. Chen Bozhang Reply:
Hello: In response to your question, consuming vitamins that are two months past their expiration date can be difficult to assess in terms of health impact. This is largely dependent on the quality of the vitamins and how they have been stored. It is advisable to pay attention to...

[Read More] Are Expired Multivitamins Safe? Health Risks and Considerations


Why Am I Experiencing Severe Hair Loss and Head Pain?

I don't know why I'm experiencing excessive hair loss? I have been experiencing increasingly thinning hair for nearly a year. Recently, I have started to have headaches and a tight sensation in my scalp (which has been the case in the past as well). Every time I brush o...


Dr. Chen Bozhang Reply:
Hello: In response to your question, the issue of increasingly thinning hair and hair loss may not necessarily be the same event as headaches and a feeling of scalp tightness. However, if the hair loss is caused by psychological stress, it is indeed possible that it may be accomp...

[Read More] Why Am I Experiencing Severe Hair Loss and Head Pain?


Chronic Fatigue and Sleep Issues: Understanding Your Health Concerns

Feeling fatigued and wanting to sleep? Recently, I've been feeling very sleepy every day, even though I sleep more than 8 hours a day. I go to bed around 1 AM and wake up between 9 and 10 AM. My health has been deteriorating since the end of last year. I went to the emergenc...


Dr. Chen Bozhang Reply:
Hello: In response to your question, the symptoms you described are quite numerous, including easy fatigue, palpitations, gum inflammation, dizziness, and so on. These symptoms are relatively nonspecific and could be caused by systemic factors such as endocrine issues, autoimmune...

[Read More] Chronic Fatigue and Sleep Issues: Understanding Your Health Concerns


Managing Fatty Liver: Which Specialist to Consult and Dietary Tips

Metabolic issues? I would like to ask which specialist I should see for fatty liver? Is it okay to take B vitamins or clam tablets if I have high uric acid? I am 33 years old and weigh 78 kg; what are some ways to improve my condition? Are there any dietary restrictions I should ...


Dr. Lai Hexian Reply:
1. Family Medicine 2. Depends on the product 3. Based on height, improvement is not always necessary 4. Please seek a detailed evaluation from a healthcare provider

[Read More] Managing Fatty Liver: Which Specialist to Consult and Dietary Tips


Understanding Involuntary Toe Twitches: Causes and Solutions

The toes may experience slight twitching? Last night, I noticed that my left foot's little toe was twitching slightly... and it continued to be the same the next day... I don't know what could be causing this phenomenon. Is it related to blood circulation? I've hea...


Dr. Cai Mengru Reply:
Hello: Regarding your question, it is highly likely that it is caused by involuntary contractions of some small muscles, similar to how eyelids sometimes twitch. This condition usually resolves on its own without any treatment, but it would be better to reduce the intake of caffe...

[Read More] Understanding Involuntary Toe Twitches: Causes and Solutions


Persistent Calf Numbness After Yoga: Which Specialist to Consult?

Numbness in the calf after practicing yoga for several days? After practicing yoga, I have experienced numbness in my calf for several days. There are multiple ruptured microvessels in my right calf resembling mild varicose veins (which were not present before). For the past few ...


Dr. Chen Mengkan Reply:
Hello: The rupture of microvessels in the epidermis is likely related to exercise-related strain and should improve over time. As for the localized numbness in the calf, I recommend that you first visit a family medicine clinic to determine whether it is a neurological issue or a...

[Read More] Persistent Calf Numbness After Yoga: Which Specialist to Consult?


Why Drinking Soda Too Quickly Can Cause Discomfort

Drinking beverages too quickly? Hello, yesterday I drank Sprite too quickly and felt a bit uncomfortable in my chest afterward. Later, I burped and felt better! Can you tell me why this happened?


Dr. Chen Bozhang Reply:
Hello: The symptoms mentioned in your letter are likely due to the fact that Sprite is a carbonated beverage that produces gas. Drinking it too quickly can lead to a significant accumulation of carbon dioxide in the stomach, which may not be expelled in time and can backtrack int...

[Read More] Why Drinking Soda Too Quickly Can Cause Discomfort


Which Specialist Should You See for Allergic Rhinitis and Breathing Issues?

Which department should I consult? Hello Doctor, 1. I have allergic rhinitis, and when I run, I feel very short of breath and dizzy. If I run more than about 400 meters, I experience difficulty breathing, as if I can't get enough air. It feels like the world around me is s...


Dr. Wu Fangcan Reply:
1. Allergic rhinitis often causes swelling and thickening of the nasal mucosa, leading to a narrowing of the nasal passages. This can result in insufficient airflow during exercise, causing difficulty in breathing and potential hypoxia, which may lead to symptoms such as blurred ...

[Read More] Which Specialist Should You See for Allergic Rhinitis and Breathing Issues?


Understanding Multiple Symptoms: When to See a Family Medicine Specialist

Several areas feel uncomfortable? Hello, Doctor. Since September 1998, I have been feeling a heavy sensation in my head. I wake up feeling very tired, not from lack of sleep but from an inability to feel refreshed. I feel lethargic throughout the day and lack energy for any activ...


Dr. Chen Bozhang Reply:
Hello: In response to your inquiry, you mentioned several symptoms including dry mouth, frequent urination, anxiety with palpitations, dizziness, and fatigue. Since these symptoms require a thorough medical history and physical examination by a physician, along with laboratory te...

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


Should You Avoid Drinking Water Before Blood Tests? Expert Insights

Is it necessary to refrain from drinking water before a blood test? (Forwarded from the Director's mailbox) I have a question. For routine blood tests measuring cholesterol, triglycerides, and blood glucose, I heard that one must refrain from drinking water the night before....


Dr. Cai Mengru Reply:
Hello, Sir: Regarding your question, if you are only drinking a small amount of water, it actually does not have a significant impact. Generally, cholesterol levels are not affected; only uric acid, blood sugar, and triglycerides may be influenced. However, to minimize the possib...

[Read More] Should You Avoid Drinking Water Before Blood Tests? Expert Insights


Can You Get HIV from a Straw Used by an Infected Person?

Can you get infected if you are scratched by a straw used by an HIV-positive patient? I accidentally cut my arm with a straw from a bubble tea drink while meeting a friend who is HIV positive, resulting in a small wound that bled slightly. My friend has a smoking habit and poor o...


Dr. Cai Mengru Reply:
Dear Mr. Ashu, Regarding your question, since it cannot be considered as having direct contact with the patient's bodily fluids, the risk of infection is very low. However, as long as the possibility is not zero, I understand that your anxiety may not completely disappear. ...

[Read More] Can You Get HIV from a Straw Used by an Infected Person?


Understanding Stiff Fingers at Night: Causes and When to See a Doctor

Stiffness in the fingers? My mother is 52 years old, and recently she often wakes up in the middle of the night with her fingers feeling stiff and unable to move. What could be the reason for this? I experienced something similar during winter and thought it was just because it w...


Dr. Cai Mengru Reply:
Dear Ms. Hsieh, Regarding your question, if this occurs during sleep (when a person is in a semi-conscious state), it may be commonly referred to as sleep paralysis. During this time, brain activity is awake, and some individuals may also experience visual hallucinations, while ...

[Read More] Understanding Stiff Fingers at Night: Causes and When to See a Doctor


Can I Take Medication with Supral? Understanding Cold Symptoms and Gas

Could you please specify the issue regarding medication? Hello, is it okay to take medication with Shupao (a type of herbal drink)? Or will it counteract the medication? Additionally, can a cold cause bloating?


Dr. Cai Mengru Reply:
Dear Mr. Lai, Regarding your question, the best choice for taking medication is to use plain water. It is advisable to avoid frequently using other beverages to take your medication. Although I cannot provide a precise answer without knowing the specific medication you are using...

[Read More] Can I Take Medication with Supral? Understanding Cold Symptoms and Gas


Can People with G6PD Deficiency Drink Energy Drinks?

I'm sorry, but I need more context or information to provide an accurate translation. Could you please provide additional details or clarify your Hello, can individuals with G6PD deficiency drink Red Bull? It contains Vitamin B1, Vitamin B6, Vitamin B12, Vitamin C, inositol,...


Dr. Chen Bozhang Reply:
Hello: In response to your question, individuals with G6PD deficiency should avoid items such as gentian violet, camphor and its products, methylene blue, fava bean products, antimalarial drugs, sulfonamide antibiotics, and aspirin-type analgesics. The energy drink does not conta...

[Read More] Can People with G6PD Deficiency Drink Energy Drinks?


Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being

Head discomfort? Hello Doctor, I have the following questions: 1. I have been experiencing headaches for ten years. Is it possible to treat them? Sometimes I feel very fatigued and want to sleep. How can I address this? 2. I started dyeing my hair ten years ago due to white hai...


Dr. Chen Bozhang Reply:
Hello, In response to your inquiry, you mentioned several issues including physiological symptoms such as chronic headaches, irregular menstrual cycles, and premature graying of hair, as well as psychological stress and forgetfulness. You also noted a range of symptoms like fat...

[Read More] Understanding Chronic Headaches: Causes, Solutions, and Emotional Well-being


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