Family medicine, Family Medicine FAQ - Page 51

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Can Deafness Be Inherited? Understanding Genetic and Environmental Factors

Can deafness and mutism be inherited? I would like to ask, both my parents are deaf and mute, but my grandparents do not have this condition. However, my siblings and I are not deaf or mute. Will this condition be inherited if we get married and have children in the future? It se...


Dr. Lai Junlong Reply:
Hello: Congenital hereditary deafness is rare, and most cases of hearing impairment lead to language learning disabilities. There are many genetic patterns associated with congenital hearing loss, which can be determined through genetic counseling and testing. If deafness is caus...

[Read More] Can Deafness Be Inherited? Understanding Genetic and Environmental Factors


Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey

Hyperthyroidism, frozen shoulder, and a sensation of pressure in the neck? Hello, I am fifty-five years old. I had hyperthyroidism at the ages of twenty-four and thirty-two, and it has recurred this year. I have been seeing a specialist at a large hospital and have been on medica...


Dr. Cai Mengru Reply:
Dear Mr. regarding your question about hyperthyroidism, if it is confirmed that the size and shape of your thyroid gland are normal, it would be less reasonable to suspect that the thyroid is causing compression. The manifestations of functional abnormalities should not only incl...

[Read More] Understanding Thyroid Issues, Shoulder Pain, and Neck Discomfort: A Patient's Journey


Understanding Vomiting Linked to Mental Health: Causes and Solutions

Poor mental health can lead to vomiting? I have been experiencing symptoms of occasional vomiting, including the presence of blood in the vomit, for the past month or two due to poor mental health. Could this be related to staying up late? How can I improve my condition without t...


Dr. Cai Mengru Reply:
Dear Mr. Li, Regarding your question, excessive masturbation should not be used as an explanation, as frequent vomiting is not a normal phenomenon and should prompt an investigation into potential physical or psychological issues. Persistent vomiting may cause damage to the lowe...

[Read More] Understanding Vomiting Linked to Mental Health: Causes and Solutions


Understanding Peripheral Circulation Disorders: Symptoms and Supplements

Peripheral circulatory disorder Doctor, I would like to ask if peripheral circulation disorders refer to easy numbness in the limbs or poor blood circulation? A friend gave me a bottle of dietary supplement that states it is indicated for peripheral circulation disorders. I would...


Dr. Cai Mengru Reply:
Dear Miss Jenny, Regarding peripheral circulatory disorders, there is no clear definition in the medical field. Generally, physicians may prescribe medications that improve peripheral circulation when patients report symptoms such as numbness in the limbs or dizziness, suspectin...

[Read More] Understanding Peripheral Circulation Disorders: Symptoms and Supplements


Understanding Upper Right Abdominal Discomfort After Coughing

Abdominal discomfort or pain? Hello, Dr. Lai. Recently, I have been experiencing occasional dull pain in the upper right abdomen (approximately below the chest). After having a cold in April, I developed a severe cough that took several weeks to fully recover from. However, after...


Dr. Lai Junlong Reply:
Hello: In response to your question, persistent coughing may lead to inflammation of the intercostal muscles or the diaphragm, resulting in pain. Additionally, inflammation of the lower lung lobes may also cause pain; it is recommended to seek evaluation from a physician. Further...

[Read More] Understanding Upper Right Abdominal Discomfort After Coughing


Concerns About Inhaling Unknown Chemicals: What You Need to Know

Unknown gas Hello: Today, while passing by a certain location, I noticed a worker spraying some kind of gas that had a paint-like odor. Although I passed quickly, my eyes and skin were still exposed to this gas, and I inhaled a small amount of it. Currently, my eyes and skin feel...


Dr. Cai Ruiyuan Reply:
Hello Mr. Chen: Gas hazards can be classified into localized hazards and systemic hazards. Localized hazards refer to the harm caused by direct contact, such as mucosal irritation or chemical burns resulting from exposure of the skin, respiratory tract (oral and nasal cavities, t...

[Read More] Concerns About Inhaling Unknown Chemicals: What You Need to Know


Understanding Leg Swelling and Abdominal Pain: A Guide for Caregivers

Bilateral leg edema and abdominal pain? My mother is 60 years old. About half a month ago, she discovered severe edema in her right leg (the left leg also has some edema, but it is milder). Additionally, she has been experiencing abdominal pain. After blood tests, all indicators ...


Dr. Lai Hexian Reply:
Hello, it is recommended that you bring the previous examination results and the patient to the Family Medicine outpatient department for further evaluation and treatment. There are various conditions that could cause the aforementioned symptom combination, so it is advisable to ...

[Read More] Understanding Leg Swelling and Abdominal Pain: A Guide for Caregivers


Can You Get a Bone Density Test at a Family Medicine Clinic?

Bone density testing I am 35 years old and would like to understand my bone density, but I do not want to undergo a full health check-up. Can I schedule this test at a family medicine clinic? Thank you.


Dr. Chen Bozhang Reply:
Hello, online user: Currently, bone density testing falls under the scope of the orthopedic outpatient department at our hospital. We recommend that you schedule an appointment with the orthopedic clinic for the examination. Since your age does not meet the criteria for insurance...

[Read More] Can You Get a Bone Density Test at a Family Medicine Clinic?


Managing Morning Thirst and Anxiety: Tips for Emotional Stability

I have been feeling constantly thirsty (forwarded from the Director's mailbox)? I feel a bit anxious, but drinking water helps. In the morning at home, I feel restless and keep drinking water. In the afternoon, when I arrive at National Chung Hsing University, I feel more st...


Dr. Cai Mengru Reply:
Dear Ms. Chen, Regarding your question, I am unsure how long this has been occurring. If we rule out physiological responses due to hot weather or recent stressors in your environment, it is possible that you may be experiencing some anxiety. However, a clinical diagnosis of anx...

[Read More] Managing Morning Thirst and Anxiety: Tips for Emotional Stability


Which Specialty to Consult for Adrenal Cortex Stress Testing?

Adrenal Cortex Stress Analysis Hello, Doctor: May I ask which department should I consult for the "adrenal cortex stress analysis" test (Allergy, Immunology and Rheumatology, Metabolism, Family Medicine, or Psychiatry)? Is this test covered by health insurance, or does ...


Dr. Lai Junlong Reply:
Hello: It is recommended to visit the endocrinology (metabolism) outpatient clinic.

[Read More] Which Specialty to Consult for Adrenal Cortex Stress Testing?


Is It Back Pain or Kidney Pain? Understanding Your Symptoms

Is it lower back pain or kidney pain? Hello Dr. Lai: Recently, I have been experiencing a lot of pain near my lower back. My friends say it might be related to my kidneys. Due to work commitments, I haven't been drinking much water and often hold my urine. Lately, the pain n...


Dr. Lai Junlong Reply:
Hello: Most cases of lower back pain are not related to kidney issues. If there is no swelling, it is advisable to drink more water. Kidney pain may originate from back muscle strain or nerve pain, and it could also be due to kidney stones. If there is an infection in the urinary...

[Read More] Is It Back Pain or Kidney Pain? Understanding Your Symptoms


Understanding Chest and Shoulder Pain: When to Seek Medical Help

excuse me? Recently, I've been experiencing soreness in my back, chest, and shoulders, along with a tight sensation in my neck (which becomes more pronounced after meals). I also have random episodes of chest tightness (for example, I might feel tightness for 2 to 3 minutes ...


Dr. Cai Mengru Reply:
Dear Ms. Hsiao-Wen, Regarding your issue, it is likely a manifestation of cervical and shoulder syndrome, primarily caused by poor posture or muscle tension in the neck and shoulders. I recommend that you first visit a family medicine or rehabilitation clinic, as it should be mo...

[Read More] Understanding Chest and Shoulder Pain: When to Seek Medical Help


What Specialist to See for Frequent Bruising on Feet After Wearing Shoes?

Please ask your question? If you frequently experience bruising on your feet after wearing shoes, but it dissipates after some massage, which department should I consult for an examination? Thank you.


Dr. Lai Hexian Reply:
Hello, if it is indeed a bruise, it usually does not dissipate easily with just rubbing. Therefore, it is recommended that when you encounter this situation, you first visit a family medicine physician for an evaluation before deciding on the appropriate specialty for further tre...

[Read More] What Specialist to See for Frequent Bruising on Feet After Wearing Shoes?


Self-Help Strategies for Anxiety-Related Symptoms in Family Medicine

Problems caused by anxiety? Hello: Due to nervousness, I am experiencing difficulty swallowing saliva, a dry throat, tightness in the neck, and chest discomfort. Are there any self-treatment methods I can try?


Dr. Lai Hexian Reply:
Hello, there are many ways to relax and alleviate basic emotional tension, such as developing a habit of exercising, practicing yoga, or taking a warm bath, all of which are excellent methods. As for tension brought on by specific situations, the best approach is to practice faci...

[Read More] Self-Help Strategies for Anxiety-Related Symptoms in Family Medicine


Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments

What is trigeminal neuralgia? Trigeminal neuralgia, often referred to as tic douloureux, is characterized by sudden, severe, and recurrent episodes of facial pain. The pain typically occurs in the distribution of the trigeminal nerve, which can affect areas such as the cheeks, ja...


Dr. Cai Mengru Reply:
Dear Mr. Abo, Regarding your question, trigeminal neuralgia is characterized by paroxysmal facial pain, presenting as episodes of sharp or stabbing sensations. The trigeminal nerve is the fifth pair of cranial nerves, and it is named for its three branches: the ophthalmic branch...

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments


Understanding Early Gray Hair: Causes and When to Seek Help

White hair Hello Doctor: I am 25 years old, and I would like to ask about my premature graying hair. Based on previous experiences, it is often caused by excessive stress. However, my recent lifestyle has been quite normal, and my job is stable and manageable. Yet, I have recentl...


Dr. Cai Mengru Reply:
Dear Ms. Athena, Regarding your questions, I will address them in two parts. The presence of white hair is primarily due to a decrease in melanin within the hair follicles as a result of aging. However, there are various other causes of premature graying that are associated with...

[Read More] Understanding Early Gray Hair: Causes and When to Seek Help


Understanding Involuntary Twitches Behind the Left Ear: Causes and Solutions

There is twitching behind the left ear? My wife has recently been experiencing what seems to be a twitching sensation behind her left ear. I'm not sure what kind of condition this could be or how to address it.


Dr. Cai Mengru Reply:
Dear Mr. Abo, Regarding your question, there are several possibilities, with the most likely being muscle twitching behind the ear, which may be caused by involuntary nerve discharges. There are various reasons for this, such as compression by surrounding tissues or the influenc...

[Read More] Understanding Involuntary Twitches Behind the Left Ear: Causes and Solutions


Which Medical Specialty to Choose for a General Health Checkup?

Which department should I consult for a health check-up? For a general health check-up, you should schedule an appointment with a primary care physician or a family medicine specialist. The cost can vary widely depending on the location and specific tests included, but it typical...


Dr. Cai Mengru Reply:
Dear Ms. AE, Regarding your inquiry, general health check-ups are typically handled by the Family Medicine department in most hospitals. However, I am not sure what specific tests you are interested in or if you are experiencing any health issues. It would be best to first consu...

[Read More] Which Medical Specialty to Choose for a General Health Checkup?


Effective Weight Loss Strategies: Addressing Stubborn Belly Fat

Regarding weight loss issues? Hello, I would like to ask a question. I have been dissatisfied with my weight and have been using traditional Chinese medicine and acupuncture for weight loss, but I still cannot reduce my lower abdomen. What methods can I use to address this issue,...


Dr. Chen Yuchao Reply:
There are many causes of obesity. It is best to schedule an appointment with a family medicine specialist to rule out any potential underlying diseases, and then address the issue by focusing on total caloric intake and exercise.

[Read More] Effective Weight Loss Strategies: Addressing Stubborn Belly Fat


Morning Foot Swelling: Causes and When to Seek Medical Advice

Inquiry When waking up in the morning, if you notice slight swelling on both sides of your feet that subsides after walking around, it could be due to several reasons, such as fluid retention, poor circulation, or prolonged pressure on the feet during sleep. This condition may fa...


Dr. Cai Ruiyuan Reply:
Hello: The issue of leg swelling may be related to diseases of the kidneys, heart, liver, lower limb lymphatics, or thyroid, and it may also be associated with prolonged standing, excessive salt intake, venous stasis in the lower extremities, premenstrual syndrome, or certain med...

[Read More] Morning Foot Swelling: Causes and When to Seek Medical Advice


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